scholarly journals ANALYSIS OF TUBERCULOSIS TREATMENT SUITABILITY AND THE DRUG SUPERVISOR’S ROLE IN A COMMUNITY HEALTH CENTER IN PADEMANGAN SUBDISTRICT, NORTH JAKARTA

Author(s):  
CITRA FEBRIONY ◽  
PURWANTYASTUTI . ◽  
MEANALDI RASMIN ◽  
VIVIAN SOETIKNO

Objective: Appropriate tuberculosis (TB) treatment guidelines are one of the many factors that influence the success of TB treatment. The patient’sdrug supervisor is a functional role that is part of the directly observed treatment short course, a program to support the success of TB treatment.The aim of this study was to analyze the TB treatment suitability in a community health center and the benefit of treatment compliance supervisionby the patient’s designated drug supervisor.Methods: We conducted a cross-sectional study in the Community Health Center of Pademangan subdistrict, North Jakarta, involving 205 subjects toanalyze appropriate fixed-dose combination (FDC) anti-TB drug administration and an experimental study involving 23 control group TB patients and23 intervention group TB patients to assess the benefit of supervision by each patient’s drug supervisor.Results: The association of FDC anti-TB drug side effects with the success of TB treatment was not statistically significant (p=0.173). There wasan increase in drug supervisor knowledge of 8.6% in the intervention group and 13% in the control group. There was no statistically significantassociation between the knowledge of the drug supervisor and the 2nd month (p=0.575) and the 6th month of sputum treatment.Conclusion: Minor side effects of FDC anti-TB drug did not affect the success of TB treatment; therefore, treatment was continued if these adverseevents occurred. There were no correlations between the drug supervisor knowledge level with medication compliance or with sputum conversion(months 2 and 6).

2020 ◽  
Vol 3 (2) ◽  
pp. 188-192
Author(s):  
Triswanti ◽  
Tri Maghfiroh

Background: Giving iron tablets together with drinking orange juice can increase hemoglobin levels higher than administering iron tablets alone Purpose: This study aims to examine the differences in the effectiveness of taking iron tablets against changes in hemoglobin levels in second trimester pregnant women at Sindang Barang Bogor Community Health Center. Methods: Quasi experimental research with Pretest-Posttest Control Group Design. The sample is divided into two groups, namely the intervention group and the control group. The intervention group was given iron tablets simultaneously by drinking orange juice for 30 days.  Result: The provision of iron tablets simultaneously drinking with lemon juice water is more effective than the provision of iron tablets simultaneously drinking with lemon juice water is more effective than the provision of iron tablets simultaneously drink with water in pregnant women second trimester. Conclusion: By giving vitamin C in the form of tablets or orange juice or foods or tablets of vitamin C can increase the absorption og iron pregnant women


2018 ◽  
Vol 24 (5) ◽  
pp. 398 ◽  
Author(s):  
Fengying Pan ◽  
Hao Wu ◽  
Chaojie Liu ◽  
Xiaolei Zhang ◽  
Wei Peng ◽  
...  

This study aimed to evaluate the effect of home telemonitoring on the control of high blood pressure in the Fangzhuang Community Health Center in Fengtai District, Beijing. A total of 110 hypertensive patients with uncontrolled high blood pressure were equally allocated to an intervention group and a control group randomly. The participants in the intervention group received home telemonitoring for blood pressure delivered by a team comprising a GP, a hypertension specialist, a general nurse and an information manager. The participants in the control group received the usual care. The levels of systolic and diabolic blood pressure of the participants were assessed on days 0 (baseline), 30, 90 and 180. On average, the intervention group had a greater reduction in blood pressure compared with the control by 6.6–8.0mmHg in systolic blood pressure and 0–3.0mmHg in diastolic blood pressure. Similarly, higher proportions of patients with normal blood pressure were achieved in the intervention group (63.6–71.2%) compared with the control (38.5–41.8%). The reduction in systolic blood pressure for the participants in the intervention group was positively correlated with the utilisation of the app (P<0.05). Home telemonitoring is effective in the control of high blood pressure.


2020 ◽  
Vol 1 (2) ◽  
pp. 20-27
Author(s):  
Riza Yulina Amry

Diabetic foot is a common complication experienced by people with diabetes mellitus. Knowledge of the complications of diabetic foot is necessary to perform self-care properly. Objective: to analyze the effectiveness of peer educator method health education to increase knowledge of diabetes foot complications prevention. Methods: Quasi experimental with pre-post test control group design was used in this study. Peer educator intervention was used in this study on all patients with type 2 diabetes mellitus at Banguntapan 3 Community Health Center Bantul, as many as 30 patients. Sampling using total sampling, the respondents were divided into 2 (15 interventions and 15 controls). The research instrument was a questionnaire of knowledge about the prevention of diabetic foot complications given before and after the intervention, analyzed by using paired t-test. Results: the pretest in the control group was in the moderate category (73.3%) and the intervention group (66.7%). The posttest results of the control group were in the moderate category (66.7%) and an increase in the intervention group (67.7%). Results: Bivariate analysis showed that there was an influence between the control and experimental groups on knowledge of foot care in patients with diabetes using peer method health education with a p-value of 0.006. Conclusion: the peer educator method is proven to be effective in increasing knowledge of the prevention of diabetes foot complications in diabetes mellitus patients in the Banguntapan 3 Community Health Center, Bantul.


2021 ◽  
pp. 594-612
Author(s):  
Hadi Abdillah ◽  
Burhanuddin Basri

Ineffective nursing care at the community health center can, in part, be attributed to the lack of a proper supervision model. Supervision is a management function at the control stage which is carried out to direct nurses to work effectively and efficiently and reduce potential work problems. This study uses a quasi-experimental design with pre-test and post-test, together with a control group design. The aim of this study is to analyze the effect of supervision of the clinical model and supervision of academic models on the nursing service at the community health center in Sukabumi Regency. The sample was comprised of 40 people, and data analysis was performed using the General Linear Model Repeating Measure (GLM-RM). The results indicate that there was an increase in the value of nursing care following the intervention. The author saw that in the control group, although no intervention was carried out, they knew that they were being supervised by their supervisor, so that there was an increase in the value of nursing care, but the value was not as significant as that in the intervention group. Therefore, the study concludes that the academic method of supervision training is very effective in improving nursing care.   Keywords: Supervision of Clinical Models, Academic Models, Nursing Care


2020 ◽  
Vol 8 (E) ◽  
pp. 647-652
Author(s):  
Selly Septi Fandinata ◽  
Iin Ernawati

BACKGROUND: Hypertension was an increase of blood pressure which caused damages on the target organs. Treatment therapy of hypertension patients was very complex and required a long period of time. Target of hypertension therapy was to keep the patient’s blood pressure controlled. Achieved therapeutic target was increasing adherence of patient medication. The success of treatment was not only influenced by the quality of health care but also influenced by the patient’s adherence to the treatment. Self-reminder card was a tool helping patients to avoid forget taking medicine. AIM: The aim of this research was to determine the effect of self-reminder card on the level of adherence to treatment in hypertension patients in 10 community health centers (Puskesmas) in Surabaya. METHODS: This research used QUASI experimental two groups pre-post prospective. Adherence measurement used Morisky, Green, Levine Adherence Scale questionnaire. The results of the questionnaire were analyzed statistically. Research was conducted in May 2020 at the community health center in Surabaya. Research criteria are patients with hypertension diagnosis without comorbid disease who get antihypertensive therapy. RESULTS: The results of the study obtained 115 patients (55 control group patients and 60 intervention group patients). Statistical analysis using Mann–Whitney, there was a difference between the level of adherence to treatment in the control and intervention group with the value of p < 0.001. A test analysis using Wilcoxon signed-rank, there was a difference between the level of adherence to treatment before and after the intervention group with the value p < 0.001. CONCLUSIONS: Self-reminder card was effective in increasing the level of adherence to the treatment of hypertension patients.


2017 ◽  
Vol 3 (5) ◽  
pp. 508-514
Author(s):  
Yuli Sya’baniah Khomsah ◽  
Agus Suwandono ◽  
Ida Ariyanti

Background: Pain during pregnancy and childbirth is a physiological process, but it leads to discomfort without pain management. Acupressure and effleurage are considered to be effective in reducing labor pain.Objective: To examine the effect of acupressure and effleurage in reducing pain during in the active phase of the first stage of labor in the community health center of Kawunganten, Cilacap regency.Methods: This was a quasi-experimental study with pretest-posttest control group design. There were 33 respondents recruited using simple random sampling. Numerical rating scale was used to measure labor pain. Data were analyzed using one way anova, Post hoc anova and repeated anova for normal data distribution. Kruskal Wallis was also used for non-normal data distribution.Results: There was a statistically significant mean difference of pain scale before and after given acupressure and effleurage (p-value <0.05). However, acupressure treatment had a greater effect  in reducing pain compared with effleurage.Conclusion: Acupressure and efflurage had a significant effect in reducing pain in mothers in the active phase of the first stage of labor. The results of this study are expected to enrich and contribute to the development of science in the field of health promotion, and  serve as an additional input for midwives in order to carry out the care of mother during labor.


2017 ◽  
Vol 3 (6) ◽  
pp. 765-770
Author(s):  
Iin Wahyuni ◽  
Noor Pramono ◽  
Titi Suherni ◽  
Melyana Nurul Widyawati

Objective: This study aimed to examine the pregnancy exercise during the third trimester of pregnancy on duration of the first and second stage of labor in primigravida at the Community Health Center of Sukamaju, Bandar lampung, Indonesia.Methods: This study employed a quasy experimental design with posttest-only non-equivalent control group. This study was conducted from 8 January 2017 to 12 February 2017 at the Community Health Center of Sukamaju. Forty-eight primigravida mothers were selected using consecutive sampling, with 24 assigned in the experiment and control group. Data were analyzed using Mann whitney and Chi square test.Results: The average duration of the first stage of labor in the experiment group was 495 minutes and in the control group was 685 minutes (p= 0.000); while the average duration of the second stage of labor in the experiment group was 42.5 minutes and in the control group was 68.75 minutes (p=0.000).Conclusion: There was a statistically significant difference in the duration of the first and second stage of labor between experiment and control group. It is expected for midwives in the community health centers to implement pregnancy exercise program to help mothers in accelerating the delivery process.


2021 ◽  
Vol 3 (1) ◽  
pp. 55-64
Author(s):  
Salma Salma ◽  
Haniarti Haniarti ◽  
Nurhaeda Nurhaeda

Nutritional problems in Indonesia are getting more complex as the epidemiology transition occurs.  According to reports of posyandu weighing activities at Kabere Puskesmas in 2020 there were 28 malnourished toddlers. The purpose of this study was to determine the increase in body weight of malnourished toddlers by providing high nutritional food made from tempeh and cauliflower in the working area of Kabere Public Health Center, Enrekang Regency. This type of research is a quantitative method with a quasi-experimental design with a non-equivalent control group design. The population is malnutrition under five in the working area of Puskesmas Kabere, The samples of this research were children under five who were malnourished, 14 under five who were given treatment and 14 children who were not given treatment for under-nutrition who were in the working area of the Kabere Community Health Center by calculating zcore, Data analysis was performed using the independent sample t-test with the help of the SPSS version 20 program. The location of this research was conducted in the working area of the Kabere Community Health Center. The research was conducted in July-August 2020.The results showed that the provision of high nutritional food made from tempeh and cauliflower could significantly increase body weight in malnourished children under five. So it is recommended that parents of toddlers provide adequate nutritional intake for under-nutrition children so that their nutritional status can continue to improve.


2020 ◽  
Vol 8 (E) ◽  
pp. 494-497
Author(s):  
Salmiani Abdul Manaf ◽  
Cut Yuniwati ◽  
Silfia Dewi ◽  
Lili Kartika Harahap

BACKGROUND: Most postpartum mothers experience pain. Childbirth pain can cause anxiety, fear, tension, and stress. To increase comfort and reduce pain in maternity can be done using non-pharmacological methods by giving aromatherapy. AIM: The aim of the study was to analyze the effect of lavender and rose flower aromatherapy on the intensity of active phase childbirth pain in pregnant women in Manyak Payed Community Health Center, Aceh Tamiang Regency, Indonesia METHODS: A quasi-experimental design with a prospective cohort study with post-test control group design, which was conducted in the Manyak Payed Community Health Center working area from September to December 2019. A total of 54 women giving birth using accidental sampling techniques were selected as samples and divided into three groups. Each group numbered 18 people. In this sample using inclusion and exclusion criteria, data analysis uses univariable and bivariable using Kruskal–Wallis H test and Mann–Whitney test. RESULTS: The results obtained mean childbirth pain in the lavender group by 18.83, rose flower group by 26.21, and the control group by 37.06. The results of the crucial Willis H test show that there are differences ineffectiveness in the control group and the treatment group with the Sig. 0.001 (<0.05). In further tests of the post hoc test using the Mann–Whitney test, it was found that there was no difference in the effectiveness of the intensity of labor pain in the active phase I with a sig. 0.90 (p > 0.05). Lavender and rose flower groups were equally effective in the intensity of childbirth pain. CONCLUSION: There is a difference between lavender and rose flower aromatherapy on the intensity of pain in the association. Lavender and rose flower aromatherapy treatments are equally influential on the intensity of labor pain in the first phase of the active phase in labor. Lavender and rose flower groups were equally effective in the intensity of childbirth pain.


2020 ◽  
Vol 2 (1) ◽  
pp. 24
Author(s):  
Nuratma Afini ◽  
Syajaratuddur Faiqah

Menurut data yang diperoleh dari Dinas Kesehatan Provinsi NTB tahun 2017 menunjukkan bahwa cakupan pemberian ASI Eksklusif pada bayi rata-rata di sebesar 77,66%, cakupan ini turun jika tahun 2016 sebesar 86,63%. Berdasarkan data Dinas Kesehatan Kota Mataram tahun 2018 cakupan ASI Eksklusif (AE5) yaitu sebesar 50,66% diseluruh puskesmas Kota Mataram dan di Wilayah Kerja Puskesmas Karang Pule persentasi cakupan ASI yaitu sebesar 27,69%.Tujuan Penelitian untuk mengetahui apakah ada pengaruh pendidikan kesehatan melalui metode demonstrasi mengenai posisi dan perlekatan terhadap kecukupan ASI pada bayi usia 0-6 bulan di kelurahan Karang Pule Wilayah Kerja Puskesmas Karang Pule tahun 2019. Desain penelitian ini menggunakan rancangan Quasi Eksperiment. Dengan teknik pengambilan sampel yaitu Total sampling dimana semua populasi bayi usia 0-6 bulan dijadikan sampel berjumlah 38 orang. Uji hipotesis menggunakan uji Wilcoxon dan Mann Whitney U-test. Pada kelompok intervensi nilai minimal-maksimal keterampilan sebelum diberikan pendidikan kesehatan untuk  kelompok intervensi didapatkan hasil (8-16), pada posttest didapatkan hasil (13-19). Sedangkan pada kelompok kontrol dengan nilai minimal-maksimal didapatkan hasil nilai pretest (8-11) dan pada posttest didapatkan hasil (18-18). Uji analisis keterampilan menggunakan uji Wilcoxon pada kelompok intervensi didapatkan hasil p value = 0.000 dan kelompok kontrol hasil p value = 0.000. hasil uji Mann Whitney untuk kecukupan ASI didapatkan hasil nilai p value = 0.039. terdapat pengaruh yang signifikan pendidikan kesehatan melalui metode demonstrasi terhadap kecukupan ASI pada bayi usia 0-6 bulan. Terdapat pengaruh pendidikan kesehatan melalui metode demonstrasi mengeani posisi dan perlekatan terhadap kecukupan ASI ada bayi usia 0-6 bulan di Kelurahan Karang Pule Wilayah Kerja Puskesmas Karang Pule Tahun 2019. According to data obtained from the NTB Provincial Health Office in 2017 shows that the coverage of Exclusive Breastfeeding for infants is at an average of 77.66%, this coverage decreases if 2016 is 86.63%. Based on data from the City of Mataram Health Office in 2018 Exclusive breastfeeding coverage (AE5) is 50.66% in all Mataram City health centers and in the Karang Pule Community Health Center Working Area, the percentage of ASI coverage is 27.69%.Objectives to find out whether there is an effect of health education through demonstration methods regarding the position and attachment to the adequacy of breastfeeding in infants aged 0-6 months in Karang Pule Village, Karang Pule Health Center Working Area in 2019.The design of this study used the Quasi Experiment design. With the sampling technique that is Total sampling where all populations of infants aged 0-6 years were sampled as many as 38 people. Test the hypothesis using the Wilcoxon test and the Mann Whitney U-test.in the intervention group the minimum score of skills before being given health education for the intervention group was obtained (8-16), in the posttest the results were obtained (13-19). Whereas in the control group with the minimum-maximum value obtained the results of the pretest (8-11) and the posttest results (18-18). Test the skills analysis using the Wilcoxon test in the intervention group obtained results p value = 0,000 and the control group results p value = 0,000. The results of the Mann Whitney test for the adequacy of ASI were obtained by the value of p value = 0.039. there is a significant effect of health education through the demonstration method on the adequacy of breastfeeding in infants aged 0-6 months.There is the influence of health education through demonstration methods to treat the position and attachment to the adequacy of breast milk there are infants aged 0-6 months in Karang Pule Village Karang Pule Health Center Working Area in 2019


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