scholarly journals Hubungan sikap perawat dengan penerapan patient safety pada masa pandemi Covid 19

2021 ◽  
Vol 14 (4) ◽  
pp. 674-679
Author(s):  
Usastiawaty Cik Ayu Saadiah Isnainy ◽  
M Ricko Gunawan ◽  
Rafika Anjarsari

Clinical nurses' attitude toward patient safety: application and results during Covid 19 pandemicBackground: Patient safety is an effort to reduce unnecessary injuries associated with health care to the minimum acceptable level. Patient safety incident report in Indonesia in 2009 were 114, 103 incident in 2010, 34 incident in 2011. The number of adverse events was 10.5% and a near miss incident  was 6.15%.Purpose: known that relationship between nurses' attitude with patient safety application during the Covid-19 pandemic at public health center Pesawaran district in 2020.Method: A quantitative study by survey analytical with cross-sectional design. The sampling technique using a questionnaire and taken by total sampling. The respondents of 40 clinical nurses at public health centre.Results: Respondents who had positive attitudes were 32 (80%), and who had negative attitudes was 8 (20%). Respondents who had behavior of patient safety standard application with good categories were of 20 (50%), and respondent with a poor category was of 20 (50%) and based on the statistical result of (p value 0,008; OR=15,000).Conclusion: There are relationship between clinical nurses' attitude toward patient safety: application and results during COVID-19 pandemic at the health center. Suggestions for health centre management to pay attention for patient during covid-19 pandemic and all staff nurses to follow the health protocol for Covid.Keyword : Clinical nurses; Attitude; Patient safety; Application; Covid-19 pandemicPendahuluan: Keselamatan pasien merupakan sebuah upaya menurunkan cedera yang tidak perlu yang berhubungan dengan pelayanan kesehatan hingga ke tingkat minimum yang dapat diterima. Laporan insiden keselamatan pasien di Indonesia tahun 2009 sebanyak 114, tahun 2010 sebanyak 103, tahun 2011 sebanyak 34. Angka Kejadian Tidak Diharapkan (KTD) sebesar 10,5% dan Kejadian Nyaris Cedera (KNC) sebesar 6,15%.Tujuan: Diketahui hubungan sikap perawat dengan penerapan patient safety pada masa pandemic covid 19 di UPT Puskesmas Rawat Inap Kabupaten Pesawaran Tahun 2020.Metode: Penelitian ini menggunakan desain penelitian Survey Analitik dengan menggunakan rancangan cross-sectional. Teknik pengambilan sampel dalam penelitian ini menggunakan lembar kuesioner. Populasi dalam penelitian ini adalah seluruh perawat puskesmas rawat inap yang berjumlah 40 responden.Hasil: Responden yang mempunyai sikap positif sejumlah 32 (80%) dan responden dengan sikap negatif sejumlah 8 (20%). Responden yang mempunyai perilaku penerapan standar keselamatan pasien dengan kategori baik sejumlah 20 (50%) dan responden dengan tingkat perilaku tidak baik sejumlah 20 (50%). Uji penelitian yang dilakukan menggunakan uji chi square dengan hasil (p value 0,008; OR=15,000).Simpulan: Ada hubungan sikap dengan penerapan patient safety pada masa pandemi covid 19 di UPT Puskesmas Rawat Inap Kabupaten Pesawaran tahun 2020. Saran dari peneliti ini diharapkan untuk selalu menerapkan standar keselamatan pasien dalam pelayanan.

2020 ◽  
Vol 7 (1) ◽  
pp. 1
Author(s):  
Penta Luis Sandi ◽  
Cicilia Nony Ayuningsih Bratajaya ◽  
Wilhelmus Hary Susilo

Intensi atau niat berkunjung ke Puskesmas Pembantu merupakan keinginan untuk datang berobat ke Pelayanan Kesehatan. Beberapa kendala dialami masyarakat untuk pergi ke pelayanan kesehatan. Theory of Planned Behavior (TPB) digunakan untuk memprediksi niat seseorang  memanfaatkan fasilitas kesehatan yang dapat didasari oleh kesadaran untuk datang ke fasilitas kesehatan, dukungan keluarga, dan situasi yang dirasakan.  Tujuan penelitian ini untuk mengetahui faktor-faktor yang berhubungan dengan intensi masyarakat di salah satu RW Desa Kota baru Kecamatan Padangratu Kabupaten Lampung Tengah untuk berobat Ke Puskemas Pembantu Kotabaru dengan menggunakan pendekatan TPB. Penelitian ini menggunakan metode kuantitatif dengan pendekatan Cross Sectional. Jumlah populasi kepala keluarga (KK) di salah satu RW sebanyak 257 KK. Jumlah sampel sebanyak 155 KK yang terbagi dalam 4 RT. Data dikumpulkan dengan teknik Stratified Random Sampling. Pengumpulan data dengan menggunakan kuesioner dan data dianalisis menggunakan uji Kendall Tau b. Hasil dari penelitian menerangkan bahwa sikap berhubungan dengan intensi (p-Value 0,010), norma subyektif berhubungan dengan intensi (p-Value  0,000), dan control perilaku yang dirasakan tidak berhubungan dengan intensi (p-Value  0,802). Kesimpulan, sikap untuk mau memanfaatkan fasilitas kesehatan dan dukungan orang terdekat menjadi kunci utama untuk meningkatkan intensi atau niat seseorang dalam memanfaatkan fasilitas kesehatan. Kata kunci: sikap; norma subyektif; kontrol perilaku yang dirasakan; Intensi berobat, Pelayanan Kesehatan. THE RELATED FACTORS TO COMMUNITY INTENTIONS FOR HAVING TREATMENT OF HEALTH SERVICESABSTRACTThe intention to visit the Public Health Center is the desire for visiting the health service. Several problems experienced by the community for visiting Public Health Center. Theory of Planned Behavior was used to predict the intention of the community to treat their health in Public Health Center. The purpose of this study was to determine related factors to the intention for visiting Public Health Center. This study used a quantitative method with a Cross Sectional approach. The populations were 257 families at Kota Baru urban village. The numbers of 155 families in one of neighbourhood at Kota Baru urban village were recruited by using stratified random sampling into 4 hamlets. Data collection used questionnaires and the data were analyzed by Kendall Tau b. The results of the study explain that attitudes were related to intention (ρ-Value 0,010), subjective norms are related to intention (ρ-Value 0,000) and perceived behaviour control is not related to intention (ρ-Value 0,802). In conclussion, the attitude of community to check their health in public health centre and subjective norms are the key of success to increase community intention to visit health centre. Keywords: attitudes; subjective norms; behaviour control; intention; public health center


Author(s):  
Evi Rosita ◽  
Siti Nurnaningrum

There are about 2.8 million incident of perineal rupture in maternal physiological labor. In 2050,it is estimated that the incidence of perineal rupture can be 6.3 million if it is not accompanied by a good midwifery care. In 2016, in Trawas, there was (89%) perineal rupture in primiparas and (57%) perineal rupture in multiparas. Perineal rupture incidences due to parity were still very high. This study aims to analyze the relationship between parity and the incidence of perineal rupture . It is quantitative studyusing a cross sectional approach, by using analysis of physiological maternity women  medical record data from January to April 2017 of 130 peoplein Trawas Public Health Center, Mojokerto Regency.The dataanalysis used was Chi - Square , indicated by p value = 0,000 with ɑ = 0,05. It means that the value of p <ɑ, so H1 is accepted. It can be concluded that there is a relationship between parity and the incidence of perineal rupture on physiological maternity women in Trawas Public Health Center,Mojokerto Regency. Midwives can apply collaboration with patients and their families to have physical and psychologicalpreparation with an alternative of hypnobirthing methods.


Author(s):  
Brain Guntoro ◽  
Kasih Purwati

Hypertension is one of the number one causes of death and disability in the world. Hypertension contributes nearly 9.4 million deaths from cardiovascular disease each year. Hypertension can cause undesirable effects, it needs good handling, one of them is by doing a hypertension diet. To carry out a hypertension diet requires knowledge, lack of knowledge can increase risk factors for hypertension. This study aims to determine the relationship of the level of knowledge about hypertension diet to the incidence of hypertension in the elderly at the Baloi Permai Public Health Center Batam City. This research method is an analytic observational with a cross-sectional approach conducted at the Baloi Permai Public Health Center Batam City 2018. Sampling technique is a total sampling with a sample of 64 people in 2018 determined by inclusion and exclusion criteria. The results of the study were analyzed with frequency distribution and then tested with the Chi-square test. Based on the results of this study indicate that of the 64 respondents found elderly who have a good level of knowledge are 41 people (64.1%), 48 people (75.0%) have an age range between 60-70 years. 27 people (42.2%) elderly have the last high school education and 40 people (62.5%) have jobs as entrepreneurs. Elderly people who have normal blood pressure are 40 people (62.5%), and those affected by hypertension are 24 people (37.5%). The elderly who have a family history of hypertension is 21 people (32.8%) and those who do not have a history of hypertension are 43 people (67.2%). Chi-Square Test analysis results show the significance value p = 0.009. This number is significant because the p-value is smaller than the significance level (α) ≤ 5% (0.05), so H0 is rejected and Ha is accepted. Therefore it can be concluded that there is a significant relationship about the level of knowledge about the hypertension diet to the incidence of hypertension in the elderly. From the results of this study it was concluded that there was a relationship between the level of knowledge about the hypertension diet and the incidence of hypertension in the elderly at the Baloi Permai Public Health Center Batam City in 2016.


2020 ◽  
Vol 14 (3) ◽  
pp. 486-493
Author(s):  
Triyoso Triyoso ◽  
Martina Sari

Nurse caring behaviors and patient satisfaction: The impact of patients experience at Bukit Kemuning inpatient public health centreBackground: The results of the pre-survey conducted on January - 2019 based on the medical records of the Bukit Kemuning Inpatient Health Center in North Lampung recorded in 2018 had of 279 inpatients. Base on evaluation in Bukit Kemuning Inpatient Health Center, the Minimum Service Standards (MSS) achievement scored of 67.29% describes the service quality is still suboptimal.Purpose: Knowing relationship between nurses' caring behavior towards patient satisfaction in Bukit Kemuning Inpatient Health Centre North Lampung RegencyMethod: A quantitative cross-sectional approach, the population of all outpatient who had experienced hospitalization at Bukit Kemuning Inpatient Health Center, with a sample of 282 respondent. The variables of this study were nurse caring behavior and patient satisfaction. The research conducted at the Bukit Kemuning Inpatient Health Center UPT North Lampung Regency. data collection using a questionnaire. Data analysis was univariate and bivariate (chi square).Results: Knowing the respondents' statement that nurses' shown caring behavior in a poor category of 162 (57.4%), patients unsatisfied of 140 (49.4%), There is a relationship between Nurse caring behaviors and patient satisfaction at Bukit Kemuning inpatient public health centre North Lampung Regency (p-value = 0.000 OR = 4.659)Conclusion: There is a correlation between Nurse caring behaviors and patient satisfaction: The impact of patients experience at Bukit Kemuning inpatient public health centre, for the Health Center management to consider for nurses' staff for conducting caring behavior training and improve health services.Keywords: Nurses; Caring behavior; Patient; SatisfactionPendahuluan: Standar kepuasan pasien di pelayanan kesehatan ditetapkan secara nasional oleh Departemen Kesehatan. Hasil pra survey yang dilakukan tanggal 5 – 9 Januari 2019  berdasarkan data rekam medis Puskesmas Rawat Inap Bukit Kemuning  Kabupaten Lampung Utara  tercatat tahun 2018 jumlah pasien yang melakukan kunjungan rawat jalan sebesar 11.169 orang dan rawat inap sebanyak 279 orang. Puskesmas Rawat Inap Bukit Kemuning  Kabupaten Lampung Utara  Standar SPM > 90 % dengan hasil capaian hanya 67, 29% sehingga dapat menggambarkan mutu pelayanan masih belum optimal.Tujuan : Diketahui  hubungan perilaku caring perawat terhadap kepuasan pasien di UPT Puskesmas Rawat Inap Bukit Kemuning  Kabupaten Lampung Utara  tahun 2019Metode: Penelitian kuantitatif pendekatan Cross Sectional, populasi seluruh pengunjung Puskesmas, dengan sampel berjumlah 282 orang Objek dalam penelitian ini adalah perilaku caring perawat dan kepuasan pasien. Penelitian dilakukan di UPT Puskesmas Rawat Inap Bukit Kemuning  Kabupaten Lampung Utara. bulan Januari – Juni  2019 . pengumpulan data menggunakan kuesioner. Analisis data secara univariat dan bivariat (chi square).Hasil: Diketahui pernyataan responden tentang perawat yang menunjukkan perilaku caring kategori buruk, sebesar 162 (57,4%) responden, kepuasan keluarga pasien kurang puas, sebesar 140 (49,4%) responden, Ada  hubungan antara perilaku caring perawat terhadap tingkat kepuasan keluarga pasien di UPT Puskesmas Rawat Inap Bukit Kemuning  Kabupaten Lampung Utara  tahun 2019 (p-value=0,000,0,05, OR=4,659)Simpulan: Ada  hubungan antara perilaku caring perawat terhadap tingkat kepuasan keluarga pasien di UPT Puskesmas Rawat Inap Bukit Kemuning  Kabupaten Lampung Utara  tahun 2019, bagi pihak manajemen Puskesmas sebagai bahan pertimbangan untuk mengadakan pelatihan perilaku caring perawat guna meningkatkan pelayanan pasien.


2020 ◽  
Vol 10 (2) ◽  
pp. 111-116
Author(s):  
Marni Br Karo ◽  
Nurfauziah Cahyanti ◽  
Farida Simanjuntak ◽  
R. Haryo Bimo Setiarto

Abstrak Latar belakang: Kandidiasis vulvovaginalis adalah infeksi mukosa pada vagina maupun vulva yang disebabkan oleh jamur Candida. Infeksi terjadi secara akut, subakut, dan kronis, baik endogen maupun eksogen yang menimbulkan keluhan pada vagina. Umumnya infeksi pertama di vagina disebut vulvitis. Tujuan: Penelitian ini bertujuan menganalisis hubungan kebersihan vulva dengan kejadian kandidiasis vulvovaginalis pada usia subur di Puskesmas Kecamatan Cipayung. Metode: Penelitian dilakukan dengan menggunakan pendekatan cross sectional. Penelitian dilakukan pada bulan Februari sampai Juli 2018 di Unit Infeksi Menular Seksual Puskesmas Kecamatan Cipayung. Populasinya adalah sejumlah orang yang datang ke Puskesmas Kecamatan Cipayung. Sampel adalah sebanyak 33 orang, metode pengambilan sampel adalah secara accidental sampling kemudian data dikumpulkan dengan menyebarkan kuesioner dan pemeriksaan laboratorium. Analisis statistik yang digunakan adalah Chi-Square.  Hasil: Hasil penelitian menunjukkan bahwa kebersihan vulva tidak baik (75,8%) dan berpengaruh positif terhadap kandidiasis vulvovaginalis di Puskesmas Cipayung (87,9%). Hasil uji statistik diperoleh nilai p = 0,036 (p<0,05), atau ada hubungan kebersihan vulva dengan kejadian kandidiasis vulvovaginalis pada wanita usia subur di Puskesmas Cipayung. Kesimpulan: Kebersihan vulva ada hubungannya dengan kejadian kandidiasis vulvovaginalis di Puskesmas Kecamatan Cipayung. Hal ini disebabkan oleh kurangnya kebersihan vagina pada wanita usia subur yang menyebabkan meningkatnya kejadian kandidiasis.   Kata kunci: Kebersihan vulva, kandidiasis vulvovaginalis, wanita usia subur, puskesmas cipayung   Abstract Background: Vulvovaginalis candidiasis is infection in the mucosal of vagina or vulva caused by Candida fungus. Infection can occur acutely, subacute, and chronic, both endogenously and exogenously which often cause symptoms in the vagina. Generally, first infection in the vagina called vulvitis. Objective: This study aims to determine the association of the vulva higiene with vulvovaginal candidiasis on fertile age in Cipayung sub-district Public Health Center (PHC). Method: The study used cross sectional design approach. The study was conducted from February to July 2018 in sexually transmitted infection unit. Total sample was 33 patients at Cipayung sub-district PHC. The sampling method is purposive sampling and data were collected by questionnaire and laboratory results. Statistical analysis used is Chi-Square. Results: The results showed that the vulva hygiene was poor (75.8%) and there was positive association with vulvovaginal candidiasis in Cipayung PHC (87.9%). The result of statistical tests obtained p-value = 0.036 (p <0.05), or there is a relationship of vulva hygiene with vulvovaginal candidiasis in women of childbearing age at Cipayung PHC. Conclusion: There is a relationship between vulva hygiene and vulvovaginal candidiasis at Cipayung sub-district PHC due to lack of vaginal hygiene on woman of childbearing age, which increased the incidence of candidiasis. Keywords: Vulva hygiene, vulvovaginal candidiasis, woman age reproductive, public health center cipayung


2018 ◽  
Vol 4 (2) ◽  
pp. 27
Author(s):  
Endang Susilowati

AbstrakPemberian Imunisasi Dasar Lengkap (IDL) pada bayi, merupakan suatu keharusan. Hasil survei Riskesdas tahun 2013 didapatkan data cakupan imunisasi HB-0 (79,1%), BCG (87,6%), DPT-HB-3 (75,6%), Polio-4 (77,0%), dan imunisasi campak (82,1%). Cakupan imunisasi lengkap di Jawa Tengah pada tahun 2013 mengalami penurunan. Jumlah sasaran bayi pada tahun 2013 adalah 575.011 menurun dibanding tahun 2012 sebanyak 592.712. Dampak dari cakupan imunisasi yang rendah yaitu cukup tingginya proporsi kematian bayi yang disebabkan karena tetanus neonatorum (TN) di Indonesia,  meningkatnya angka morbiditas dan mortalitas. Tujuan dari penelitian ini adalah mengetahui faktor-faktor  apa yang mempengaruhi minat ibu dalam pelaksanaan program lima imunisasi dasar lengkap di Wilayah Puskesmas Bangetayu Kota Semarang, Jenis penelitian yang digunakan adalah explanatory research, adapun pendekatannya menggunakan rancangan cross sectional. Hasil analisis dengan chi square diperoleh hasil signifikansi p value = 0,000 pada karakteristik umur, pendidikan dan pengetahuan, karena p value < 0,05 maka secara statistik ada hubungan yang signifikan antara umur, pendidikan dan pengetahuan  ibu dengan minat ibu dalam pelaksanaan lima imunisasi dasar lengkap.Kata Kunci : Minat ; Lima Imunisasi Dasar Lengkap THE AFFECTING FACTORS OF INTEREST OF MOTHERS TO IMPLEMENT FIVE BASIC IMMUNIZATIONS PROGRAM IN  BANGETAYU PUBLIC HEALTH CENTER,  SEMARANG DISTRICT Abstract In the immunization program, the provision of Complete Basic Immunization in infants is a must. The result of Riskesdas survey in 2013 revealed immunization coverage of HB-0 was 79,1%, BCG was 87,6%, DPT-HB-3 was 75,6%, Polio-4 was 77,0%, and measles immunization was 82.1%. The coverage of complete immunization in Central Java in 2013 has decreased. The number of targeted infants in 2013 was 575,011, decreased from 592,712 in 2012. The impact of low immunization coverage was the high proportion of infant deaths due to Tetanus Neonatorum (TN) in Indonesia, morbidity and mortality rates among infants also increase. The purpose of this research was to know factors that influence interest of mothers to implement five basic immunization program in Bangetayu Public Health Center, Semarang District. The research type is explanatory research with cross sectional design. The result of analysis with chi square showed p value = 0,000 on the characteristics of age, education and knowledge. As p value <0,05, therefore there is a significant correlation between age, education and mother knowledge with interest of mother to implement five complete basic immunization. Keywords: Interest; Five Basic Immunizations Program


2020 ◽  
Vol 12 (02) ◽  
pp. 129
Author(s):  
Wahyunti Kristiningtyas ◽  
Kristiana Puji Purwandari

ABSTRAK Imunisasi merupakan bentuk intervensi kesehatan yang sangat efektif dalam menurunkan  angka kematian bayi dan balita. Dengan imunisasi berbagai penyakit seperti TBC, difteri, pertusis, tetanus, hepatitits B, poliomielitis, dan campak dapat dicegah. Oleh karena itulah, imunisasi pada bayi dan balita harus lengkap serta diberikan sesuai jadwal. Tujuan penelitian ini untuk menganalisis faktor-faktor yang berhubungan dengan ketepatan waktu pemberian imunisasi dasar. Jenis penelitian adalah survei analitik dengan pendekatan cross sectional. Populasi  penelitian adalah ibu yang mengimunisasikan bayinya ke Puskesmas Wonogiri I pada  bulan Mei – Juni sebanyak 200. Sampel penelitian sebanyak 80 ibu. Teknik sampling menggunakan  quota sampling. Instrumen penelitian menggunakan kuesioner. Analisis data univariat, bivariat dengan chi square dan multivariat dengan regresi logistik ganda model prediksi. Hasil penelitian menunjukkan 60% ibu berpendidikan lanjut, 58,8% ibu  berpengetahuan baik,  52,5% ibu tidak bekerja, 63,8% ibu dengan ekonomi tinggi.  Bayi  dengan imunisasi dasar tepat waktu 71,3%. Variabel  pendidikan ibu (p value = 0,0001) dan pekerjaan ibu (p value = 0,001)  memiliki hubungan signifikan dengan ketepatan waktu pemberian imunisasi dasar. Variabel pengetahuan ibu (p value = 0,131) dan Ekonomi keluarga (p value = 0,266) tidak memiliki hubungan signifikan dengan ketepatan waktu pemberian imunisasi dasar. Variabel yang memiliki hubungan paling dominan terhadap ketepatan waktu pemberian imunisasi dasar di Puskesmas Wonogiri I adalah pekerjaan ibu dengan nilai OR = 12,739. Kata kunci : faktor – faktor, ketepatan waktu, imunisasi dasarFACTORS RELATED TO THE TIMELINESS OF BASIC IMMUNIZATION AT WONOGIRI 1 PUBLIC HEALTH CENTERABSTRACTImmunization is a form of  health intervention that is very effective in reducing infant and under-five mortality.  With immunization of various diseases such as tuberculosis, diphtheria, pertussis, tetanus, hepatitits b, poliomyelitis, and measles can be prevented. Therefore , immunization in infants and toddlers must be complete and given according to schedule.  The study aims to analyze factors related to the timeliness of basic immunization.  The type of this research analytic survey with cross sectional approach. The population  are mothers to immunize their babies the Wonogiri 1 Public Health Center during May - June as many as 200. Samples of this research 80 mothers. Technique sampling is quota sampling.  The research instrument  a questionnaire.  Data analysis with univariate , bivariate  with chi square and multivariate with multiple logistic regression prediction models.  The results showed 60%  of mothers had advanced education levels,  58.8% of mothers with good knowledge, 52.5% of mothers were unemployed, 63.8% of mothers with high economics.  Babies who received timely basic immunizations   71.3%.   Mother’s education variable (p value = 0.0001) and mother's occupation (p value = 0.001)  have a significant relationship with the timeliness of basic immunization.  Mother's knowledge variable (p value = 0.131) and family economy (p value = 0.266) do not have a significant relationship with the timeliness of basic immunization.  The variable that has the most dominant relationship to the timeliness of basic immunization in wonogiri 1 public health center is mother’s occupation with a value of OR = 12,739.Keywords: factors, timeliness, basic immunization


2021 ◽  
Vol 5 (1) ◽  
pp. 15
Author(s):  
Dwi Astuti

AbstrakLatar Belakang: Premenopause terjadi pada usia dewasa madya, masa dewasa madya dalam terminologi kronologis yaitu tahun-tahun antar usia 45 dan 65 tahun. Pada masa dewasa madya ini seksualitas mengalami penurunan. Masa dewasa madya ditandai dengan adanya perubahan-perubahan jasmani dan mental. Perubahan kejiwaan yang dialami seorang wanita menjelang prmenopause meliputi merasa tua, tidak menarik lagi, tertekan karena takut menjadi tua, mudah tersinggung, mudah kaget sehingga jantung berdebar, takut tidak bisa memenuhi kebutuhan seksual suami, rasa takut bahwa suami akan menyeleweng, keinginan seksual menurun dan sulit mencapai kepuasaan (orgasme), merasa sudah tidak berguna dan tidak menghasilkan sesuatu, merasa memberatkan keluarga dan orang lain. Tujuan: Mengetahui Hubungan Antara Selt acceptance Dengan Kecemasan Dalam Menghadapi Menopouse Pada Wanita Premenopouse Di Puskesmas gabus II Pati Metode: analitik korelasi dengan pendekatan Cross sectional, sampel seluruh pasien premenopouse di Puskesmas Gabus II Pati usia 40-45 tahun sebanyak 40 orang sebanyak 36 orang. teknik Purposive sampling. Data di analisa dengan uji statistik Chi square. Hasil: Ada hubungan selt acceptance dengan kecemasan dalam menghadapi menopouse pada wanita premenopouse di Puskesmas Gabus II Pati dengan nilai P Value 0,001< 0,05. Kata kunci      : Selt acceptance, Kecemasan, perimenopouseDaftar Pustaka : 39 Daftar Pustaka (2009-2016) ABSTRACTBackground: Premenopause occurs in middle adulthood, middle adulthood in chronological terminology, namely years between 45 and 65 years. During this middle adulthood sexuality has decreased. Middle adulthood is characterized by physical and mental changes. Psychiatric changes experienced by a woman before prmenopause include feeling old, not attractive anymore, depressed for fear of growing old, easily offended, easily shocked so that heart palpitations, fear of not being able to meet the sexual needs of the husband, fear that the husband will deviate, decreased sexual desire and difficult to achieve satisfaction (orgasm), feel it is useless and does not produce something, feel burdensome for family and others. Objective: To find out the relationship between self-acceptance and anxiety in dealing with menopause in premenopouse women in Public Health center Gabus II. Method: analytic correlation with cross sectional approach, a sample of all premenopouse patients in Public Health Center Gabus II, 40-45 years old, 36 people, 36 person. Purposive sampling technique. Data were analyzed by Chi square statistical test. Results: There is a relationship of self-acceptance with anxiety in facing menopause in premenopausal women in Public Health Center Gabus II Pati Health Center area with a P value of 0.001 <0.05


2021 ◽  
Vol 7 (4) ◽  
pp. 673-680
Author(s):  
Angga Herlambang ◽  
Riska Wandini ◽  
Setiawati Setiawati

Introduction: Toddler nutrition problems are still a global problem. The number of malnourished children in developing countries reaches 181.92 million (32%). Data in Indonesia in 2018 the percentage of malnutrition is 3.9%, while malnutrition is 13.8%. In Lampung Province in 2018, 3.1% of children under five experienced malnutrition, and 12.8% for undernutrition. This figure according to WHO has been considered a health problem because its prevalence is> 15.0%. Data of West Pesisir Regency in 2018, the percentage of malnutrition and malnutrition in children aged 0-59 months is 2.06% for malnutrition, and 9.01 for malnutrition.Purpose: To identify the factors that influence the nutritional status of children under five.Method: This type of research is quantitative with cross sectional approach. The population was all mothers and children under five in the Krui Public Health Center in West Pesisir Regency, with a total sample of 268 people, using proportional random sampling. Data analysis in this study used the chi-square test.Results: The results of univariate analysis showed that most respondents were well-informed (74.6%), had good birth spacing, as many as 171 people (63.8%), had good socio-economic conditions, as many as 155 people (57.8%) . The results of the bivariate analysis that there is a relationship of knowledge (p-value = 0.000, and OR = 7.846), birth spacing (p-value = 0.000, and OR = 7.304), and socioeconomic with the nutritional status of children under five in Krui Public Health Center West Pesisir Regency 2020 (p-value = 0.000, and OR = 2.575).Conclusion: there is a relationship of knowledge, birth spacing, socioeconomic, with the nutritional status of children under five in the Krui Public Health Center, West Pesisir Regency. Suggestions for improving counseling and also risk factors such as birth spacing that is too tight. Keywords: Factors, Malnutrition, Under Five Years Old Pendahuluan: Masalah gizi balita masih menjadi permasalahan global. Jumlah anak kekurangan gizi di negara yang berkembang mencapai 181,92 juta (32%). Data di Indonesia tahun 2018 persentase gizi buruk yaitu 3,9%, sedangkan gizi kurang yatu 13,8%. Di Provinsi Lampung tahun 2018 sebanyak 3,1% balita mengalami gizi buruk, dan  12,8% untuk gizi kurang. Angka ini  menurut WHO sudah dianggap masalah kesehatan karena prevalensinya >15,0%. Data Kabupaten Pesisir Barat tahun 2018, persentase gizi buruk dan gizi kurang pada balita usia 0-59 bulan yaitu sebesar 2,06% untuk gizi buruk, dan  9,01 untuk gizi kurang.Tujuan: Diketahui faktor-faktor yang mempengaruhi status gizi balita.Metode: Jenis penelitian adalah kuantitatif dengan pendekatan cross sectional. Populasi adalah seluruh ibu berserta balita di Puskesmas Krui Kabupaten Pesisir Barat, dengan jumlah sampel 268 orang, menggunakan  proportional random sampling. Analisis data pada penelitian ini menggunakan uji chi-square.Hasil Penelitian: Hasil analisis univariat bahwa sebagian besar responden berpengetahuan baik (74,6%), memiliki jarak kelahiran baik, yaitu sebanyak 171 orang (63,8%), memiliki sosial ekonomi baik, yaitu sebanyak 155 orang (57,8%). Hasil analisis bivariat bahwa ada hubungan pengetahuan (p-value = 0.000, dan OR= 7.846), jarak kelahiran (p-value = 0.000, dan OR= 7.304), dan sosial ekonomi dengan status gizi balita di Puskesmas Krui Kabupaten Pesisir Barat Tahun 2020 (p-value = 0.000, dan OR= 2.575).Kesimpulan: ada hubungan pengetahuan, jarak kelahiran, sosial ekonomi, dengan dengan status gizi balita di Puskesmas Krui Kabupaten Pesisir Barat. Saran agar ditingkatkannya penyuluhan dan juga faktor risikonya seperti jarak kelahiran yang terlalu rapat. Kata Kunci          : Faktor, gizi kurang balita


2021 ◽  
Vol 3 (3) ◽  
pp. 305-316
Author(s):  
Reny Marischa Putri ◽  
Bambang Setiaji ◽  
Ferizal Masra ◽  
Endang Budiati

Hypertension is dubbed the silent killer because this disease has no specific symptoms, hypertension can attack anyone, and at any time, and can cause degenerative diseases, to death. According to several studies, people with hypertension are 12 times more likely to have a stroke and 6 times more likely to have a heart attack. Hypertension is usually not realized by the public because the symptoms are not clear and resemble health complaints in general. Patients only find out that they have hypertension after checking their blood pressure, or after the onset of other diseases. Type of research is quantitative, analytical survey research design with Cross Sectional approach. The research population of all residents aged over 45 years who live in Bandar Lampung City based on data from the population and civil registration office of Bandar Lampung city in 2020 as many as 424,183 people, with the Proportional Random Sampling technique as many as 216 people. In this study, researchers used interview techniques using questionnaires. Data analysis used Chi Square statistical test and Logistics Regression. The research was carried out on March 2021. Research result there was a correlation between caffeinee (p-value = 0.022, and OR = 1.951), smoking habits (p-value = 0.017, and OR = 2.006) obesity (p-value = 0.000, and OR = 3.580), physical activity (exercise) (p-value = 0.012, and OR = 2.078) with the incidence of hypertension in Bandar Lampung City in 2021. Obesity variable is the dominant factor that is most related to the incidence of hypertension in Bandar Lampung City in 2021 (p-value = 0.000, and OR = 32,891). This can be done by holding regular counseling at the Posyandu for the elderly and holding regular exercise programs at the Public Health Center, namely doing morning exercises with the community every Friday. Furthermore, leaflets can be distributed about hypertension when exercising at the Public Health Center, as well as posting posters about the importance of maintaining a healthy diet, maintaining an ideal body weight and exercising regularly in places that are easily accessible by the community, such as at the market, at the village hall. or at the community meeting hall. 


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