scholarly journals Pelatihan Keterampilan Kompres Tepid Water Sponge Sebagai Upaya Pencegahan Kejang Demam Anak Dimasa Pandemi Covid - 19

2021 ◽  
Vol 4 (6) ◽  
pp. 1465-1472
Author(s):  
Siti Nur Solikah ◽  
Sunaryo Joko Waluyo

ABSTRAKPenyakit infeksi pada anak selalu ditandai dengan demam yang akan berlanjut terjadi kejang demam pada anak apabila tidak segera ditangani. Metode kompres dengan water tepid sponge efektif dalam menurunkan demam pada anak sehingga mampu mencegah terjadinya kejang demam. Kondisi pandemi COVID – 19 membuat masyarakat takut untuk memeriksakan anak ke Palayanan Kesehatan masyarakat. Ibu sering mengalami kepanikan saat anak kejang demam sehingga pengetahuan dan keterampilan penanganan demam dirumah sangat dibutuhakn masyarakat di masa pandemic COVID-19. Kader Posyandu sebagai penggerak kesehatan di masyarakat diharapkan mempunyai pengetahuan dan pemahaman yang lebih untuk bisa meningkatkan derajad kesehatan mayarakat. Tujuan setelah pelatihan singkat melalui whatsapp group discussion diharapkan dapat meningkatkan pengetahuan dan keterampilan dalam penanganan kejang demam dirumah. Adapun kegiatan yang dilakukan berupa pelatihan singkat menggunakan media whatsapp, video pembelajaran keterampilan kompres WTS serta booklet penaganan kejang demam. Hasil evaluasi kegiatan terdapat  peningkatan  pengetahuan  dan keterampilan kompres pada kader Posyandu Wilayah Kerja Puskesmas Sangkrah Surakarta. Kata Kunci: water tepid sponge, kader posyandu, pademi COVID – 19.                                 ABSTRACTFever marks an infectious disease in children.  it can progress to febrile seizures if not treated immediately. The compressing method with the tepid water sponge effectively reduces fever in children to prevent febrile seizures. The COVID-19 pandemic has made people afraid to check their children at the community health service. Mothers often experience panic when their child has a febrile seizure, so the community very much needs that knowledge and skills in handling fever at home during the COVID-19 pandemic. Posyandu cadres, as health drivers in the community, are expected to have more knowledge and understanding to be able to improve the level of public health. After short training through WhatsApp group discussion, the goal is to increase knowledge and skills in handling febrile seizures at home. The activities carried out were short training using WhatsApp media, video learning of WTS compress skills, and booklets for handling febrile seizures. The activity evaluation results showed an increase in knowledge and skills in compressing the Posyandu cadres in the Sangkrah Surakarta Health Center Work Area.  Keywords: Water Tepid Sponge, Posyandu cadres, COVID-19 pandemic

2016 ◽  
Vol 29 (02) ◽  
pp. 113-116
Author(s):  
Greg Cope

Homeopathic education standards are regulated by a range of variable practices in different countries. Professional organisations commonly regulate courses without statutory support for this task. Statutory enforcement of educational standards (with/without statutory registration of practitioners) is relatively uncommon. The development of professional standards in homeopathic education has increased in recent decades; however, most systems remain voluntary and provide guidance rather enforce requirements. Educational standards include a significant degree of commonality in homeopathic knowledge and skills, with larger variations in biosciences, social sciences and research methodology. Homeopathic prophylactic techniques are an exception to this commonality, and are rarely well addressed in educational guidelines despite the attention they receive within the community. Public health and infectious disease training is similarly inadequately addressed as underpinning knowledge for prophylactic prescribing approaches in practice.


2014 ◽  
Vol 32 (31_suppl) ◽  
pp. 113-113
Author(s):  
Raffaella Pannuti ◽  
Silvia Varani ◽  
Franco Pannuti

113 Background: In Italy, like in most Western countries, the number of elderly people with a chronic disease is constantly increasing and it causes a growth in disability and frailty. However, the Public Health Service is unable to provide all the services needed. Therefore it is necessary to find urgent actions to fill in the gaps of the Public Health Service and to think about appropriate solutions for a sustainable future. Methods: Since 1985, ANT has assisted at home more than 100,000 cancer sufferers, completely free of charge, thanks to its 20 oncological teams in 9 Italian regions. There are currently about 4,000 patients receiving care every day throughout Italy. ANT offers specialized care provided by 400 healthcare professionals, including doctors, nurses, psychologists, nutritionists, physiotherapists, social-health workers, who are able to provide patients with round the clock care, 365 days a year. Results: The quality of the model of ANT home care is supported by the following outcomes: 78% of the patients (ANT National average) choose to die at their own home in contrast with the National average of cancer death at home equal to 57,9%. In the last 30 days of life, 74% of the patients assisted by ANT aren’t admitted to hospital, 12% have an hospitalization lasting less than 7 days and only 14% remain in hospital for over a week. The customer satisfaction, assessed through a questionnaire sent to families about a month after death, shows that 90% of respondents are very satisfied with the assistance received. ANT spends about 2,090 euro for each patient assisted. Given that each patient is cared for an average of 132 days, the cost is about 30 euro a day. This charge is much lower than a recovery for a day in a palliative care residential facility (240 euro) and it is lower also than an admission for a day in a public hospital (780 euro). Conclusions: The situation calls for a change in strategies in health policy, stimulating integration between public and social institutions. The model of ANT home care is an example of a social buffer that offers an integrated health and social assistance able to meet the increasingly complex needs of patients and their families.


Author(s):  
Iin Nurlinawati ◽  
Rosita Rosita

Abstrak Permenkes 71 tahun 2013 tentang Pelayanan Kesehatan pada Jaminan Kesehatan Nasional menyebutkan bahwa penyelenggara pelayanan kesehatan meliputi semua fasilitas kesehatan yang bekerja sama dengan BPJS Kesehatan berupa fasilitas kesehatan tingkat pertama dan rujukan tingkat lanjutan. Minat masyarakat untuk memanfaatkan penyelenggara pelayanan kesehatan dengan JKN akan dipengaruhi beberapa faktor diantaranya persepsi pasien akan mutu pelayanan kesehatan, baik pada pelayanan kesehatan tingkat pertama ataupun pada fasilitas kesehatan rujukan. Penelitian ini bertujuan untuk mengetahui persepsi pasien rawat jalan peserta JKN terhadap penyelenggara pelayanan kesehatan rujukan di Puskesmas X Kota Depok. Penelitian bersifat deskriptif dengan pendekatan kualitatif yang dilaksanakan di Puskesmas X Kota Depok, pada bulan Agustus 2017. Informan dikumpulkan di Puskesmas, kemudian dilakukan focus group discussion (FGD). Data yang dikumpulkan meliputi karakteristik informan, persepsi masyarakat terhadap pelayanan kesehatan di Puskesmas dan rumah sakit yang menjadi rujukan Puskesmas X. Pemilihan informan adalah pasien yang pernah berobat di Puskesmas X dan melakukan rujukan ke rumah sakit dalam kurun waktu satu tahun terakhir. Hasil penelitian menunjukkan bahwa persepsi masyarakat terhadap pelayanan kesehatan di Puskesmas X cukup baik, informasi alur rujukan disampaikan secara jelas. Permohonan rujukan di Puskesmas menurut informan lebih nyaman karena proses rujukan mudah dan pasien mendapatkan rujukan langsung untuk beberapa kali kunjungan ke rumah sakit sehingga tidak harus sering kembali ke Puskesmas. Namun persepsi masyarakat terhadap pelaksanaan pelayanan kesehatan pada rumah sakit rujukan kurang baik karena pelayanan yang diberikan masih jauh dari harapan masyarakat. Kata kunci: Persepsi, Pelayanan kesehatan, Puskesmas, Rujukan Abstract Permenkes 71 of 2013 on Health Services on National Health Insurance states that the providers of health services include all Health Facility in cooperation with BPJS Health in the form of first rate health facilities and advanced level referral. Public interest to utilize health service providers with JKN will be influenced by several factors such as the patient’s perception on the quality of health service, either at first level health service or at referral health facility. To determine the outpatient JKN member’s perception to referal health services at X Public Health Center Depok. The research was descriptive with qualitative approach which was carried out at X Public Health Center Depok, in August 2017. Informants were collected at Puskesmas, then conducted focus group discussion (FGD). The data collected include the characteristics of informants, public perceptions of health services at health centers and hospitals that became the reference of X Community Health Center. Selection of informants were patients who had been treated at X Health Center and made referral to the hospital within the last one year. The results showed that public perception of health service at X Public Health Center was good enough, the referral flow information was presented clearly. Referral application at Puskesmas according to informant is more convenient because the referral process is easy and the patient get direct referral for several visit to hospital so that they do not have to return to Puskesmas often. However, the public perception on the implementation of health service at referral hospital is not good because the service given is still far from the expectation of society. Keywords : Perception, Health Care, Primary Health Care, Referral


2020 ◽  
Vol 4 (1) ◽  
pp. 8-20
Author(s):  
Yeanneke Liesbeth Tinungki ◽  
Mareike Patras ◽  
Ferdinand Gansalangi

Derajat kesehatan masyarakat di Pulau Lipang sangat penting diketahui dalam rangka penyusunan dan implementasi program kesehatan yang tepat dan berkelanjutan. Gambaran derajat kesehatan masyarakat yang optimal dapat dilihat dengan menggunakan indicator kualitas utama yakni Indeks Mortalitas, Indeks Morbiditas dan Indeks Fertilitas. Selain itu, perlu juga diperhatikan factor-faktor yang mempengaruhi kesehatan seperti; indikator kesehatan lingkungan, upaya pelayanan kesehatan dan perilaku kesehatan. Penelitian ini menggunakan rancangan deskritif dengan metode survey, populasi dalam penelitian ini yaitu seluruh Kepala Keluarga di Pulau Lipang berjumlah 106 Kepala Keluarga. Sampel dalam penelitian ini menggunakan Total sampling dan memenuhi kriteria inklusi berjumlah 77 orang. Hasil penelitian menunjukkan bahwa Indeks Mortalitas dalam 1 tahun terakhir tercatat 14 kasus kematian per 1000 penduduk. Indeks Morbiditas Penyakit Menular berjumlah 49 kasus per 1.000 penduduk, Indeks Morbiditas Penyakit Tidak Menular (PTM) berjumlah 79 kasus per 1.000 penduduk. Indeks fertilitas menunjukkan bahwa persentase ibu hamil berjumlah 7 orang atau 8% dan persentase anak balita adalah 18 orang atau 17%. Faktor status gizi yakni Bayi yang tidak diberi ASI 31%, pemberian Imunisasi BCG dan Hepatitis 0%, menggunakan kontrasepsi 56%. Indikator kesehatan lingkungan menggunakan air hujan untuk masak dan minum 100%, upaya pelayanan kesehatan; menggunakan fasilitas yankes 94%, penyuluhan kesehatan oleh nakes 74%. Perilaku kesehatan; BABS di hutan 9% dan pantai 5%. Merokok dalam keluarga 31% dan minum alcohol 91%. Kesimpulan Penelitian ini menunjukkan bahwa  indicator mortalitas Diabetes Melitus per-1000 penduduk adalah 40%, indicator morbiditas malaria  per-1000 penduduk adalah 77,78%, indicator morbiditas penyakit jantung adalah 31,03%. Indeks Fertilitas ibu hamil 8% dan Balita 17%.   Determinat of public health in Lipang island very important to know in preparation and implementation  program of  health  that appropriate and sustainable. Description  determinant of public health is the best can be seen use indicator of main quality that is Mortality Index, Morbidity Index, and Fertility Index. Beside of these third factors very need pay attention too the other factors that influence of health is indicator of environment health, health service efforts and health behavior. This study used a descriptive design with survey method, population in this study was the head of family of 106 the amount . The sample in this study used total sampling and fulfill inclusion criteria of 77 people. The results showed that the mortality index  or crude death rate of 14 cases death per 1000 people. Morbidity Index infectious disease showed 49 cases every 1000 people , morbidity of non infectious disease  showed 79 cases every 1000 people. Fertility Index showed that pregnant amount of 7 people or 8% and percentage toddler were 18 people or 17%. The nutritional status was baby not breastfeeding about 31%, immunizations of BCG and Hepatitis 0%, used contraception 56%. Indicator of Environment health used water of rain for cook and drink 100%, health service efforts; used health service facilities 94%, counseling of health by health workers 74%. Health behavior; BABS in forest 9% and beach 5%. Smooking in family 31% and drink of alcohol 91%. The Conclusion of this research showed that Mortality Index Diabettes Mellitus every 1000 people was 40%, Morbidity index of Malaria every-1000 people were 77,78%, Morbidity index of Heart disease was 31,03%. Fertility Index pregnance 8% and Toddler 17%.


2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Rizca J. Domu ◽  
John Porotu'o ◽  
Olivia A. Waworuntu

Abstract: Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis (M. tuberculosis). In Indonesia tuberculosis cases has been increasing from year to year. The examination of sputum by using Ziehl-Neelsen staining must be more improved for public health service. This study aimed to determine the profile of Mycobacterium tuberculosis (acid-fast bacteria) among patients with coughing ≥2 weeks at Tuminting and Tongkaina Primary Health Cares (PHCs) by using Ziehl-Neelsen staining. This was a descriptive study with a cross sectional design. Subjects were patients with complaints of cough ≥2 weeks Tuminting and Tongkaina PHC. The results showed that there were 30 cases of coughing ≥2 weeks as follows: 28 cases at Tuminting PHC and 2 cases at Tongkaina PHC. The examination of acid-fast bacteria from the 30 cases of three PHCs showed that 2 case (7.1%) had acid-fast bacteria (++) and (+++) in Tuminting PHC and in Tongkaina PHC not found smear-positive . Conclusion: In this study, there was two case (7,1%) with positive Mycobacterium tuberculosis. Keywords: tuberculosis, cough more than two weeks, BTA examination Abstrak: Tuberkulosis adalah suatu penyakit infeksi yang disebabkan oleh Mycobacterium tuberculosis (M. tuberculosis). Di Indonesia kasus tuberculosis menunjukkan peningkatan dari tahun ke tahun. Pemeriksaan sputum dengan pewarnaan Ziehl-Neelsen harus lebih ditingkatkan pada pelayanan kesehatan masyarakat. Penelitian ini bertujuan untuk mendapatkan gambaran Mycobacterium tuberculosis (basil tahan asam) dengan pewarnaan Ziehl-Neelsen pada pasien batuk ≥2 minggu di Puskesmas Tuminting dan Tongkaina Manado. Jenis penelitian ini deskriptif dengan desain potong lintang. Subjek penelitian adalah pasien dengan keluhan batuk ≥2 minggu di Puskesmas Tuminting dan Tongkaina. Jumlah penderita batuk ≥2 minggu yang datang berobat di Puskesmas Tuminting dan Tongkaina sebanyak 30 pasien, yang terdiri dari 28 pasien dari Puskesmas Tuminting dan 2 pasien dari Puskesmas Tongkaina. Pada pemeriksaan (BTA) di didapatkan BTA (++) dan (+++) 7.1% sedangkan BTA (-) 92,9% di Puskesmas Tuminting. Puskesmas Tongkaina tidak ditemukan BTA positif. Simpulan: Pada penelitian ini didapatkan 2 kasus (7.1%) Mycobacterium tuberculosis positif.Kata kunci: tuberkulosis, batuk lebih dari dua minggu, pemeriksaan BTA.


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