Challenges In Telemedicine Implementation For Pregnancy Care During The Covid-19 Pandemic

Background: COVID-19 pandemic condition made the consultation shifted from face to face consultation to telemedicine for mild, stable, and follow up cases. In stabile condition of pregnant patients, telemedicine implementation will be beneficial to reduce the COVID-19 transmission risk. The problems are not all patients can implement telemedicine and the reimbursement procedure was hard. The aim of this paper is to describe about challenges in telemedicine implementation for pregnancy care during the COVID-19 pandemic. Methods: this paper is a literature review, Literature was identified from the archives of PubMed, Scopus, and Elsevier. All the literature was published in 2020. The inclusion criteria were the literature should be peer-reviewed and related to the topic of the paper. Keywords were challenges, COVID-19, opportunities, pregnancy, and telemedicine. Results: from 18 articles in this literature review, it was found that challenges in telemedicine are reimbursement, infrastructure, confidentiality, and unfamiliarity for the pregnant patients. Conclusion: Telemedicine can be used for pregnant patient control consultation during the stable condition to minimize the risk of COVID-19 transmission. The implication of this paper is to give insight that telemedicine can be done for stable pregnancy condition to reduce the risk of COVID-19 transmission during the pandemic. The benefits of reducing COVID-19 risk transmission for baby and mother outweigh the challenges and problems such as reimbursement, confidentiality, and technical issues.

Studi Deskriptif: Sikap, Pengawasan Keluarga, Tingkat Pengetahuan dan Upaya Pengendalian Hipertensi Pada Lansia

Background: Elderly is a decrease in cardiovascular function. Sstructural and functional changes occur in the peripheral vascular system responsible for variations in blood pressure. The study aims at finding out attitude, family supervision, level of knowledge, and efforts to control hypertension in working area Puskesmas Saptosari Gunungkidul. Method: The study was descriptive research with cross-sectional. Samples were selected using a purposive sampling. The number of the sample 38 repondent. The research instrument used a questionnaire. The data analysis used was univariate. Result: The majority of women (94.7%), aged 60-70 years (84.2%), and hypertension stage I (68.4%). Most of the attitudes have the right attitude (94,7%), family supervision (89,5%), and inadequate level of knowledge (76,3%). In controlling efforts, most were in a good category (94,7%). Conclusion: Almost all respondents have the right attitude and supervision from the family. Even though they have an inadequate level of knowledge, control efforts are mostly reasonable.

Pengetahuan Ibu Menyusui Pasca Edukasi Tentang Asi Eksklusif

Background: Exclusive breastfeeding has important role in ensuring adequate nutrition, stunting prevention, and child development. The success rate of exclusive breastfeeding in the World is only (38%), Indonesia (65.1%), Central Java (78.5%) and the working area of ​​ Sibela Local Government Clinic of Surakarta (85.4%). Maternal's knowledge level is part of the determinants of success rates in exclusive breastfeeding. Health education is efforts used to increase maternal knowledge about exclusive breastfeeding. Methods: This research is Pre Experiment with One Group Pre-Post Test. The methode of collecting of data is accidental sampling with questionnaire who containing 20 questions. The comparative hypothesis test used Wilcoxon test. Results: from 42 respondents, 22 (52.4%) had high school education, 21 (50%) were housewives, 24 (57.1%) according to the range of early adulthood (26-35 years) and 31 (73.8%) had got education about exclusive breastfeeding from health workers. The comparative hypothesis test results show a significance 0,00 (p value <0.05). Conclusion: There is an effect of health education about exclusive breastfeeding on the knowledge of breastfeeding maternal in the Sibela Local Government Clinic of Surakarta.

Kebutuhan Keluarga Pasien diruang Perawatan Intensif

Background: Patient care in an intensive room affects patients and their family. The impacts experienced by the family are both in physical and psychological aspects. The psychological impact may get higher if the family’s needs in the room are not obtained. The study aims to determine the needs of the patient’s family in the intensive room. Methods:The design of this research is systematic review. There are some tools used to find related articles to the 2016-2020 period such as Google Scholar, Scient Direct, and PubMed. Results: The search result to obtained 8 articles that met the inclusion criteria. It can be seen that countries in Southeast Asia, Central Asia, and South America share a similar trend which is prioritizing assurance and information needs. The rest of them such as support and comfort are assumed less important although in some articles the order is different. Sociodemography aspects (gender, age, educational level, and spirituality) also influence the priority needs of the family. Conclusion: Even they have different cultural, but the need of family in intensive room have same priority. It’s need for assurance.

Upaya Penurunan Risiko Stunting Melalui Pendekatan Interproffesional Collaboration (IPC)

Background: Indonesia still ranks in the 10th largest stunting rate in the world. Research seeks to find new approaches to improve the quality of maternal behavior in providing nutrition to babies. Purpose of this study is to know the effectiveness of Interproffesional Collaboration. Methods: The study was conducted in Karanganom Klaten, Central Java, March-August 2019. This study was an experimental study with a quasi-experimental design on 90 respondents who had babies less than 2 years. The treatment is in the form of an Interproffesional Collaboration program (doctors, nurses, midwives, nutritionists, and sanitarians) which provide health promotion programs according to their respective professions for 3 months. The research instrument was a cognitive test, a questionnaire, and a of infants under two years of ageantrompomary examination sheet. Data were analyzed using Dependent t-test. Results: The mean value of knowledge about stunting increased from 31.44 to 80.22 (p = 0.001), knowledge about how to give nutrition to of infants under two years of age increased from 48.81 to 70.74 (p = 0.001), the attitude towards stunting changed from 9.68 to 16.52 (p = 0.001), and the behavior of providing nutrition was also getting better from 76.53 to 87.73 (p = 0.001). The results of the Dependent Paired t-test p = 0.001, proved that the Interproffesional Collaboration program (nurses, doctors, midwives, nutrition, and sanitarians) was effective in increasing the knowledge, attitudes and behavior of residents in preventing the risk of stunting. Conclusion: Interproffesional Collaboration is effective to increase knowledge, attitudes, and behavior of mothers of infants under two years of age (baduta) in an effort to prevent the risk of stunting and improve the nutritional status.

Peningkatan Kemampuan Keterampilan Basic Life Support (BLS) Melalui Pelatihan BLS Pada Perawat dan Bidan

Background: In Hospital Cardiac Arrest (IHCA) is a major problem of patient safety and public health. the rescue action taken is Basic Life Support with CPR. BLS training needs to be provided to nurses and midwives in order to increase the ability of BLS skills. The purpose of this study was to analyze the effect of Basic Life Support (BLS) Training on the ability of BLS skills of Nurses and Midwives. Methods: This research is an experimental study with a Pre-Test-Post Test Group design approach through through testing the research hypothesis. The population of this study was nurses and midwives, amounting to 51 respondents with a total sampling technique so that the number of respondents was 51. Statistical tests in the paired group used the nonparametric Wilcoxon test. Results: Based on the Wilcoxon test results obtained a p value of 0,001 which means there is a difference between pre and post training, Conclusion: BLS training has an effect on improving the BLS skills of nurses and midwives. BLS skills training needs to be carried out on an ongoing basis so that nurses and midwives have good skills in conducting BLS.

Kompetensi Pengkajian Primary Survey dengan Pendekatan Metode Journal Sharing Of Critical Care (JSCC) pada Mahasiswa Profesi Ners

Background: Primary Survey is important to be achieved by nursing students in carrying out early detection of critical patient conditions. Innovation of learning methods is a challenge for teachers to improve the quality of student competencies. The research objective is the Primary Survey critical nursing competency with the method of journal sharing of critical care (JSCC) approach to nursing professional students. Methods: The research design is descriptive analytic. The study population was all professional students in 2020. The research sample was professional students in 2020 using total sampling. The size of the study sample was 39 respondents with the inclusion of students who had completed the medical surgical nursing profession and followed the critical nursing profession to completion. Primary Survey independent variable. Data were collected using a questionnaire and analyzed using data frequency distribution. Results: Showed that the most respondents had primary survey critical nursing competency values ​​obtained good value on the airway assessment of 53.8 respondents, breathing assessment of 56.4% of respondents, Circulation assessment of 61.5% of respondents, Disability assessment of 56.4 % of respondents, and Exprosure Assessment by 59% of respondents. Conclusion: The implementation of learning methods for journal sharing of critical care has a positive impact on student competencies to carry out primary survey assessments and produce good student competencies. It is not only the learning process that supports a competency but also the ability of students to follow the learning method.

Peer Education Meningkatkan Perilaku dalam Mencegah Penularan Tuberkulosis Paru pada Keluarga

Background: Pulmonary tuberculosis is an important public health problem in the world. In 1992, the World Health Organization (WHO) declared pulmonary tuberculosis as a "global emergency". Indonesia is committed to ending pulmonary tuberculosis as a "public health problem" in 2030. Peer education is the proper media and method to provide counseling on prevention of pulmonary tuberculosis transmission. This study was conducted to determine the effect of peer education on behavior change in preventing pulmonary tuberculosis transmission in families of ​ Sibela and Sangkrah Health Center’s work area in Surakarta. Methods: This research is a quasi-experimental study with pre post-test control group design. Data analysis using dependent t-test and independent t-test. Results: The results of the dependent t test in the intervention group showed p-value = 0,000 on knowledge, attitudes, and behavior, while the control group showed results p-value = 0.003 on knowledge, p-value = 0.057 on attitudes, and p-value = 0.004 on behavior. Independent t test shows the results of p-value = 0,000 in knowledge, p-value = 0.002 in attitudes, and p-value = 0.778 in behavior. Conclusion: Based upon these results it can be concluded that there is an influence of peer education on changes in knowledge, attitudes, and behaviors in pulmonary tuberculosis transmission prevention, as well as differences in knowledge and attitudes, but there is no difference in behavior between respondents with and without peer education.

The Effects of Tandem Stance Therapy on the Risk of Falling in the Elderly

Tandem Stance Therapy is a therapy that is usually given to the elderly who are at risk of falling. The purpose of this study was to analyze the effect of tandem stance therapy on the risk of falling in the elderly in Giri Emas Village, Sawan District, Buleleng Regency. The research design was pre-experimental with one group pretest post-test design approach with a sample of 64 respondents selected using simple random sampling technique. Data collection was performed using the Morse Fall Scale (MFS) questionnaire. This study uses the Wilcoxon test. The results showed that the pre-test means value was 2.41 and the post-test score was 2.27. Wilcoxon test results obtained pretest and posttest (0.003) <α (0.05). It was concluded that there was an influence of Tandem Stance Therapy on Falling Risk in the Elderly in Giri Emas Village, Sawan District, Buleleng Regency.

Intervensi Gizi dalam Penanganan dan Pencegahan Stunting di Asia: Tinjauan Sistematis

Background: Stunting has dire consequences for children's health in the short term which can decrease cognitive, motor and verbal abilities, increase morbidity and even mortality. Nutrition intervention is absolutely necessary in efforts to reduce and prevent stunting. Purpose this study is to identify nutrition interventions in handling and preventing stunting in Asia. Methods: This search was conducted from September to October 2019, through various databases including PubMed, EMBASE, and CINAHL. Article inclusion criteria: randomized controlled trial, retrospective, observational study, case study, review, systematc review, and meta-analysis. Results: The review results show that in Asia there were 8 specific nutrition programs and 9 sensitive nutrition programs. Conclusion: Interventions for sensitive and specific nutrition programs have been shown to reduce the incidence of stunting and address the long-term effects of stunting in various countries in Asia, but the programming and implementation can be arranged according to country needs and conditions.