Stigma Masyarakat terhadap Penderita Kusta di Kecamatan Batuputih Sumenep

Penyakit kusta selain mengganggu kesehatan dapat juga mengganggu kesejahteraan penderita dikarenakan stigma masyarakat yang buruk terhadap penyakit dan penderita kusta ini. Indonesia menduduki peringkat ketiga di dunia dengan penemuan kasus baru kusta terbanyak yaitu 17.202 jiwa pada tahun 2015 setelah brazil. Jawa Timur berada pada peringkat pertama dengan jumlah kasus baru kusta terbanyak pada tahun 2018 yaitu dengan jumlah 2.701 jiwa. Masyarakat yang masih kurang pengetahuan serta menganut keyakinan yang salah terhadap kusta beranggapan bahwa kusta merupakan penyakit kutukan dari Tuhan akibat dosa-dosa, penyakit guna-guna, dan penyakit yang diturunkan kepada anak-anaknya. Hal tersebut menimbulkan persepsi, sikap, dan perilaku yang buruk terhadap penderita kusta. Tujuan penelitin ini untuk mengetahui stigma masyarakat terhadap penderita kusta di Kecamatan Batuputih Sumenep. Metode penelitian ini yaitu kualitatif dengan menggunakan pendekatan fenomenologi. Jenis sampling yaitu Purposive sampling. Sampel yang digunakan yaitu sebagian masyarakat sebanyak 7 orang dan 1 orang informan kunci dari tenaga kesehatan di Kecamatan Batuputih Sumenep Tahun 2021. Pengumpulan data menggunakan wawancara mendalam dengan teknik analisis data constants comparison analysis (open coding, axial coding, selective coding). Hasil penelitian didapatkan bahwa stigma masyarakat meliputi pengetahuan masyarakat, perasaan (ketakutan) masyarakat, pandangan masyarakat, sikap masyarakat, dan perilaku masyarakat terhadap penyakit dan penderita kusta. Stigma masyarakat terhadap penderita kusta masih ada diakibatkan masyarakat kurang pemahaman terkait penyakit kusta. Kesimpulan penelitian ini yaitu perasaan yang dialami secara subyektif oleh masyarakat dalam berbagai sudut pandang yang melatarbelakangi sehingga membentuk stigma. Hal ini dipengaruhi oleh faktor internal maupun faktor eksternal. Perlu adanya kerjasama antar profesional dan lintas sektor untuk mengatasi permasalahan ini sehingga mengurangi stigma masyarakat terhadap penderita kusta.

Teknik Marmet terhadap Kelancaran Asi pada Ibu Post Partum

Breast milk is a liquid produced by mothers as the best food intake for the nutritional needs of babies. Several problems related to breastfeeding in post partum mothers are lactation management which is less effective on the first day of birth, caused by lack of knowledge and stress. One of the methods used to overcome breast milk insufficiency is the marmet technique. Marmet technique is a combination of massage that is effective, manual, safe and free of cost. The marmet technique is an optimal effort to stimulate the hormones oxytocin and prolactin in the smooth flow of breast milk. The purpose of this study was to determine the effect of the marmet technique on the smoothness of breastfeeding in post partum mothers in the Tanjungpinang City Health Center Work Area. This is a study with a quasi-experimental design (Quasi Experiment) with a Pre and Post Test without Control design. The research population was post partum mothers as many as 201 people and the number of samples was 30 respondents. Samples were taken using purposive sampling. Hypothesis test using non parametric by doing Wilcoxon test. The results showed that there was an effect of the marmet technique on the smoothness of breastfeeding in post partum mothers with a value of 0.000. Research recommendations for effective marmet techniques are carried out to launch breast milk in postpartum mothers and the marmet technique can stimulate an increase in the hormones prolaksin and oxytocin so that it has a relaxing effect on postpartum mothers

Perbandingan Metode Arima Box-Jenkins dan Holt-Winters No Seasonal pada Peramalan Jumlah Penderita ISPA di Kota Malang

ISPA is an acute respiratory disease with special attention to pneumonia (ISPA), and not an ear and throat disease. In order to make plans to reduce the number of ISPA sufferers in the regions with effective and responsible principles, valid forecasts are needed. There is a relatively large difference between targets and achievements in tackling ISPA sufferers in Malang City during 2017 - 2020, and given the importance of forecasting as an indicator of reducing ISPA sufferers, it is deemed necessary to conduct research on the application of the Box-Jenkins model in forecasting ISPA patients. This study aims to create an estimation model for patients with ISPA in Malang Regency using data from the Health Office from 2017 to 2020. The analytical technique applied is the Box-Jenkins model or the Autoregressive Integrated Moving Average (ARIMA). The results showed that by using data from the Malang City Health Office from 2014 to 2019, it was concluded that the best forecasting model was ARIMA(1,1,0). Researchers hope that the forecasting method and forecasting results can be used as additional information for the health department in Malang City in determining policies that must be taken in the prevention of ISPA sufferers according to the needs of patients in Malang City.

Dukungan Keluarga pada Orang dengan Gangguan Jiwa di Masa Pandemi Covid-19

Patients mental disorders still are a serious problem during the COVID-19 pandemic, because patients mental disorder still roaming around in the street without wearing masks, many patients with mental disorders are confined to their homes because family a worried about the patient's condition, which is suspected to be able to disrupt the comfort activities of local residents, this illustrates the lack of family support for patients mental disorder. The aims of this study to describe family support for mental disorder patients, study was conducted in the village of Kaduara Barat, Pamekasan, with 25 family of mental patients as a sample, the research variables were family support, the research instrument used questionnaires and descriptive analysis. Characteristics of Respondents are mostly 17-25 years old the category of teenagers and adults, more than half that respondents are women with unmarried status, all respondents are Muslim with jobs as entrepreneurs. almost all respondents have a family with a mental disorder, and having a relationship with the patient as a cousin. The results showed that more than the family had provided positive support. positive cognitive support is provided by families with the age range of 17 to 25 years, while on affective support, there are still many who support negatively, almost girls, with 17 to 25 years old, with a relationship as brother and cousin with unmarried status, working as an entrepreneur and having a family history of mental disorders.

Resiko Jatuh pada Klien Stroke yang Menggunakan Kursi Roda di Kabupaten Pamekasan

Introduction: people who suffer from stroke and immobilization use wheelchair to help move/carry out daily activities on average, so they may be at risk of falling during its usage. This research aimed to comprehend the fall risk assessment in stroke clients with wheelchair at RSUD Dr. H. Slamet Martodirdjo Pamekasan. Methods: This research used a cross sectional descriptive design. Population in this research was 31 stroke clients using wheelchairs in Pamekasan District with the sampling technique using total sampling. This research was conducted in the region of Pamekasan on February, 2021. Data was collected by distributing a Close ended-Multiple choice questionnaire with an ordinal scale containing of 12 question items and then processing the data in the form of editing, scoring, tabulating. Results: Most of the total respondents who have been researched indicate a low risk of falling as 14 people (45%). Conclusion: The Families are expected to provide assistance and supervision to stroke client, especially those who have experienced falling.

Pelaksanaan Self Management terhadap Perilaku Perawatan Diri pada Pasien Gagal Jantung di Desa Plesungan

Penyakit Gagal jantung beresiko mengalami kekambuhan yang disebabkan karena kurangnya perawatan diri. Sebagian besar kekambuhan gagal jantung terjadi karena pasien tidak memenuhi terapi yang dianjurkan, misalnya tidak melaksanakan terapi pengobatan dengan tepat, melanggar pembatasan diet, tidak mematuhi tindak lanjut medis, melakukan aktivitas fisik yang berlebihan, dan tidak dapat mengenali gejala kekambuhan. Tujuan penelitian ini untuk Mengetahui pengaruh sebelum dan sesudah pelaksanaan Self Management terhadap perilaku perawatan diri pasien gagal jantung kongestif di desa Plesungan. Jenis penelitian ini adalah kuasi eksperimen, dengan pre dan post test design group. Populasi penelitian ini adalah semua pasien dengan riwayat penyakit gagal jantung di Desa Plesungan. Sampel penelitian ini adalah responden dengan riwayat penyakit gagal jantung kongestif dengan metodeconsecutive sampling sejumlah 18 responden. Metode penelitian dengan uji paired sample t-tes dengan confidence interval 95%. Hasil analisis univariat didapatkan perawatan diri sebelum pemberian self management ada 7 yang adekuat dan 11 yang tidak adekuat, sedangkan setelah diberikan intervensi didapatkan 15 adekuat dan 3 tidak adekuat, sedangkan hasil analisis bivariatp value 0,011 atau p < 0,05, maka ada pengaruh pemberian self management terhadap perilaku perawatan diri pada pasien gagal jantung kongestif. Kesimpulan self management terhadap perilaku perawatan diri pada pasien gagal jantung kongestif di Plesungan, saran bagi peneliti selanjutnya untuk meneliti tentang management kebutuhan diet yang tepat untuk penyakit gagal jantung.

Pengaruh Pemberian Metode Gerakan Sendi Aktif dengan Menggunakan Media Video Bermusik terhadap Ketahanan Otot Pasien Stroke di Ruangan Medicina Interna, Hospital Nasional Guido Valadares, Dili–Timor Leste

AbstrakStroke merupakan masalah kesehatan global umum yang memerlukan penanganan yang komprehensif. Rehabilitasi pasca stroke merupakan bagian terpenting dari perawatan pasien stroke. Intervensi yang diberikan kepada pasien selain terapi medis, latihan sendi juga menjadi pilihan bagi pasien pasca stroke. Untuk mengetahui pengaruh Metode Gerakan Sendi Aktif terhadap Daya Tahan Otot Pasien Stroke Dengan Menggunakan Video Musik di Rumah Sakit Nasional Guido Valadares Dili - Timor Leste. Penelitian ini merupakan penelitian eksperimen semu dengan rancangan Non Equivalent Control Group Design. Teknik pengambilan sampel menggunakan simple random sampling (teknik undian). Sampel penelitian 10 kelompok eksperimen dan 10 kelompok kontrol. Dengan menggunakan uji Wilcoxon Rank diperoleh hasil pre-test post-test kelompok eksperimen P-value = 0,007, kelompok kontrol P-value = 1000. Hasil Paired Sample Statistics P-value = 0,003 berarti ada pengaruh pemberian latihan gerak sendi aktif menggunakan media video bermusik terhadap kekuatan otot pasien stroke. Ada pengaruh pemberian latihan gerak sendi terhadap daya tahan otot pasien stroke. Setelah dilakukan pengujian pada kedua kelompok yaitu kelompok eksperimen dan kelompok kontrol didapatkan bahwa pada kelompok eksperimen terjadi peningkatan hasil daya tahan otot setelah diberikan intervensi latihan gerak sendi aktif, sedangkan pada kelompok kontrol tidak terjadi peningkatan hasil daya tahan otot. Kata kunci : Gerakan Sendi Aktif, Ketahanan Otot, Pasien Stroke Abstract Stroke is a common global health problem that needs comprehensive management. Post-stroke rehabilitation is the most important part of care for stroke patients. Interventions given to patients in addition to medical therapy, joint exercises are also an option for stroke patients after a stroke. To determine the effect of Active Joint Movement Method on Muscle Endurance of Stroke Patients Using Music Videos in Guido Valadares National Hospital, Dili - Timor Leste. The study was a Quasi experimental design with a Non equivalent control group design. The sampling technique used simple random sampling (lottery technique).Sample research 10 of eksperiment group and 10 of control group. By using the Wilcoxon Rank test, the results of the pre-test post-test experimental group P-value = 0.007, control group P-value = 1000. The results of Paired Sample Statistics P-value = 0.003 means that there is an effect of giving active joint movement exercises on the muscle strength of stroke patients. There is an effect of providing joint movement exercises on the muscle endurance of stroke patients. After testing the two groups, the experimental group and the control group, it was found that in the experimental group there was an increase in muscle endurance results after being given active joint movement training interventions, while in the control group there was no increase in muscle endurance Keyword : Active joint movement, Muscle strength, stroke patient

Terapi Dzikir Jahar Mengurangi Kecemasan Pada Ibu Pre Operasi Sectio Caecarea

Dhikr Jahar Therapy Reduces Anxiety in Pre-Operative Sectio Caesarea Mothers. Mothers often experience anxiety before cesarean section surgery. Non-pharmacological therapy with dhikr Jahar can be a complementary therapy option to reduce anxiety. This study aimed to explain the effect of dhikr therapy on reducing maternal anxiety levels before SC surgery. The research method uses Quasy Experiment with Pre-Post Test With Control Group Design. The respondents' determination was carried out by total sampling, namely pre-cesarean section surgery pregnant women in March-June 2019 at Garam Islamic Hospital, Kalianget (n=24). Statistical test using Paired T-Test, Wilcoxon Test, and Independent T-Test. The results of the Paired T-Test showed that there were differences in the level of anxiety of patients before SC before and before being given dhikr therapy in the intervention group (p = 0.000); there was an average decrease of 9.917. The Wilcoxon test results showed no difference (change) in the level of anxiety of patients before and before being given therapeutic communication in the control group the value (p = 0.636); the decrease that occurred was 0.83. In the Independent T-Test results, there was no difference in the level of anxiety before SC before and before being given treatment in the intervention group and the control group (p = 0.211). There is an effect of providing dhikr Jahar therapy to reduce maternal anxiety levels before SC surgery.

Dampak Penggunaan Gadget Dengan Tingkat Kematangan Sosial Anak Prasekolah

Anak prasekolah yang sedang berada ditahap gemar mengeksplor hal-hal baru banyak ditemukan menggunakan gadget untuk bermain sehingga jarang berinteraksi dengan lingkungannya. Penelitian dilakukan untuk mengetahui faktor-faktor dampak penggunaan gadget dengan tingkat kematangan sosial anak prasekolah di Kelurahan X. Penelitian ini menggunakan desain cross sectional dengan menggunakan kuesioner. Sampel penelitian adalah ibu dengan anak prasekolah sebanyak 195 responden. Uji statistik menggunakan uji Kendall’s tau-c. Hasil penelitian menyatakan kurangnya tingkat kematangan sosial anak prasekolah sebanyak 56.9%. Faktor Karakteristik ibu juga diteliti dan hasilnya menyatakan tidak adanya hubungan usia ibu (p = 0,094) , pendidikan ibu (p = -0,074), pekerjaan (p = -0,53) , paritas (p = -0,38), pengetahuan (p = -0,068) dan ada hubungan signifikan antara lama bermain gadget (p = 0,042) dengan tingkat kematangan sosial anak prasekolah. Peneliti berharap ibu dapat lebih memperhatikan dan memantau setiap perkembangan dan kematangan sosial anak sejak dini.

Tingkat Stres Kerja Perawat Instalasi Gawat Darurat pada Masa Pandemi Covid-19

Stress on nurses working in the emergency room, due to the Covid-19 pandemic which results in a higher risk of exposure, this happens because the nurses in the emergency room still don't know whether a patient is infected with a certain disease or not. The purpose of this study was to determine the level of stress on nurses working in the emergency department. This type of research is quantitative descriptive using a non-analytic cross-sectional design. The population in this study were nurses who worked in the emergency department as many as 22 people with total sampling. Based on the results of the study, it can be concluded that almost half of them are included in the very severe stress level, namely 8 people (36%),. It is hoped that all nurses, especially in the emergency unit room, will always comply with the Health protocol in preventing the transmission of Covid-19