INOVASI METODE PEMBELAJARAN MONTASE SEBAGAI UPAYA PENGUATAN KAPASITAS KADER KESEHATAN DALAM PENGENDALIAN DAN PENCEGAHAN PENULARAN TBC

Tuberculosis is an airborne disease caused by the bacterium mycobacterium tuberculosis, transmission occurs when a person inhales droplet nuclei containing mycobacterium tuberculosis, is spread from person to person through the air. The health cadres play an essential role for tuberculosis control and prevention. Therefore tuberculosis knowledge and skills among health cadres needs to be strengthened. Knowledge is a very important factor in shaping a person's actions, behaviors based on knowledge will last longer than those without it. This study aims to analyze and to prove the influence of education with montage learning methods in strengthening the role of health cadre in TB control and prevention. Used an pre experimental design and one group pre test and post test design with sampel of 20 people. Data collected using a questionnaires. Analysis used paired t-test with a significance level of 5% (α = 0,05). The result of the study provides that knowledge and skills of health cadres about TB control and prevention before intervention shows the lowest score of 58,75±14,59 and after intervention of 74,25±10,30. The results of the research used paired t-test showed that the cadres knowledge and skills about TB control and prevention rise after the montage learning methods, while the value of p value was 0,003 < 0,05.

PENGAPLIKASIAN JOB SAFETY ANALYSIS (JSA) DAN METODE RAPID UPPER LIMB ASSESSMENT (RULA) PADA PEKERJAAN MANUAL HANDLING

Manual Handling is the process of lifting, moving, placing, pushing, pulling, sliding, and supporting loads with the hands and body. There are 5 work processes at PT. Aura Mandiri Sejahtera still manually which is identified as an ergonomic hazard due to a mismatch between the tool or machine and the posture of the workers. The 5 work processes are the Stone Retrieval Process, the Stone Collection Process, the Stone Lifting Process to the Car Body, the Sand Extraction Process, and the Sand Lifting Process to the Car Body. The purpose of this study was to identify the hazards of manual handling work using JSA and to assess the risks of manual handling work using the RULA method at PT. Aura Mandiri Sejahtera. This type of research is a qualitative descriptive research was conducted from February to August 2021 at PT. Aura Mandiri Sejahtera. The results showed that from 5 manual handling work processes at PT. Aura Mandiri Sejahtera there are 5 ergonomic hazards identified using JSA and when a work risk assessment is carried out using the RULA method, it is found 4 work process with a score of 7 that means efforts must be made to change the work process immediately. for change efforts are expected to the leadership of PT. Aura Mandiri Sejahtera carries out work risk control by modifying work tools in the form of providing or replacing work equipment in accordance with the worker's body posture

PENGARUH PENDIDIKAN KESEHATAN DAN KONSUMSI AIR REBUSAN DAUN SALAM TERHADAP PENGENDALIAN ASAM URAT

Healthy lifestyle is an indicator and influence on health problems. Self-management in dealing with this must be done productively. When uric acid is produced in excess and the processing of uric acid is decreased, uric acid levels in the blood are higher. To overcome this, non-pharmacological treatment can be done by consuming bay leaves boiled water. In addition, health education is also needed. Health education is one of the effective nursing interventions to increase awareness and knowledge. This study aims to determine the effectiveness of uric acid health education and drinking bay leaf boiled water to control gout. The research method used is pre-experimental design with pre-posttest design approach. The population was 60 respondents. The sampling method included home visits to gout sufferers. The sample was 22 respondents. Wilcoxon test was used for statistical tests. The results of the pre-posttest showed the P value was 0.001, which is less than 0.05. In other words, health education and consumption of bay leaf water effectively reduce uric acid levels. This research is recommended for the whole community because this intervention has minimal side effects, materials and tools are easy to obtain, and cost-effective so that it can be applied independently

AKTIVITAS FISIK DAN TINGKAT DEPRESI LANSIA DI MASA PANDEMI

COVID-19 has caused a pandemic in almost all parts of the world, including Indonesia. This has led to lockdown conditions in various countries. The Indonesian government is trying to break the chain of transmission of Covid-19, one of which is the Large-Scale Social Restriction (PSBB) which limits social and physical activities. One of the people affected by this policy is the elderly. Various studies have stated that physical activity will affect cognitive function and the level of depression in the elderly. The purpose of this study is to determine the relationship between physical activity and the level of depression in the elderly during a pandemic. This research is a descriptive corelative study with a cross sectional approach. Data were collected using A Physical Activity for the Elderly questionnaire to measure the physical activity in the elderly, and Geriatric Depression Scale to measure the level of depression. Bivariate statistical test using chi square. The results showed that there was no relationship between the level of physical activity and depression in the elderly during the pandemic (p value > 0.05).

HUBUNGAN STATUS SPIRITUALITAS DENGAN KUALITAS HIDUP LANSIA

Persentase data jumlah penduduk lansia di dunia pada tahun 2010 adalah 13,5% dan diprediksi jumlah ini pada tahun 2025 menjadi 14,9%, dan pada tahun 2030 menjadi 16,4%. Penurunan fisik dan psikologis dapat mengganggu spiritualitas dan berdampak pada kualitas hidup lansia. Kualitas hidup lansia menurun jika tidak di tangani dengan baik akan berdampak buruk untuk kehidupannya karena berpengaruh pada kesehatan fisik, psikologis dan spiritualitas. Tujuan penelitian ini adalah untuk mengetahui hubungan status spiritualitas dengan kualitas hidup pada lansia di wisma cinta kasih padang. Jenis penelitian survey analitik dengan pendekatan cross sectional study dilakukan di wisma cinta kasih padang pada tanggal 6 Maret 2019, dengan populasi 40 lansia dan dengan tekhnik pengambilan sapel total sampling. Hasil penelitian didapatkan kurang dari separoh (40%) responden memiliki status spiritualitas terpenuhi dan kurang dari separoh (45%) responden memiliki kualitas hidup berkualitas dan terdapatnya hubungan status spiritualitas dengan kualitas hidup pada lansia di wisma cinta kasih padang tahun 2019 ( p value = 0, 001). Hasil penelitian dapat di simpulkan bahwa ada hubungan kualitas hidup lansia dengan status spiritualitas. Diharapkan kepada tenaga kesehatan di wisma cinta kasih padang untuk dapat meningkatkan status spiritualitas lansia untuk meningkatkan kualitas hidup lansia.

HUBUNGAN KELELAHAN POSTPARTUM DENGAN MOTIVASI PEMBERIAN ASI

THE WOMEN'S CONDITION AFTER CHILDBIRTH UNDERGOES PHYSICAL AND PSYCHOLOGICAL CHANGES. CHANGES AFTER CHILDBIRTH CAUSE FATIGUE IN THE POSTPARTUM PERIOD. POSTPARTUM FATIGUE MAKES THE MOTIVATION OF BREASTFEEDING DECREASE. THIS STUDY AIMS TO FIND OUT THE RELATIONSHIP OF FATIGUE WITH MOTIVATION FOR BREASTFEEDING IN THE POSTPARTUM PERIOD. THE DESIGN OF THIS STUDY WAS A QUANTITATIVELY ANALYTICAL CORRELATION WITH A CROSSECTIONAL APPROACH PERFORMED ON 95 POSTPARTUM MOTHERS WITH PURPOSIVE SAMPLING TECHNIQUES. THE QUESTIONNAIRES USED ARE THE POSTPARTUM FATIGUE SCALE (PFS) AND BREASTFEEDING MOTIVATIONAL INSTRUCTIONAL MEASUREMENT SCALE (BMIMS). STATISTICAL ANALYSIS USES THE SPEARMAN RHO TEST WITH SIGNIFICANCE P<0.05. THE RESULTS OF THIS STUDY SHOWED THAT POSTPARTUM MOTHERS WHO EXPERIENCED HIGH LEVELS OF FATIGUE AS MUCH AS 91 (95.8%), MODERATE AS MUCH AS 2 (2.1%), LOW AS MANY AS 2 (2.1%) RESPONDENTS. THE MOTIVATION LEVEL OF BREASTFEEDING WAS LOW BY 50 (52.6%), AND THE MOTIVATION OF BREASTFEEDING WAS LOW AS MUCH AS 40 (47.4%) RESPONDENTS. THE CONCLUSION OF THIS STUDY THERE IS A SIGNIFICANT ASSOCIATION BETWEEN FATIGUE AND MOTIVATION OF BREASTFEEDING IN POSTPARTUM (P = 0.001). HEALTH SERVICE ARE EXPECTED TO IMPROVE THE QUALITY OF SERVICE IN THE POSTPARTUM PERIOD BY ASSESSING POSTPARTUM FATIGUE EARLY TO INCREASE MATERNAL MOTIVATION IN BREASTFEEDING.

GLUKOSA DARAH PASIEN DIABETES MELLITUS DAN TEKANAN DARAH SERTA RISIKO STROKE PADA LANSIA

Abstrak : Diabetes Mellitus (DM) tipe 2 merupakan suatu kondisi yang ditandai dengan adanya hiperglikemia, yang disebabkan adanya gangguan kerja dari hormone insulin ataupun adanya defek pada sekresi insulin. Tujuan dari penelitian ini adalah untuk mengetahui apakah ada hubungan kadar gula darah pasien DM tipe II dengan tekanan darah dan terjadinya risiko stroke pada lansia. Penelitian dilakukan terhadap pasien DM tipe 2 di poli penyakit dalam RS Ibnu Sina Bukittinggi dengan jenis penelitian yang digunakan cross sectional study. Jumlah sampel dalam penelitian ini sebanyak 96 responden. Pengumpulan data menggunakan Shygmomanometer, Glucose meter (Easy Touch) dan kuesioner resiko stroke. Analisa dilakukan secara komputerisasi dengan perangkat menggunakan uji spearmanrank. Hasil penelitian didapatkan bahwa terdapat hubungan kadar gula darah dengan tekanan darah dan resiko stroke dengan nilai pvalue = 0,000. Dari penelitian ini disimpulkan ada hubungan yang bermakna kadar glukoasa darah dengan tekanan darah dan risiko stroke pada lansia penderita DM tipe 2

HUBUNGAN TINGKAT KECEMASAN DENGAN SIKLUS MENSTRUASI PADA MAHASISWI TINGKAT AKHIR

Menstruation is a natural process in every woman and repeats itself every month. Irregular menstrual cycles are one of the signs of menstrual disorders and can be caused by anxiety. The phenomenon found by female students has anxiety with the final task and the menstrual cycle is not normal. The study's aim to analyze the relationship anxiety levels and the late-level menstrual cycle of St.Vincentius a Paulo College of Health Sciences, Surabaya. Design with correlation studies with a cross-sectional. The sample number was 56 respondents using the Simple Random Sampling technique. Anxiety levels were measured by the Psychometric Properties of The Depression Anxiety Stress Scale 42 (DASS 42) questionnaire and the menstrual cycle with menstrual cycle questionnaire. The results showed 38% had very severe anxiety, 23.2% no anxiety, 19.6% severe anxiety, 12.5% moderate anxiety, 7.1% mild anxiety, and more than half (61%) had normal menstrual cycles. Analysis of data with spearman rank test with a value of p = 0.098 (p>0.05) which means there is no relationship between anxiety levels and menstrual cycles in final-level students. Irregular menstrual can be caused by other factors such as weight, physical activity. College students can maintain a diet, regular exercise, and manage self-anxiety. Keywords : menstrual cycle, anxiety level

HUBUNGAN DUKUNGAN KELUARGA DENGAN TINGKAT KECEMASAN PADA PENDERITA DIABETES MELLITUS

Latar belakang: Diabetes Mellitus merupakan penyakit kronis serius yang terjadi karena pankreas tidak cukup memproduksi insulin. Oleh karena itu, penderita DM Tipe 2 sering mengalami masalah psikologis yaitu kecemasan yang membutuhkan dukungan keluarga. Bertujuan untuk mengetahui hubungan antara dukungan keluarga dengan tingkat kecemasan. Metode: penelitian ini menggunakan desain penelitian analitik dengan desain cross sectional. Non-probability sampling digunakan untuk menentukan sampel, yang melibatkan 66 responden. Alat ukur dalam penelitian ini adalah kuesioner Hensarling Diabetes Family Support Scale (HDFSS) dan Zung Self-Rating Anxiety Scale (ZSAS). Dianalisis menggunakan uji statistik Chi-Square. Hasil: diperoleh nilai (p value = 0,003 < 0,05), menunjukkan bahwa ada hubungan yang signifikan antara dukungan keluarga dengan tingkat kecemasan pasien diabetes tipe 2. Kesimpulan: Hasil penelitian ini adalah pasien diabetes melitus tipe 2 membutuhkan dukungan keluarga untuk mengatasi tingkat kecemasan

EFEKTIVITAS CRYOTHERAPY TERHADAP TINGKAT NYERI PUNGGUNG BAWAH IBU POSTPARTUM PADA MASA PANDEMI COVID-19

Low back pain is one of the complaints felt by some and almost all postpartum mothers since pregnancy. Low back pain occurs in 45-55% of mothers in the first week postpartum, continues at 8 weeks postpartum as much as 68% and 60% in the next 8 months. Persistent pain causes inhibition of maternal activities and reduces quality of life. One type of complementary therapy is cryotherapy cold therapy with ice. Cold therapy is a therapeutic modality that can absorb tissue temperature so that there is a decrease in tissue temperature through the conduction mechanism. The purpose of this study was to determine the effectiveness of cryoptherapy on low back pain in postpartum mothers during home care during the COVID-19 pandemic. This type of research is a pre-experimental design with One Group Pretest-Posttest with a sample of 22 early postpartum mothers (24 hours to 1 week after delivery). Data were analyzed using paired t test. The results showed that the average pain scale before being given cryotherapy was 6.82 with a standard deviation of 0.907, the average self-efficacy after being given cryotherapy was 3.96 with a standard deviation of 0.64. There was a difference in the mean value between before and after the cryotherapy intervention was given with p-value = 0.002 (p<0.05). It is hoped that health services can use cryotherapy as a therapy to reduce postpartum maternal back pain.