Jurnal Sehat Masada

HUBUNGAN SELFCARE DENGAN KUALITAS HIDUP PENDERITA DIABETES MELLITUS TIPE 2 DI PUSKESMAS GRIYA ANTAPANI

usan Daryaman — 2025-01-28

Diabetes mellitus is a deadly chronic disease in the world known as the "Mother of Disease" because it triggers a variety of other diseases that can lead to microvascular and macrovascular complications, impacting a decrease in quality of life. Therefore, proper care called self care is needed. Self care is a person's actions to control their health problems including diet management, blood sugar monitoring, drug therapy, foot care and physical activity. The purpose of the study was to determine the relationship between self-care and the quality of life of people with type 2 diabetes mellitus at the Griya Antapani Health Center. The research method uses quantitative descriptive correlation with a cross sectional approach. The sampling technique used purposive sampling with a total of 56 people from a population of 126 people with type 2 diabetes mellitus. The research instrument is in the form of a Summary of Diabetes Self Care (SDSCA) questionnaire to measure self-care and Diabetes Quality of Life(DQOL) to measure quality of life. Data analysis used a spearman rank test with the result of p = 0.001 < 0.05. In conclusion, there is a significant relationship between self-care and the quality of life of people with type 2 diabetes mellitus at the Griya Antapani Health Center. Self-care behaviors that need to be improved are physical activity and regular blood sugar monitoring. It is hoped that people with diabetes mellitus will improve self-care behavior to improve health and prevent further complications of the disease.

EVALUASI PEMANFAATAN APLIKASI MATERNAL PERINATAL DEATH NOTIFICATION (MPDN) DI WILAYAH KERJA DINAS KESEHATAN KABUPATEN BANDUNG TAHUN 2024

Gugum Pamungkas — 2025-01-28

Background: Based on the results of the 2020 Long Form Population Census, there was a decrease in the Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) nationally. However, when compared to other ASEAN countries, Indonesia is still among the countries with the highest MMR and IMR. Maternal Perinatal Death Notification (MDPN) is a fast, structured maternal and infant death reporting application utilising the latest information technology and can be used for tactical decision-making in efforts to reduce MMR and IMR. MPDN is also an integral part of the Maternal Perinatal Surveillance & Response (AMP-SR) Audit process. The purpose of the study was to evaluate the utilisation of the MPDN application in the working area of the Bandung Regency Health Office in 2024 based on the input, process and output components. The research method is qualitative research with in-depth interviews and observations to 7 informants. Research results: input: Human resources have been socialised, MPDN management should not be assigned to one person, facilities and infrastructure are sufficient, budget is available from the Health Operational Assistance (BOK) Puskesmas for death case tracking, Team Decree needs to be updated annually. Process: study sites have been registered in MPDN, not all deaths have been notified, reporting of Autopsy Verbal (OV) and Medical Summary (RM) is incomplete and not within the specified timeframe, zero reporting has not been done every month. Output: Recap of death report has not been made and reported every month, OV and RM documents need to be hardcopy/softcopy. Conclusion: Death notification has been implemented quite well, but needs improvement in reporting death cases in MPDN so that it can be optimally utilised for AMP-SR.

HUBUNGAN TINGKAT STRES DENGAN DERAJAT NYERI DISMENORE PRIMER PADA REMAJA PUTRI KELAS 10 SMAN 1 BANJARAN KABUPATEN BANDUNG

Ade Irma sri ayu lestari — 2025-01-28

Stress is the body's response to situations of pressure, threat, or change that come from within or outside. Stress is one of the factors that can cause dysmenorrhea. Dysmenorrhea is pain felt in the lower abdomen or cramps before menstruation that lasts 2-3 days, starting the day before menstruation begins. Stress can cause blood flow to be disrupted so that there is oxygen deficiency in the uterus (ischemia) and increase production and stimulate prostaglandins in the uterus, causing dysmenorrhea. This study aims to determine the relationship between Stress Levels and the Degree of Primary Dysmenorrhea Pain in Adolescents Girl of Class X SMAN 1 Banjaran. The type of correlation research, the population of this study was Adolescent Girls of Class X SMAN 1 Banjaran with a sample of 55 respondents and the sampling technique used a simple random sampling approach. The research instrument for stress levels used DASS (Depression Anxiety Stress Scale) and for Dysmenorrhea used the Numeric Rating Scale (NRS) Questionnaire. Bivariate analysis used Spearman rank. The results of the study showed that there was a moderate stress level category of 29 respondents (52.7%), a moderate dysmenorrhea pain level category of 25 respondents (45.5%) out of a total of 55 respondents and there was a relationship between stress levels and the degree of dysmenorrhea pain in female adolescents in grade X of SMAN 1 Banjaran (p = 0.000 and a correlation coefficient of 0.504) so there was a fairly strong/moderate relationship. Suggestions for schools should provide a counseling place for adolescents who experience complaints related to adolescent reproduction because many adolescents are still embarrassed to consult directly with health services.

OPTIMALISASI KENAIKAN BERAT BADAN BAYI USIA 0-6 BULAN MELALUI PIJAT BAYI

maya indriati — 2025-01-28

Baby massage is the oldest known touch therapy and is known to have many benefits. One of them is to increase the baby's weight. Massage will increase the tone of the vagus nerve so that food absorption becomes faster. The purpose of this study was to determine the effect of baby massage on increasing body weight in infants aged 0-6 months. This research design uses a type of pre-experiment research. The population in this study were 32 babies aged 0-6 months who were massaged, for data processing using the T test. The results showed that of the 32 respondents with an average weight before baby massage of 4171.88 grams and after baby massage of 4909.38 grams the results of the statistical test obtained were that there was an effect of baby massage on increasing body weight in infants aged 0-6 months at TPMB E Bandung City with the results of P Value 0.000. Based on the results of this study, it is hoped that parents can do massage regularly and choose baby massage as an alternative to increase baby weight.

FAKTOR – FAKTOR YANG MEMPENGARUHI STATUS GIZI KURANG PADA BALITA DI DESA SARIMAHI KECAMATAN CIPARAY KABUPATEN BANDUNG

Nenden Sum Sumiati — 2025-01-28

The problem of malnutrition is still a major concern in various countries, especially in the toddler group. There are several indirect factors that influence malnutrition in toddlers, including knowledge, education, employment, pregnancy spacing and family income. This research aims to determine the factors that influence the malnutrition status of children under five in Sarimahi village in 2024. The research design used correlative analytics with a point time approach. The population and sample for this study were all 56 babies and toddlers in the working area of the Ciparay Community Health Center, using a total sampling technique. The data used is primary data using a questionnaire. The data analysis used was univariate and bivariate using the Chi square statistical test. The research results showed that the mother's level of knowledge was sufficient, she had low education, did not work, had a pregnancy interval of > 2 years, had a high income and the toddler was malnourished. The results of the bivariate analysis showed a relationship between knowledge (pvalue 0.004), education (pvalue 0.001) and pregnancy interval (pvalue 0.000) with malnutrition status in toddlers and no relationship between employment (pvalue 1.000) and family income (pvalue 0.310). The conclusion is that there is a relationship between knowledge, education, distance between pregnancies and malnutrition status in toddlers and there is no relationship between employment and family income and undernutrition status in toddlers. It is recommended that the community health center or other health facilities create an interactive communication strategy for mothers and health workers as an ongoing activity in preventing malnutrition

EFEKTIVITAS WOLBACHIA DALAM PENGENDALIAN DEMAM BERDARAH DENGUE

Dewi Patmawati — 2025-01-28

Background: Dengue fever (DHF) is one of the global health threats that needs serious attention, because this disease has a high morbidity and mortality rate and has the potential to cause extraordinary events (KLB). Dengue control activities that dengue control activities that are usually carried out are considered ineffective, especially there are negative impacts including the existence of resistance in vectors to insecticides. The use of Wolbachia bacteria is offered as an alternative that can be applied in dengue control especially to reduce the cases.

Objective: To determine the effectiveness of Wolbachia in controlling dengue fever

control of dengue hemorrhagic fever. Methods: This article used narrative literature review method using data and information from online search sites such as Google Scholar, Pubmed and Science Direct published between 2019-2023.

Discussion: A total of 8 out of 11 articles reported a decrease in dengue cases in Wolbachia release sites ranging from 40% - 96%. Another 3 articles stated that Wolbachia influenced the

ability of Aedes aegypti mosquitoes to transmit dengue virus.

Conclusion: Wolbachia is effective for dengue hemorrhagic fever control.

GAMBARAN TINGKAT KECEMASAN ANAK USIA PRASEKOLAH SAAT PEMASANGAN INFUS DI RUMAH SAKIT BAYUKARTA KARAWANG

Hani Triana — 2025-01-28

Hospitalization in children is a process for some emergency reason or requires the child to stay in the hospital to undergo therapy and care until returning home. Children also have high anxiety when undergoing invasive procedures such as intravenous fluids or treatment carried out in the hospital with their reactions that tend to vary. Based on the researcher's experience, this also happened at Bayukarta Hospital, Karawang. This research method is a descriptive study using a cross-sectional approach. The population in this study were all preschool children who would undergo intravenous fluid (infusion) procedures with accidental sampling techniques, and data measuring instruments in the form of HARS questionnaires to measure the level of anxiety in children. The results of the study on 35 preschool children who underwent intravenous fluid (infusion) procedures at Bayukarta Hospital, Karawang showed that 2 children (5.7%) experienced severe anxiety while 33 children (94.3%) experienced panic. In conclusion, most preschool children who underwent intravenous fluid (infusion) procedures at Bayukarta Hospital experienced panic. Suggestions for Bayukarta Hospital Karawang can be used as input in creating strategies such as establishing relationships with therapeutic communication, conducting play therapy such as role-play, and involving people closest to reduce anxiety levels.

PENGARUH PEMBERIAN JAHE MERAH TERHADAP PENCEGAHAN HIPER EMESIS GRAVIDARUM PADA IBU HAMIL

Yeti Hernawati — 2025-01-28

In Indonesia there are 50-75% cases of nausea and vomiting experienced by pregnant women in the first trimester or early in pregnancy. Emesis if not treated immediately will increase to hyperemesis and can result in impaired fetal growth, the fetus dies in the womb and the fetus can experience congenital abnormalities. Overcoming nausea and vomiting during pregnancy can be done through pharmacological and non-pharmacological measures. The purpose of this research is to determine the effect of ginger candy (Zingiber Officinale) on the frequency of emesis gravidarum in pregnant women in the Working Area of the Sukaresmi Public Health Center, Cianjur Regency, in 2023. The method used in this study was a Quasi Experimental Design research method with a Post-test Only Control Group Design approach which consisted of an experimental class, namely pregnant women who experienced emesis gravidarum were given ginger candy, while in the control class pregnant women who experienced emesis gravidarum were given candy containing contains no ginger or placebo. Sampling was done by accidental sampling. The sample taken was 62 respondents who were divided into 2 groups, namely 31 intervention groups and 31 control groups. Ginger candy was given to the intervention group while the control group was given sugar candy. The statistical test results, it was found that p value = 0.000 (p value ≤ 0.05) meaning that there was a significant influence between giving ginger candy (Zingiber officinale) on reducing emesis gravidarum in pregnant women in the working area of the Sukaresmi Health Center, Cianjur Regency, in 2023. The conclusion in this study is that there is an effect of giving ginger candy on emesis gravidarum in pregnant women in the Working Area of the Sukaresmi Public Health Center, Cianjur Regency, West Java in 2023.

EVALUASI ASUHAN PADA REMAJA DENGAN ANEMIA DI SMAN CIKEAS GUNUNG PUTRI BOGOR 2024

Fiky Trisna Nilasari — 2025-01-30

The global prevalence of adolescent anemia ranges from 40-88%. The incidence of anemia in adolescent girls in developing countries is around 53.7% of all adolescent girls, the largest prevalence occurs in African and Southeast Asian countries, (WHO, 2018)The prevalence of iron nutrition anemia in adolescent girls in Indonesia is 22.7%. (Indonesian Ministry of Health, 2021). Data from the 2012 Household Health Survey (SKRT) stated that the prevalence of anemia in adolescent girls aged 10-18 years was 57.1% and aged 19-45 years was 39.5%. Women have the highest risk of developing anemia, especially adolescent girls, which states that in 2012 the prevalence rate of anemia in adolescent girls in West Java was 51.7%, which is the highest prevalence among other provinces. Based on the data obtained, it is known that adolescent girls with risk of anemia in the Sman Cikeas Gunung Putri Bogor area are still fairly large, namely 25 people out of a total of 35 total samples interviewed.

The research method used in this study is descriptive research, analytic with a qualitative approach cross sectional design, where the collection of independent variables and dependent variables is carried out at the same time. The research location was at Sman Cikeas Gunung Putri.The research subjects were all adolescent girls at Sman Cikeas Gunung Putri, Bogor. Data collection techniques used in this study were primary and secondary data collection techniques.

Evaluation Results from interviews conducted by the author to 35 subject samples found 25 adolescent girls indicated to have general symptoms of anemia, from the results of these interviews it was found that these adolescent girls rarely consume nutritious foods, rarely consume fruits and vegetables, and are not compliant with the administration of TTD Output Evaluation Results based on the results of interviews, in the education of anemia recognition has been carried out as needed. However, based on the results of field observations, the target has not been achieved and there is no solution to providing anti-anemia products that are suitable for adolescent targets, so the handling and finding of solutions is still not optimal, this can be seen from the number of adolescent girls who are reluctant to consume TTD which does not run out as recommended.

From the previous discussion, it shows that there are problems that arise in cases of anemia in adolescent girls so that development and innovation are needed that can better support handling cases of anemia in adolescent girls. Based on the recommendations proposed above, what is more needed and very important for now and in the future is the creation of an education system about anemia and innovating types of preventive products.

EVALUASI AKSEPTOR KB SUNTIK 3 BULAN DENGAN SIKLUS MENSTRUASI TIDAK TERATUR DI KLINIK DENKESYAH

Lusi Herlina — 2025-01-30

Family Planning is a program that helps married couples to create a happy and prosperous small family by planning for pregnancy and vice versa to avoid unwanted pregnancies, get a birth that is very desirable, set intervals between pregnancies, control the time of birth in relation to the age of the couple and determine the number of children in the family. Midwifery Care in 3-Month Injectable Birth Control Acceptors with Menstrual Cycle Disorders in this study uses an evaluation model developed by Stuflebeam in the 1960s with the CIPP (Context, Input, Process and Product) Evaluation approach developed by the National Study Committee on Evaluation of Phi Delta Kappa. The purpose of the study was to find out the evaluation actions in handling menstrual disorders due to 3-month injectable birth control. This study uses a qualitative approach of a cross sectional design, where the collection of independent variables and bound variables is carried out at the same time. Sampling uses purposive sampling. The population in this study is birth control acceptors who use 3-month injectable birth control. The research was carried out in May 2024. Based on the results of the interview, in the implementation of the evaluation that has been carried out according to the standards. The evaluation of 3-month injectable birth control acceptors is carried out to the maximum, this can be seen from the follow-up to the care provided by providing counseling and counseling related to the use of appropriate contraceptives.

IMPLEMENTASI LEAN HOSPITAL DI SUB. BAGIAN LOGISTIK RUMAH SAKIT IMMANUEL BANDUNG

Yuliani Yuliani — 2025-01-30

Hospitals in Indonesia are currently facing challenges in improving operational efficiency and effectiveness. One of the quality improvement methods used is Lean Hospital, which aims to eliminate waste and improve the quality of service. This study aims to analyze the implementation of Lean Hospital in increasing the effectiveness and efficiency in the process of issuing goods in the logistics of Immanuel Hospital Bandung. The specific goal is to identify existing types of waste, analyze current workflows, and design more efficient workflows using Value Stream Mapping (VSM). This study uses a qualitative method with a descriptive approach. Data was collected through direct observation, interviews with logistics officers, and analysis of related documents. Current workflows are analyzed using VSM to identify existing types of waste, such as defects, motion, waiting, transportation, inventory, overproduction, and overprocessing. The results of the study were obtained waste defect, motion, waiting and overprocessing.

FAKTOR FAKTOR YANG MEMPENGARUHI KEAKTIFAN PASIEN PROGRAM PENGELOLAAN PENYAKIT KRONIS DI PUSKESMAS KIANGROKE KABUPATEN BANDUNG

Mery Hariany — 2025-01-30

The Chronic Disease Management Program (Prolanis) aims to improve patients' quality of life through a promotive and preventive approach. However, patient engagement in this program is influenced by various factors, such as knowledge, individual attitudes, family support, and healthcare worker support. This study employed a quantitative method with a cross-sectional design involving 65 Prolanis participants, where data were collected through questionnaires and analyzed using bivariate tests. The majority of respondents were female (76.9%) with a low educational level (78.5%), low knowledge (78.5%), positive attitudes (80%), family support (78.5%), and healthcare worker support (84.6%). Patient engagement in Prolanis reached 89.2%. Bivariate analysis showed that knowledge level was not significantly related to patient engagement (p-value 0.142). In contrast, individual attitudes (p-value 0.009), family support (p-value 0.001), and healthcare worker support (p-value 0.001) were significantly associated with patient engagement in Prolanis. The study concludes that family and healthcare worker support are the main factors in enhancing patient engagement in Prolanis. Therefore, interventions focused on increasing social support and strengthening patients' positive attitudes are essential to improve participation and the effectiveness of this program.