The Determinant of Using Long Term Birth Contraceptive Method (LTBCM) on KB Acceptor. The main problem that Indonesia faces in demography is the high population growth. Efforts in realizing quality family has the main goal to control the population growth and to improve the quality of small size family which is indicated with the use of rational, effective and efficient birth control method, the long term birth control method (LTBCM). Kalirejo public health center in gaining LTBCM tended to decrease in the last two years from 10,87% to 10,62%. The pre-survey result in October 2016 showed reduced LTBCM of 377 fertile age couples (10,62%) from 3555 birth control acceptors. The objective of this research was to find out the determinants of a long term birth control method used in the birth control acceptors in Kalirejo public health center working area in Negeri Katon sub district of Pesawaran in 2017. This was an analytic research with cross sectional approach. The research population was all active birth control acceptors in Kalirejo public health center with 360 samples of acceptors of LTBCM and non-LTBCM. Primary data were collected with questionnaires and analyzed by using univariate, bivariate and multivariate analyses. The research results showed that 75,3% respondents used non-LTBCM, 57,2% risks not to use LTBCM, 56,7% unemployed, 65,3% respondents were in risks to have more children, 83,6% respondents were supported by their couples. Bivariate analysis result found correlations of age (p=0,007), occupation (p=0,000), couple's support (p=0,000), to the use of LTBCM. Amount of child (p=0,208) did not correlate with the use of LTBCM. The researcher recommends that the local public health centers should conduct education of the active birth control acceptors to use the LTBCM as the role models for new acceptor candidates which in turn will enhance the coverage of the LTBCM services in their working areas.
<p><span>The fact that malnutrition occurs during the golden age is irreversible, so more attention is needed in the growth and development of toddler age.</span><strong> </strong><span data-preserver-spaces="true">This research is aim to find out the improvements of mothers’ knowledge concerning balanced nutrition for children under five before and after intervention by using moving picture and animated video media in Ambarawa public health center working area in Pringsewu district in 2019.</span><strong> </strong><span data-preserver-spaces="true">Quantitative-quasi-experiment design, with pretest–post-test with the group design approach. The population was 216 respondents and 40 respondents were taken by using proportional random sampling and purposive sampling. Data were analyzed with univariate and bivariate analyses by using the independent t-test. The results showed that the averages of mothers’ knowledge concerning balanced nutrition for children under five before and after using moving picture media intervention were 78.60 and 83.80, and before and after using animated video media intervention were 78.00 and 91.90 with p-value 0.120. The averages of mothers attitude concerning balanced nutrition for children under five before and after using moving picture media intervention were 76.05 and 78.60, and before and after using animated video media intervention were 78.55 and 85.65 with p-value 0.087. Animation media is more effective against increasing the knowledge and attitudes of mothers about balanced nutrition, it appears from the average value of the use of animation media higher than moving images.</span></p>
The Determinant of Premature Labor in RSUD. Dr. Abdul Moeloek. Infant mortality in Indonesia around 56% occurs in the very early period of a neonatal period or newborn. Most of the neonatal deaths occur at the age of 0-6 days (78.5%) and prematurity is the major cause of neonatal death. Based on perinatology room report of Dr. H. Abdul Moeloek hospital in 2015, there were 77 premature births from 391 labors. This number then increased to 84 premature labor from 402 labors by 2016. The objective of this research was to identify the determinants that influenced premature labor in a hospital. H. Abdul Moeloek 2012-2016. This was a quantitative research, design of analytic research was through case control research method. The population was whole pregnant mothers who had premature labor in Dr. H. Abdul Moeloek hospital 2012-2016. The sample was 62 cases and 62 controls to become 138 people. The analysis was through chi-square test. Multivariate analysis used regression logistic. The result showed that there was a significant correlation between mothers' age (p-value=0,048), parity (p-value=0,000), pregnancy complication (p-value=0,000), KPD (p-value=0,005) and mothers education level (p-value = 0,011). The result of the multivariate analysis showed that the most dominant factor towards premature labor was pregnancy complication (p-value=0,000). The importance of pregnant mothers to make an antenatal care visit in accordance with government program so that abnormalities or complication in pregnancy can be earlier detected. Hasil analisis menunjukkan bahwa terdapat hubungan yang bermakna antara usia ibu (p-value=0,048), paritas (p-value=0,000), komplikasi kehamilan (p-value=0,000), KPD (p-value=0,005) dan tingkat pendidkan ibu (pvalue=0,011). Perlunya ibu hamil melakukan kunjungan antenatal care sesuai program pemerintah agar kelainan ataupun komplikasi dalam kehamilan dapat terdeteksi lebih awal. Keywords: Premature labor, Complication of pregnancyKata kunci: Persalinan prematur, Komplikasi kehamilan
Hipertensi adalah tekanan darah yang mencapai 140/90 mmHg atau lebih tinggi. Menurut survey terpadu penyakit (STP) 10 besar penyakit di Puskesmas Hanura pada tahun 2018 hipertensi menempati urutan kelima (10,7%). Prevelensi hipertensi di Puskesmas Hanura pada tiga tahun terahir yaitu di tahun 2016 (9,9%), tahun 2017 (9,9%), tahun 2018 (10,7%). Tujuan penelitian ini untuk mengetahui hubungan merokok, olahraga, obesitas dan stress dengan kejadian hipertensi di wilayah kerja Puskesmas Hanura Kabupaten Pesawaran tahun 2019. Penelitian ini merupakan penelitian kuantitatif dengan menggunakan pendekatan cross sectional. Populasi adalah seluruh pasien yang datang berkunjung untuk berobat yang berumur > 15 tahun di wilayah kerja Puskesmas Hanura dengan jumlah populasi 390 orang, sampel sejumlah 171 responden teknik pengambilan sampel dengan cara accidental sampling. Pengambilan data menggunakan kuesioner, dan analisa data menggunakan uji chi-square. Hasil penelitian menunjukan bahwa kejadian hipertensi sebesar 95 (55,6%), perokok aktif 65 (38,0%), olahraga tidak teratur 110 (64,3%), obesitas 76 (44,4%), stress 93 (54.4%). Tidak ada hubungan antara merokok dengan kejadian hipertensi dengan nilai (p- value = 0,408), ada hubungan antara olahraga dengan kejadian hipertensi dengan nilai (p- value = 0,040 : OR 2,0), ada hubungan antara obesitas dengan kejadian hipertensi dengan nilai (p- value = 0,000 : OR 7,2), ada hubungan antara stress dengan kejadian hipertensi dengan nilai (p- value = 0,000 : OR 4,1). diharapkan pihak puskesmas memberikan informasi kepada responden faktor yang berhubungan dengan kejadian hipertensi dan kepada masyarakat untuk selalu menjaga konsumsi makanan, dan mengelola stress dengan benar.
Background: The role of health workers in helping prevent and overcoming problems of cancer patients by providing attention, motivation, support, and counseling providing direction, counseling, health education or education, and providing alternative problem solving as part of integrated nursing for cancer patients. The provision of knowledge and understanding of patients undergoing chemotherapy can be conveyed through visual media such as booklets or audiovisual media such as video animations.Purpose: To determine the effectiveness of video media and booklet media in increasing knowledge of chemotherapy clients.Method: Quantitative research with a quasi-experimental design with one group pre-test-posttest design. The population of this study was cancer chemotherapy clients with a total sample of 50 respondents, namely 25 samples of group I who were given education using video media and 25 other samples of group II who were educated using booklet media, taken by accidental sampling technique. Data analysis used univariate analysis to obtain the mean, median and standard deviation and bivariate analysis used paired t-test or Wilcoxon test as an alternative test.Results: Based on the results in both groups before and after education there were changes. That is an increase of 19.28 in group I and an increase of 18.2 in group II. The results before education in group I (44.28±11.480) and group II (42.44±11.439) while the results after education were seen in group I (63.56±11.218) and group II (60.64±11.083), there was an increase in knowledge before and after education. The results of bivariate data analysis using the Wilcoxon test obtained a significant value of knowledge level p-value 0.000 <0.05.Conclusion: There is an influence before and after education on participants' knowledge. So it can be concluded that there is an influence before and after education. Suggestion: Hospitals need to improve the competence of health workers and establish service SOPs by providing a special time for the needs of cancer chemotherapy clients and consider using videos and booklets as a means of education for cancer chemotherapy clients. Keywords: Education program; audio-visual; Booklets; Knowledge; Patient; ChemotherapyPendahuluan: Peran tenaga kesehatan dalam membantu mencegah dan mengatasi masalah pasien kanker dengan memberikan perhatian, motivasi, dukungan dan konseling dengan cara memberikan pengarahan, penyuluhan, pendidikan kesehatan atau edukasi serta memberikan alternatif pemecahan masalah sebagai bagian dari keperawatan terpadu pasien kanker. Pemberian pengetahuan dan pemahaman pasien yang menjalani kemoterapi dapat disampaikan melalui visual media seperti booklet atau media audiovisual seperti animasi video.Tujuan: Untuk mengetahui efektivitas media video dan media booklet dalam meningkatkan pengetahuan pada klien kemoterapi.Metode: Penelitian kuantitatif dengan desain quasi eksperimen eksperimen dengan one group pre test-posttest design. Populasi penelitian ini adalah klien kemoterapi kanker dengan jumlah sampel sebanyak 50 responden yaitu 25 sampel kelompok I yang diberikan edukasi menggunakan media video dan 25 sampel lainya kelompok II yang dilakukan edukasi menggunakan media booklet, diambil dengan teknik accidental sampling. Analisis data menggunakan analisis univariat untuk memperoleh mean, median dan standar deviasi dan analisis bivariat menggunakan uji t berpasangan atau uji Wilxocon sebagai uji alternatif.Hasil: Berdasarkan hasil pada kedua kelompok sebelum dan setelah dilakukan edukasi terdapat perubahan. Yaitu peningkatan sebanyak 19.28 pada kelompok I dan peningkatan 18.2 pada kelompok II. Hasil sebelum edukasi pada kelompok I (44.28±11.480) dan kelompok II (42.44±11.439) sedangkan hasil setelah dilakukan edukasi tampak pada kelompok I (63.56±11.218) dan kelompok II (60.64±11.083), terlihat peningkatan pengetahuan sebelum dan sesudah dilakukan edukasi. Hasil analisa data bivariat menggunakan uji wilcoxon didapat nilai signifikan tingkat pengetahuan p-value 0,000 < 0,05Simpulan: Terdapat pengaruh sebelum dan sesudah edukasi terhadap pengetahuan partisipan. Jadi dapat ditarik kesimpulan terdapat pengaruh sebelum dan sesudah edukasi.Saran: Pihak Rumah Sakit perlu meningkatkan kompetensi petugas kesehatan dan menetapkan SOP layanan dengan menyediakan waktu khusus untuk kebutuhan klien kemoterapi kanker serta mempertimbangkan penggunaan video dan booklet sebagai sarana edukasi bagi klien kemoterapi kanker.
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