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All Journal Jurnal Kreativitas PKM JURNAL ILMIAH KESEHATAN SANDI HUSADA MAHESA : Malahayati Health Student Journal
Rakhmi Rafie
Universitas Malahayati
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Faktor-Faktor Keterlambatan Penatalaksanaan Pada Pasien Kanker Kepala Dan Leher Di RSUD Dr.H.Abdul Moeloek Provinsi Lampung Neno Fitriyani Hasbie; Rakhmi Rafie; Mizar Erianto; Sitti Puspita
MAHESA : Malahayati Health Student Journal Vol 2, No 1 (2022): Volume 2 Nomor 1 (2022)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (216.288 KB) | DOI: 10.33024/mahesa.v2i1.4549

Abstract

ABSTRACT The prevalence of head and neck cancer (KKL) in Indonesia is quite high with a prevalence of 4.7 per 100,000 population. Delays in the management of head and neck cancer patients still occur and there are many factors that cause patient delay and professional delay. delay factors associated with tumors. This study aims to determine the factors of delay in the management of head and neck cancer patients at dr. H. Abdul Moeloek Hospital, Lampung province in 2020. This study used a descriptive-analytic research method with a cross-sectional approach. The sample population used was all head and neck cancer patients in dr. H. Abdul Moeloek Hospital, Lampung Province. The results of this study obtained 50 samples who were interviewed. The average age according to the Indonesian Ministry of Health (2009) was categorized as late adulthood 36-45 years, early elderly 46-55 years, late elderly 56-65 years, and the elderly> 65 years. Of the respondent group of respondents, the largest age group is> 40 years 45 (90.0%). The highest education level is SD 17 (34.0%), SMP 17 (34.0%), SMA 16 (32.0%), the highest income is <Rp. 2,432,000, - by 41 (82.0%), the most nasopharyngeal anatomy location is 32 (64.0%) ), The most anatomical locations in the Superoposterior were 39 (78.0%). Knowledge level of cancer 47 (94.0%) Patients are not cancer, symptoms, risk factors, nasopharyngeal cancer, and causes of nasopharyngeal cancer. Psychological condition feeling anxious 45 (90.0%), afraid 44 (88.0%), angry 40 (80.0%). 41 (82.0%) and 38 (76.0%) patients who used alternative medicine / herbal medicine did not frequently visit health facilities doctors. It can be concluded that the most delay factor is the low level of cancer knowledge, namely as many as 47 (94.0%) patients. Keywords: delay factor, head and neck cancer, management. Readiness ABSTRAK Prevalensi kanker kepala leher (KKL) di indonesia cukup tinggi dengan prevalensi 4,7 per 100.000 penduduk. keterlambatan penatalaksanaan pada pasien kanker kepala dan leher masih banyak terjadi dan ada banyak faktor yang menyebabkan terjadi patient delay dan professional delay Faktor faktor tersebut yaitu faktor keterlambatan yang berhubungan dengan pasien selain faktor keterlambatan berhubungan dengan pasien ada juga faktor keterlambatan yang berhubungan dengan dokter dan ada juga faktor keterlambatan yang berhubungan dengan tumor. Penelitian ini bertujuan untuk mengetahui Faktor faktor keterlambatan penatalaksanaan pada pasien kanker kepala dan leher di RSUD dr.H.Abdul Moeloek provinsi Lampung tahun 2020. Penelitian ini menggunakan metode penelitian deskriptif analitik dengan pendekatan cross sectional. Dengan populasi sampel yang digunakan yaitu seluruh pasien kanker kepala dan leher di RSUD dr.H.Abdul Moeloek Provinsi Lampung. Hasil penelitian ini di dapatkan 50 sampel yang wawancarai didapatkan umur rata rata menurut Depkes RI (2009) dikategorikan masa dewasa akhir 36 – 45 tahun, masa lansia awal 46 – 55 tahun, masa lansia akhir 56 – 65 tahun dan masa manula >65 tahun. Dari kelompok responden responden tersebut kelompok umur terbanyak >40 tahun 45 (90.0%). tingkat pendidikan terbanyak SD 17 (34.0%), SMP 17 (34.0%), SMA 16 (32.0%), Penghasilan terbanyak <Rp.2.432.000,- sebesar 41(82.0%), Lokasi Anatomi terbanyak Nasofaring sebesar 32 (64.0%), Lokasi Anatomi terbanyak di Superoposterior sebesar 39 (78.0%). Tingkat pengetahuan Kanker 47 (94.0%) Pasien tidak kanker, gejala, faktor resiko,kanker nasofaring dan penyebab kanker nasofaring. Kondisi psikologis merasa cemas 45 (90.0%), takut 44 (88.0%), marah 40 (80.0%). Pasien  yang menggunakan  obat alternatif/obat herbal sebesar 41 (82.0%) dan sebesar 38 (76.0%) pasien tidak sering berkunjung ke fasilitas kesehatan/dokter. Dapat disimpulkan bahwa faktor keterlambatan yang paling banyak adalah tingkat pengetahuan kanker yang rendah yaitu sebanyak 47 (94.0%) pasien. Kata Kunci : faktor keterlambatan, kanker kepala dan leher, penetalaksanaan
Karakteristik Pasien Ikterus Obstruktif Et Causa Batu Saluran Empedu Yusmaidi Yusmaidi; Rakhmi Rafie; Annisa Permatasari
Jurnal Ilmiah Kesehatan Sandi Husada Vol 9 No 1 (2020): Jurnal Ilmiah Kesehatan Sandi Husada
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Akademi Keperawatan Sandi Karsa (Merger) Politeknik Sandi Karsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiskh.v11i1.277

Abstract

Obstructive jaundice is jaundice caused by bile obstruction. Common bile duct stone are one of the most common causes of obstructive jaundice. The purpose of this study to determine the characteristics of the patients with obstructive jaundice et causa common bile duct stone in RSUD Dr. H. Abdul Moeloek Bandar Lampung in 2017-2018. This study was retrospective descriptive which used secondary data from medical records. Purposive Sampling technique was used to collect the data. The sample of this study were 35 patients . The most common cases attacked 18 patients aged 46-65 years old (51,4%) and 22 female patients (62.9%). The main complaints and physical examinations were mostly on the sclera and jaundice skin as much as 100%. Based on the results of laboratory examination and ultrasound, it showed that 51.4% normal leukocytes, 85.7%. intrahepatic bile duct widening and 57.1% operative measures are performed. he characteristics were mostly in women aged 51-60 years old with the main complaints and physical examination were sclera and jaundice skin, normal leukocytes, intrahepatic bile duct widening, and operative measures are performed
Derajat Toksisitas Trombosit pada Penderita Kanker Kolorektal yang Mendapat Kemoterapi CapeOX Yusmaidi Yusmaidi; Rakhmi Rafie; Muhammad Nur; Bilqis Nabilah
Jurnal Ilmiah Kesehatan Sandi Husada Vol 9 No 1 (2020): Jurnal Ilmiah Kesehatan Sandi Husada
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Akademi Keperawatan Sandi Karsa (Merger) Politeknik Sandi Karsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiskh.v11i1.281

Abstract

Colorectal cancer treatment one of which is chemotherapy. One of the regimens/chemotherapy medicine is CapeOX (Capecitabine + Oxaliplatin). The use of oxaliplatin which is platinum-based chemotherapy has side effects in the form of hematological toxicity (myelosuppression) one of which is platelet count. Thrombocytopenia is a platelet count of less than 100,000 / mm3this is one of the hematological toxicity that can be found in colorectal cancer patients who received chemotherapy. Research Objective: The purpose of this study was to determine the difference average of platelet levels and pre and post-chemotherapy CapeOX and the form of the degree of platelet toxicity in colorectal cancer patients receiving CapeOX chemotherapy.Method: This study is a historical (retrospective) cohort. The sample of this study was 70 patients obtained from a consecutive sampling calculation. Data analysis using Paired T-Test.Results: The age of colorectal cancer patients ranged from 18 to 73 years, with the highest frequency of 56-65 (38.6%), comparison of female 34 (48.6%) and male 36 (51.4%). The most widely used type of surgery was a Low Anterior Resection of 40 (57.1%). In this study, the highest decrease in platelet levels occurred in the sixth series of 54.186/mm3 with a standard deviation of 16.127/mm3. There was a decrease in average platelet levels highest occurred in the sixth cycle of 54,186 / mm3 with a standard deviation of 16,127 / mm3, and obtained first-degree platelets) toxicity in the 5th and 6th cycles of 3 (4.3%) and 18 (25.7) and who experienced second degree in the 5th and 6th cycles of 1 (1.4%) and 10 (14.3%).
Karakteristik Pasien Demam Tifoid pada Anak dan Remaja Festy Ladyani Mustofa; Rakhmi Rafie; Ghina Salsabilla
Jurnal Ilmiah Kesehatan Sandi Husada Vol 9 No 2 (2020): Jurnal Ilmiah Kesehatan Sandi Husada
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Akademi Keperawatan Sandi Karsa (Merger) Politeknik Sandi Karsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiskh.v12i2.372

Abstract

Background: Typhoid fever is an acute bowel disease caused by the bacterial salmonella typhi or Salmonella paratyphi A, B and C. characteristics of the sufferer of typhoid fever in children and adolescents often founded various kinds are age, gender, duration with a fever, degree of fever, results of the most numerous Widal test, Giving antibiotic drug. And the characteristics will be explained in this research. Aim: To know the characteristics of the patients with typhoid fever in children aged (4-11) years and Adolescents age (12-25) years in the hospital Pertamina Bintang Amin in 2018. Methods: This research is a descriptive study with a qualitative approach. The Sources of user research data were used secondary data obtained based on the medical record data of patients who diagnosed with typhoid fever in children and adolescents at Pertamina Bintang Amin Hospital. The population was 1539. A sample of 317 patients diagnosed of typhoid fever. Data collection in January 2020, data analysis process of univariate analysis. Results: Characteristics of the sufferers of typhoid fever in children and adolescents at Pertamina Bintang Amin Bandar Lampung Hospital in 2018 with the most age were 5-11 years (57.1%). Most genders were women (57.7%). The most degree of fever is febrile fever (93.4%). The most fever duration with a fever of ≤ 1 week (77.0%). The results of the most numerous Widal test were patients with positive results (84.2%). The most history of another test was yes they did (100%). Giving antibiotic drugs was giving antibiotic drugs Line 2 (99.1%). Conclusion: Based on these results, characteristics of the sufferer of typhoid fever in children and adolescents at Pertamina Bintang Amin Hospital in 2018 which is aged 5-11 years, with female gender, degree of febrile fever, old fever of ≤ 1 week, test results Positive, the history of conducting other checks is yes, giving antibiotics drugs is antibiotic drugs line 2 which is ceftriaxone and cefixime
Pengaruh Ekstrak Habbatussauda Nigella Sativa terhadap Status Gizi Shelly Indri Yagi; Yesi Nurmalasari; Rakhmi Rafie
Jurnal Ilmiah Kesehatan Sandi Husada Vol 10 No 1 (2021): Jurnal Ilmiah Kesehatan Sandi Husada
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Akademi Keperawatan Sandi Karsa (Merger) Politeknik Sandi Karsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiskh.v10i1.586

Abstract

Introduction; Nutritional status of a person, apart from being determined by the nutritional content of this food, is also determined by the amount and quality of nutritional intake. This increase in intake can be triggered by an increase in appetite for Black Seed (Nigella sativa.) Objectives; know the effect of Black Seed Extract (Nigella sativa) on Nutritional Status. Method; a purely experimental pre-and post-test study with a control group design. The samples used were 24 rats which were divided into 4 groups. Result; that there was a significant increase in the lee index in the KP 150 KP1 group (p = 0.021) and the 150 KP1 dose group and the positive KP group (0.02) there was no significant pulse. decreased APGAR score in the KP1 dose group of 150 (p = 0.092) and the dose group of 300 (p = 0.327). Conclusion; that there is an effect of Black Seed Extract (Nigella sativa.) on the APGAR Score of physical appearance.
Penyuluhan Pencegahan Penularan Corona Virus dengan Mematuhi Protokol Kesehatan di Puskesmas Rawat Inap Kota Karang Bandar Lampung Alif Rizky Hafizhdillah; Ratna Purwaningrum; Akhmad Kheru; Dwi Robbiardy Eksa; Festy Ladyani Mustofa; Rakhmi Rafie
JURNAL KREATIVITAS PENGABDIAN KEPADA MASYARAKAT (PKM) Volume 4 Nomor 1 Februari 2021
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v4i1.3674

Abstract

ABSTRAK COVID-19 menyebabkan penyakit yang menyerang sistem pernapasan pada manusia. Virus ini telah menginfeksi jutaan orang sehingga menyebabkan angka kematian yang tinggi bagi penderitannya di seluruh dunia. Masyarakat yang tinggal di sekitar puskesmas kota sangat rentan terhadap penularan COVID-19. Kegiatan ini bertujuan untuk memberikan edukasi dan pendampingan kepada masyarakat di sekitar puskesmas rawat inap kota karang untuk menerapkan protokol Kesehatan agar terhindar dari penularan COVID-19. Kegiatan ini juga diikuti dengan pemberian poster, masker dan bertujuan memberikan penyuluhan pencegahan penyebaran virus corona. Kegiatan penyeluhan ini dilakukan pada hari jumat tanggal 18 Desember 2020 oleh 10 orang mahasiswa dan 3 kader puskesmas dengan penyuluhan tersebut masyarakat menjadi lebih mengetahui pentingnya menjaga protokol Kesehatan dan mengetahui cara pencegahan penyebaran virus corona. Hasil dari kegiatan ini adalah meningkatnya pengetahuan masyarakat tentang pentingnya protokol Kesehatan dan cara pencegahan penularan virus corona.Kata Kunci: Penyuluhan, Covid-19, Masyarakat ABSTRACT COVID-19 causes diseases that affect the human respiratory system. The coronavirus has infected millions of people around the world causing high death rates among the patients. People living in the vicinity of the Public Health Center (PHC) are particularly vulnerable to COVID-19 transmission. This activity aimed to provide education and assistance to the community around the PHC in Tanjung Karang City to implement health protocols that help avoid the transmission of COVID-19. This activity was also followed by distributing posters and masks, and counseling to prevent the spread of the coronavirus. This activity was conducted on Friday, December 18, 2020, by 10 students and 3 PHC staff. Through counseling, the community became more aware of the importance of maintaining health protocols and understanding how to prevent the spread of coronavirus. The result of this activity is the increasing public awareness about the importance of health protocols and ways to prevent the transmission of coronavirusKeywords: Counseling, Covid-19, community
Co-Authors Akhmad Kheru Alfi Wahyudi Alif Rizky Hafizhdillah Annisa Permatasari Bilqis Nabilah Dwi Robbiardy Eksa Eka Silvia Fenta Loka Tata Festy Ladyani Mustofa Ghina Salsabilla Hasbie, Neno Fitriyani Mizar Erianto Muhammad Nur nurmalasari, yesi Ratna Purwaningrum Restu Adi Wardana Shelly Indri Yagi Sitti Puspita Woro Pramesti Yusmaidi Yusmaidi Yusmaidi Yusmaidi