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Gambaran Pengelolaan Limbah Medis Padat pada Pos Kesehatan Desa (Poskesdes) di Kecamatan Bluto Hasanah, Laylatul; Oktavianisya, Nelyta
Gorontalo Journal of Public Health VOLUME 1 NOMOR 2, OKTOBER 2018
Publisher : Universitas Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (194.857 KB) | DOI: 10.32662/gjph.v1i2.333

Abstract

Pos kesehatan desa (Poskesdes) merupakan salah satu tempat pelayanan kesehatan masyarakat yang berada di desa yang menyediakan banyak layanan kesehatan misalnya pemeriksaan ibu hamil, perawatan pada pasien, pertolongan pertama jika terjadi kecelakaan, pemeriksaan pada lanjut usia, dan pelayanan kesehatan lainnya. Pajanan limbah layanan kesehatan dapat mengakibatkan penyakit atau cidera petugas kesehatan, pasien, pengunjung dan masyarakat disekitar lingkungan fasilitas kesehatan meskipun proporsi limbah medis yang masuk ke dalam kategori limbah berbahaya hanya sebesar 15 – 25%, tetapi risiko yang ditimbulkan cukup besar. Word Health Organization (WHO) memprediksi risiko limbah benda tajam sebesar 1% dari total limbah kesehatan pada tahun 2000. Hal ini menjadi resiko karena mampu menyebarkan infeksi hepatitis B dan hepatitis C. Berdasarkan data Limbah medis padat yang dihasilkan dari kegiatan pelayanan poskesdes berkisar antara 0,5 kg perbulan sampai dengan 2 kg perbulan setiap poskesdes, pengelolaan tidak dilakukan langsung oleh puskesmas Bluto karena tidak ada incenerator. Penelitan ini menggunakan metode deskriptif. Obyek penelitian diantaranya petugas kesehatan lingkungan dan 2 staff petugas kesehatan lingkungan di Puskesmas Bluto. Instrumen penelitian menggunakan lembar wawancara, dan lembar observasi menggambarkan pengelolaan limbah medis padat pada 17 poskesdes di Kecamatan Bluto. Pengelolaan limbah medis padat pada 17 poskesdes di Kecamatan Bluto dari 4 aspek mulai dari penampungan dan pemilahan, pengumpulan, pengangkutan serta pemusnahan dan pembuangan akhir secara keseluruhann sudah baik hal ini berkaitan dengan koordinasi antara petugas poskesdes dan petugas puskesmas untuk melakukan pengelolaan limbah padat medis yang baik dengan melakukan MoU dengan pihak ketiga sebagai pihak yang akan melakukan kegiatan akhir pada limbah medis padat.
EDUKASI KEBUTUHAN KALORI DENGAN METODE CAKRAM IMT TERHADAP PENURUNAN KADAR GULA DARAH PADA PASIEN DM TIPE 2 Nelyta Oktavianisya; Sugesti Aliftitah
Jurnal Kesehatan Mesencephalon Vol 7, No 1 (2021): Jurnal Kesehatan Mesencephalon - April 2021
Publisher : Sekolah Tinggi Ilmu Kesehatan Kepanjen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36053/mesencephalon.v7i1.259

Abstract

Tatalaksana penyakit diabetes terdiri atas empat macam yaitu, edukasi, Medical Nutrition Theraphy, latihan jasmani, dan intervensi farmakologis. Edukasi kebutuhan kalori merupakan dasar utama dalam pengendalian kadar gula darah. Penelitian ini bertujuan mengetahui pengaruh edukasi kebutuhan kalori dengan metode cakram IMT terhadap penurunan KGD pada pasien Tipe 2 di UPT Puskesmas Pandian. Quasy-experiment adalah rancangan yang dipakai, dengan pendekatan pretest-posttest control group design. Penelitian ini melibatkan 40 responden terbagi kelompok kontrol dan kelompok perlakuan masing-masing sebanyak 20 reponden. Pengambilan sampel dengan teknik purposive sampling. Variabel bebas yaitu edukasi kebutuhan kalori dan variable terikat kadar gula darah. Alat ukur yang digunakan adalah Glucotest. Analisis data menggunakan uji T. Hasil penelitian menunjukkan bahwa rata-rata kadar gula darah setelah dilakukan intervensi (post) terdapat penurunan sebesar 25,75 mg/dL. Rata-rata kadar gula darah pada kelompok kontrol setelah dilakukan intervensi terdapat penurunan sebesar 0,3 mg/dL. Hasil analisis data menggunakan uji Independent Sample T Test, posttest-posttestkadar gula darah pada kelompok perlakuan dan kelompok kontrol diperoleh ρValue=0,000 (α=0,05). Karena ρValue
STRES DAN KECEMASAN PADA DOSEN YANG MELAKSANAKAN KULIAH DARING PADA MASA PANDEMI COVID-19 Sugesti Aliftitah; Nelyta Oktavianisya
Jurnal Kesehatan Mesencephalon Vol 7, No 2 (2021): Jurnal Kesehatan Mesencephalon - Oktober 2021
Publisher : Sekolah Tinggi Ilmu Kesehatan Kepanjen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36053/mesencephalon.v7i2.299

Abstract

Online learning applied since March 2020, during 10 month passed, obstacle raised among students and lecturers which found during online learning, student had difficulties on phone signal especially students from island near Madura island, student poorly understood about the topic given by the lecturer. Problem faced by lecturer such as student didn’t pay attention during online learning, and some of lecturers clueless with online learning app. This will raise stress and anxiety for lecturers who was doing online learning. The aim of this study was to represent anxiety and stress level of lecturers during online learning for pandemic covid 19 period. The design of this study was descriptive design. The Population in this study were all of lecturers of Universitas Wiraraja as much as 168 lecturers with sample 63 lecturers. The result of this study showed that respondent mostly on medium level of anxiety were 33 people (52,4%) and the stress level of respondent mostly on medium level of stress werw 42 people (66,7 %). A lecturer expected to improve their coping mechanism in overcoming stress and anxiety during online learning for pandemic time. By proper stress management, it will increase lecturer work performances on this pandemic condition. Keywords: Anxiety, Stress, Covid 19, lecturers
PENGARUH JALAN KAKI 30 MENIT TERHADAP PENURUNAN TEKANAN DARAH SISTOLIK PADA KELOMPOK LANSIA DI DESA ERRABU Sugesti Aliftitah; Nelyta Oktavianisya
Jurnal Kesehatan Mesencephalon Vol 6, No 1 (2020): Jurnal Kesehatan Mesencephalon - April 2020
Publisher : Sekolah Tinggi Ilmu Kesehatan Kepanjen

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (243.12 KB) | DOI: 10.36053/mesencephalon.v6i1.186

Abstract

Hypertension became a problem in elderly because those could be the risk factor of  CVA, cardiovascular problem and coronary heart disease. One of the factors which effect the blood pressure is physical activity. Physical activity is body movement of extremity which need energy. The aim of this study was to find out the effect of 30 minutes casual walking on reducing systolic blood pressure of elderly group in Desa Errabu. The design was quasy-experiment, pretest-posttest control group design. This study involved  30 respondent which divided into two groups. Purposive  sampling technique used to gain sample. Automatic blood preasure monitor was used as instrument to obtain the data. The result showed that mean value of intervention group before intervention were 127,27 mmHg then after the intervention the mean value reducing to 116,87 mmHg. The result of data analysis by using Independent Sample T Test obtained ρValue=0,025 with α=0,05 there was difference between posttest-posttest result of blood pressure on intervention and control groups. Because the ρValue<α so there was an effect 30 minutes casual walking on reducing systolic blood pressure of elderly group in Desa Errabu. Casual walking has many advantage, one of the advantage is the heart muscle become more sturdy so it will pump the blood to the heart and normalize the blood pressure on hypertension phase. Keywords : casual walking, blood pressure, elderly Abstrak : Hipertensi menjadi masalah pada usia lanjut karena dapat menjadi faktor resiko dari penyakit stroke, payah jantung dan penyakit jantung koroner. Salah satu faktor yang mempengaruhi tekanan darah adalah aktivitas fisik. Aktivitas fisik adalah gerakan tubuh yang dihasilkan oleh otot rangka yang memerlukan energi. Penelitian ini bertujuan mengetahui pengaruh jalan kali 30 menit terhadap penurunan tekanan darah sistolik pada kelompok lansia di Desa Errabu. Desain penelitian yang digunakan adalah analitik, dengan rancangan bangun quasy-experiment, pretest-posttest control group design. Penelitian ini melibatkan 30 responden yang terbagi menjadi dua kelompok. Pengambilan sampel dengan teknik purposive sampling. Alat ukur yang digunakan  adalah Automatic blood preasure monitor. Hasil penelitian menunjukkan bahwa sebelum dilakukan intervensi nilai mean pada kelompok perlakuan sebesar 127,27 mmHg kemudian terjadi penuruanan setelah intervensi yaitu nilai meannya 116,87 mmHg. Hasil analisa data posttest-posttest tekanan darah pada kelompok perlakuan dan kelompok kontrol menggunakan uji Independent Sample T Test didapatkan nilai signifikan ρValue=0,025 dengan α=0,05, terdapat perbedaan antara posttest-posttest tekanan darah pada kelompok perlakuan dan kelompok kontrol. Karena ρValue<α maka ada pengaruh jalan kaki 30 menit terhadap penurunan tekanan darah sistol pada kelompok lansia di Desa Errabu Tahun 2019. Jalan kaki memiliki banyak manfaat yaitu membuat otot jantung lebih kuat sehingga dapat memompa darah kembali menuju jantung dan menormalkan  tekanan  darah  ketikahipertensi. Kata kunci : jalan kaki, tekanan darah, lansia
FAKTOR YANG MEMPENGARUHI KEJADIAN STUNTING PADA ANAK USIA 2-5 TAHUN DI KEPULAUAN MANDANGIN Nelyta Oktavianisya; Sri Sumarni; Sugesti Aliftitah
Jurnal Kesehatan Vol 14 No 1 (2021): JURNAL KESEHATAN
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/kesehatan.v14i1.15498

Abstract

Stunting is a linear growth disorders, caused by chronic malnutrion of nutrient intake or chronical nor recurrence infectious diseases, showed by Z-score height according to age less than -2 SD. The aim of this study was to analize factors related to stunting on 2-5 years old children In Pulau Mandangin Kabupaten Sampang. This study was analytic study with case control approach. The population of this study were every mother of children with 2-5 years age who lived in Pulau Mandangin in 2019. Case group were mother of children with 2-5 years ages with stunting diagnosis (76 respondents). Control group were mother of children with 2-5 years ages without stunting diagnosis (152 respondents). Simple random sampling technic was used on sample retrieval and data retrieval using questioner. The data analized by using univariate, bivariate (chi-square) and multivariate analysis with logistic regression test with  5% (α=0,05) level of significance. The study result showed that related variable to stunting were low birth weight baby with p-value 0,015. Genetic history with p-value 0,008, nutrient intake with p-value 0,011, exclusive breast milk with p-value 0,004, and environment with p-value 0,009. The result of  multivariate analysis nutrient intake had  great risk of stunting (p=0,013 OR=4,0, 95% CI=1,091 –14,821). Nutrient intake is dominant factors related to stunting incident. There was influence of low birth weight status, genetic, exclusive breast milk, nutrient intake and environment. While economic status was not related to stunting incident on children with ages 2-5 years in Pulau Mandangin Kabupaten Sampang.
PENGARUH KUALITAS ANC DAN RIWAYAT MORBIDITAS MATERNAL TERHADAP MORBIDITAS MATERNAL DI KABUPATEN SIDOARJO Nelyta Oktavianisya
Wiraraja Medika : Jurnal Kesehatan Vol 6 No 2 (2016): Wiraraja Medika - Jurnal Kesehatan
Publisher : Fakultas Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (81.304 KB) | DOI: 10.24929/fik.v6i2.298

Abstract

Morbidity and mortality in pregnant and labor women are the major problems in developing countries. The maternal mortality rate in sidoarjo district has readed 96.27 per 100,000 live birth in 2013. This aim of this study was to analyze the effect of the quality of ANC and history of maternal moridity to maternal morbidity in Sidoarjo. This study is an analytic observational with case-control design. The samples of this study were 34 pregnant women in the third trimester who experienced maternal morbidity and 34 pregnant women in the third trimester who did not experience maternal morbidity. The data was analyzed by using univariable, bivariable and multivariable analysis with logistic regression. The results of this study confirmed that the quality of the ANC was poor (OR=4,965; 95% CI: 1,547 to 15,927; p=0,007) and the history of maternal morbidity (OR 6,077; 95%CI: 1,433 to 25,773; p=0,014). Thus, the incidence of maternal morbidity increased. The conclusion: the quality of ANC and the history of maternal morbidity affect the occurrence of maternal morbidity. Suggestions can be drawn based on the results of this study. First, health education should be given to women in their productive age. Secoundly, the quality of ANC should be improved by using KSPR (Kartu Skor Pudji Rochjati) to detect early risk of maternal morbidity in women.
HUBUNGAN PENGETAHUAN IBU DENGAN PEMBERIAN ASI EKSKLUSIF USIA > 6-12 BULAN DI KECAMATAN TALANGO KABUPATEN SUMENEP Sri Sumarni; Nelyta Oktavianisya
Wiraraja Medika : Jurnal Kesehatan Vol 7 No 1 (2017): Wiraraja Medika - Jurnal Kesehatan
Publisher : Fakultas Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (52.12 KB) | DOI: 10.24929/fik.v7i1.380

Abstract

The first and main food for babies is breast milk (ASI). Breast milk contains the most completenutritional composition and ideal for the growth and development of infants during the first 6months. The percentage of coverage of exclusive breastfeeding in Sumenep in 2011-2013decreased but increased in 2014 (45.5%) but has yet to reach the target (80%). Coverage rate ofexclusive breastfeeding in the District Talango any decline of the Year The year 2012-2014 is stillfar from the target attainment (80%). This study aims to determine the relationship betweenknowledge of mothers exclusively breastfeeding infants aged> 6-12 months.This research is analytic survey with cross sectional approach. The number of samples in thisstudy were as many as 38 nursing mothers who have infants aged> 6-12 months in the workingarea of Puskesmas (Health Center) Talango sub-district Talango taken using proportionate randomsampling technique. Collecting data through interviews using a questionnaire. The statistical testused to analyze the relationship between variables using chi square.The results showed that most respondents (55.3%) had good knowledge and 60.5% ofrespondents who breastfed exclusively. The results of data analysis showed a significantrelationship between knowledge and exclusive breastfeeding (p = 0.028).Efforts to improve the implementation of exclusive breastfeeding for infants aged> 6-12months through empowerment to health workers, such as by an increase in personnel and skills inorder to increase the use of breast milk.
FAKTOR YANG MEMPENGARUHI KEJADIAN STUNTING PADA ANAK USIA 2-5 TAHUN DI KEPULAUAN MANDANGIN Nelyta Oktavianisya; Sri Sumarni; Sugesti Aliftitah
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 9, No 1 (2021)
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v9i1.1955

Abstract

Stunting is a linear growth disorders, caused by chronic malnutrion of nutrient intake or chronical nor recurrence infectious diseases. The aim of this study was to analize factors related to stunting on 2-5 years old children. This study was analytic study with case control approach. The population of this study were every mother of children with 2-5 years age who lived in Pulau Mandangin in 2019. Case group were mother of children with 2-5 years ages with stunting (76 respondents). Control group were mother of children with 2-5 years ages without stunting (152 respondents). Simple random sampling technic was used on sample retrieval and data retrieval using questioner. The data analized by using univariate, bivariate (chi-square) and multivariate analysis with logistic regression test.The study result showed that related variable to stunting were low birth weight baby (0,015), Genetic history (0,008), nutrient intake (0,011), exclusive breast milk (0,004), and environment (0,009). The result of multivariate analysis nutrient intake had great risk of stunting (OR=4,0). Nutrient intake is dominant factors related to stunting. there was influence of low birth weight status, genetic, exclusive breast milk, nutrient intake and environment. While economic status was not related to stunting incident on children with ages 2-5 years.
FAKTOR PENYEBAB PERUBAHAN IDENTITAS DIRI PADA WARIA DI DESA SAPEKEN Eko Mulyadi; Nelyta Oktavianisya
Journal Of Health Science (Jurnal Ilmu Kesehatan) Vol 2 No 1 (2017): JOURNAL OF HEALTH SCIENCE (JURNAL ILMU KESEHATAN)
Publisher : Fakultas Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (59.483 KB) | DOI: 10.24929/jik.v2i1.388

Abstract

Transgender person is an individual who thinks and feels differently from the assigned gender; it is classified as a gender identity disorder; in this study context is a man who changed himself to be a woman. This uncommon behavior struggles for social acceptance in Indonesian society due to gender construction debate. This aim of this study was todetermine the factors that affect the change of self identity in transvestites in the village sapeken. This study used a qualitative approach. Data collected by using interviews, observation, documentation, and DASS tests. The informants were collected using the snowball technique with 5 informants, 4 families, and 1 community leaders. In this research used source triangulation technique as data checking technique. Based on the results of research and data analysis, it is known that the factors that influence the change of self identity in transvestites are (1) parental care pattern; Parents forbid their children associate with women but parents do not forbid their children associate with waria. (2) psychiatric disorders; Based on the results of the Depression Anxiety Stress Scale (DASS) test and in-depth interviews, the informants experienced mild depression. (3) sexual violence; Sexual violence often occurs in transsexuals but they are unaware of how the process of sexual violence takes place, in fact they enjoy sexual violence against them. Parents are instrumental in determining the personality of the child, the role is given in the benediction of good parenting, giving direction to their children and communicate while doing parenting activities. So that children feel cared for by parents who later will form the child's personality in accordance with the expectations of parents.
HUBUNGAN PEKERJAAN DAN SIKAP IBU MENYUSUI DENGAN PEMBERIAN ASI EKSKLUSIF PADA BAYI USIA 0-6 BULAN DI DESA LEBENG TIMUR KECAMATAN PASONGSONGAN Nelyta Oktavianisya; Sri Sumarni
Journal Of Health Science (Jurnal Ilmu Kesehatan) Vol 2 No 2 (2017): JOURNAL OF HEALTH SCIENCE (JURNAL ILMU KESEHATAN)
Publisher : Fakultas Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (214.294 KB) | DOI: 10.24929/jik.v2i2.548

Abstract

Breastfeeding is a natural process but often mothers fail to breastfeed more than theyshould. Lots of moms who choose not to give Exclusive Breast Milk. The problem of this research isthe low level of Exclusive Breastfeeding in Lebeng Timur Village Pasongsongan Sub-district by4.5% from the target of 90%. The aim of this research is to determine the relationship between jobsand mother attitude with giving of exclusive ASI in Lebeng Timur Village Pasongsongan SubDistrict.The design of this study is Cross Sectional Study. The sample sum a 40 nursing mothers whohave infants aged> 6-12 months taken using proportionate random sampling technique. The dataanalyzed using Chi- square test.The results showed that some of the respondents work (65%), had positive attitude (47,5%),and only (37,5%) respondents give exclusive breastfeeding. There is a relation between jobs(p=0.000) and the attitude of the breastfeeding mother (p=0,012) whit the exclusive breastfeeding.Mothers, particularly career mothers, are suggested to always give breast milk so that they couldpromote to the success of exclusive breastfeeding.