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IMPLEMENTASI 4 PILAR PENATALAKSANAAN DIABETES MELLITUS MENINGKATKAN KEPATUHAN MINUM OBAT PENDERITA DIABETES MELLITUS Pauzan Efendi; Erni Buston; Septiyanti Septiyanti
MNJ (Mahakam Nursing Journal) Vol 2 No 9 (2021): Mei 2021
Publisher : Poltekkes Kemenkes Kalimantan Timur

Diabetes Mellitus (DM) is a chronic disease that occurs due to the pancreas not producing enough insulin. Complications of diabetes mellitus must be prevented as early as possible. Management of diabetes mellitus can be obtained effectively if individuals have the knowledge to carry out DM management behaviors. The purpose of this study was to determine the effect of the implementation of the 4 Pillars of diabetes mellitus management on medication adherence to diabetes mellitus patients at Puskesmas Kandang Kota Bengkulu 2020. The research design was quasi-experimental with pre-test and post-test with control group design. The number of samples was 50 people consisting of 25 people in the intervention group and 25 people in the control group. The sampling technique is purposive sampling. Measuring medication adherence using the SEDM instrument which consists of 40 items. Analysis using t-test at α <5%. The results of this study the mean pre-intervention group knowledge was 4,56 with a standard deviation of 1,003 and the mean post knowledge was 6,88 standard deviation 1,013, while the mean pre-control group knowledge was 3,20 with a standard deviation of 0,707. The mean post knowledge was 3,72 standard deviation 0,678. There is an effect of implementing the 4 pillars of diabetes mellitus management on adherence to taking medication for diabetes mellitus sufferers. The implementation of the 4 pillars of diabetes mellitus management can improve compliance with taking medication in diabetes mellitus patients at Puskesmas Kandang, Bengkulu City. It is hoped that patients and families who have been exposed to the implementation of the 4 pillars of DM management are able to apply this therapy independently.

STIGMA MASYARAKAT TERHADAP PENYAKIT TUBERKULOSIS DENGAN PENEMUAN KASUS TUBERKULOSIS BTA POSITIF DI KOTA BENGKULU TAHUN 2022 EFRIZON HARIADI; ERNI BUSTON; NEHRU NUGROHO; PAUZAN EFENDI
Journal of Nursing and Public Health Vol 11 No 1 (2023)
Publisher : UNIVED Press, Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/jnph.v11i1.4080

Latar belakang: Tuberkulosis (TB) merupakan penyakit menular yang disebabkan oleh bakteri Mycobacterium Tuberculosis. Penyakit inisering menyerang organ paru-paru, tetapi juga bisa menyerang organ tubuh lainnya sehingga merupakan ancaman besar bagi kesehatan. TB termasuk penyebab kematian kedua setelah penyakit kardiovaskuler dan menjadi penyebab utama kematian dari seluruh penyakit menular. Kasusbarutuberkulosissecara global sebesar 6,4juta, setaradengan 64% dariinsidentuberkulosis (10 juta). Tuberkulosistetapmenjadi 10 penyebabkematiantertinggi di dunia yang menyebabkankematiansekitar 1,3jutapasien.Dampak buruk lainyabagipenderita TB adalah dikucilkan (stigma) oleh masyarakat. Sampai saat ini masih ada anggapan yang berkembang di dalam masyarakat bahwa TB adalah penyakit keturunan yang sulit untuk ditanggulangi. Anggapan ini membuat banyak penderita TB tidak mau berobat karena malu dan ditambah keluarga juga cenderung menutup-nutupi keadaan penyakitnya. Tujuan. Penelitian ini bertujuan untuk mengetahui stigma masyarakat terhadap penderita TB dengan penemuan kasus TB BTA positif di Kota Bengkulu. Metode: Desain penelitian cros sectional. Sampel penelitian adalah masyarakat. Analisa data menggunakan uji statistik Regresi Logistik Sederhana. Hasil penelitian. Didapatkan p value 0,073 berarti p value < 0,25 sehingga variabel stigma masyarakat ada hubungan dengan penemuan kasus TB BTA positif. Dari output dapat diketahui juga nilai OR yaitu 6,049 artinya stigma masyarakat negatif akan beresiko menurunkan cakupan penemuan kasus TB BTA positif dibandingkan dengan stigma masyarakat positif. Kesimpulan. Sebagianbesarstigma masyarakat negatif terhadap penyakit TB di Kota Bengkulu sebesar 59,3%. Sebagian besar cakupan penemuan kasus TB BTA positifmasih rendah di Kota Bengkulu sebesar95 %. Ada hubungan antara stigma masyarakat terhadap penyakit TB dengan penemuan kasus TB BTA positif di Kota Bengkulu dengan P value = 0,073.

PENGARUH EDUKASI MELALUI VIDEO ANIMASI “ECAMI” TERHADAP PERILAKU ANAK SEKOLAH DASAR TENTANG KESIAPSIAGAAN DALAM EVAKUASI BENCANA TSUNAMI DI KOTA BENGKULU ERNI BUSTON; PAUZAN EFENDI; MIA AMELIA; AHMAD RIZAL
Journal of Nursing and Public Health Vol 11 No 1 (2023)
Publisher : UNIVED Press, Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/jnph.v11i1.4115

Bencana adalah peristiwa yang mengancam dan menimbulkan dampak pada semua usia termasuk anak-anak. Anak termasuk golongan yang rentan bencana sehingga perlu dilakukan upaya kesiapsiagaan pada anak. Salah satu upaya tersebut adalah dengan diberikan edukasi kepada anak sekolah dasar menggunakan video animasi “ECAMI” tentang kesiapsiagaan dalam evakuasi bencana tsunami. Tujuan penelitian ini untuk mengetahui pengaruh edukasi melalui video animasi “ECAMI” tentang kesiapsiagaan dalam evakuasi bencana tsunami terhadap perilaku anak sekolah dasar di kota Bengkulu tahun 2021. Desain penelitian adalah quasi experiment dengan pre-post test design with control group. Sampel penelitian berjumlah 44 orang yang terdiri dari 22 orang pada kelompok intervensi dan 22 pada kelompok kontrol.Teknik sampling yang digunakan adalah simple random sampling. Analisis menggunakan t test dengan α ≤ 0,05. Hasil penelitian menunjukkan bahwa rata-rata pengetahuan sebelum intervensi pada kelompok intervensi 69,58 dan pada kelompok kontrol 72,03, kemudian rata-rata sikap sebelum intervensi pada kelompok intervensi 74,09 dan pada kelompok kontrol 74,64, sedangkan rata-rata tindakan sebelum intervensi pada kelompok intervensi 64,91 dan pada kelompok kontrol 65,09. Rata-rata pengetahuan setelah intervensi pada kelompok intervensi 91,78 dan pada kelompok kontrol 84,27, kemudian rata-rata sikap setelah intervensi pada kelompok intervensi 92,45 dan pada kelompok kontrol 87,64, sedangkan rata-rata tindakan setelah intervensi pada kelompok intervensi 92,73 dan pada kelompok kontrol 83,27. Hasil analisis menunjukkan ada perbedaan rata-rata pengetahuan dengan p value 0,000, perbedaan rata-rata sikap dengan p value 0,000, dan perbedaan rata-rata tindakan dengan p value 0,002. Edukasi video animasi “ECAMI” dapat meningkatkan perilaku tentang kesiapsiagaan dalam evakuasi bencana tsunami.

Optimalisasi Peran Kader dalam Pencegahan Stunting melalui Peningkatan Nutrisi Baduta dan Ibu Menyusui: Pencegahan stunting Asmawati; Nur Elly; Kheli Fitria Annuril; Andhita Ratnadhiani; Pauzan Efendi; Betty Yosephine
Dinamisia : Jurnal Pengabdian Kepada Masyarakat Vol. 7 No. 3 (2023): Dinamisia: Jurnal Pengabdian Kepada Masyarakat
Publisher : Universitas Lancang Kuning

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31849/dinamisia.v7i3.13147

Stunting is a health problem that contributes to child morbidity and mortality. Stunting prevention can be done through nutritional interventions. The high stunting prevalence in Seluma Regency is due to knowledge, culture, socio-economic and others. The purpose of the activity is to improve the children's nutrition and mothers to increase the child's growth and development to prevent stunting through cadres empowerment. The method of activities is the socialization of the first 1000 days of life, cadre training, education of lactations, giving additional nutrition, and cadre assistance. The targets are cadres and mothers. Assessment of knowledge through questionnaires, for the ability of cadres and lactation mothers by direct observation. The results showed an increase in the average knowledge of cadres by 10 points after training, an increase in the knowledge and skills of lactation mothers, exclusive breastfeeding at 57.17%, and good breastfeeding frequency at 85%. Optimizing cadres is useful in promoting nutrition to prevent stunting.

The Effectiveness of First Aid Education on Basic Life Support Knowledge and Skill Among Family Members with Heart Diseases Pauzan Efendi; Erni Buston; Indah Nur Imamah
Jurnal Penelitian Pendidikan IPA Vol 9 No 9 (2023): September
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v9i9.4331

An increasing mortality rate in many places including highways, workplaces, schools, or even in the home mostly occurred because of low knowledge of first aid with the proper and correct procedure. The first aid knowledge for heart diseases patient remains low among family members to prevent the worsening condition of the patients. The purpose of this study was to determine the effect of first aid education on basic life support (BLS) among family members with heart disease in Lingkar Timur Primary Health Care, Bengkulu City. The design of this study was a quasi-experiment with a pre and post-test. Totally 40 respondents who contributed to this study who selected by simple random sampling. The intervention has been done by giving the demonstration, and audio-visual knowledge about basic life survey (BLS). The average age of the respondents was 30.23 years, more than half of the respondents were female by 26 people (65%), and more than half of the respondents graduated from senior high school by 21 people (52.5%). Most of the respondents work as an entrepreneur by 10 people (25%). Most of the respondents' income was <Rp 1,000,000 by 16 people (40%). The results showed that there was an effect of education with audio-visual and BLS demonstration on the skills of doing BLS (p-value 0.000 < 0.05). Training effects increasing the knowledge and skills of BLS respondents. Emergency training needs to be given to all people as a form of early awareness of emergency conditions

The Effectiveness of First Aid Education on Basic Life Support Knowledge and Skill Among Family Members with Heart Diseases Pauzan Efendi; Erni Buston; Indah Nur Imamah
Jurnal Penelitian Pendidikan IPA Vol. 9 No. 9 (2023): September
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v9i9.4331

An increasing mortality rate in many places including highways, workplaces, schools, or even in the home mostly occurred because of low knowledge of first aid with the proper and correct procedure. The first aid knowledge for heart diseases patient remains low among family members to prevent the worsening condition of the patients. The purpose of this study was to determine the effect of first aid education on basic life support (BLS) among family members with heart disease in Lingkar Timur Primary Health Care, Bengkulu City. The design of this study was a quasi-experiment with a pre and post-test. Totally 40 respondents who contributed to this study who selected by simple random sampling. The intervention has been done by giving the demonstration, and audio-visual knowledge about basic life survey (BLS). The average age of the respondents was 30.23 years, more than half of the respondents were female by 26 people (65%), and more than half of the respondents graduated from senior high school by 21 people (52.5%). Most of the respondents work as an entrepreneur by 10 people (25%). Most of the respondents' income was <Rp 1,000,000 by 16 people (40%). The results showed that there was an effect of education with audio-visual and BLS demonstration on the skills of doing BLS (p-value 0.000 < 0.05). Training effects increasing the knowledge and skills of BLS respondents. Emergency training needs to be given to all people as a form of early awareness of emergency conditions

THE EFFECT OF FOOT EXERCISE ON FOOT SKIN TEMPERATURE AND PERIPHERAL FOOT NEUROPATHY IN DIABETES MELLITUS PATIENTS AT SAWAH LEBAR PUBLIC HEALTH CENTER BENGKULU IN 2023 Aji Setya Guna Darma Aji; Pauzan Efendi; Efrizon Hariadi; Erni Buston; Noni Buston
Proceeding B-ICON Vol. 2 No. 1 (2023): Proceeding of The 3rd Bengkulu International Conference on Health (B-ICON 2023)
Publisher : Poltekkes Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/bicon.v2i1.100

Diabetes Mellitus (DM) is a disease characterized by hyperglycemia and impaired carbohydrate, fat, and protein metabolism associated with an absolute or relative deficiency of the work ofinsulin secretion. The most common complication of DM is peripheral neuropathy characterized by decreased sensitivity and changes in foot temperature. The recommended activity to increase sensitivity and normalize foot temperature is diabetic foot gymnastics. The purpose of this study was to determine whether there was an effect of foot gymnastics on foot skin temperature and peripheral foot neuropathy of DM sufferers at the Sawah Lebar Health Center in Bengkulu City. This type of research is a quasi experiment. With a total sample of 32 people divided into two groups, namely the intervention group of 16 people and the control group of 16 people. The sampling technique in this study was taken using concecutive sampling. The instruments used are Thermomether Gun Infrared and monofilament test. Statistical tests using mann-whitney showed a p value of peripheral foot neuropathy of 0.05 (p value ? 0.05) and p value foot skin temperature 0.001 (p value ? 0.05) so that it can be interpreted that there is adifference in the average of peripheral foot neuropathy and foot skin temperature before and after treatment in the intervention group and control group. So it can be concluded that there is an influence of foot gymnastics on foot skin temperature and peripheral foot neuropathy in patients with DM.

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