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JURNAL SKALA HUSADA: THE JOURNAL OF HEALTH

JSH
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Published by Politeknik Kesehatan Kemenkes Denpasar

ISSN : 1693931X EISSN : 25803700 DOI : https://doi.org/10.33992/jsh:tjoh

Core Subject : Health,

Dentistry Nursing Public Health

Jurnal Skala Husada merupakan media publikasi karya ilmiah para dosen di lingkungan Politeknik Kesehatan yang ada di Indonesia, khususnya karya ilmiah di bidang teknologi kesehatan. Jurnal Skala Husada terbit setiap 6 bulan, atau terbit 2 kali dalam setahun.

Arjuna Subject : Profesi Kesehatan - Teknologi Laboratorium Medis

Articles 65 Documents

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ANALISIS FAKTOR PENDORONG MASYARAKAT DALAM MEMBANGUN JAMBAN KELUARGA DI DESA SANGKAN GUNUNG KECAMATAN SIDEMEN KABUPATEN KARANGASEM anysiah elly yulianti
Jurnal Skala Husada : The Journal of Health Vol 13, No 2 (2016): Jurnal Skala Husada: The Journal of Health
Publisher : Poltekkes Kemenkes Denpasar

Abstract : Sanitation is health efforts to improve the health of the community. Community Based Total Sanitation stipulated by the Decree of the Minister of Health of the Republic of Indonesia Number 852 / Menkes / SK / IX / 2008 on the National Strategy for Community Based Total Sanitation September 9, 2008. The Government has given attention in the field of hygiene and sanitation to define the problem Open Defecation Free (ODF) and improvement of hygienic behavior and healthy in 2009. The purpose of this study was to analyze factors driving people to build family latrines. Methods of research conducted in the form of descriptive analytic with cross sectional design is instantaneous data retrieval field. Then followed by Chi-Square test driving factor in building community family latrines (WC) in the village of Sangkan Gunung district of Sidemen Karangasem. Results of individual factors, especially the level of education with sig = 0.022 α 0,05 and socio-cultural environment factor sig = 0.014 α is a factor driving people to build family latrines, while external factors of formal and informal character not as a motivating factor. Multiple logistic regression test results obtained dominant factor is the level of education and socio-cultural customs of the people do not defecate in fields / gardens as driving people to build family latrines. Applications of this research in the next three years, the village of Sangkan Gunung no longer defecate in any place, according the national target of all Indonesian people already ODF in 2019.Keyword : Family latrines, driving factorAbstrak : Sanitasi merupakan upaya kesehatan untuk meningkatkan derajat kesehatan masyarakat. Sanitasi Total Berbasis Masyarakat yang ditetapkan dengan Keputusan Menteri Kesehatan Republik Indonesia nomor 852/MENKES/SK/IX/2008 tentang Strategi Nasional Sanitasi Total Berbasis Masyarakat tanggal 9 September 2008. Pemerintah telah memberikan perhatian di bidang hygiene dan sanitasi dengan menetapkan masalah Open Defecation Free (ODF) dan peningkatan perilaku hidup bersih dan sehat pada tahun 2009. Adapun tujuan penelitian ini adalah untuk menganalisis faktor pendorong masyarakat dalam membangun jamban keluargaMetode penelitian dilakukan dalam bentuk deskriptif analitik dengan desain cross sectional yaitu pengambilan data sesaat dilapangan. Proses kemudian dilanjutkan dengan uji Chi-Square faktor pendorong masyarakat dalam membangun jamban keluarga (WC) di Desa Sangkan Gunung Kecamatan Sidemen Kabupaten Karangasem. Hasil faktor individu khususnya tingkat pendidikan dengan sig= 0,022 α 0,05 dan fakor lingkungan sosial budaya sig= 0,014 α merupakan faktor pendorong masyarakat untuk membangun jamban keluaga, sedangkan faktor eksternal dari tokoh formal dan informal bukan sebagai faktor pendorong. Hasil uji regresi logistik berganda didapat faktor yang dominan adalah tingkat pendidikan dan sosial budaya kebiasaan masyarakat tidak membuang kotoran di tegalan/kebun sebagai pendorong masyarakat membangun jamban keluarga. Aplikasi penelitian ini dalam tiga tahun kedepan, masyarakat Desa Sangkan Gunung tidak ada lagi yang membuang kotoran di sembarang tempat, sesuai target nasional seluruh masyarakat Indonesia sudah ODF pada tahun 2019.Kata kunci: Jamban Keluarga, Faktor pendorong

Peranan Kader Kesehatan Dalam Pencegahan Penyakit Chikungunya Di Wilayah Kerja Puskesmas Dawan I Kecamatan Dawan Kabupaten Klungkung Anysiah Elly Yulianti; Ni Ketut Rusminingsih
Jurnal Skala Husada : The Journal of Health Vol 19, No 1 (2022): Jurnal Skala Husada: The Journal of Health
Publisher : Poltekkes Kemenkes Denpasar

ABSTRACTChikungunya comes from the Swahili language which means "People who walk and bend their knees", due to severe joint pain (arthralgia) especially in the knees, ankles, joints of the hands and feet. Symptoms this disease are sudden fever that reaches 39°C, especially the knees, ankles, toes and fingers, and spine accompanied by a rash (red spots) on the skin, headache, conjunctival injection and photophobia. Data from Health center I Kusamba Dawan Klungkung 2014 there were 285 cases of chikungunya disease. Purpose the study was to determine internal and external factors related to the role of health cadres in preventing chikungunya disease in the Dawan I Health Center Work Area, Dawan District, Klungkung Regency. Research was conducted in descriptive analytic form with a cross sectional design. Data was processed descriptively using frequency tabulation and cross tabulation and analytically using the Chi-Square test. Results of the multivariate binary logistic regression test, internal factors consisting of knowledge and attitudes of health cadres did not play a role in preventing chikungunya disease in the working area of the Dawan I Health Center. Training and assistance needed to be carried out to increase the knowledge of officers about prevention and control of chikungunya disease.ABSTRAKChikungunya berasal dari bahasa suku Swahili yang berarti “Orang yang jalannya membungkuk dan menekuk lututnya”, akibat nyeri sendi hebat (arthralgia) terutama di lutut, pergelangan kaki, sendi tangan dan kaki. Gejala penyakit ini yaitu demam mendadak yang mencapai 39°C, nyeri pada sendi, terutama sendi lutut, pergelangan kaki, jari kaki dan jari, dan tulang belakang yang disertai dengan ruam (bintik-bintik kemerahan) pada kulit, sakit kepala, injeksi konjungtiva dan fotofobia. Data Puskesmas I Kusamba Dawan Klungkung tahun 2014 terjadi 285 kasus penyakit chikungunya. Tujuan penelitian untuk mengetahui faktor internal dan eksternal yang berhubungan dengan peranan kader kesehatan dalam pencegahan penyakit chikungunya di Wilayah Kerja Puskesmas Dawan I Kecamatan Dawan Kabupaten Klungkung. Penelitian ini dilakukan dalam bentuk deskriptif analitik dengan desain cross sectional. Data tersebut diolah secara deskriptif menggunakan tabulasi frekuensi dan tabulasi silang serta secara analitik dengan uji Chi-Square. Berdasarkan hasil uji regression binary logistic secara multivariat faktor internal yang terdiri dari pengetahuan dan sikap pada kader kesehatan ternyata tidak berperan dalam pencegahan penyakit chikungunya di wilayah kerja Puskesmas Dawan I. Perlu dilakukanpelatihan dan pendampingan untuk meningkatan pengetahuan petugas tentang upaya pencegahan dan penanggulangan penyakit chikungunya.

PENGARUH DEMAND SUPPLY DAN ENVIRONMENT TERHADAP PERILAKU STOP BABS DI KABUPATEN BANGLI Gusti Ayu Aryasih
Jurnal Skala Husada : The Journal of Health Vol 13, No 2 (2016): Jurnal Skala Husada: The Journal of Health
Publisher : Poltekkes Kemenkes Denpasar

Abstract[A1] The success STBM program involves three main components, namely Demand, suply and Environment where success is one of the targets of Conduct Stop open defecation. The study aims to determine the effect of demand, supply and enveronment against Stop open defecation behavior in Bangli by selecting a survey method. The sample was selected randomly composed of people who have been exposed to triggers. Analysis using Chi - Square with a significance level of 0.05. The results showed no significant effect on the behavior of demand Stop open defecation: p (0.116) α (0.05), there is significant influence between the supply of the stop open defecation behavior with: p (0.001) α (0.05) and the value of OR = 9.6. There is a significant influence of environment on stop open defecation behavior: p (0.006) α (0.05) and the value of OR = 11.205. It is recommended that the person in charge of the program continue to implement the integration of the components of demand, supply and the environment with more considering the factors of supply and the environment, choose the method of assistance is appropriate and gives understanding to the community that the program STBM is a self-help program is purely non subsidies and provide technology introduction latrine simple and inexpensive so economic limitation is not an excuse to not have it healthy for society. Keywords: Demand; provision; Environment: Stop Open Defecation. Abstrak. Keberhasilan program STBM melibatkan tiga komponen pokok yaitu Demand, Suply dan Environment dimana salah satu target keberhasilannya adalah Perilaku Stop BABS. Penelitian bertujuan mengetahui pengaruh demand, supply dan enveronment terhadap perilaku Stop BABS di Kabupaten Bangli dengan memilih metode survei. Sampel dipilih secara random yang terdiri dari masyarakat yang sudah pernah terpapar pemicuan. Analisis menggunakan Uji Chi - Square dengan derajat kemaknaan 0,05. Hasil menunjukkan tidak ada pengaruh signifikan antara demand terhadap perilaku Stop BABS: p (0,116) α (0,05), terdapat pengaruh signifikan antara supply terhadap perilaku Stop BABS dengan: p (0,001) α (0,05) dan nilai OR = 9,6. Terdapat pengaruh signifikan environment terhadap perilaku Stop BABS :p (0,006) α (0,05) dan nilai OR = 11,205. Disarankan agar penanggung jawab program tetap melaksanakan keterpaduan komponen demand, supply dan environment dengan lebih mempertimbangkan faktor supply dan environment, memilih metode pendampingan yang tepat dan memberi pemahaman kepada masyarakat bahwa program STBM adalah program swadaya murni bukan subsidi dan memberikan pengenalan teknologi jamban sederhana dan murah sehingga keterbatasan ekonomi tidak dijadikan alasan untuk tidak memiliki jamban sehat bagi masyarakat.Kata kunci : Permintaan; Penyediaan; Lingkungan: Tidak BABS [A1]Jadikan 250 kata

PENGARUH METODE KOMUNIKASI EFEKTIF SBAR TERHADAP EFEKTIFITAS PELAKSANAAN TIMBANG TERIMA PASIEN DI RUANG GRIYATAMA RSUD TABANAN Ketut Suardana
Jurnal Skala Husada : The Journal of Health Vol 15, No 1 (2018): Jurnal Skala Husada: The Journal of Health
Publisher : Poltekkes Kemenkes Denpasar

Abstract. Communication frame work has been done at Tabanan Hospital based on konventional model without clearly topic. The problem appear is nurses didn’t known patient problem completely. Effective communication based SBAR when handover time has been applaid at Sanglah Hospital whenever fulfill JCI (Joint Commission Internasional) standard. Effective communication verry important to ensure patient safety and quality services. The aim of this research is to analysis the effect of SBAR communication with efectivity of handover. Desain of this reserch is quasi eksperiment from 27`nurses at Griyatama word Tabanan hospital with total sampling technic. Data was collected by observation process, conten and time handover on July-September 2015. Statistic test by t test with α = 0.05. Everage of time for handover in the morning shift after treatment is 5,73 minute and afternon 3,48 minute. The conclussion is the effect of SBAR communication model for effectivity of handover with r =0,832 and t = 4,847 and p value 0,001 ( α = 0,05). Keywords : effectivity, SBAR Communication, Handover

Faktor – Faktor Yang Mempengaruhi Masyarakat Dalam Memilah Sampah Pada Pelaksanaan Program Tempat Olah Sampah Setempat Komang Ayu Trisya Dewi; M. Choirul Hadi; I Nyoman Purna
Jurnal Skala Husada : The Journal of Health Vol 18, No 2 (2021): Jurnal Skala Husada: The Journal of Health
Publisher : Poltekkes Kemenkes Denpasar

ABSTRACTWaste has become a serious problem recently as the population increases and the changes of people consumption pattern. One of the community waste management program that is being started is local waste processing program. The implementation of this program needs community attitude in separating the garbage. As the problem found, the general aim of this study is to find out factors that affect community in sorting the garbage on the implementation of local waste processing program in Tangkas village Klungkung regency. The study was conducted using survey study with cross-sectional study. Sample on this research were 90 housewives in Tangkas Village. This study also applied chi-square test. Factors that showed the affect of the community attitude in sorting the garbage were knowledge level (p-value 0,022) and facilities (p-value 0,000). The significant affect between voters attitude in sorting the garbage was not found. Based on the result of this study, it suggests that the health worker and the manager of Local Waste Processing Program (LWPP) provide counseling on waste management and the Local Waste Processing Program (LWPP) and Tangkas villagers take part in health counseling program therefore the counseling will improve the understanding and knowledge on waste management and Local Waste Processing Program (LWPP). For the next researcher should use this study as reference for advance.ABSTRAKSampah menjadi masalah yang serius akhir-akhir ini seiring dengan pertambahan jumlah penduduk dan perubahan pola konsumsi masyarakat. Salah satu program pengelolaan sampah masyarakat yang sedang dimulai adalah program pengolahan sampah lokal. Pelaksanaan program ini membutuhkan sikap masyarakat dalam memilah sampah. Sesuai dengan permasalahan yang ditemukan, tujuan umum dari penelitian ini adalah untuk mengetahui faktor-faktor yang mempengaruhi masyarakat dalam memilah sampah pada pelaksanaan program pengolahan sampah lokal di desa Tangkas kabupaten Klungkung. Penelitian dilakukan dengan menggunakan studi survei dengan desain cross-sectional study. Sampel dalam penelitian ini adalah 90 ibu rumah tangga di Desa Tangkas. Penelitian ini juga menggunakan uji chi-square. Faktor yang menunjukkan pengaruh sikap masyarakat dalam memilah sampah adalah tingkat pengetahuan (p-value 0,022) dan fasilitas (p-value 0,000). Tidak ditemukan pengaruh yang signifikan antara sikap pemilih dalam memilah sampah. Berdasarkan hasil penelitian ini, disarankan agar petugas kesehatan dan pengelola program pengolahan sampah lokal (TOSS) memberikan penyuluhan tentang pengelolaan sampah dan program pengolahan sampah lokal (TOSS) dan warga desa Tangkas mengikuti program penyuluhan kesehatan oleh karena itu penyuluhan akan meningkatkan pemahaman dan pengetahuan tentang pengelolaan sampah dan program pengolahan sampah lokal (TOSS). Bagi peneliti selanjutnya sebaiknya menggunakan penelitian ini sebagai referensi untuk penelitian selanjutnya.

DIMENSI SOSIAL PADA SISI KEBUTUHAN (DEMAND SIDE) BAGI PERAWATAN IBU DAN ANAK Ni Komang Yuni Rahyani
Jurnal Skala Husada : The Journal of Health Vol 13, No 1 (2016): Jurnal Skala Husada: The Journal of Health
Publisher : Poltekkes Kemenkes Denpasar

Abstract : Midwifery care must be given in accordance with the needs of mothers as users of health services , and the demand side are based on a variety of factors , namely the availability of quality service and comprehensive and competent personnel. The purpose of writing this article is to give an overview of the factors as a social determinant of fulfillment of health services for mothers and newborns from demand side . The availability of , access to and improvement of maternity services was a major problem , especially in developing countries and in poor countries . Determinants of demand-side as factors that affect the needs at the level of individuals, households and communities . Care or midwifery care in accordance with the standards , especially meet maternal health care coverage as a key priority at this time must meet availability , affordability and effectiveness of services .Keywords: demand-side, midwifery care, accessibility, effectiveness

Hubungan Antara Obesitas Sentral Dengan Kadar Kolesterol Total Pada Penenun Kain Tenun Gringsing Di Desa Tenganan Karangasem Ni Kadek Lina Winati; I Gusti Ayu Sri Dhyanaputri; I Nyoman Jirna
Jurnal Skala Husada : The Journal of Health Vol 17, No 2 (2020): Jurnal Skala Husada: The Journal of Health
Publisher : Poltekkes Kemenkes Denpasar

ABSTRACTBackground Someone with sedentary life and eat foods with high fat tends had central obesity which is a risk factor for cardiovascular disease. Central obesity can be determined by measurement of waist circumference. Male with waist circumference 90 cm and women with waist circumference 80 cm expressed as central obesity. Objective This research aimed to measure total cholesterol and waist circumference, determine the status of abdominal obesity and analyze the relationship between abdominal obesity with total cholesterol levels of tenun gringsing weavers in Tenganan village of Karangasem Regency. Methode This research use study correlation with saturated sampling technique. Result The results showed that total cholesterol levels of 26 samples, there were 21 samples (80.8%) exceeded normal limits with the highest levels = 291 mg/dl, the lowest levels = 152 mg/dl, and levels mean = 219.62 mg/dl. The result of measurement waist circumference showed from 26 samples, there were 18 respondents with abdominal obesity. From results of Kendall's tau-b statistic showed that there was a very significant association between central obesity with total cholesterol levels of tenun gringsing weavers in Tenganan village of Karangasem Regency (p (0.003) a (0.05)). Conclusion of this study is there are significant association between central obesity with total cholesterol levels of tenun gringsing weavers in Tenganan village of Karangasem Regency.ABSTRAKLatar Belakang Seseorang dengan gaya hidup sedentary dan makan makanan berlemak tinggi cenderung mengalami obesitas sentral yang merupakan faktor risiko penyakit kardiovaskular. Obesitas sentral dapat ditentukan dengan pengukuran lingkar pinggang. Pria dengan lingkar pinggang 90 cm dan wanita dengan lingkar pinggang 80 cm dinyatakan sebagai obesitas sentral. Tujuan Penelitian ini bertujuan untuk mengukur kadar kolesterol total dan lingkar pinggang, mengetahui status obesitas abdominal dan menganalisis hubungan antara obesitas abdominal dengan kadar kolesterol total pada penenun tenun gringsing di desa Tenganan Kabupaten Karangasem. Metode Penelitian ini menggunakan studi korelasi dengan teknik sampling jenuh. Hasil Hasil penelitian menunjukkan kadar kolesterol total dari 26 sampel, terdapat 21 sampel (80,8%) melebihi batas normal dengan kadar tertinggi = 291 mg/dl, kadar terendah = 152 mg/dl, dan kadar rata-rata = 219,62 mg/dl . Hasil pengukuran lingkar pinggang menunjukkan dari 26 sampel terdapat 18 responden yang mengalami obesitas abdominal. Dari hasil statistik tau-b Kendall menunjukkan bahwa terdapat hubungan yang sangat signifikan antara obesitas sentral dengan kadar kolesterol total pada penenun tenun gringsing di Desa Tenganan Kabupaten Karangasem (p (0,003) a (0,05)). Kesimpulan dari penelitian ini adalah terdapat hubungan yang bermakna antara obesitas sentral dengan kadar kolesterol total pada penenun tenun gringsing di desa Tenganan Kabupaten Karangasem.

HUBUNGAN INISIASI MENYUSU DINI (IMD) DAN PEMBERIAN AIR SUSU IBU (ASI) EKSKLUSIF DI RSUD WANGAYA KOTA DENPASAR Jessica Irawan
Jurnal Skala Husada : The Journal of Health Vol 15, No 1 (2018): Jurnal Skala Husada: The Journal of Health
Publisher : Poltekkes Kemenkes Denpasar

Abstract. Immediate breastfeeding indeed has positive impacts for both mother and baby. Based on Fika’s and Syafiq’s research, a mother who does immediate breastfeeding has 2-8x higher chance in giving exclusive breastfeeding. The purpose of this research is to understand the relationship between immediate breastfeeding and exclusive breastfeeding at Kaswari Ward Wangaya Hospital, Denpasar City. For this research, we used analytic approach with case control as the study design. Population that we use was mothers who have 7-12 months old baby in Kaswari Ward Wangaya Hospital, Denpasar City. Sampling was done through purposive sampling method, with the sample of 50 mothers. Whereas, data analysis was done by using chi square method. The result of this research shows that there was positive correlation between the practice of immediate breastfeeding and giving exclusive breastfeeding (p value=0,04). Thus, mother who practices immediate breastfeeding has 5x higher opportunity to give exclusive breastfeeding.Keywords: Immidiate Breastfeeding, Exclusive Breastfeeding, The mothers Group Who Gets Health Services at Wangaya Hospital

Studi Kasus: Asuhan Keperawatan pada Pasien dengan Gagal Jantung Kongestif Evy Aulia Anita; Bambang Sarwono; Dwi Ari Murti Widigdo
Jurnal Skala Husada : The Journal of Health Vol 18, No 1 (2021): Jurnal Skala Husada: The Journal of Health
Publisher : Poltekkes Kemenkes Denpasar

ABSTRACTCongestive heart failure is a condition where the heart fails to pump blood flow which is useful to meet the metabolic needs of cells in the body. A person suffering from heart failure is one of the effects that occurs experiencing shortness of breath, and coughing which is sometimes accompanied by phlegm. So from the impact that occurs researchers conduct nursing care to overcome the problem of ineffectiveness of the airway cleaning. The purpose of this study was to determine nursing care in patients with congestive heart failure. This study used a qualitative research method with a case study design using the nursing process approach. Sampling uses purposive sampling technique. The sample is Ny. S is 69 years old in a gerontik ward at the RSJ. Prof. Dr. Soerojo Magelang. The results of the study were found Ny. After three days of nursing care, the phlegm and shortness of breath are reduced. Respiratory Rate is 20 times / minute, the pulse is 84 times / minute, and no rhythmic sounds are heard. Conclusion of the problem of primary nursing care in Mrs. S with congestive heart failure is the ineffectiveness of airway clearance.ABSTRAKGagal Jantung Kongestif merupakan kondisi dimana jantung mengalami kegagalan memompa aliran darah yang berguna untuk mencukupi kebutuhan metabolisme sel-sel di dalam tubuh. Seseorang yang menderita gagal jantung salah satu dampak yang terjadi mengalami sesak napas, dan batuk yang kadang disertai dengan dahak. Maka dari dampak yang terjadi peneliti melakukan asuhan keperawatan untuk mengatasi masalah ketidakefektifan bersihan jalan napas. Tujuan penelitian ini untuk mengetahui asuhan keperawatan pada pasien dengan gagal jantung kongestif. Penelitian ini menggunakan metode penelitian kualitatif dengan rancangan studi kasus dengan pendekatan proses keperawatan. Pengambilan sampling menggunakan teknik purposive sampling. Sampelnya adalah Ny. S umur 69 tahun di bangsal gerontik di RSJ. Prof. Dr. Soerojo Magelang. Hasil penelitian ditemukan Ny. S setelah dilakukan asuhan keperawatan selama tiga hari betuk berdahak dan sesak napas berkurang Respiratory Rate 20 kali/menit, nadi 84 kali/menit, dan tidak terdengar suara ronchi. Kesimpulan masalah asuhan keperawatan utama pada Ny S dengan gagal jantung kongestif yaitu ketidakefektifan bersihan jalan napas.

Membangun Kebijakan Kesehatan Lansia Berbasis Kearifan Lokal I Wayan Mustika
Jurnal Skala Husada : The Journal of Health Vol 13, No 1 (2016): Jurnal Skala Husada: The Journal of Health
Publisher : Poltekkes Kemenkes Denpasar

pemerintah dapat mengkaji ulang atau menjalankan beberapa alternatif kebijakan yang terkait dengan pembangunan kesehatan lansia sehingga mereka dapat hidup dengan sejahtera dan tidak justru menjadi beban dalam pembangunan bangsa

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