Jurnal Ilmiah Kesehatan Sandi Husada https://akper-sandikarsa.e-journal.id/JIKSH <p>Jurnal Ini sebagai media publikasi hasil dan pengabdian kepada masyarakat dosen sandi karsa dan luar sandi karsa serta dalam rangka meningkatkan kinerja tri dharma perguruan tinggi. jurnal ini menerbitkan jurnal dibidang kesehatan dan terbit 2 kali/pertahun, institusi pengelola akademi keperawatan sandi karsa bagian dan pengabdian kepada masyarakat LP2M. dalam rangkan memudah dalam mengakses jurnal ini dipublikasikan via online.</p> en-US lppm.akpersk@gmail.com (Suprapto) lppm.akpersk@gmail.com (Suprapto) Mon, 29 Jun 2020 16:30:02 +0000 OJS 3.1.1.4 http://blogs.law.harvard.edu/tech/rss 60 Gambaran Nutrisi Lansia Di Desa Banua Baru https://akper-sandikarsa.e-journal.id/JIKSH/article/view/193 <p><em>The elderly is the last phase in human life, where every aged person will definitely pass through this phase.&nbsp; As we age, all organ functions have reached their maximum peak so what is happening now is a decline in organ function. There are many elderly people in Indonesia who experience nutritional fulfillment disorders who experience malnutrition (BMI 16.5-18.49%) as much as 31% and more nutrition 1.8%.&nbsp; Nutrition is less often caused by social and economic problems and also due to disease disorders, if the consumption of calories is too low than needed then the body weight is less than normal. The purpose of this study, to determine the amount of BMI and the type of nutritional intake in the elderly. The research design is quantitative descriptive.&nbsp; The study was conducted by measurements and observations made in one time with the inclusion criteria are the elderly who can be invited to communicate, using a design on the variable Screening Mini Nutritional Assessment (MNA). The results of the study were obtained from 18 samples experiencing malnutrition and 20 samples of risk of experiencing malnutrition, while for the measurement of BMI from the elderly obtained values ​​of 0 = BMI &lt;19; 19 people, value 1 = BMI 19-21; 9 people, value 2 = BMI 21-&nbsp; 23; 6 people, value 3 = BMI&gt; 23; 4 people.</em></p> Fredy Akbar K, Idawati Ambo Hamsah, Ayuni Muspiati M ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/193 Tue, 30 Jun 2020 00:00:00 +0000 Uji Validitas Angket SLCQ-I pada Mahasiswa Fakultas Kedokteran Universitas Malahayati Lampung https://akper-sandikarsa.e-journal.id/JIKSH/article/view/197 <p><em>T</em><em>he learning process requires concentration in order to achieve the&nbsp;</em><em>expected learning outcomes. Data from the measurement results of learning concentration will certainly be useful in evaluating learning. The availability of limited questionnaire makes research on the concentration of learning difficult to do on bachelor student. Therefore a valid questionnaire is needed to collect data. The aim of the study is to conduct a validity test of the learning concentration questionnaire on bachelor students. The method used invalidity test is observational analytic with a cross-sectional approach. The statistical test used is the Pearson Product Moment correlation and the reliability test with internal consistency. The results obtained for all items in the questionnaire validity test above 0.3 and the reliability test questionnaire value Cronbach alpha 0.924. The conclusion is SLCQ-I (Student Learning Concentration Questionnaire Indonesia Version) fulfills the validity and reliability requirements so it is declared valid and reliable.</em></p> Ahmad Zidane Sagareno, Sutarto Sutarto ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/197 Tue, 30 Jun 2020 00:00:00 +0000 Penilaian Status Hidrasi https://akper-sandikarsa.e-journal.id/JIKSH/article/view/196 <p><em>Hydration status is a picture of the balance of the entry and exit of water in the body. Water balance is influenced by the amount of food consumed, physical activity, age, and environmental conditions. Dehydration is the loss of large amounts of solute and water. Dehydration can affect the work of the cardio vascular organ and regulate the body's thermoregulation. Dehydration can cause the body to get tired quickly, not excited and interfere with physical work activities. Assessing hydration status is very difficult. There are several methods that can be used to determine the concentration of water in the body using laboratory tests and simple checks. Laboratory examination is in the form of isotope tracer, neutron activation analysis, bioelectrical impedance analysis, while simple examination through changes in body weight, hematological indices, urinary indices, and clinical signs and symptoms. This assessment method has advantages and disadvantages for assessing hydration status. Laboratory tests require facilities and expertise to do so, while simple examinations can be carried out by non-medical personnel and can be carried out in the field. Laboratory tests have good specificity and sensitivity compared to simple examination. Laboratory tests have not been able to describe a person's hydration status. A simple combination of laboratory and laboratory tests is needed to determine a person's hydration status.</em></p> Annisa Dwianggreni Kusuma ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/196 Thu, 30 Jul 2020 00:00:00 +0000 Gambaran Efektivitas Penerapan Program Rehabilitasi Stroke Berbasis Rumah di Kota Makassar https://akper-sandikarsa.e-journal.id/JIKSH/article/view/210 <p>This study aims to see a picture of the effectiveness of implementing a home-based stroke rehabilitation program. This research is a preliminary study involving 10 research subjects divided into 2 groups. Group 1 was given a rehabilitation program in the form of a physiotherapist's visit to provide exercise once a week. Group 2 was given 3 visits a week. A home-based stroke rehabilitation program in both groups was carried out for 1 month. In both groups, measurements of muscle strength, risk of falling and independence were measured. Each of the three variables was measured using a dynamometer, timed-up and go test, and functional independence measure (FIM). The results showed that group 2 had better muscle strength, risk of falls, and independence than group 1. This showed that in implementing a home-based stroke rehabilitation program, visits were more routine, at least 3 times a week, more recommended than visits that were only 1 time a week.</p> Rijal Rijal, Fadhia Adliah ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/210 Tue, 30 Jun 2020 00:00:00 +0000 Penerapan Asuhan Keperawatan Pada Gangguan Sistem Pencernaan “Gastritis” https://akper-sandikarsa.e-journal.id/JIKSH/article/view/211 <p><em>The purpose of applying nursing care by using a nursing process approach with priority problems meeting the basic needs of pain. The research method used with the case study approach is designed descriptively, which in this case study will explain the cases experienced by patients with gastritis. The results of research from the results of case studies that people with gastritis will be worse if he experiences stress. In addition to stress, the entry of air through the mouth when consuming food can also cause an increasingly bloated stomach and increased belching frequency. Conclusions obtained from the main complaints of patients say uluhati like pricked and felt at mealtime or late eating with the nature of complaints disappearing arise. The objective data is that the general condition of the patient is weak, the patient seems to wince The main nursing diagnoses are pain related to gastric mucosal irritation, nutritional changes less than the body's needs related to inadequate intake and the risk of lack of fluid volume associated with nausea and vomiting. In planning the writer involves the family in determining the priority of the problem of choosing the right action in the nursing process of gastritis. Interventions carried out adjusted to interventions contained in the theory. The implementation phase is based on a plan that has been prepared by the author together with the client and family. In evaluating the nursing process in clients with gastritis always refers to the purpose of meeting the needs of the client. The results of the evaluation conducted for three days showed that all problems could be overcome.</em></p> Suprapto Suprapto ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/211 Tue, 30 Jun 2020 00:00:00 +0000 Hubungan Merokok dan Riwayat Keturunan dengan Kejadian Hipertensi https://akper-sandikarsa.e-journal.id/JIKSH/article/view/214 <p><strong>Background: </strong>Smoking is an overt behavior in which smokers inhale tobacco rolls. In this case, it means that smoking is inhaling a roll of tobacco that wrapped in a paper. History of descent is if both parents have a history of the disease, then their descent will be at risk for getting the disease because of the genetics influence. Hypertension is a condition when the <em>systolic</em> blood pressure ≥ 140 mmHg and <em>diastolic</em> ≥ 90 mmHg on two blood pressure measurement examinations within 5 minutes and in a relaxed state. <strong>Methodology: </strong>The type of research that is used is patients that are suspected of having hypertension in the working area of Community Health Center (PUSKESMAS observational analytic method with <em>cross-sectional</em> approach by using a questionnaire. The population of this study was all) Simbarwaringin in Trimurjo district of Central Lampung in 2019. As well as sampling using purposive sampling method, with a total of 88 samples. The data were analyzed by <em>Chi-Square</em> test. <strong>Result: </strong>In this study, out of 42 respondents who have a smoking habit, most experienced hypertension as many as 36 people (85.7%). Similarly of the 59 respondents who have hereditary factors, most experienced hypertension as many as 48 people (81.4%). By using the <em>Chi-Square </em>test, shows that a p-value = 0.016 which is less than the value of significance of 5%. It shows a significant relationship between smoking habit with the incidence of hypertension and also a relationship of hereditary with the incidence of hypertension by using <em>Chi-Square </em>showed a p-value = 0.023 which is less than the value of significance of 5% (0.05). <strong>Conclusion: </strong>There is a relationship between smoking and the history of descent with hypertension events in the working area of Community Health Center (PUSKESMAS) Simbarwaringin in Trimurjo district of Central Lampung in 2019.</p> Nanang Dismiantoni, Anggunan Anggunan, Nia Triswanti, Rina Kriswiastiny ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/214 Tue, 30 Jun 2020 00:00:00 +0000 Hubungan antara Jenis Kelamin dengan Angka Kejadian Dermatitis Seboroik https://akper-sandikarsa.e-journal.id/JIKSH/article/view/216 <p><strong><em>Background : </em></strong><em>The incidence of seborrheic dermatitis is related to several risk factors, one of them is gender. Men have a two times greater incidence than women, associated with androgen hormone stimulation, resulting in sebaceous activity to produce more sebum. Increased sebum can induce Malassezia proliferation and trigger seborrheic dermatitis.</em><em> <strong>Purpose : </strong>To determine the correlation between gender and incidence rate of seborrheic dermatitis in dermatovenerology polyclinic of regional general hospital dr. H. Abdul Moeloek Bandar Lampung 2019. <strong>Method : </strong>Using an observational analytical design with a cross-sectional approach. The samples were collected by using total sampling technique. Data collection was done by recording in medical records and registration books and then analyzed them using the Chi-Square test. <strong>Results : </strong>There were 217 samples collected. There were 52 male patients (63%) and 31 female patients (37%) with dermatitis seborrheic, while in atopic dermatitis based on gender, 58 male patients (43%) and 76 female patients (57 %) were found. Chi-Square statistical test results obtained p = 0.008 (p &lt;0.05) which meant a significant correlation between gender and incidence rate of seborrheic dermatitis. <strong>Conclusion : </strong>The final results show that the male sex, has a greater risk to trigger seborrheic dermatitis. </em></p> Eka Silvia, Anggunan Anggunan, Arif Effendi, Isma Nurfaridza ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/216 Tue, 30 Jun 2020 00:00:00 +0000 Efektivitas Madu Murni dan Propolis Terhadap Bakteri Pencemar Susu Penyebab Foodborne Disease pada Produk Susu Kemasan https://akper-sandikarsa.e-journal.id/JIKSH/article/view/217 <p><em>Milk is nutritious food, but it is easily contaminated with bacteria. Bacteria-contaminated milk if it consumed can cause foodborne disease. One of the functions of foodborne is antibiotic, however, the usage of the antibiotic synthesis needs to focus more to prevent the resistance. Pure honey and propolis are the natural substances that are believed to have an antibiotic effect. <strong>Purpose:</strong> The purpose of this research is to know the effectiveness of pure honey and propolis towards milk pollutant bacteria caused by foodborne disease in packaged milk products. <strong>Research Method: </strong>This research is using an experimental research method. Data obtained descriptively and qualitatively.</em><strong> <em>The result: </em></strong><em>Pure honey with 100% concentration has an average diameter of obstacles zone 16.75 mm. Propolis with 100% concentration has an average diameter of obstacles zone 20.25 mm. </em><strong>Conclusion: </strong>The effectiveness of propolis towards milk pollutant bacteria caused foodborne disease in packaged milk products which has an average diameter of obstacles zone 20.25 mm, the effectiveness of pure honey towards milk pollutant bacteria caused foodborne disease in packaged milk products which has an average diameter of obstacles zone 16.75 mm.</p> Fidati Hanifa, Ratna Purwaningrum, Festy Ladyani Mustofa, Zulfian Zulfian ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/217 Tue, 30 Jun 2020 00:00:00 +0000 Hubungan Jenis Kontainer dengan Keberadaan Jentik Aedes Aegypti https://akper-sandikarsa.e-journal.id/JIKSH/article/view/219 <p><strong><em>Background:&nbsp;</em></strong><em>To control the mosquito who causes DHF is with controlling the environment first. Which is through controlling the larva's habitat in the water containers. The presence of Aides aegypti larvae in the container is affected by some factors, they are the types of containers and the material of the container. <strong>Purpose:</strong>To know the relation between types of container with Aedes aegypti in Puskesmas of Way Kandis Bandar Lampung. <strong>Method:&nbsp;</strong>Using an analytic observational design with a cross-sectional approach. Sampling uses a simple random sampling technique. Conducted by interview method using questionnaire and observation sheet at Puskesmas of Way Kandis Bandar Lampung, then analyze using Spearman test and Chi-Square test. <strong>Results:&nbsp;</strong>Test result using Spearman is p=0,704, it means there is no relation between types of the container with the presence of Aedes aegypti larvae. Test result using Chi-Square is p=0,639 it means there is no relation between the material of the container with the presence of Aedes aegypti larvae. The test result using Chi-Square is p=0,002 it means there is a significant relationship between the container's lid with the presence of Aedes aegypti larvae. The test result using Chi-Square is p=0,430 it means there is no relation between the number of containers with the presence of Aedes aegypti larvae. <strong>Conclusion:&nbsp;</strong>Final result suggests that there is no relation between types of a container with the presence of Aedes aegypti larvae, there is no relation between the material of the container with the presence of Aedes aegypti larvae, there is a significant relationship between the container's lid with the presence of Aedes aegypti larvae, And there is no relation between the numbers of containers with the presence of Aedes aegypti larvae.</em></p> Tusy Triwahyuni, Ismalia Husna, Devita Febriani, Kukuh Bangsawan ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/219 Tue, 30 Jun 2020 00:00:00 +0000 Konsumsi Ikan Asin dan Daging Asap dengan Kejadian Karsinoma Nasofaring https://akper-sandikarsa.e-journal.id/JIKSH/article/view/220 <p><strong><em>Background: </em></strong><em>The dominant factor in the onset of nasopharyngeal carcinoma is that of the Mongoloid race with the habit of consuming salty fish and food preserved by one of the bacon<strong>. Purpose</strong>: To know the relationship between the consumption of salted fish and smoked meats with the incidence of nasopharyngeal carcinoma. <strong>Methode:</strong> This research method is observational analytic and uses a cross-sectional approach. The samples in this study were all patients diagnosed with nasopharyngeal carcinoma recorded which corresponds to the inclusion Criteria amounting to 52 persons. The sampling techniques in this study used the total sampling technique. Analysis of data using univariate analysis and bivariate analysis using the chi-square test. <strong>Results: </strong>frequency distribution characteristic of the nasopharyngeal carcinoma patient majority of male gender at 64.4%, the highest majority in the age group 46-55 years by 32.7%, the most work is farmers Of 32.7%. There is a significant connection between the consumption of salted fish and the occurrence of nasopharyngeal carcinoma (p:0.003) and there is a significant link between the consumption of smoked meats and the incidence of nasopharyngeal carcinoma (p:0.003). <strong>Conclusion: </strong>There is a significant link between the consumption of fish and smoked meats with the incidence of nasopharyngeal carcinoma.</em></p> Muslim Kasim, Tan’im Tan’im, Upik Pebriyani, Eva Aprillya ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/220 Tue, 30 Jun 2020 00:00:00 +0000 Kualitas Tidur dan Kestabilan Emosi dengan Hasil Prestasi Belajar pada Mahasiswa Fakultas Kedokteran https://akper-sandikarsa.e-journal.id/JIKSH/article/view/223 <p><em>Learning Achievement can be influenced by external and internal factors. The phenomenon of sleep deprivation and emotional stability fluctuations in medical students at Malahayati University has an impact on the quality of student lectures, so the </em><em>Grade Point Average values cannot reach optimal values. So this is the concern of researchers to find out whether the relationship between these two factors affects the value of the student Grade.</em> <em>The research aims to determine the relationship between sleep quality and emotional stability with student achievement in the faculty of medicine Malahayati University Generation of 2018. The Respondents This research were students of the medical faculty of Malahayati University Generation 2018, a total of 168 students. The Sample is 118 students that use a purposive sampling technique. The questionnaire was used as a sleep quality questionnaire, emotional stability, and a second-semester transcript.</em> <em>Correlation test shows the relationship between sleep quality and learning achievement with P-Value 0,013 (&lt;0,05) and emotional stability and learning achievement are 0,017 which means there is the relationship between sleep quality and emotional stability with achievement study.</em></p> Candra Farid Rifai, Deviani Utami, Supriyati Supriyati, Achmad Farich ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/223 Tue, 30 Jun 2020 00:00:00 +0000 Dukungan Sosial dengan Tingkat Kecemasan Siswa dalam Menghadapi Ujian Akhir Nasional https://akper-sandikarsa.e-journal.id/JIKSH/article/view/221 <p><strong><em>Background: </em></strong><em>Anxiety often happens when will face the test, because the success of students in achieving established criteria also the graduation of students becomes a benchmark in taking the education process to the next level. Anxiety is influenced by several factors, one of them is social support. Social support is very effective in reducing psychological distress, such as depression or anxiety. <strong>Purpose: </strong>To determine the correlation between social support and the level of anxiety in dealing with national examination for XII grade students at SMA 1 North Raman East Lampung. <strong>Method: </strong>Using an observational analytical design with a cross-sectional approach. The samples were collected using a purposive sampling technique. Data collection was collected by using the questionnaire and then analyzed them using the Spearman test. <strong>Results: </strong>There were 78 samples of students class XII,&nbsp; 45 respondents (57.7%) with moderate social support category, and 48 respondents (61.5%) with moderate anxiety level category, Spearman statistical test results obtained p = 0.008 (p &lt;0.05), which means there is a significant relationship between social support and level of anxiety. <strong>Conclusion: </strong>The final result shows that there is a significant relationship between social support and the level of anxiety. </em></p> Nura Safira Afifa ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/221 Tue, 30 Jun 2020 00:00:00 +0000 Tes Toleransi Glukosa Oral pada Ibu Hamil Trimester II Dan III di Puskesmas Rajabasa Bandar Lampung https://akper-sandikarsa.e-journal.id/JIKSH/article/view/224 <p><em>Gestational Diabetes Mellitus (DMG) is the intolerance of blood glucose levels during pregnancy. One method that can be done to help diagnose diabetes mellitus is by conducting an oral consent approval (TTGO) test. Description of Oral Glucose Tolerance Tests in second and third trimester pregnant women at the Rajabasa Health Center in Bandar Lampung City in 2020. This research method uses descriptive research. The sampling technique using the total sampling method obtained a total sample of 30 samples. Test results for trimester II and III pregnant women as many as 30 respondents had GDP &lt;95 mg/dl and TTGO &lt;125mg / dl (100%). Age &lt;35 years as many as 15 people (100%) and 14 people (93.3%). Second trimester BMI is normal as many as 13 people (86.7%) and third trimester 14 people (93.3%), statistic parity of trimester II and III pregnant women are primipara as many as 7 people (46.7%). had a normal blood pressure of 14 people (93.3%), and 13 people (86.7%). Performing an Oral Glucose Tolerance Test (TTGO) on pregnant women can help improve maternal safety both during pregnancy and pregnancy.</em></p> Nada Irmilia Sari, Fonda Octarianingsih, Festy Ladyani, Bambang Kurniawan ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/224 Tue, 30 Jun 2020 00:00:00 +0000 Intensitas Bermain Game Online dan Motivasi Belajar dengan Prestasi Belajar Mahasiswa Fakultas Kedokteran https://akper-sandikarsa.e-journal.id/JIKSH/article/view/222 <p><strong><em>Background:</em></strong><em> The development of internet technology, including in Indonesia, is very rapid. One of the fastest-growing internet technologies is online gaming. Basically, students playing online games are only limited to entertainment for relieving tired after daily learning activities. Playing online games with high intensity can cause addiction or dependency continuously which will later influence the level of student concentration of learning.&nbsp;<strong>Purposes</strong> Knowing the relationship between the intensity of playing online games and learning motivation with learning achievement in the Students of the Faculty of General Medicine, University of Malahayati Force 2018. <strong>Methodology: </strong>The design of this study used an observational analytic approach with a cross-sectional design. The sampling technique in this study used a purposive sampling method and obtained a total sample of 118 people. Data analysis uses Spearman's correlation test. <strong>Result</strong> Spearman correlation bivariate statistical test results obtained each value of p-value = 0,000 in the intensity of playing online games and p-value = 0,000 in learning motivation. <strong>Conclusion</strong>: There is a significant relationship between the intensity of playing online games and learning motivation with learning achievement in the Students of the Faculty of General Medicine, University of Malahayati Force 2018</em></p> Bio Lerianza, Deviani Utami, Supriyati Supriyati, Achmad Farich ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/222 Tue, 30 Jun 2020 00:00:00 +0000 Gaya Belajar dengan Prestasi Belajar Mahasiswa Fakultas Kedokteran Umum Universitas Malahayati https://akper-sandikarsa.e-journal.id/JIKSH/article/view/229 <p><strong><em>Latar Belakang:</em></strong><em> Salah satu faktor yang dapat mempengaruhi hasil belajar adalah gaya belajar. Gaya belajar adalah cara yang konsisten yang dilakukan oleh seseorang dalam menangkap stimulus atau informasi, cara mengingat, berfikir dan memecahkan soal. Prestasi belajar adalah cerminan hasil nilai yang dicapai dari pembelajaran pada akhir program studi. gaya belajar memberi pengaruh positif terhadap prestasi belajar atau nilai indeks prestasi kumulatif mahasiswa. <strong>Tujuan:</strong> untuk mengetahui perbedaan antara gaya belajar visual, auditory, read/write, dan kinesthetic dengan hasil prestasi belajar pada mahasiswa Fakultas Kedokteran Umum Universitas Malahayati angkatan 2018.<strong>Metode:</strong> Desain penelitian ini menggunakan pendekatan analitik observasional dengan desain cross sectional. Teknik pengambilan sampel pada penelitian ini menggunakan metode simple random sampling dan didapatkan jumlah sampel sebanyak 118 orang . Analisis data menggunakan uji one way ANOVA. <strong>Hasil:</strong> Nilai rata-rata IPK dari 118 responden mahasiswa angkatan 2018 Fakultas Kedokteran Universitas Malahayati yaitu 2,90 dengan standar deviasi 0,39. Sebagian besar gaya belajar responden adalah gaya belajar kinesthetic sebanyak 68 orang (57,6%). Ada perbedaan yang bermakna secara statistik antara gaya belajar visual, auditory, read/write, dan kinesthetic terhadap hasil prestasi belajar mahasiswa dengan diperoleh nilai p-value=0,000. <strong>Kesimpulan:</strong> Ada perbedaan yang bermakna secara statistik antara gaya belajar visual, auditory, read/write, dan kinesthetic dengan hasil prestasi belajar mahasiswa Fakultas Kedokteran Umum Universitas Malahayati Angkatan 2018</em></p> Hesty Ahisya, Deviani Utami, Supriyati Supriyati, Achmad Farich ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/229 Sun, 22 Mar 2020 00:00:00 +0000 Tingkat Kecanduan Smartphone dan Self Efficacy dengan Prestasi Belajar Mahasiswa Fakultas Kedokteran Universitas Malahayati https://akper-sandikarsa.e-journal.id/JIKSH/article/view/230 <p><strong><em>Background: </em></strong><em>The use of smartphones by students have positive and negative impacts on the learning process. The ease in obtaining information with smartphones makes students motivated to participate in the learning process in class. Learning achievement is influenced by characteristics that indicate the factors originating from within students, one of which is self-efficacy which refers to self-confidence in the abilities possessed. Methods: The design of this study was observational analytic with a cross-sectional design. The sampling technique in this study used a purposive sampling method and obtained a total sample of 118 people. Data analysis used the Spearman trial test. Research Results: The result of Spearman correlation bivariate statistical test obtained that each p-value = 0.024 in smartphone addiction and p-value = 0,000 in self-efficacy.Conclusion: There is a significant relationship between smartphone addiction and self-efficacy with learning achievement of the students in the Medical Faculty, University of Malahayati, class of 2018</em></p> Beta Gustilawati, Deviani Utami, Supriyati Supriyati, Achmad Farich ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/230 Tue, 30 Jun 2020 00:00:00 +0000 Sindrom Premenstruasi terhadap Kinerja Perawat Intensive Care Unit di Rumah Sakit Kota Makassar https://akper-sandikarsa.e-journal.id/JIKSH/article/view/232 <p><strong><em>Tujuan: </em></strong><em>Studi ini bertujuan untuk&nbsp; mengetahui hubungan sindrom premenstruasi terhadap kinerja perawat </em>icu (<em>intensive care unit) di rumah sakit makassar. <strong>Metode:</strong> merupakan penelitian kuantitatif dengan rancangan cross sectional study. Sampel sebanyak 36 orang sebagai responden. Pengambilan sampel dilakukan dengan melalui dua tahap, yakni sampel rumah sakit dengan purposive sampling. Sampel dihitung berdasarkan rumus perhitungan besar sampel. Pengambilan data dilakukan dengan observasional, dokumentasi dengan diary menstruasi dan&nbsp; wawancara dengan menggunakan kuesioner SPAF (The short Premenstrual Assesment Form) <strong>Hasil: </strong>hasil penelitian menunjukkan bahwa sindrom premenstruasi berhubungan dengan kinerja perawat p=0,001 (r=0,631) <strong>Kesimpulan:&nbsp; </strong>studi menunjukkan ada hubungan antara sindrom premenstruasi dengan kinerja pada perawat </em>icu (<em>intensive care unit) di rumah sakit makassar</em></p> Ekayanti Hafidah Ahmad ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/232 Tue, 30 Jun 2020 00:00:00 +0000 Kontrol Diri dengan Perilaku Agresif Siswa SMA Negeri 1 Trimurjo Kabupaten Lampung Tengah https://akper-sandikarsa.e-journal.id/JIKSH/article/view/234 <p><strong><em>Background:&nbsp; </em></strong><em>adolescence is a transition from childhood to adulthood, during this time juvenile delinquency is very prevalent as aggressive behavior. One form of aggressive behavior that often occurs among teenagers is brawled between students, basically, delinquency and aggressiveness in adolescents, especially brawl behavior can occur due to the failure of adolescents to control themselves<strong>. Purpose:</strong> This study agrees to find out the relationship between self-control and aggression in Trimurjo Stage 1 High School Student Central Lampung Regency. <strong>Research Method: </strong>Quantitative research with analytic design and cross-sectional design and Simple Random Sampling sampling techniques. Data were evaluated with SPSS<strong>. The result: </strong>205 samples out of 500 populations, median values 82.00 (moderate), min-max values (52-120) for self-control and median values 79.00 (moderate), min-max values (43-99) for aggressive behavior. The results of the Bivariate Spearman test showed a P-Value of 0.021, and an r-value of - 0.161. <strong>Conclusion: </strong>There is a significant relationship between self-control and aggressive behavior inTrimurjo1 Lampung Tengah High School students, with low correlation strength and negative correlation direction, namely the higher the self-control, the lower the person's aggressive behavior.</em></p> Indah Dwi Cuyunda, Octa Reni Setia, Sri Maria Puji Lestari, Prambudi Rukmono ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/234 Tue, 30 Jun 2020 00:00:00 +0000 Manfaat Edukasi terhadap Penurunan Kadar Kolesterol Pasien Obesitas Rumah Sakit Mardi Waluyo https://akper-sandikarsa.e-journal.id/JIKSH/article/view/218 <p><em>Obesity is a disease caused by an imbalance between incoming and outgoing energy so that in the body there is an accumulation of fat tissue. One effort to reduce blood cholesterol can be done through consultation or counseling. The purpose of this study was to determine whether there is a relationship between the benefits of education with changes in lifestyle behavior to reduce cholesterol levels in obese patients at Mardi Waluyo Hospital in 2019. Method This study uses an observational analytic approach with a cross-sectional design. The sampling technique in this study used a purposive sampling method and obtained a total sample of 30 people. Data analysis using the T-Test Dependent test. The results are known to Obesity Patients aged 20-29 years as many as 3 people (10%), aged 30-39 years as many as 5 people (17%), aged 40-49 years as many as 9 people (30%), aged 50-59 as many as 8 people (26%) and aged 60-69 years as many as 5 people (17%) and most of the female sex as many as 22 people (73%). By conducting education on obese patients before and after it is very influential in reducing cholesterol levels</em></p> Mertha Dewi, Firhat Esfandiari, Ratna Purwaningrum, Muhamad Yunus ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/218 Tue, 30 Jun 2020 00:00:00 +0000 Tes Toleransi Glukosa Oral Pada Ibu Hamil Trimester II Dan III diPuskesmas Rawat Inap Kemiling Bandar Lampung https://akper-sandikarsa.e-journal.id/JIKSH/article/view/227 <p><em>This study aims to determine the description of an oral glucose tolerance test (TTGO) in second and third trimester pregnant women in Puskesmas Inpatient Kemiling Bandar Lampung in 2019-2020. This type of research is descriptive qualitative. The sample in this study used a total sampling technique and obtained a total sample of 30 respondents. TTGO results are known for all pregnant women trimester II and trimester III with the results of the highest glucose levels in the second trimester is 101-110 mg/dl 7 respondents (46.7%), in the third trimester that is 70-90 mg/dl 5 respondents (33, 3%), having age &lt;35 years as many as 12 respondents (80%) and 12 respondents (80%). BMI normal trimester II 7 respondents (46.7%), whereas in the third trimester were overweight 9 respondents (60%). The most parity history of pregnant women was primipara in the second trimester 6 respondents (40.0%) and third trimester 7 respondents (46.7%), did not have a history of abortion trimester II 12 respondents (80%) and 13 respondents (86.7%) trimester III. There is no history of second-trimester macrosomia infants 15 respondents (100%) and third trimester 14 respondents (93.3%). No family history of diabetes was found, a history of gestational diabetes and blood pressure &lt;140/90 in the second and third trimester pregnant women were 15 respondents (100%). TTGO can conclude data about a person's risk of having diabetes or already having diabetes mellitus</em></p> Mutia Hoirunnisah, Fonda Octarianingsih, Festy Ladyani, Bambang Kurniawan ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/227 Tue, 30 Jun 2020 00:00:00 +0000 Angka Kejadian Ileus Obstruktif Pada Pemeriksaan BNO 3 Posisi Di RSUD Abdul Moeloek https://akper-sandikarsa.e-journal.id/JIKSH/article/view/233 <p><strong><em>Background:</em></strong><em> Obstructive Ileus is a state where the contents of the lumen of the gastrointestinal tract cannot be transmitted to the distal due to mechanical obstruction or barriers. Causes of obstruction of ileus are related to the affected age group and obstruction location. <strong>Objective:</strong> To know the incidence of obstructive ileus on the examination of BNO 3 position in the radiology. <strong>Method:</strong> The research is a descriptive study with a cross-sectional approach. The samples in this study are all records of the medical record of obstruction ileus patients that were diagnosed through examination of the BNO 3 position. The sampling technique used a total sampling technique of 30 respondents. Data analysis using univariate analysis. <strong>Results:</strong> unknown age frequency distribution of ileus obstructive patients diagnosed through the examination of BNO 3 most vulnerable positions aged &gt; 65 years as much as 30.0%. The most genders in male female respondents as much as 63.7% and the location of most obstructive ileus in 73.3%. <strong>Conclusion:</strong> The incidence of ileus obstrusion on most BNO examination at the age of &gt; 65 years with male gender and the location of high-level obstruction ileus</em></p> Alfi Wahyudi, Andi Siswandi, Ratna Purwaningrum, Bella Cynthia Dewi ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/233 Tue, 30 Jun 2020 00:00:00 +0000 Nilai Indeks Shine dan LAL antara Anemia Defisiensi Besi dengan Thalassemia di RSUD Dr. H. Abdul Moeloek https://akper-sandikarsa.e-journal.id/JIKSH/article/view/235 <p><strong><em>Background</em></strong><em>: Iron deficiency anemia and β minor thalassemia have the same morphological picture of hypochromic blood, therefore it needs to be distinguished from an examination. The diagnosis of β-thalassemia minor and iron deficiency anemia can be made by conducting a series of screening laboratory tests, ranging from the routine hematological examination, peripheral blood smear preparations, staining of peripheral blood smear preparations with supravital staining for reticulocyte counts and detection of HbH inclusion objects in erythrocytes, reserve status iron blood with a groove examination in stages until a sophisticated examination that is Hb electrophoresis and DNA examination. <strong>Objective</strong>: To find out the comparison of the shine &amp; lal index between iron deficiency anemia patients and thalassemia patients in Dr. H. Abdul Moeloek Lampung Province. <strong>Method</strong>: This type of research is a comparative test. With the number of samples using a ratio of 1: 1 so that 45 people with iron deficiency anemia and 45 people with thalassemia found in Dr. H. Abdul Moeloek Lampung Province. <strong>Results</strong>: The Mann-Whitney test results showed a sig value of 0.029. Then H1 is accepted because of the value of sig &lt;0.05. Conclusion: There is a significant difference in the value of the shine &amp; lal index between iron deficiency anemia patients and thalassemia patients in Dr. H. Abdul Moeloek Lampung Province</em></p> Syuhada Syuhada, Zulhafis Mandala, Astri Pinilih, Dwita Canggi Siregar ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/235 Tue, 30 Jun 2020 00:00:00 +0000 Tingkat Pengetahuan Osteoporosis Sekunder dan Perilaku Pencegahan Mahasiswa Universitas Malahayati https://akper-sandikarsa.e-journal.id/JIKSH/article/view/236 <p><em>Background: Osteoporosis occurs due to the body's inability to regulate mineral content in the bones and will interfere with the process of bone metabolism. signs and symptoms of osteoporosis are called hidden killers (silent disease). Research Objectives: To determine the relationship between the level of knowledge of secondary osteoporosis with secondary osteoporosis prevention behavior in students at Malahayati University 2019. Research Method: This research is an analytic survey research using a cross-sectional design. The sampling technique is simple random sampling. The number of samples was 76 respondents, the data were analyzed using the Spearman test. The research instrument was in the form of a questionnaire. Results: The study found that the highest level of knowledge distribution was good knowledge as many as 62 respondents (81.6%) and distribution of prevention behaviors most of the good behaviors were 50 respondents (65.8%). Spearman's statistical test results showed a relationship with the results of p = 0.001 (p 0.1). Conclusion: There is a relationship between the level of knowledge with preventative behavior about secondary osteoporosis</em></p> Nopi Sani, Yuniastini Yuniastini, Aswedi Putra, Yuliyana Yuliyana ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/236 Tue, 30 Jun 2020 00:00:00 +0000 Kebiasaan Sarapan Pagi dengan Prestasi Belajar Siswa SD Negeri 01 Rajabasa Bandar Lampung https://akper-sandikarsa.e-journal.id/JIKSH/article/view/237 <p><strong><em>Latar Belakang: </em></strong><strong>Latar Belakang:</strong> Energi yang adekuat pada saat sarapan pagi diperlukan untuk menunjang aktivitas belajar khusunya bagi anak sekolah. Energi diperoleh dari makanan atau minuman yang dikonsumsi oleh masing-masing anak. Anak yang seringkali melewatkan sarapan sangat tidak dianjurkan. Melewatkan sarapan membuat anak tidak berenergi karena perut kosong sehingga anak menjadi susah untuk memfokuskan pikiran di sekolah. Hal tersebut sangat tidak mendukung dalam peningkatan prestasi belajar. <strong>Tujuan Penelitian:</strong> Untuk mengetahui adakah hubungan kebiasaan sarapan pagi dengan prestasi belajar pada siswa-siswi Sekolah Dasar Negeri 01 Rajabasa di Bandar Lampung. <strong>Metode Penelitian:</strong> Jenis penelitian ini adalah penelitian kuantitatif dengan pendekatan <em>cross sectional</em>. Pengambilan sampel menggunakan teknik <em>purposive sampling</em>. Analisis bivariat yang digunakan adalah uji <em>Chi Square</em>. <strong>Hasil Penelitian: </strong>Dengan jumlah sampel sebanyak 60 responden, responden dengan sarapan pagi tidak rutin didapatkan 12 siswa, dimana 8 siswa (66,7%) prestasi belajar dibawah rata-rata dan 4 (33,3%) siswa prestasi belajar diatas rata-rata. Kemudian, responden yang sarapan pagi rutin didapatkan 48 siswa, dimana 6 siswa (12,5%) prestasi belajar dibawah rata-rata, dan 42 siswa (76,0%) prestasi belajar diatas rata-rata. Berdasarkan hasil uji <em>fisher exact test</em> hasil penelitian menunjukkan nilai p <em>value</em> sebesar 0,000 (≤0,05) yang berarti bahwa sarapan pagi dengan rutin mendukung dalam peningkatan prestasi belajar siswa OR = 14. <strong>Kesimpulan : </strong>Terdapat hubungan yang signifikan antara kebiasaan sarapan pagi dengan prestasi belajar siswa-siswi SDN 01 Rajabasa Bandar Lampung. <strong>Kata Kunci :</strong> Prestasi belajar, Sarapan pagi</p> Ringgo Alfarisi, Yuniastini Yuniastini, Astri Pinilih, Putri Nur Oktavia Jauhari ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/237 Tue, 30 Jun 2020 00:00:00 +0000 Tes Toleransi Glukosa Oral Ibu Hamil Trimester II dan III Di Puskesmas Way Halim Bandar Lampung https://akper-sandikarsa.e-journal.id/JIKSH/article/view/228 <p><em>Background: Oral Glucose Tolerance Test is a method used to help diagnose Diabetes Mellitus. Purpose: knowing the picture of blood glucose in trimester II and III pregnant women at Way Halim Puskesmas Bandar Lampung in 2019-2020. Method: using descriptive-analytic research using a descriptive approach to determine the description of blood glucose in pregnant women trimester II and III. The sampling technique uses a total sampling method, with a minimum sample size of 30 samples. Results: Oral Glucose Tolerance Tests for second and third trimester pregnant women obtained fasting blood glucose mg/dl and after oral Glucose Tolerance Test obtained 26.67% (4 people) which &lt;90 mg/dl. The average age of pregnant women &lt;35 years, BMI in second-trimester pregnant women has a normal body mass index. The parity picture of trimester II and III pregnant women is nulliparous (&lt;1 child) in trimester II pregnant women as many as 10 people (66.67%) and trimester III pregnant women as many as 9 people (60%). History of abortion, pregnant women trimester II and trimester III have no history of abortion (100%), pregnant women trimester II and trimester III have no history of Gestational Diabetes Mellitus (100%). Family history of diabetes mellitus, trimester II and III pregnant women have a family history of diabetes, 7 people (46.67%) in trimester II pregnant women and 6 people (40%) in trimester III pregnant women. History of child macrosomia, trimester II and III pregnant women have a history of macrosomia, but only 1 person from the total sample is minimal. Each trimester II pregnant women as many as 14 people (93.3%), 15 people (100%) and third trimester as many as 15 people (100%)</em></p> Nabella Putri Munggaran, Fonda Octarianingsih, Festy Ladyani, Bambang Kurniawan ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/228 Tue, 30 Jun 2020 00:00:00 +0000 Enzim Transferase dengan Bilirubin Total Penderita Ikterus Obstruktif https://akper-sandikarsa.e-journal.id/JIKSH/article/view/240 <p><em>Post-hepatic obstructive jaundice is jaundice that caused by an obstruction in the bile ducts that leads to disruption of bile flow between the liver and duodenum. The function of the liver can be measured by examining the activity of serum aminotransferase, known as Serum Glutamic Oxaloacetic Transaminase and Serum Glutamic Pyruvic Transaminase. SGOT, SGPT, and bilirubin is one of the liver productions in which if liver damage occurs, there will be abnormalities in the results. The purpose of this study was to determine the relationship between transferase enzymes and total bilirubin in obstructive jaundice patients. This study was an Observational analytic approach with a cross-sectional design, and the sampling technique was purposive sampling and obtained a sample of 40 people. Patients data were obtained from secondary data with medical records. The bivariate test is done by Spearman’s correlation test. The result showed that there is a good correlation between SGOT levels and total bilirubin levels (p-value = 0.001), with a correlation value of 0.498, also SGPT levels and total bilirubin levels (p-value = 0.011), with a correlation value of 0.397. The conclusion is an increase of total bilirubin levels in obstructive jaundice patients will be accompanied by an increase of SGOT and SGPT levels</em></p> Fatima Maulidina Fajrian ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/240 Tue, 30 Jun 2020 00:00:00 +0000 Leukosit dan Kadar Bilirubin Total pada Ikterus Obstruktif yang Disebabkan oleh Tumor Pankreas https://akper-sandikarsa.e-journal.id/JIKSH/article/view/245 <p><em>Pancreatic cancer is a dangerous tumor which occurs protractedly and develops rapidly before showing its clinical symptoms. Initially, most of the patients with pancreatic cancer do not indicate specific symptoms thus, it leads to late diagnosis, and as a result, the patient had been in an advanced stage and this is one of the worst prognosis cancers. Objective To determine the correlation between leukocytes and total bilirubin levels in obstructive jaundice patients caused by pancreatic tumors an Abdul Muluk hospital in 2017-2019. Methods: Analytic descriptive with a cross-sectional approach was used in this present research. Total sampling was used as the sampling technique. The data regarding pancreatic tumor were obtained from secondary data with the results of medical recorded diagnosed with pancreatic tumors at Abdul Muluk hospital and was analyzed on a univariate basis to determine the distribution frequency and bivariate by using Spearman’s correlation test. The result of statistical analysis by using Spearman’s correlation test showed a p-value of 0,024 and 0,047 (p-value &lt; 0,05) which means that there was a significant relationship between leukocytes and total bilirubin levels in obstructive jaundice patients that caused by pancreatic tumors at Abdul Moeloek hospital in 2017-2019. Conclusion There is a correlation between leukocytes and total bilirubin levels in obstructive jaundice patients caused by pancreatic tumors at Abdul Muluk hospital in 2017-2019.</em></p> Liqva Nurul Fadhilah ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/245 Tue, 30 Jun 2020 00:00:00 +0000 A Kontrol Diri dengan Motivasi Belajar SMA Negeri 1 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/238 <p><em>the ability to guide their own behavior, the ability to suppress or inhibit impulses or impulsive behavior is a sense of self-control. a significant role in the effort to learn the definition of motivation. Because students are not possible without the motivation of learning activities. Learning is a complex process that happens to every person throughout his life. Between the self-control with student achievement there is a significant positive relationship. Thus, self-control is a control behavior that tends to act positively in thinking.</em> <em>Knowing the self-control relationship with the motivation to learn at SMA Negeri 1 Trimurjo Central Lampung.</em> <em>Research quantitative analytic design and cross-sectional design and sampling techniques Simple Random Sampling by questionnaire self-control and motivation to learn.</em> <em>Total sample 205 Of 500 population, self-control with a mean of 82.80 (medium), ± Std.Deviation (13 792), while the motivation to study with a mean of 80.94 (medium), ± Std.Deviation (13,572) for the motivation to learn. The results of the bivariate analysis values ​​obtained Pearson test P Value 0.003, and the value of r 0.209.</em> <em>There is a significant relationship between self-control and motivation to learn at Senior High School 1 Trimurjo Central District Lampung, with the strength and direction of the correlation was positive correlation that the higher the self control, the higher a person's motivation to learn.</em></p> Shanam Al Dhuha, Octa Reni Setiawati, Sri Maria Puji Lestari, Prambudi Rukmono ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/238 Tue, 30 Jun 2020 00:00:00 +0000 Ikterus Obstruktif Pada Penderita Tumor Pankreas https://akper-sandikarsa.e-journal.id/JIKSH/article/view/249 <p><em>Pancreatic carcinoma is a rare malignancy due to its relatively low incidence but it is ranked 8<sup>th</sup> in the world for its mortality. Obstructive jaundice is the results of malignancy that in most cases occurnot only due to pancreatic carcinoma but also cholangiocarcinoma. </em><strong><em>&nbsp;</em></strong><em>The purpose of this study &nbsp;to find out the description regarding obstructive jaundice in patients with pancreatic tumors at RSUD Dr. H. Abdul Moeloek in 2017-2019</em><em>. </em><em>This study was an This current research used descriptive approach and medical record to obtain primary data with40 peoplebecame the research sample. The result showed In general, the age distribution frequency of patients with pancreatic tumors and diagnosed with obstructive jaundice was &gt;50 years old of 30 people (75.0%), 23 of them weremales (57.5%). Mostly, their direct bilirubin levels was abnormal of 37 people (92.5%), same as their total bilirubin levels that regularly abnormal of 39 people (97.5%), supporting investigation on patients by using USG of 28 people (70.0%). The frequency distribution of patient operations was 28 people (70.0%).</em> <em>The conclusion is serious treatment is necessary for pancreatic tumor patients with obstructive jaundice for supporting their recovery.</em></p> Farras Ajeng Octaviany Fazeny ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/249 Tue, 30 Jun 2020 00:00:00 +0000 Peran Tenaga Kesehatan dalam Melaksanakan Pelayanan Kesehatan WBP Rutan https://akper-sandikarsa.e-journal.id/JIKSH/article/view/247 <p>This research focuses on the role of health workers in carrying out health services for WBP in Detention Centers. The research method used is a qualitative approach. Data collection techniques used are field research by conducting interviews and observations as well as literature studies. Based on the results of research conducted it is known that the role of health workers in detention centers is in accordance with their main duties and functions. Detention centers have a Polyclinic as a place for the implementation of health services in detention centers. In addition in the implementation of health services, there is an MoU between the detention center and the Government. In this case the provision of free health services with a National Identity Card (KTP) at a government-owned health agency. In addition, the detention center supports the implementation of the National Health Insurance for Penitentiary Guides in the Detention Center. But in the implementation of health services, the role of health workers does not run optimally because health workers in detention centers are only nurses' medical backgrounds, besides the lack of supporting infrastructure. After analyzing various facts, several alternative solutions were found to be done by: increasing the number of human resources for medical doctors in detention centers. Each disease experienced by WBP can be directly dealt with in detention centers and the addition of infrastructure facilities so that the role of health workers in the implementation of health services in Detention center can run optimally.</p> <p>&nbsp;</p> Ruth Faeriani Telaumbanua ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/247 Tue, 31 Mar 2020 00:00:00 +0000 Status Gizi dan Kelelahan terhadap Produktivitas Kerja https://akper-sandikarsa.e-journal.id/JIKSH/article/view/251 <p><em>Workers are one of the factors that influence production, in addition to other factors that support the production process such as skills, time and capital. Workers are the same as the general public who have the right to obtain equality of basic rights, one of which is the right to a healthy life. The diversity of labor nutrition problems is a challenge that must be faced and controlled optimally. The existence of work nutrition is important because the nutritional status will represent the physical quality and immunity of workers, as a component of builders and energy input when the body feels tired due to work, and can increase motivation or enthusiasm for work which will determine work productivity. Research conducted concluded that there is a relationship between nutritional status and fatigue on labor productivity. Therefore optimal regulation of nutritional status by minimizing work fatigue is needed to achieve optimal productivity. Arrangement of working hours, organizing meals, availability of drinking water and sports facilities can be an option to monitor the nutritional status of workers and avoid fatigue as factors that affect productivity.</em></p> Ajeng Ardhya Ramadhanti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/251 Tue, 30 Jun 2020 00:00:00 +0000 Kadar Ferritin dengan Status Gizi Pasien Thalassemia β Mayor Anak di RSAM Bandar Lampung https://akper-sandikarsa.e-journal.id/JIKSH/article/view/252 <p><em>Thalassemia is a disease of hemolytic anemia characterized by abnormalities in globin chain synthesis. Continuous transfusion in patients with thalassemia can cause iron buildup or accumulation of iron so that ferritin levels increase in the body, especially in the liver, heart, and endocrine organs. Problems in the endocrine glands and the condition of anemia can interfere with the growth of children, causing a decrease in appetite and cause a lack of nutrition into the body. The purpose</em><em>&nbsp;of the research is to know the correlation between ferritin levels with nutritional status in Thalassemia patients β Major children. This research uses an analytic observational method with a cross-sectional approach. The subjects in the study were 60 patients. The instrument used was medical record data. The results of statistical analysis using the Chi-Square test showed a p-value of 0.02 (p-value &lt;0.05) which means that there is a relationship between ferritin levels and nutritional status in Thalassemia patients β Major children in Abdul Moeloek Hospital, Bandar Lampung Year 2019. There is a correlation between ferritin levels with nutritional status in patients with Thalassemia β Major children at Abdul Moeloek Hospital in Bandar Lampung in 2019.</em></p> Rita Agustina, Zulhafis Mandala, Rewina Liyola ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/252 Tue, 30 Jun 2020 00:00:00 +0000 Permasalahan Stunting dan Pencegahannya https://akper-sandikarsa.e-journal.id/JIKSH/article/view/253 <p>The problem of short children (stunting) is one of the nutritional problems that are the focus of the Government of Indonesia, Stunting is nutritional status based on the PB / U or TB / U index wherein anthropometric standards for assessing children's nutritional status, the measurement results are at the threshold (Z -Score) &lt;-2 SD to -3 SD (short) and &lt;-3 SD (very short). Stunting that has occurred if not balanced with catch-up growth results in decreased growth, stunting problems are a public health problem associated with increased risk of morbidity, death, and obstacles to the motor and mental growth. Seeing the dangers posed by stunting, the Government of Indonesia is committed to addressing and reducing stunting prevalence, which was discussed through a limited meeting on stunting interventions held with the head of the National Team for the Acceleration of Poverty Reduction in 2017, that at the meeting discussed the need to strengthen coordination and expand coverage programs carried out by the relevant Ministries / Institutions (K / L), to improve the quality of the program in order to reduce the stunting rate in each region that has entered the priority village. And also to study the policy focus of the nutrition improvement movement aimed at the first 1000 days of life in a global order called Scaling Up Nutrition (SUN)</p> Kinanti Rahmadhita ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/253 Tue, 30 Jun 2020 00:00:00 +0000 Komplikasi Sistemik Pada Pasien Diabetes Melitus Tipe 2 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/254 <p><em>Diabetes mellitus is one of the main health problems in people who have long and short term complications. The prevalence of Diabetes Mellitus in Indonesia in 2018 is 8.5%, in Lampung 1.4%. Patients suffering from diabetes mellitus only realize the danger of this disease after various complications that arise both acute and chronic.</em><em> Purpose of the research is to know profile of systemic complications in type 2 diabetes mellitus patients at Pertamina Bintang Amin Hospital in Bandar Lampung.<strong>Methods:</strong> This research uses a descriptive survey method with a cross-sectional approach. This research was conducted in February 2020 by taking medical record data on type 2 diabetes mellitus patients at Pertamina Bintang Amin Hospital in Bandar Lampung in 2019. <strong>Results:</strong> Subjects in the study were 72 patients. Analysis of the data used in this study is univariate analysis. Frequency distribution based on acute complications of KAD in 6 patients (8.3%), hypoglycemia in 8 patients (11.1%). Microvascular complications were retinopathy in 8 patients (11.1%), nephropathy in 11 patients (15.3%), neuropathy in 5 patients (6.9%). Macrovascular complications were cerebrovascular 3 patients (4.2%), coronary heart disease 8 patients (11.1%), and ulcers of 20 patients (27.8%). <strong>Conclusion:</strong> Frequency distribution based on complications, of the 72 people studied, the majority of patients experienced complications, as many as 43 people (59.7%)</em></p> Ririn Dwi Saputri ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/254 Tue, 30 Jun 2020 00:00:00 +0000 Korelasi antara Nilai HbA1c dengan Kadar Trigliserida Pasien Diabetes Mellitus Tipe 2 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/257 <p><em>Diabetes mellitus (DM) is a disease or metabolic disorder with typical symptoms of&nbsp;</em><em>hyperglycemia followed by carbohydrate, lipid and protein metabolic disorders caused by lack of insulin production or ineffectiveness of insulin, or it can occur simultaneously. The higher levels of sugar in the blood cause an increase in the enzyme lipoprotein lipase in adipose tissue, therefore increasing the level of triglycerides which can trigger the formation of sclerosis. To find the correlation between HbA1c values with triglyceride levels in patients with type 2 diabetes mellitus. This type of research is quantitative analytic correlative with a cross-sectional approach. The sample of this study was 49 people obtained from medical record data at Pertamina Bintang Amin Hospital in Bandar Lampung 2019</em><em>.</em><em> Respondents with a HbA1c value</em> <em>≥9% were 31 people (63.3%), while respondents with a HbA1c value &lt;9% 18 people (36.7%). Triglyceride levels for respondents ≥150 mg / dl 33 people (67.3%), while respondents with triglyceride levels &lt;150 mg / dl 16 people (32.7%). From the Spearman test, there is a correlation between the HbA1c value with triglyceride levels in type 2 diabetes mellitus patients (p = 0.00</em><em>2</em><em>). With (r = </em><em>+</em><em>0.4</em><em>39</em><em>) which means the strength of the correlation is moderate. There is a correlation between HbA1c values with triglyceride levels in type 2 diabetes mellitus patients at Pertamina Bintang Amin Hospital in Bandar Lampung in 2019</em><em>.</em></p> Zulfian Zulfian Zulfian, Ika Artini, Rian Ardiva Barowalah ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/257 Tue, 30 Jun 2020 00:00:00 +0000 Karakteristik Histopatologi dan Stadium Klinis Kanker Nasofaring https://akper-sandikarsa.e-journal.id/JIKSH/article/view/259 <p><em>Background: Nasopharyngeal Cancer is an endemic disease in Southeast Asian and China. The incidence of nasopharyngeal cancer will raise at 30 years old and will reach its peak in 46 – 55 years old. The incidence of nasopharyngeal cancer is 2 – 3 fold higher in man. Nasopharyngeal cancer patients are usually diagnosed at a late stage so they have a bad prognosis. Based on the problem above the author want to study the Characteristic of Histopathology and Clinical Stage of Nasopharyngeal Cancer in RSUD Dr. H. Abdul Moeloek Period 2016 – 2019.&nbsp;Aims: This study wants to know about the Characteristic of Histopathology and Clinical Stage of Nasopharyngeal Cancer, the frequency distribution of Nasopharyngeal Cancer based on gender and age in RSUD Dr. H. Abdul Moeloek Tahu 2016-2019.&nbsp;Methods:&nbsp;This study used a retrospective descriptive study with 63 patients in RSUD Dr. H. Abdul Moeloek Period 2016 – 2019.Result: Based on the obtained data, the number of nasopharyngeal cancer cases in RSUD Dr. H. Abdul Moeloek Period 2016 – 2019 increased annually. The total samples that were used in this study were 63 samples. The highest distribution of nasopharyngeal cancer which is sorted by age is the group of 46 – 55 years old with 28.6%. The highest distribution of nasopharyngeal cancer which is sorted by sex is the man with 65%. The highest distribution of nasopharyngeal cancer which is sorted by Histopathology classification is Nonkeratinizing Cell Carcinoma – Undifferentiated subtype with 71.4%. The highest distribution of nasopharyngeal cancer which is sorted by the clinical stage is Stage III with 63.3%.&nbsp;Conclusion: This study reveals the Characteristic of Histopathology and Clinical Stage of Nasopharyngeal Cancer, the frequency distribution of Nasopharyngeal Cancer based on gender and age in RSUD Dr. H. Abdul Moeloek Tahu 2016-2019.</em></p> Asep Kuswandi, Nisa Habibah Kuswandi, Muslim Kasim, Tan’im Tan’im, Mardheni Wulandari ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/259 Tue, 30 Jun 2020 00:00:00 +0000 Hubungan Kadar Feritin Serum dengan Kadar Enzim SGOT dan SGPT pada Pasien Thalasemia β Mayor https://akper-sandikarsa.e-journal.id/JIKSH/article/view/258 <p><em>Thalassemia is a genetic blood disorder that can cause hemolysis in hemoglobin. So the patient must get a transfusion for life. The transfusion is done continuously, this is what causes patients with thalassemia β major to&nbsp;</em><em>have</em><em> iron buildup in the</em><em>ir</em><em> body. So the levels of Ferritin</em><em>,</em><em> SGOT, and SGPT enzymes can be increased in patients with β major thalassemia. </em><em>This study aims to determine the relationship between serum ferritin with SGOT and SGPT enzymes in thalassemia β major patients. This research uses an analytic method with a cross-sectional approach. The subjects in this study were 60 samples. The instrument used was the patient's medical record data. Statistical analysis using the Chi-Square test showed a p-value 0.005 (p-value &lt;0.05) for serum ferritin with SGOT. And for serum ferritin with SGPT enzymes, p-value 0.004 (p-value &lt;0.05), it means that there is a relationship between serum ferritin and SGOT and SGPT enzymes. There is a </em><em>correlation</em><em> between serum ferritin with SGOT and SGPT enzymes in β major thalassemia patients at Abdul Moeloek Hospital Bandar Lampung.</em></p> Rita Agustina, Zulhafis Mandala, Ressy Nirmala Indah ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/258 Tue, 30 Jun 2020 00:00:00 +0000 Karakteristik Ulkus Diabetikum Pada Penderita Diabetes Melitus https://akper-sandikarsa.e-journal.id/JIKSH/article/view/261 <p><em>Diabetes mellitus has a variety of chronic complications and the most frequently encountered is a diabetic ulcer. The incidence of diabetic ulcers annually is 2% among all patients with diabetes and 5-7.5% among diabetic patients with peripheral neuropathy. Objective: To understand the characteristics of diabetic ulcers in diabetes mellitus patients in RSUD Dr. H. Abdul Moeloek Lampung in 2018. Research Method: This research is a type of descriptive research. The sampling technique used in this research is a total sampling. Result: From the 119 patients, the majority of diabetic ulcer patients is in the late elderly ages which about 55 peoples, based on gender are female with a total of 71 peoples, based on their family history of the disease, there is a family history of the disease as many as 101 peoples, based on length of hospitalization, it is at most 0-5 days with a total of 94 peoples, based on therapy, the most is with surgical procedures with a total of 98 peoples. Conclusion: The characteristics of diabetic ulcers are dominated by women in late elderly ages and the average ulcer patient has a family history of diabetes mellitus, they are treated at 0-5 days, and the therapy is used with surgery</em></p> Ade Utia Detty, Neno Fitriyani, Toni Prasetya, Brigita Florentina ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/261 Tue, 30 Jun 2020 00:00:00 +0000 Hubungan Kadar Serum Feritin Dengan Kejadian Stunting Pada Anak Talasemia β Mayor https://akper-sandikarsa.e-journal.id/JIKSH/article/view/263 <p><em>Thalassemia is hemolytic anemia characterized by abnormalities in globin chain synthesis. Hemochromatosis and tissue hypoxia due to anemia are hormonal factors due to the accumulation of iron in the endocrine glands. Problems with endocrine glands and anemia can interfere with growth such as short posture. This study was to determine the </em><em>correlation</em><em> of serum ferritin levels with the incidence of stunting in beta-thalassemia major children in Abd</em><em>u</em><em>l Moeloek Hospital in Lampung in 2019. This research uses an observational analytic method with a cross-sectional approach. The subjects in the study were 60 patients. The instrument used was medical record data. Statistical analysis using the Chi-Square test showed an association between ferritin levels and the incidence of Stunting in Thalassemia patients β Major children at Abdul Moeloek Hospital in Bandar Lampung in 2019 (p-value 0.018. OR 4.67). There is a relationship between ferritin levels with the incidence of Stunting in Thalassemia patients β Major children at Abdul Moeloek Hospital, Bandar Lampung in 2019.</em></p> Rita Agustina, Zulhafis Mandala, Rena Sahara ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/263 Tue, 30 Jun 2020 00:00:00 +0000 Hubungan Rinosinusitis Kronik Dengan Rinitis Alergi https://akper-sandikarsa.e-journal.id/JIKSH/article/view/266 <p><em>Allergic rhinitis is an inflammatory disease caused by an allergic reaction in patients who have a history of atopy who have previously been sensitized with the same allergens. In Indonesia, the prevalence of allergic rhinitis varies between 1.5% - 12% and has increased every year. Many etiological and predisposing factors that can cause chronic rhinosinusitis include ARI due to viruses, various types of rhinitis, especially allergic rhinitis. This type of research is an observational analytic study with a cross-sectional study design. The data used are secondary data with medical record data in the ENT Polyclinic, Bintang Amin Hospital, Bandar Lampung in 2018-2019. Relationship analysis was performed using the Chi-Square test. Then the data that has been obtained is processed using the Statical Product and Service Solution (SPSS) program. Respondents with an HbA1c value≥9% were 31 people (63.3%), while Obtained respondents with the frequency distribution of allergic rhinitis in Bintang Amin Hospital Bandar Lampung in 2018-2019 with a frequency of 26 people (63.4%). Respondents with Chronic rhinosinusitis frequency distribution in Bintang Amin Hospital in Bandar Lampung in 2018-2019 were 25 people (61.0%). The Relationship between Chronic Rhinosinusitis and Alerfi Rhinitis in Bintang Amin Hospital in Bandar Lampung in 2018-2019. Evidently there is a relationship with p&gt; 0.006 tested by Chi-Square. Which means there is a relationship between chronic rhinosinusitis and allergic rhinitis</em></p> Muslim Kasim, Neno Fitriyani H, Rakha Muhhamad Buchori ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/266 Tue, 30 Jun 2020 00:00:00 +0000 Korelasi antara Nilai HbA1c dengan Kadar Kreatinin pada Pasien Diabetes Mellitus Tipe 2 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/250 <p><em>Diabetes mellitus (DM) is a chronic metabolic disorder caused by decreased insulin production or effectively produced insulin resistance. Insulin is a hormone to regulate blood sugar levels. With the development of the era of many food choices and unhealthy lifestyles spread throughout the community, this has led to an increase in the number of degenerative diseases and type 2 diabetes is one of the degenerative diseases. This study was to determine the correlation between HbA1c values ​​and creatinine levels in type 2 diabetes mellitus patients. This study used a quantitative method with a correlative analytic design with a cross-sectional approach. The subjects in the study were 48 patients. The instrument used was medical record data. The results of statistical analysis using the Spearman correlation test showed a p-value of 0.021 (p-value &lt;0.05) which means that there was a significant correlation with the strength of a moderate positive correlation between HbA1c values ​​and creatinine levels in type 2 diabetes mellitus patients at Pertamina Bintang Hospital Amin Bandar Lampung in 2019. There is a correlation between HbA1c values ​​and creatinine levels in type 2 Diabetes Mellitus patients at Pertamina Bintang Amin Hospital in Bandar Lampung in 2019.</em></p> Zulfian Zulfian, Ika Artini, Rifqi Ihsaan Maulana Yusup ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/250 Tue, 30 Jun 2020 00:00:00 +0000 Ct-Scan Non Kontras Pada Pasien Batu Saluran Kemih https://akper-sandikarsa.e-journal.id/JIKSH/article/view/272 <p><em>Background</em><em>: Urinary stones are a disease where hard times are obtained along the urinary tract, urinary stones can be found in the upper urinary system and lower urinary tract, which can cause pain, blockage of the urinary tract and can cause bleeding. Purpose: To determine the results and characteristics of CT SCAN images in patients with urinary tract stones without using contrast in Abdul Moeloek Hospital in Bandar Lampung in 2018-2019. Method: this type of research is a retrospective descriptive research design using a cross-sectional study by taking secondary data. Results: From 40 research samples showing urinary tract stones in women, 19 patients (47.5%), in men 21 patients (52.5%), for the highest age, namely in the early elderly (46-55 years) ) as many as 17 patients and the lowest age group, namely the age of toddlers (0-5 years) 1 patient (2.5%), while for the location is in the Kidney that is 24 (60%), found in the ureter 22 (55%), and in the bladder was found 1 (2.5%). Conclusion: Based on the results of CT-Scan without contrast in patients with urinary tract stones the highest incidence of urinary stones in men and the age group 46-55 years with the most frequent location in the kidney area</em></p> Haryadi Haryadi, Tantri Dwi Kaniya, Anggunan Anggunan, Diana Uyun ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/272 Tue, 30 Jun 2020 00:00:00 +0000 Kepatuhan Mengikuti Prolanis BPJS dengan Hasil Pemeriksaan HbA1c pada Penderita Diabetes Melitus https://akper-sandikarsa.e-journal.id/JIKSH/article/view/267 <p>Background: Indonesia ranks 7th with the most diabetes mellitus in the world. BPJS Health as the organizer of the social security program applies the Chronic Disease Management Program (Prolanis) accompanied by a special HbA1c examination for diabetics. The results of the HbA1c examination can be influenced by various factors, one of which is in compliance with Prolanis. Research Objectives: To find out the relationship between compliance with BPJS PROLANISTS and HbA1c examination results in patients with diabetes mellitus in health centers. Research Methods: This research is a quantitative analytic study with a cross-sectional design. The sampling technique in the form of total sampling. The sample of this study was Prolanis participants with diabetes mellitus at the Kedaton Health Center. The instrument of this research was the medical record of Prolanis participants and the attendance of Prolanis. Research Results: Chi-square statistical test results with fisher exact alternative test found no relationship with the results of p = 1,000 (p&gt; 0.05). Conclusion: There is no relationship between adherence to following Prolanis with the results of the HbA1c examination.</p> Festy Ladyani, Rita Agustina, Hernowo Anggoro Wasono, Hifta Faradilla ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/267 Tue, 30 Jun 2020 00:00:00 +0000 Perbandingan Stroke Non Hemoragik dengan Gangguan Motorik Pasien Memiliki Faktor Resiko Diabetes Melitus dan Hipertensi https://akper-sandikarsa.e-journal.id/JIKSH/article/view/273 <p><em>Background: Stroke in Indonesia has also increased in prevalence. In Indonesia, this disease ranks third after heart disease and cancer. In 2007, the results of the Basic Health Research (Riskesdas) showed data 8.3 per 1000 population suffered a stroke. Stroke was also the main cause of death in almost all hospitals in Indonesia, which amounted to 14.5%.&nbsp;</em><em>Purpose: To find out how Comparison of Motor Disorders in Non-Hemorrhagic Stroke Patients with Risk Factors for Diabetes Mellitus, Hypertension, Diabetes Mellitus &amp; Hypertension in RSUD Dr. H. Abdul Moeloek Lampung Province in 2018. Methods: The design of this study was descriptive-analytic with cross-sectional approach. The subjects of this study were all patients with motor disorders in non-hemorrhagic stroke with risk factors for diabetes mellitus, hypertension, diabetes mellitus and hypertension in RSUD Dr. H. Abdul Moeloek Lampung Province. Result: The study sample was 30 patients. Non-hemorrhagic stroke in hypertensive patients as much as (92.6%), non-hemorrhagic stroke in patients with diabetes mellitus (81.5%), non-hemorrhagic stroke in hypertensive patients and diabetes mellitus as much as (74.1%). By using the Kolmogorov-Smirnov Z test the significant value is 0.280 (p = 0.280&gt; α = 0.05) then Ho is accepted.Conclusion: There is no comparison of hypertension in non-hemorrhagic stroke with mild and moderate motor disturbances at Dr.H. Abdul Moeloek Lampung Province in 2018.</em></p> Nia Permatasari ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/273 Tue, 30 Jun 2020 00:00:00 +0000 Studi Faktor Risiko Kelainan Miopia Di Rumah Sakit Pertamina Bintang Amin https://akper-sandikarsa.e-journal.id/JIKSH/article/view/275 <p><em>Background: Vision is a very important sense in determining the quality of human life. In the vision, the eye has a variety of refractive disorders, one of which is myopia. Myopia or nearsightedness is a condition where light entering the eye is focused in front of the retina, making distant objects appear blurred. Many factors cause myopia or nearsightedness, namely age, gender, heredity, and short distance activity. Research Purpose: To determine the risk factors of myopia in Pertamina Bintang Amin Hospital in Lampung Province in 2020. Research Method: This type of research is descriptive quantitative design. The sample in this study were 65 people with a total sampling technique. Data collection using questionnaire sheets and interviews. Data analysis techniques used univariate analysis to determine the frequency distribution of myopia risk factors. Research Result: The results of this study showed that the most common frequency of mild myopia was 39 people (60.0%). The frequency factor of young adult age was 42 respondents (64.6%). The frequency of female gender factors was 37 respondents (56.9%). The frequency of historical factors father/mother's descendants alone were 28 respondents (43.1%). Frequency factors of close-range activity playing computer, cellphone for 1-2 hours as many as 28 people (43.1%), reading books for 1-2 hours as many as 39 people (60.0%), and watching TV for 1-2 hours as much 50 people (76.9%). Conclusion: there is a risk factor of myopia including age, sex, heredity, and close-range activity.</em></p> Titi titi Lestari, Anggunan Anggunan, Tusy Triwahyuni, Rachmat Syuhada ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/275 Tue, 30 Jun 2020 00:00:00 +0000 Derajat Toksisitas Trombosit pada Penderita Kanker Kolorektal yang Mendapat Kemoterapi CapeOX https://akper-sandikarsa.e-journal.id/JIKSH/article/view/281 <p><em>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 / mm<sup>3</sup>this 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 </em><em>consecutive </em><em>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/mm<sup>3</sup> with a standard deviation of 16.127/mm<sup>3</sup>. 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 5<sup>th</sup> and 6<sup>th</sup> cycles of 1 (1.4%) and 10 (14.3%).</em></p> Yusmaidi Yusmaidi, Rakhmi Rafie, Muhammad Nur, Bilqis Nabilah ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/281 Tue, 30 Jun 2020 00:00:00 +0000 Karakteristik Klinis Ikterus Obstruktif Disebabkan Tumor di RSUD Dr. H. Abdul Moeloek Lampung https://akper-sandikarsa.e-journal.id/JIKSH/article/view/282 <p><em>Latar Belakang : Ikterus atau jaundice adalah perubahan warna jaringan menjadi kekuningan akibat pengendapan bilirubin. Tumor merupakan salah satu penyebab ikterus obstruktif yang paling sering. Beberapa penelitian sebelumnya menunjukkan gambaran klinis ikterus obstruktif yang disebabkan tumor berdasarkan umur, jenis kelamin, tatalaksana, gambaran CT Scan, Histopatologi. Tujuan Penelitian : Tujuan penelitian ini untuk mengetahui gambaran klinis ikterus obstruktif yang disebabkan tumor di RSUD Dr. H. Abdul Moeloek Bandar Lampung Periode 2017. Metode Penelitian : Jenis penelitian ini adalah deskriptif retrospektif menggunakan data sekunder dari rekam medik. Sampel penelitian ini menggunakan teknik Total Sampling. Hasil Penelitian : Sampel penelitian ini sebanyak 60 pasien. Frekuensi terbanyak ditemukan pada kelompok umur 50-59 tahun sebanyak 15 pasien (25%) dan 32 pasien (53.3%) pada laki-laki. Penatalaksanaan dilakukan tindakan operatif sebanyak 51.7%. Dari hasil pemeriksaan CT Scan didapatkan pada hati sebanyak 51.7% dan dari hasil histopatologi didapatkan Hepatocellular Ca sebanyak 26.7%. Kesimpulan : Gambaran klinis terbanyak ditemukan pada kelompok umur 50-59 tahun, jenis kelamin laki-laki dengan dilakukan tindakan operatif, gambaran CT Scan pelebaran intrahepatic atau ekstrahepatic pada hati, histopatologi Hepatocellular Ca. &nbsp;</em></p> Ghini Mayliani, Yusmaidi Yusmaidi, Nia Triswanti, Indra Kumala ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/282 Tue, 30 Jun 2020 00:00:00 +0000 Karakteristik Pasien Ikterus Obstruktif Et Causa Batu Saluran Empedu https://akper-sandikarsa.e-journal.id/JIKSH/article/view/277 <p><em>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</em></p> Yusmaidi Yusmaidi, Rakhmi Rafie, Annisa Permatasari ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/277 Tue, 30 Jun 2020 00:00:00 +0000 Potensi Batang Pisang (Musa Pardisiaca L.) Dalam Penyembuhan Luka Bakar https://akper-sandikarsa.e-journal.id/JIKSH/article/view/283 <p>Burn wounds appear as local response from tissue, with or without systemic response to energy transfer from physics source (mechanic, thermal, radiation, electricity) or chemical source. The impact are detrimental psycologically or physically to human. It is because this type of wound included in worst shaped-trauma that made human suffer since long ago and many years researcher did some trial to get improvement on burn wounds outcome from the series of treatment. This time, many plants in Indonesia not yet known to have efficacy in health. Banana (<em>Musa paradisiaca L</em>.) have a savor in wound healing. The result from previous research, showed that the banana stem extract contain of tannin, saponin, and flavonoid, which each of them have their own role in wound healing process. Saponin, this compound have antiseptic activity that help in wound healing. Flavonoid from flavonol, flavon, and isoflavon group have anti-inflammatory activity. Tanin is a polyphenols compound from flavonoid group that have function as a powerful antioxidant and also anti-inflammatory.</p> Gusti Putu Ananta ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/283 Tue, 30 Jun 2020 00:00:00 +0000 Perbandingan Jumlah Leukosit Darah Pada Pasien Appendisitis Akut Dengan Appendisitis Perforasi https://akper-sandikarsa.e-journal.id/JIKSH/article/view/288 <p>Background: Appendicitis or inflammation of the appendicitis is one of the mortality rates of 0.2 - 0.8% in the world, in Indonesia itself appendicitis ranks fourth most inpatients. Appendicitis is one of the causes of abdominal emergencies in developing countries, cases of appendicitis occur more in males than females by a ratio of 1: 4, and strike at an average age of 10 to 30 years.&nbsp;Research purposes: Knowing the comparison of the number of leukocytes between patients with acute appendicitis and perforated appendicitis in RSUD H. Dr. Abdul Moeloek in 2017-2019.&nbsp;Research methods: This type of research is quantitative with observational analytic research design with a snowball approach. Retrieval of data using secondary data by looking at the number of leukocytes in the respondent's medical record. Bivariate analysis with Independent T-test.&nbsp;Results: The number of respondents 56 people known univariate test the number of leukocytes Acute Appendicitis as many as 28 people and Perforated Appendicitis as many as 28 people. Bivariate test results obtained p-value = 0,000.&nbsp;Conclusion: Available significant difference in the number of leukocytes Acute Appendicitis group with Perforated Appendicitis.</p> Wahyu Wijaya, Mizar Eranto, Ringgo Alfarisi ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/288 Tue, 30 Jun 2020 00:00:00 +0000 Hubungan Penggunaan KB Implant dengan Berat Badan dan Siklus Haid Akseptor KB https://akper-sandikarsa.e-journal.id/JIKSH/article/view/279 <p>An implant is a type of contraception in the form of an implant made of a type of silastic rubber containing hormones, mounted on the upper arm. Implants can cause menstrual disorders that are unable to menstruation and irregular bleeding occurs, bodyweight increases, causing acne, breast tension, intercourse feels dry. The purpose of this study was to determine the effect of the use of implanted contraception on body weight and menstrual cycles on acceptors in the working area of Ajangale Health Center. The type of research used in this study is the Analytic Survey with the design of Cross-Sectional Study. The population in this study were all implant acceptors in the working area of Ajangale Health Center in January to August 2019. The number of samples were29 peoples. The results showed that there was a relationship between the use of implant with acceptor body weight which the results of the chi square test obtained p-value = 0.015. There is a relationship between the use of implant with the acceptor’s menstrual cycle .with the results of the chi square test obtained p-value = 0.001. There is a relationship between implant use with acceptor's Weight and Menstrual Cycle.</p> Hasliana Haslan, Indryani Indryani ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/279 Tue, 30 Jun 2020 00:00:00 +0000 Hubungan Rhinitis Alergi dengan Kejadian Asma Bronkial https://akper-sandikarsa.e-journal.id/JIKSH/article/view/293 <p><em>Allergic rhinitis defined as an inflammation on nasal mucosa which triggered by contact with allergen. </em><em>Allergic rhinitis has been linked with bronchial asthma. For that reason, the relationship of allergic rhinitis with the incidence of bronchial asthma needs to be known in supporting the approach to diagnosis and treatment of one another. In this article a variety of literature studies are carried out to summarize and compare the results of the current understanding so that relevant publications are formed. The relationship between the two is explained pathophysiologically and epidemiologically. Pathophysiologically includes the effects of nasal physiology on the bronchus, nasobronchial reflexes, similar inflammation, and the mediators and markers involved. Epidemiologically, it is explained that rhinitis is a significant risk factor for the onset of asthma as an adult.</em></p> M. Hadriyan Akbar Arief ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/293 Tue, 30 Jun 2020 00:00:00 +0000 Pengetahuan Pasangan Usia Subur Tentang Suntik Depo Progestin https://akper-sandikarsa.e-journal.id/JIKSH/article/view/284 <p>Fertile age couples are very easy to get offspring and therefore need to regulate fertility by having good knowledge in choosing contraception. The purpose of this study was to determine the study of the level of knowledge of fertile age couples about the injection method of progestin depo in the working area of ​​the Ulaweng Community Health Center. This research was conducted by a cross-sectional study, which was carried out in pus using injections of Depo progestin as many as 30 people. Data collection using a questionnaire with progestin depo injection questions. In this study, a univariate test was conducted. The results of the study where based on knowledge about the benefits of contraception Depo Progestin good knowledge 24 people (80%) and less knowledge 6 people (20%), knowledge about the schedule of good knowledge giving 20 people (67%) and less knowledge 10 people (33%) knowledge about the side effects of good knowledge 25 people (83%) and less knowledge 5 people (17%) knowledge about the indications of contraceptive use Depo progestin good knowledge still less 14 people (46%) and less knowledge as many as 16 people (54%) regarding contraindications to the knowledge of both 17 people (57%) and knowledge of less 13 people (43%). The conclusion in this study is that good EFA knowledge about benefits, schedule of side effects and contraindications regarding contraceptive injection of depo progestin, and lack of knowledge about the indications for Depo progestin injection.</p> Indryani Indry Idris, Hasliana Haslan ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/284 Tue, 30 Jun 2020 00:00:00 +0000 Hubungan Kondisi Lingkungan Rumah dengan Keberadaan Jentik Ae.Aegypti https://akper-sandikarsa.e-journal.id/JIKSH/article/view/291 <p><em>Background: Dengue hemorrhagic fever is a disease caused by serotype 1-4 viruses (DEN-1, DEN-2, DEN-3, DEN-4). The entry of the virus into the human body to cause symptoms has a period of 3-5 days. Goals: Knowing the relationship between home environment conditions and the existence of larva Ae.aegypti at puskesmas of way Kandis Bandar Lampung. Method: This study was conducted using a cross-sectional study design. The samples of this study were 100 samples. The sampling technique in this study is a total sampling. The instrument used was the observation sheet and questionnaire. The analyzed being used was the chi-square test. Result: The result of statistic analysis using Chi-square test suggest that the variables related to the larva Ae. Aegypti is puddle(P-value = 0,039; OR= 2,729). Unrelated variables include the ornamental plants, distances between homes, hanging clothes, wire netting. Conclusion: puddle is the variables in home environment conditions that related to larva Ae.aegypti in Way Kandis region. are the unrelated variable relationship between home environment conditions and the existence of larva ae.aegypti in region Way Kandis.</em></p> Tusy Triwahyuni, Ismalia Husna, Devita Febriani Putri, Miya Medina ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/291 Tue, 30 Jun 2020 00:00:00 +0000 Pengaruh Pendidikan Kesehatan Tentang Perawatan Pasien Stroke Di Rumah Terhadap Tingkat Pengetahuan Keluarga https://akper-sandikarsa.e-journal.id/JIKSH/article/view/299 <p>Knowledge is everything that is known based on the results of sensing and experience gained by humans. Care of stroke patients at home by the family is all actions taken by the family in order to maintain the health of stroke sufferers, such as assisting in physical activities after a stroke, dealing with personal hygiene, dealing with eating and drinking problems, compliance with treatment programs at home. This study aims to determine the effect of health education about the care of stroke patients at home on the level of family knowledge. This type of research is a pre-experimental research, with the One Group Pre-test - Post-test Design approach. The population of this study is the families of stroke patients who are in the Neurology Polyclinic in Stella Maris Hospital Makassar. Sampling uses nonprobability sampling technique, with consecutive sampling approach. The number of samples of this study were 60 respondents and data collection was carried out using a questionnaire sheet. The statistical test used was the Wilcoxon test to determine the effect of health education about the care of stroke patients at home on the level of family knowledge and the value of p = 0,000 was obtained. Based on these statistical tests it is known that the value of p &lt;α (0.05), it can be concluded that the null hypothesis (Ho) is rejected and the alternative hypothesis (Ha) is accepted, meaning that there is an influence of health education about the care of stroke patients at home on the level of family knowledge. Therefore, nurses are important to provide health education about the care of stroke patients at home to the family so that family knowledge is increasing.</p> Asrijal Bakri, Fransisco Irwandy, Elmiana Bongga Linggi ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/299 Tue, 30 Jun 2020 00:00:00 +0000 Hubungan Tekanan Darah Terkontrol dan Tidak Terkontrol terhadap Kadar High Density Lipoprotein Pasien Hipertensi https://akper-sandikarsa.e-journal.id/JIKSH/article/view/296 <p><em>Background: Hypertension is a non-communicable disease (PTM) which is a very serious health problem both in the World and in Indonesia. Deaths of hypertension in the World are around 8 million every year, in Southeast Asia around 1.5 million. Increased blood pressure or hypertension is often followed by metabolic changes such as impaired glucose tolerance, hyperinsulinemia, hyperlipidemia, obesity, humeral changes such as the increased activity of renin, plasma, catecholamines, aldosterone, and followed by hemodynamic changes such as left ventricular hypertrophy, and impaired diastolic function. One contributing factor is a low level of High-Density Lipoprotein (HDL). From the subjects of 25 hypertension patients and 25 normal people, the average HDL profile of individuals with hypertension is lower with a significant difference between HDL profiles of hypertension individuals on normal individuals. Purpose: To find out the correlation between controlled and uncontrolled blood pressure with High-Density Lipoprotein (HDL) levels in hypertension patients at the K.Hakkiyah Central Lampung family doctor clinic in 2018. Methods: This study uses an analytical research method with a cross-sectional approach, which is by collecting data one at a time. Data will be processed and analyzed with a computer using SPSS for Windows version 20.0 program. Results: Based on the Spearman analysis, there is no correlation with the value of r = 0.118 and the value of p = 0.487 (p&gt; 0.05). Conclusion: There is no correlation between controlled and uncontrolled blood pressure with high density lipoprotein (HDL) levels</em></p> Abi Surya Mandala, Firhat Esfandiari, Anton K.N ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/296 Tue, 30 Jun 2020 00:00:00 +0000 Hubungan Kepatuhan Konsumsi Kelasi Besi Terhadap Pertumbuhan Anak Dengan Thalassemia https://akper-sandikarsa.e-journal.id/JIKSH/article/view/300 <p><em>Thalassemia is a hereditary synthesis of hemoglobin. Based on data from the Association of Parents of Indonesian Thalassemia Patients known that thalassemia sufferers in Indonesia increased from 4,896</em><em>(</em><em>2012</em><em>)</em><em> to 9,028</em><em>(</em><em>2018</em><em>)</em><em>. This study aims to determine the relationship between compliance with consumption of iron chelation to</em> <em>the</em>&nbsp;<em>growth of children with thalassemia</em> <em>in</em> <em>thalassemia shelter Bandar Lampung</em><em>. </em><em>This research uses correlation analytic method with cross-sectional approach. Sampling </em><em>uses</em><em> purposive sampling technique. The sample in this study were children with beta major thalassemia aged 5-10 years who recorded in thalassemia transit home in Bandar Lampung totaling 55 respondents. The results obtained 60% of respondents who have good consumption of iron chelation and who have good growth as much as 76.4% of respondents. </em><em>R</em><em>esults of the Spearman test found that there is a significant relationship between compliance with consumption of iron chelation to the growth of children with thalassemia (p=0.001). With the correlation coefficient value of 0.419 having a positive sign which means the compliance value of consumption of iron chelation is high, the growth value of thalassemia children is also high, and</em> <em>vice versa if compliance with iron chelation consumption is low, the growth value of thalassemia children is also low.</em></p> Muhammad Syobri, Festy Ladyani Mustofa, Nia Triswanti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/300 Tue, 30 Jun 2020 00:00:00 +0000 Hubungan Indeks Massa Tubuh dengan kadar HDL pada pasien Diabetes Mellitus tipe 2 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/308 <p><em>Diabetes mellitus type 2 is a metabolic disease characterized by an increase in insulin released by pancreatic beta cells and / or insulin resistance. Excessive nutrition with excess body fat accumulation increases the risk of suffering from degenerative diseases. The purpose of this study was to study whether there was a relationship </em><em>between</em><em> Body Mass Index with HDL levels in patients with type 2 Diabetes Mellitus FKTP patients at the Independent Practitioner</em> <em>Doctor K. Hakikiyah, Lampung Tengah in 2019. This research method used observational analytic with cross sectional design. The sampling technique in this study used the total sampling quota method with a total sample of 56 people collected. Data analysis using Pearson trial. The highest BMI was the excess BB category by 33 people (58.9%), the highest HDL frequency distribution, namely the Low category by 29 people (51.8%), </em><em>and </em><em>obtained (p-value = 0.034 and r = -0.284 Related to Body Mass Index with HDL levels having a weak direction and a negative direction, i</em><em>s</em><em> if BMI increases, HDL levels increase and vice versa</em><em>.</em></p> Mitta Fidyana, Firhat Esfandiari, Esteria Maharyuni, Muhammad Nur ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/308 Tue, 30 Jun 2020 00:00:00 +0000 Perbandingan Nilai Indeks Green dan King antara Anemia Defisiensi Besi dengan Thalassemia https://akper-sandikarsa.e-journal.id/JIKSH/article/view/311 <p><em>Background: The definitive differential diagnosis between Thalassemia and iron deficiency anemia is based on the results of HbA₂ electrophoresis, serum iron levels, and ferritin calculations. The purpose of using indices is to distinguish and detect subjects with high probability who need appropriate follow-up and to reduce unnecessary investigative costs. Objective: To determine the difference in the value of the Green &amp; King Index between Iron Deficiency Anemia patients and Thalassemia patients in Abdul Moeloek Regional Hospital in Lampung Province in 2019. Method: This research is a quantitative study with a comparative test by taking secondary data. With the number of samples using a ratio of 1: 1 so that there were 152 people with iron deficiency anemia and 152 people with Thalassemia. Results: The results of statistical analysis using the Mann Whitney U test showed a p-value for comparison of the Green &amp; King index values ​​between iron deficiency anemia patients and thalassemia patients of 0,000 (p &lt;0.05). Conclusion: There is a significant difference in the value of the Green &amp; King index between iron deficiency anemia patients and thalassemia patients in Abdul Moeloek Regional Hospital Lampung Province.</em></p> Astri Pinilih, Syuhada Syuhada, Zulhafis Mandala, Dianthy Novia ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/311 Tue, 30 Jun 2020 00:00:00 +0000 Efek Penambahan Nanokitosan 1% Kedalam Berbagai Konsentrasi Ekstrak Kulit Kelengkeng Streptococcus Mutans https://akper-sandikarsa.e-journal.id/JIKSH/article/view/313 <p>Longan skin (Dimocarpus longan Lour) contains flavonoid compounds, glycosides, saponins, and tannins, so it has an antibacterial capacity. 1% Nanocitosan mixed into plant extracts can increase the inhibitory growth of bacteria in the oral cavity. This study aims to compare the effectiveness of longan skin extract (Dimocarpus longan Lour) added 1% nano chitosan in inhibiting Streptococcusmutans at various concentrations, namely 40%, 60%, and 80%. Longan skin extract is made by maceration method and made with a concentration of 40%, 60%, and 80%. Whereas 1% of nano chitosan is made by the ionic glass method. The two ingredients were mixed in a ratio of 1: 1, and the effectiveness of inhibition was tested by the disk diffusion method. The results showed the mean and standard deviation of longan skin extract at concentrations of 40%, 60% and 80% with 1% nano chitosan was 6.86 ± 0.471 mm; 7.62 ± 0.533 mm and 8.53 ± 0.395 mm. Inhibition with a diameter&gt; 7 mm indicates medium-strength antibacterial. The Shapiro-Wilk test proves that the data are normally distributed. Statistical analysis with one-way Analysis of Variance (ANOVA) showed longan skin extract (Dimocarpus longan Lour) mixed with 1% nano chitosan most effective in inhibiting Streptococcus mutans at 80% concentration, where p = 0,000 (0 &lt;0.05). This is due to an increase in the concentration of phytochemical compounds</p> Titania Aurely Tandra, Sabrina Khairunissa, Mellisa Sim, Florenly Florenly ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/313 Tue, 30 Jun 2020 00:00:00 +0000 Hubungan Pengetahuan Perawat Tentang NEWSS dengan Penerapannya https://akper-sandikarsa.e-journal.id/JIKSH/article/view/317 <p><em>National Early Warning System Scoring (NEWSS) is a systematic approach that uses scoring to identify changes</em> <em>or worsening</em> <em>conditions of a person as well as being standardized in care so that nurses are able to determine the next step that must be done. Delay in the prevention of worsening of hospitalized patients causes the activation of code blue which can be caused by several factors, one of which is due to the lack of nurses' knowledge of NEWSS, thus affecting nurses in implementing the NEWSS protocol. This study aims to determine the relationship between nurses' knowledge about NEWSS and its application. This type of research is analytic observational with cross sectional research design. The sampling method uses probability sampling technique through proportional random sampling, amounting to 66 respondents. The instrument used was in the form of a questionnaire, the test used in this study was the chi-square statistical test, the value of p = 0.083 which was read in analysis continuity correction. This shows that p (0.083)&gt; α (0.05) so that there is no relationship between nurses' knowledge about NEWSS and its application in the inpatient room at Swasta &nbsp;Hospital Makassar. It is expected that Institutions will increase supervision, so that nurses know and are able to implement the NEWSS protocol.</em></p> Fransiska Anita Ekawati, Miftahul Jannah Saleh, Alisyah Sri Astuti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/317 Tue, 30 Jun 2020 00:00:00 +0000 Hubungan Pola Makan Dengan Status Gizi Pada Anak Usia Prasekolah https://akper-sandikarsa.e-journal.id/JIKSH/article/view/316 <p>Salah satu masalah kesehatan yang terdapat di Indonesia saat ini adalah gizi kurang. Faktor yang dapat berpengaruh terhadap gizi seseorang adalah pola makan. Pola makan sangat erat kaitannya dengan macam, jumlah dan komposisi makanan yang dikonsumsi setiap hari. Pemenuhan makanan yang baik bagi anak akan mempengaruhi status gizi pada anak. Tujuan penelitian ini untuk menganalisis hubungan pola makan dengan status gizi pada anak usia prasekolah di TK Kristen Tunas Rama. Penelitian ini menggunakan pendekatan <em>cross sectional study. </em>Populasi pada penelitian ini adalah anak usia prasekolah (3 – 6 tahun) yang ada di TK Kristen Tunas Rama yang berjumlah 78 anak yang diambil secara keseluruhan atau menggunakan teknik <em>total sampling. </em>Pengumpulan data dengan menggunakan <em>food frequency</em> questioner <em>(FFQ</em>) dan pengukuran mekanikal. Hasil penelitian dianalisis menggunakan uji statistik <em>Chi-Square </em>dengan tingkat signifikan α=0,05. Hasil analisis menunjukkan bahwa ρ = 0,015 &lt; α = 0,05, artinya ada hubungan pola makan dengan status gizi pada anak usia prasekolah di TK Kristen Tunas Rama. Berdasarkan penelitian ini diharapkan agar ibu lebih memperhatikan status gizi anaknya yaitu dengan memberikan makanan yang mengandung gizi baik pada anak.</p> Mery Sambo, Firda Ciuantasari, Godelifa Maria ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/316 Tue, 30 Jun 2020 00:00:00 +0000 Efektivitas Antibakteri Campuran Nanokitosan 1% dengan Berbagai Konsentrasi Ekstrak Biji Kelengkeng Terhadap Staphylococcus Aureus https://akper-sandikarsa.e-journal.id/JIKSH/article/view/319 <p><em>As shown on the qualitative phytochemical examinations, longan seeds contain bioactive compounds of flavonoids, glycosides, saponins, and tannins, hence it has antibacterial potential. Whereas nano chitosan, besides having antibacterial activity, is used as a matrix for various types of drugs and plant extracts. This study aims to compare the effectiveness of nano chitosan 1% mix with longan seed extract in inhibiting the growth of Staphylococcus aureus, between 80%, 60%, and 40% concentration. Longan seed extract was prepared using the maceration method and made into various concentrations, i.e. 80%, 60%, and 40%. The nano chitosan 1% was prepared with the ionic gelation method. The two ingredients were mixed in a ratio of 1: 1. The antibacterial investigations on the different concentrations utilized the disk diffusion method. The results presented the mean inhibition power of a mixture of 80% concentration was 9.38 mm; a concentration of 60% (8.47 mm) and a concentration of 40% (7.10 mm). Statistical analysis using one way ANOVA showed the most effective concentration of the mixture in inhibiting Staphylococcus aureus was seen at 80%, where p = 0,000 (p &lt;0.05). The results of this study indicate that increasing the concentration of longan seed extract strengthens the inhibitory power against Staphylococcus aureus. The outcome was justified as the increment in concentration of longan seed extracts lead to an increase in the number of active compounds, thereby upsurge its effectiveness in damaging Staphylococcus aureus cells.</em></p> Sabrina Khairunnisa, Titania Aurelya Tandra, Mellisa Sim, Florenly Florenly ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/319 Tue, 30 Jun 2020 00:00:00 +0000 Pengaruh Pekerjaan Pendapatan Dan Pendidikan Orangtua Terhadap Penderita Pufa https://akper-sandikarsa.e-journal.id/JIKSH/article/view/320 <p><em>Many dental health problems occur in school-age children is dental caries. If dental caries untreated it’s will be continued to dentin layers and pulp, that causing pulp involvement (P/p), ulceration (U/u), fistula (F/f) and abscess (A/a).The role of parents is needed to supporting the health of their children oral cavity. The role of parents to protect the health of children oral cavity can be affected by work, income and education of parents.&nbsp;Research Objectives: to observe the effect&nbsp;of work, income and education of parents on patient with PUFA/pufa at SD Negeri </em><a href="tel:065012"><em>065012</em></a><em> Medan Tuntungan District, Medan city.&nbsp;Type of this research is analytic cross sectional. Determination of the sample using purposive sampling.&nbsp;PUFA/pufa assessment based on index PUFA/pufa. Data analysis Bivariate with the Chi-Square Test analysis technique. Results the research shows respondent’s the effect of the parents work is obtained value p=0,000, respondent's the effect of&nbsp;parent's income is obtained value p=0,000 and respondent's the effect of the parental education is obtained p=0,000.&nbsp;Conclusion: there is an effect of work, income, and education of parents on patient with PUFA/pufa it &nbsp;shows significant value of p=0,000 (p &lt;0.05).</em></p> Kevin Imanuel Tarigan, Molek Molek, Mangatas Halomoan Parluhutan Hutagalung ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/320 Tue, 30 Jun 2020 00:00:00 +0000 Hubungan Pemberian ASI Eksklusif Dengan Kejadian Stunting Pada Balita https://akper-sandikarsa.e-journal.id/JIKSH/article/view/314 <p><em>Stunting is a chronic malnutrition problem caused by nutrient intake that is not in accordance with nutritional needs. One of the causes of stunting in children is exclusive breastfeeding is not given during six months because breast milk is needed during in baby’s growth period so that the nutritional needs are fulfilled. The purpose of this study was to determine the correlation of exclusive breastfeeding with the incidence of stunting in children. The design of this study was a case-control study approach on 144 respondents consisting of 72 case respondents and 72 control respondents, respondents were parents of children who were diagnosed with stunting and non-stunting. A sampling of this study using a cluster random sampling approach. Instruments is questionnaires and mechanical measuring. The results of this study used chi-square test and odds ratio test. Chi-square test results obtained p = 0.000 (0.000 &lt; 0.05), this shows there is a correlation of exclusive breastfeeding with the incidence of stunting in children. While in the odds ratio test the value of R = 61 which means that children who are not exclusively breastfed are 61 times more likely to experience stunting than children who are exclusively breastfed. Exclusive breastfeeding for babies so as to reduce the risk of stunting. </em></p> Sr. Anita Sampe SJMJ, Rindani Claurita Toban, Monica Anung Madi ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/314 Tue, 30 Jun 2020 00:00:00 +0000 Faktor Yang Mempengaruhi Kedisiplinan Perawat https://akper-sandikarsa.e-journal.id/JIKSH/article/view/321 <p><em>Discipline is a matter that becomes a benchmark to find out whether the role of a manager or leader as a whole can be implemented properly or not. A discipline is also a form of nurses 'self-control and regular implementation in demonstrating the level of sincerity of nurses' work in a Health center, where nurses who do not comply with the regulations set by the Health center will get sanctions. Therefore this disciplinary action cannot be applied carelessly, so it requires wise consideration. This study aims to determine the discipline of nurses in Maros Barui Health center. This research is quantitative research. The sample in this study amounted to 50 respondents. Samples were taken with a cross-sectional design, using a non-rundem sampling method with criteria determined by researchers. The results of the chi-square test for personality and environmental factors obtained a p-value of 0.827 that Ha was rejected and H0 was accepted. The application of the results of this study can be used as reference material for learning about nurse discipline. his duty.</em></p> Arnianti anti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/321 Tue, 30 Jun 2020 00:00:00 +0000 Studi Kasus Pasien dengan Diare Rumah Sakit di Kota Makassar https://akper-sandikarsa.e-journal.id/JIKSH/article/view/324 <p><em>Diarrhea is the most common cause of death in infants and toddlers. Diarrhea causes poor nutritional status and poor nutritional status and causes growth failure, even permanent weight loss caused by fluid loss and dehydration. The perceived problem is defecation with a soft or liquid consistency, it can even be in the form of water only and the frequency is more often usually three times or more in one day. This case study aims to look at nursing care provided to clients suffering from diarrhea. The research design uses case studies, which aim to describe the nursing care that is carried out. The number of samples 2 people were observed for 3 days in the hospital. The results of observations in the case of patients 1 age 2.5 years with complaints of diarrhea, vomiting and heat with a temperature of 38.3ºC. In the case of 2 patients aged 3 years with complaints of diarrhea and vomiting. Nursing diagnoses in both cases namely diarrhea are associated with intestinal inflammation. Planned interventions are managing diarrhea, monitoring vital signs, managing drug therapy. The implication of this research is to optimize the management of diarrhea in nursing care in Toodler children with acute liquid diarrhea with mild to moderate dehydration</em><em>.</em></p> Darmi Arda, Hartaty Hartaty, Hasriani Hasriani ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/324 Tue, 30 Jun 2020 00:00:00 +0000 Perkembangan Adaptasi Sosial Anak Usia Toddler dan Pola Asuh Orang Tua https://akper-sandikarsa.e-journal.id/JIKSH/article/view/325 <p><em>Every child has two developmental processes namely growth or evolution and setback or involution occurs simultaneously in human life. The purpose of this research is to find a picture of the development of a social adaptation of children aged toddler and parenting parents. The research design used is a descriptive method describing the state or status of the phenomenon. The population in this study were all mothers with children aged 1-3 years. The results show that the pattern of parenting for toddler age children in Barombong Kelurahan, Makassar City, most of the parents who have good parenting but there are still parents who have poor parenting. Conclusions increase knowledge about parenting and social adaptation abilities of children by finding as much information as possible through print media, or electronic media so that the development of toddler age social adaptation through parenting parents can develop properly.</em></p> Nur Syamsi Norma. L, Trimaya Cahya Mulat, Nur Srianingsihi ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/325 Tue, 30 Jun 2020 00:00:00 +0000 Hubungan Antara Kadar Feritin Dengan Kreatinin Serum Pada Anak Thalasemia Mayor https://akper-sandikarsa.e-journal.id/JIKSH/article/view/327 <p>Background : Patients with thalassemia that underwent routine blood transfusion are developing iron overload. In the state of excess iron, ferritin levelS increase. When iron storage capacity has been depleted, free iron will cause tissue damage. One of that damaged organ is the kidney. One parameter used to know the function of kidney is GFR (Glomerular Filtration Rate). A sample way to estimate GFR is serum creatinine. Increased 1-2 mg/dL of creatinine serum showed a decrease in ±50% of GFR. Objective: To determine the correlation between ferritin levels and serum creatinine in Thalassemia Major children at Abdul Moeloek hospital in Lampung Province in 2019. Research Method: This research is analytic descriptive with a cross-sectional approach. The sampling technique used was purposive sampling using secondary data from the results of medical records diagnosed with thalassemia major at Abdul Moeloe Hospital, and analyzed on a univariate basis to determine the frequency and bivariate distribution using the chi-square test. Results: The statistical test results obtained p-value of 0.028, it can be concluded that there is a correlation between ferritin levels with serum creatinine in children with Thalassemia major . The results of the analysis also obtained an OR value of 3.88 (95% CI 1.29-11.59 ) which means that respondents who had ferritin levels were at risk (≥ = 1000) 3.88 times greater had high creatinine levels compared to those who had levels ferritin is not at risk (≤1000). Conclusion: There is a correlation between ferritin levels with serum creatinine in Thalassemia B Major children at Abdul Moeloek Hospital in Lampung Province in 2019.</p> Muhammad Asih Pambudi ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/327 Tue, 30 Jun 2020 00:00:00 +0000 Pengaruh Madu Ceiba Pentandra Terhadap Kadar LDL Tikus Rattus Norvegicus Yang Diberi Diet Tinggi Lemak https://akper-sandikarsa.e-journal.id/JIKSH/article/view/331 <p><strong><em>Background: </em></strong><em>Hypercholesterolemia is a condition of the body that has increased cholesterol levels above the normal threshold (&lt;200 mg/dL). Hypercholesterolemia can occur because of lifestyle that not healthy, ranging from diet is not balanced to the lack of sporting activity. Hypercholesterolemia is the main risk factor for atherosclerosis which is the increase in Low Density Lipoprotein (LDL). <strong>Methodology: </strong>The type of research used is purely experimental using a pre and post test design with group design. The population used in this study were 25 male Wistar strain rats which were divided into 5 groups. Sampling using the method of total sampling. Data were analyzed by Paired T-test and Anova. <strong>Research Results: </strong>In this study, from the 5 sample groups obtained the results of the analysis Paired T-Test, obtained a significant increase (p &lt;0.05) of LDL levels after giving a high-fat diet in the negative group (p = 0.025), treatment group 2 (p = 0.001), and treatment group 3 (p= 0.001). In the treatment after the administration of honey, there was a significant decrease (p &lt;0.05) of LDL levels in 2 groups, namely in the treatment group 2 (p = 0.026), and the treatment group 3 (p = 0.092). With Anova analysis, a significant difference was found in the treatment after the administration of a high-fat diet and after the provision of honey honey with the same p value, namely p = 0.001 (P &lt;0.05). <strong>Conclusion: </strong>There are differences that influence the&nbsp; administration of honey honey on LDL levels in wistar strain rats given a high-fat diet.</em></p> <p>&nbsp;</p> Hetti Rusmini, Devita Febriani Putri, Hidayat Hidayat, Dhani Risandy ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/331 Tue, 30 Jun 2020 00:00:00 +0000 Perforasi pada Penderita Apendisitis Di RSUD DR.H.Abdul Moeloek Lampung https://akper-sandikarsa.e-journal.id/JIKSH/article/view/335 <p><em>Background: Perforat</em><em>ion</em><em> appendicitis is the most common cause of appendix pain and requires immediate major surgery to prevent complications that are generally dangerous. this disease can affect all ages, but which often strikes ages between 20-30 years. Furthermore, the condition of acute appendicitis increases the risk of perforation and formation of the periapendicular period. Perforations with inflammatory fluid and bacteria enter the abdominal cavity and then respond to the peritoneal surface inflammation or peritonitis. The incidence of appendicitis in Indonesia in 2014 showed the number of appendicitis treated at the hospital as many as 4,351 cases. Objective: To find out the description of appendicitis perforation sufferers in adults with acute appendicitis at the Regional General Hospital Dr. H. Abdul Moeloek Lampung Province in 2017. Methods: Type of quantitative research, descriptive design. The entire population of all patients with adult acute appendicitis was 151 people. A sample of 110 people with random sampling techniques.Retrieval of data using observation sheet medical record data.Data analysis techniques using Univariate statistical tests.Results: The frequency distribution of the age of appendicitis perforated patients, most of them were aged 20-30 years as many as 48 patients (43.63%). The frequency distribution of the sex of patients with appendicitis perforation, most of them were male as many as 92 patients (83.63%). The frequency distribution of body temperature of patients with appendicitis perforation, mostly with body temperature&gt; 37.5 ° C as many as 103 patients (93.63%). The frequency distribution of leukocyte levels of appendicitis perforated patients, mostly with leukocyte levels&gt; 18,000 / mm as many as 84 patients (76.36%).</em></p> Mizar Erianto, Neno Fitriyani, Andi Siswandi, Arya Putri Sukulima ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/335 Tue, 30 Jun 2020 00:00:00 +0000 Potensi Antioksidan Kedelai (Glycine Max L) Terhadap Penangkapan Radikal Bebas https://akper-sandikarsa.e-journal.id/JIKSH/article/view/333 <p><em>Free radicals are molecules that have unstable and reactive properties, because they have one or more unpaired electrons. Free radicals can attack vulnerable compounds such as lipids and proteins, which will eventually cause dangerous diseases. Free radicals threaten the health of the body because of their reactive and unstable nature, because of their instability, free radicals react with molecules that are closest after entering the body, and produce other free radicals, and eventually become a chain reaction that can threaten the health of the body. Soybean (Glycine max L) has antioxidant compounds that can react with free radicals and stop the rate of free radicals to react with molecules in the body, namely isoflavones and other compounds, such as proteins, fats, and vitain A, C and D. Soybean (Glycine max L) has been shown to play an important role in healing or inhibiting diseases caused by free radicals, as well as the antioxidants contained, namely isoflavones that are consumed regularly can protect the body from free radicals</em></p> Andestya Nanda Pratama, Hendri Busman ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/333 Tue, 30 Jun 2020 00:00:00 +0000 Studi Pemanfaatan Antenatal Care Pada Ibu hamil di Puskesmas Aeng-Towa https://akper-sandikarsa.e-journal.id/JIKSH/article/view/337 <p><em>Latar Belakang: AKI di Indonesia masih sangat tinggi, sebanyak 228 ibu meninggal dunia pada setiap 100.000 kelahiranhidup. Sementara target pemerintah adalah menurunkan AKI menjadi I02 per 100.000 kelahiran hidup pada tahun 2015 (Profil Kesehatan Indonesia Tahun 2012). Cakupan kunjungan ibuhamil K1 di Indonesia pada Tahun 2011 adalah 95,7l % dari target 95% dan kunjungan ibu hamil K4 sebanyak 88,27 % dari target 90 % (Kemenkes RI, 20l2). Tujuan: Untuk memperoleh gambaran tentang pemanfaatan antenatal care pada ibuhamil di Puskesmas Puskesmas Aeng-Towa Kec. Galesong UtaraTahun 2019. Metode: Jenis penelitian yang digunakan adalah penelitian Survey dengan pendekatan Deskriptif untuk mendapatkan gambaran pemanfaatan antenatal care pada ibuhamil di Puskesmas Aeng-Towa Kec. Galesong UtaraTahun 2019. Hasil Penelitian: lbu Hamil dengan antenatal care lengkap sebanyak 30 responden (60%)dan yang tidak lengkap sebanyak 20 responden (40,0%), Pemanfaatan antenatal care terbanyak pada ibu hamil yang berpendidikan rendah sebanyak 42 respnden (84,0%), Pemanfaatan antenatal care lebih banyak pada ibu hamil yang tidak bekerja sebanyak 42 responden (84.0%), Pemanfatan antenatal carelebih banyak dimanfaatkan oleh ibu hamil yang memiliki parita srendah sebanyak 48 responden (96.0%), Pemanfaatan antenatal care lebih banyak responden yang berpendapat bahwa sikap petugas yang baik adalah sebanyak 45 (90.0%). Kesimpulan: terdapat hubungan pendidikan, pekerjan, paritas, sikap ibu terhadap antenatal care</em></p> Yantimala Mahmud ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/337 Tue, 30 Jun 2020 00:00:00 +0000 Efek Gastroprotektor Madu Terhadap Penyembuhan Tukak Lambung https://akper-sandikarsa.e-journal.id/JIKSH/article/view/340 <p><strong><em>Background:</em></strong><em> One of the diseases that many people experience are gastrointestinal disorders, one of which is peptic ulcer, the excessive secretion of gastric acid (HCL) and&nbsp; pepsin by the gastric mucosa. The incidence of peptic ulcers is common due to Helicobacter pylori infection. Treatment and prevention of the diseases using traditional medicines are widely used, one of which is honey. Honey has&nbsp; general content consisting of glucose, fructose, sucrose, water, and&nbsp; number of amino acid, vitamins, minerals that are useful in the process of wound healing such as anti-inflammatory, antibacterial, antioxidant, and accelerate wound healing activities. <strong>Objective : </strong>To know the gastroprotective effect of honey on healing peptic ulcers. <strong>Methods : </strong>Using literature studies from national and international journals by summarizing the topic of discussion and comparing the results presented in the article. <strong>Results :</strong> Honey has gastroprotective effect with hyperosmolar characteristic due to its high concentration of sugar and low concentration of water which causes increase in osmotic pressure and water inside the microbial cells to come out so resulting in plasmolysis. Honey also has hygroscopic characteristic due to its low pH which allows microbes to dehydrate and doesn’t allow them to grow. High concentration of sugar in honey has osmotic characteristic that can inhibit bacterial growth.&nbsp; <strong>Conclusion</strong>: Honey has&nbsp; gastroprotective effect to help the healing process of peptic ulcers because it has potential as anti-inflammatory, antioxidant, antibacterial, and stimulates wound healing.</em></p> Anisa Dian Pratiwi ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/340 Tue, 30 Jun 2020 00:00:00 +0000 Konsumsi Cokelat Hitam Untuk Mencegah Preeklampsia https://akper-sandikarsa.e-journal.id/JIKSH/article/view/341 <p><strong><em>Background :</em></strong><em>Preeclampsia is a complication of pregnancy that has a high mortality and morbidity rate. Preeclampsia is characterized by new onset gestational hypertension and proteinuria. One theory regarding the mechanism of preeclampsia is endothelial dysfunction. Endothelial dysfunction causes decreased levels of nitric oxide. </em><strong><em>Objective :</em></strong><em>To find out more about consumption of dark chocolate to prevent preeclampsia </em><strong><em>Methods :</em></strong><em>Using literature studies from both national and international journals by summarizing the topic of discussion and comparing the results presented in the article. </em><strong><em>Results :</em></strong><em>Dark chocolate has high levels of flavonoids. Flavonoids in dark chocolate can help to increase levels of nitric oxide thus preventing endothelial dysfunction. </em><strong><em>Conclusion :</em></strong><em>Consumption of dark chocolate can prevent preeclampsia.</em></p> Lyliani Khairunnisa ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/341 Tue, 30 Jun 2020 00:00:00 +0000 Hubungan Konsep Dukungan Keluarga Dengan Tingkat Kekambuhan Pada Paisen Skizofrenia https://akper-sandikarsa.e-journal.id/JIKSH/article/view/339 <p><em>Background: Schizophrenia is a mental disorder that will cause deep suffering for individuals and a heavy burden on the family. Family support can function for a variety of intelligence, reason to improve health and family adaptation in life. Objective: to find out whether there is a relationship between family support and relapse in schizophrenia patients in Lampung Province Mental Hospital. Method: This research is a quantitative analytic that uses a cross-sectional research design. The sample in this study is all data of patients suffering from Schizophrenia mental disorders who were treated at the Mental Hospital of Lampung Province in January - May 2020. The sampling technique in this study used a total sampling technique. Data analysis uses univariate analysis to determine the frequency distribution and bivaraite analysis uses chi-squar and fisher's test. Results: It is known that the frequency distribution of emotional support in the majority of schizophrenia patients received 52.6% less emotional support, informational support in the majority of schizophrenia patients received good information support as much as 63.2%, real support in the majority of schizophrenia patients received significant good support as much as 68 , 4%, hope support in schizophrenia patients the majority get good hope support as much as 73.7%, there is a relationship of emotional support with recurrence in schizophrenia patients, there is a relationship of informational support with recurrence in schizophrenia patients, there is a relationship of real support with relapse in schizophrenia patients, there is a relationship between expectation support and recurrence in schizophrenic patients (p-value: 0.001; 0.020; 0.000; 0.004). Conclusion: there is a significant relationship between family support as seen from emotional support, information, real and expectations with relapse in patients with schizophrenia.</em></p> Cindy Tiara, Woro Pramesti, Upik Pebriyani, Ringgo Alfarisi ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/339 Tue, 30 Jun 2020 00:00:00 +0000 Madu Sebagai Dressing Pada Penyembuhan Ulkus Diabetikum https://akper-sandikarsa.e-journal.id/JIKSH/article/view/345 <p><em>Background: Diabetes mellitus (DM) is a metabolic disorder characterized by an increase in blood sugar level (hyperglycemia) resulting from defects in insulin secretion, insulin action, or both. The most common complications of patients with DM are diabetic ulcers. Diabetic foot ulcer healing is needed to prevent infection and amputation risk.&nbsp; Dressing treatment in diabetic foot ulcer healing can be done by using a traditional treatment such as honey. Objective: To find out more about the efficacy of honey as dressing treatment in diabetic ulcer healing. Methods: Using literature studies from both national and international journals by summarizing the topic of discussion and comparing the results presented in the article. Results: Honey has anti-bacterial, anti-viral, anti-fungal, anti-oxidant and anti-inflammatory properties and acts to maintain moisture balance at the site of the wound and also has a protective barrier to minimize contact of wound and infectious agents. The use of honey as a dressing treatment has proven to be effective and shorten the healing period of diabetic ulcers. Conclusion: The use of honey is effective as a dressing treatment for diabetic foot ulcer healing.</em></p> Cassa Victoria regia Divandra ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/345 Tue, 30 Jun 2020 00:00:00 +0000 Deteksi Dini Risiko Diabetes Melitus Pada Staff Pengajar Stikes Megarezky Makassar https://akper-sandikarsa.e-journal.id/JIKSH/article/view/343 <p><em>Diabetes mellitus is a disease caused by a lack or inability of the pancreas to produce insulin at all in the blood, causing various complications that lead to death. Diabetes mellitus sufferers are increasing every year and it is estimated that in 2030 in Indonesia it will reach 21.3 million. Research Objectives: To detect the risk of diabetes mellitus early on the teaching staff of the Mega Rezky Stikes Makassar Research Method is Descriptive Analytic with 42 respondents with propusive sampling technique, data were collected using respondent observation sheets and the results of the study were analyzed in a univariate form. Research results There were 23 respondents (55 %) who have normal blood sugar levels, 13 respondents (31%) are at risk of Type II Diabetes Mellitus and there are 6 respondents (14%) who are identified as sufferers of Diabetes Mellitus. Research Implications: Can be used as a reference for learning, research and scientific development related to conclusions. There are 13 respondents (31%) at risk of Type 2 Diabetes Mellitus Suggestions It is expected that all of the Stikes Mega Rezky Makassar teaching staff to implement a healthy lifestyle as a way to reduce the risk of diabetes mellitus.</em></p> Irwansyah Irwansyah, Ilcham Syarief Kasim ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/343 Tue, 30 Jun 2020 00:00:00 +0000 Faktor yang Mempengaruhi Perilaku Ibu Hamil dalam Pemeriksaan Kesehatan di UPT Puskesmas Lamurukung https://akper-sandikarsa.e-journal.id/JIKSH/article/view/346 <p><em>Kunjungan antenatal care sangat diperlukan untuk mendeteksi sedini mungkin adanya komplikasi pada kehamilan, kunjungan antenatal dilakukan sebanyak 4 kali selama kehamilan pemeriksaan kehamilan bertujuan untuk menurunkan Angka kematian Ibu dan Bayi. Tujuan penelitian Untuk mengetahui Faktor-faktor yang Mempengaruhi Perilaku Ibu Hamil dalam melakukan Pemeriksaan&nbsp; Kesehatan di Wilayah Kerja UPT Puskesmas Lamurukung. Metode : Penelitian ini merupakan penelitian kuantitatif menggunakan metode Deskriptif&nbsp; dengan pendekatan cross sectional artinya pengukuran variabel hanya dilakukan satu kali pada satu saat. Jumlah sampel dalam penelitian ini yaitu sebanyak 20 ibu hamil, Hasil Penelitian menunjukkan bahwa 1) Pengaruh tingkat pengetahuan terhadap perilaku ibu hamil dalam melakukan pemeriksaan&nbsp; kesehatan didapatkan nilai p=0,001 (p&lt;0,05) yang menunjukkan bahwa terdapat pengaruh pengetahuan terhadap perilaku ibu hamil dalam melakukan pemeriksaan kesehatan 2) Pengaruh dukungan suami&nbsp; terhadap perilaku ibu hamil dalam melakukan pemeriksaan&nbsp; kesehatan didapatkan nilai p=0,008 (p&lt;0,05)&nbsp; yang menunjukkan bahwa terdapat pengaruh antara dukungan suami terhadap perilaku ibu hamil dalam melukan pemeriksaan kesehatan, kesimpulan terdapat pengaruh pengetahuan ibu dan dukungan suami terhadap pemeriksaan kesehatan</em><em>.</em></p> Hasnidar Nidar Jabir ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/346 Tue, 30 Jun 2020 00:00:00 +0000 Pengaruh Kehamilan Usia Remaja terhadap Kejadian Anemia dan KEK pada Ibu Hamil https://akper-sandikarsa.e-journal.id/JIKSH/article/view/347 <p><strong><em>B</em></strong><strong><em>ackground :</em></strong> <em>Adolescent pregnancy is a pregnancy that occurs at the age of 15-19 years old. Adolescent Pregnancy causes many complications, such as anemia and chronic energy deficiency. </em><strong><em>Objective :</em></strong><em> To find out more about the effect of adolescent pregnancy on the incidence of anemia and KEK in pregnant women. </em><strong><em>Methods :</em></strong><em> Using literature studies from both national and international journals by summarizing the topic of discussion and comparing the results presented in the article. </em><strong><em>Results :</em></strong><em> adolescence pregnancy causing anemia and KEK because of the ahe is still in its infancy which requires sufficient energy and high use of iron in the body. </em><strong><em>Conclusion :</em></strong><em> there is an influence of teenage pregnancy of the incidence of anemia and KEK in pregnant women</em></p> Irbah Nabila ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/347 Tue, 30 Jun 2020 00:00:00 +0000 Faktor yang Berhubungan dengan Tradisi Masyrakat dalam Menghadapi Kehamilan dan Persalinan Di Desa Welado https://akper-sandikarsa.e-journal.id/JIKSH/article/view/342 <p><em>Terdapat berbagai macam tradisi yang sering ditemui dimasyarakat termasuk Tradisi dalam bidang kesehatan yang berkaitan dengan kehamilan dan persiapan persalinan, tujuan penelitian untuk mengetahui faktor yang berhubungan dengan tradisi masyarakat dalam menghadapi kehamilan dan persalinan Metode Penelitian dalam penelitian ini adalah Survey Analitik dengan rancangan Cross Sectional Study. Jumlah sampel dalam penelitian ini sebanyak 30 sampel. Hasil Penelitian menunjukkan bahwa terdapat Hubungan pengetahuan ibu hamil dengan Tradisi dalam menghadapi kehamilan dengan nilai ρ = 0,008, dan terdapat hubungan pengetahuan ibu bersalin dengan Tradisi dalam menghadapi kehamilan dengan nilai ρ = 0,007. Adapun Hubungan Pendidikan dengan Tradisi dalam menghadapi kehamilan dengan nilai ρ = 0,002, Hubungan pendidikan dengan tradisi menghadapi persalinan dengan nilai ρ = 0,029. Penelitian ini dapat disimpulkan bahwa&nbsp; terdapat Hubungan antara Pengetahuan dan Pendidikan ibu hamil dan Ibu Bersalin&nbsp; dengan Tradisi dalam menghadapi kehamilan dan Persalinan</em></p> Mustar Mustar ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/342 Tue, 30 Jun 2020 00:00:00 +0000 Efek Buah Naga Merah (Hylocereus Polyrhizus) Terhadap Penurunan Kadar Glukosa Darah Pada Diabetes Tipe 2 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/350 <p><strong><em>Background:</em></strong><em> Type 2 diabetes mellitus is the most common diabetes in the community, usually occurs at the age of 30 years and over. In type 2 diabetes the pancreas is still able to produce insulin but the insulin produced is poor and cannot function properly to enter glucose into cells, so that it can cause glucose in the blood to increase. Traditional medicine is widely used with the aim of treating and preventing disease, one of which is the red dragon fruit (Hylocereus Polyrhizus). Dragon fruit is rich in antioxidants and contains many substances such as calcium, beta-carotene, vitamin B1, vitamin B2, vitamin C, phosphorus and flavonoids so that it can be used as a therapy to reduce blood glucose levels by preventing apoptosis due to oxidative reactions. <strong>Objective : </strong>find out more about the effects of red dragon fruit on reducing blood glucose levels in type 2 diabetes.</em> <strong><em>Methods : </em></strong><em>Use literature studies from both national and international journals by summarizing the topic of discussion and comparing the results presented in the article. <strong>Results :</strong> Type 2 diabetes mellitus is the most common form of diabetes in the world, about 90% of global cases. Traditional medicine that is commonly used is red dragon fruit. Red dragon fruit is believed to have the effect of reducing blood glucose levels because dragon fruit contains antioxidant compounds in the form of flavonoids which are protective against damage to Beta cells as a producer of insulin and can increase insulin sensitivity. Dragon fruit with a higher dose has a tendency to decrease blood glucose more to people with type 2 diabetes mellitus. <strong>Conclusion</strong>: dragon fruit has the effect of lowering blood glucose levels in people with type 2 diabetes mellitus because it contains fiber that is able to bind water in the intestine, and contains antioxidants and bioactive compounds and is able to inhibit free radical compounds.</em></p> Ni Made Indah Ayuni ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/350 Tue, 30 Jun 2020 00:00:00 +0000 Kompres Jahe Hangat dapat Menurunkan Intensitas Nyeri pada Pasien Gout Artritis https://akper-sandikarsa.e-journal.id/JIKSH/article/view/349 <p><em>Background: Arthritis gout is an inflammation process due to inflammation on cristal sour tendon in tissue around the joint.. Non pharmacology action for the patients of Arthritis Gout is warm ginger compress. The effects of heat from a warm ginger compress will cause vasodilation of blood vessels and increases blood flow to the body with pain resulting in a decrease in pain Objective : To know that warm ginger compress can decrease pain intensity in patients with arthritis gout Methods : Using literature studies from national and international journals by summarizing the topic of discussion and comparing the results presented in the article. Results : Warm ginger compresses can reduce pain of arthritis Gout. It is a traditional treatment or alternative therapy to reduce pain Gout Arthritis. It contains cyclo-oxygenation enzymes which can reduce inflammation in patients with Arthritis Gout, besides ginger also has a pharmacological effect of burning sensation and spicy, where this heat can relieve pain, stiffness and muscle spasm or the occurrence of vascular vasodilation, maximum benefits will be achieved within 20 minutes after heat application. Conclusion: Warm compresses of ginger can reduce arthritis gout pain. Ginger compress is a traditional treatment or alternative therapy to reduce gouty arthritis pain. Warm ginger compresses contain cyclo oxygenation enzymes which can reduce inflammation in gouty arthritis of sufferers.</em></p> Radhika Radharani ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/349 Tue, 30 Jun 2020 00:00:00 +0000 Identifikasi Mikroorganisme Penyebab Otitis Media Supuratif Kronik Dan Kepekaannya Terhadap Antibiotik https://akper-sandikarsa.e-journal.id/JIKSH/article/view/351 <p><strong><em>Background:</em></strong><em> Chronic suppurative otitis media (CSOM) is a chronic infection of the middle ear that has been in process for more than 2 months, which is characterized by perforation of the tympanic membrane and a continuous discharge or discharge arising from the ear canal. CSOM can be caused by a bacterial infection. In developing countries like Indonesia, the incidence of CSOM is quite high. Therefore, appropriate therapy is needed to overcome CSOM in Indonesia. <strong>Objective:</strong> To find out the most bacteria that cause CSOM and their sensitivity to antibiotics. <strong>Method:</strong> Using literature studies from national research journals by summarizing the topic of discussion and comparing the results presented in the article. <strong>Results:</strong> Proteus sp was found as the most common cause of CSOM in 2012, but only once was found in subsequent years. Bacteria that are commonly found as a whole are Staphylococcus sp, Pseudomonas sp, Streptococcus sp, and Klebsiella sp. Bacterial sensitivity to antibiotics from year to year there are changes. Antibiotics that have a high sensitivity to the bacteria that cause CSOM are Ciprofloxacin in almost all bacteria and meropenem for Pseudomonas sp. The sensitivity of Ciprofloxacin continues to decrease each year, by 100% in 2012 to 61.76% in 2016. Amoxicillin which was previously sensitive to several bacteria that cause CSOM in 2012, now has a high resistance especially against Pseudomonas sp which reaches 100%. <strong>Conclusion:</strong> Most bacteria that cause chronic suppurative otitis media (CSOM) are Pseudomonas sp and Staphylococcus sp. Antibiotics that have a high sensitivity to the bacteria that cause CSOM are Ciprofloxacin in almost all bacteria and meropenem for Pseudomonas sp. While Amoxicillin has a high resistance.</em></p> Maya Rizky Amelia ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/351 Tue, 30 Jun 2020 00:00:00 +0000 Efek Buah Kiwi (Actinidia Deliciosa) Sebagai Pengobatan Luka Bakar Derajat II https://akper-sandikarsa.e-journal.id/JIKSH/article/view/352 <p><em>Burns are injuries with the highest morbidity and disability in the hospital. Extensive and deep burn injuries are still the main cause of death. Children and parents are at risk for deeper burns because their dermis is thinner. Burns can be caused by touches of heat, electrical current or chemicals that affect the skin, mucosa, and tissues. Prevalence from 1997-2002 there were 17,237 children under 5 years received emergency treatment at 100 hospitals in America. The prevalence of burns in Indonesia is 2.2%. Burns can give fatal complications including shock conditions, infections, electrolyte fluid imbalances and respiratory distress. In addition to physical complications, burns can also cause severe emotional (trauma) and psychological distress due to disability and scars. Effective drugs for treating burns that have been widely known so far, such as silver sulfadiazine, bacitracin and mafenide acetate are anti-microbial agents. Kiwi (Actinidia deliciosa) is a plant that contains many phytochemical compounds such as flavonoids, triterpenoids, and quinone. In addition, kiwifruit has high levels of antioxidants and nutritional value, rich in vitamin C, fiber, calcium, iron, phosphorus and potassium and a higher phenolic content than strawberries, guava, papaya and starfruit which can treat wounds to second degree burns</em><em>.</em></p> Agung Assirri ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-nd/4.0 https://akper-sandikarsa.e-journal.id/JIKSH/article/view/352 Tue, 30 Jun 2020 00:00:00 +0000