Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Journal Title : Jurnal Praba : Jurnal Rumpun Kesehatan Umum Initials : Praba Frequency : Maret, Juni, September dan Desember Print ISSN : 3030-8828 Online ISSN : 3030-8283 Editor in Chief : Balqis Nurmauli Damanik, SKM., MKM DOI : 10.62027 Publisher : STIKES Columbia Asia Medan Jurnal Praba : Jurnal Rumpun Kesehatan Umum dengan e-ISSN : 3030-8283, p-ISSN : 3030-8828 adalah jurnal yang ditujukan untuk publikasi artikel ilmiah yang diterbitkan oleh STIKES Columbia Asia Medan. Jurnal ini adalah Jurnal Praba : Jurnal Rumpun Kesehatan Umum yang bersifat peer-review dan terbuka. Bidang kajian dalam jurnal ini termasuk riset Rumpun Kesehatan Umum. Jurnal Praba : Jurnal Rumpun Kesehatan Umum menerima artikel dalam bahasa Inggris dan bahasa Indonesia dan diterbitkan 4 kali setahun : Maret, Juni, September dan Desember. Indexed by: Journal Sponsors and Partners :
Faktor-Faktor yang Mempengaruhi Konsumsi Tablet Tambah Darah Sebagai Upaya Mengatasi Anemia pada Remaja Putri
Background: Anemia is a very serious danger because it can interfere with child development, cause decreased immunity, decline in academic ability, and reduce fitness and productivity. Anemia in pregnant women and adolescent girls is caused by various things, including less than optimal consumption of iron tablets, food intake, and the presence of comorbidities. Objective: This study aims to obtain information about the factors that cause the behavior of using iron tablets in adolescent girls at the Youth Posyandu in Semanggi Village, Surakarta City. This study aims to obtain an overview of the extent to which adolescent girls know information about consuming iron tablets, and what their attitudes are towards their use. Method: This study explores the factors that influence adolescent girls in using iron tablets at the Youth Posyandu in Semanggi Village, Surakarta City. The variables studied are the level of knowledge and attitudes. This type of study is an analytical survey with a cross-sectional approach. Data were collected through questionnaires given to adolescent girls who have experienced menstruation. The sampling technique used total sampling with a total of 25 respondents. Data analysis was carried out using the chi-square test to determine significant relationships. Research Results: There is a positive relationship between the level of knowledge (p-value = 0.028) and attitude (p-value = 0.035) with the consumption of iron tablets. Conclusion: Knowledge related to anemia and iron tablets as well as attitudes are factors that influence adolescent girls in consuming iron tablets. Implications: The results of this study indicate the need to continuously improve health education through counseling activities at the Youth Posyandu, schools, and social media. These efforts can strengthen understanding and form a positive attitude of adolescent girls towards the consumption of iron tablets.
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Efektivitas Terapi Kombinasi Metformin dan Glimepiride pada Pasien Diabetes Mellitus Tipe 2 : Tinjauan Literatur
Type 2 Diabetes Mellitus (T2DM) is a chronic metabolic disease characterized by hyperglycemia due to insulin resistance, decreased insulin secretion, or a combination of both. The burden of this disease continues to increase globally, making effective, safe, and affordable management an urgent need. One widely used therapeutic strategy is the fixed-dose combination (FDC) of metformin and glimepiride. This combination is considered beneficial because the two drugs complement each other in their mechanisms of action: metformin reduces hepatic glucose production and increases insulin sensitivity, while glimepiride stimulates insulin secretion from pancreatic β-cells. Furthermore, the use of FDC can simplify the treatment regimen, thereby improving patient adherence to long-term therapy. Article searches were conducted through Google Scholar and PubMed with the keywords "((Metformin) AND (Glimepiride)) AND (T2DM) AND (Fixed Dose Combination)", covering publications from 2020–2025 in both English and Indonesian. Of the total articles found, 15 studies met the inclusion criteria for further analysis. The review results showed that the use of metformin–glimepiride FDC was able to reduce HbA1c levels between 0.33% and 2.45%, reducing fasting plasma glucose (FPG) levels by 32–65 mg/dL, and postprandial plasma glucose (PPG) by 38–103 mg/dL. Most studies reported achieving glycemic targets as recommended by the American Diabetes Association (ADA). The most commonly reported side effects were mild hypoglycemia with an incidence of 4.8%–34.5% and gastrointestinal disturbances, but the overall safety profile of this combination was still acceptable. In terms of cost, FDC was considered more economical than the use of separate single drugs. Thus, metformin–glimepiride FDC was proven to be effective, relatively safe, and affordable in glycemic control in T2DM patients, especially in countries with limited resources. These findings support its use as a primary choice in clinical practice.
Dampak Resistensi Antibiotik terhadap Kesehatan Masyarakat di Negara Berkembang dan Upaya Pencegahannya untuk Meningkatkan Kualitas Kesehatan Global
Antimicrobial resistance (AMR) poses a major global health threat, with severe impacts in developing countries due to weak health systems, poor regulation, and low sanitation standards. This review summarizes 12 studies from Asia and Africa on AMR’s clinical, social, economic, and environmental effects. AMR leads to first-line treatment failure, prolonged hospital stays, increased morbidity and mortality, and necessitates costly, toxic last-line antibiotics. Economic consequences include higher treatment costs, productivity loss, and poverty risk from high medical expenses. Environmental contributors such as contamination from medical waste, livestock, and the food industry accelerate resistant bacteria spread. Effective control requires integrated strategies, including Antimicrobial Stewardship Programs (ASP) based on AWaRe classification, laboratory strengthening, One Health approaches, public education, strict antibiotic distribution regulations, and cross-sector monitoring. These measures aim to curb AMR progression and reduce health burdens in developing nations. The rise of AMR further complicates healthcare delivery in countries already struggling with limited resources and underfunded healthcare systems. The growing prevalence of multidrug-resistant (MDR) and extensively drug-resistant (XDR) organisms threatens the effectiveness of current medical treatments, including those for common infections such as tuberculosis and pneumonia. Infections that were once easily treatable with antibiotics are now leading to longer and more complicated hospitalizations, greater healthcare costs, and higher death rates. Additionally, the lack of access to newer, more effective antibiotics and diagnostic tools makes managing resistant infections in these regions even more challenging. Environmental factors, particularly contamination from healthcare facilities and agricultural practices, play a key role in the proliferation of resistant pathogens.
Pengaruh Pendidikan Kesehatan dengan Media Booklet terhadap Pengetahuan Ibu tentang Deteksi Dini Penyakit Pneumonia pada Balita di Kelurahan Bandungrejosari Wilayah Puskesmas Janti Kota Malang
The incidence of pneumonia has a significant impact on the health of toddlers because the disease can cause death. One of the factors influencing the incidence is the lack of maternal knowledge about early detection of pneumonia. The purpose of this study was to determine the effect of health education with booklet media on mothers' knowledge about early detection of pneumonia toddlers in Bandungrejosari Village, Janti Health Center area, Malang City. This study used preexperimental design with one group pretest-posttest design approach with population of 111 people. The sampling technique used was proportional random sampling, the sample size was 42 respondents. The research instrument used a questionnaire. Data analysis using the Wilcoxon signed rank test. The statistical test results obtained p-value of 0.000 <0,05, which means that there is an effect of health education with booklet media on mothers' knowledge about early detection of pneumonia toddlers in Bandungrejosari Village, Janti Health Center area, Malang City. Based on the results of this study, the provision of health education with booklet media needs to be done so that it can improve mothers' knowledge about early detection of pneumonia toddlers. Future researchers can also use control group as a comparison in this study.
Larutan Sabun Sebagai Alternatif Pengganti Sulfolyser Pada Pemeriksaan Hemoglobin Metode SLS-Hemoglobin
Hemoglobin examination constitutes an essential procedure in clinical diagnosis, with the SLS-hemoglobin method serving as a non-toxic alternative to cyanmethemoglobin. However, the limited availability of sulfolyser has prompted investigations into the use of soap solutions, which also contain sodium lauryl sulfate (SLS), as a potential substitute. This study employed a quasi-experimental design with a posttest-only control group on 24 blood samples, comparing the standard sulfolyser reagent with three types of commercial soaps. The analysis revealed significant differences in hemoglobin levels across groups (p < 0.001), with dishwashing soap yielding values most comparable to the control, albeit still statistically lower. These findings confirm that soap solutions are capable of lysing erythrocytes and forming hemoglobin complexes, though variations in product composition constrain the consistency of results. Practically, soap demonstrates potential as a more accessible and cost-effective alternative reagent; however, its application requires concentration standardization to ensure diagnostic validity.
Implementasi Stretching Exercise Untuk Mengurangi Nyeri Sendi Extremitas Bawah Pada Lansia Dengan Gout Arthritis (GA) Di UPTD Lanjut Usia Binjai
Gout arthritis is a metabolic disease characterized by elevated uric acid levels in the blood. This condition causes joint pain, especially in the lower extremities. Elderly people with gout arthritis often experience decreased mobility and quality of life due to chronic joint pain. Stretching exercises are an effective non-pharmacological intervention to reduce pain and increase joint flexibility. The purpose of this study was to examine the implementation of stretching exercises in reducing lower extremity joint pain in elderly people with gout arthritis. This study used a descriptive case study approach that applied the medical-surgical nursing care process, including assessment, diagnosis, intervention, implementation, and evaluation. This study used two elderly subjects with gout arthritis and moderate pain scales. Stretching exercises were implemented twice daily for 25-30 minutes for six days, based on the development of nursing interventions according to SIKI (2018). The results showed a decrease in moderate pain scale to mild pain scale after the implementation of stretching exercises in both subjects for six days. The results of this study are expected to be implemented independently and provide motivation to improve the quality of life of gout arthritis sufferers.
Perbandingan Gaya Mengajar Komando Dan Gaya Mengajar Resiprokal Terhadap Hasil Belajar Gerak Dasar Pada Passing Bawah Dalam Permainan Bola Voli Pada Siswa Smp Negeri 3 Tondano
The research question in this study is: Is there a difference in the impact of implementing the command teaching method and the reciprocal teaching method on the development of basic underhand passing techniques in volleyball? This study aims to compare the effectiveness of the command teaching method and the reciprocal teaching method on the learning achievement of basic underhand passing techniques in volleyball among students at SMP Negeri 3 Tondano. The research approach applied was an experiment with a ‘Randomized Two Group Pre-test and Post-test Design’. The research sample included 20 students, divided into two groups: 10 students were taught using the command method and 10 students using the reciprocal method. The instrument used was an evaluation of basic underhand passing techniques in volleyball. Data analysis used normality, homogeneity, and t-tests with a significance level of α = 0.05. The results of the study show that tcount = 2.69 > ttable = 2.101, which means there is a significant difference. This analysis shows that there is a difference in the impact of the command teaching method and the reciprocal teaching method on the development of basic underhand passing skills in volleyball among students at SMP Negeri 3 Tondano. The conclusion of this research is that the command teaching method is more effective than the reciprocal teaching method in improving basic underhand passing skills in volleyball.
Hubungan Pengetahuan dengan Sikap Remaja Putri tentang Perubahan Fisik pada Masa Pubertas di MAN 1 Kabupaten Malang
The importance of knowledge about physical changes during puberty because during this period there are many changes such as physical, psychological and social changes. Lack of knowledge about the changes that occur to them and why they occur can lead to embarrassment, anxiety or distrust. Can cause embarrassment, anxiety or distrust. Objective of this study was to determine the relationship between knowledge and attitudes of adolescent girls about physical changes at puberty. This study uses a correlation correlation analytic design with a cross sectional approach, population as many as 165 people, sampling using proportional random sampling technique, the number of samples was 50 respondents who met the inclusion criteria. sample of 50 respondents who met the inclusion criteria. Instrument the research instrument used a knowledge and attitude questionnaire. Data analysis using the spearman rank test. The results obtained p value 0.001 < α 0.05, it can be concluded that there is a relationship between knowledge and attitude of adolescent girls about physical changes during puberty at MAN 1 Malang Regency. Therefore, it is expected that adolescents can take the time to participate in youth health organization activities such as PMR or PIK-R in the school environment and seek information from various sources such as books, journals or magazines in order to increase their knowledge about physical changes during puberty. As for the research site, it is hoped that it can provide counseling evenly to students of MAN 1 Malang Regency.
Pengaruh Self Terapi Akupresur Pericardium 6 (PC 6) Oleh Ibu Hamil terhadap Nausea and Vomiting of Pregnancy (NVP) di TPMB Yulis Indriana Kota Malang
Symptoms of nausea and vomiting (emesis gravidarum) are common complaints in the early trimester. However, if it continues without treatment, this condition can develop into hyperemesis gravidarum which risks causing nutritional deficiencies in the mother and inhibiting fetal growth. (Intraupterine Growth Retardation /IUGR). Treatment can be done non-pharmacologically with acupressure. Neiguan point (pericardium 6) is considered useful to reduce nausea and vomiting. This study aims to determine the effect of self-acupressure therapy pericardium 6 by pregnant women on Nausea and Vomiting of Pregnancy (NVP). The research design used a pre-experiment with a one group pretest-posttest design without control group. The sampling technique used simple random sampling with a sample of 38 pregnant women Trimester I K1 who experienced nausea and vomiting, no history of gastritis. Data collection using the Pregnancy-Unique Quantification of Emesis and Nausea (PUQE-24) observation sheet The results of statistical tests using the Wilcoxon Signed Rank Test showed the p value was (0.000). The research hypothesis proposed is an alternative hypothesis, where Ha = p < 0.05, meaning that there is an effect of self-acupressure therapy pericardium 6 (PC 6) by pregnant women on Nausea and Vomiting of Preganancy (NVP) at TPMB Yulis Indriana Malang City. Pericardium 6 acupressure is considered effective and safe for pregnant women.
Analisis Pemberdayaan Ibu dalam Melakukan Skrining Perkembangan Anak Mengggunakan Buku KIA (Kesehatan Ibu dan Anak)
In toddlerhood, child development is an important period (golden age), because at that time there is a basic development that runs rapidly so that it can influence and determine the child's future development. The use of the KIA (Maternal and Child Health) book by parents of toddlers in stimulating child development has not been implemented optimally. The purpose of this study was to analyze the empowerment and skills of mothers in conducting child development screening using the KIA (Maternal and Child Health) book at Kartika IV - 41 Kindergarten and Melati 1 PAUD Post, Kesatrian Village, Malang City. The research design used descriptive analytic with a cross-sectional approach, sampling technique using purposive sampling with a total of 77 respondents who had children attending Kartika IV - 41 Kindergarten and Melati PAUD Post. Data collection using a maternal empowerment questionnaire and a skills observation sheet. The results of the statistical test using the Spearman Rank test showed that the ρ value was (0.000). The proposed research hypothesis is an alternative hypothesis, where, Ha: ρ ≠ 0. Which shows that maternal empowerment contributes to maternal skills in conducting independent child development screening using the KIA book for children attending PAUD Melati 1 Post and Kartika IV – 41 Kindergarten, Kesatrian Village, Malang City.
Hubungan Pengetahuan Ibu dan Dukungan Suami dengan Pemberian Imunisasi Rotavirus pada Bayi di Kelurahan Merjosari Kota Malang
Indonesian people's understanding of immunization and early detection is still different, so babies and toddlers have not received immunizations in health services. Husband's support has an important role in providing support and motivation so that mothers come to every posyandu activity. Data from the 2020 Indonesian Health Profile shows that diarrhea is the second largest contributor to death after pneumonia (lung infection) in babies aged 29 days - 11 months, namely 9.8% and in the group of toddlers aged 12-59 months, 4.5% of total deaths. . The aim of the research is to determine the relationship between maternal knowledge and husband's support with the provision of Rotavirus immunization in Merjosari Village, Malang City. The research design is an analytical method with a cross sectional approach which was carried out on a sample of 80 respondents in Merjosari Village, Malang City. The data collection tools used were a mother's knowledge questionnaire with 17 question items, a husband's support questionnaire with 12 statement items. The results of research on maternal knowledge showed that of the 80 respondents, the majority of mothers' knowledge was good with 52 respondents (65%) being given rotavirus immunization. The results of the Chi-Square test in this study show that there is a relationship between maternal knowledge and immunization for babies in Merjosaroi Village, Malang City with a value of p=0.000; 0.05. The results of research on husband's support showed that of the 80 respondents, the majority supported rotavirus immunization, 61 respondents (76.3%). The results of the Chi-Square test in this study show that there is a relationship between saumi support and immunization for babies in Merjosaroi Village, Malang City with a value of p=0.001; 0.05. Based on the results of this research, community health centers and cadres can carry out the activities needed to increase mothers' knowledge about rotavirus immunization and husband support, such as providing counseling to mothers, holding programs that demonstrate immunization activities and encouraging mothers to come to the posyandu for immunization.
Implementasi Teknik Pernafasan Pursed Lips Breathing Dengan Teknik Tripoid Position Untuk Meningkatkan Saturasi Oksigen Pada Pasien Ppok Di Rumah Sakit TK II Putri Hijau Medan
Chronic Obstructive Pulmonary Disease (COPD) is one of the leading causes of morbidity and mortality worldwide. One of the most common symptoms in COPD patients is shortness of breath. If this symptom persists, it can worsen the patient's condition, starting with decreased oxygen saturation (SpO2) and increased respiratory rate (RR), potentially leading to death depending on its severity. Therefore, management is required both pharmacologically and non-pharmacologically. Techniques such as pursed-lips breathing (PLB) and the tripod position have been proven to help improve breathing in COPD patients. This study aimed to implement PLB combined with the tripod position to improve oxygen saturation in COPD patients. The research employed a descriptive design using a case study approach on two patients hospitalized at TK II Putri Hijau Hospital Medan. The intervention was carried out over three days, three times per day, for 15-30 minutes each session. The results showed that on the first day, both cases had an oxygen saturation of 95%; on the second day, it increased to 97%; and on the third day, it further increased to 99%. Both patients demonstrated reduced use of accessory respiratory muscles, more effective respiratory rates, and improved oxygen saturation. These findings indicate that the combination of pursed-lips breathing and the tripod position effectively improves oxygen saturation in COPD patients. This study also suggests that these techniques can serve as recommended non-invasive nursing interventions in healthcare settings.
Pengaruh Penerapan Gaya Mengajar Komando Terhadap Kemampuan Gerak Dasar Menendang Bola Menggunakan Kaki Bagian Dalam Pada Permainan Sepak Bola Siswa SMP Negeri 5 Tondano
This study aims to investigate the effect of command teaching style on the ability to kick a ball using the inside of the foot in junior high school students. The research method used is a quasi-experimental design with one group pretest-posttest. The sample consisted of 30 eighth-grade students from SMP Negeri 5 Tondano selected through purposive sampling. Data were collected using pretest and posttest instruments and analyzed using descriptive statistics and paired sample t-test. The results showed a significant increase in posttest scores compared to pretest scores, indicating the effectiveness of the command teaching style in improving the technical ability of kicking a ball with the inside foot. The findings support the application of structured and directive teaching approaches in physical education, particularly in learning fundamental motor skills. This study highlights the relevance of teacher-centered methods for skill acquisition and offers practical implications for physical education practitioners.
Penyuluhan Kesehatan Tentang “Waspada! Penyakit Kulit Menular: Sehat Bersama, Hidup Nyaman” Di SMK IT Subulussalam Samarinda
Infectious skin diseases are conditions where the skin is infected by bacteria, viruses, fungi, or parasites that can be transmitted from one individual to another. These infections not only cause physical discomfort but can also lead to serious complications if left untreated. The aim of this health promotion is to increase public understanding of the causes, symptoms, transmission, prevention, and treatment of infectious skin diseases. The activity methodology is a one-group pre-post design by measuring knowledge before and after the counseling. The instrument used is a knowledge questionnaire related to the causes, symptoms, transmission, prevention, and treatment of infectious skin diseases. The results achieved after conducting counseling on "Beware! Infectious Skin Diseases: Healthy Together, Live Comfortably" at SMK IT Subulussalam experienced an increase from 58% to 74%.
Penerapan Relaksasi Otot Progresif Pada Pasien Hipertensi Dengan Masalah Keperawatan Nyeri Akut Pada Ny. N Di Wilayah Kerja UPT Puskesmas Medan Sunggal
Hypertension is an increase in systolic blood pressure of more than 140 mmHg or diastolic blood pressure of more than 90 mmHg. Hypertension is not only at high risk of suffering from heart disease, but also suffering from other diseases such as nerve, kidney, and blood vessel diseases and the higher the blood pressure the greater the risk, Signs and symptoms of hypertension that are often felt are dizziness, sleep disturbances, blurred vision, and headaches. One of the non-pharmacological treatments that can be done for hypertension sufferers is progressive muscle relaxation. The purpose of this paper is to discuss progressive muscle relaxation therapy for lowering blood pressure in hypertensive patients. The writing method uses a descriptive design with a nursing process approach. The results of the writing show that there is a decrease in blood pressure after progressive muscle relaxation therapy is carried out for 5 days, the results obtained before 150/80 mmHg and after 120/80 mmHg.
Implementasi Relaksasi Nafas Dalam Pada Asuhan Keperawatan Pasien Gastritis Dengan Gangguan Nyeri Akut Untuk Mengurangi Skala Nyeri
Background : Gastritis, an inflammation of the gastric mucosa, is a common health problem that often causes acute pain. This study aims to determine the effectiveness of deep breathing relaxation techniques as a non-pharmacological treatment intervention in reducing pain levels in ulcer patients. Using a case study method, deep breathing relaxation therapy was administered for 5-10 minutes using the technique of inhaling through the nose, holding for 3 seconds, and slowly exhaling through the mouth. Results of observations over 5 days showed a decrease in pain levels in patients. This study concluded that deep breathing relaxation therapy is effective in reducing pain in ulcer patients and recommended its implementation to improve patient knowledge and experience in pain management.
Implementasi Terapi Relaksasi Murottal Al-Qur'an Untuk Meningkatkan Kualitas Tidur Pada Pasien Lansia Dengan Insomnia
Background: Insomnia is a common sleep disorder in the elderly, characterized by difficulty initiating or maintaining sleep, which negatively impacts quality of life. Data show a significant prevalence of insomnia in the elderly, including at the Malahayati Islamic Hospital in Medan. Non-pharmacological therapies, such as Quran recitation relaxation therapy, offer a promising alternative approach to addressing this problem.
Implementasi Penggunaan Zinc Cream Pada Asuhan Keperawatan Tn. M Untuk Mencegah Infeksi Dan Mempercepat Pertumbuhan Granulasi Pada Luka Kaki Diabetic Di Asri Wound Care Center Medan
Diabetes mellitus is a chronic disorder that arises when the pancreas does not produce enough insulin or when the body cannot use the insulin it produces properly, diabetic ulcers also referred to as diabetic foot ulcers, are medical conditions characterized by chronic, non-healing, sunken ulcers with edema with clear boundaries. Wounds in diabetic patients occur due to partial or complete damage to the skin that extends to the tissue under the skin, tendons, muscles, bones, or joints that occur in a person suffering from diabetes mellitus. Wound care that is currently developing is modern wound care which has a better rate of development of diabetic wound repair compared to using conventional wound care. The use of dressings must be considered to maintain wound moisture balance, one of the dressings that can be used is zinc cream as a primary dressing. Purpose: To prevent infection and help accelerate granulation growth in diabetic foot wound patients using zinc cream. Methods: By means of data collection and observation using case studies and subjects in diabetic foot wound patients with nursing problems of skin / tissue integrity disorders. Results: After taking wound care measures using zinc cream primary dressing for 12 times in 6 weeks there is a BWAT value in the dorsum pedis area from 37 to 22 and in the planta pedis area from 39 to 24. Conclusion: Treatment using zinc cream as a primary dressing proved effective in accelerating the healing process of diabetic foot wounds.
Penurunan Kadar Gula Darah Pada Pasien Dm Tipe II Dengan Masalah Keperawatan Ketidak Stabilan Kadar Gula Darah Dipuskesmas Helvetia
Type II diabetes mellitus is a group of metabolic diseases characterized by hyperglycemia, occurring due to abnormalities in insulin secretion, insulin action or both. One of the recommended sports exercises is leg exercises. Diabetic foot exercises are a form of physical exercise for Diabetes Mellitus sufferers of all ages to avoid injuries so that blood circulation in the feet can be facilitated. Foot exercises are movements that train the small muscles of the feet and improve blood circulation in various positions such as sitting, standing or lying down. The purpose of this writing is to discuss diabetes foot exercises which can reduce blood sugar levels in people with Type II Diabetes Mellitus. The writing method uses a descriptive design with a killing process approach. The written results show a decrease in blood sugar levels after carrying out diabetic foot exercises with results before doing 310 mg/dl and after doing 230 mg/dl.
Asuhan Keperawatan Pada Ny. N Dengan Masalah Utama Gangguan Sensori Persepsi :Halusinasi Pendengaran Akibat Skizofrenia Paranoid Di Ruang Dewaruci RSJD Dr. Amino Gondohutomo Provinsi Jawa Tengah
Schizophrenia is a severe mental disorder characterized by disturbances in thought, perception, emotions, and behavior, with auditory hallucinations being the most common symptom. This study aims to describe the nursing care process for patients with paranoid schizophrenia experiencing sensory perception disturbances, specifically auditory hallucinations. The research applied a descriptive case study design conducted in Dewaruci Ward, RSJD dr. Amino Gondohutomo, Central Java Province, from October to December 2024. Data were collected through interviews, direct observation, and medical record review, then analyzed using thematic analysis based on Miles and Huberman’s framework. The findings revealed that the patient was able to gradually reduce the intensity of auditory hallucinations and showed improvement in social interactions after nursing interventions, including identification of hallucinations, distraction techniques, therapeutic communication, and collaboration in pharmacological treatment. Family involvement also played an essential role in supporting the patient’s recovery process. This study implies that comprehensive nursing care based on bio-psycho-socio-spiritual approaches and family participation is effective in managing hallucinations and enhancing patient outcomes.
Penyuluhan Kesehatan Tentang “Mata Sehat, Belajar Semangat: Kenali Dan Atasi Sakit Mata” Di SMK IT Subulussalam Samarinda
Indonesia, as a tropical country, has a high potential for the spread of infectious diseases, including conjunctivitis, or inflammation of the eye membranes. Densely populated residential environments such as Islamic boarding schools and boarding schools are vulnerable to the transmission of this disease due to intense interaction and suboptimal hygiene. Based on various studies, the prevalence of conjunctivitis is quite high among adolescents, especially in boarding-based educational environments. This condition not only disrupts comfort but also impacts the learning and worship processes of students. As a form of promotive and preventive efforts, a health education program themed "Healthy Eyes, Enthusiastic Learning: Recognize and Treat Eye Pain" was conducted at SMK IT Subulussalam Samarinda. This activity aimed to increase students' knowledge about the causes, transmission, and prevention of conjunctivitis, with the hope of encouraging behavioral changes towards a clean and healthy lifestyle. The education was conducted through interactive lectures, discussions, and question-and-answer methods. The results of the activity showed an increase in students' understanding of the importance of maintaining eye and environmental health. It is hoped that this activity can be a real contribution to the pharmacist profession in supporting the creation of a healthy and productive learning environment among adolescents.
Spasial TB. Paru BTA (+) Pada Puskesmas Hc. Kedaton Kecamatan Kedaton Bandar Lampung
Mycobacterium tuberculosis is characterized by a thick, mycolic acid–rich cell wall that confers hydrophobicity, chemical resistance, and environmental stability, making cell wall biosynthesis inhibitors a major therapeutic target. Tuberculosis is not only a medical condition but also a social disease linked to high population density, malnutrition, and limited healthcare access. In 2023, Kedaton District was identified as the most densely populated area in Bandar Lampung, increasing the likelihood of pulmonary TB smear-positive (TB.Paru BTA+) transmission. Aerosol spread is highly distance-dependent: direct exposure within 0–1 meter poses very high risk, and WHO reports indicate that exposure <1 meter for ≥15 minutes in enclosed spaces significantly elevates infection risk, extending up to 5–10 meters without ventilation. This study employed spatial analysis to measure inter-household distances among 75 TB.Paru BTA(+) patients using Euclidean distance and smartphone-based field surveys. The method proved suitable for small-scale studies with high data accuracy, though resource-intensive for larger populations. Findings revealed some households only 3 meters apart, but this observation was not yet statistically significant to confirm transmission dynamics.
Penerapan Terapi Range Of Motion (ROM) Pada Pasien Stroke Iskemik Di Wilayah Kerja UPT Puskesmas Medan Sunggal
Background: Ischemic stroke is an acquired brain injury caused by blockage of blood vessels or inadequate blood supply resulting in infarction or hemorrhage in the brain parenchyma. Stroke is ranked as the second leading cause of death in the world and is the largest contributor to disability, resulting in a significant economic burden. The problem that often arises in ischemic stroke patients is the presence of a problem in the limbs so that the individual's ability to move cannot be free and limited which is commonly referred to as the problem of physical mobility disorders. Ischemic stroke is part of cardiovascular disease which is classified as a catastrophic disease because it has a wide economic and social impact. Ischemic stroke can cause permanent disability which can certainly affect the productivity of the sufferer. Purpose: Knowing the results of the application of Range Of Motion (ROM) exercises on the patient's muscle strength. Methods: Using case studies and subjects by collecting data from interviews and observations on Ischemic Stroke patients with nursing problems of Physical Mobility Disorders. Results: after carrying out Range Of Motion (ROM) therapy nursing actions on a routine schedule twice a day morning and evening for 6 days with 15-20 minutes, it was found that there was an increase in muscle to 4 5 4 5. Conclusion: there is an increase in muscle strength in Ischemic Stroke patients after Range Of Motion (ROM) therapy.
Implementasi Latihan Genggam Bola Karet Pada Asuhan Keperawatan Pasien Stroke Dengan Gangguan Mobilitas Fisik Pada Ny. R Untuk Meningkatkan Kekuatan Massa Otot Di Wilayah Kerja Puskesmas Medan Sunggal
Stroke is a major neurological disease that occurs in adults and the elderly, based on the high number of emergencies and the main cause of disability and death. The most common disorder in stroke is weakness or deficits in the musculoskeletal system such as parese or plegia. These conditions will cause various disorders in patients such as decreased muscle tone and strength, muscle weakness which if not treated immediately will lead to contractures, which ultimately cause impaired mobilization. Impaired fulfillment of daily activities and disability. Nursing actions to overcome physical mobility disorders are muscle strengthening exercises, especially in the upper extremities by holding a rubber ball. Purpose: Help solve the problem of physical mobility disorders to increase muscle strength in stroke patients with rubber ball grasping exercises. Methods: By collecting data from interviews and observations using case studies and subjects in stroke patients with nursing problems. Results: After performing the exercise of grasping a rubber ball for 2 times in 7 days there is an increase in muscle strength with a muscle strength value of 1/5 to 3/5. Conclusion: The action of grasping rubber ball exercises can increase muscle strength to overcome physical mobility disorders in stroke patients
Penerapan Pemberian Aromaterapi Lavender Terhadap Intensitas Nyeri Post Sectio Caesarea Pada Ny. R Di Rumah Sakit Islam Malahayati Medan
cesarean section is a delivery technique that involves making an incision in the uterine wall (hysterotomy) through the front abdominal wall (laparotomy). The action of a cesarean section causes a change in the continuity of body tissues that results in pain. This writing aims to apply the provision of lavender aromatherapy as a non-pharmacological nursing intervention at the Islamic Hospital Malahayati Medan, 2nd Floor New Room. This type of writing is a case study using a nursing care approach for a 35-year-old mother diagnosed with post-cesarean section. The intervention provided was the administration of lavender aromatherapy using inhalation methods with a diffuser, by adding 1 cc of lavender essential oil and 10 cc of clean water into the humidifier for 10 – 15 minutes over 3 consecutive days. This was indicated by the patient reporting that pain decreased to a pain scale of 3 from a pain scale of 6. Lavender aromatherapy therapy has proven to be effective as a non-pharmacological therapy in reducing pain intensity after Caesarean section
Implementasi Terapi Dzikir Dalam Asuhan Keperawatan Pada Pasien Dengan Halusinasi Pendengaran Di Rumah Sakit Jiwa Prof. Dr. M. Ildrem Sumatera Utara
Auditory hallucinations are a common sensory perception disorder in patients with mental disorders. Dhikr therapy as a non-pharmacological intervention is proven to have a calming effect and help patients focus more on reality. A case study was conducted on one patient at Prof. Dr. M. Ildrem Mental Hospital in North Sumatra for seven days using the nursing process approach. Evaluation results with the AHRS scale showed a decrease in scores from 25 to 13. Patients experienced a decrease in the intensity of hallucinations and increased self-control. The conclusion of this case study is that dhikr therapy is effectively applied in mental nursing care as a nonpharmacological intervention to help patients control auditory hallucinations.
Implementasi Senam Hipertensi Untuk Meningkatkan Kualitas Hidup Lansia Di Wilayah Kerja UPT. Puskesmas Kampung Baru
Hypertension is one of the main health problems in the elderly that can reduce the quality of life and increase the risk of complications such as stroke and kidney failure. Hypertension treatment is not only through pharmacological therapy, but also non-pharmacological interventions such as hypertension exercise which has been proven effective in lowering blood pressure. This study aims to implement and evaluate the effect of hypertension exercise on reducing blood pressure in the elderly in the work area of ​​the Kampung Baru Health Center UPT. The method used is a case study of a 71-year-old elderly with blood pressure of 160/100 mmHg. The exercise intervention was carried out for seven consecutive days with blood pressure measurements taken before and after the intervention. The results showed a decrease in blood pressure and complaints of headaches, as well as an increase in patient knowledge about hypertension. Hypertension exercise has been proven to be an effective independent nursing intervention to lower blood pressure and improve the quality of life of the elderly.
Penerapan Massage Effleurage Menggunakan Virgin Coconut Oil Menurunkan Risiko Gangguan Integritas Kulit Pada Pasien Stroke Non Hemoragik
Background: Stroke is a medical condition characterized by a disruption in blood flow to the brain, most commonly resulting in ischemic stroke, which accounts for 70%–85% of all stroke cases. Prolonged immobility in stroke patients increases the risk of pressure ulcers. Effective prevention strategies Include regular repositioning and meticulous skin care. Effleurage massage, when combined with Virgin Coconut Oil (VCO), enhances blood circulation and skin hydration, thereby potentially reducing the risk of impaired skin integrity. Objective: To analyze the management of a non-hemorrhagic stroke patient Through the application of Effleurage Massage therapy using Virgin Coconut Oil (VCO) to reduce the risk of skin integrity impairment. Methods: This case study involved a non-hemorrhagic stroke patient who was observed during hospital visits over a three-day period. Effleurage massage using VCO was applied twice daily—once in the morning and once at night. Skin integrity was assessed before and after the intervention using the Braden Scale Results: A decrease in the risk of skin integrity impairment was observed following the intervention, as evidenced by improved Braden Scale scores. Conclusion: Effleurage Massage using Virgin Coconut Oil may serve as an effective complementary therapy to reduce the risk of skin integrity Impairment in non-hemorrhagic stroke patients.
Implementasi Terapi Guided Imagery Untuk Penurunan Skala Nyeri Post Sectio Caesarea Di Rumah Sakit TK.II Putri Hijau Medan
Labor is the process of expelling the products of conception, namely the fetus and placenta, after reaching full term and being viable in the womb. There are two types of delivery: normal delivery and caesarean section (SC). Caesarean section (SC) is a surgical procedure performed through an incision in the uterine wall to deliver the fetus. Caesarean delivery is indicate in cases of cephalopelvic disproportion, breech or transverse fetal position, fetal weight exceeding 4,000 grams, or maternal health conditions that may endanger the mother and fetus. One of the common complications following caesarean delivery is pain. Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage. An intervention that can be applied to reduce post SC pain is Guided Imagery Therapy. Guided imagery therapy is a non-pharmacological intervention aimed at reducing and controlling pain by creating pleasant and relacing thoughts, focusing on breathing, and visualizing positive scenarios. This study employed a descriptive case study design using the nursing process from assessment to evaluation. The study was conducted on two patients with moderate pain (pain scale 4-6) after SC at TK II Putri Hijau Hosiptal Medan. The results showed that after the application of guided imagery therapy for three days with a duration of 40 minutes per session, pain levels decreased to mild (pain scale 1-3). In ptient I, pain decreased from a score of 5 to 3, an in patient 2, from a score of 6 to 3. In conclusion, guided imagery therapy was successfully applied in reducing post -SC pain levels and can serve as a reference for further research on pain reduction following caesarean section.
Gambaran Tingkat Kebisingan dan Pengendaliannya pada Pekerja di Area Produksi PT. Karet XYZ Kota Palembang Tahun 2025
Noise is a physical hazard in the work environment that caan reduce hearing loss, especially in the rubber processing industry. The research aims to describe the noise level and control efforts in the production area of PT. Karet XYZ Palembang City in 2025. This study uses a descriptive design with a cross-sectional approach. Data were collected through direct noise level measurements using sound level meters at wet and dry production areas by taking 8 measurements and questionnaires on 75 selected purposive sampling workers. Data analysis was carried out univariately. It shows that most of the measurement points have a noise level above the threshold value of 85 dBA in accordance with the Regulation of the Minister of Health of the Republic of Indonesia Number 70 of 2016. The highest values were recorded in the Hummer Mill engine (89,76 dBA) and the Cooling Tunnel (89,70 dBA). All respondents were exposed to noise for ≥8 hours/day. Noise control has been carried out with administrative techniques and the use of personal protective equipment (PPE) but has not been fully effective from the complaints of 7 workers regarding suboptimal protection. The noise level at PT. Karet XYZ and duration of exposure exceeding threshold values that increase the risk to workers health. It is necessary to increase the effectiveness of noise control with a technical, administrative approach and monitoring the optimal use of personal protective equipment (PPE).
Gambaran Kondisi Sanitasi Terminal Kota Palembang Tahun 2025 : Tantangan, Solusi, dan Rekomendasi untuk Peningkatan Kualitas Layanan Publik
Terminal sanitation plays a crucial role in creating a clean, safe, and comfortable environment for public transportation users. This study aims to describe the sanitation conditions at Jakabaring Terminal, Palembang city, in the year 2025. The research employed a descriptive method with an observational approach. Data were collected through direct observation using a checklist that assessed four aspects of sanitation: environmental hygiene outside the building, hygiene of rooms and structures, sanitation facilities, as well as comfort and safety. The findings show that all four assessed aspects were below the required sanitation standards, with the following percentages: environmental hygiene outside (52%), hygiene of rooms and buildings (66%), anitation facilities (60%), and comfort and safety (57%). The low scores were caused by several factors, including substandard toilet conditions, lack of separated trash bins, inadequate ventilation and lighting, and the absence of first aid kits and fire extinguishers. The study concludes that the sanitation conditions at Jakabaring Terminal do not meet the standards of a healthy terminal. Greater attention and action are required from the terminal management and relevant authorities to improve sanitation quality and ensure user comfort.
Implementasi Pijat Refleksi Kaki Untuk Menurunkan Tekanan Darah Pada Pasien Hipertensi Di Rumah Sakit Tk II Putri Hijau Medan
Hypertension is one of the most common diseases experienced by the community and poses a high risk of causing serious complications. Persistently elevated blood pressure can damage vital organs and increase the risk of cardiovascular diseases such as heart attacks, strokes and kidney failure. The purpose of this study is to determine the implementation of foot reflexology massage to reduce blood pressure in patients with hypertension. This research employed a case study approach involving two hypertensive patients at TK II Putri Hijau Hospital Medan. The Nursing care process included assessment, nursing diagnosis, planning, implementation, and evaluation. The results showed a decrease in both systolic and diatolic blod pressure after the foot reflexology intervention. The first patient experienced a reduction in blood pressure from 145/90 mmHg to 130/82 mmHg, while the second patient’s blood pressure from 144/89 mmHg to 128/82 mmHg. The study cocludes that the implementation of foot reflexology massage is proven to be efeective in lowering blood pressure in hypertensive patients. This therapy is recommended as a complementary intervention in nursing practice to assist in controlling hypertension.
Media Lokal Ekonomis Untuk Kultivasi Trichophyton Rubrum: Inovasi Kacang Hijau, Glukosa Dan Kitin
This study examined the effect of modified mung bean powder (Vigna radiata) media with the addition of glucose and chitin on the growth of Trichophyton rubrum. The results of the One Way ANOVA test showed a p value = 0.931 (p>0.05), indicating no significant difference between the modified media and Sabouraud Dextrose Agar (SDA). Media with a concentration of 2% showed a colony diameter of 97.8% of the control, proving the ability of mung bean nutrition, glucose, and chitin to support fungal growth. The color of the media varied from light to dark yellow without affecting the morphology of the colony. The best growth occurred on the 4th to 14th day with a cotton-like colony texture. These results confirm the potential of modified mung bean media as an economical, environmentally friendly, and effective alternative to SDA, especially for laboratories with limited resources, as well as opening opportunities for the development of local media based on other natural materials.
Pengembangan Ubi Jalar (Ipomoea Batatas) Sebagai Bahan Baku Olahan Pasta Gnocchi
This study aims to develop sweet potatoes (Ipomoea batatas) as an alternative raw material for producing Gnocchi pasta by processing them into flour and formulating pasta based on local food ingredients. This innovation is intended to increase the added value of sweet potatoes and support food diversification in the community. The research employed a Research and Development (R&D) approach through stages of identifying potentials, collecting data, designing products, validating designs, revising designs, testing products, developing the final product, and conducting limited production. The study was carried out over three months at the Culinary Arts Laboratory of Universitas Negeri Manado. The results show that the sweet potato flour produced through peeling, slicing, heat processing, drying, milling, and sieving generated high-quality flour with a natural purple color and fine texture suitable for Gnocchi production. The formulated Gnocchi made from sweet potato flour exhibited color, aroma, taste, and texture characteristics that were well-received by panelists. Nutritional analysis conducted by the Industrial Research and Standardization Center of Manado revealed that sweet potato Gnocchi contains 55 g of moisture, 28 g of carbohydrates, 6 g of sugar, 3 g of dietary fiber, 2.5 g of protein, 1.2 g of total fat, and 200–300 mg of natural anthocyanins per 100 g. These components indicate that the product has the potential to be developed as a functional food. This study concludes that sweet potatoes have great potential to be developed as raw material for modern pasta products such as Gnocchi due to their favorable physical and chemical properties. In addition, the utilization of local ingredients supports national food diversification efforts, the development of creative culinary industries, and business opportunities for ready-to-cook and ready-to-eat food products.
Perbedaan Hasil Tes Darah Rutin Pasien Suspek Covid-19 Terkonfirmasi Positif Dan Negatif Di RSUD Sultan Suriansyah Banjarmasin
The purpose of this study was to determine the differences in routine blood in COVID-19 suspected patients who were confirmed positive and negative who were treated at the Emergency Room of Sultan Suriansyah Hospital Banjarmasin in the period January-June 2022. This study used naso-oropharyngeal swab samples for RT-PCR examination of COVID-19 and hematology analyzer for routine blood tests. This type of research is an analytic survey research with a comparative design. The population of this study were suspected patients admitted to the emergency room with a total sample size of 196 patients who performed RT-PCR tests and performed routine blood tests at the beginning of the treatment period using purposive sampling method. Routine blood results in positive patients mostly obtained leukocytes at normal limits 64.1%, neutrophilia 59.0%, lymphopenia 64.1% increased NLR 66.7% and platelets at normal limits 56.4%. While in negative patients, leukocytes were obtained at normal limits of 46.6%, neutrophilia 61.0%, lymphopenia 61.0% increased NLR 73.7% and platelets at normal limits 64.4.4%. Based on the results of the unpaired T-test statistical test, it is known that there are significant differences between positive and negative patients, namely in the parameters of leukocytes sig. 0.028, neutrophils sig. 0.043 and platelets sig. 0,005. From the results of the unpaired t-test statistical test on routine blood between positive and negative COVID-19 patients, it was found that there were significant differences in the parameters of leukocytes, neutrophils and platelets, while those that were not different were the parameters of lymphocytes and NLR.