Jurnal Ilmiah Kesehatan

Faktor - Faktor Yang Mempengaruhi Terjadinya Hiperbilirubinemia Pada Neonatus Di RS Budi Kemuliaan Periode Januari–Juli 2023

2024-11-12T00:40:52+00:00

Hyperbilirubinaemia is one of the problems that often occur in neonates. Hyperbilirubinaemia is the number 5 cause of neonatal morbidity in Indonesia with a prevalence of 5.6% after respiratory distress, prematurity, sepsis, and hypothermia. The Neonatal Mortality Rate (NMR) in Indonesia in 2021 was 11.7 out of 1,000 live births. In the period 2021 to 2022 there was an increase in the incidence of hyperbilirubinemia at Budi Kemuliaan Hospital, namely in 2021 it was 15% of 3,566 live births, increasing the percentage to 16% of 3,145 live births in 2022. The purpose of this study was to determine whether there is an association between the factors of gestational age, birth weight, mode of delivery and nutritional intake with hyperbilirubinemia. The research method used case control design with consecutive sampling technique on secondary data from medical records. The subjects of this study were neonates born at Budi Kemuliaan Hospital who experienced hyperbilirubinemia in the period January-July 2023, in the case group as many as 78 and the control group as many as 78 with a total of 156 neonates. The results of this study showed that there was a significant association between nutritional intake and hyperbilirubinemia (P=0.000, OR=8.4, IK=3.983-17.920), while no significant association was found in gestational age, birth weight, and mode of delivery.

Pola Pernapasan Dan Faktor Lingkungan Dalam Pengendalian Gejala Asma Bronkial Pada Anak-Anak

2024-05-22T01:30:43+00:00

Asma bronkial pada anak-anak merupakan masalah kesehatan yang meningkat secara global. Penelitian ini bertujuan untuk mengeksplorasi hubungan antara paparan debu, bulu hewan, frekuensi pernapasan, dan polutan udara dengan kejadian asma berulang pada anak-anak. Penelitian ini merupakan penelitian kuantitatif yang melibatkan survei longitudinal pada anak-anak dengan asma bronkial. Metode pengumpulan data melibatkan pemantauan pola pernapasan, seperti frekuensi napas, analisis lingkungan di rumah dan lingkungan sekolah. Pengumpulan data juga akan melibatkan wawancara dengan anak-anak dan orang tua mereka untuk mendapatkan wawasan yang lebih mendalam tentang pola pernapasan dan faktor lingkungan sehari-hari. Sampel dalam penelitian ini yaitu anak sekolah dasar usia 6-12 tahun yang mengalami asma berjumlah 38 responden. Hasil penelitian menunjukkan bahwa paparan debu (p=0,007) dan bulu hewan (p=0,002) meningkatkan risiko asma berulang pada anak-anak, dengan anak-anak yang memiliki pola pernapasan (p=0,000) yang tidak teratur memiliki kemungkinan lebih besar untuk mengalami serangan. Paparan polutan udara juga meningkatkan risiko dan keparahan asma pada anak-anak (p=0,008). Paparan debu, bulu hewan, frekuensi pernapasan yang tidak teratur, dan polutan udara memiliki hubungan yang signifikan dengan kejadian asma berulang pada anak-anak. Untuk mengatasi masalah ini, diperlukan upaya pencegahan yang melibatkan pengelolaan debu dan alergen di rumah, pendidikan tentang pola pernapasan yang sehat, dan advokasi untuk kebijakan lingkungan yang mendukung kualitas udara bersih. Integrasi pendekatan ini dapat merancang strategi yang holistik untuk meningkatkan kesehatan pernapasan anak-anak dan mengurangi dampak asma bronkial.

Hubungan Self-efficacy dengan Kecemasan pada Ibu Hamil Primigravida Trimester III di Wilayah Pertanian

2024-09-23T00:44:06+00:00

Anxiety in pregnant women can affect the labor process due to the psychological instability that occurs. Self-efficacy is one of the factors that can reduce anxiety in pregnant women. This study has a general objective of analyzing the relationship between self-efficacy and anxiety in third trimester primigravida pregnant women in agricultural areas. This study uses correlational quantitative research with a cross-sectional survey design approach. The sample consisted of 83 respondents, selected through non-probability sampling, specifically total sampling. The research instrument for measuring the level of self-efficacy was a self-efficacy questionnaire, and the level of anxiety was measured using the Pregnancy Related Anxiety Questionnaire-Revised 2 (PRAQ-R2). Data were analyzed using Kendall's Tau-b test, and the results obtained (p-value = 0.000, p < 0.05) showed a relationship between self-efficacy and anxiety in third trimester primigravida pregnant women. Self-efficacy affects the mother's mentality during pregnancy and childbirth because high confidence in her abilities makes her more motivated to maintain her health and feel satisfaction during the childbirth process. Pregnant women with high self-efficacy may better withstand reactions that trigger anxiety because they can solve problems using their abilities and think positively about situations. The conclusion obtained is that most respondents had high levels of self-efficacy and mild anxiety levels, and there is a relationship between self-efficacy and anxiety in third trimester primigravida pregnant women.

Keywords: Anxiety, Pregnant Women, Primigravida, Self-Efficacy, Third Trimester

Penguatan Kesadaran Kesehatan Pasien melalui Strategi Promosi Kesehatan Rumah Sakit sesuai Permenkes No. 44/2018

2024-09-23T00:43:27+00:00

This study aims to provide insight into the relationship between the health promotion strategies implemented by Azizah Hospital and the increase in public health awareness, particularly among inpatients. The research uses a quantitative approach with a cross-sectional design. This approach analyzes the relationship between health promotion strategies in the areas of advocacy, partnership, community empowerment, and conducive environment on the increase in health awareness among inpatients at Azizah Hospital. Additionally, the study involves the use of literature from books, journals, and articles focusing on the quality of services in inpatient wards. The results from 270 inpatient respondents at Azizah Hospital show that the average age of patients is 35 years, with 62.6% being female. This indicates that most inpatients are adults to elderly individuals. The multivariate test using multiple linear regression shows that the beta coefficient for the health promotion strategy in the partnership domain is 0.176, in the community empowerment domain is 0.328, and in the conducive environment domain is 0.346. In conclusion, the variable that has the most significant impact on increasing health awareness among inpatients is the conducive environment variable.

Efektivitas Penggunaan Antibiotik Golongan Sefalosporin Pada Terapi Demam Tifoid Pediatri Rawat Inap

2024-09-23T00:44:55+00:00

Typhoid fever is caused by an infection with the bacterium Salmonella typhi. Typhoid fever remains a public health issue around the world, particularly in developing countries with inadequate sanitation and high population density. The achievement of the desired treatment regimen is indicated by treatment efficacy. Irrational drug use can make treatment ineffective. The antibiotics used are third generation cephalosporins. The purpose of this study was to determine the risk factors and effectiveness of thirdgeneration cephalosporin antibiotics in pediatric typhoid fever patients based on the type of antibiotic used, length of treatment, and fever-free time. This study is designed as prospective cross-sectional research with total sampling, where interviews are conducted with patients and medical record data is reviewed. Data analysis was conducted using both univariate and bivariate methods, employing the Independent T-test and MannWhitney statistical tests with SPSS version 16. Typhoid fever patients were male (67.6%) and female (32.4%). The majority of patients (67.6%) were aged 5 to 13 years. A habit of random snacking poses the highest risk, accounting for 91.1%. Mann-Whitney test showed a significant result for length of treatment days (p-value < 0.001). Similarly, independent t-test for Fever-free time showed p-value = 0.01 (< 0.05). In conclusion, ceftriaxon antibiotics are more effective than cefixime with a significant difference