Husada Mahakam: Jurnal Kesehatan

TINGKAT DEPRESI, ANSIETAS DAN STRES PASIEN GAGAL GINJAL KRONIK (GGK) DENGAN HEMODIALISA

Mimi Amaludin — 2023-05-31

Chronic Kidney Disease (CKD) is becoming a serious health problem with an increasing number of cases. CKD also has the second highest burden of medical costs after heart disease. The causes of kidney failure are currently dominated by hypertension and diabetes mellitus. As an action that must be done in CRF patients is to undergo hemodialysis. Hemodialysis is a transition of kidney function and role assisted by a dialyzer machine. Besides helping the role and function of the kidneys, hemodialysis has an impact on psychology with the emergence of anxiety, stress to depression. The aims to see the level of depression, anxiety & stress of CKD patients undergoing hemodialysis. This study was conducted using descriptive design and sampling techniques using purposive sampling. The level of depression, anxiety and stress was measured by the Depression, Anxiety, Stress Scale questionnaire (DASS 42) consisting of 42 statements with a sample of 75 people. The results found that 5 patients (6.7%) experienced mild anxiety, 43 patients (57.3%) were moderately anxious, 17 patients (22.7%) experienced severe anxiety and 7 patients (9.3%) experienced very severe anxiety. The stress level of 12 patients (16.0%) experienced mild stress, 14 patients (18.7%) moderate and 2 patients (2.7%) experienced severe stress and the level of depression 20 patients (26.7%) with mild depression, 39 patients (52.0%) moderate depression and 7 patients (9.3%) experienced severe stress. From this study, it can be concluded that there is anxiety, stress and depression in CKD patients undergoing hemodialysis.

APPLICATION OF EFFLEURAGE MASSAGE WITH TOPICAL VIRGIN COCONUT OIL TO THE EXTREMITY OF REDUCING BLOOD PRESSURE IN HYPERTENSION PATIENTS

Diah Setiani — 2023-05-31

An increase in systolic blood pressure of more than 140 mmHg and diastolic blood pressure of more than 90 mmHg on two measurements five minutes apart in a state of rest or calm is called hypertension. According to the World Health Organization (WHO), in 2015, 22% of the world's population suffered from hypertension; in Southeast Asia, the subject reach 36%. The purpose of this study is to determine the effect of apllied effleurage massage therapy with virgin coconut oil’s topical on the extremities, in order to reduce the blood pressure in hypertensive subject. This study used Quasy Experiment Design with pre-test-post test with control group approach from 22 people as samples. The results of hypothesis testing of the treatment group with paired t-test on systolic and diastolic obtained p-values of 0.000 and 0.001. Whereas in the control group, the systolic and diastolic p-values were 0.053 and 0.082. Meanwhile, the results of the independent t-test statistical analysis on systolic and diastolic blood pressure in the treatment group and the control group obtained p values of 0.000 and 0.010 (p <0.05), which means that there was a significant difference between the treatment group and the control group. Applying effleurage massage with virgin coconut oil’s topical on the extremities is suggested to reduce blood pressure in hypertensive subject.

PENGARUH YOGA TERHADAP PENURUNAN DYSMENOREA PADA SISWI SMP KOTA BENGKULU

Monica Julianti — 2023-05-31

Kejadian dysmenorhea berdasarkan World Health Organization (WHO) tahun 2018 dihasilkan peristiwa dysmenorhea sebanyak 1.769.425 jiwa (90%). Terapi non farmakologi mirip senam yoga dapat digunakan karena tidak mempunyai imbas samping serta ada beberapa faktor risiko yang bisa menyebabkan dysmenorhea diantaranya usia menarche, status gizi, dan aktivitas fisik. Tujuan dilakukan penelitian adalah untuk diketahuinya dampak senam yoga terhadap penurunan dysmenorhea serta faktor yg berhubungan menggunakan kejadian dysmenorhea pada siswi SMPN Kota Bengkulu. Jenis penelitian yang dipergunakan dalam penelitian ini adalah pra-eksperiment dengan memakai rancangan one group pretest-postest design dan dengan melakukan survey analitik memakai pendekatan cross sectional. Sampel dalam penelitian ini diambil dengan menggunakan teknik Total sampling dengan jumlah sampel sebesar 38 siswi yang mengalami dysmenorhea pada Sekolah Menengah Pertama N 04 Kota Bengkulu dengan sampel 38 responden. Metode analisis menggunakan uji wilcoxon dan chi-square. Hasil uji wilcoxon diperoleh bahwa terdapat dampak senam yoga terhadap terhadap dysmenorhea (p-value=0,000). akibat uji chi-square dihasilkan bahwa tidak ada variabel yang berhubungan dengan kejadian dysmenorhea dengan hasil usia menarche (p-value=0,061), dan usang menstruasi (p-value=0,675).

HUBUNGAN PENYALAHGUNAAN NARKOTIKA TERHADAP KESEHATAN REPRODUKSI PADA LEMBAGA PEMASYARAKATAN PEREMPUAN KOTA BENGKULU

Lela Hartini — 2023-06-12

Healthy Indonesia 2025 is a proactive behavior to maintain and improve health and be aware of the law. The aim of the study was to determine the relationship between drug abuse and reproductive health disorders at the Bengkulu City Penitentiary. The method used is an analytic survey with a cross sectional approach. The population is drug users in Correctional Institutions with Total Sampling. Collecting data by distributing questionnaires then performed univariate analysis, bivariate analysis with Chi-square, and Multivariate The statistical test used was Multiple Logistic Regression. Most of the results (75%) of adolescents who use drugs experience reproductive disorders p=0.037, OR=7.333. Low education (58.8%) experienced reproductive disorders p=0.022, Most were married (64.3%) experienced reproductive disorders p=0.013, OR= 5.700. Most (72.2%) who use drugs ≥ 3 years experience reproductive disorders. Most (60%) drug users in the psychotropic and narcotics group experience reproductive health problems. Multivariate analysis of the factors that most dominantly influence reproductive disorders is duration of drug use, p = 0.006; OR= 14.927 CI (2.196-101.472). It is necessary to provide an increase in the Prevention and Eradication of Drug Abuse and Illicit Trafficking (P4GN) in the City of Bengkulu.

Keywords: Narcotics, reproductive health

HUBUNGAN PENGETAHUAN DAN SIKAP IBU DENGAN KEJADIAN PNEUMONIA PADA BALITA

Nyimas Heny Purwati — 2023-05-31

Pneumonia in toddlers is one of the unresolved health problems, and is also the biggest cause of death for toddlers in Indonesia. The purpose of this study was to determine the correlation between knowledge and attitudes of mothers with the incidence of pneumonia in toddlers at Puskesmas Kecamatan Koja. The research design used cross sectional. The sample of this study was toddlers with complaints of cough or difficulty breathing who were treated at Puskesmas Kecamatan Koja with a total of 103 respondents who were taken by purposive sampling. Data analysis using chi-square test. The results showed that there was a significant correlation between mother's knowledge and the incidence of pneumonia in toddlers (p-value = 0.004) and there was a significant correlation between mother's attitude and the incidence of pneumonia in toddlers at Puskesmas Kecamatan Koja (p-value = 0.001). Nurses at primary level health services are expected to increase the provision of health education about pneumonia to mothers who have toddlers, so that the incidence of pneumonia in toddlers can be prevented.

HUBUNGAN KONSEP DIRI DENGAN PERILAKU BULLYING PADA SISWA SEKOLAH MENENGAH PERTAMA

Lilik Suparwati — 2023-05-31

Bullying behavior is a form of juvenile delinquency caused by psychosocial development disorders, namely the behavior of teenagers who like to break rules, isolate groups, insult, and ridicule. The research objective was to determine the characteristics of the respondents, self-concept, and bullying behavior as well as the relationship between self-concept and bullying behavior. This type of quantitative research with cross sectional method. The proportional stratified random sampling sample consisted of 97 respondents. The results showed that adolescents with a negative self-concept of 52.6%, high bullying behavior of 47.4%. p = 2.603 × 10-11 <0.05 means that there is a significant relationship between self-concept and bullying behavior in class VII students at SMP Negeri 32 Samarinda with r = -0.613 which means a strong relationship and a negative relationship. So it can be concluded that there is a relationship between self-concept and bullying behavior in class VII students at SMP Negeri 32 Samarinda.

THE RELATIONSHIP BETWEEN HEALTH LITERACY AND EFFICACY SELF IN PERIMENOPAUSAL WOMEN

Miranda Alzena Sabella — 2023-05-31

Perimenopause occurs several years before menopause, the symptoms experienced by women when entering perimenopause include feeling hot, especially the face and neck, experiencing insomnia, and menstrual cycle disorders, vaginal dryness. low health literacy has an adverse effect on society. According to WHO, health literacy is a person’s ability to be able to understand, usethe information obtained and maintain good health. while self-efficacy as a person’s belief or ability to problems affect their lives. This study uses a quantitative method with a cross-sectional design. the instrument in this study used the HLS-EU-SQ10 questionnaire (Health Literacy Survey Questionnaire Short Form), and Self-Efficacy to be analyzed using SPSS with the Chi-Square Test. The results of chi-square analysis obtained a p-value of 0.057 (p <0.05) and the Expected Count value was not less than 5, which means that there is a relationship between health literacy and self-efficacy in perimenopausal women at the Rapak Mahang Tenggarong Health Center. Most of the perimenopausal women at the Rapak Mahang Health Center are in the interactive health literacy category, where individuals believe in health information but have no desire to apply it. which relieves the symptoms.

RELATIONSHIP OF DURATION OF ILLNESS, FREQUENCY OF HOSPITALIZATION AND SEVERITY OF SYMPTOMS WITH THE INCIDENCE OF DRUG WITHDRAWAL IN PATIENTS WITH MENTAL DISORDERS

Dian Fitria — 2023-05-31

Psychological disorders are one of the chronic diseases that decrease patients' productivity and require long-term care and treatment. During the treatment process, patients often experience relapses due to the length of the treatment. One of the factors that can trigger relapse is medication discontinuation. Therefore, through this study, the researcher aims to obtain an overview of patients with mental disorders and relapse occurrences, as well as to determine the impact of medication discontinuation on the duration of mental illness, frequency of hospitalization, and severity of symptoms during relapse. This study is cross-sectional study involving 108 respondents. The analysis in this study utilized descriptive analysis and bivariate analysis using independent t-test. The results of this study indicate that one of the reasons family members bring patients to the hospital is the emergence of anger symptoms (26.1%), with medication discontinuation due to lack of patient medication adherence support being another common reason (23.5%). The research also shows a correlation between the duration of mental illness, frequency of hospitalization, severity of symptoms, and medication discontinuation in patients with mental disorders. Based on these findings, the involvement of family and effective discharge planning is crucial in reducing relapse rates and promoting rehabilitation towards independent and productive patient outcomes.

BEHAVIORAL PROBLEMS ADOLESCENTS UNDERGO SCHOOL FROME HOME IN THE ERA OF COVID-19 PANDEMIC

Tini Tini — 2023-07-26

The Covid-19 pandemic in various countries including Indonesia resulted in the Government making lock down policies and social restrictions, one of which is to work, study and worship at home. The school from home policy encourages adolescents who take formal education to replace face-to-face learning methods in class with internet-based learning at home. This is considered to have a psychological impact on adolescents. This study aims to analyze the behavior problems of junior high school students in Samarinda City while undergoing School From Home in the Covid-19 Pandemic Era. This study is a descriptive analytic study with a cross sectional approach to junior high school students and the equivalent in the city of Samarinda, selected by a multi-stage random cluster and 122 respondents using simple random sampling technique in the selected schools. The variables measured include the behavior of adolescents using the Strength and Difficulty Questionare instrument. Data were analyzed using the chi square test with a significance level of 95% (α = 0.05). The results showed that there were emotional problems experienced by adolescents. There is a relationship between emotional symptoms and prosocial behavior with adolescent gender (p value <0.05). Likewise, the aspects of difficulties and aspects of strength possessed by adolescents also have a relationship with adolescent gender (p value <0.05). So it is necessary to conduct coaching and monitoring of behavior in learning at least once a month.