Jurnal Ilmiah Kesehatan (JIK) Jurnal Ilmiah Kesehatan (JIK) dengan nomor terdaftar ISSN 3089-6363 (online), DOI 10.64418/jik diterbitkan oleh Yayasan Syalom Cipta Sumikolah bekerjasama dengan Universitas Pembangunan Indonesia. Jurnal Ilmiah Kesehatan menerbitkan materi dalam Bahasa Indonesia dengan tujuan memfasilitasi penyebaran pengetahuan terkait kesehatan secara nasional, khususnya ditujukan untuk menjangkau akademisi dan profesional di sektor layanan kesehatan Indonesia. Jurnal Ilmiah Kesehatan merupakan publikasi karya ilmiah di bidang kesehatan dalam arti luas, seperti kesehatan masyarakat, keperawatan, kebidanan, kedokteran, kesehatan olahraga, farmasi, psikologi kesehatan, gizi, teknologi kesehatan, analisis kesehatan, sistem informasi kesehatan, rekam medis, manajemen rumah sakit dan sekitarnya. Selain itu Jurnal ini pertama kali didirikan pada tahun 2024. Jurnal Ilmiah Kesehatan diterbitkan dua kali setahun (Mei dan November)
Pengaruh Latihan Kekuatan Otot Lengan Terhadap Kemampuan Servis Atas dalam Permainan Bola Voli
The purpose of this research is: To determine the effect of arm muscle strength training on the ability to perform overhand serves in volleyball among students in the PKLO FIKKM Unima department. The research methodology used is experimental. The population consists of all fourth-semester students of the PKLO department, from which 20 male students were selected and divided into 2 groups, namely a control group of 10 people and an experimental group of 10 people. The research design used is randomized control groups, with a pre-test and post-test design. Hypothesis testing used statistical techniques with a t-test. The results showed that the calculated t-value = 5.651 is greater than the table value = 2.101, at a significance level of α = 0.05. Furthermore, the difference between the experimental group and the control group, tested using the independent t-test, yielded a result of P = 0.000 < α = 0.05. Thus, the null hypothesis (Ho) is rejected and the alternative hypothesis (Ha) is accepted. Based on the data analysis using parametric statistical analysis and the discussion in this research, it can be concluded that there is an effect of arm muscle strength training on the ability to perform overhand serves in volleyball among students in the PKLO FIKKM Unima department.
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Hubungan Hygiene dan Sanitasi dengan Kejadian Penyakit Diare pada Siswa SD Gmim Sonder Tahun 2025
The food consumed must be safe in the sense of being free from physical, chemical, and microbiological contaminants. The mortality rate is still quite high (1%) compared to the Case Fatality Rate (CFR) during outbreaks which was 0.40% in 2011, and the CFR in 2018 increased to 4.76% compared to 2017 (Ministry of Health of the Republic of Indonesia, 2019). The causes of diarrhea in individuals cannot be separated from the healthy living habits of each family and the unhealthy environmental sanitation. It can be concluded that the occurrence of diarrhea is influenced by environmental factors, including access to clean water, home health conditions, and handwashing habits. This research is a study with a quantitative descriptive approach. The number of samples to be studied is 61 students. The research was conducted on May 25, 2025. There is a statistically significant relationship between defecation behavior and the occurrence of diarrhea (p 0.043). There is a significant relationship between snack behavior and the occurrence of diarrhea (p 0.041). There is a significant relationship between handwashing behavior and the occurrence of diarrhea (p 0.043). A significant relationship was found between nail cleanliness behavior and the occurrence of diarrhea (p 0.029). Overall, although some results indicate a significant relationship between clean living behavior and the incidence of diarrhea, some emerging patterns actually suggest trends that are contrary to theoretical expectations. This indicates that diarrhea prevention must be carried out comprehensively, not just focusing on one aspect of behavior, but rather integrating all good hygiene practices.
Peran Puskesmas dalam Pengendalian ISPA di Wilayah Kerja Puskesmas Koya Kecamatan Tondano Selatan
he purpose of this study is To describe the role of the Koya Health Center through health promotion in controlling ISPA in the work area of the Koya Health Center, South Tondano District To identify factors that influence clean and healthy behavior in the work area of the Koya Health Center, South Tondano District, Minahasa Regency To describe health promotion in the ISPA control program in the work area of the Koya Health Center, Tondane Ciatan District, Minahasa Regency. The type of research used in this study is a qualitative research type. This type of research is used to determine the role of the health center in preventing ISPA in the work area of the Koya Health Center, South Tondano District, Minahasa Regency. The results of this study indicate that the respondents I interviewed were two respondents, namely the Sapa program organizer and the head of the Koya Health Center. From the results of the interview with the health center, in one month they often carry out Poryandu Nanam for counseling about ISPA, usually only 2-3 times a day. sometimes just using posters or billboards.
Faktor yang Berhubungan dengan Insidens Penyakit Gastritis di Puskesmas Ranotana Weru Kota Manado
Gastritis is one of the most common digestive tract diseases with a high prevalence in Indonesia, including in Manado City. It is often associated with lifestyle factors such as irregular eating patterns, stress, use of non-steroidal anti-inflammatory drugs (NSAIDs), and frequent consumption of spicy and acidic foods. This study aims to identify the factors associated with the incidence of gastritis at Ranotana Weru Public Health Center, Manado City. This research used a quantitative approach with a case-control design. The sample consisted of 52 respondents (26 gastritis cases and 26 controls) selected through purposive sampling. Data were collected using questionnaires and analyzed with the chi-square test. The statistical analysis showed a significant relationship between eating patterns (p = 0.047) and drug consumption (p = 0.031) with the incidence of gastritis. However, no significant relationship was found between stress (p = 0.107), consumption of spicy and acidic foods (p = 0.162), gender (p = 0.205), and age (p = 0.378) and the incidence of gastritis. Poor eating habits and drug consumption are factors associated with the incidence of gastritis. Health promotion interventions regarding proper diet and careful use of medications are essential to prevent increased gastritis cases in the community.
Gambaran Pelayananan Kesehatan Ibu dan Anak di UPTD Pusat Kesehatan Masyarakat
This study aims to provide an overview of maternal and child healthcare services available at the Ratahan Subdistrict Health Center (Puskesmas) in Southeast Minahasa Regency. The background of this research is the persistently high maternal and infant mortality rates in the region, which indicate that the quality of existing healthcare services has not yet met optimal standards. A descriptive method with a qualitative approach was employed, with data collected through interviews and direct observations at the local health center. The findings reveal that the maternal and child healthcare services at Ratahan Health Center continue to face several challenges. These include inefficiencies in service delivery time, healthcare costs that are not fully affordable for the community, and limited supporting facilities and infrastructure. Community complaints regarding long waiting times and a shortage of medical personnel also contribute to the decline in service quality. The results of this study are expected to serve as input for improving maternal and child healthcare services at the community health center level and to contribute to the advancement of public health science.
Penerapan Evidence Based Kompres Air Hangat pada Gastritis
Warm compress action can increase blood flow to the injured body part, then increase the delivery of leukocytes and antibiotics to the injured area, increase muscle relaxation and reduce pain due to spasms or stiffness, in addition it can also increase blood flow and increase the movement of waste and nutrients. At that time the blood vessels will widen so as to improve blood circulation in the tissue. The aim is to determine the effectiveness of the implementation of warm compresses on abdominal pain in gastritis patients. The method used is a case study. The subjects used were gastritis patients with abdominal pain problems at the Panti Werdha Damai Ranomuut. The results of the study with the application of evidence-based nursing warm water compress therapy carried out for 3 days, found the level of pain on the first day was on a pain scale of 7, and on the third day decreased to a scale of 0, from the results of the evaluation it was found that warm water compress therapy was effective in reducing pain levels. The conclusion of the case study results showed that the level of pain after being given warm water compress therapy intervention there was a decrease in the level of pain. Suggestions to all health workers to be able to provide non-pharmacological therapy in the form of warm water compress therapy and provide education to clients so that they can apply this therapy when they feel pain due to gastritis.
Faktor yang Berhubungan dengan Kualitas Hidup Orang dengan HIV/AIDS (Odha)
This study aims to analyze the factors related to the quality of life of People with HIV/AIDS (PLWHA) at the VCT Clinic of Anugerah Tomohon Hospital in 2022. The research design used was cross-sectional with a quantitative observational-analytic approach. Data were collected through the WHOQOL-HIV-BREF questionnaire and analyzed using the Chi Square test to assess the relationship between duration of HIV and quality of life. Respondents in this study consisted of 30 PLWHA, with the majority of respondents being male (73.3%), and the largest age range was 20-30 years (53.3%). The results showed that 50% of PLWHA had a good quality of life, while the other 50% had a poor quality of life. There was no significant relationship between the duration of HIV and the quality of life of PLWHA (P Value = 0.713). Factors such as social support, stigma, and depression may play a role in the quality of life of PLWHA. This study is expected to provide insight to improve the quality of health services for PLWHA, as well as assist in the prevention and management of HIV/AIDS in Indonesia.
Hubungan Tingkat Pengetahuan Ibu Tentang ASI dengan Tindakan Pemberian ASI Eksklusif di Puskesmas Tumpaan
Breast milk, commonly referred to as ASI (Air Susu Ibu), is the best and only recommended food for infants, as it contains the most complete nutritional composition for their growth and development. Exclusive breastfeeding refers to the practice of feeding infants only breast milk for the first six months of life, without any additional food or drink such as formula milk, fruit juice, honey, tea, plain water, or solid foods like bananas, papayas, milk porridge, biscuits, rice porridge, or soft rice. This study aims to examine the relationship between mothers’ knowledge about breastfeeding and their practice of exclusive breastfeeding at Tumpaan Health Center. The research was conducted from July to August 2023 using a quantitative design with a cross-sectional survey approach and accidental sampling technique. The study was conducted at Tumpaan Health Center with a total sample of 40 mothers with infants. Data were analyzed using the Chi-square test. The results showed a significant relationship between the level of maternal knowledge and the practice of exclusive breastfeeding (p = 0.03 < 0.05). It can be concluded that there is a relationship between maternal knowledge and exclusive breastfeeding at Tumpaan Health Center. Based on these findings, it is recommended that healthcare workers enhance their role in providing health education to the community regarding exclusive breastfeeding and its benefits, as well as coordinate with related institutions to further promote exclusive breastfeeding practices.
Penerapan Evidence Based Practice Pengaturan Semi Fowler pada Pasien Pneumonia
The main problem in children with pneumonia is shortness of breath. Handling shortness of breath can be done by adopting a semi-Fowler position. In the semi-Fowler position, the patient is semi-sitting, where the head of the bed is higher or raised with a slope of 30°-45° and uses gravity. This can increase intrapleural pressure and also intra- alveolar pressure at the base of the lungs. The force of gravity increases the amount of air required to ventilate the dependent portion of the lung. This research aims to provide nursing care to An. MK with a diagnosis of pneumonia at the PICU Room, R.D. Kandou Manado Hospital. This research uses a descriptive research design with a case study approach. The analysis technique used is observation and summary studies which produce data for further interpretation and comparison with existing theory. This research found that respondents showed that their breathing patterns improved after being given the semi-Fowler position for 2 days with a frequency of 2 times a day, 15-20 minutes for respondents. Setting the semi-Fowler position can solve the problem of ineffective breathing patterns in pneumonia patients.
Hubungan Lingkungan Fisik dan Kebiasaan Keluarga dengan Kejadian DBD
Dengue Hemorrhagic Fever (DBD) is a disease caused by the dengue virus through the bite of Aedes mosquitoes, especially Aedes aegypti. The purpose of this study is to determine the Relationship Between Physical Environment and Family Habits with DBD Incidence in the Working Area of Puskesmas Tikala Baru Year 2025. The method in this study used a quantitative method with case control design. The research sample was 128 respondents consisting of 64 cases and 64 controls, tested using chi-square. The results of this study showed relationships between physical environment and family habits with DBD incidence: availability of covers on water containers (p=0.028; OR=0.370), open drainage channels (p<0.001; OR=9.178), presence of used goods (p<0.001; OR=20.810), land availability for burying used goods (p=0.008; OR=0.354), cleaning water containers weekly (p<0.001; OR=0.069), use of mosquito repellent (p=0.049; OR=0.459), hanging clothes (p<0.001; OR=0.223), and presence of larvae in water containers (p<0.001; OR=6.576). No relationships were found in the use of mosquito nets, mosquito wire screens, and the habit of recycling used goods.
Hubungan Tingkat Pengetahuan Wanita Usia Subur dengan Perilaku Pencegahan Osteoporosis
This study aims to examine the relationship between the level of knowledge about osteoporosis and preventive behavior in suburban women. This study used a quantitative design with an observational analytical approach and a cross-sectional survey. A total of 82 randomly selected respondents were analyzed using the chi-square test. The results showed a significant relationship between knowledge about osteoporosis and preventive behavior. Better knowledge about osteoporosis has been shown to improve preventive behavior carried out by women of childbearing age in the area. With sufficient knowledge, they are more likely to adopt preventive measures to maintain bone health and prevent decreased bone density in the future. This study emphasizes the importance of increasing education about osteoporosis, especially in women of childbearing age, to encourage them to care more about bone health and reduce the risk of osteoporosis in the future. Better education is expected to encourage positive changes in osteoporosis prevention behavior in this age group.
Penerapan Evidence Based Practice Kompres Air Hangat terhadap Penurunan Nyeri Abdomen
Gastritis is an inflammation of the gastric mucosa characterized by discomfort in the upper abdomen, nausea, vomiting, decreased appetite and headaches. Warm compresses can increase blood flow to the injured body part, then increase the delivery of leukocytes and antibiotics to the injured area, increase muscle relaxation and reduce pain due to spasms or stiffness, in addition it can also increase blood flow and increase the movement of waste and nutrients. This study aims to determine the effectiveness of the implementation of warm compresses on abdominal pain in gastritis patients. The method used is a case study. The subjects used were gastritis patients with abdominal pain problems at the Panti Werdha Damai Ranomuut. The results of the study with the application of evidence-based nursing warm water compress therapy carried out for 3 days, found that the level of pain on the first day was on a pain scale of 7, and on the third day decreased to a scale of 0, from the evaluation results it was found that warm water compress therapy was effective in reducing the level of pain. The case study showed that the level of pain after being given warm water compress therapy intervention there was a decrease in the level of pain. Therefore, it is recommended that all health workers provide non-pharmacological therapy in the form of warm water compress therapy and provide education to clients so that they can apply this therapy when they feel pain due to gastritis.
Penerapan Evidence Based Practice Head Massage Therapy Terhadap Penurunan Nyeri Kepala
The disease that predominantly attacks the elderly population is hypertension. One of the signs and symptoms of hypertension is headache. Pharmacological interventions in patients with hypertension can be in the form of administering antihypertensive drugs, while one of the non-pharmacological interventions can be done with Head Massage therapy. Describes nursing care given to patients with hypertension involving Head Massage therapy to reduce high blood pressure and pain intensity. The method used is a case study. The subjects used were hypertensive patients with headache problems at Panti Werdha Damai Ranomuut. The results of the study with the application of evidence-based nursing head massage therapy carried out for 2 days, found that the level of pain on the first day was on a pain scale of 5, and on the second day decreased to a scale of 1, from the results of the evaluation it was found that head massage therapy was effective in reducing pain levels. The results of the case study showed that the level of pain after being given head massage therapy intervention decreased the level of pain. To all health workers to be able to provide non-pharmacological therapy in the form of head massage therapy and provide education to clients so that they can apply this therapy when they feel pain due to hypertension.
Post Operasi Fraktur Humerus Dextra dengan Evidence Based Teknik Relaksasi Napas Dalam
Fracture surgery pain makes it difficult for patients to do daily activities. The pain that occurs is caused by bone fractures that injure healthy tissue. Some independent actions that nurses can take to help patients are by using pain management to eliminate or reduce pain. One of the non-pharmacological therapies that can be given to patients who experience pain is deep breathing relaxation. This therapy is one way for nurses to create a therapeutic environment by using themselves as a tool or medium for counseling in order to help others with health problems. To determine the effectiveness of the implementation of breathing relaxation therapy on post-operative pain of humerus fractures. The method used is a case study. The subjects used were post-operative patients with humerus fractures with pain problems. The results of the study with the application of evidence-based nursing deep breathing relaxation techniques carried out for 2 days, found that the level of pain on the first day was on a pain scale of 6, and on the second day decreased to a scale of 2, from the evaluation results it was found that deep breathing relaxation techniques were effective in reducing pain levels. The results of the case study showed that the level of pain after being given deep breathing relaxation technique intervention there was a decrease in pain in the client. To all health workers to provide non-pharmacological therapy in the form of deep breathing relaxation techniques and provide education so that clients can apply this therapy every time they feel pain.
Faktor yang Mempengaruhi Motivasi Donor Darah Sukarela di UDD Provinsi Sulawesi Utara
Hipertensi merupakan salah satu penyebab utama morbiditas dan mortalitas global, termasuk di Indonesia. Penelitian ini bertujuan untuk menganalisis hubungan antara faktor gaya hidup (aktivitas fisik, pola makan, pola istirahat, dan kebiasaan merokok) dengan kejadian hipertensi pada masyarakat di wilayah kerja Puskesmas Teling Atas. Desain penelitian ini adalah kuantitatif analitik dengan pendekatan cross-sectional yang melibatkan 41 responden. Hasil menunjukkan terdapat hubungan yang signifikan antara aktivitas fisik (p=0,017), pola makan (p=0,037), pola istirahat (p=0,008), dan kebiasaan merokok (p=0,002) dengan kejadian hipertensi. Temuan ini mengindikasikan pentingnya promosi gaya hidup sehat sebagai strategi pengendalian hipertensi di tingkat pelayanan kesehatan primer.
Pengaruh Edukasi Terhadap Pengetahuan Keluarga Pasien Hipertensi di Wilayah Kerja Puskesmas Molompar Belang
Hipertensi merupakan salah satu penyakit tidak menular yang prevalensinya meningkat dan menjadi penyebab utama kematian secara global. Keterlibatan keluarga dalam mendukung pengelolaan hipertensi sangat penting, terutama dalam hal pemahaman terhadap penyakit tersebut. Penelitian ini bertujuan untuk mengetahui pengaruh edukasi terhadap peningkatan pengetahuan keluarga pasien hipertensi di wilayah kerja Puskesmas Molompar Belang. Metode yang digunakan adalah kuasi eksperimen dengan pendekatan pretest-posttest satu kelompok. Sampel sebanyak 71 orang dipilih dengan teknik purposive sampling. Edukasi diberikan melalui penyuluhan dan media leaflet. Hasil penelitian menunjukkan adanya peningkatan pengetahuan yang signifikan setelah intervensi edukasi (p = 0,000). Kegiatan edukasi terbukti efektif dalam meningkatkan pengetahuan keluarga pasien hipertensi, dan sangat direkomendasikan untuk dilakukan secara rutin oleh tenaga kesehatan.
Pengaruh Edukasi Penyuluhan Kesehatan Reproduksi Menggunakan Metode Ceramah Terhadap PengetahuanTentang Pubertas pada Remaja
Pengaruh dan kontrol terhadap kesehatan pribadi meningkat pada masa transisi tersebut sehingga remaja harus menghadapi perubahan masalah kesehatan termasuk kesehatan reproduksi. Pendidikan kesehatan reproduksi dalam penyuluhan pada media slide metode ceramah merupakan salah satu cara untuk meningkatkan pengetahuan remaja yang dapat membantu mereka dalam menghadapi masalah tersebut. Tujuan penelitian adalah untuk mengetahui pengaruh penyuluhan kesehatan reproduksi dengan metode ceramah terhadap pengetahuan tentang pubertas pada remaja. Metode penelitian yang digunakan dalam penelitian ini adalah metode pepnelitian eksperimen dengan pendekatan kuantitatif. Sampel sebanyak 40 orang, dengan menggunakan total sampling. Kuesioner sebagai instrumen penelitian diberikan pada saat pre-test dilanjutkan dengan penyuluhan kemudian post-test. Analisa bivariat menggunakan uji wilcoxon. Terdapat pengaruh signifikan terhadap pengetahaun pubertas pada remaja dengan p-value = 0,000.
Evaluasi Program Pencegahan Gizi Kurang di Puskesmas Maelang Tahun 2024
Masalah gizi kurang pada balita masih menjadi tantangan kesehatan masyarakat, khususnya di wilayah kerja Puskesmas Maelang, Kabupaten Bolaang Mongondow. Penelitian ini bertujuan untuk mengevaluasi efektivitas pelaksanaan program pencegahan gizi kurang, mengidentifikasi faktor pendukung dan penghambat, serta memberikan rekomendasi perbaikan program. Penelitian menggunakan metode kualitatif dengan teknik pengumpulan data melalui wawancara mendalam, observasi, dan dokumentasi terhadap informan kunci seperti kepala puskesmas, petugas gizi, dan kader posyandu. Hasil penelitian menunjukkan bahwa program seperti Pemberian Makanan Tambahan (PMT), pembagian vitamin, penyuluhan gizi, dan pemberian makanan lokal telah dilaksanakan dan dianggap cukup efektif. Namun, tantangan utama yang dihadapi adalah rendahnya kesadaran ibu balita serta keterbatasan frekuensi pelatihan bagi kader. Evaluasi menunjukkan peningkatan status gizi sebagian balita, meskipun masih terdapat anak dengan berat dan tinggi badan di bawah standar. Disarankan untuk meningkatkan edukasi masyarakat, pelatihan berkala bagi tenaga kesehatan dan kader, serta pemeliharaan sarana prasarana guna menunjang keberhasilan program pencegahan gizi kurang.
Analisis Pelaksanaan Sistem Manajemen Keselamatan dan Kesehatan Kerja di PT Perikanan Nusantara (Persero) Bitung
Kesehatan dan Keselamatan Kerja (K3) bertujuan melindungi pekerja melalui pencegahan, pemeliharaan, dan peningkatan kesehatan kerja agar terhindar dari risiko pekerjaan. Penelitian ini bertujuan menganalisis pelaksanaan sistem manajemen K3 di PT. Perikanan Nusantara Persero Bitung. Penelitian menggunakan metode deskriptif kualitatif dengan pendekatan untuk memahami fenomena sosial melalui data kualitatif. Populasi penelitian adalah 45 pekerja. Data dikumpulkan melalui wawancara dengan pimpinan, HRD, supervisor, dan pekerja—total 4 informan yang dianggap memahami pelaksanaan K3 secara menyeluruh. Analisis kuantitatif menunjukkan bahwa uji validitas dan reliabilitas memenuhi syarat: r hitung (0.393) > r tabel (0.312), menunjukkan hubungan yang signifikan dengan tingkat kepercayaan 95%. Nilai Cronbach’s Alpha = 1.12 (>0.9), membuktikan instrumen penelitian sangat reliabel. Triangulasi data dari kuesioner dan wawancara menunjukkan bahwa kesadaran karyawan terhadap K3 cukuptinggi. Namun, masih diperlukan peningkatan kualitas alat pelindung diri (APD) dan frekuensi pelatihan. Kedua sumber data juga menyoroti pentingnya peningkatan umpan balik dari manajemen atas laporan K3 dan perlunya keterlibatan karyawan dalam proses evaluasi. Hasil pembahasan menunjukkan bahwa perusahaan memiliki kebijakan K3 yang jelas serta menunjukkan komitmen terhadap keselamatan dan kesehatan kerja karyawan, meskipun masih ada beberapa area yang perlu ditingkatkan dalam implementasinya.
Pengaruh Dimensi Service Quality Berbasis Teori Faye Abdellah Terhadap Mutu Layanan Asuhan Keperawatan
Rumah sakit harus berupaya memberikan layanan keperawatan yang berkualitas tinggi untuk meningkatkan kepuasan pasien karena keperawatan merupakan bagian penting dari layanan kesehatan. Tingginya tuntutan masyarakat akan layanan kesehatan harus diimbangi dengan peningkatan kualitas layanan keperawatan. Tujuan menganalisis pengaruh dimensi service quality berbasis teori faye abdellah terhadap mutu layanan asuhan keperawatan di RSUD Mitra Sehat Kabupaten Minahasa Tenggara. Metode Penelitian ini menggunakan desain Quasy experiment dengan pendekatan pre post with control group design. Total sampel pada penelitian 30 responden. Teknik pengambilan sampel adalah teknik non- total sampling. Instrument yang di gunakan kuesioner dan module dan uji analisis data menggunakan Paired t-test, Independent t-test. Hasil hasil analisis menunjukkan p value <0,05, dengan nilai Pengkajian (0,000), Diagnosa Keperawatan (0,000), Perencanaan Keperawatan (0,000), Pelaksanaan Keperawatan (0,000), dan Evaluasi Keperawatan (0,000). Kesimpulan Rumah Sakit terus meningkatkan pelayanan dan asuhan keperawatan melalui pelatihan keperawatan yang pasien dan keselamatan pasien lebih dari yang mereka harapkan, sehingga pasien lebih puas. berpusat pada kebutuhan pasien. Tujuannya adalah untuk memenuhi kebutuhan dasar pasien dan keselamatan pasien lebih dari yang mereka harapkan, sehingga pasien lebih puas.
Efektivitas Perawatan Luka Konvesional Dressing Modifikasi Ekoenzim Terhadap Perubahan Skor Winners Scale padaUlkus Diabetes Mellitus
Diabetes melitus (DM) masih menjadi masalah kesehatan global yang utama. Penyakit yang biasa disebut penyakit gula atau diabetes ini menyebabkan tubuh penderitanya tidak mampu mengatur kadar glukosa darah. Salah satu terapi non farmakologis yang dapat menurunkan kadar gula darah yaitu kayu manis. Tujuan penelitian mengetahui efektivitas perawatan luka menggunakan konvensional dressing modifikasi ekoenzim terhadap perubahan skor Winners Scale luka pada pasien diabetes melitus di Kota Manado Metode: Desain penelitian yang digunakan adalah kuantitatif quasi-experimental dengan non-equivalent control group design. Teknik nonprobality sampling dengan total sampling 30 orang yang terdiri dari 15 orang untuk kelompok intervensi dan 15 orang untuk kelompok control Hasil: Hasil penelitian nilai rerata perubahan skor luka pada kelompok yang mempunyai luka diabetes melitus sebelum di berikan konvesional dressing modifikasi ekoenzim kondisi luka di hari ke 15 menunjukan kondisi luka dengan nilai mean rerata berada di 21,466±6,289. Dan setelah di berikan konvesional dressing modifikasi ekoenzim kondisi luka perubahan kondisi luka berada nilai mean rerata di 17,733±5,799. Serta hasil analisis hasil terdapat efektivitas pada kelompok konvesional dressing modifikasi ekoenzim p value <0,05 yaitu hari ke 15 (0.000). Hasil uji beda antara kelompok intervensi dan kelompok kontrol diperoleh p value 0,046 (<0,05). Artinya terdapat perbedaan yang signifikan konvesional dressing modifikasi ekoenzim dan non konvensional. Kesimpulan: Dapat disimpulkan bahwa konvesional dressing modifikasi ekoenzim lebih efektif dibandingkan metode non konvensional terhadap kondisi luka pada kaki pasien penderita diabetes militus
Studi Kualitatif Perilaku Keselamatan dan Kesehatan Kerja pada Pegawai Klinik Esther PKBI Sulawesi Utara
Esther Clinic PKBI North Sulawesi is a health service facility that provides specialized health services such as counseling and family planning services, pregnancy counseling and examination services, HIV/STI counseling services, reproductive health counseling services, gender-based violence counseling services, and family health counseling services for prospective brides. This study aims to determine the occupational health and safety (OHS) behavior of employees at the Esther Clinic PKBI North Sulawesi. The assessment aspects consist of knowledge, attitudes, and practices concerning OHS. The research is qualitative, utilizing observation methods and in-depth interviews. Informants were selected using purposive techniques from the accessible population. There were five informants, consisting of one Clinic Manager, two Nurses, one Counselor, and one Administrative Staff member. The knowledge and attitude aspects of informants were generally good, but there were still discrepancies in OHS practices. The lack of awareness regarding the use of Personal Protective Equipment is one of the OHS practices that is not yet effective. OHS training has never been conducted, which affects the OHS practices of clinic employees. It is recommended that clinic leaders hold OHS training for all employees of the Esther Clinic PKBI North Sulawesi. The effect of such training can improve safe and healthy work behaviors.
DUKUNGAN KELUARGA DENGAN KEPATUHAN MINUMOBAT PASIEN TUBERKULOSIS DI PUSKESMASMANGANITU KABUPATEN SANGIHE
It is estimated that about one-third of the world's population has been infected by Mycobacterium Tuberculosis. Tuberculosis in Indonesia is a health problem that must be addressed by the government. The purpose of this study was to determine the Relationship between Family Support and Compliance in Taking Tuberculosis Patients' Medication. This study is descriptive analytical using a cross-sectional study approach, where in this design both variables are measured at the same time with 30 samples. Based on the Fisher exact test, the p value in this study is 0.039 or less than the a value (0.05), which means Ho is rejected. The conclusion of this study is that most families of patients undergoing tuberculosis treatment support patients in carrying out treatment, most patients with tuberculosis are compliant in undergoing treatment. There is a significant relationship between family support and compliance in taking tuberculosis patients' medication at the Manganitu Health Center, Sangihe Regency.
Hubungan Penggunaan Kontrasepsi Hormonal dengan Produksi ASI pada Ibu Menyusui
The use of postpartum contraception in Indonesia is still considered suboptimal, even though postpartum contraception improves maternal and infant health by extending birth intervals. The purpose of this study was to analyze the relationship between the use of hormonal contraception and breast milk production in breastfeeding mothers. The type of research is observational analytic with cross-sectional design. The population in this study were all breastfeeding mothers at the Tumpaan Minahasa Selatan Health Center totaling 59 people. The sample in this study was the total population. The results of the study showed that most respondents used hormonal contraception as many as 45 people (76.3%) and respondents who used non-hormonal contraception as many as 14 people (23.7%). Smooth breast milk production was 41 people (69.5%) and those who did not produce breast milk were 18 people (30.5%). The Chi Square statistical test obtained a p-value = 0.003 <0.05. There is a significant relationship between the use of hormonal contraception and breast milk production in breastfeeding mothers. Suggestions from the study are expected that breastfeeding mothers can maintain their psychological condition and use appropriate contraception so that breast milk production will not be disturbed and remain smooth.
Hubungan Tingkat Pengetahuan dan Perilaku Personal Hygiene dengan Kepatuhan Mencuci Tangan pada Siswa SMP Negeri 1 Sonder
Washing hands is one of the actions of cleaning hands and fingers using water and soap to become clean and break the chain of germs. This study aims to determine the relationship between the level of knowledge and personal hygiene behavior with hand washing compliance in students of SMP Negeri 1 Sonder. The research design used was quantitative with a univariate and bivariate analysis approach using the Chi-Square test. The research sample consisted of 142 students selected using a purposive sampling technique. The results showed that there was no significant relationship between the level of knowledge and hand washing compliance (p = 0.324). However, there was a significant relationship between personal hygiene behavior and hand washing compliance (p = 0.000).
Hubungan Stres Psikososial Dengan Gangguan Siklus Menstruasi pada Siswi di SMA Katolik Karitas Tomohon
Background of the study, psychosocial is one of all forms of stress will produce a body reaction. One of the most visible impacts of this stress is women's problems. There are many health problems, one of which is menstrual health problems. The purpose of this study was to determine the relationship between psychosocial stress and menstrual cycle disorders in female students at Karitas Catholic High School, Tomohon in 2024. The method in this study will be conducted at Karitas Tomohon Catholic High School, Paslaten Dua, Lingkungan II, East Tomohon, Tomohon City, North Sulawesi on December 6 to December 11, 2024. The sample of this study was 74 female students, taken by Total Sampling, This study is a quantitative study with a cross-sectional design, tested using chi-square. The results of this study showed a relationship between psychosocial stress and menstrual cycle disorders in female students at Karitas Catholic High School, Tomohon, in 2024, with a p-value = 0.025 <0.05. It is hoped that female students will build a good school environment and community as friends to tell stories, so that the level of psychosocial stress in the internalization aspect of female students at this school can be reduced.
PENGARUH PENYULUHAN KESEHATAN TERHADAP PENGETAHUAN REMAJA TENTANG PENYAKIT MENULAR SEKSUAL DI SMK NEGERI 9
Penyakit menular seksual umumnya terjadi karena adanya perubahan pola hidup masyarakat. Di sisi lain meningkatnya pelayanan kesehatan menyebabkan adanya perubahan pola epidemiolog berupa peningkatan usia harapan hidup dan prevalensi usia lanjut, termasuk lansia dengan penyakit menular seksual. Tujuan pada penelitian ini adalah pengaruh penyuluhan kesehatan terhadap pengetahuan siswa tentang penyakit menular seksual. Desain penelitian ini menggunakan penelitian one group pretest- posttest design. Populasi pada penelitian ini adalah adalah siswa yang berjumlah 19 orang, dalam penelitian ini menggunakan teknik non probability sampling dengan metode pengambilan sampel menggunakan purposive sampling, instrument yang digunakan ialah leaflet dan lembar checklist, analisa data yang di gunakan yaitu univariat dan bivariat dengan uji T test. Hasil penelitian menunjukkan bahwa dari sampel yang diteliti ada pengaruh penyuluhan kesehatan terhadap pengetahuan siswa tentang penyakit menular seksual di SMK Negeri 9 Manado diperoleh nilai ρ = 0.000 < α = 0.05. Kesimpulan bahwa terdapat pengaruh penyuluhan kesehatan terhadap pengetahuan siswa tentang penyakit menular seksual. Hasil penelitian ini diharapkan bisa menjadi bahan masukan bagi sekaligus sumber informasi dan edukasi bagi remaja (siswa/siswi) tentang bahaya penyakit menular yang disebabkan oleh seksualitas.
PENGARUH PENDIDIKAN KESEHATAN TENTANG TEKNIK MENYUSUI TERHADAP PENGETAHUAN IBU HAMIL TRIMESTER III
Beberapa kendala dalam menyusui seringkali dihadapi oleh ibu-ibu, diantaranya belum ada pengalaman, ketidak telatenan dalam memberi Air Susu Ibu dan kurangnya pengetahuan dalam menyusui. Tujuan pada penelitian ini adalah untuk mengetahui pengaruh pendidikan kesehatan tentang teknik menyusui terhadap pengetahuan pada ibu hamil trimester III di Puskesmas Pangolombian Kota Tomohon Sulawesi Utara. Jenis penelitian ini menggunakan metode Quasi Eksperimet dengan desain “one group pre test-post test” suatu penelitian yang memberikan tes awal (pre test) sebelum diberikan perlakuan, setelah diberikan perlakuan barulah memberikan tes akhir (post test). Populasi dalam penelitian ini adalah Ibu Hamil Trimester III di Puskesmas Pangolombian Kota Tomohon Sulawesi Utara berjumlah 40 ibu hamil, sampel dalam penelitian ini berjumlah 16 orang ibu hamil. Hasil dalam penelitian ini menunjukkan bahwa dari sampel yang diteliti terdapat Pengaruh Pendidikan Kesehatan Tentang Teknik Menyusui Terhadap Pengetahuan Pada Ibu Hamil Trimester III Di Puskesmas Pangolombian Kota Tomohon Sulawesi Utara ρ = 0.000 < α = 0.05. Terdapat Pengaruh Pendidikan Kesehatan Tentang Teknik Menyusui Terhadap Pengetahuan Pada Ibu Hamil Trimester III Di Puskesmas Pangolombian Kota Tomohon Sulawesi Utara. Hasil penelitian ini diharapkan bisa menjadi bahan masukan bagi lokasi penelitian dalam hal ini seluruh pihak puskesmas serta ibu hamil agar dapat mengetahui tentang teknik menyusui yang benar.
PENGARUH TEKNIK ALTERNATE NOSTRIL BREATHING TERHADAP TEKANAN DARAH PADA PASIEN HIPERTENSI DI RUANGAN EDELWEYS RSUD NOONGAN
Data awal yang diperoleh dari RSUD Noongan bulan Desember 2024 dan Januari 2025, pasien hipertensi di Ruangan Edelweys berjumlah 98 pasien. Upaya yang dilakukan untuk mengatasi permasalahan hipertensi yaitu dengan pemberian obat antihipertensi dan obat diuretic, pengobatan non farmakologis seperti teknik nostril breathing masih jarang dilakukan dan bahkan hampir tidak pernah, sehingga membuat peneliti tertarik untuk melakukan penelitian lebih lanjut tentang teknik nostril breathing tersebut. Tujuan pada penelitian ini ialah mengetahui Pengaruh Teknik Alternate Nostril Breathing terhadap tekanan darah pasien hipertensi di Ruangan Edelweys RSUD Noongan. Desain penelitian menggunakan pendeketan one Group pretest-posttest design suatu penelitian yang memberikan tes awal (pretest) sebelum diberikan perlakuan, setelah diberikan perlakuan barulah memberikan tes akhir (posttest). Populasi dalam penelitian ini adalah berjumlah 47 pasien. Jumlah sampel dalam penelitian ini berjumlah 16 responden dengan teknik pengambilan sampel menggunakan teknik purposive sampling. Analisa data yang digunakan adalah analisa univariat dan bivariat dengan uji t-test. Hasil dalam penelitian ini menunjukkan bahwa dari sampel yang diteliti terdapat pengaruh teknik alternate nostril breathing terhadap tekanan darah pada pasien hipertensi dengan diperoleh nilai ρ = 0.000 < α = 0.05. Terdapat pengaruh alternate nostril breathing terhadap tekanan darah pada pasien hipertensi. Hasil penelitian ini diharapkan bisa menjadi bahan masukan bagi lokasi penelitian tentang pentingnya teknik alternate nostril breathing terhadap tekanan darah pada pasien hipertensi.
PENGARUH PENDIDIKAN KESEHATAN TERHADAP KEPATUHAN IBU HAMIL DALAM MENGKONSUMSI TABLET ZAT BESI
Penyebab terjadinya perdarahan antenatal dan persalinan salah satunya karena anemia selama kehamilan. Upaya pemerintah untuk menurunkan angka kejadian perdarahan pada ibu hamil, salah satunya dengan pencegahan dan penanganan penyebab terjadinya perdarahan yaitu anemia pada kehamilan. Tujuan penelitian ini adalah untuk megetahui pengaruh pendidikan kesehatan terhadap kepatuhan ibu hamil dalam mengkonsumsi tablet zat besi. Penelitian ini menggukan desain one group pretest-posttest design Populasi dalam penelitian ini ibu hamil trimester III yang berjumlah 60 orang, sampel pada penelitian ini sebanyak 16 responden, instrument yang digunakan ialah leaflet, SAP dan lembar kuesioner, analisa data yang diguakan adalah analisa univariat dan bivariat dengan uji T test. Hasil dalam penelitian ini menunjukkan bahwa sebelum dilakukan pendidikan kesehatan terdapat 12 ibu (75%) yang tidak patuh dalam mengkonsumsi tablet zat besi, dan setelah diberikan pendidikan kesehatan terdapat 14 ibu (87,5%) yang patuh dalam mengkonsumsi tablet zat besi, dari sampel yang diteliti terdapat pengaruh pengaruh pendidikan kesehatan terhadap kepatuhan ibu hamil dalam mengkonsumsi tablet zat besi di Rumah Sakit Bhayangkata Tkt III Manado diperoleh nilai ρ = 0.000 < α = 0.05. Terdapat pengaruh pendidikan kesehatan terhadap kepatuhan ibu hamil dalam mengkonsumsi tablet zat besi di Rumah Sakit Bhayangkata Tkt III Manado. Hasil penelitian ini diharapkan bisa menjadi bahan masukan bagi ibu hamil agar patuh dalam mengkonsumsi tablet zat besi.