JURNAL MEDIA KESEHATAN http://jurnal.poltekkes-kemenkes-bengkulu.ac.id/index.php/jmk <p>Contains writings that are taken from the results of research in the fields of Nursing, Midwifery, Nutrition, Health Analyst, Environmental Health, Health Promotion and Pharmacy</p> Politeknik Kesehatan Kemenkes Bengkulu en-US JURNAL MEDIA KESEHATAN 1979-5750 DUKUNGAN SOSIAL TENTANG EFIKASI DIRI MENYUSUI PADA IBU NIFAS http://jurnal.poltekkes-kemenkes-bengkulu.ac.id/index.php/jmk/article/view/349 <p>Bengkulu City is the city with the lowest coverage of 9 districts / cities in<br>Bengkulu Province in 2015 by 38%. The success of breastfeeding can be increased in<br>mothers who have high breastfeeding self-efficacy. One of the factors that influence<br>breastfeeding self-efficacy is the existence of social support sourced from the family<br>(husband), cadres, and health personnel (midwives). This study aims to determine the<br>analysis of social support on breastfeeding self-efficacy of postpartum in the Working<br>Area of PuskesmasLingkar. This research uses qualitative method with phenomenology<br>approach. The subjects of the study were chosen by using purposive sampling technique<br>consisting of 6 primary informants which is 3 postpartum mothers with high efficacy and<br>3 postpartum mothers with low efficacy and 6 secondary informants which is 2 midwives,<br>2 cadres and 2 husbands, each consisting of low and high efficacy. The results showed<br>that social support in the form of family support (husband), cadres and health workers<br>(midwives) affects self-efficacy of breastfeeding in postpartum. Forms of family support<br>(husband) and health personnel (midwife) are informational, emotional, assessment and<br>intrumental support. Forms of cadre support is just informational suppor. It is expected<br>that health workers can provide a comprehensive extension of ASI to mother and family.<br>Training of cadres also needs to be done to improve the role and task of cadres in<br>improving the success of postpartum mother to breastfeed her baby exclusively.</p> Agnes Julisca Cemara ##submission.copyrightStatement## 2018-11-16 2018-11-16 11 1 001 006 10.33088/jmk.v11i1.349 PELAKSANAAN 7 KONTAK ASI PADA KEBERHASILAN MENYUSUI http://jurnal.poltekkes-kemenkes-bengkulu.ac.id/index.php/jmk/article/view/350 <p>The success of implementing Exclusive Breastfeeding is influenced by several factors.<br>To achieve successful breastfeeding, the WHO has established the existence 7 ASI Contact with<br>lactation counselor or lactation clinic. The purpose of this study was to determine the analysis of<br>the implementation of the 7 ASI contact to successful breastfeeding in the working area of UPTD<br>Puskesmas Pasar Ikan Bengkulu City of Year 2017. This study design using analytic survey with<br>cross sectional approach. Total sample of 66 mothers breastfeeding &gt; 6 months.sampling using<br>techniques consecutive sampling and data analysis using statistical test Chi-Square. The results<br>showed 66 mothers breastfeeding &gt; 6 months, most mothers have carried out 7 ASI contacts and<br>successfully breastfeed exclusively (77.2%). Test results Chi-Square show that there was a<br>relationship implementation 7 ASI contacts to successful breastfeeding in the working area of<br>UPTD Puskesmas Lingkar Barat Bengkulu City of Year 2017 (ρ=0.000,OR = 7.088). The results<br>of this study demonstrated an association implementation of the 7 ASI contact ASI to successful<br>breastfeeding because 7 ASI contact to affecting successful of breastfeeding.</p> Anggy Febriani ##submission.copyrightStatement## 2018-11-16 2018-11-16 11 1 007 011 10.33088/jmk.v11i1.350 FAKTOR RISIKO HEMORRHAGE PASCA POST PARTUM http://jurnal.poltekkes-kemenkes-bengkulu.ac.id/index.php/jmk/article/view/351 <p>Bleeding is one of the causes of maternal deaths at Curup General Hospital in 2016<br>with the number of cases as many as 123 cases. Many factors affect the occurrence of postpartum<br>bleeding such as parity, birth spacing, age and anemia. This study aims to determine the risk<br>factors that affect post partum hemorrhage at Curup General Hospital District Rejang Lebong<br>Year 2016. Descriptive analytic research method with case control design. The sample was 246<br>with ratio 1 between case group and control group (123). Data were analyzed by univariate,<br>bivariate and multivariate using cgi square test and binary logistic regression. There was no<br>correlation between birth and postpartum hemorrhage (p-value = 0.199, OR = 1.392), there was a<br>correlation between birth age and postpartum hemorrhage (p-value = 0.002, OR = 2.220) and no<br>anemia relationship with postpartum hemorrhage (p-value = 0.294, OR = 0.759). The most<br>influential factors for post partum bleeding were parity (p-value = 0.044, OR = 0.589). Especially<br>in mothers to be delivered in specific and comprehensive detection especially for mother primi or<br>grandemultipara especially at the time of III and IV by doing active management action of third<br>stage so as to prevent the occurrence of uterine atony.</p> Annisa Ul-Ilmi ##submission.copyrightStatement## 2018-11-16 2018-11-16 11 1 012 019 10.33088/jmk.v11i1.351 DAYA TERIMA DAN ANALISIS ZAT GIZI PADA PEMPEK SUBSTITUSI TEPUNG MOCAF http://jurnal.poltekkes-kemenkes-bengkulu.ac.id/index.php/jmk/article/view/352 <p>Mocaf flour is a flour made from cassava root (Manihot escluenta) which has<br>a lower ash content that is around 0.4 percent, has a higher starch content and mocaf also<br>has a higher fiber content than wheat. Mocaf flour in this research as the basic ingredient<br>of making pempek. Pempek is a snack food made from ground corn, tapioca, salt, and<br>water. This study aims to determine the acceptance (texture, color, flavour, taste) and to<br>know the nutrients of energy and macro nutrients in pempek mocaf. The materials used in<br>making pempek are mocaf flour, tapioca flour, anchovy, palm oil, carrot, garlic, salt, and<br>water. Treatment in this research pempekis F1 flour mocaf 100%, F2 mocaf flour 75%<br>and tapioca flour 25%, while F3 uses 50% mocaf flour and 50% tapioca flour. The<br>method ofresearch is pempek in organoleptic test by 40 panelis then pempek most<br>preferred analyzed nutrient energy and macro nutrient. The method of nutrient analysis<br>used for the protein test using Kjeldahl, fat using hydrolysis-soxhlet, and carbohydrates<br>using Luff scrhool. From the results of one way anova pempek one of the most preferred<br>is pempek with 50 mocaf F3 flour treatment and 50% tapioca flour. There is a marked<br>difference to texture and taste and there is no significant difference in color and flavour.<br>While after the analysis obtained energy 173.61 calories, 5.27 grams of protein, 4.81<br>grams of fat, and carbohydrates 27.31 grams. From this study it can be concluded that F3<br>treatment contains energy, protein and fat higher than pempek which is often circulated,<br>while carbohydrate is lower than pempek that often circulate. Suggestion for further<br>investigators can examine more about micro nutrient found in pempek made from mocaf<br>flour.</p> Cici Cutyanti ##submission.copyrightStatement## 2018-11-16 2018-11-16 11 1 020 027 10.33088/jmk.v11i1.352 LAMA WAKTU PENGOMPOSAN SAMPAH MENGGUNAKAN METODE LEACHATE CIRCULATION DAN WINDROW http://jurnal.poltekkes-kemenkes-bengkulu.ac.id/index.php/jmk/article/view/353 <p>Garbage are goods that are not used and disposed of by the owner of the<br>previous user. Waste management can be done with composting. Constraints<br>society in the procces that takes a long time between 2-3 months. The purpose of<br>research is to compare the length of time waste composting using leachate<br>circulation and windrow. This type of research is experimentation with the design<br>of post test with control. There are 12 sample, 2 treatment and 1 control. The first<br>treatment using activator starbio with bioreactor leachate circulation and the<br>second treatment using activator starbio with bioreactor windrow. The analysis of<br>research using univariate analysis and bivariate analysis with anova and LSD. The<br>result stated that the establishment of a long time with activator starbio using<br>bioreactor leachate circulation is 10 days and the addition of compost activator<br>starbio using bioreactor windrow is 7 days. Expected use of activator starbio with<br>bioreactor leachate circulation and windrow on organic waste can be a solution,<br>especially for people in overcoming the prolem of composting which takes a long<br>time to be faster.</p> Deri Kermelita ##submission.copyrightStatement## 2018-11-16 2018-11-16 11 1 028 032 10.33088/jmk.v11i1.353 MOTIVASI KADER POSYANDU DALAM PEMERIKSAAN IVA TEST http://jurnal.poltekkes-kemenkes-bengkulu.ac.id/index.php/jmk/article/view/354 <p>Inspection of Visual Inspection of Acetic Acid (IVA) is one way of early<br>detection of cervical cancer disease. This check method is an easy-to-do and inexpensive<br>method, but has high yield accuracy. The Srikuncorocommunity Health centersis<br>community Health centers which has the lowest IVA examination rate that is 5 people.<br>The purpose of this research is to know factors related to posyandu cadre motivation in<br>examination of IVA test in working area of The Srikuncorocommunity Health<br>centers2017 This research use cross sectional method. The population of the research was<br>posyandu cadres in The Srikuncorocommunity Health centersarea of 90 people, with total<br>sample technique. Using secondary data and primary data with univariate, bivariate, and<br>multivariate analyzes. The research results of most cadres received poor husband support<br>(56.7%), poor environmental support (54.4%), poor information exposure (55.6%), and<br>most cadres have low motivation (62.2%). There is a significant relationship between<br>husband support p = 0,000 and OR = 10,750, environmental support p = 0,000 and OR =<br>8,883, information exposure p = 0,000 and OR = 7,593 with cadre motivation in IVA test<br>examination at Puskesmas Srikuncoro 2017. husband is the most influential factor with<br>cadre motivation in IVA examination</p> Erni Yanti Sarumpaet ##submission.copyrightStatement## 2018-11-16 2018-11-16 11 1 033 038 10.33088/jmk.v11i1.354 FAKTOR-FAKTOR YANG MEMPENGARUHI KEJADIAN LESI PRA KANKER http://jurnal.poltekkes-kemenkes-bengkulu.ac.id/index.php/jmk/article/view/355 <p>The prevalence of cervical cancer in Indonesia is estimated in every day that<br>41 new cases of cervical cancer and about 20 people every day die. Bengkulu province<br>ranked fourth with a prevalence of cancer of 1.9% with the total number of cervical<br>cancer patients in 2015 as many as 705 cases. Early detection of pre-cancerous lesions<br>through IVA test. Factors affecting pre-cancerous lesions consist of marital age, age,<br>parity and hormonal contraceptive use. The purpose of this research is to know the factors<br>that influence the incidence of pre-cancer lesions in the Region of Puskesmas Care<br>Kembang Seri Talang Empat Sub-district, Central Bengkulu Regency Year 2017. This<br>research is analytical descriptive research with case control design. Samples A case group<br>of women with positive IVA test results of 36 people with total sampling technique and<br>women's control group with negative IVA test results with a 1: 1 comparison was taken<br>with a simple random technique. Data were analyzed using Chi-Square test and Binary<br>Logistic Regression. The results showed that nearly half of the respondents had positive<br>pre-cancerous lesions, mostly married ≤20 years, most of the use of hormonal<br>contraceptives ≥5 know, most respondents were mother's age&gt; 35 years and mostly.<br>There is a relationship of married age, the use of hormonal contraceptives and parity to<br>the incidence of pre-cervical cancer lesions and no relationship of maternal age with the<br>incidence of cervical pre-cancer lesions The most influential factor on the incidence of<br>pre-cancerous lesions is married age. It is hoped that Puskesmas should be able to<br>coordinate and cooperate with cross-sectional about the age of menikha that must be done<br>at age&gt; 20 years and do ekrjasama with school parties to prevent teenage pregnancy by<br>doing cooperation with organization of PIK-R.</p> Ferdianti Enggoa ##submission.copyrightStatement## 2018-11-16 2018-11-16 11 1 039 045 10.33088/jmk.v11i1.355 LATIHAN PEREGANGAN PADA PENDERITA NYERI PUNGGUNG BAWAH http://jurnal.poltekkes-kemenkes-bengkulu.ac.id/index.php/jmk/article/view/356 <p>The incidence of low back pain is about 80% of the population have suffered<br>from low back pain. Data of low back pain patients within 6 months (April to September<br>2016) as many as 72 visits in Poly Saraf RSUD Bengkulu City. The purpose of the study<br>to determine the effect of stretching on the reduction of the scale of pain in low back pain<br>patients in Poly Saraf RSUD Bengkulu City. The type of research is pre-experiment with<br>one group pre-test post-test design. Respondents were lower back pain patients as many<br>as 32 people taken with purposive sampling technique. Data collection was done by<br>interview using numerical pain scale. The result showed that the average of pain scale<br>before stretching was 4.81 with a standard deviation of 0.592, the pain scale after<br>stretching was 3.34 with a standard deviation of 0.701. Stretching exercises have a<br>significant effect on decreasing the scale of low back pain (p = 0.000 ≤ α 5%). It is<br>desirable for nurses to apply stretching exercises as an initial measure to lower the scale<br>of low back pain.</p> Fitra Puspita Sari ##submission.copyrightStatement## 2018-11-16 2018-11-16 11 1 046 052 10.33088/jmk.v11i1.356 FAKTOR DETERMINAN PADA KETUBAN PECAH DINI http://jurnal.poltekkes-kemenkes-bengkulu.ac.id/index.php/jmk/article/view/357 <p>Every year the incidence of premature rupture of membranes ranges from 5-<br>10% of all preterm preterm births and membranes occurring in 1% of all pregnancies.<br>70% of cases of premature rupture of membranes occur in early pregnancy, premature<br>rupture of membranes is the cause of preterm birth as much as 30% (Manuaba, 2010). At<br>the Derah Kepahiang General Hospital, the incidence of premature rupture of membranes<br>is 219 cases in 2016.This research is analytical descriptive research with case control<br>design. The sample in this study amounted to 138 people divided into two groups of 69<br>cases and 69 controls. Statistical test using chi square test and binary logistic<br>regression.Results of the study of 69 people with premature rupture of membranes at<br>maternal age &lt;20 and&gt; 35 years (46.4%), primiparity and grandemultipara parity<br>(62.3%), fetal abnormalities (33.3%), gestational age aterm ( 63.8%) and those with a<br>history of premature rupture (18.8%) in Kepahiang Hospital by 2016. Maternal age (pvalue<br>0.013 OR = 2.646), parity (p-value 0.0,0 OR OR = 3.111) (p-value 0,0017 OR =<br>2,950), gestational age (p-value 0,386) and history of premature rupture (p-value 0,167)<br>at Kepahiang Hospital 2016. The most dominant factor causing premature rupture of<br>membranes in RSUD Kepahiang year 2016 is parity (Exp (B) 2,806).It is expected that<br>the hospital can use the research as input to suppress the incidence of premature rupture<br>of membranes, by counseling to explain the risk factors of premature rupture of<br>membranes, especially maternal age, parity and fetal abnormalities.</p> Fitriyani Fitriyani ##submission.copyrightStatement## 2018-11-16 2018-11-16 11 1 053 061 10.33088/jmk.v11i1.357 FAKTOR-FAKTOR YANG MEMPENGARUHI TERJADINYA HIPOTENSI INTRADIALISIS PADA PASIEN GAGAL GINJAL TERMINAL YANG MENJALANI HEMODIALISIS http://jurnal.poltekkes-kemenkes-bengkulu.ac.id/index.php/jmk/article/view/358 <p>One of the most common complications of chronict kidney disease patients<br>undergoing hemodialysis is intradialytic hypotension. This study aims to identify the<br>factors that influence the occurrence of intradialytic hypotension in patients with end stage<br>renal failure undergoing hemodialysis. The study design was cross sectional recruited of<br>81 patients of hemodialysis patients. Data were analyzed using contingency coefficient ,<br>spearman and logistic regression. The results showed a significant relationship between<br>history of heart disease, intradialytic weight gain and albumin levels and the incidence of<br>intradialytic hypotension (p &lt;0.05). The most influence variables that influence on<br>incidence of intradialytic hypotension was history of heart disease with OR=3.525. Nurses<br>have to increase their capability in monitoring factors that influence intradialytic<br>hypotension especially in pre, intra, and post hemodilaytic, giving education about water<br>and dietary consumption. to increase their capability in the provision of nursing care for<br>hemodialysis patients.</p> Sahran Sahran ##submission.copyrightStatement## 2018-11-16 2018-11-16 11 1 062 070 10.33088/jmk.v11i1.358 KONSELING GIZI PADA REMAJA OBESITAS http://jurnal.poltekkes-kemenkes-bengkulu.ac.id/index.php/jmk/article/view/359 <p>Obesity is a condition of excessive weight due to excessive accumulation of fat<br>in the body. The prevalence of obesity aged ≥ 15 years in 2015 in Bengkulu city is 308<br>people (3.15%), the prevalence increases compared with the previous year. The purpose<br>of this research is to know the influence of nutrition counseling to knowledge, energy<br>intake, fat intake, and fiber intake in obese teenager at vocational high school 01<br>bengkulu city in 2017. This research is pre-experiment research with pretest-postest onegroup<br>design. The number of respondents obtained as many as 17 samples with Simple<br>Random Sampling technique. Knowledge data were obtained from questionnaire<br>statements, energy intake data, fat intake and fiber intake, obtained from 24-hour recall<br>form. The data obtained were analyzed using the dependent T-test and Wilcoxon test. The<br>results showed that there was influence of nutritional counseling to knowledge, there was<br>influence of nutritional counseling to energy intake, and there influence of nutrition<br>counseling to fat intake, whereas in fiber intake there was no effect of nutrition<br>counseling to fiber intake, mean post intervention was lower than pre intervention.<br>Respondents need to pay attention and increase the consumption of foods high in fiber<br>and lower consumption of foods high in energy and high fat and increase physical<br>activity. As a follow up of nutrition counseling activities, schools are expected to provide<br>facilities and infrastructure for adolescents to conduct nutritional counseling.</p> Afriska Lestantina ##submission.copyrightStatement## 2018-11-16 2018-11-16 11 1 071 078 10.33088/jmk.v11i1.359 PENGARUH TEKNIK RELAKSASI NAFAS DALAM DAN AROMATERAPI LAVENDER UNTUK PENURUNAN TINGKAT KECEMASAN PASIEN PRE OPERASI APENDIKSITIS http://jurnal.poltekkes-kemenkes-bengkulu.ac.id/index.php/jmk/article/view/360 <p>The surgical procedure gives reactions such as fear, anger, anxiety and anxiety. Anxiety is a<br>normal phenomenon in new experiences and things that have not been tried. The magnitude of anxiety<br>depends on the expected outcome of the surgery, the benefits and the type of organ being removed.<br>This research is to know the effect of breath relaxation technique in using lavender aromatherapy to<br>decrease the anxiety level of pre surgical patient appendiksitis in RSUD Dr. M.Yunus Bengkulu.<br>Research using Pre-experimental with one-group pretest-posttest design. The sample was appendixitis<br>patients totaling 20 people taken by accidental sampling. Data analysis with paired t test. The data<br>showed averages before the intervention anxiety value 28.70 and after intervention 23.70. There is<br>difference of anxiety value after intervention (p = 0,001 ≤ α 5% meaning, there is decrease of anxiety<br>value before and after intervention. Conclusions and Suggestions: The nurse provides information and<br>asks the family to provide lavender aromatherapy as a preparation for surgery to reduce preoperative<br>patient anxiety.</p> Ria Oktasari Nurdin ##submission.copyrightStatement## 2018-11-16 2018-11-16 11 1 079 084 10.33088/jmk.v11i1.360 DISTRESS PSIKOLOGI PADA RESIKO KERENTANAN BUNUH DIRI http://jurnal.poltekkes-kemenkes-bengkulu.ac.id/index.php/jmk/article/view/361 <p>Staying in prisons, making space for prisoners is restricted and isolated from<br>society, confined and isolated situation can be a stressor that causes stress. The purpose of<br>research is known relationship with psychological distress vulnerability adolescent suicidal<br>inmates in prisons Class II A Bengkulu. Type descriptive analytic research with<br>cross sectional approach. The sample in this study were all teenagers who inhabit prison<br>inmates Class II A Bengkulu in November 2015, as many as 49 prisoners. Collecting data<br>using questionnaires. The data analysis was conducted quantitative univariate, bivariate,<br>and multivariate analysis. The result showed a small fraction of prisoners suffered psychological<br>distress, most inmates aged ≤ 18 years, nearly all prisoners gender to male,<br>mostly poorly educated prisoners, a fraction highly vulnerable inmates committed suicide.<br>There is no significant relationship between psychological distress with the vulnerability<br>of suicide on inmates in prisons Class II A Bengkulu. The need for counseling to<br>the inmates of prisons in addressing various problems with doing something positive<br>thereby prison occupants will be able to receive him at the moment, and look at everything<br>positively.</p> Husni Husni ##submission.copyrightStatement## 2018-11-16 2018-11-16 11 1 085 092 10.33088/jmk.v11i1.361 PENGETAHUAN IBU HAMIL DAN DUKUNGAN KELUARGA PADA KEJADIAN KEHAMILAN USIA MUDA REMAJA http://jurnal.poltekkes-kemenkes-bengkulu.ac.id/index.php/jmk/article/view/362 <p>Unwanted teenage pregnancies are very embarrassing and can damage their<br>future, therefore some teenagers have an abortion to abort their pregnancy. This research<br>is an analytical research using Cross Sectional approach. The study population was all<br>pregnant women from July to September as many as 370 pregnant women. The sample in<br>this study were 82 respondents. The sampling technique was carried out by means of<br>quata sampling. Data collection was carried out by filling out the questionnaire carried<br>out on October 23 to November 2, 2017. Data analysis was used chi-square with p-value<br>0.005. The results showed that most respondents did not experience pregnancy at a young<br>age, lacked knowledge and had negative family support. Based on the results of the<br>analysis there is a significant relationship between knowledge and family support with the<br>incidence of pregnancy at a young age with p-value, namely p = 0.033 and p = 0.030.<br>Respondents' knowledge can be improved by conducting counseling, disseminating<br>fanplet, health promotion, and activeness of respondents seeking information about<br>pregnancy at a young age, attending formal or non-formal health education namely<br>consulting with health workers and respondents can seek information through print and<br>electronic media.</p> Kiki Andriana ##submission.copyrightStatement## 2018-11-16 2018-11-16 11 1 093 101 10.33088/jmk.v11i1.362