JURNAL MEDIA KESEHATAN https://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 KEBIASAAN CUCI TANGAN, BERJEMUR, DAN MEDIA INFORMASI PADA MASYARAKAT SUMATRA SELATAN SELAMA MASA PANDEMI COVID-19 https://jurnal.poltekkes-kemenkes-bengkulu.ac.id/index.php/jmk/article/view/519 <p>COVID-19 is an infectious disease caused by corona virus. This study aims to look at the habit of washing hands, sunbathing, and media information obtained by the people of southern Sumatra during the COVID-19 pandemic. This study used a cross-sectional design with 419 respondents as many as 16 years old who lived in South Sumatra Province. The questionnaire in this study was in the form of e-survey using google form media and distributed through social media (Whatsapp, Facebook, and Instagram). A Chi-square test was used to see the relationship between hand washing, sunbathing, and media information on men and women. The results showed that hand washing (OR = 1,127; 95% CI: 1,089 - 1,167) there was no significant relationship between men and women, while there was a significant relationship in sunbathing (OR = 1,884; 95% CI: 0.992 - 3,581) and information media (OR = 0.473; 95% CI: 0.246 - 0.911). The community is expected to apply the habit of washing hands, sunbathing, and digging information in various media in overcoming the prevention and impact of COVID-19.</p> Andi Eka Yunianto Elya Elya Windi Indah Fajar Ningsih Emy Yuliantini Miratul Haya Ahmad Faridi Eliza Eliza ##submission.copyrightStatement## 2020-12-30 2020-12-30 13 2 59 66 10.33088/jmk.v13i2.519 PENGARUH TEKNIK AFIRMASI TERHADAP TINGKAT STRESS KERJA PERAWAT COVID-19 https://jurnal.poltekkes-kemenkes-bengkulu.ac.id/index.php/jmk/article/view/544 <p>At the end of 2019, the world was shocked by the outbreak of a new pneumonia that started in Wuhan, Hubei Province which then spread rapidly to more than 190 countries and territories. This outbreak is named coronavirus disease 2019. The first Covid-19 was reported in Indonesia on March 2, 2020, and March 31, 2020 data shows that there were 1,528 confirmed cases. This pandemic resulted in an increasing number of infected patients and resulted in the need for more intensive nurses and especially in hospitals. Nurses are the health workers who most interact with Covid-19 patients when they are treated at the hospital, this can result in stress related to this situation that has never been experienced at all in Indonesia. Affirmation is a therapy that can be used to reduce the stress level of a nurse's job. The purpose of this study was to see the effect of affirmation techniques on the work stress level of Covid-19 nurses. The design used in this study was quasi-experimental with pre and post test. Data analysis used t-test. The sampling technique in this study was total sampling, the number of samples in this study was 25 respondents, the study was conducted by giving a nurse work stress questionnaire (ENSS) before and after the intervention with affirmation techniques, the intervention was carried out 4 times a week for 4 weeks. The average level of work stress before the intervention was 119.24 with a maximum value of 160 and a minimum value of 93. The average level of work stress after intervention was 92.92 with a maximum value of 120 and a minimum value of 65, from the data. The results of the statistical test of the work stress level of Covid-19 nurses before and after the intervention with affirmation techniques obtained p-value = 0,000. The implication of this research is expected to be applied continuously to maintain the mental health of nurses and to care for Covid-19 patients</p> Indra Frana Jaya KK Irfannuddin Irfannuddin Budi Santoso ##submission.copyrightStatement## 2020-12-30 2020-12-30 13 2 67 72 10.33088/jmk.v13i2.544 HUBUNGAN MEAN PLATELET VOLUME DENGAN HbA1C DAN PROFIL LIPID PADA PENDERITA DIABETES MELITUS https://jurnal.poltekkes-kemenkes-bengkulu.ac.id/index.php/jmk/article/view/566 <p>The prevalence of Diabetes mellitus (DM) from year to year is increasing. DM is characterized by hyperglycemia and glucose intolerance that occurs because the pancreatic gland is not able to produce insulin in an adequate or because the body cannot use insulin produced effectively or both. In patients with DM, atherosclerosis accounted for almost 80% of all deaths. In patients with DM dysfunction occurs from platelets. Platelets play a role in the process of hemostasis and have important roles in atherosclerosis and arterial thrombosis. The average platelet Volume or known as Mean Platelet Volume (MPV) is the marker of function and the activation of platelets. This research aims to see the relationship between MPV and the lipid profile in patients with DM. This research is a cross sectional research on medical record in the Rebo Market District general Hospital with samples of 300 patients. Data is obtained from January 2014 until December 2015. The Data was analyzed by using the help of SPSS 22.0 with double linear regression test methods. The resulting statistical test showed that there was no significant link between the MPV with lipid and pp glucose profiles (P &gt; 0.05) but there was a significant link between the MPV and the fasting glucose (p &lt; 0.05) in the DM sufferer.</p> Rosdiana Mus Yeremiah Rubin Camin Noortiningsih Noortiningsih ##submission.copyrightStatement## 2020-12-30 2020-12-30 13 2 73 80 10.33088/jmk.v13i2.566 HUBUNGAN PERILAKU KESEHATAN RONGGA MULUT TERHADAP KEJADIAN PERIODONTITIS KRONIS PADA PENGGUNA NARKOBA https://jurnal.poltekkes-kemenkes-bengkulu.ac.id/index.php/jmk/article/view/567 <p><em>Prevalensi penyalahgunaan narkoba telah meningkat secara global. Penyalahgunaan obat ini dapat menjadi permasalahan kesehatan masyarakat karena dampaknya bagi kesehatan umum dan rongga mulut, seperti periodontitis kronis. Penelitian ini bertujuan untuk mengevaluasi hubungan perilaku kesehatan rongga mulut, yang terdiri dari kebersihan mulut, frekuensi menyikat gigi, dan riwayat kunjungan ke dokter gigi, terhadap kejadian periodontitis kronis pada pengguna narkoba. Desain penelitian ini merupakan penelitian observasional dengan desain cross sectional. Pengambilan sampel dilakukan secara acak dengan jumlah sampel sebanyak 147 orang. Analisis data menggunakan uji chi-square. Hasil penelitian menunjukkan terdapat hubungan antara kebersihan mulut (p-value 0,000; OR = 96,84 ; 95% CI 21,58-434,66) dan frekuensi sikat gigi (p-value 0,035; OR = 8,39 ; 95% CI 1,08-65,55) dengan kejadian periodontitis kronis pada pengguna narkoba. Namun tidak terdapat hubungan antara riwayat kunjungan ke dokter gigi dengan kejadian periodontitis kronis pada pengguna narkoba (p-value 0,127; OR = 1,84 ; 95% CI 0,91-3,72). Kebersihan mulut dan frekuensi menyikat gigi memiliki hubungan dengan kejadian periodontitis kronis pada pengguna narkoba yang disebabkan karena pengguna narkoba cenderung mengabaikan kesehatan mulut dan tidak menyikat giginya secara rutin yang mengakibatkan terjadinya akumulasi plak dan meskipun riwayat kunjungan ke dokter gigi tidak berhubungan, namun penting dilakukan untuk menjaga kesehatan rongga mulut yang baik.</em></p> Tety Verianti Rico Januar Sitorus Yuanita Windusari ##submission.copyrightStatement## 2020-12-30 2020-12-30 13 2 81 88 10.33088/jmk.v13i2.567 HUBUNGAN TUNTUTAN PEKERJAAN TERHADAP KEJADIAN STRES KERJA PADA JURNALIS PEREMPUAN DI KOTA PALEMBANG https://jurnal.poltekkes-kemenkes-bengkulu.ac.id/index.php/jmk/article/view/571 <p>Female journalists are very at risk of experiencing work stress due to the arduous and risky task of gathering information to make a story. Profession as a journalist who is always chased by deadlines and high mobility can cause stress. This study aims to analyze the risk factors for job stress in female journalists in Palembang City. The study used a cross-sectional design involving 85 female journalists in Palembang City who were randomly selected from March to June 2020. The data was collected through a Health Safety Executive (HSE) Management Standard Indicator Tools questionnaire as well as interviews and direct observation by psychologists. The analysis showed that there were 4 female journalists who experienced work stress (4.7%). The risk factor that affects job stress is job demands p-value = 0.005 (OR 0.833; 95% CI 0.697 - 0.997). From the results of interviews and direct observation by psychologists, it was found that all four respondents experienced a tendency for light work stress. The risk factors that most influence the incidence of job stress for female journalists in Palembang City are job demands and personality types. Age, marital status, number of children, length of work, years of service, desk coverage, control of work, social support, interpersonal relationships, roles and changes in the organization have no effect on job stress.</p> Mesi Parlinda Tan Malaka Novrikasari Novrikasari ##submission.copyrightStatement## 2020-12-30 2020-12-30 13 2 89 99 10.33088/jmk.v13i2.571 PENGEMBANGAN PERILAKU HIDUP BERSIH DAN SEHAT PADA SISWA SMK KESEHATAN CITRA MEDIKA GROUP https://jurnal.poltekkes-kemenkes-bengkulu.ac.id/index.php/jmk/article/view/572 <p>The clean and healthy behavior of adolescents is very low, even though adolescents are a very important stage of child development considering that adolescents enter growth sports or rapid development, apart from puberty. In this phase there is physical growth accompanied by mental cognitive development, psychological development and reproduction, which regulates the function of sexuality, so it is very important to implement clean and healthy behavior. The purpose of this study was to analyze the development of clean and healthy life behaviors among students of the Citra Medika Group Health Vocational School. The research method used in this study is an exploratory survey, with a sample size of 288 students with a sampling technique proportionate stratifired random sampling. The results showed that the clean and healthy lifestyle of the students was good as much as 77.1% with indicators of good hand washing behavior with soap as much as 91.8%, behavior using good healthy latrines as much as 97.6%, behavior doing sports or high physical activity. 53.4%, good mosquito larva eradication behavior as much as 63.7%, smoking behavior mostly do not smoke as much as 99.4%, all students do not consume drugs or as much as 100%, behavior throwing garbage in its place is good as much as 98.4% , behavior measuring body weight and height irregular as much as 73.8% and behavior of consuming good fruit and vegetables as much as 57.6%. Based on the results of the study, it can be seen that most of the students have a good clean and healthy lifestyle, this is because all students have gained good knowledge as well.</p> Nur Hikmah Nopita Cahyaningrum ##submission.copyrightStatement## 2020-12-30 2020-12-30 13 2 100 108 10.33088/jmk.v13i2.572 EVALUASI PENATALAKSANAAN PROGRAM PENGELOLAAN PENYAKIT KRONIS (PROLANIS) DI PUSKESMAS KOTA BENGKULU https://jurnal.poltekkes-kemenkes-bengkulu.ac.id/index.php/jmk/article/view/573 <p>Health Chronic Disease Management Program (Prolanis) BPJS Health as a system of health services and proactive approach implemented in an integrated manner involving participants, health facilities and BPJS Health becomes an important factor because it becomes one of the indicators of the fulfillment of the commitment of service at puskesmas. This study aims to determine the management of Prolanis which includes membership, activities, availability of drugs and availability of funds Prolanis, knowing the barriers to the implementation of Prolanis and know the ratio of visits and quality of life of participants Prolanis. The research was conducted by descriptive method through interview technique, check list and WHOQoL questionnaire for quality of life measurement. Data retrieval used primary data by interviewing 40 informants and filling questionnaire on 262 participants of Prolanis. The secondary data was obtained from P-Care Puskesmas application. Analysis of the results of research was using descriptive analysis with narrative exposure accompanied by data tables. The results showed that from 20 Puskesmas 1 Puskesmas had not fulfilled the minimum requirement of Prolanis formation, 4 Puskesmas had not conducted gymnastic and educational activities, 2 Puskesmas did not implement pharmacy service standard for drug distribution Prolanis and 4 Puskesmas had not utilized Prolanis fund provided by BPJS Kesehatan. 50% in some puskesmas cause puskesmas to be in unsafe zone for assessment of capitation indicator. For measurement of quality of life of participants Prolanis obtained 95, 04% of respondents have good quality of life.</p> <p>&nbsp;</p> Avrilya Iqoranny Susilo Satibi Satibi Tri Murti Andayani ##submission.copyrightStatement## 2020-12-30 2020-12-30 13 2 109 119 10.33088/jmk.v13i2.573 PENGARUH NESTING TERHADAP PERUBAHAN FISIOLOGIS BAYI PREMATUR DI RUANG PERINATOLOGI RSUD DR. M. YUNUS BENGKULU https://jurnal.poltekkes-kemenkes-bengkulu.ac.id/index.php/jmk/article/view/574 <p><strong>Latar Belakang :</strong> Prematuritas merupakan penyebab kematian kedua pada balita setelah pneumonia dan merupakan penyebab utama kematian neonatal. Tiga puluh lima persen kematian neonatal di dunia disebabkan oleh komplikasi kelahiran prematur. Salah satu bentuk intervensi keperawatan selain metode kanguru yang dapat dilakukan pada BBLR adalah <em>nesting</em>. <em>Nesting</em> digunakan untuk memberikan posisi yang tepat pada neonatus. Intervensi keperawatan tersebut menggunakan alat berbentuk seperti kondisi rahim ibu yang terbuat dari bahan yang halus yang berisi potongan kain seperti dacron. Panjang alat ini sekitar 121-132 cm dan dapat disesuaikan dengan panjang tubuh bayi. Alat ini diletakkan sebagai pelindung posisi bayi, sehingga berada dalam posisi ekstensi dan menjaga perubahan posisi bayi yang diakibatkan karena gravitasi.</p> <p><strong>Masalah penelitian</strong> : masih banyaknya bayi premature yang keadaan fisiologisnya tidak stabil di Ruang Perinatologi RSUD dr. M. Yunus Bengkulu.</p> <p><strong>Tujuan: </strong>Mengetahui pengaruh <em>nesting </em>terhadap perubahan fisiologis bayi premature di Ruang perinatology RSUD DR. M. Yunus Bengkulu.</p> <p><strong>Metode Penelitian :</strong> Rancangan penelitian yang digunakan adalah <em>quasi eksperiment </em>dengan rancangan <em>non equidment control group design </em>dengan satu kelompok intervensi dan satu kelompok kontrol.</p> <p><strong>Hasil Penelitian : </strong>Hasil penelitian di dapatkan Rata-rata saturasi oksigen pada kelompok kontrol adalah 96,22 sedangkan pada kelompok intervensi didapatkan rata-rata saturasi oksigen adalah 98,17 di Ruang Perinatologi RSUD dr. M. Yunus Bengkulu. Rata-rata frekuensi nafas pada kelompok kontrol adalah 85,44 edangkan pada kelompok intervensi didapatkan rata-rata frekuensi nafas adalah 97,61 di Ruang Perinatologi RSUD dr. M. Yunus Bengkulu. Rata-rata frekuensi nadi pada kelompok kontrol adalah 97,44&nbsp; sedangkan pada kelompok intervensi didapatkan rata-rata frekuensi nadi adalah 110,50 di Ruang Perinatologi RSUD dr. M. Yunus Bengkulu. Ada pengaruh <em>nesting</em> terhadap saturasi oksigen pada bayi prematur di Ruang Perinatologi RSUD DR. M. Yunus Bengkulu dengan <em>p value</em> 0,007. Ada pengaruh <em>nesting</em> terhadap frekuensi nafas pada bayi prematur di Ruang Perinatologi RSUD DR. M. Yunus Bengkulu dengan <em>p value</em> 0,003 dan ada pengaruh <em>nesting</em> terhadap frekuensi nadi pada bayi prematur di Ruang Perinatologi RSUD DR. M. Yunus Bengkulu dengan <em>p value</em> 0,047.</p> <p><strong>Simpulan </strong><strong>:</strong> Ada pengaruh <em>nesting</em> terhadap saturasi oksigen pada bayi prematur di Ruang Perinatologi RSUD DR. M. Yunus Bengkulu dengan <em>p value</em> 0,007. Ada pengaruh <em>nesting</em> terhadap frekuensi nafas pada bayi prematur di Ruang Perinatologi RSUD DR. M. Yunus Bengkulu dengan <em>p value</em> 0,003 dan ada pengaruh <em>nesting</em> terhadap frekuensi nadi pada bayi prematur di Ruang Perinatologi RSUD DR. M. Yunus Bengkulu dengan <em>p value</em> 0,047.</p> Yeni Eliyanti Nasaratri Hasta Noeraini ##submission.copyrightStatement## 2020-12-30 2020-12-30 13 2 120 128 10.33088/jmk.v13i2.574 DIVERSITAS GOLONGAN DARAH SISTEM ABO BERDASARKAN RIWAYAT DEMAM BERDARAH DENGUE PADA MAHASISWA DI PADANG HARAPAN KOTA BENGKULU https://jurnal.poltekkes-kemenkes-bengkulu.ac.id/index.php/jmk/article/view/575 <p><em>Abstract</em></p> <p><strong><em>Background</em></strong><em>: Diversity of blood groups based on certain diseases such as dengue is still a concern by a number of researchers. Dengue hemorrhagic fever is still a national health problem. Indonesia is one of the countries that has relatively high dengue cases. Bengkulu Province was previously ranked 26th with a 17.53 morbidity rate in 2017, rising to 3rd place with a morbidity rate of 72.28 per 100,000 population in 2018. Data for the last two (2) years shows that Bengkulu City is one of the areas with the most cases of DHF. Data on the diversity of blood groups in the ABO system based on a history of dengue fever in Padang Harapan, Bengkulu City is still very lacking. There is no definite data either in the relevant Office or Regional and Provincial Hospitals, while cases of Dengue Fever occurs at a rate that fluctuates every year</em></p> <p><strong><em>Methods</em></strong><em>: This study was a non-experimental study with an analytic observational design using a cross-sectional approach. Respondents were students in Padang Harapan, Bengkulu City who were selected based on the inclusion and exclusion criteria of 391 people using purposive sampling technique with an age range of 17-25 years. The study took place from March to November 2020. Blood group data and history of dengue fever were collected using google form and confirmed by laboratory examination.</em></p> <p><strong><em>Results</em></strong><em>: The diversity of blood groups in ABO system students was dominated by blood groups A (32.5%), O (31.2%), B (25.6%), and AB (10.7%). As much as 9.7% of students in Padang Harapan (n = 391) have experienced dengue fever. The diversity of blood groups of students who had dengue fever (n = 38) was dominated by blood type A (44.7%), B (28.9%), O (18.4%), and AB (7.9%).</em></p> <p><strong><em>Conclusion</em></strong><em>: There is a significant relationship (P=0.032) between blood groups and a history of DHF.</em></p> Putra Adi Irawan Krisyanella Krisyanella ##submission.copyrightStatement## 2020-12-30 2020-12-30 13 2 129 137 10.33088/jmk.v13i2.575 PENGARUH RANGE OF MOTION (ROM) AKTIF DAN PASIF TERHADAP RENTANG GERAK PADA LANSIA YANG MENGALAMI ARTITIS REMATOID DI KOTA BENGKULU https://jurnal.poltekkes-kemenkes-bengkulu.ac.id/index.php/jmk/article/view/576 <p><strong>Permasalahan: </strong>Lansia mengalami kemunduran pada system musculoskeletal, penyakit artritis rematoid merupakan penyakit yang menyerang persendian pada lansia, akibat dari penyakit tersebut lansia mengalami nyeri sehingga lansia takut melakukan pergerakan yang akan mengakibatkan terjai kekauan dan menurunan pada rentang gerak. Salah satu intervensi yang dapat dilakukan untuk mengurangi kekakuan dan meningkatkan rentang gerak dilakukan <em>Rang of Motion</em> (ROM) baik secara aktif maupun pasif. Bengkulu memiliki angka kejadian <em>artritis rematoid</em> yang cukup signifkan dimana setiap tahunya mengalami peningkatan. Kejadian <em>artritis rematoid</em> di Kota Bengkulu pada tahun 2016 sebanyak 1.239 kasus dan pada tahun 2017 sebanyak 1.487 kasus meningkat pada tahun 2018 sebanyak 1.872 kasus. <strong>Tujuan Penelitian:</strong> untuk mengetahui pengaruh latihan <em>range of motion</em> (ROM) yang dilakukan secara aktif dan pasif terhadap rentang gerak pada lansia yang mengalami artritis rematoid di Kota Bengkulu. <strong>Metode Penelitian: </strong>Penelitian ini dengan Quasy experimental dengan menggunakan rancangan <em>three</em><em> group with countrol design</em> yaitu kelompok yang diberikan ROM aktif, kelompok yang diberikan ROM pasif dan kelompok kontrol. Sampel penelitian yaitu lansia yang mengalami keterbatasan rentang gerak pada lutut sebanyak 60 lansia dengan teknik <em>consecutive sampling</em>. <strong>Hasil: </strong>Hasil penelitian yaitu terdapat pengaruh range of motion yang dilakukan cara aktif, pasif terhadap rentang gerak pada lansia yang mengalami artritis rematoid di Kota Bengkulu dengan p vaue &lt; 0,005. <strong>Kesimpulan:</strong><em>range of motion</em> yang dilakukan secara teratur seminggu 3 kali selama 4 minggu dapat meningkatkan derajad rentang gerak pada penderita artritis rematoid.</p> Septi Andrianti Feny Marlena Azhari Septiawan ##submission.copyrightStatement## 2020-12-30 2020-12-30 13 2 138 148 10.33088/jmk.v13i2.576