Hasil Pencarian  ::  Simpan CSV :: Kembali

Abstrak :
Program Pencegahan dan Pengendalian Penyakit Tidak Menular P2PTM ,merupakan salah satu Upaya Kesehatan Masyarakat esensial yang dilaksanakan olehPuskesmas. Akreditasi Puskesmas adalah bentuk program menjaga mutu dan bentukstandarisasi terhadap pelayanan Puskesmas agar dapat memberikan pelayananberkualitas. Penelitian ini menggunakan metode kualitatif, dilakukan pada bulan April-Mei 2018, bertujuan untuk melihat pengaruh akreditasi terhadap kinerja puskesmaskhususnya pada Penyelenggaraan Program P2PTM. Hasil penelitian, secara umum Output penyelenggaraan program P2PTM pada Puskesmas terakreditasi lebih baikdibandingkan Puskesmas belum terakreditasi. Kegiatan kemitraan dan dana ygbersumber dari masyarakat belum berjalan, Skrining Iva test dan CBE dan skrining DMmasih sekitar 5 , hal ini menunjukkan kurangnya partisipasi masyarakat dan kurangefektifnya pemberdayaan masyarakat. Komponen Input SDM, dana, sarana danpetunjuk Pelaksanaan belum memadai. Komponen Proses perencanaan P1 ,Pengorganisasian dan penggerakkan P2 pada Puskesmas terakreditasi lebih baikdibandingkan Puskesmas belum terakreditasi, P3 sudah berjalan walaupun belumoptimal di beberapa Puskesmas. Perlu meningkatkan kerjasama lintas sektor dan upayapemberdayaan masyarakat untuk mendukung Program P2PTM. Perlu mendorongPuskesmas untuk meningkatkan pennerapan Manajemen Puskesmas dan melakukanContiniously Quality Improvement untuk mencapai peningkatan kualitas sebagai tujuanutama Akreditasi Puskesmas. he Non Communicable Disease NCD`s Prevention and Control Program is one ofthe essential Community Health Efforts implemented by the Puskesmas. Puskesmasaccreditation is a form of program to maintain the quality and form of standardizationto Puskesmas services in order to provide quality services. This research usesqualitative method, conducted in April May 2018, aim to see improvement ofperformance at puskesmas especially at NCD`s Prevention and Control Program. Result of research, in general Output of program of implementation of NCD`s atPuskesmas accredited better than Puskesmas not yet accredited. Community basedpartnership and funding activities have not been implemented, Iva test and CBEscreening and DM screening are still around 5, indicating the community and thelack of effective community empowerment. Input components of human resources, facilities, funds, screening instruction implementation are not adequated. Componentsof Planning Process P1, Organizing and Moving P2 at Accredited Puskesmas betterthan Puskesmas not yet accredited, P3 has been run even though not optimal in somePuskesmas. Need to improve community empowerment to support NCD`s Preventionand Control Program. It is necessary to encourage the Puskesmas to improve theimplementation of Puskesmas Management and conduct Continuous Improvement ofQuality to achieve quality improvement as the main basis of Puskesmas Accreditation.

Abstrak :
Pandemi COVID-19 memberikan perubahan pada kehidupan remaja terutama dalam aktivitas sehari-hari, sehingga remaja harus beradaptasi dengan adanya virtual school. Penelitian ini bertujuan untuk mengetahui pengaruh terapi kelompok terapeutik dan cognitive therapy dalam mencegah gangguan mental emosional pada remaja dengan virtual school selama pandemi COVID-19. Desain penelitian yang digunakan adalah quasi experimental pre-post test with control group. Pengambilan sampel menggunakan teknik purposive sampling dan random sampling dengan jumlah sampel 60 responden yang dibagi menjadi 2 kelompok. Kelompok intervensi 1 sejumlah 30 orang diberikan terapi kelompok terapeutik dan cognitive therapy. Kelompok intervensi 2 sejumlah 30 orang diberikan terapi kelompok terapeutik tanpa cognitive therapy. Analisis univariat menggunakan distribusi frekuensi dan tendensi sentral. Analisis bivariat menggunakan uji repeated anova untuk data yang berdistribusi normal, sedangkan untuk data yang berdistribusi tidak normal menggunakan uji friedman. Hasil penelitian menunjukkan bahwa terapi kelompok terapeutik dan cognitive therapy berpengaruh secara bermakna dalam mencegah gangguan mental emosional pada remaja. Terapi kelompok terapeutik dan cognitive therapy dapat direkomendasikan sebagai kombinasi terapi dalam mencegah gangguan mental emosional pada remaja dengan virtual school selama pandemi COVID-19. ......The COVID-19 pandemic has changed the lives of adolescents, especially in their daily activities, so adolescents have to adapt to the virtual school. This study aims to determine the effect of therapeutic group therapy and cognitive therapy in preventing emotional mental disorders in adolescents with virtual schools during the COVID-19 pandemic. The design used was a quasi-experimental pre-post test with control group. Sampling using purposive sampling and random sampling with a sample size of 60 respondents divided into 2 groups. The intervention group 1 numbered 30 people given therapeutic group therapy and cognitive therapy. The intervention group 2 contributed 30 people given therapeutic group therapy without cognitive therapy. Univariate analysis uses frequency distribution and central tendency. Bivariate analysis uses repeated ANOVA test for normally distributed data while for data that is not normally distributed uses Friedman test. The results showed that therapeutic group therapy and cognitive therapy had a significant effect in preventing emotional mental disorders in adolescents. Therapeutic group therapy and cognitive therapy can be recommended as a combination therapy in preventing emotional mental disorders in adolescents with virtual schools during the COVID-19 pandemic.

Abstrak :
Pajanan agen risiko kesehatan dari lingkungan kerja berdampak pada timbulnya risiko penyakit akibat kerja sehingga pekerja menjadi tidak produktif. Oleh karena itu, untuk mengestimasi risiko kesehatan dari pajanan agen risiko berupa PM10 dari lingkungan kerja, sebuah penelitian analisis risiko telah dilakukan pada 70 orang pekerja industri readymix PT. X Plant Kebon Nanas. Penelitian ini menggunakan desain studi cross sectional dengan pendekatan analisis risiko. Risiko kesehatan akibat pajanan PM10 dihitung dengan membandingkan asupan PM10 dengan dosis referensi. Konsentrasi PM10 diukur pada 6 titik. Hasil konsentrasi tertinggi yaitu 0,407 mg/M3 dan terendah yaitu 0,167 mg/M3 dengan perhitungan konsentrasi rata-rata yaitu 0,289 mg/M3. Hasil perhitungan risiko yang diterima saat ini (realtime) terdapat 21,4% pekerja yang berada dalam kategori berisiko. Sedangkan hasil estimasi risiko yang diterima seumur hidup (lifetime) hanya 2 orang pekerja yang dalam kategori tidak berisiko. Manajemen risiko yang dapat dilakukan adalah dengan menurunkan konsentrasi menjadi 0,08 mg/M3. Dengan konsentrasi tersebut pekerja diestimasikan aman bekerja selama 11 jam per hari dan 362 hari per tahun. ......Exposure of a risk agent from the workplace affect the incidence of occupational diseases so the workers are not able to work productively. To estimate health risk from exposure to PM10, health assessment has been conducted among 70 readymix workers of PT. X at Kebon Nanas Plant. PM10 as risk agent was measured in six points and the result of the highest concentration was 0.407 mg/M3 and the lowest concentration was 0.167 mg/M3 with the average concentration was 0.289 mg/M3. The estimations of health risks are represented by Risk Quotient (RQ), which is obtained from the comparison of the daily intake and reference dose. The calculations of the real time risk showed that 21.4 percent of workers are not safe from a health risk (RQ > 1). While only 2 workers are safe from life time risk. The result of safest concentration was 0.08 mg/M3. With that concentration, estimated workers will be safe to work for 11 hr/day and 362 days/year without adverse health effect.

Abstrak :
Gastritis merupakan penyakit yang disebabkan oleh infeksi Helicobacter Pylori, pola makan tidak teratur, kebiasaan hidup yang buruk, stimulasi makanan, dan stres yang berlebihan. Masalah psikososial yang sering menyertai gastritis adalah ansietas dan ketidakefektifan koping individu. Kedua masalah ini perlu mendapatkan intervensi keperawatan, salah satunya dengan terapi suportif. Tujuan karya ilmiah ini untuk memberikan gambaran penerapan terapi suportif pada 20 klien gastritis dengan masalah ansietas dan ketidakefektifan koping individu berbasis komunitas menggunakan pendekatan Teori Interpersonal Peplau. Terapi suportif diberikan kepada 3 kelompok klien dewasa (setiap kelompok terdiri dari 6-7 individu). Intervensi diberikan sebanyak 4 pertemuan dari mulai 30 Maret sampai 28 April dengan rata-rata pertemuan 45-60 menit. Hasil pengukuran pre dan post menunjukkan pemberian terapi suportif pada klien gastritis dengan pendekatan Teori Interpersonal Peplau dapat menurunkan tanda dan gejala koping individu khususnya pada tanda gejala afektif 95%. Perubahan afektif terjadi dikarenakan selama proses terapi suportif klien diberi kesempatan yang sama untuk mengungkapkan perasaan dan pengalaman yang dialami, serta bisa saling sharing dan diskusi yang terdapat pada fase eksploitasi. Terapi suportif direkomendasikan dilakukan oleh perawat spesialis jiwa untuk meningkatkan koping individu klien gastritis dan Teori Peplau sebagai peningkatan dalam proses interpersonal yang terapeutik dalam keperawatan jiwa.ildren with ASD. Method: The design of this study was a pre-post test analysis. The subjects are children aged 6-10 years who had been diagnosed as GSA by a pediatric neurology consultant and attended the Anakku Clinic Check My Child (CMC) Kayu Putih, Anakku Clinic BSD Serpong, Pondok Pinang, Depok, Bekasi, as well as Anakku Pulomas School within period of April until June 2023. The sampling method was consecutive sampling method. It required total of 33 subjects for 80% power, 5% significance level, 1 point of effect size along with pre-estimated 20% drop out. Firstly, we formulated an animation video-modeling of bathing activity along with its checklist evaluation instrument. The checklist consisted of 20 sequences shown in video-modeling of bathing. Subjects were mandated to watch the video-modeling minimum once a day for duration of 4 weeks. Subjects with the video exposure less than 75% were excluded from the analysis. The evaluation was conducted by adding 1 point for each sequence activity performed by ASD child, without any verbal instructions nor motoric prompts. Pre-test score is the sum of the bathing activity checklist before subject was exposed with the video-modeling, meanwhile the post-test score was taken after 4 weeks intervention period of video-modeling. Result: Among 35 subjects attended in the beginning of the study, only 29 children (82.8%) completed the study for 4 weeks. Most of the subjects (94.2%) were aged 6-8 years with a male and female ratio of 5:1. Median score of ASD childrens’ bathing activity before and after the video-modeling exposure is 3 (0–10) and 6 (1–17), on a scale of 20. The pre- and post-test difference is statistically significant which gives result of 3 point of difference (-4–13), on a scale of 20. Conclusion: There is a statistically significant difference between the sequence imitation skills of bathing activity in ASD children before and after using video-modeling. Further research is needed to determine the clinical significance of this value. ...... Gastritis is a disease caused by Helicobacter Pylori infection, irregular diet, poor living habits, food stimulation, and excessive stress. Psychosocial problems that often accompany gastritis are anxiety and individual coping ineffectiveness. Both of these problems need to get nursing interventions, one of which is with supportive therapy. The purpose of this scientific work is to provide an overview of the application of supportive therapy in 20 gastritis clients with community-based individual coping problems and ineffectiveness using Peplau's Interpersonal Theory approach. Supportive therapy was provided to 3 groups of adult clients (each group consisted of 6-7 individuals). The intervention was given as many as 4 meetings from March 30 to April 28 with an average meeting of 45-60 minutes. The results of pre and post measurements show that the provision of supportive therapy to gastritis clients with Peplau's interpersonal theory approach can reduce the signs and symptoms of individual coping, especially in the sign of affective symptoms 95%. Affective changes occur because during the supportive therapy process clients are given the same opportunity to express feelings and experiences experienced, and can share and discuss each other contained in the exploitation phase. Supportive therapy is recommended by psychiatric nurses to improve individual coping of gastritis clients and Peplau's theory as an improvement in the therapeutic interpersonal process in psychiatric nursing.