Upaya dan Kendala Konselor Puskesmas dalam Perawatan Pasien Skizofrenia

Introduction : Schizophrenia is a severe mental disorder and chronic affecting 20 million people worldwide. Schizophrenia is characterized by impaired of language, sense of self and behaviour distortions in thinking, perception, and emotions. Some case include  delusions (fixed, false beliefs) and  hallucinations (hearing voices or seeing things that are not there).  Schizophrenia is treatable disease with  psychosocial support and medicines is effective. The role of public health service counselor is important to give  psychosocial support and medicines to patient. Aim of this studi to  describe efforts and constraints  public health care counselor  in the care of schizophrenic patients. Methods : A descriptive qualitative study with 4 informants from public health service counselor. Purposive sampling is used to selecting informants. Analize of data was carried out qualitatively. The triangulation of sources, methods, researchers, and theories is used to test validity. The study was conducted in January-November 2019, in Pilang Kenceng Village, Madiun Regency. Data collection was carried out by in-depth interviewing using guide questions. Results : The results showed that there were 6 themes in answering research objectives are submission of training, optimizing the role of the community, early detection, providing treatment, counseling and constraints. Conclution : Efforts made by counselors have not been running optimally because of the synergy and communication with the community is not going well. Contraints in efforts in the care of schizophrenic patients is support from the government that is minimum

Using An Electrical Toothache Salvadora Perisca To Increasing Oral Health Quality: A Manikin Trial

Background: The most effective way of oral care in patients with decreased consciousness is not yet known. Electrical toothace salvadora perisca has the potential to improve oral hygiene because it has an antibiotic effect, and is easy to use. Aim of study is to know the effect of electrical toothace salvadora perisca on oral health quality. Methods: A pre-experimental study in a laboratory using manikins in 2021. The study was conducted by 6 respondents in which each respondent performed 2 oral treatments using an electrical toothace salvadora perisca on the mouth of a manikin that had been dirty make-up using Ky Jelly. The toothbrush was operated for 1 minute evenly on the teeth, and foam sticks are used to clean the lips and oral mucosa. Oral hygiene was measured with a modified Beck Oral Assessment Scale (BOAS) instrument, and the scores of conditions before and after oral care were compared using the Wilcoxon test. Results: Wilcoxon test showed a value of 0.002, which means that there was a difference in the BOAS score between before and after treatment. Electric toothbrushes clean teeth better, and foam sticks are able to clean the inside and soft of the patient's mouth. Conclusion: Electrical toothace salvadora perisca can increasing oral health quality. The implication is need to find and try out the most effective way of doing oral care

Neo Automatic Code (NAC) To Improve Return Of Spontaneus Circulation (ROSC) In Hospital Cardiac Arrest (IHCA) Patients

Background: a higher rate of recommended chest compression is needed for neo automatic code (NAC)-guided cardiopulmonary resuscitations (CPR) to obtain high-quality chest compressions. High-quality chest compressions could improve ROSC. Purpose: the study aim to analyze the effects of CPR using NAC on the ROSC in-hospital cardiac arrest in Indonesia. Methods: this study used a quantitative, post-test quasi-experimental design with a control group. The samples were 74 cardiac arrest patients in two hospitals in Surakarta and Klaten, Indonesia, who were selected using a purposive sampling technique. The data were analyzed by the Mann-Whitney test. Results: the incidence of ROSC in the control group was 30%, and in the treatment group was 35%. The result of statistical analysis showed that there were differences in the ROSC in the intervention and control group with a p-value of 0.003. Conclusion: NAC assisted cardiopulmonary resuscitations increased ROSC. It is recommended that Code Blue Teams should use NAC to improve the quality of chest compressions for the better result of ROSC

Effects of Neo Automatic Code on the Accuracy of Chest Compression Depths in Cardiac Arrest Patients

Objective: to analyze the effects of manual chest compression using neo automatic code on the accuracy of compression depths. Methods: This study used a quantitative, post test quasi-experimental design with a control group. The samples were 74 cardiac arrest patients in two hospitals in Surakarta and Klaten, who were selected using purposive sampling technique. The data were analyzed by the Mann-Whitney test. Results: the mean of accuracy of compression depth in the control group was 68.10 ± 17.60%, and in the treatment group was 83 ± 6.04%. The result of statistical analysis showed that there were differences in the accuracy of compression depth in the intervention and control group with p-value of 0.000. Conclusion: there were effects of manual chest compression using neo automatic code on the accuracy of compression depths. Neo automatic code could improve the accuracy of chest compression depths

Faktor-Faktor Yang Berhubungan Dengan Kejadian Stroke Pada Usia Produktif

Stroke is the most common health problem globally. According to the results of Basic Health Research (Riskesdas) in Indonesia in 2013, and 2018 showed an increase in prevalence of 7 per mile (per 1000 population) in 2013, and 10.9 per mile (per 1000 population) in 2018. According to Riskesda in 2018, as many as 52.3 per mile (per 1000 population) stroke cases are of productive age with an age range of 15 to 64 years which can cause temporary or permanent cessation so as to reduce work productivity and increase disease cases. To determine the factors associated with the risk of stroke in productive age. This study aims to determine the factors associated with the risk of stroke in productive age. This type of research is descriptive correlation with logistic regression test as many as 112 respondents (total sampling) according to the inclusion and exclusion criteria by analyzing the RM sheet at the Setabelan Health Center Surakarta City. Factors associated with the incidence of stroke is hypertension (contribution 21.1%) while age, gender, diabetes mellitus, hypercholesterolemia, and obesity do not have a significant relationship with the incidence of stroke. The most dominant factor with the incidence of stroke is hypertension. Based on the research, it can be said that of the 6 variables there is 1 variable that has an effect, namely hypertension so that the most dominant factor is hypertension

Zero Mortality During Covid-19 Outbreak: A Review in 418 Workers at a Health University

Background: Mortality due to Covid-19 outbreak in Indonesia are the second highest in Asia on period 2020-2021, but there is one of health university that zero mortality. Some of the factors that cause high mortality are only assumptions from researchers, need to be clarified scientifically. Aim of study is to analyze factors that causes zero mortality during covid-19 outbreak.  Methods: We performed a descriptive study using result of medical check up workers within the first 1 year of the pandemic. All workers consist of lecturers, administrative staff, drivers, and cleaning staff were included as much as 418 persons. Patients were assessed for their gender, age, body mass index, blood pressure, total cholesterol, and electrocardiography based on laboratory test and interview. We analyze data using descriptive based on characteristics respondents. Data collected in December 2021. The examination is carried out by a certified laboratory.  Results: The age of the workers is mostly young, the small incidence of hypertension, hypercholesterolemia, and heart health problems, have the potential to be a reason for zero mortality during the covid 19 outbreak in 418 workers. Hypertension, gender, obesity, hypercholesterolemia, and aritmia unrelated to mortality, but related to severity.  Age directly related to mortality.  Conclusion: A healthy body is an asset in dealing with a pandemic. Periodic checks on blood sugar, electrocardiography, cholesterol, body mass index, is needed in preparing for the next pandemic minimum once every 6 months

Nursing Students Engagement in the Classroom and Clinical Practice

Background: The engagement of nursing students is very important and can affect their progress and success in the nursing profession in the future. The purpose of this research is to identify and explore the engagement of nursing students in the classroom and in clinical practice. Methods: This study used a systematic review design. This research used a database of indexed international journals such as Pubmed, Google Scholar, Science Direct, and BMC for the period 2011–2021 to search for research articles and analyze results using the PRISMA flow diagram. Research articles have been screened according to the inclusion criteria of this research, namely those containing student engagement or the engagement of nursing students in the classroom or clinical practice. Results: We obtained 12 research articles. Nursing students' engagement in the learning process takes place in two environments: the classroom and the clinical environment. Various studies on the engagement of nursing students showed a high level of engagement in the learning process that is influenced by various factors, including students, a student's relationships with other students, teachers, student-teacher/clinical instructor relationships, learning strategies, learning methods, and student relationships with the learning environment. Conclusion: The engagement of nursing students is important for their progress in their future profession because the level of engagement will lead to various short-term and long-term learning outcomes

Cholesterol, Blood Glucose and Hemoglobin Profiles of Urban Adolescents

Background: Prevention of heart and cardiovascular disease must be carried out as early as possible with routine biochemical examinations. Aim of this study is to describe the profile of Cholesterol, Blood Glucose and Hemogobin in urban adolescents.  Methods: This research method uses a descriptive design with a cross sectional approach. The sample population in this study was 63 nursing students at the Surakarta Health Polytechnic. The study was conducted in August 2023 and the sample was selected randomly. Data were analyzed descriptively.  Results: The average cholesterol level was 197mg/dl, the average blood sugar level was 91.1 mg/dl and the average hemoglobin was 13.2 g/dl.  Conclusion:  The incidence of hypercholesterolemia was high in respondents. This condition is possible due to insufficient consumption of vegetables and lack of physical activity resulting in high cholesterol levels. These specific findings can help create policies to develop more strategic evidence-based interventions, through grouping risk factors in controlling the risk of non-communicable diseases in adolescents

Pengalaman Keluarga dalam Perawatan Pasien Skizofrenia Berdasarkan Kebijakan Kesehatan Mental Berbasis Komunitas

  ABSTRAK Skizofrenia merupakan pemasalahan psikologis yang dialami masyarakat baik dunia maupun di Indonesia. Skizofrenia yang tidak ditangani dengan baik akan menurunkan kualitas hidup pasien. Peran dan dukungan keluarga dalam perawatan pasien skizofrenia menjadi modal penting didalam kesembuhan pasien. Tujuan penelitian ini untuk mengalami pengalaman keluarga dalam perawatan pasien skizofrenia berdasarkan kebijakan kesehatan mental berbasis komunitas. Sebuah studi kualitatif deskriptif dengan informan 8 orang pasien skizofrenia dan keluarganya. Informan dipilih secara purposive sampling. Analisa data dilakukan secara kualitatif. Uji validitas dengan trianggulasi sumber, methode, peneliti, dan teori. Penelitian dilakukan di Desa Pilang Kenceng Kabupaten Madiun pada Januari-November 2019. Pengumpulan data dilakukan dengan indepth interviewing menggunakan panduan pertanyaan. Hasil penelitian menunjukkan terdapat 4 tema dalam menjawab tujuan penelitian yaitu mengenal masalah pasien, perawatan keluarga, peran lingkungan, dan memanfaatkan fasilitas kesehatan. Kesimpulan : Peran keluarga dalam perawatan pasien skizofrenia yaitu sebagian keluarga mampu mengenal masalah  pasien, dan sebagian lagi tidak mampu mengenal masalah pasien. Perawatan yang dilakukan keluarga yaitu mengidentifikasi aktifitas pasien, keluhan pasien, memberikan pengobatan, memahami jenis pengobatan. Peran lingkungan belum optimal dalam perawatan pasien skizofrenia. Sebagian keluarga memanfaatkan fasilitas kesehatan dan sebagian lagi tidak memanfaatkan. Perlu upaya dari pemerintah dan kader kesehatan dalam meningkatkan kemampuan keluarga dalam perawatan pasien.   ABSTRACT Schizophrenia is a psychological problem experienced by people both in the world and in Indonesia. Schizophrenia that is not handled properly will reduce the quality of life of patients. The role and support of families in the treatment of schizophrenic patients is an important asset in healing patients. The purpose of this study is to experience family experiences in the treatment of schizophrenia patients based on community-based mental health policies. A descriptive qualitative study with 8 informants from schizophrenia patients and their families. Informants were selected by purposive sampling. Data analysis was carried out qualitatively. Test the validity of the triangulation of sources, methods, researchers, and theories. The study was conducted in Pilang Kenceng Village, Madiun Regency in January-November 2019. Data collection was carried out by in-depth interviewing using guide questions. The results showed that there were 4 themes in answering research objectives, namely recognizing patient problems, family care, the role of the environment, and utilizing health facilities. Conclusion: The role of the family in the treatment of schizophrenia patients is that some families can recognize the patient's problems, and some are unable to recognize the patient's problems. Family care is to identify patient activities, patient complaints, provide treatment, understand the type of treatment. The role of the environment is not optimal in the treatment of schizophrenic patients. Some families use health facilities and some do not. Efforts from the government and health cadres are needed to improve the ability of families in patient care

APLIKASI ANDROID SAHABAT KANKER UNTUK MENINGKATKAN KUALITAS TIDUR PADA PASIEN KANKER

Background: Insomnia or sleep disorders are a major problem in cancer patients. Interventions for early detection of sleep disorders using the Pittsburgh Sleep Quality Index (PSQI) instrument, Al Quran Surah Yasin and Ayat Kursi, patterns of physical activity and diet for cancer patients through the cancer companion application have the potential to improve patient sleep quality. Objective: to analyze the effect of the cancer companion android application in improving the sleep quality of cancer patients. Research method: quantitative pre-experiment with 1 group, conducted in February-November 2021 at Dr Moewardi Hospital Surakarta. The population of cancer patients was 82 respondents, and calculated using a paired numerical sample analysis formula, obtained a sample of 68 respondents. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) instrument on the first day of hospital admission, then intervention using the cancer companion application was carried out for 5-6 days. Data analysis compared sleep quality on day 1 and day 6 with the Wilcoxon test. Results: The results of the Wilcoxon test showed an asymp.sig 0.04, which means that there is a difference in the quality of sleep between patients before and after the intervention. Most of the sleep quality increased from a dominant level of moderately satisfied (79%), to a dominant level of very satisfied (44%), and satisfied (38%). Conclusion: The cancer friend android application improves the sleep quality of cancer patients. It is necessary to study how to treat cancer patients with sleep disorders at home.Background: Insomnia or sleep disorders are a major problem in cancer patients. Interventions for early detection of sleep disorders using the Pittsburgh Sleep Quality Index (PSQI) instrument, Al Quran Surah Yasin and Ayat Kursi, patterns of physical activity and diet for cancer patients through the cancer companion application have the potential to improve patient sleep quality. Objective: to analyze the effect of the cancer companion android application in improving the sleep quality of cancer patients. Research method: quantitative pre-experiment with 1 group, conducted in February-November 2021 at Dr Moewardi Hospital Surakarta. The population of cancer patients was 82 respondents, and calculated using a paired numerical sample analysis formula, obtained a sample of 68 respondents. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) instrument on the first day of hospital admission, then intervention using the cancer companion application was carried out for 5-6 days. Data analysis compared sleep quality on day 1 and day 6 with the Wilcoxon test. Results: The results of the Wilcoxon test showed an asymp.sig 0.04, which means that there is a difference in the quality of sleep between patients before and after the intervention. Most of the sleep quality increased from a dominant level of moderately satisfied (79%), to a dominant level of very satisfied (44%), and satisfied (38%). Conclusion: Sahabat cancer a android application can improves the sleep quality of cancer patients. It is necessary to study how to treat cancer patients with sleep disorders at home