AKSI KOMPETENSI BERSAMA DI PANTI ASUHAN MISI NUSANTARA SURAKARTA

Permasalahan sosial yang banyak terjadi di masyarakat adalah kaum marjinal yang terpinggirkan seperti anak terlantar, anak jalanan, pengemis, dan sebagainya. Salah satu upaya mengatasi masalah kaum marjinal yaitu dengan didirikan lembaga sosial berupa panti asuhan anak. Sejak masa pandemi, anak di Panti Asuhan Misi Nusantara Surakarta jarang mendapat layanan kesehatan dan ada keterbatasan ruang gerak anak-anak. Tujuan pengabdian masyarakat ini untuk membantu panti asuhan dalam memantau pertumbuhan dan perkembangan penghuni dan pengelola Panti Asuhan Misi Nusantara di Surakarta. Metoda pelaksanaan berupa pemeriksaan tumbuh kembang anak, Penyuluhan Hidup Bersih dan Sehat, pemeriksaan Status Gizi Anak, penyuluhan cara menyikat gigi yang benar, pemeriksaan kesehatan pengelola panti asuhan serta pelatihan penanggulangan bencana. Hasil pemeriksaan Kesehatan pada penghuni dan pengelola panti didapatkan sebagian besar (52,6%) penghuni panti berjenis kelamin laki-laki, hampir setengahnya berusia rata-rata 21-60 tahun, Sebagian besar (68,4%) tekanan darah <140/90 mmHg, Sebagian besar (73,1%) berstatus gizi normal, hampir seluruhnya (94,4%) glukosa darah <126 m/dL dan asam urat <8 mg/dL. Secara umum keadaan warga panti asuhan dalam keadaan baik Social problems that often occur in society are abandoned children, street children, beggars, disabled people, neglected elderly, poor families, families with social problems, and so on. Children and poor people should have their human rights fulfilled by the State of Indonesia. However, in reality there are many children whose needs are not met, such as parents who are unable to provide for the child's needs or the child does not have parents. One effort to overcome this is to establish social institutions in the form of orphanages. Since the pandemic, children at the Mission Nusantara Surakarta Orphanage rarely receive health services and there is limited space for children to move. The purpose of this community service is to assist the orphanage in monitoring the growth and development of residents and managers of the Mission Nusantara Orphanage in Surakarta. The implementation method is in the form of examinations on child growth and development, Counseling on Clean and Healthy Living, checking on the Nutritional Status of Children, counseling on how to brush their teeth properly, health checks for orphanage managers and training on disaster management. 6%) of the residents of the orphanage are male, almost half of them are aged 21-60 years, most (68.4%) have blood pressure < 140/90 mmHg, most (73.1%) have normal nutritional status, almost all (94.4%) blood glucose < 126 m/dL and uric acid > 8 mg/dl. Similar activities are needed to see general body health and must be monitored periodically, so that the residents of the orphanage can find out their health status, especially now that they are still in a pandemic condition Covid-1

EFEK STRESSOR DIRUANG ICU TERHADAP KADAR KORTISOL PLASMA PADA PARAMEDIS RUANG ICU RSU HAJI SURABAYA

"This observational analytic research using pre-post design purposed to study the effect of ICU Room stressor to plasma cortisol level of paramedic at ICU Room, conducted by measuring degree of stress before work and measuring level of plasma cortisol before and after work .. This research took two periods of observation. First, respondents were given questionnaires about stress using Holmes and Rache method to know the degree of stress. Second, it was conducted blood sampling from vein of respondent before work (day 2 off) and after work (day 3 after schedule) to know to plasma cortisol. The sample was then analyzed using VIOAS CORTISOL method, developed by BIOMERIEUX. Blood sampling on respondents was conducted on the same time, before after work, at 7.00 am. The result shows that degree of stress before work, from 20 respondents ollly one has low degree of stress, while the rest are normal. The level of plasma cortisol before work with mean 53.13 ng/dl and SO 32.17 ng/dl, means many respondent have level of plasma cortisol below normal cortisol, 14 respondens have level of level plasma cortisol below normal (normal level 50-170 ng/dl) and 6 respondent have normal level. The level of plasma cortisol after work with mean 108.39 ng/dl and SO 40.63 ng/dl, means many respondents have level of plasma normal cortisol , only one respondent has level above normal with highest level 226.35 ng/dl. Kolmogorov smirnov test result for cortisol level before and after work showed p value (Assymp. Sig) < 0,05, so accepted for Ho, it's mean data distribution is normal. Paired t test result is t = -55,29 p=O,OOO, so rejected for Ho. This value is significant, it means ther is difference between cortisol level before and after works. Most of level of plasma cortisol of respondents before work are below normal while after work almost all respondents have normal level. Most of levels of plasma cortisol of respondents before work are below normal while after work almost all respondents have normal level.