Faktor - Faktor Pendukung Motivasi Ibu Membawa Balita Ke Posyandu Di Wilayah Wonosari Kecamatan Ngaliyan Kota Semarang

ABSTRAK Latar Belakang- Kesadaran masyarakat yang kurang mengenai program Posyandu terlihat dari tingkat kunjungan bayi ke Posyandu. Angka kunjungan Posyandu di Wilayah Wonosari masih rendah (50%). Tujuan-Untuk mendiskripsikan faktor-faktor pendukung motivasi ibu membawa Balita ke Posyandu di Wilayah Wonosari Kecamatan Ngaliyan Kota Semarang. Metode- Desain penelitian yang dipakai dalam penelitian ini adalah penelitian deskriptifeksploratif dan menggunakan teknik cluster sampling terhadap 50 responden pada periode 20 November 2009 sampai 5 Desember 2009 di Posyandu di Wilayah Wonosari. Hasil- Faktor-faktor pendukung motivasi ibu membawa balita ke Posyandu adalah factor sikap mental (80%), faktor - faktor dominan yang lain yaitu tingkat pengetahuan responden (58%) tinggi , kebutuhan terhadap kegiatan Posyandu (62%) sedang, keyakinan terhadap Posyandu (52%) tinggi , sedangkan fasilitas (66%) cukup baik, jarak rumah dengan Posyandu (64%) dekat, kader/tenaga kesehatan (74%) aktif dan terakhir adalah lingkungan (78%) baik. Diskusi- Diharapkan ibu-ibu dengan Balita harus lebih aktif lagi membawa balitanya ke Posyandu dan mengikuti penyuluhan kesehatan secara rutin, agar dapat mengetahui pertumbuhan dan perkembangan balitanya, serta ibu-ibu dapat memperoleh informasi tentang kesehatan. Kata kunci - Motivasi, Posyandu, Balita Prosedin

Characteristics Of Fatigue Post Stroke Patient’s

Introduction: Fatigue in stroke patients can occur during the acute phase (2 weeks) or for a long time after the attack. This study aimed to find out the description of fatigue characteristics of post stroke patients. Descriptive analytical methodology with cross sectional design, 22 people (sample) obtained by purposive sampling technique. The research sample is stroke patient with fatigue. The results of the frequency distribution test showed the average age of respondents 54.68 ± 8.00 with 95% CI 48.90-61.65, female gender (63.6%), mild-moderate emotional disturbance (59.1%) , average post-stroke fatigue score 38.87 ± 7.83 and 95% CI 35.71 - 42.66. Discussion: the characteristics of patients experiencing fatigue is very diverse, it is necessary to see the correlation between characteristics with the incidence of fatigue post strok

PENGARUH MOBILISASI DAN PENGGUNAAN VCO (VIRGIN COCONUT OIL) TERHADAP ULKUS DEKUBITUS PADA GANGGUAN FUNGSI MOTORIK PASCA STROKE

ABSTRAKUlkus dekubitus atau luka baring adalah tipe luka tekan, dan 7-8% dinyatakan sebagai penyebab kematian pada paraplegia yang sering terjadi pada pasien stroke, sehingga perlu dilakukan tindakan perawatan yang tepat. Penelitian ini bertujuan Untuk mengetahui pengaruh mobilisasi dan penggunaan VCO (Virgin Coconut Oil) terhadap luka dekubitus pada gangguan fungsi motorik pasca stroke di Rumah Sakit Islam Sultan Agung Semarang. Desain penelitian quasi experiment, rancangan penelitian dengan menggunakan time series design dengan kelompok intervensi dan kontrol. Jumlah sampel 8 orang. Teknik pengambilan sampel purposive sampling. kelompok intervensi dilakukan mobilisasi 2-3 jam sekali dengan memberikan VCO sedangkan kelompok kontrol dilakukan mobilisasi lebih dari 2-3 jam sekali dan tidak diberikan VCO. Hasil penelitian menunjukkan bahwa tidak terdapat perbedaan grade dekubitus pada kelompok intervensi dan kontrol yang dilakukan mobilisasi dan diberikan VCO dengan nilai p = 0,495. Perlunya tindakan yang tepat dilakukan pada pasien dengan gangguan fungsi motorik pasca stroke untuk mengurangi kejadian dekubitus.Kata kunci: mobilisasi, VCO, ulkus decubitus, pasca stroke, gangguan fungsi motori

Interaksi Genotipe x Lingkungan Terhadap Karakter Agronomi dan Komponen Hasil Beberapa Calon Varietas Jagung Hibrida (Zea mays L.) di Kabupaten Tuban

Interaksi genotipe x lingkungan menyebabkan perbedaan respon genotipe pada lingkungan tertentu, sehingga akan mempengaruhi daya hasil. Tujuan penelitian ini adalah memperoleh informasi mengenai interaksi genotipe x lingkungan dan mendapatkan informasi calon varietas jagung hibrida yang berdaya hasil tinggi di Kabupaten Tuban. Penelitian dilaksanakan pada bulan Januari hingga Mei 2019 di Desa Bulujowo, Kecamatan Bancar dan Desa Tawaran, Kecamatan Kenduruan, Kabupaten Tuban dengan menggunakan metode rancangan acak kelompok 3 kali ulangan pada masing-masing lokasi dengan 10 perlakuan, yaitu: 5 calon varietas dan 5 varietas pembanding. Hasil Penelitian menunjukkan interaksi genotipe x lingkungan nyata terjadi pada karakter jumlah daun, umur silking, umur panen, husk cover, bobot tongkol perplot, rendemen, bobot gelendong dan konversi hasil. Nusa 4 mempunyai keragaan yang baik dan hasil yang tinggi pada lokasi Bulujowo. Sedangkan, genotipe Nusa 5 mempunyai keragaan yang baik dan hasil tinggi di tempat lain

Analysis of Foot Sensation and Physical Activity in Diabetes Mellitus

Neuropathy is a condition in which the patient experiences a decreased sensation of pain in the legs that can affect the physical activity of diabetic patients mellitus, until work productivity decreases. This pain is often disturbing, limiting activity and decreasing the work productivity of diabetic patients. The aim of this study was to identify a correlation between foot sensation and physical activity of diabetic mellitus patients.  cross-sectional was used in this study. Data collection uses instruments in the form of observation sheets to assess the results of foot sensation examination with a 10 gr monofilament test and IPAQ-SF (International Physical Activity Questionnaire Short Form) questionnaire sheet on 70 respondents with a purposive sampling technique. The data was processed using Kendall's Tau statistical test. A total of 70 respondents obtained an average age of 57 years, long-suffering from diabetes mellitus for an average of 4 years. 39 people received normal test results and 31 experienced decreased leg sensation and an average score of 5 with moderate physical activity categories. Gamma statistical test results p-value value 0.0001 or (p≤0.05) with a positive relationship direction and strangeness (r = -0.706). There is a relationship between decreased leg sensation and physical activity of diabetic mellitus patients at Bangetayu Health Center Semaran

Pengetahuan Perawatan Kaki terhadap Resiko Ulkus Diabetik Pasien Diabetes Melitus (DM)

This study aims to determine the relationship between foot care knowledge and the risk of foot ulcers in Diabetes Mellitus (DM) patients. This type of research is quantitative using a cross-sectional design. The results showed that most DM patients had moderate knowledge (68.2%) with an average risk of foot injuries (63.5%). In conclusion, there is no significant relationship between knowledge about foot care and the risk of developing diabetic foot ulcers.   Keywords: Knowledge, Foot Care, Diabetic Ulcer Ris

Differences Exudates After Irrigation With Measured Pressure on Diabetic Ulcers

Diabetic ulcer is a further complication of the presence of diabetic ulcers that are not handled properly. Gangren ulcers are very difficult to cure. One of them is the characteristic of gangrene wounds that have a hollow (hard) that is very difficult to do cleansing. In addition, the types of bacteria that are in gangrene are anaerobic bacteria that are difficult to treat with antibiotics. The number of bacteria will also be proportional to the number of production of pus. One of the most possible actions is to irrigate the wound tunnel so that the wound is clean and anaerobic bacteria are reduced. The modern wound irrigation device, which is one of the developments of existing irrigation devices, is expected to be able to reach gangrenous wound tunnels with a modified form of output. This study aimed to determine the effect of modification of the output of the modern wound irrigation device (MWID) on the number of bacteria in diabetic gangrenous ulcer sufferers. The method used in this study was quasi-experimental without a control group. The intervention group was given wound irrigation using a modified MWID tool. The instrument was used to determine exudate production using the observation sheet Leg Ulcer Measurement Tool (LUMT). The results of the analysis by the Mc Nemar test showed that p value 0.67 (p value> 0.05) means that there is no difference in the amount of exudate production with modification of the MWID output. Further research is needed regarding the effect of irrigation angle on the number of bacteria in diabetic ulcers

Lama menderita berpengaruh terhadap tingkat spiritualitas pasien stroke

Pendahuluan:Penyakit stroke merupakan penyakit yang mempunyaitingkat kesembuhan yang amat lama dan mempunyai beberapa dampak tersendiri yang dapat menggangu fisik, psikologis, serta social dan juga ekonomi penderitanya. Salah satu faktor protektif spiritualitas pada pasien stroke, masalah spiritual pada penyakit kronis merupakan salah satu masalah kemandirian keperawatan. Tujuan penelitian ini adalah untuk mengetahui hubungan antaralama menderita stroke dengan tingkat spiritualitas pada pasien stroke. Metode:Penelitian ini merupakan jenis penelitian deskriptif korelasi. Sebanyak 80 responden di ambil dengan metode total sampling. Hasil:Berdasarkan hasil analisa diperoleh bahwa dari 80 responden penelitian sebagian besar memeiliki karakteristik umur lansia awal 25%, dengan karakteristik tingkat pendidikan sebagian besar berpendidikan SD/sederajat yaitu 58,8%. Hasil penelitian juga menunjukkan 67,5% responden dengan lama menderita stroke yaitu kronis (>= 6 bulan), dan 32,5% memiliki lama menderita stroke yaitu akut (<= 6 bulan). Sebanyak 83,75% responden memiliki tingkat spiritualitas yang tinggi, dan  1625% responden memiliki tingkat spiritualitas yang rendah. Simpulan:Terdapat hubungan antara lama menderita stroke dengan tigkat spiritualitas pada pasien stroke dengan hasil p value sebesar (0,000)

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

Background Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide.Methods A multimethods analysis was performed as part of the GlobalSurg 3 study-a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital.Findings Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3.85 [95% CI 2.58-5.75]; p&lt;0.0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63.0% vs 82.7%; OR 0.35 [0.23-0.53]; p&lt;0.0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer.Interpretation Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised