Karakteristik dan Periode Kekambuhan Stroke pada Pasien dengan Stroke Berulang di Rumah Sakit Margono Soekardjo Purwokerto Kabupaten Banyumas

Background: Patients who had stroke recurrence after the first stroke have a high risk of disability as well as high rates of morbidity and mortality. Incidence of stroke recurrence can be prevented by controlling risk factors and secondary prevention among post stroke patient, and also tent of the duration of the occurrence of recurrent stroke after the first attack. Objective: The purpose of this study was to determine the characteristics and stroke recurrence periods of post stroke patients.Methods: Cross sectional study design was used in this study. Total 73 recurrent stroke patients age 18-60 years old were selected using consecutive sampling technique. This study was conducted on patients during their follow up in the outpatient department of unit neurology, Margono Soekardjo Purwokerto Hospital during November-December 2015. The characteristics of the recurrent stroke patients include sex, age, education, occupation, and income. This study also describes type of stroke and duration of illness. The periods of recurrent stroke patients divided in to three time periods (≤ 6-month, 7-12 month, >12 month). Results: 73 recurrent stroke patients showed 56% were female, age group 39-60 years old was 97,5%, 60,3% have low education (below senior high school), 64,7% work as public and private employees. Income of respondents were low income 53,4%. Ischemic stroke was the majority (87,7%), no history family of stroke 64,4%, 1-5 years duration of illness and periods of stroke recurrence >12 month was 45,20%.Conclusion:  Ischemic stroke is the biggest case of recurrent stroke, so that we need to emphasize the importance of secondary prevention including medication and treatment. Background: Patients who had stroke recurrence after the first stroke have a high risk of disability as well as high rates of morbidity and mortality. Incidence of stroke recurrence can be prevented by controlling risk factors and secondary prevention among post stroke patient, and also tent of the duration of the occurrence of recurrent stroke after the first attack. Objective: The purpose of this study was to determine the characteristics and stroke recurrence periods of post stroke patients.Methods: Cross sectional study design was used in this study. Total 73 recurrent stroke patients age 18-60 years old were selected using consecutive sampling technique. This study was conducted on patients during their follow up in the outpatient department of unit neurology, Margono Soekardjo Purwokerto Hospital during November-December 2015. The characteristics of the recurrent stroke patients include sex, age, education, occupation, and income. This study also describes type of stroke and duration of illness. The periods of recurrent stroke patients divided in to three time periods (≤ 6-month, 7-12 month, >12 month). Results: 73 recurrent stroke patients showed 56% were female, age group 39-60 years old was 97,5%, 60,3% have low education (below senior high school), 64,7% work as public and private employees. Income of respondents were low income 53,4%. Ischemic stroke was the majority (87,7%), no history family of stroke 64,4%, 1-5 years duration of illness and periods of stroke recurrence >12 month was 45,20%.Conclusion:  Ischemic stroke is the biggest case of recurrent stroke, so that we need to emphasize the importance of secondary prevention including medication and treatment

ASSOCIATION OF BODY MASS INDEX WITH MORTALITY AMONG STROKE HAEMORRAGIC PATIENTS

 Abnormal body mass index (BMI) that leads to obesity and overweight is a problem that must be considered. It was one of the major health problems in the worldwide. Obesity and overweight contribute to risk factor for stroke and contribute to rapid death than those in normal BMI. The aim of this study was to analyse the association of Body Mass Index (BMI) with mortality among haemorrhagic stroke patients in the Unit Stroke, RSUD Banyumas. Non-experimental with retrospective approach has been used on this study. Total of 111 respondents using total sampling technique was taken from the medical record data of the Banyumas hospital from November 2018 to November 2019. Chi-square analyses has been performed to analyse this data. The statistical analysis showed that hemorrhagic stroke patients who died within ?48 hours were 55 respondents (49,5%) and those who died within ? 48 were 56 respondents (50,5%). Abnormal BMI  (?25 kg/m2) were 46 patients (41,4%) and normal BMI (<25 kg/m2) were 65 respondents (58,6%). The chi square result obtained p value= 0,045 with OR 2,2189.  Which means that there was a relationship between BMI and mortality among hemoragic stroke

The Influence of Health Education about Handling Choking on Children through Booklet Media on the Knowledge Level of Posyandu Cadres in Karangsari Village

Background: Choking deserves attention because it often happens to children. The inappropriate handling of choking becomes a vigilance. Caution and handling of choking become crucial even to cadres of Posyandu (the centre for pre- and post-natal health care and information for women and for children under five) in Karangsari Village. Thus, providing them with health education is necessary.Objective: To identify the influence of health education about handling choking on children through booklet media on the knowledge level of Posyandu cadres in Karangsari Village.Research Methods: This is a quantitative research using pre-experimental design with one group pre-test and post-test design approach. The research sample was taken through a total sampling technique. There were 30 cadres fulfilling the inclusion and exclusion criteria. The research instrument consists of pre and post-test questionnaire, which was modified and had been tested for its validity and reliability.Research Result: The research result indicates that the knowledge average value obtained by the 30 respondents before being given health education is 61.50 and after being given health education is 88.00. The result of bivariate analysis using t-test sample paired test shows the p-value of 0.0001.Conclusion: There is an influence of health education about handling choking on children through booklet media on the knowledge level of Posyandu cadres in Karangsari Village

Screen time activity and its impact to sleep duration of school-aged

Background: Nowadays, massive development of technology impacts to human of all ages. One of the impacts to children is the increase of screen time activity duration. The activity correlates to children’s sleep quality, it reduces their sleep duration.Objective: this study aims to identify factors of screen time activities and its different impact to boys and girls with age range 9-11 years old.Methods: This study uses an observational analytic study design with a cross-sectional approach. The respondents are school-aged children aged 9-11 years old with a total of 368 respondents.Results: This study find that children have sleeping average duration 8.704 (SD ± 1.36) h/day, and 63.9% of the children is reported to get sleep insufficiency. The screen time factor relates to sleep insufficiency of boys who spend more than 2 hours for screen time (p=0.000) and got difficulty to sleep (p=0.006). While the girls spend 2 hours or more for watching TV (p=0.013) and have difficulty of sleep (p=0.000).Conclusion: School-aged children who have sleep insufficiency are associated with bad media habits, in a form of excessive screen time activity. It is a challenge for the parents, children, and nurses to be aware of good media habit importance

SOSIALISASI DAMPAK CANDU GADGET TERHADAP KESEHATAN FISIK DAN PSIKIS SERTA DEMONSTRASI SENAM MATA DI SMA MUHAMMADIYAH 1 PURWOKERTO

The COVID-19 pandemic has paralyzed several sectors of life, one of which is the education sector. In the midst of this situation, the government's effort to keep the education program running is by implementing distance learning via online. In this case, students must adapt to the use of gadgets as online media in carrying out their daily learning activities. The purpose of this service is to provide understanding and knowledge of the impact of using gadgets on physical and psychological health for students at SMA Muhammadiyah 1 Purwokerto. The method used in this community service is to provide direct socialization to 60 students of SMA Muhammadiyah 1 Purwokerto regarding the positive and negative impacts of using gadgets on physical and psychological health and demonstrations of eye exercises to reduce eye fatigue due to exposure to gadgets. Results: In this activity, the results obtained from the knowledge of students before being given socialization with good categories (15%), sufficient (40%), and less (45%) and after being given socialization, students' knowledge was good (60%), quite (35%), and less (5%). From this community service activity, it is hoped that students will better understand the positive and negative impacts on health from excessive use of gadgets and direct students to get used to managing time so that activities are more productive without gadget addiction.   Keywords: Socialization, Demonstration of eye exercise, Gadget addictio

Pengaruh pendidikan kesehatan terhadap pengetahuan dan keterampilan pertolongan pertama cedera olahraga dengan metode prices pada anggota futsal

Objective: This research aimed to discover the effect of health education on the knowledge and skills of sports injuries first aid using the PRICES method. Methods:  This was pre-experimental quantitative research with one group pre-test-post-test design approach. There were 27 members of a futsal group taken as the research sample using an accidental sampling technique. The data obtained were analyzed using the paired t-test. Results:  The lowest and the highest score of the respondents' knowledge before the health education was given were 4 and 13 respectively. While after the health education was given, the lowest score was 7 and the highest one was 15. The lowest and the highest score of the respondents' skills before the simulation were 25 and 68 respectively. While after the simulation, the lowest and the highest score were 75 and 93 respectively. Based on the t-test result, p-value of knowledge and skills was 0,000 (p 0.05). H0 is rejected if p is 0.05. It means that there were differences before and after the health education was given. Conclusion:  There was an effect of health education on the knowledge and skills of sports injuries first aid with the PRICES method on futsal members

THE EFFECT OF 40% RED BETEL LEAF SOLUTION ON THE NUMBER OF BACTERIA COLLONIES, AND EXUDATE IN CHRONIC WOUNDS: A CASE SERIES

Luka kronis adalah luka yang membutuhkan waktu lebih lama dari proses normal penyembuhan luka, disebabkan adanya gangguan selama proses penyembuhan luka. Pelayanan keperawatan yang diberikan secara menyeluruh salah satunya adalah perawatan luka yang harus dilaksanakan sesuai dengan prosedur tetap. Prosedur perawatan luka ini bertujuan agar mempercepat proses penyembuhan dan bebas dari infeksi. Metode perawatan luka secara herbal diantaranya dengan menggunakan larutan daun sirih merah. Studi ini bertujuan untuk mengetahui pengaruh larutan daun sirih merah 40% terhadap jumlah koloni dan eksudat pada luka kronis pasien home care di wilayah Banyumas. Studi ini merupakan case series yang mengikutsertakan 6 responden dengan luka kronis dengan perawatan luka di rumah. Perawatan luka dengan larutan daun sirih merah 40% sebagai bahan pencuci luka dilakukan sebanyak 3 kali dalam 1 minggu. Koloni bakteri dan jumlah eksudat diambil sebelum dilakukan perawatan luka 1 (pre-test) dan setelah perawatan luka ke 2. Sampel dianalisis di laboratorium Farmasi UMP. Analisis data yang digunakan dalam penellitian ini menggunakan Uji T- test. Hasil penelitain menunjukan bahwa usia responden dengan rata-rata 66,53 tahun dengan jenis kelamin yang paling dominan perempuan (66,7%). Penghitungan jumlah koloni bakteri  sebelum diberikan terapi dengan larutan daun sirih merah 40% adalah 1266.67 ± 152.75. Sedangkan setelah diberi larutan daun sirih merah dengan 1x pengukuran adalah 1040.00 ± 495.17 (p value=0.325). Mengikuti sedikit penurunan koloni bakteri, jumlah eksudat juga berkurang. Meskipun terjadi penurunan jumlah koloni bakteri, namun secara statistik jumlahnya tidak signifikan. Namun larutan tersebut masih dapat digunakan sebagai alternatif larutan berbahan dasar herbal untuk membersihkan luka kronis yang terinfeksi dalam pengobatan luka

Pengaruh Pemberian Buku Saku Pre Hospital Tentang Evakuasi Korban Kecelakaan Lalu Lintas Terhadap Pengetahuan Anggota Pmr Sma Negeri 1 Sokaraja

Background : Evacuation of traffic accident victims in the pre-hospital stage is giving first aid to the victims in the accident location which is related to moving the victims. Red Cross Youth is a guidance forum from the Indonesian Red Cross whose duty is holding events related to health within the school or community. Improving knowledge of Red Cross Youth members can be done by giving pre-hospital pocketbook about the evacuation of traffic accident victims.Objective : Determining the effect of giving pre-hospital pocketbook about the evacuation of traffic accident victims on the knowledge of SMA Negeri 1 Sokaraja Red Cross Youth members.Method : The research used pre-experimental design through one group pre-test post-test approach. The research test used paired sample t-test involving 40 respondents, taken through total sampling.Results : It is found that giving pre-hospital pocketbook about the evacuation of traffic accident victims has an effect on the knowledge of SMA Negeri 1Sokaraja Red Cross Youth members with the p-value of 0.000.Conclusion : Giving pre-hospital pocketbook about the evacuation of traffic accident victims has an effect in improving the knowledge of Red Cross Youth members of SMA Negeri 1 Sokaraja

Hubungan Pengetahuan dengan Upaya Penerapan Keselamatan dan Kesehatan Kerja (K3) pada Karyawan PT Sambas Wijaya

The implemetation of occupational health and safety (OHS) is highly important for employees’ safety, so that the implementation efforts are required. Knowledge about OHS is needed in a company to minimize work accidents due to employee's negligence. This research was to find out the correlation between knowledge and implementation efforts of occupational health and safety (OHS) in the employess of Sambas Wijaya Inc. This study was quantitative and used the cross-sectional approach technique. The samples were 65 employees of Sambas Wijaya Inc. Purbalingga, who were selected by purposive sampling technique. The majority respondents were 33 to 37 years old. The background knowledge of 70.8% of respondents was senior high school graduate. 75% of respondents had been working for more than five years in one of four occupations: crusher, asphalt mixing plant, maintenance, and logistics. The majority of respondents had a high level of OHS knowledge, namely 44 people (67.7%). The implementation of OHS done by most of the respondents was at a good level, namely 39 people (60%). The bivariate analysis used chi-square, showing that there was a significant correlation between knowledge level and implementation efforts of OHS in employees of Sambas Wijaya Inc. with the r-value 12.766 > r table 5.9915 and p-value 0.002 < α 0.0).Penerapan keselamatan dan kesehatan kerja (K3) sangat penting bagi keselamatan karyawan sehingga upaya penerapan K3 terhadap karyawan dibutuhkan. Pengetahuan tentang K3 diperlukan dalam setiap perusahaan untuk meminimalisir terjadinya kecelakaan kerja akibat kelalaian karyawan. Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan dengan upaya penerapan keselamatan dan kesehatan kerja (K3) pada karyawan PT Sambas Wijaya. Jenis penelitian ini adalah kuantitatif dengan teknik pendekatan cross sectional. Sampel sebanyak 65 responden karyawan PT Sambas Wijaya Purbalingga dimana pengambilan sampel menggunakan teknik purposive sampling. Sebagian besar responden berusia 33-37 tahun. Tingkat pendidikan responden sebagian besar tamatan SMA mencapai 70,8% dan sebagian besar masa kerja responden lebih dari 5 tahun mencapai 75% yang terdiri dari empat bidang pekerjaan yaitu Crusher, Asphalt Mixing Plant, Maintanance, dan Logistic. Tingkat pengetahuan tentang K3 pada responden sebagian besar sudah tinggi yaitu mencapai 44 orang (67,7%). Penerapan K3 yang dilakukan responden sebagian besar sudah baik sebesar 39 orang (60%). Analisis bivariat mengunakan uji chi-square menunjukkan bahwa ada hubungan yang signifikan antara tingkat pengetahuan K3 dengan upaya penerapan K3 pada karyawan PT Sambas Wijaya dengan nilai r hitung 12,766  > r tabel 5,9915 dan nilai p value 0,002 < α 0,05