Evaluation of Discharge Planning Implementation in Pamekasan Hospital

Background: Discharge planning is a systematic planning process begun from patient admission until discharge from hospital. Nowadays, discharge planning done by nurses has been very limited in check up information and was given in predischarge only. The objective of this study was to identify the implementation of discharge planning. Method: An explanative descriptive with cross sectional was employed in this study. Population was all nurses in Mohammad Noer hospital and As Syifa hospital Pamekasan, sample comprised of 102 respondents, determined using purposive sampling. Result: The result showed that 62 respondents (60,78%) was less in discharge planning when the patients is hospitalized, 65 respondents (63,73%) was less in discharge planning during the patients in caring and 54 respondents (52,94%) was enough in implementing discharge planning. Conclusion: The findings indicate a recomendation for nursing staff to arrange the manual procedure for implementation of discharge planning and held a training about professional nursing care model

Overview of Relation Between Coverage of Health Services and Maternal Mortality in East Java Province in 2015

Objectives: to analyze the efforts of maternal health services that may affect maternal mortality rate.Materials and Methods: The study was conducted at the Health Office of East Java using secondary data from 38 districts/cities in East Java in 2015 that includes performance antenatal care K1 and K4, postnatal care, early detection of complications in pregnant women, natal in health workers and health facilities, management of complications by health workers and MMR. Data were analyzed with statistical method with spatial regression and illustrated with thematic maps by application ArcView statistics.Results: the highest MMR was in Bojonegoro district, Lumajang, Probolinggo, Bondowoso, Situbondo and Probolinggo city. Some districts/cities that have the highest maternal mortality has proximity of areas, namely the district Lumajang, Probolinggo, Bondowoso, Situbondo and Probolinggo city. Their proximity concluded an association condition and the causes of MMR between districts so they can be studied more in depth about the causes of MMR kind of social, cultural and geographical characteristics. The coverage maternal health services to all districts/cities in East Java province is not much difference.Conclusion: the maternal mortality rate in the district/city of East Java province in 2015 was not much affected by maternal health services so we need more research on other causes of MMR in districts/city of East Java Province

The Effect of Referral Process and Complications to Maternal Mortality

Maternal Mortality Rate (MMR) in East Java was still high. in 2013, MMR in sidoarjo district has readed 96.27 per 100,000 live birth. This aim of this study was to the effect of the referral process to maternal mortality in RSUD Sidoarjo. This research was analytic observational with case control design. The Samples of this study were 25 pregnant women who were referred to RSUD Sidoarjo and death. The case controls were 50 pregnant women who were referred to RSUD Sidoarjo who did not experience death. Techniques of data collection using secondary data from the register book maternal and neonatal Emergency (MNE) and medical records and interviews with the mother/family/husband of respondents. The data was analyzed by using univariable, bivariable and multivariable analysis with logistic regression. The results of this study confirmed that the referral process was poor (OR=9,783,95% CI: 2,275 to 42,072, p=0,002) and the complications (OR=0,005,95%CI: 0,001-0,057, p=0,000).thus, the incidence maternal mortality increased. The conclusion of this study is the referral process and the complications to maternal mortality affect the occurrence of maternal mortality. Midwives need to conduct health education should be given to women in their productive age, increase the participation of families, communities and cadres in the process of early detection of complications during pregnancy, childbirth and postpartum, the quality of antenatal care (ANC) and the quality of referrals should be improved by creating a close referral system in a region associated with a high risk pregnant women were detected inventoried and scheduled control/termination and monitored (follow-up) so that high risk always monitored

Perbandingan Metode Brass dengan Metode Trussell dalam Menghasilkan Angka Harapan Hidup

There are several indirect methods in estimating life expectancy, some of them are Brass method and Trussell method. The selection of the correct method is really needed in order to get the most appropriate life expectancy toward the considerable area. This research is done in order to compare Brass method and Trussell method in getting the most appropriate life expectancy. This is descriptive research which uses secondary data. If it is review from its purpose, this is an applied research. The samples taken in this research are all citizens of Eastern Jakarta based on the result of population census at the year of 2000. Based on the results of analysis of ANOVA similar subject and Paired sample T Test can be gotten that there is difference of life expectancy of woman resulted from Brass method, and Trussell method posed by value p = 0,042 (alpha = 0,05). There is no difference of life expectancy of men between life table and Trussell method posed by value p = 0,0553 (alpha = 0,05).While a more appropriate method is Trussell method. The areas which have not had ASDR (Age Specific Death Rate) should use Trussell method in estimating the rate of life expectancy; while the areas which have had ASDR can do an estimation of life expectancy directly.Key words: Brass method, life expectancy, life table, Trussell metho

Lag Spatial Modeling for Finding the Factors Affecting Infants Mortality Rate in East Java

Background: Auto regressive spatial model or spatial lag is a model that combines a simple regression model with spatial lag dependent variable using cross section data. East Java Province was one of the five largest contributors to IMR in Indonesia. In 2014, the IMR in East Java was 9 per 1,000 live births. Thus, this research aimed to find the factors affecting IMR using the spatial lag. Method: This research was using a non-reactive or non-obstructive study method, by analyzing secondary data from the health profile and Susenas (National Social Economic Survey) of East Java Province in 2014. The dependent variable was the IMR and the independent variable were the coverage of pregnancy visit K1 (X2), coverage of pregnancy visit K4 (X3), delivery by health personnel (X4), neonatal visit 1 (X5), and complete neonatal visit (X6), the ratio of midwives (X7) and the ratio of Posyandu (X8). Results: The result of the study showed: (1) Variables that affect the IMR were the coverage of the first antenatal visit or K1 (p = 0.003), the coverage of the fourth ante natal visit or K4 (p = 0.01), and the ratio of Posyandu (p = 0.03). (2) IMR model that being obtained was = 1.68 * coverage of first ante natal visit K1 − 1.20 * coverage of fourth ante natal visit or K4 − 0.12 * Posyandu ratio + 0.29 WY. Conclusion: Variables of coverage of the first ante natal visit or K1, coverage of the fourth ante natal visit or K4 and the ratio of Posyandu supported the IMR model by 67%

The Effect of Diabetes Self-Management Education, Based on The health belief Model, on the Psychosocial outcome of Type 2 diabetic Patients in Indonesia

Lack of knowledge on disease management may distress type 2 diabetic patients, which could negatively affect their quality of life. The health belief model has been widely used to improve the patient’s knowledge, skill, and abilities in relation to self-care. The study aimed to examine the effect of diabetes self-management education, based on the Health Belief Model (HBM), on the psychosocial outcome (self-efficacy, self-care behaviour, distress, and quality of life), and glycemic control (measured by their blood glucose level). A randomised control trial was employed, using a pre-test-post-test design. Our study recruited 120 type 2 diabetic patients who were equally assigned to the intervention group (n= 60) and the control group (n=60). The data was analysed using an independent t test with a significance level of 0.05. After the intervention, the intervention group and control group showed significantly different scores in self-efficacy, self-care behaviour, diabetes distress, quality of life, and blood glucose level. Diabetes self-management education based on the HBM had a significant effect on the phycosocial outcome of patients with type 2 diabetes

The Effect of Diabetes Self-Management Education, Based on The health belief Model, on the Psychosocial outcome of Type 2 diabetic Patients in Indonesia

Lack of knowledge on disease management may distress type 2 diabetic patients, which could negatively affect their quality of life. The health belief model has been widely used to improve the patient’s knowledge, skill, and abilities in relation to self-care. The study aimed to examine the effect of diabetes self-management education, based on the Health Belief Model (HBM), on the psychosocial outcome (self-efficacy, self-care behaviour, distress, and quality of life), and glycemic control (measured by their blood glucose level). A randomised control trial was employed, using a pre-test-post-test design. Our study recruited 120 type 2 diabetic patients who were equally assigned to the intervention group (n= 60) and the control group (n=60). The data was analysed using an independent t test with a significance level of 0.05. After the intervention, the intervention group and control group showed significantly different scores in self-efficacy, self-care behaviour, diabetes distress, quality of life, and blood glucose level. Diabetes self-management education based on the HBM had a significant effect on the phycosocial outcome of patients with type 2 diabetes

Faktor Sosiodemografi yang Memengaruhi Pemilihan Metode Kontrasepsi

Long term contraception entered into government programs. Government suggested to use long term contraception effectively to postponing pregnancy, spacing of birth and terminating fertility. In fact, couples of reproductive ages in Indonesia were likely to still choose short-term contraceptive than long-term contraceptive. This research analyzed sosiodemografi factors that aff ecting the selection of contraception method in Gading Public Health Center Tambaksari Surabaya. This research used analytical study with case control design. Research population totaled 84 respondents. Sampling technique used simple random sampling and got 42 cases and 42 controls. The variables were sosiodemografi factors. Data were analyzed using that multivariate logistic regression with a level of signifi cance value α = 0,05. The results showed four signifi cant variables were age (p=0,018), education (p=0,024), occupation (p=0,008), parity (p=0,034), also status of women (p=0,002. Sosiodemografi factors such as age, occupation, parity and status women aff ect the injection contraceptive acceptors did not choose long acting contraception method in Tambaksari Surabaya Gading Public Health Center. The granting of complete information about all types of contraception is important so that the fertile age couples can choose contraception that suits their need

Identification of Toxoplasma Gondii Cyst in Ras Chicken as A Potential Infection of Toxoplasmosis

Toxoplasmosis is a zoonotic diseases caused by Toxoplasma gondii,which spread out by cats and it can be found in fowl. It because the fowl swallowing food which had been infected byToxoplasma gondii oocyst. The most consumpted fowl is chicken.The source of data and agriculture information center showed that consumption of chicken was increased about 10,20%. It could be a potential increasement of Toxoplasma gondii infection. The objective of this research was indentificate the infection of  Toxoplasma gondii cyst on ras chicken brain. The type of this research was a descriptive research, observe by examining 30 samples of the ras chicken brain by randomized sampling techniques. Based on research on 30 samples of the ras chicken brain, obtained positive results as much as 2 samples (6.6%) cyst infected of Toxoplasma gondii and others 28 samples of ras chicken brain (93.4%) were not infected with Toxoplasma gondii cysts. Positive results of Toxoplasma gondii can be caused due to maintenance system and cleanliness of chicken coop was much less, so there were carrier vectors contaminate to feed place, so there was a potential infection of Toxoplasmosis.It can be concluded that been 2 samples of chicken brain being infected cyst of Toxoplasma gondii or about 6,6% and there were 28 samples or 93,4% of chicken brain that were not infected by cyst of Toxoplasma gondii. Infection circle of Toxoplasmosis can be avoided by manage maintenance system of chicken and keep the cage cleamliness, also keep the personal hygiene and feeds