Efek SuctionMelalui Catheter Mouth Terhadap Saturasi Oksigen Pasien Cedera Kepala

The intervention of endotracheal suction to patients with the severe head injury may have effected to oxygen desaturation in arteries. The oxygen desaturation process could be impacted to increase the intracranial pressure, brain's swelling, hypoxemia systemic, and deaths. This study aimed to evaluate the influence of the oxygen supply via oral catheterization in the suction process to the oxygen saturation level in the patient with the severe head injury who using ventilator. This research has been conducted in the intensive care unit. This study was applied the quasi experiment design using pre and post-test. Samples were chosen using accidental sampling. There were two groups of samples, the first group was the intervention group with 20 respondents using oral catheterization, and the second group was the control group with 20 respondents. The result showed that the oxygen saturation was reduced with t value (-16.538) < t table (-2.024), and p value (0.000) < 0.05. The oxygen saturation was significantly different between two groups. This study could be an evidence that nurses should enhance their services to reduce the risk of decreasing the oxygen saturation in the severe head injury patient who using ventilator

Gambaran Kualitas Tidur pada Penderita Hipertensi Quality Of Sleep Among Hypertension Patients

Penderita hipertensi mengalami gejala pusing, nyeri kepala, obstructive sleep apnea, sesak napas, nokturia, restless legs syndrome yang mengganggu tidur dan berdampak pada kualitas tidur serta mempengaruhi kualitas hidup dan tekanan darah. Penelitian bertujuan untuk melihat gambaran kualitas tidur pada penderita hipertensi di Puskesmas Rancaekek. Metode penelitian menggunakan deskriptif kuantitatif dengan teknik purposive sampling sebanyak 79 penderita hipertensi di Puskesmas Rancaekek yang telah didiagnosis dokter minimal 1 bulan. Pengambilan data menggunakan kuesioner Pittsburgh Sleep Quality Index (PSQI) dan dianalisis menggunakan total skor, jika skor ≤ 5 baik dan skor > 5 buruk. Hasil menunjukan 94,6% responden memiliki kualitas tidur buruk. Dimensi yang berkontribusi terhadap kualitas tidur buruk yaitu latensi tidur tidak dapat tertidur dalam waktu 30 menit, durasi tidur <5 jam, efisiensi kebiasaan tidur <65%, gangguan tidur karena terbangun tengah malam atau pagi sekali dan terbangun karena ingin ke toilet, serta gangguan aktivitas pada siang hari. Puskesmas perlu mengembangkan upaya preventif dan promotif untuk meminimalisir komplikasi penderita hipertensi dan pencapaian kualitas hidup optimal salah satunya dengan membantu meningkatkan kualitas tidur. Dengan mengedukasi penderita untuk menghindari konsumsi kopi dan rokok, membatasi aktivitas fisik, melakukan latihan fisik, dan terapi relaksasi

Pengaruh Acupressure terhadap Nilai Gcs pada Pasien Cedera Kepala Sedang di Rsup Dr Hasan Sadikin Bandung

Iwan Purnawan*Hartiah Haroen**Cecep Eli Kosasih** ABSTRAKPenurunan kesadaran pada cedera kepala yang di ukur secara objektif oleh Glasgow Comma Scale (GCS) merupakan salah satu penentu prognosis dan indikator kegawatan. Beberapa penelitian menunjukan bahwa stimulasi acupressure mampu memberikan efek neuroprotektif yang mencegah kerusakan sel-sel otak dari iskemik yang ditimbulkan cedera kepala. Penelitian ini bertujuan untuk mengidentifikasi pengaruh acupressure terhadap nilai GCS pada pasien cedera kepala sedang di RSUP dr Hasan Sadikin Bandung.Jenis penelitian ini adalah Quasy Experimental dengan menggunakan teknik Control Group pre-test and post-test design. Pengambilan sampel dilakukan secara random. Jumlah sampel dalam penelitian ini adalah 37 responden yang terbagi dalam dua kelompok, yaitu kelompok kontrol (16 responden) dan perlakuan (21 responden). Kelompok perlakuan, selain mendapatkan terapi standar, ia juga mendapatkan acupressure selama 5 menit dalam 3 hari. Perbedaan nilai GCS pada kelompok kontrol dan perlakuan dianalisis dengan uji Wilcoxon. Sedangkan perbedaan peningkatan nilai rata-rata GCS pada kelompok kontrol dengan kelompok perlakuan dianalisis menggunakan uji Mann Whitney. Hasil uji statistik menunjukkan adanya perbedaan bermakna rata-rata nilai GCS antara sebelum dan sesudah perlakuan baik pada kelompok kontrol (p=0,07) maupun perlakuan (p=0,01). Namun demikian, peningkatan rata-rata nilai GCS pada kelompok perlakuan lebih tinggi dari kelompok kontral. Hal ini ditunjukan dengan nilai p pada uji Mann Whitney sebesar 0,037 (p<0,05). Implikasi dari penelitian ini adalah acupressur sebagai terapi non-farmakologi bisa dipertimbangkan menjadi terapi komplementer bagi terapi farmakologi dalam penanganan pasien cedera kepala sedang. Kata Kunci : Acupressure, Cedera kepala sedang, Penurunan kesadaran ABSTRACTImpairment of consciousness in head injury that is measured objectively by Glasgow Comma Scale is one of prognosis determinants and severity indicators. Several studies have shown that stimulation of acupressure can provide neuroprotective effect that prevents damage to brain cells from ischemic injury. This study aims to identify the effect of acupressure on the value of GCS in patients with head injuries in the Hospital of dr. Hasan Sadikin Bandung. The type of this study was quasy experimental that used pre test and post test control group design. Sampling was done randomly. The number of samples in this study was 37 respondents who were divided into two groups, namely the control group (16 respondents) and intervention group (21 respondents). Besides having standard therapy, the intervention group also got therapy of acupressure for 5 minutes in 3 days. The differences of GCS score in the control group and the intervention group were analyzed with the Wilcoxon test. The differences of the increase of the GCS average of the control group and intervention group were analyzed by using Mann Whitney test. The results of statistical tests showed significant difference of the average value of GCS both before and after treatment in those two groups, namely: in the control group (p=0.07) and the intervention (p = 0.01). However, the increase of the GCS average value of the intervention group was higher than the control group. This was evidenced by the p-value on Mann Whitney test of 0.037 (p <0.05). The implication of this study is that acupressure as a non-pharmacological therapy can be considered as a complementary therapy to pharmacological therapy in the treatment of patients with moderate head injury

Effect of School Community Empowerment Model Towards Handwashing Implementation Among Elementary School Students in Dayeuhkolot Subdistrict

Handwashing with soap behavior in Indonesia remains a problem. The cause is associated with lack of awareness in handwashing with soap. This study aimed to determine effect of school community empowerment on handwashing implementation among elementary school students in Dayeuhkolot Subdistrict, Bandung District. This study used quasi experimental design with pretest and posttest, also descriptive and inferential analysis. Samples consisted of 24 teachers, 377 students at 4th – 6th grade and 24 little doctors. The approach method in this study was using integrated school health effort (combined model of fit for school and selected school health effort) consisting of six stages. Instruments were knowledge questionnaires, observation and checklist sheets. Handwashing with soap was evaluated for three months. Results found that score of little doctors in good category increased in skill of handwashing with soap from 0% to 100%, the skill among the students improved in good category from 0% to 87.5%. School community empowerment affects on handwashing behavior among elementary school students

Relation of Media on Adolescents' Reproductive Health Attitude and Behaviour

Media as a tool that is widely used by adolescents in seeking information has an impact on their attitudes and behavior, including adolescent reproductive health behaviors. This article aimed to determine the relationship of the media with adolescent reproductive health attitudes and behaviors. The research design was a cross-sectional approach. Data collection was done through questionnaires and were analyzed using frequency distribution and chi-square test. The population of this study were students of SMPN and SMAN in Kabupaten Bandung totaling 12,000, samples were selected by stratified random sampling and totaling 668 students. The results found that the handbook (p = 0.31), newspapers (p = 0.46), TV (p = 0.63), radio (p = 1.00), VCD (p = 0.92), and the Internet (p = 0.13) had no relationship with attitude. However, internet (p = 0.03), newspapers (p = 0.01), and radio (p = 0.02) related to behavior, while handbooks (p = 0.14), TV (p = 0.49), and VCD (p = 1.00) did not have relationship with behavior. Media of internet, radio, and newspapers relate to adolescent reproductive health behavior. The media can be used as a means of education in adolescents, especially behavior about adolescent reproductive health

Pengaruh Pemberian Informasi Kesehatan Berbasis Aplikasi Whatsapp terhadap Remaja di Sekolah Menengah Atas

&nbsp; Tobacco consumption is the highest cause of illness and death in the world. Most smokers have smoked when their teens. At present, teenagers get used to using the internet and social media. The number of social media users whatsapp reached 1 billion users worldwide.This situation makes social media whatsapp a potential way to help teenagers stop smoking. The purpose of this studied to analyze the effect of giving health information based on whatsapp application to adolescent knowledge.&nbsp; This research used quasi experiment method with control group. Sample technique used simple random sampling. The intervention group was conducted at senior high school A and control group in senior high school B. The total sample was 76 students with 38 intervention groups and 38 control groups.&nbsp; Measurement of knowledge used questionnaires. In the intervention group were given text messages, motivational interviews and pictures for 4 weeks. In the control group were given health information in the form of danger smoking poster and smoking ban in school Mading. Test analysis used unpaired t test and Man-Whitney with significance &lt;0.05. &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The result of bivariate analysis showed that there was significant difference of mean score of knowledge in the intervention group p = 0.00 before and after intervention. In the control group, &nbsp;there was a decrease in mean knowledge score (p = 0.015) before and after the study. There was a significant difference in mean knowledge between the intervention and the control group after intervention (p = 0.000). The provision of health-based social media information whatsapp significantly affects the knowledge of adolescent smokers. School health nurses and health care providers can apply the results of this study to help teenagers quit smoking. Application of research results will provide an alternative to heath education in adolescents in addition to the provision of face-to-face interventions. &nbsp; Keywords: adolescence, health information, whatsap

Effect of Dengue Hemorrhagic Fever Health Education on Knowledge and Attitudes, in Elementary School Children in West Java, Indonesia

Background: Flooding due to Citarum river overflowing is a natural phenomenon that is almost common every year, especially for the area around Citarum Dayeuhkolot. Floods cause various health problems, such as Dengue Haemorogic Fever (DHF). The high incidence of environmental-based infectious diseases in flood-prone villages in Dayeuhkolot is caused by problems in the health determinant factor which is associated with the still low awareness of the community that supports clean and healthy lifestyle behaviors (PHBS). Objective: To determine the effect of DHF prevention education on elementary school students' knowledge and attitudes. Methods: Quasi-experimental research design with pre-test and post-test design. The study was conducted at Bojong Asih Elementary School, Pasawahan Elementary School, Cangkuang Elementary School, and Leuwi Bandung Elementary School in 2017. The samples in this study were all students in grades 4- 6 totaling 323 people. All students were given a questionnaire before the intervention and then given counseling about the prevention of DHF and given a questionnaire again to measure the level of knowledge and attitudes. Data analysis uses descriptive univariate analysis and bivariate t test. The approach method in this research uses the Integrated UKS method.&nbsp