Event starts on 2019.10.12 for 2 days in Yogyakarta
http://ichs.poltekkesjogja.ac.id | https://ifory.id/conf-abstract/kVZtwLzH6
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Corresponding Author
Rakhmat Ari Wibowo
Institutions
a) Department of Physiology, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
*rakhmatari[at]mail.ugm.ac.id
Abstract
Background: Exercise prescription is one of the essential cornerstones for managing type 2 diabetes mellitus. However, many type 2 diabetes mellitus patients have been reported as not engaging in proper exercise regimens due to the absence of assessment of their cardiorespiratory fitness level. Objective: This study aimed to test the accuracy of a mobile application in measuring heart rate and walking distance during a six-minute walk test among diabetic patients. Methods: We performed a validation study of a mobile application in type 2 diabetes mellitus patients. Thirty-five participants performed a six-minute walk test using a mobile application. The distance estimated by the application was compared to the measured distance. In addition, the heart rate before the test and at the end of 6 minutes measured by the application was compared to the measured heart rate by pulse oximetry. The mobile application work with contact photoplethysmography in measuring heart rate and global positioning system in measuring walking distance. Results: Walking distance and heart rate measurement using a mobile application correlated well with measured distance (r=0.898) and pulse oximetry, r=0.943 for heart rate before the test and r=0.953 for heart rate at the end of 6 minutes. The accuracy of the heart rate and walking distance measurements by application, reported in mean absolute error were 4.14 /pm 0.94 bpm for heart rate measurement before the test, 4.46 /pm 0.93 for heart rate measurement at the end of 6 minutes, and 27.58 /pm 6.20 meter. Conclusion: Our findings suggest that an Android-based smartphone application yields accurate heart rate and walking distance measurements during a six-minute walk test. Thus, a mobile application may be suitable for self-assessment of cardiorespiratory fitness among type 2 diabetes mellitus patients.
Keywords
cardiorespiratory fitness; exercise; mobile application; six-minute walk test; type 2 diabetes mellitus
Topic
COMMUNICABLE AND NON COMMUNICABLE DISEASES
Corresponding Author
ELITA VASRA ELITA VASRA
Institutions
1. POLYTECHNIC OF HEALTH, MINISTRY OF HEALTH, PALEMBANG
2. Midwifery Bachelor study programs
Abstract
The women wants to give birth naturally. 90-95% of labor should be normal. perpose this study is to assess the effectiveness of integrated Antenatal Class Gentle birth and Hypnoprenatal in the Birth Process. Population of pregnant women in Puskesmas Pembina and Midwives Husniyati Palembang. design quasi experiment, a sample of 32 people. The results showed no significant relationship but the value of the correlation coefficient showed a strong positive relationship in the second time. The old relationship with the level of pain in the labor process when I and II were not significant, the value of rs when I in the control group showed a strong positive and negative linear relationship in the different case groups. The result of pain in the second stage was rs showed a positive linear relationship, and in the control group the value of rs was weak and p value> α = 0.05. This means that the results of this study do not affect the length of time I and II but the strong relationship in the second stage and case groups with correlation coefficient (rs 0,000) Suggestion: Staff and family support is needed to manage maternal discomfort during the third trimester until the delivery process
Keywords
Antenatal Class, Gentle Birth, Hypnoprenatal, Birth Process
Topic
MATERNAL, NEONATAL, AND CHILD HEALTH
Corresponding Author
Madihah Abdullah
Institutions
Universitas Muhammadiyah Yogyakarta
Abstract
Background: Decision making is one of the crucial process that every patients with life threatening illness need to overcome. However, during the process there will be different perspectives between patients, doctors and families which may delay in delivering the care management. Objectives: The aim of this study is to review on the role of nurses in making the decision process easier for the palliative patients. Method: A systematic search had been conducted using PubMed/Medline, EBSCO, Science Direct, Proquest and Wiley Online. The term that had been used are a combination of “nurses- roles”, “decision making” and “palliative patients”. All the articles that published since 2010 until September 2019 have been included. Result: At the first phase of the selection, the title and abstract of the article had been reviewed. After full articles had been reviewed during the second phase, 11 articles had been selected for the final analysis. There are about 298 subjects in this studies which 10 of the studies had collected the data through interviews. Only one study had used quantitative with cluster randomized controlled trial method. The review of these articles shows that nurses may not involve in making decision directly for the patients but they are facilitating the process of making decision and leading the communication between physicians, patients and family. Therefore the decision can be made faster and satisfy the patients and family. Conclusion: Nurses plays important roles in bringing the care closer to the patients.
Keywords
nurses roles, decision making, palliative patients
Topic
NURSING
Corresponding Author
SRI ARINI WINARTI RINAWATI
Institutions
Poltekkes Kemenkes Yogyakarta
Abstract
Background: Time out is one of the phases in the Surgical Safety Checklist made by WHO to improve the safety of operations, reduce deaths and complications due to surgery. Therefore there is a need for nurse compliance in implementing the Surgical Safety Checklist. Factors that influence nurse compliance are age, gender, knowledge, years of service, attitudes, work environment, group characteristics and workload. Objective: To determine the determinants of nurse compliance in the implementation of the Time Out procedure according to the SOP. Research Methods: This study included an analytical survey with a cross sectional research design. The study was conducted in March-April 2019. The samples in this study were perioperative nurses in IBS RSUP Dr. Soeradji Tirtonegoro Klaten taken by accidental sampling technique. Data analysis used is Fishers Exact test. Research Results: From the results of the analysis of compliance factors that affect Time Out, age (p-value) 0.006, gender (p-value) 1,000, knowledge (p-value) 0.026, p-value 0.045, attitude (p-value) 0.171, work environment (p-value) 0.104, group characteristics (p-value) 0.011, workload (p-value) 0.303. Conclusion: Determinants of nurse compliance in the implementation of Time Out according to SOP are factors of age, years of service, knowledge and characteristics of the group.
Keywords
Time Out; Compliance; Determinant of nurse compliance
Topic
NURSING
Corresponding Author
Naning Nur Handayatun
Institutions
Poltekkes Kemenkes Jambi
Abstract
Background: Plaque is the cause of dental caries and periodontal disease. Food colouring with the pink rose colour can be used as a disclosing solution and it is better than common liquid used for plaque detection. It is not yet known the exact concentration of food coloring that can be absorbed to expose the plaque clearly. This study aims to determine the most effective concentration of the food colouring to visualize the plaque as an alternative for plaque detector and the most comfortable concentration for the respondents. The benefits of research is finding the optimal concentration of food coloring as a disclosing solution to improve oral hygiene community. Metode: This was an experimental research using food colouring that available in the market. The object of this research was 10 students of Dental Nursing who meet inclusion criteria. Common disclosing solution were used for control group, while a solution of food colouring with a concentration of 2.5gr/20ml(A), 5 gr/20 ml (B) and 10gr/20ml (C) without sweeteners and 2.5gr/20ml(D), 5 gr/20 ml (E) and 10gr/20ml (F) with sweeteners (1,25 gr, 2,5 gr and 5 gr of sugar respectively) were used for treatment group. Mann Whitney test were used to define which concentration of the food colouring solution were similar or better than common disclosing solution. Results: Significant difference were found on colour intensity between treatment and control group except for concentration 2,5 gr/20 ml (p=0,222). But the most intense colour were found at concentration 5 gr/20ml. The most acceptable taste perception were at concentration 2,5gr/20 ml of food colouring with the 1,25 gr. Conclusion: The most obvious plaques were found at concentration 5 gr/20ml of food colouring compared with other concentrations, but the most accepted taste were on concentration 2,5 gr/20 ml with sweeteners.
Keywords
food colouring, disclosing solutiown, plaque
Topic
DENTAL HEALTH
Corresponding Author
Sumarto Sumarto
Institutions
Department of Nutrition Poltekkes Kemenkes Tasikmalaya, Indonesia
Abstract
The disaster area in west java it-s around 70 point for example in Tasikmalaya, Ciamis, Pangandaran and Garut. The most potential local ingredient on there it-s sweet potato and mung beans. They are can be expanded to be an emergency food. The most emergency food with easyly to make it-s a food bar. Food bar it-s one of the food with the bigger calories its mixed of food ingredient, with riched of nutrient dan be formed to be a solid product. The research was did to find out the description of organoleptic (colour, taste, flavour and texture) and a nutritional content on food bar tapioca flour, yellow sweet potato and mung beans. This type of the research was experimental with descriptive analysis. Experimental design used 5 variant with comparison tapioca flour, sweet potato flour and mung bean flour with each other formula A (80%:0%:20%), formula B (55%:25%:20%), formula C (40%:40%:20%), formula D (25%:55%:20%) dan formula E (0%:80%:20%). The calculated of nutritional content used Table of Indonesian Food Composition. The valuation organoleptic was involved 30 panelist. The result of organoleptic showing that the B formula more preferable from taste parameter and texture. Formula D is better than color parameters. While for flavour parameter was neutral. The nutritional content of food bar was produced calories 246 – 259 cal, protein 8 %, fat 52-55 % and carbohydrate 36 – 40 %. The recomended product for emergency food it was B formula.
Keywords
emergency food; food bar; organoleptic; potential local ingredient
Topic
NUTRITION AND FOOD SAFETY
Corresponding Author
DHIA IRFAN HANIF
Institutions
FACULTY OF PUBLIC HEALTH, AIRLANGGA UNIVERSITY
Abstract
Hypertension is a disease that requires long-term treatment, so it takes the regularity of the sufferer in undergoing treatment to control blood pressure and lower the risk of complications. The regularity of drinking hypertension in Puskesmas (Health Center) Ngletih in 2018 was 16% and the irregularities of drinking hypertension amounted to 84%. The purpose of this research is to describe the ownership relationship of JKN and the behavior of smoking with the regularity of taking medication in patients with hypertension. The method used in research is descriptive analytic with cross sectional design. The research population is 661 patients. Large sample of 85 respondents by way of accidental sampling. Data analysis is carried out using the univariate and bivariate analyses (Chi-square). The results of the analysis are the ownership of JKN (P < 0,005; 95% CI = 2.064 – 5.142) and Smoking behavior (p < 0,005; 95% CI = 2.173 – 5.392) related to the regularity of drinking drugs with hypertension in undergoing treatment. Conclusion on this research is the ownership of JKN and smoking behaviour related to the regularity of medication in patients with hypertension in Puskesmas Ngletih Kediri City
Keywords
Hypertension, Drug Drinking Regularity, JKN Ownership, Smoking Behavior
Topic
COMMUNICABLE AND NON COMMUNICABLE DISEASES
Corresponding Author
Yustin Nur Khoiriyah
Institutions
Politeknik Kesehatan Tanjungkarang
Abstract
Piper betle is a native Indonesian vines with essential oil composition consisting of phenol compounds and phenolic derivatives of propenyl, eugenol, carvacrol, chavicol, cavibetol, alylpirokatekol, cavibetol acetate, alylpirokatekol acetate, cineol, estragole, methylene, p-cyan sesquiterpenes, and flavonoid compounds; which works as a nerve poison and results in the rapid death of insects. The study used a Factorial design with CRD Structure, 2 replications. It aims to determine the effect of Piper betle leaf extract on the death of Musca domestica, at 6 variations of concentration (0%, 5%, 10%, 15%, 20%, and 25%) and 4 variations of contact time (15, 30, 60, and 120 minutes). The research subject was Musca domestica instar-III which was developed from residential areas, with a total of 10 treatments each. The analysis technique uses ANOVA with SAS 9.4. The research proves that Piper betle can be used as an alternative bio-pesticides to Musca domestica. The influencing variables are the concentration of Piper betle extract (P-value <0,000), contact time (P-value <0,000), and concentration and contact time interactions (P-value = 0,0007). Concentration shows a very strong association with the death of Musca domesticaand all three variables show that the Power of Test is close to 100%. Piper betle is a native Indonesian vines with essential oil composition consisting of phenol compounds and phenolic derivatives of propenyl, eugenol, carvacrol, chavicol, cavibetol, alylpirokatekol, cavibetol acetate, alylpirokatekol acetate, cineol, estragole, methylene, p-cyan sesquiterpenes, and flavonoid compounds; which works as a nerve poison and results in the rapid death of insects. The study used a Factorial design with CRD Structure, 2 replications. It aims to determine the effect of Piper betle leaf extract on the death of Musca domestica, at 6 variations of concentration (0%, 5%, 10%, 15%, 20%, and 25%) and 4 variations of contact time (15, 30, 60, and 120 minutes). The research subject was Musca domestica instar-III which was developed from residential areas, with a total of 10 treatments each. The analysis technique uses ANOVA with SAS 9.4. The research proves that Piper betle can be used as an alternative bio-pesticides to Musca domestica. The influencing variables are the concentration of Piper betle extract (P-value <0,000), contact time (P-value <0,000), and concentration and contact time interactions (P-value = 0,0007). Concentration shows a very strong association with the death of Musca domesticaand all three variables show that the Power of Test is close to 100%.
Keywords
Musca domestica, Piper betle, Concentration, Contact time, Bio-pesticides
Topic
ENVIRONMENTAL SCIENCE AND TECHNOLOGY
Corresponding Author
Ni Made Susilawati
Institutions
Department of Technology Laboratory Medic, Politekkes Kemenkes Kupang
Abstract
Antibiotics are a group of compounds that can inhibit bacterial growth (bacteriostatic) or cause of death bacterial (bactericidal). Bacterial resistance occurs due to inappropriate administration of antibiotic doses and mis of diagnosis by health workers. Bacteria that are resistant to penicillin, cephalosforin and aztreonam generally have an enzyme released to defend themselves, this enzyme is called Extended Spectrum Beta Lactamase (ESBL). This study aims to determine the number of gram-negative bacteria that produce Extended Spectrum Beta Lactamase (ESBL) which is examined from samples that are cultured in the microbiology section in the laboratory of RSUD Prof.DR.W.Z. Johannes Kupang from 2016 to 2018. Secondary data were taken, processed and presented in descriptive form. The Bacteria Extended Spectrum Beta Lactamase (ESBL) was the most found is 104 (50.9%) Klebsiella pneumoniae bacteria, followed by 56 (29.78%) Escherichia coli bacteria, and Enterobacteriaceae (3.61%). ESBL group bacteria mostly came from the Neonatal Intensive Care Unit (NICU) room as many as 26, ESBL group bacteria were mostly found in pus samples as many as 33 (19.41%).
Keywords
Extended Spectrum Beta Lactamase (ESBL, RSUD Prof.DR.W.Z. Johannes Kupang
Topic
MEDICAL LABORATORY TECHNOLOGY
Corresponding Author
SRI WAHYUNI
Institutions
Midwifery Department of Poltekkes Kemenkes Surakarta, Indonesia
Abstract
Unstable emotions often occur during the pregnancy and place the pregnant women in a stress transition and tends to a vulnerable condition, which can increase proinflammatory cytokines so as to trigger preterm labor. The pregnancy period is a condition to get closer to God and make life more meaningful by using religious beliefs as a strong coping mechanism. This study aims to prove routine midwifery care plus psychoeducation Żikir further reduces perceived stress and the level of IL-6 Primigravida women compared to routine midwifery care. This study was an experimental study. A number of 37 participants as intervention group and a number of 38 participants as control group. The perceived stress obtained using Perceived Stress Scale and IL-6 levels measured using ELIZA kits in the third trimester of pregnancy. Statistical test using independent t test to compare delta score. The result showed mean difference between groups on the end of interventions, perceived stress 4.520 CI 95% (-7.687 – [-1.353]) and p value is 0.006. The difference of the IL-6 between groups 8.371 CI 95% (-11.361 – [-5.38]) and p value is less than 0.001. Conclusions: Routine midwifery care plus psychoeducation żikir has more decrease perceived stress and IL-6 levels in primigravida women
Keywords
Routine Midwifery Care; Żikir; IL-6; Perceived stress
Topic
MATERNAL, NEONATAL, AND CHILD HEALTH
Corresponding Author
Yustin Nur Khoiriyah
Institutions
Politeknik Kesehatan Tanjungkarang
Abstract
Psychological problems are closely related to disaster events, both immediately after the disaster in the form of acute stress and trauma that occur later as from the inability of survivors to adapt to the stressors they face. Rajabasa sub-district is one of the areas in South Lampung with the areas worst affected by the Tsunami, especially the villages of Kunjir, East Way Muli and West Way Muli. The purpose of this study was to determine the form of psychological treatment for survivors in Rajabasa Subdistrict, South Lampung. This research was conducted using the Static Group Comparison Design method by providing treatment in the form of providing psychological assistance and supportive therapy in the form of therapeutic activities to address the psychological problems of survivors. The population in this study were all survivors affected by the December 2018 Sunda Strait Tsunami in Rajabasa Subdistrict, South Lampung. The sample of this study was taken by purposive sampling method with a sample size of 60 people. Samples were divided into two groups, namely groups that only received assistance and groups that received assistance and activity therapy. Data was collected by interview using a self reporting questionnaire to assess the psychological condition of survivors and feelings of trauma from the tsunami disaster that had been experienced. The analysis showed that most respondents experienced psychological problems (64.9%) and most experienced trauma (83.5%). The results of the analysis using the t test obtained p-value <0.005. These results indicate there is an influence of psychological assistance with therapeutic activities on the psychological condition of survivors. It is recommended to use counseling in the form of psychological assistance and maintain survivors activities in the form of supportive therapy so that survivors continue their lives and still feel meaningful.
Keywords
Psychological treatment, disaster, tsunami, penyintas/survivor
Topic
NURSING
Corresponding Author
Nilisrianggi S.KM
Institutions
Universitas Airlangga
Abstract
ANALYSIS OF RISK FACTORS AFFECTING THE DISEASES STROKE IN PRODUCTIVE AGE IN INDONESIA, 2014 (STUDY USING IFLS 5 SECONDARY DATA) Nilisrianggi1, Santi Martini2 1Master program in Epidemiology, Faculty of Public Health, Airlangga University 2Departement of Epidemiology, Faculty of Public Health, Airlangga University ABSTRACT Background: According to World Health Organization, more than two-thirds (70%) of the global population will die from non-communicable diseases such as cancer, heart disease, stroke and diabetes. The prevalence of stroke in Indonesia based on diagnosis in the population aged> 15 years from 2013-2018 has increased for stroke sufferers. Aim: This study aims to analyze the risk factors that influence stroke in the productive age group in Indonesia in 2014. Method: The research design was a cross sectional observational analytic study. This study was carried out in Indonesia using secondary data from the Fifth wave Indonesian Family Life Survey (IFLS5). The dependent variable was stroke, while the independent variables were age, gender, smoking status and history of hypertension. The sample was the population aged> 15-59 years (productive age) Results: Respondents who are aged 51-59 years are 1.6 times at risk of stroke, Males are 0.14 times less at risk compared to Female, Smokers are 1.6 times at risk of stroke compared with respondents who have never smoked and Respondents who are at risk of hypertension are 2.5 times at risk of stroke compared with respondents who are not hypertensive. Conclusion: There is a high influence of age, gender, smoking history and hypertension on the incidence of stroke. Keywords: Risk Factors, Stroke, IFLS
Keywords
Risk factors, Stroke, IFLS
Topic
COMMUNICABLE AND NON COMMUNICABLE DISEASES
Corresponding Author
Norma Tiku Kambuno
Institutions
1) Department of Medical Laboratory Technic , Poltekkes Kemenkes Kupang
2) Department of Pharmacist , Poltekkes Kemenkes Manado
3) Department of Nurse Dental, Poltekkes Kemenkes Semarang
Abstract
Background: Hepatitis B caused by hepatitis virus infection B (HBV) is a world health problem including Indonesia. Results of 2013 Basic Health Research estimated that there were 1,2% of the population in Indonesia with Hepatitis and East Nusa Tenggara was the province with the highest Hepatitis B prevalence (4,3%). Transmission can be through vertical (perinatal) and horizontal (house contact). Aims; The purpose of this study was to analyze the risk factors for transmission at home contact from students with HBsAg reactive. Methods; This study was performed in two phases. The first phases, November 2015, examination of HBsAg status with ELISA sandwich method was conducted on 341 students of Senior High School Kupang city obtained 45 samples with HBsAg reactive. The second phase, June 2016, out of 23 students HBsAg positive cases and 89 samples of family members were enrolled and evaluated. Of family members, 18 samples were found with HBsAg reactive, 6 subjects (33%) were fathers, 4 subjects (22%) were mothers, 5 subjects (28 %) were sisters and 2 subjects (11%) were brothers and 1 subject (6%) were others family members. Statistical analysis with Chi Square (X2) and Odds Ratio. Results: There is no significant relationship between HBsAg status with sex and age. There is significant relationship between HBsAg status with education, and marital status. The values were obtained (OR=0,184, 95%, Cl; 0,059-0,579) for education and (OR=0,204, 95%, Cl; 0,07-0,597) for marital status. Conclusion; The presence of family members with reactive HBsAg can transmit to other family members, 25% of family members also detected reactive HBsAg. More attention should be paid to HBV vaccination for family members of HBV patients.
Keywords
Risk Factors, Home Contact, HBsAg Reactive
Topic
MEDICAL LABORATORY TECHNOLOGY
Corresponding Author
Annisa Hidayati
Institutions
1) Magister Student of Epidemiology Airlangga University, Surabaya, Indonesia
*annisa.hidayati-2018[at]fkm.unair.ac.id
2) Department of Epidemiology, Faculty of Public Health, Airlangga University, Surabaya, Indonesia
*santi-m[at]fkm.unair.ac.id
Abstract
Background: Indonesia is ranked the 4th largest in the use of cigarettes in the world after China, USA, and Russia. The number of cigarettes smoked in Indonesian population over 10 years old is 12,8 cigarettes per day on average. Understanding the risk factors associated with cigarettes smoked is essential for designing effective intervention strategies. Purpose: The aim of the study was to use sub-nationally representative survey data to examine the risk factors of cigarettes smoked in Indonesian adolescents Methods: We examined the risk factors associated with cigarettes smoked, collected from 4410 respondents aged between 10 years and 20 years in the 2014 fifth wave Indonesian Family Life Survey (IFLS 5). Results: Cigarettes smoking was higher in families were there was smoker parent than non-smoker parent (p-value<0,049; OR = 1,38; 95%CI = 1,00 < OR < 1,92). The prevalence cigarettes smoking in Indonesian Adolescents was 48,59% in adolescent boys and 51,41% in adolescent girls which was far greater than the national prevalence of 7.2% among adolescents. Parent cigarette smoking history had a significant influence on the adolescent cigarette smoking. Conclusion: Adolescent were more vulnerable to have cigarettes smoking habit as a behavior induced from their parents. Substantial effort should be given to adolescents to create awareness about the side effects of cigarettes smoking.
Keywords
adolescents; cigarettes smoking; parents; risk factors
Topic
COMMUNICABLE AND NON COMMUNICABLE DISEASES
Corresponding Author
Agustina Wilhelmina Djuma
Institutions
1, 2,3) Department of Medical Laboratory Technic, Poltekkes Kemenkes Kupang
Abstract
Background: Worm infection is one of the health problems in all countries, including Indonesia. The most common worm infection is infection caused by Soil Transmitted Helminth (STH) group. Primary school are the age group who are susceptible to infection with intestinal worms. Worm infections can have a serious impact if it is not treated with the administration of deworming drugs and a clean and healthy lifestyle of the person. Aims: This research was conducted with the aim of finding out risk factors such as the characteristics of children and parents, childrens behavior, and environmental sanitation related to the incidence of STH infection in children aged 6-12 years in Dusun II and IV of Manusak Village, Kupang Timur District, Kupang Regency in 2019. Method: This research uses observational analytic research with cross sectional design. The research subjects were 56 children. Data were collected using questionnaires then analyzed using Chi Square test (X2). Results: Worm examination is done by the Kato- Katz type indirect method. Based on the results of Kato-Katz examination, eggs of Ascaris lumbricoides were found in 54 children (96.4%). Conclusion: The Chi Square test results showed that the risk factor for STH infection was the habit of not washing hands with (P <0.05).
Keywords
Characteristics, Behavior, Sanitation
Topic
MEDICAL LABORATORY TECHNOLOGY
Corresponding Author
Nurbita Fajarini
Institutions
(a) Master of midwifery student Universitas ‘Aisyiyah Yogyakarta
*nurbita.fajarini[at]gmail.com
(b) Midwifery Program, Faculty of Health Sciences, Universitas ‘Aisyiyah Yogyakarta
Ringroad Barat No.63, Mlangi, Nogotirto, Gamping, Kabupaten Sleman, Daerah Istimewa Yogyakarta,
Abstract
Background: Asian women are at high risk gestational diabetes mellitus (GDM). GDM is a pregnancy problem that characterized by glucose intolerance. Short and long term impacts can occur on both mother and child. Women with a GDM history have a risk of type 2 diabetes within 2-10 years. Appropriate screening and diagnosis are needed for preventing and early treatment of GDM. This study aims to review the literature on screening and diagnosis of gestational diabetes mellitus in Asia. Method: Systematic Literature Review from three databases, PubMed, ProQuest and Science Direct. Articles in English and published for the period 2009-2019, totaling 867 articles. Results: A total of 10 articles selected by inclusion criteria. Prevalence of GDM in Asia depending on the diagnostic criteria used, ranges from 2.75% to 41.5%. IADPSG and WHO are criteria often used. Screening and diagnosis, mostly done at 24-28 weeks gestation, with a one-step approach (75-g two-hour OGTT) as the method most often used. GDM risk factors included older age (> 35 years), BMI before pregnancy, DM family history, GDM history, obesity, recurrent abortion history, hypertension history, stillbirth history, infant macrosomia history, PCOS history, blood type AB. Pregnancy outcomes in the form of caesarean section were higher in the IADPSG and WHO criteria. The main obstacles in screening and diagnosis are related to health care provide resources, lack of patient interest and access to health services. Conclusion: Diagnostic criteria affect the prevalence of GDM in Asia. Health care provider resources, conditions and patient-s need including access to health services should be taken into consideration for determining GDM screening and diagnosis strategies.
Keywords
Gestational diabetes, screening, diagnosis, pregnancy, Asia
Topic
MATERNAL, NEONATAL, AND CHILD HEALTH
Corresponding Author
lucky herawati lucky herawati
Institutions
1,2 Health Polytechnic, Ministry of Health Yogyakarta, Indonesia
3 Leader of the “Kiran” Cancer Foundation in Islamabad Pakistan
4 NILOP Nanomedicine Research Labs (NNRL) affiliated with Pakistan Institute of Engineering and Applied Science (PIAS) Islamabad Pakistan
Abstract
The increase in the number of patients, visiting to the clinic with an indication of lung cancer are thought to be due to the age of smokers getting earlier. The severity of the disease is not only due to late diagnosis but also because patients who have been diagnosed with lung cancer do not stop smoking. Based on research, in patients with post-lung cancer diagnosis, 51% continue to smoke. This descriptive study aims to determine the characteristics of lungs clinic patients, their smoking behavior and the correlation of both. Respondents were the patients of the lungs clinic who still smoked. The number of respondents were 55 patients, coming from 3 Hospitals in Yogyakarta Indonesia and 1 Hospital in Islamabad Pakistan, which were taken by incidental sampling. Data were analyzed and presented descriptively. The results showed that the average age of respondents was 48 years, 40% had senior high school education and 67.3% worked as entrepreneurs, private employees and laborers. They smoked 12 cigarettes / day in average for 27 years. There is a correlation between age and duration of smoking (r = 0.755, p value 0,000), and there is a correlation between their job and the average number of cigarettes smoked / day (r = -0.266, p value 0.05). There is no correlation between education level with smoking behavior and there is no correlation between respondent characteristics with respondents knowledge about smoking and lung cancer. The results of this study are expected to trigger the efforts of interested parties to focus more on lung clinic patients who smoke and ultimately can prevent lung cancer.
Keywords
smoking behaviour, lungs clinic, patient
Topic
COMMUNICABLE AND NON COMMUNICABLE DISEASES
Corresponding Author
Maria Yoanita bina
Institutions
Department of Nursing, Diponegoro University, Semarang
Jl. Prof. Soedarto, Tembalang, Kec. Tembalang, Kota Semarang, Jawa Tengah
ns.yoanitabina[at]gmail.com
Abstract
Abstract Surveys show that 1 among 6 people (15-20%) is having one or more mental disorders. Hope intervention overcomes mental disorders by forming positive emotions. Reviews on the provision of Hope Intervention, however, are yet to be found. To describe stages in providing hope intervention in overcoming mental disorders. Articles used in this review were taken from PubMeds, ScienceDirect, MEDLINE, Sagepubs, Scopus, Web of Science, and PsycINFO and searched with the keywords of hope therapy, hope intervention, hope intervention program, mental disorder, and psychiatric symptoms; published in in the period of 2000-2018; quasi-experimental, randomized control trial, clinical trial in nature; in full text form; and written in English. The quality of the articles was evaluated using JBI and CASP checklists. Data were analyzed using narrative analysis. Not including duplicates, 8664 titles and abstracts, and 10 fully read full texts were found and 5 articles met the set criteria. Stages in giving hope intervention are introduction, setting goals, identifying strategies to achieve goals, motivation reinforcement to implement strategies in achieving goals, and evaluation. Intervention strategies are adjusted based on population and problems faced by clients. There are five stages in providing hope intervention and strategies in implementing the intervention is adjusted based on population and problems. In giving hope intervention, nurses are suggested to take into consideration stages and strategies that will be used.
Keywords
Hope intervention, hope therapy, mental disorders, psychiatric symptoms
Topic
NURSING
Corresponding Author
Muji Rahayu
Institutions
Politeknik Kesehatan Kemenkes Yogyakarta
Abstract
STUDY OF EFFICACY LEMONGRASS (Cymbopogon citratus) EXTRACT AS LOWERING BLOOD CHOLESTEROL LEVEL AGENT ABSTRACT Muji Rahayu, Sistiyono hayuningpuji@gmail.com Lemongrass (Cymbopogon citratus) is a rich plant containing compounds called polyphenols, especially flavonoids. Lemongrass has been widely used in many counytries as antiinflamation, antibactaria, antifungal, antidiarhoea and as repellent to insect also proven to lower blood glucose. This study aims to determine the effect of the ethanol extract of lemongrass on blood lipids profile using 25 male albino rats Wistar strain, were devide into 5 groups, each group consisted of 5 rats, namely the control group (K), the drugs standard Simvastatin group (Sim) and the treatment group ES100, ES200 and ES400. All rats made hyperlipidemic by administration of diet high in fat and egg yolk for 14 days, then assayed lipid profile include total cholesterol, LDL, HDL and triglyceride (pre test). Furthermore, the group K were without treatment, S group were give drug standard simvastatin 0,18 mg/200g bwt, ES100, ES200 and ES400 group treated with ethanol extract of lemongrass respectively 100, 200 and 400 mg/kg bwt with sonde for 14 days. On the 15th days all rats were fasted and then have blood drawn through orbital venous and made serum and defined serum lipid profile (post test). The result showed the group of rat treated with ethanol extract decreased the levels of total cholesterol, LDL, and triglyceride as well as an increase in HDL cholesterol levels were significantly (p<0.05). This study showed the ethanol extract of lemongrass has lowering cholesterol levels and improve lipid profile in hyperlipidemic rats.
Keywords
Cymbopogon, cholesterol, LDL, HDL, triglyceride
Topic
MEDICAL LABORATORY TECHNOLOGY
Institutions
1 Department of Midwifery Poltekkes Kemenkes Palangka Raya, Indonesia
2 Department of Midwifery Poltekkes Kemenkes Palangka Raya, Indonesia
3 Department of Nursing Poltekkes Kemenkes Palangka Raya, Indonesia
4 National Family Planning Coordination Board, Indonesia
Abstract
Family Planning Village is a superior program in the Population, Family Planning and Family Development Program one of which is to prevent stunting in under two million people from facing a demographic bonus in 2031 through the Toddler Family Development program, as well as being involved in sensitive nutrition and specific nutrition intervention programs. The purpose of this study is to look at the role of Family Planning in the effort to prevent stuting on toddler, as well as looking for dominant factors that influence. The cross sectional study design, 85 samples of toddler, toddler mothers and 35 midwives, cadres and community leaders, in 5 (five) Family Planning Village of Palangka Raya City and 2 (two) Family Planning Village of East Barito Regency (Bartim). Research from June to October 2018. Statistical analysis using chi square (α = 5%) with the results of the Exact Fishers test ρ 0.03 <α 0.05, there is a relationship of sensitive and specific nutrition intervention programs with the nutrition of toddler in family planning Village . The dominant factor in malnutrition status was exclusive breastfeeding ρ value 0.012 <0.05, OR = 6.702 (95% CI 1.518-29.579), with maternal education as counfounding. The need for systematic and measurable development of family clans and young people in collaboration with the community, recording and reporting management based on indicators of success, partnerships with policy holders and empowering the community as a potential source of Family Planning.
Keywords
Keyword:Family Planning Village; Stunting; toddler
Topic
MATERNAL, NEONATAL, AND CHILD HEALTH
Corresponding Author
Ina Kusrini
Institutions
1 National Institute Health Research And Development, Ministry of Health Unit in Magelang
2. National Institute Health Research And Development, Ministry of Health, Humaniora and Empowerment, and health Policy Center
Abstract
Global hunger index (GHI) is a global measurement to assess the level of hunger and undernutrition in children under five at the global, regional and national levels. Using a subnational global hunger index (GHI-SN) with a simple indicator can be used to compare health status in each level and monitoring of health program achievement considering the global target. However, the validity and reliability of the subnational hunger index need to be adjusted. This objective study to ensure validity and reliability subnational global hunger index to assessing health inequality in children under five in Indonesia. Method. This is secondary data analysis using aggregate data prevalence of malnutrition and child mortality based on national basic health research survey report ( 2007, 2010, 2013,2018 ) and demographic survey report in 2002, 2012, 2017. Subnational hunger index was calculated in four domain (prevalence undernutrition, stunting, wasting and child mortality) that has been standardized previously. The validity and reliability of each domain and GHI-SN score were calculated to asses construct validity and reliability within indicator by period. Bivariate analysis using Pearson was used to asses correlation and similarity with another index, therefore can be considered to be an alternative and comparable index. Results. The subnational Global hunger index score was a descendant of GHI that it is performed by four domains. Validity construct using factor analysis shows the total percentage of variance was 56.32%, and each domain was reliable between period. Reliability analysis shows Cronbach Alpha Coefisien > 0.90. Pearson correlation between GHI-SN and Health Index status of children under five ( IPKM) 2013 and 2018 and IKPS index shows a strong correlation with r : -0.8: -0.67, respectively. Conclusion. Subnational Global Hunger Index (GHI-SN) was valid and reliable and can be used to be an alternative measurement tool to asses health inequality and hunger in children under five in Indonesia.
Keywords
Keyword: GHI, Subnational hunger index , Children under five
Topic
NUTRITION AND FOOD SAFETY
Corresponding Author
Siti Badriah
Institutions
1. Department of Nursing, Ministry of Health Polytechnic of Tasikmalaya, Indonesia
2. Department of Community Nursing, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia
3. Department of Anthropology, Faculty of Social and Political Sciences, Universitas Indonesia, Depok, Indonesia
4. Department of Population and Biostatistics, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia
Abstract
Diabetes is a chronic disease that has connotations of culture or unhealthy lifestyle, so to overcome this a cultural approach is needed that leads to better behavioural patterns. The purpose of this study was to determine the effect of Sudanese culture-sensitive family nursing model on improving family support in controlling blood sugar in elderly with diabetes. This study used quasi-experimental design pre and post-test involving 114 respondents of families with elderly diabetes consisting of 57 respondents in the intervention group and 57 respondents in the control group. Samples were taken by multistage cluster sampling and statistical analysis using univariate, bivariate with independent t-test and chi-square, multivariate with General Linear Model Repeated Measure (GLM-RM). The results showed an increase in the mean of family support (informational, instrumental, appreciation and emotional support) and a decrease in the mean of elderly with diabetes blood sugar levels between 3 months and 6 months measurement after the application of the model in the intervention group compared to the control group with each p-value = 0.000. Sundanese culture-sensitive family nursing models can improve family support in treating the elderly with diabetes and have an impact on controlling blood sugar. It is recommended to be replicated using various culture that is adapted to local culture conditions in Indonesia.
Keywords
Sundanese culture, family support, diabetes
Topic
NURSING
Corresponding Author
Fifin Arifa Sulistyowati
Institutions
(a)Midwifery Department Poltekkes Kemenkes Yogyakarta
Abstract
Obesity, especially in pregnant women, could cause many health problems regarding both the individual and the baby related to the tendency not to exclusively breastfeed in the future. This study aim to know the association between maternal obesity and exclusive breastfeeding (EBF) practice. This study was an observational analytic (non-experiment) with a historical cohort design, carried out between November 2018-June 2019. The population was all first trimester pregnant women between March 2016-December 2017 who had first antenatal care in Puskesmas Tegalrejo and Mantrijeron. The sample used was 130 respondents divided into two groups, 68 as exposed and 62 as non-exposed group. Sampling technique used was multistage random sampling. This study analyzed six variables, which were maternal obesity, age, education, occupation, knowledge, and attitude. Data collected using form and questionnaire. Chi-square test and logistic regression were used in data analysis. There was an association between maternal obesity and EBF practice. After controlling the attitude variable, maternal obesity had significance (p=0,002) toward EBF practice. The failure of EBF was higher 1,74 times in obese mother (RR=1,74). Maternal age, education, occupations, and knowledge was proved not statistically significant toward EBF practice (p=0,956; 0,137; 0,203; 0,337 respectively). Probability of EBF failure on obese mother and had negative attitude toward EBF was 91%. Therefore we conclude that maternal obesity is a risk factor toward the failure of EBF practice.
Keywords
maternal obesity; EBF; maternal characteristics
Topic
MATERNAL, NEONATAL, AND CHILD HEALTH
Corresponding Author
Jenita Donsu
Institutions
Jurusan Keperawatan Poltekkes Kemenkes Yogyakarta
Abstract
Anxiety can impair the ability of cancer patients to run chemotherapy. Mindfulness training with meditation methods can improve empathy for self in activating affective, cognitive, moral, intra and interpersonal dimension so as to decrease anxiety especially in cancer patient who will undergo chemotherapy. The purpose of this study was to determine the benefits of mindfulness training in reducing anxiety in cancer patients with chemotherapy. The research method used Quasi experiment design with pretest and posttest control group design, in 60 samples taken at Indonesia Cancer Foundation in Yogyakarta, analyzed with Mann Whitney z distribution test for category ordinal and t-test data for experiment and control group differences. The results showed most of the characteristics of age >40 years and female gender with breast cancer type. Conclusions were obtained, mindfulness training can provide benefits for cancer patients in achieving relaxation in order to reduce anxiety when faced with treatment with chemotherapy action, thereby raising awareness to better accept the situation conditions that are happening. Suggestions that health care workers both nurses and doctors can train patients who experience anxiety in the face of chemotherapy or other invasive measures.
Keywords
Mindfulness, anxiety, cancer patients
Topic
COMMUNICABLE AND NON COMMUNICABLE DISEASES
Institutions
Poltekkes Kemenkes Aceh
Abstract
Cockroaches are repulsive animals, cockroaches are also one of the vectors of disease that must be controlled. Some diseases which transmitted through cockroaches include dysentery, cholera, diarrhea, typhus, and etc. One way that can be done is to use a combination of Catebugu doses (eggshell and sugar powder) in killing / eradicating cockroaches. The study aims to determine the combination of Catebugu doses in eradicating cockroaches. This study was an experimental study using the Post-test only design, which is by combining Catebugu doses of cockroaches. Population Periplanata Sp) and samples were 150 cockroaches. The data that has been obtained will be processed manually presented in the form of a frequency distribution table and analyzed descriptively and statistical tests with Anova and List of Significant deferences (LSD). The study result of the combination of egg shells and powdered sugar in eradicating cockroaches, the fastest average time was 15 hours 33 seconds and the longest average time was 16 hours 7 minutes. Other combinations of natural ingredients are needed that can kill cockroaches in a relatively short time with a low level of danger.
Keywords
Combination, Eggshell and Sugar Powder
Topic
ENVIRONMENTAL SCIENCE AND TECHNOLOGY
Corresponding Author
Ira Kusumawaty
Institutions
1 Department of Mental Health Nursing Poltekkes Kemenkes Palembang, Indonesia
2 Department of Child Nursing Poltekkes Kemenkes Palembang, Indonesia
3 Department of Community Poltekkes Kemenkes Palembang, Indonesia
Abstract
The fluctuation of psychological conditions among people with mental disorders are suspected to burden the family caregiver. Horticultural therapy has been known as an effective complementary therapy to enhance people mental health. Family assistance in the implementation of horticultural therapy is a form of family caring which contributes greatly in determining the achievement of horticultural therapy goals. However, not many previous studies have explored family experiences when accompanying family members who suffer from mental disorders in undergoing horticultural therapy. This study aims to explore family experiences when accompanying family members who suffer from mental disorders when undertaking horticultural therapy. Qualitative research using a hermeneutic phenomenology approach was conducted in 5 homes of people with mental disorders who had experienced horticultural therapy. Five family participants were selected by purposive sampling and considered data saturation. Family data were analyzed by using data analysis content. Interview notes are read repeatedly to identify data saturation and formulate the unit of analysis. Furthermore, the data is structured through the coding phase, followed by formulating categories and abstracting them to obtain a brief overview. To guarantee the validity of the data, this study pays attention to its credibility, confirmability, dependability, transferability and authenticity. The results of the study indicate that the family is aware that while assisting the patients during horticultural therapy, the family must have strong motivation, patience, sincerity and confidence. It is proven that the patients self-confidence, ability to interact and communicate shows positive development after undertaking horticultural therapy. As one form of complementary therapy, the sustainability of horticultural therapy should be done continuously by the health care provider accompanied by family support.
Keywords
caring; family; horticultural therapy; mental disorder
Topic
NURSING
Corresponding Author
Supiani Sarafuddin
Institutions
a) Midwifery Student Sekolah Tinggi Ilmu Kesehatan Hamzar
Jl. Raya Labuhan Lombok Km.60, Mamben Daya, Wanasaba, Lombok Timur,
Nusa Tenggara Barat
supianisaraf[at]gmail.com
b) Program Midwifery Sekolah Tinggi Ilmu Kesehatan Hamzar
Abstract
Background IUD is a contraception tool which effective and has long period, but the use of IUD in the Indonesia less interest due to the complicated procedure, should be done by trained medical staff and seems as taboo because IUD have to inserted to vagina. The use of IUD decline year by year, such as 6,2 % (IDHS 2002), 4.9 % (IDHS 2007), and descend to 3.9% (IDHS 2012). The attention towards this problem is needed, due to many changes to perefer using other contraception such as injections and pills that impact to reducing the number of IUD users. The purpose of this research is to find out the correlation of motivation and duration of using IUD in Labuhan Haji at health facility of Labuhan Haji Lombok Timur. Method This research method was analytical observation. The sampling was done by total sampling technique with 77 respondents who were active acceptors in Labuhan Haji. In addition, the instrument used was a questionnaire with a Likert scale. Moreover, the data were analyzed using kendall tau (t). Results Based on findings, the highest number of respondents (by age and education) who using IUDs is 41-50 years old, 34 respondents (44.2%) and the education level of most respondents is 39 respondents (50.6% high school). The most motivation for IUD users is Strong Motivation with 62 respondents (80.5%) and no respondents have weak motivation. The longest duration of IUD for 2-10 years is 66 respondents (85.7%). Kendall tau analysis test results (t) value of ρ = 0, 170 > α = 0,05 means that Ho is accepted or Ho>a. Conclusion There is no correlation between motivation and duration of using IUD in Labuhan Haji at health facility of Labuhan Haji Lombok Timur in 2013.
Keywords
Motivation, Contraception tool, IUD
Topic
ADOLESCENT AND REPRODUCTIVE HEALTH
Corresponding Author
Yustin Nur Khoiriyah
Institutions
Politeknik Kesehatan Tanjungkarang
Abstract
The rate of surgery at the RSUD Dr. H Abdul Moeloek Lampung Province from January to December 2017 as many as 355 who underwent surgery with the most cases was Laparatomi. The pre-survey was conducted on 10 patients who experienced surgery, 8 people experienced pain with a scale of 10 and 2 people experienced a pain scale of less than 10. Patients said they began to feel pain between 3-4 hours after surgery, and pain management was done with a pharmacological approach alone namely by administering analgesics. This study found differences in post-operative patient pain scale reduction after administration of slow deep breathing distraction-relaxation techniques with a religious approach at Bandar Lampung General Hospital. The research design used was experimental research (one group pre-test and post-test design). The treatment given to respondents in the form of distraction-relaxation techniques is slow deep breathing with a religious approach to postoperative patients. The number of respondents was 60 respondents. Analysis of the data used is univariate analysis to see the frequency distribution and bivariate analysis using the statistical test used is the T dependent test. Decrease in pain scale postoperative patients after slow deep breathing with a religious approach of 2.17 with a standard deviation of 0.994. Statistical test results with dependent t-test obtained p value = 0,000. This p value is smaller than (0.05) so that it can be concluded that slow deep breathing with a religious approach is effective in reducing the pain scale of postoperative patients. Suggestions for pain management in the form of breathing exercises Slow deep breathing should have started to be taught to patients since the preoperative phase along with other preoperative preparation exercises such as leg exercises and so on.
Keywords
pain management; religious; distraction; relaxation
Topic
NURSING
Corresponding Author
Subrata Tri Widada
Institutions
Health Polytecnic Yogyakarta
Abstract
Kidney is a important organ in the human body, the body will have problems if the kidney does not work properly. Treatments for the disease may include hemodialysis. Patient of hemodialysis is often found high creatinine, ureum, and uric acid levels. This condition may affect the quality of laboratory results. According to The Beer-Lambert-s Law, the portion of the light absorption will depend on how many molecules it interacts with. However, the theory cannot be applied to a solution with high concentration. This condition can trigger inaccurate results which may be harmful to the patients because it cause errors in diagnosis, treatment and disease monitoring. This condition can be handled by diluting the concentrated serum. A serum sample was diluted with a physiological saline solution (NaCl). This study aims to determine the level of kidney function test in hemodialysis patients serum with and without dilution. This research was Pre-experimental Design methods with One-Group Pretest-Posttest Design. Research sample was used serum of hemodialysis patient with creatinine level more than 10 mg/dL, ureum level more than 256 mg/dL, and uric acid level more than 12mg/dL counted 40 samples. The test results were analyzed descriptively and statistically using Paired Sample T-Test. The mean of creatinine and uric acid levels increase was 2.29 mg / dL (16.72%) and 4.02 mg / dL (44.47%), while the mean urea decreased was 19.52 mg / dL (6.38 %).The results tested with Paired Sample T-Test showed a significant 0.000 (<0.05) which means there was a difference of kidney function test in hemodialysis patients with and without dilution.
Keywords
Kidney Function Test, Hemodialysis, Without Dilution, Dilution.
Topic
MEDICAL LABORATORY TECHNOLOGY
Corresponding Author
Hadiyat Miko
Institutions
Department of Dental Therapist, Politechnic of Health of Tasikmalaya, West Java, Indonesia.
Abstract
Background : Musculoskeletal disorders are often exposed to the dentists because dentists- duties only give them limited sight range and require them to work in an odd and static position, and repetitive movements on his hands and wrists. Research Objective : to know the correlation between exercise habit and MSDs complaints toward dentists in Tasikmalaya Municipality in 2016. Research Method : This research is an observational analytic study using cross sectional design conducted on 35 dentists in Tasikmalaya Municipality. The study used Nordic Body Map questionnaire. Research Result : bivariate test result shows significant correlation between exercise habit variable with musculoskeletal diseases complaint (p value <0.05). Conclusion : the number of dentists who experienced the most muscle pain complaints in the group did not exercise regularly for 67.7%, whereas the dentist who regularly exercise did not complain of muscle pain. There is a significant correlation between musculoskeletal disorder subjective symptom with exercise habits toward dentists.
Keywords
Exercise Habit, Musculoskeletal Disorders Subjective Symptom, Dentists
Topic
DENTAL HEALTH
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