Proceeding International Conference

ELECTRONIC MEDICAL RECORD OUT PATIENT IN UNIVERSITAS SEBELAS MARET (UNS) HOSPITAL

A Suryadi, Y W T Arif, F Y Arfannedy — Mon, 18 Nov 2019 00:00:00 +0000

The implementation of medical record recording at Universitas Sebelas Maret Hospital (UNS) is still manual so that there are problems in terms of management delays caused by the cumulation in the polyclinic, causing the document to not be immediately managed further after completion of the examination. The type of research carried use the method of taking observation and interview data using a cross sectional approach. The subjects in this study were the head of the medical record and outpatient officers, while the objects studied include medical records at the UNS Hospital. System development methods using the System Development Life Cycle (SDLC). Electronic medical records are obtained from the process of inputting patient data, doctor data, nurse data, polyclinic data, diagnostic data, action data, general consent data, physician assessment data, initial doctor assessment data, cppt data, patient transfer data to igd, distinctive assessment data urology, and the initial geriatric assessment that will be led into the database table. Then the data will be processed to be entered in the electronic medical record and produce an outpatient medical record form report.

ANTIDIABETIC AND HYPOLIPIDEMIC EFFECT OF CENTELLA ASIATICA EXTRACT IN STREPTOZOTOCIN-INDUCED DIABETIC RATS

Tue, 19 Nov 2019 00:00:00 +0000

Diabetes mellitus is one of the major health problems and tends to increase throughout the years. Uncontrolled diabetes mellitus causes both microvascular and macrovascular complication. One of the active compounds of Centella asiatica (CeA) extract is madecassic acid which acts as an agonist of PPAR-ï§. Through PPAR-ï§ activation, CeA enhances the expression of the lipolysis regulator proteins such as perilipin and Angptl-4, reduces NEFA production, prevents meta-inflammation, and increases insulin sensitivity. But no study has been conducted to evaluate the effect of long-term administration of CeA extract on chronic diabetes mellitus. We aim to elucidate the effect of longterm of CeA extract administration on blood glucose levels and lipid profiles in diabetic rats. Diabetes mellitus induced through single dose injection of Streptozotocin 60 mg/kgBW intraperitoneally for 1 month (DM1M) and two months (DM2M). Centella asiatica (CeA)-treated groups (400 mg/KgBW/day) were administered per-orally for 1 month (DM1C) and 2 months (DM2C) to diabetes mellitus rats. After the due date, the rats were sacrificed and the blood was taken from retro-orbital vein to assess blood glucose, cholesterol, triglyceride, and LDL levels. CeAtreated groups significantly diminished blood glucose and cholesterol levels compared to diabetes mellitus groups (p<0.05). Two months but not a month CeA-treated groups showed significantly decreased of LDL level (p<0.05) compared to diabetes mellitus groups. Moreover, the triglyceride level significantly increased (p<0.05) in CeA-treated groups compared to diabetes mellitus groups. Centella asiatica extract exerts antidiabetic and hypolipidemic activity on chronic streptozotocininduced diabetic rats.

Keywords: antidiabetic, hypolipidemic, Centella asiatica, diabetes mellitus

THE EFFECTIVENESS OF FLAXSEED (Linum usitatissimum) AND BLACK SEEDS (Nigella sativa) COOKIES TO INCREASE BREASTMILK VOLUME IN SLEMAN DISTRICT

GY Okinarum — Tue, 19 Nov 2019 00:00:00 +0000

Infant and baby mortality rate were still high in Indonesia and mortality rate will be lowered through giving exclusive breastmilk. Exclusive breastfeeding target were still out of the national target, one of the cause is lack of breastmilk production. Flaxseed and blackseed are seeds that are believed to increase the volume of breast milk. Flaxseed and blackseed receive less attention to be developed towards the direction of phytopharmaca although the potential is very large. Therefore, it is necessary to develop alternative preparations of flaxseed and blackseed as a cookies. The aim of this study was to analyze the effect of flaxseed (Linum usitatissimum) and blackseed (Nigella sativa) cookies on increasing breast milk volume. The subjects in this study were the first day postpartum mothers in Sleman Regency who met the sample criteria. This study was a post-test only one group design study. The sample in this study were 38 respondents. These cookies was given for 10 days. Data were collected and analysed by non parametric test, the Mann Whitney test. The results showed that there was an effect of flaxseed and blackseed cookies on the increase in breast milk volume (p <0.05). The highest breastmilk volume on the 7th day (82,5%) of post partum, and on the 11th (15%). The conclusions in this study are that there is an effect of giving flaxseed and blackseed cookies to increase the volume of breast milk.

Keywords: black seeds, breastmilk volume, cookies, flaxseed

CORRELATION OF KNOWLEDGE LEVEL AND ATTITUDE FOOD PRODUCTS LABELING WITH READING COMPLIANCE OF FOOD PRODUCTS LABELING AMONG MOTHERS IN TAJEM SUBDISTRICT MAGUWOHARJO

Sonnya B. Saubaki, Ayu Fitriani, Merita Eka Rahmuniyati — Tue, 19 Nov 2019 00:00:00 +0000

In Indonesia, food labeling issue only received little attention and only 6,7% of consumers are paying attention to food labeling standards. There are several factors which affect the reading compliance of food products labeling such as knowladge, attitude, age, occupation, gender, education, and information exposure. Labeling of food is a primary means of communication between producers and consumers. The aim of the research to know the correlation between the knowledge of food products labeling with reading compliance of food products labeling among mothers in Tajem Sub-District Maguwoharjo. This research was an observational analytic research with cross sectional study design. This research was conducted in May 2017. The population in this study was mothers in Tajem Sub-District Maguwoharjo with a population of 360 households. The sampling technique used was Cluster Sampling and analysis technique used was Rank Spearman. The level of knowledge of mothers with good category were as many as 41 people (52,6%), motherâ€™s attitude which supports were as many as 44 people (56,4%) and compliance mothers read food product labels were as many as 48 people (61,5%). The results of the analysis showed p-value = 0.000 of knowledge levelâ€™s and atttude with. Correlation of knowledge level and attitude food products labeling with reading compliance of food products labeling among mothers.

Keywords: knowledge of mothers, attitude of mothers, compliance on food products labelling

DETERMINANTS OF PATIENT SATISFACTION IN OUTPATIENT SERVICES AT PKU MUHAMMADIYAH DELANGGU GENERAL HOSPITAL

Nabilatul Fanny, Novita Yuliani, Amelia Christine, Etik Yuniarsih — Tue, 19 Nov 2019 00:00:00 +0000

Satisfaction is a comprehensive part of health service quality assurance activities, where patient satisfaction is one of the important dimensions of health service quality, so patient satisfaction is one of the goals of improving the quality of health services. The aim of this study is to find out what factors determine patient satisfaction in outpatient services at the PKU Muhammadiyah Delanggu General Hospital. The method of this research is descriptive analytic, using a cross sectional approach where the determinants of patient satisfaction are independent variables, while outpatient services are dependent variables. The sample used as many as 100 respondents of outpatients, taking samples using accidental sampling technique. Processing is done by Chi-Square test. Data presentation is done in univariate and bivariate. Based on univariate analysis, it can be seen that the service at the registration site is 80% good and 20% is not good, 66% good doctor services and 34% are not good, 65% pharmacy services are good and 35% are not good, hospital facilities 68% good and 32% not good, overall patients who were satisfied with outpatient care were 71% and not satisfied as much as 29%. While the results of the bivariate analysis showed that there was a relationship between service at the registration site and patient satisfaction (p value = 0.001), there was a relationship between physician care and patient satisfaction (p value = 0.001), there was a relationship between pharmacy service and patient satisfaction (p value = 0.001), and there is a relationship between facilities in the hospital and patient satisfaction. The factors that determine patient satisfaction in outpatient services at PKU Muhammadiyah Delanggu General Hospital are services at the registration site, services provided by doctors, services at pharmacies, and facilities provided at the hospital.

Keywords: patient satisfaction, outpatient, health service quality

TELANG TEA EFFECTIVE REDUCE LEVELS BLOOD SUGAR IN ELDERLY

Ni Kadek Wewin Rasmeiyanti, Adi Sucipto, Nazwar Hamdani Rahil — Tue, 19 Nov 2019 00:00:00 +0000

Increased blood sugar levels can increase the risk of prediabetes, especially in the elderly due to aging, so susceptible to diabetes mellitus. This can be prevented non-pharmacologically, namely telang flower tea which can reduce blood sugar levels and is safe for consumption due to natural products.Objective the research to find out the effectiveness of telang flowers against blood sugar levels in the elderly at Posyandu Padukuhan Malangrejo, Wedomartani, Ngemplak, Sleman, Yogyakarta. Method: This type of research is quasi experiment with the design of the pre test and post test control group. This research was conducted on April 13-30 2019 with a sample size of 24 respondents. The sampling technique uses simple random sampling and data analysis using the Wilcoxon test, Paired T-Test, and Mann-Whitney test. Results: Respondents in the telang group had mean GDS pre test 137.8 mg / dl and post test 125.6 mg / dl. The control group had a median GDS pre test 118.5 mg / dl and post test 124.5 mg / dl. The control group Wilcoxon test results p = 0.346, while the results of the Paired T-Test telang group are p = 0.002. The results of the Mann-Whitney test were control group with p = 0.371 Conclusion: There are differences in GDS pre-test levels with post-test on telang flower tea administration.

Keywords: blood sugar levels, elderly, telang tea

THE CORRELATION BETWEEN NUTRITIONAL STATUS WITH HYPERACTIVE BEHAVIOUR DISORDER AND LEARNING ACHIEVEMENT OF CHILDREN WITH AUTISM SPECTRUM DISORDER

N N A Alfani, B Wiboworini, L R Kartikasari — Tue, 19 Nov 2019 00:00:00 +0000

Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder in children, one of which is caused by chronic nutritional deficiencies. Hyperactive behavior disorder is also one manifestation of food allergies in children with ASD. Hyperactive behavior disorders will be related to children's learning achievement. Therefore, research on nutrition in ASD children still needs to be done to improve the mental health of people with ASD. The aim of this study was to evaluate the correlation between nutritional status with hyperactive behavior disorder and learning achievement of children with ASD. This research was conducted with a cohort design in 3 months at 4 Surakartaâ€™s Autism Special Schools in 2019 using 38 ASD kids. Data on nutritional status used IMT / U, while data on hyperactive behavior disorders used the Abbreviated Conners Ratting Scale form and data on learning achievement used student learning reports. As many as 73.7% of children have normal nutritional status, 7.9% have poor nutritional status, and 18.4% have more nutritional status. Chi square nutritional status with impaired hyperactive behavior showed p = 0.01, which means that there is a relationship between nutritional status and disorders of hyperactive behavior. While chi square nutritional status with learning achievement shows the results of p value = 0.09 which means there is no relationship between nutritional status and learning achievement of children with ASD. There is a relationship between nutritional status and hyperactivity behavior. Thus, parents / guardians of children are expected to pay attention to the nutritional status of ASD children with hyperactive behavioral disorders to prevent future negative health effects.

Keywords: nutritional status, hyperactive behavior disorder, learning achievement, autism spectrum disorder

IMPACT OF THE DECREASE OF FUNCTIONS IN ORAL DIGESTIVE SYSTEM ON MALNUTRITION IN OLDER PEOPLE

Rr. Dewi Ngaisyah — Tue, 19 Nov 2019 00:00:00 +0000

The prevalence of older people experiencing the decrease of functions in oral digestive system was 40%. They need significantly long time chewing food. More than 50% of older people have lost adult teeth. As a result, 62.1% of them have lost some nutrition. There was a study in Jakarta showing older people experiencing malnutrition (32.97%). This study aimed to find out the impact of the decrease of function in oral digestive system on malnutrition in older people in Abiyoso Senior Center of Yogyakarta. This study employed cross-sectional designed observational analysis method. The sampling technic used was purposive sampling, collecting 64 of 126 older people in Abiyoso Senior Center of Yogyakarta. This study also used bivariate analysis with chi-square testing ï¡ 0.05. The instruments used to measure the decrease of functions in the oral digestive systems were mini nutritional assessment questionnaires. The respondents showing the decrease of functions in oral digestive system were 64.1%. The results of the chi-square testing showed p-value 0.1, meaning that there were no direct relationship between the decrease of function in oral digestive system on the older peopleâ€™s nutritional status. The decrease of functions in oral digestive system in older people did not relate to their nutritional status. Even though the two problems were statistically not related, older people still had to take care of their oral cavity health and digestive system. More researches are needed to find out more on this decrease of oral digestive system. A help from skilled experts in certain respected fields, particularly oral cavity care, is much appreciated.

Keywords: oral digestive system, malnutrition, older people

RISK FACTOR OF DEGREE OF AGGLUTINATION IN ROSE BENGAL TEST: STUDY IN DAIRY FARMER SUSPECTED BRUCELLOSIS IN SLEMAN, DAERAH ISTIMEWA YOGYAKARTA

S. Sahayati, W.S. Nugroho, D. Pramono — Tue, 19 Nov 2019 00:00:00 +0000

The incidence of brucellosis in humans in Indonesia has not been reported as well as zoonotic disease. It made most people do not know if brucellosis can be transmitted to humans. On March 2015, there was reported three farmers at one dairy farm got brucellosis. So it needed deep and specific research. This study aims to determine the prevalence and factors associated with suspected brucellosis, based on the degree of agglutination of dairy farmers. The population was all dairy farmer in Cangkringan. This study was conducted by cross sectional design; individual interviewed using a questionnaire containing questions about disease Brucellosis. Blood samples were tested using Rose Bengal Test (RBT) in laboratorium. 249 people joined by randomly sampling in 650 farmers. Data was proceed by Stata using Spearman's test to look at the correlation of each factor. There were two positive serological Brucellosis (0,8%). Spearmanâ€™s correlation analysis between degrees of agglutination of RBT with risk factor showed using of protective equipment (Ï=-0,0243 P=0,7024); using of disinfectants (Ï=-0,0896 P=0,1586); time of breed (Ï=0,0100 P=0,8758); cattle vaccination status (Ï= -0,0273 P=0,6680) were not associated with degree of agglutination. Have a history of brucellosis in humans (Ï=0,4399 P=0,0000); direct contact with the infected cow (Ï=0,8149 P=0,0000); history of infected cattle (Ï= 0,5727 P=0,000) were associated with degree of agglutination. The prevalence of brucellosis incidence on dairy farmers was 0,8%. There was a strong relationship between having a history of brucellosis in humans, direct contact with infected animals, history of animals infected with the degree of agglutination at RBT on dairy farmers.

Keywords: Brucellosis, factors, risks, agglutination, cows, humansÂ

EFFECT OF HEALTH EXTENSION ON IMPROVING KNOWLEDGE ABOUT BREAST CANCER IN WOMEN OF REPRODUCTIVE AGE AT KARANGLO HAMLET, ARGOMULYO VILLAGE, CANGKRINGAN SUBDISTRICT, SLEMAN REGENCY, YOGYAKARTA

Linda Ariyani, Sukmawati, Yelli Yani Rusyani — Tue, 19 Nov 2019 00:00:00 +0000

Breast cancer is a cancer which is often found in Indonesia and ranks second after Cervical Cancer. The biggest problem in cancer prevention is that a lot of information is not accountable so that it is too late to deal with it. In reality, a large number of death occur due late examination to a health facility or because patients came at an advanced stage. This study to identify the effect of health extension on improving knowledge about breast cancer. This research employed a cross sectional design and an instrument using questionnaires. The population in was women of reproductive age at Karanglo Hamlet, Argomulyo Village, Cangkringan Subdistrict, Sleman Regency, Yogyakarta. 46 respondents were involved and taken using total sampling technique. Data were analyzed using Wilcoxon test. In the pretest, 16 respondents (34.8%) had sufficient knowledge about breast cancer, 30 (65.2%) had poor knowledge. In the post test, 28 respondents (60.9%) had good knowledge, 15 (32. 6%) had sufficient knowledge and 3 (6.5%) had poor knowledge. The results of Wilcoxon statistical test indicated p value or sig value of 0.000, z count of 5.607 and z table of 3085, meaning that there was effect of health extension on improving knowledge about breast cancer in women of reproductive age. There is effect of health extension on improving knowledge about breast cancer in women of reproductive age in at Karanglo Hamlet, Argomulyo Village, Cangkringan Subdistrict, Sleman Regency, Yogyakarta.

Keywords: health extension, knowledge, breast cancer

COMPARISON OF EFFECTIVENESS IN MALNUTRITION RISK ASSESSMENT BETWEEN MST (MALNUTRITION SCREENING TOOL) AND MNA-SF (MINI NUTRITIONAL SHORT FORM) REVIEWED FROM BODY MASS INDEX ON GERIATRIC PATIENTS

A Ernawati — Tue, 19 Nov 2019 00:00:00 +0000

Malnutrition is still a major nutritional problem both when patients enter and as long as patients are hospitalized. Geriatric or elderly patients are a group of patients at high risk of malnutrition. Determination of the risk of malnutrition can be done through nutritional screening. Both of nutrition screening tools were reported to be accurate. MST (Malnutrition Screening Tool) is a screening tool that is easier, simple and faster, and is reported to have fairly good accuracy. MNA-SF (Mini Nutritional Assessment Short Form) is the most widely used nutritional screening tool and is a good prognostic tool for detecting malnutrition in elderly patients. The aim of this study was to compare the effectiveness of the risk assessment of malnutrition between the two questionnaires if used for geriatric patients. The cross sectional study was carried out on geriatric patients in the Inpatient Room of RSUD dr. Soediran Mangun Soemarso Wonogiri. A total of 50 new geriatric patients treated in the class 3 treatment room were taken as samples. BMI <18.5 kg/mÂ² is used as a standard category for the risk of malnutrition. The relationship between variables was tested by the chi square test. The results of data analysis showed that MST scores â‰¥ 2 (p =0.025; OR = 4.511) and MNA-SF <12 (p = 0.022; OR = 8.905) were significantly associated with the risk of malnutrition. There were no significant differences in screening results between the two questionnaires (p = 0.081) The effectiveness of MST assessment with marginal probability (p = 0.081) is still below MNA-SF. These results give consideration that MST can be used as an alternative screening tool with fairly good accuracy.

Keywords: MST; MNA-SF; geriatric patient,malnutrition, BMI index

THE EFFECTIVENESS OF BABY SWIMMING AND BABY MASSAGE IN IMPROVING BABY WEIGHT

Paulinus Deny Krisnanto, Listyana Natalia — Tue, 19 Nov 2019 00:00:00 +0000

Infancy is a golden era, therefore, this period requires special attention for the growth and development of children. Development and growth are continuous and interrelated process since the infancy and childhood periods. Infants grow rapidly in the first 12 months of their ages. There are some indicators of baby growth, one of them is body weight. Some efforts to increase baby weight are through baby massage and baby swimming. This research was aimed to discover the effectiveness of baby massage and baby swimming in improving baby weight. This research used one-group pretest-posttest design of quasi-experimental method. The researcher conducted intervention of massage therapy for 8 times in 4 weeks, and also 8 times in 4 weeks for baby swimming The data of weight measurement results in before and after the treatment were examined with statistical hypothesis test. Accidental sampling was used as the sampling technique. Independent t-test was used as the statistical test. Mean weight of infants before baby massage is conducted was 7.92 kg, mean weight of infants after baby massage is conducted was 8.23 kg, and mean weight of infants after baby swimming is performed was 7.59 kg. According to the analysis result of difference test performed with Independent T-Test, 0.186 of p value has been acquired. There is no significant difference between baby massage and baby swimming in improving baby weight.

Keywords: baby swimming, baby massage, baby weight, infants

CORRELATION BETWEEN NUTRITIONAL STATUS AND MENSTRUAL REGULARITY AMONG STUDENTS OF PAJANGAN 1 BANTUL SENIOR HIGH SCHOOL

Ratriana Nur Rahmawati, Belian Anugrah Estri — Tue, 19 Nov 2019 00:00:00 +0000

WHO states that obesity has become a global epidemic with cases of over 300 million people worldwide. The results came from Riskesdas of Yogyakarta province in 2013 that is 12.9% obese and 6% obesity. At Bantul district, the prevalence of fat is 7.9% and obesity is 1%. Nutritional status has potentially cause disruption in reproductive health of adolescent girls. Obesity that continues in adulthood will result in earlier sexual maturity and irregularity of the menstrual cycle. Then the lack of nutrition in a student will result in decreased reproductive function. There is correlation between nutritional status and menstrual regularity on grade XI student of Pajangan 1 Bantul Senior High School. School is expected to make teamwork with the public health center to give information about nutrition and reproductive health as an effort for maintaining nutritional status so they will get regular menstruation.

Keywords: nutritional status, menstrual regularity, student, obesity

PSYCHOLOGICAL IMPACT OF SEXUAL VIOLENCE IN CHILDREN: SYSTEMATIC LITERATURE REVIEW

Suryati, Sri Ratnaningsih, Ismarwati — Tue, 19 Nov 2019 00:00:00 +0000

Sexual violence in children is a relationship or interaction between a child and an older person or an adult such as a stranger, sibling or parent in which the child is used as a satisfying object for the sexual needs of the perpetrator. This action is carried out using coercion, threats, bribery, deception, and even pressure. One in five girls and one in thirteen boys reported having experienced sexual violence worldwide, and the prevalence of sexual violence ranged from 15.3% in girls and 13.8% in boys. This Systematic Literature Review employed two PubMed and Sciencedirect databases during 2008-2018. The stages in this systematic literature review were identifying research questions, identifying relevant studies, choosing relevant studies, conducting critical assessments, extracting data and mapping. There were 767 initial articles identified. This study analyzed 11 articles that met the requirements for reference. Children who experienced sexual violence in their childhood had a severe psychological impact in the form of anxiety, depression, personality disorders, post-traumatic stress disorder (PTSD), psychosis, drug and alcohol abuse, bulimia and suicide. Most children who experienced sexual violence had a psychological impact in the form of depression, anxiety, post-traumatic stress disorder, suicide, and sexual behavior. Children who experienced sexual violence often committed acts of sexual violence to others. It was the psychological impact that they experienced.

Keywords : psychological impact, sexual violence, children

THE ROLE OF EDUCATIONAL PROGRAM FOR THE HEALTH OF THE ELDERLY

Doni Darmasetiadi — Tue, 19 Nov 2019 00:00:00 +0000

Based on Law No. 13 of 1998 concerning Elderly Welfare, it has been confirmed that the need to fulfill their rights, including health services. This health care effort targets on an individual and community scale. Health services for the wider community are carried out through existing health institutions in each region. One of the public health services is an education program for the elderly. This program is a form of external communication from related health institutions that is useful for realizing awareness to better understand the importance of maintaining health in old age. In addition, this education program must also fulfill various basic requirements. In this context, the education program is one form of health services to the community, including the elderly.

Keyword: Elderly, health services, community scale, health institution, educational program, external communication.

DAILY LIVING SKILLS INDEPENDENCY ON VISUALLY IMPAIRED TEEN

Sugeng Hadisaputra, Dewi Indrayani — Tue, 19 Nov 2019 00:00:00 +0000

The prevalence of blind people in Indonesia reaches 1%. Data reported by the Central Statistics Agency (BPS) states that around 40% of the 3.75 million blind people in Indonesia were school-age children. Blind teenagers must be able to live in a community environment properly and must be able to adapt to the surrounding environment. They were required to be able to live independently. Independence has a great influence on the future of the child, if it is not responded to appropriately it can have a detrimental impact on the psychological development of the child. Basic knowledge and skills for the blind are those that lead to daily activities (activity of daily living). This study was purposed to see Daily Living Skills independency on Visually Impaired Teen in DKI Jakarta. total sampling was used and 64 respondents were obtained with a quantitative approach. Data collected with Assessment sheet and then analyzed. The results showed that of 64 visually impaired adolescents, 31 total blid (TB) and 33 low vision (LV). Based on the independence of the Daily Living skills, most of them were lived independently on activity daily living.

Keywords: daily living, skills independency, visually impaired teen

PERCEPTION OF GIRL ADOLESCENTS IN THE NORTH COAST REGION TOWARD UNWANTED PREGNANCY

ND Larasaty, T Salawati, A Demartoto, Sulaeman — Tue, 19 Nov 2019 00:00:00 +0000

Adolescence is identical to puberty which includes pre-marital sex behavior. The impact is the problem of unwanted pyregnancy. Semarang City Health Office data about the incidence of unwanted pregnancy shows an increasing trend from 2014 as many as 104 cases to 248 cases in 2017. Unwanted pregnancy became a serious problem in adolescents in coastal areas. The work of their parents is mostly fishermen who spend a lot of time at sea. They grow up experiencing puberty without intensive mentoring / monitoring from parents. This study aims to determine the perceptions of girl adolescent in coastal areas on unwanted pregnancies, as well as inventory other influencing factors. This study uses a qualitative research method. Collecting data by indepth interviews with informants and observations on the north coast region. The research location is in Bandarhajo Village and Tanjung Mas Village, Semarang City. Girl adolescent in coastal areas have a perception of the usual unwanted pregnancy in the present. There are no sanctions that make their position cornered both mentally and socially. Social media content tends to be permissive and even strengthens the perception that unwanted pregnancy in adolescents is usual. In addition, the surrounding environment, colleagues and schools and teachers reinforce permissiveness, neglect, and adaptive values in the surrounding community. Most girl adolescent in the northern coastal area consider that the effects of unwanted pregnancies are not serious but natural, and there is no need to worry.

Keywords: perception, adolescent, unwanted, pregnancy

EFFORT FOR UTILIZATION ANTENATAL CARE (ANC) IN PREGNANT WOMEN: systematic literature review

Nita Ike Dwi Kurniasih, Sulistyaningsih, Indriani — Sun, 17 Nov 2019 00:00:00 +0000

Optimal utilization of ANC services is associated with mortality and morbidity reduction for mothers and newborns. The majority of women delay until the second trimester to make antenatal visits according to WHO recommendations and only 75% of pregnant women do at least 4 pregnancy check-ups at health services including Indonesia which only reached 83.5%. The aim of this study was to identify efforts that can improve the utilization of ANC services in pregnant women and influencing factors of utilization of ANC services in pregnant women. Systematic Literature Review used 3 databases source namely PubMed, ScienceDirect and Proquest. The total number of reviews was 14 lliteratures from 1382. Selected articles were from the year of 2009- 2018, quantitative study, and using population of women of reproductive age. Among 14 articles review, it was found on 7 articles explaining efforts to improve utilization of ANC in pregnant women by laboratory testing, service provider compliance with ANC guidelines, counseling and health education, ongoing care, good interpersonal relationships, availability of health facilities and socio-economic and demographic support. 11 articles presented factors that influence the utilization of ANC services in pregnant women, namely education, mothers living in the core family, distance to health facilities, parity, media exposure, quality and ANC service providers, ANC visits, autonomy, age, health status and costs. The highest effort influencing the increase of ANC utilization was compliance with service providers against guidelines for ANC visits. Among 11 factors that influence ANC service utilization was a service user education.

Keywords: Effort, Utilization, antenatal

CAUSES AND IMPACTS OF UNWANTED PREGNANCY IN ADOLESCENTS

Nur Fitri Ayu Pertiwi, Herlin Fitriani, Anjarwati — Tue, 19 Nov 2019 00:00:00 +0000

Unwanted pregnancy in adolescents is caused by the lack of reproductive health knowledge causing pre-marriage sex. The number of mothers mortality aged 15 â€“ 19 years old is very high. This is due to complication during pregnancy and labor. Complication can also happen in fetus which caused low birth weight (LBW). The purpose of this study was to find the causes and effects of unwanted pregnancy in adolescents. The study employed systematic literature review by using PubMed and Science Direct database in January 2008 until December 2018. Unwanted pregnancy in adolescents happened due to the lack knowledge of reproductive health. The causes of unwanted pregnancy were the low lecel of social prosperity, poverty, forced sex, and raping. Adolescents did not know how to prevent pregnancy and did not understand the impact of unwanted pregnancy. The impact of unwanted pregnancy was different from one to another. Many impacts due to unwanted pregnancy were deppression, abortion wish, alianated by social environment, economy problem, and the raise of femalesâ€™ health problems. Moreover, unwanted pregnancy usually repeated in the future. Department of health, department of education, and National Population and Family Planning Board are expected to build cross institutional collaboration in preventing unwanted pregnancy in adolescents.

Keywords: Causes, impacts, unwanted, pregnancy, adolescents

HUSBANDâ€™S ROLE IN ASSISTANCE OF LABORING PROCESS: SYSTEMATIC LITERATURE REVIEW

Puji Lestari, Mufdlilah, Dwi Ernawati — Tue, 19 Nov 2019 00:00:00 +0000

The Maternal Mortality Rate has decreased, but is still far from the MDGs target in 2015 although the number of deliveries assisted by health workers has increased. The main causes of maternal death are bleeding, hypertension in pregnancy and post partum. These causes can be reduced if the quality of Antenatal Care is conducted well. The purpose of this study is to conduct a review of the description of the husband's role when assisting delivery. This study was conducted by employing systematic literature review of 6 articles taken from the PubMed database. Inclusion criteria (articles 2009-2018, Full text, qualitative study design). Critical Appraisal was done with Joanna Brigs. A study of a systematic literature review of 6 journals found that there was a significant effect of implementing husbandâ€™s assistance in delivery process. It is very important for a successful delivery. The involvement of husband in mother health during labor is important. Husband has a crucial role in the laboring process to accompany mothers. Husbands are not only helping to fulfill the wife's needs during the maternity process, but also making mothers feeling more comfortable.

Keywords: husband, role, assistance, labor

THE EFFECTIVENESS OF PRENATAL YOGA AND DEEP BREATH RELAXATION TECHNIQUE IN REDUCING ANCIETY ON THE THIRD TRIMESTER PREGNANT WOMEN IN CLINIC ASIH WALUYO JATI BANTUL

Eko Mindarsih, Melania Wahyuningsih, Aulia Santri — Tue, 19 Nov 2019 00:00:00 +0000

In the event of pregnancy occur physiological and psychological changes. Psychological changes can cause anxiety. If the anxiety of pregnant women is not overcome, it can cause illness, complications of pregnancy and childbirth in both the mother and the baby. One of effective way to reduce anxiety in pregnant women with prenatal yoga and deep breathing relaxation. The aim of this study to determine the effectiveness of prenatal yoga and deep breathing relaxation on the anxiety of third trimester of pregnant women at Asih Waluyo Jati Clinic. This study was a quasiexperimental with pre and post test design non equivalent control group. The research samples was 32 pregnant women who were divided into 2 groups, 16 mothers of prenatal yoga groups and 16 mothers in relaxation groups. The analysis data used paired T Test. Analysis of paired T-Test differences in anxiety of pregnant women before and after prenatal yoga p value 0.01. Analysis of differences in anxiety of pregnant women before and after breathing relaxation in p value 0.04. The difference in prenatal yoga and deep breath relaxation p value 0.733. There is no difference in prenatal yoga and deep breathing relaxation towards the anxiety of pregnant women.

Keywords: prenatal yoga, deep breath relaxation, anxiety for pregnant women

THE PERSPECTIVE OF ASIAN WOMEN TOWARDS MENOPAUSE: A SYSTEMATIC LITERATURE REVIEW

I A Paramitha R Nuzuliana — Tue, 19 Nov 2019 00:00:00 +0000

Perspective towards menopause is different among women in the world. Their perspectives are based on their faith in reproductive values, language used in describing and discussing menopause, strong cultural impacts, various knowledge level, and holistic perspectives combining spiritual, intellectual, physical, and emotional dimensions. Menopause period which is not handled properly by a good comprehension level will decrease life quality. The Systematic Literature Review aimed to investigate the length of perspectives on menopause according to Asian women related to sociocultural and spiritual aspects. The Systematic Literature Review employed the PubMed database from 2008 â€“ 2018. From 1758 articles that had been identified, 10 articles were fulfilling the criteria of inclusion. The roles of culture in menopausal women's perspective had a great impact on women's lives and the roles of spirituality on menopause play an important role in every Asian women's act. It is also revealed that the development of health service especially for menopausal women in Asia had been made and thus, there were still many women who had not been empowered in their menopausal period. There were still many Asian women who had not possessed awareness and knowledge on menopause physiology. The culture regards that it was a taboo to discuss menopausal complaints and thus, it created fear of negative stigmatization from the environment. The role of health and family support personnel is needed in the menopause period.

Keywords: perspective, asian women, menopause

THE EFFECTIVENESS OF CEMONC ON MATERNAL MORTALITY: SYSTEMATIC LITERATURE REVIEW

Kadek Yuke Widyantari, Sulistyaningsih, Indriani — Tue, 19 Nov 2019 00:00:00 +0000

The Implementation of Comprehensive Emergency Obstetric and Newborn Care (CEmONC) or known as PONEK in Indonesia since 2005 is expected to reduce the Maternal Mortality Ratio (MMR). Based on the latest MMR survey it still looks quite high (305 deaths per 100.000 live births in 2015). Indonesia must reach the SDGs target in 2030 (70 deaths per 100,000 live births). The number of district hospitals that capable for CEmONC is low (25%), a government hospital that provides CEmONC (86%), the ability to provide blood transfusions is low (55%), adequate blood supply (41% Government Hospital and 13% Private Hospital). The Purpose of this Systematic Literature Review is to identify the effectiveness of the CEmONC on maternal mortality. This Systematic Literature Review of 7 articles, obtained from 3 databases (PubMed, Sciencedirect, Proquest). Inclusion criteria (CEmONC Health Workers, CEmONC Hospital, patients, articles from 2009-2018, Full text, quantitative study design). Critical Appraisal with Joanna Brigs. From the 7 articles reviewed by Dumont et al (2017), Lindtjorn et al (2017), Nyamtena et al (2017), Maru et al (2017) prove the effectiveness of quality CEmONC services reduces maternal mortality and increases institutional labor. The Wilunda et al (2015) study, Ntambue et al (2017), and Tembo et al (2017) prove that poor CEmONC services are associated with high maternal complications and mortality. The existence of good quality CEmONC hospitals can effectively reduce maternal mortality, poor access and quality of CEmONC increase obstetric complications and maternal mortality. Periodic evaluations are needed by relevant government agencies to maintain the quality of CEmONC.

Keywords: CEmONC, maternal, mortality

EXPECTANT MANAGEMENT ON PRETERM PREGNANCY WITH PREECLAMPSIA: A SCOPING REVIEW

Putu Ayu Dina Saraswati, Dwi Ernawati, Mufdlilah — Tue, 19 Nov 2019 00:00:00 +0000

Preeclampsia complicates 5-8% of all pregnancies and is responsible for 100 maternal deaths and 400 perinatal deaths every day globally. In the worldwide, preeclampsia and eclampsia are considered as the factors for approximately 14% of maternal deaths and prematurity, in the 30-34 week gestation period. Yet, they are remained to be associated with high perinatal mortality rates in Indonesia (28% perinatal mortality). The aim of this study was to conduct a scoping review to determine the effectiveness of expectant management for less-month pregnancies with preeclampsia. There were five stages for the scoping review. The five stages include: identifying research questions, identifying relevant literature, selecting literature, mapping data, compiling, summarizing and reporting results. All selected articles were taken using quantitative method. From 12 journals gathered, thematic analysis was carried out to identify the main points. We classify the main points of expectant management as an effort to prolong pregnancy, as expectant management with the time of termination of pregnancy, and as expectant management with the right gestational age. The average length of pregnancy in women with preeclampsia without any other risk is 11.5 days. Clinical decisions for termination of pregnancy or expectant management are highly depended on the mother, fetus and laboratory. The experience of the obstetricians also influences the decision to terminate the pregnancy during the maternal evaluation.

Keywords: preterm, pregnancy, preeclampsia, management

FEMALE SEX WORKERS PERCEPTION OF FEMALE CONDOM UTILIZATION IN INDONESIA: BARRIER AND SOLUTION?

Rizka Ayu Setyani — Tue, 19 Nov 2019 00:00:00 +0000

Female condoms can be an alternative to prevent HIV AIDS. But, not all female sex workers want to use it. Our study aimed to explore barriers to utilization of female condom. The study was the first to discuss about the use of female condom in Indonesia. The research design was a qualitative study was conducted in January to July 2017 in Yogyakarta, Indonesia. We selected eleven female sex workers, eleven customers, and one peer educator for in-depth interviews. This study results found three barriers to female condom utilization at female sex workers in Yogyakarta. Lack of understanding about female condoms because female sex workers considered the use of female condoms that were difficult and less comfortable than male condoms. In fact, female sex workers have a low bargaining position, were less empowered and heavily dependent on their customers on condom used. Most customers did not want female sex workers used female condoms because they felt uncomfortable. In addition, the number of well-qualified female condoms were very limited and costly causes the low used of female condoms in female sex workers in Yogyakarta. So that, however still barriers in female condom utilization, but it can be solution as empowerment women.

Keywords: barriers, female condom, female sex workers, solution, utilization

INFLUENCE OF GARDENING ACTIVITIES TOWARDS DECREASING HYPERTENSION OF ELDERLY PRESSURE

Maria Aditia W., Siti M. Sholihah — Tue, 19 Nov 2019 00:00:00 +0000

Facing this surge of elderly people, Badan Koordinasi Keluarga Berencana Nasional (BKKBN) or National Population and Family Planning Board in collaboration with various sectors are developing Strong Elderly Programs. Strong Elderly are elderly who can still work, do positive activities, do not feel excluded from society, and whose health is maintained. One of the elderly activities can be done in urban areas is to fill leisure time with gardening, by utilizing the potential of available land, both in the form of residential land, yards, roofs, public roads and river banks. Gardening activities carried out on the elderly proved to have a tremendous positive impact, improving health and mental well-being. This research method is a literature review, using ten articles that are relevant to the research topic. To be included in the report needed to measure the effect of gardening on reducing blood pressure in elderly hypertension and conducting an analysis of the relationship of gardening activities with a decrease in blood pressure in elderly hypertension. The results of the literature study show that gardening activities decrease blood pressure for elderly people with hypertension. Several studies have shown a positive relationship between gardening activities and a reduction in blood pressure in elderly people with hypertension.

Keywords: gardening, elderly, hypertension.

MUROTTAL THERAPY AFFECTS ON STRESS ASPECTS IN THE ELDERLY AT BPSTW YOGYAKARTA BUDI LUHUR UNIT KASONGAN BANTUL

Endang Nurul Syafitri — Tue, 19 Nov 2019 00:00:00 +0000

Stress is a problem which often experienced by elderly. Stress in the elderly occurs because of the changes in daily activities, family meetings, partner deaths, family member deaths, and changes in work. Stress causes physiological, psychological and behavioral effects both in the short and long term. The prevalence of stress in nursing homes is 56.5% of severe stress. One of the nonpharmacological techniques used to treat stress is murottal therapy. The aim of this study was determine the effect of murottal therapy on stress includes physical, psychological and behavior in the elderly at BPSTW Yogyakarta Budi Luhur Unit Kasongan Bantul. This research is a quasi-experiment using pre-and posttest without control research design. The research samples is elderly at BPSTW Budi Luhur obtained by 29 respondents and data were analyzed using Wilcoxon test. The questionnaire uses Stress DASS 42. Murottal therapy affects overall stress. Of the 3 aspects of stress, only physical and behavioral aspects can be influenced by murottal therapy, whereas for the psychological aspects it does not have an effect. Murottal therapy has been shown to influence physical and behavioral aspects of elderly stress.

Keywords : Physical, Behavior, Stress, Murottal, Elderly

QUALITY OF LIFE OF ELDERLY WOMEN WITH KNEE OSTEOARTHRITIS

Asyifa Robiatul Adawiyah, Tri Suratmi, Tri Budi W. Rahardjo — Tue, 19 Nov 2019 00:00:00 +0000

Elderly women who had the symptoms of knee osteoarthritis are reported to have a higher, more pain, and loss of knee function related to quality of life (27.5%) compared to elderly males (21.8%). The purpose of this study was to examine the quality of life of elderly women with knee osteoarthritis. Method, this study is a cross sectional research design with a linear regression analysis method. The population were all elderly women with osteoarthritis (age> 45 years) in General Hospital of Bekasi as many as 80 elderly women were taken by consecutive sampling. Data was collected by interviews with a questionnaire. The Variables analyzed demographic characteristics such as age, body mass index (BMI), education, exercise routine, a history of osteoarthritis in their family, employment status, and the use of walking aids to determines about factors that associated with osteoarthritis index through the instrument of WOMAC (the Western Ontario and McMaster Universities Osteoarthritis Index) as a measuring instrument joint pain and disability of osteoarthritis patients,we correlate the osteoarthritis index to the quality of life through a questionnaire WHOQOL-OLD. The average score obtained is 2.71 in the Standardized Total Score (range 1-5) in the WHOQOL-OLD guide, which means they have a poor quality of life with the correlation value obtained from the relationship of the Osteoratritis Index with quality of life is r = - 0.601 (p value <0.001). Elderly women with knee osteoarthritis are in a position of poor quality of life.

Keywords: elderly, osteoarthritis, hospital

FACTORS ASSOCIATED THE INCIDENCE OF DEMENTIA ON THE ELDERLY IN COMMUNITY HEALTH CENTER DEPOK I MAGUWOHARJO SLEMAN YOGYAKARTA

Paskalia Nini, Rodiyah Soekardi

Dementia is degradation of memory and intellectual capacity. Dementia causes problems in human daily activities. Risk factors of dementia are divided into four categories such as demographic, atherogenic, non-atherogenic, and factors associated with stroke. The aim of this study was to find out factors associated with the incidence of dementia of elderly in Community Health Center Depok I Sleman Yogyakarta. This was an analytical study with cross sectional approach and the data was carried out from 9th to 19th June 2014. Population of the study were the elderly at Community Health Center Depok I.. Samples were selected by purposive method, comprising 62 people. Data were taken by questionnaire and medical records of the elderly and data analyzed using Chi-Square. Result: The study showed 53.2% of the elderly were male, 51.6 % of the elderly have elementary education, 54.8 % elderly were non-hypertension, most of the elderly (74.2%) not suffer of diabetes mellitus, most of the elderly (69.4 %) had stress, most of the elderly (67.7 %) had dementia. Conclusion: There was association between level of education, hypertension, diabetes mellitus and the incidence of dementia; there was no association between gender, stress and the incidence of dementia.

Keywords: dementia, elderly, hypertension

SELF-MANAGEMENT ON GESTATIONAL DIABETES MELLITUS: A SYSTEMATIC LITERATURE REVIEW

Claudia Subarto, Indriani, Sulistyaningsih — Tue, 19 Nov 2019 00:00:00 +0000

Gestational Diabetes Mellitus (GDM) is one of the complications during pregnancy and characterized by glucose intolerance. GDM has an increased risk of preeclampsia, SC labor and can result in type 2 diabetes mellitus within 10 years after pregnancy. Self-management behavior in GDM women can involve a number of obstacles. The aim of this study was to determine the self-management behavior of women with GDM, to understand the barriers of women with GDM in self-management and to analyze the needs of women with GDM. This Systematic Literature Review used the PubMed database with a period of 2008-2018. Of the 586 initial articles identified, this study analyzed 7 articles that met the inclusion criteria. Acceptance of a diagnosis of GDM is considered difficult because sadness, shock, stress and feeling guilty. One way to react was to learn new strategies for a healthier lifestyle. Family support was very effective in helping GDM women to choose a healthier lifestyle. The need for family support and health workers is able to change and improve the lifestyle of people with GDM and help to reduce the psychological burden. Diabetes counselors were needed to understand the principle of self-management and the need for their health conditions.

Keywords: Barriers, Gestational Diabetes, Needs, Pregnancy, Self-management

POSTPARTUM HEMORRHAGE MANAGEMENT

Dwi Kartika Cahyningtyas, Dwi Ernawati, Mufdlilah — Thu, 19 Nov 2020 00:00:00 +0000

Mortality is related to pregnancy, delivery or postpartum. The efforts to reduce maternal mortality are not only known from the high coverage but also from the quality of services that emphasize the competency needs of health workers, the completeness of medicines, equipment, facilities and infrastructure in all health services. The aim of this study to conduct a scoping review to determine the effectiveness of each management of postpartum hemorrhage. Method: There were five stages used for scoping review. This Scoping review of 12 articles, obtained from 2 databases (Pubmed, Sciendirect). Critical Appraisal with Joanna Brigs. Most articles on the research method used Cohort, Case Series, Randomized Controlled Trial, Restrospective Cohort and Prospective. Result: The researchers classify the main points in five themes that appeared, those were administration of carbetocin, administration of oxytocin, administration of sublingual misoprostol, administration of balloon bakri, administration of catheter condom tamponade as the management of postpartum hemorrhage. Conclusion: Handling hemorrhage with sublingual administration of misoprostol, carbetocin and bakri balloon was a part of continuous treatment, so that changes or additions ed more on the effectiveness of postpartum hemorrhage management.

Keywords: management, postpartum hemorrhage

FACTORS ASSOCIATED WITH QUALITY OF LIFE AMONG CERVICAL CANCER SURVIVORS: SYSTEMATIC LITERATURE REVIEW

Mujahadatuljannah, Ismarwati, Ratnaningsih — Tue, 19 Nov 2019 00:00:00 +0000

Cervical cancer is the fourth most frequent cancer in women with an estimated 570,000 new cases in 2018 and an incidence 266,000 cases of death. Cancer no longer focuses only how long a patient can survive but also how is patientâ€™s health related to quality of life patient. The quality of life among cervical cancer survivors is related to various factors. The aim of this study was to determine the factors associated with quality of life among cervical cancer survivors This study used a systematic literature review. The following databases were searched; PubMed and Sciencedirect by entering keyword: quality of life, health related quality of life, HRQoL, cervical cancer. Articles published from 2008-2018; The results show factors associated with quality of life among cervical cancer survivors include the type of treatment, stage of cervical cancer, time of treatment, comorbidity, selfesteem, age, education, health insurance, economic status, social and family support; Conclusion: The authors have identified factors that significantly contribute to good quality of life including patients who received only surgery, early stage of cervical cancer, long term treatment, less comorbidity, higher self-esteem, younger age, higher education, having health insurance, higher household income, good social support and good family support.

Keywords: Factors, Quality of life, Health Related Quality of Life, HRQoL, Cervical Cancer

PREGNANCY CARE OF MRS. E G1P0A0 WITH EXPOSURE CIGARETTE SMOKE IN THE FAMILY ENVIRONMENT IN SUKA NEGERI, SOUTH BENGKULU

Eka Rati Astuti — Tue, 19 Nov 2019 00:00:00 +0000

Many Indonesian are exposed to passive smoke because 91.8% of smokers smoke at home. Carbon monoxide from cigarettes that are inhaled by pregnant women will be carried into the mother's bloodstream. The CO element binds with Hb to produce (COHb), where carboxyhemoglobin cannot carry O2 so it limits the release of O2 to the tissues, and can cause hypoxia in the fetus. As an input for the midwife profession in the effort to provide pregnancy services with exposure to cigarette smoke in the family environment, so as to provide professional midwifery services and in accordance with the midwifery code of ethics. Type of case study using qualitative approach method, location in village suka negeri of south bengkulu district, in Mrs.E, data collection technique was using primary and secondary data, research instrument was using interview guidance and data analysis used SOAP method. After five-days visit the general condition of the mother was good, vital signs were normal and mother was not exposed to cigarette smoke again. Pregnancy care in Mrs.E G1P0A0 with exposure cigarette smoke in the family environment has been done in accordance with the SOAP method.

Keywords: Pregnancy Care, Cigarette Smoke Exposure, Family Environment

THE EFFECTIVENESS OF KANGAROO MOTHER CARE ON PREMATURE BABIES: A Scoping Review

Herliyani Dwi Saputri, Dwi Ernawati, Mufdlilah — Tue, 19 Nov 2019 00:00:00 +0000

Common causes of infant and neonatal mortality are asphyxia, asphyxia at birth due to obstructed labor, transverse location, and narrow pelvis, low birth weight (LBW) and sepsis. One of the interventions that can be given to infants with LBW is treatment of the Kangaroo Mother Care method. This method is a no-cost therapy that can be done by mothers because not all babies with LBW are able to get health services using advanced technology.The study aims to determine the effectiveness of Kangaroo Mother Care for premature babies. Five stages for scoping review were employed in this review including: identifying the question, identifying relevant studies, mapping data, critical appraisal, analyzing data and extraction data. A total of 10 journals were found and carried out thematic analyzes in the form of scoping review to identify the main points. The researchers classified the main points of the effectiveness of Kangaroo Mother Care for premature babies. There was an effect of KMC on LBW because the KMC method was a supportive treatment carried out by placing the baby in the mother so that direct contact between mother and baby occurred. KMC method had several benefits such as increasing emotional connection between mother and baby, stabilizing body temperature, stabilizing pulse heart rate and breathing and increasing body weight in premature babies.

Keywords: Kangaroo Mother Care, Preterm

DETERMINANT OF PREGNANT WOMENâ€™S PERCEPTION ABOUT PROVIDER INITIATED TESTING AND COUNSELING (PITC)

Lenna Maydianasari, Eko Mindarsih, Yuratni Sarience Liu — Tue, 19 Nov 2019 00:00:00 +0000

HIV transmission from HIV-infected mothers to their babies also tends to increase along with the increasing number of HIV positive women who are infected both from partners and due to risky behavior. The pregnant women who had PITC examination and the highest reported was in Public Health Center Gamping I and the lowest was in Depok II. Data obtained directly from Public Health Center Depok II Sleman Yogyakarta for the last 6 months from pregnant women who conducted a PITC examination of 119 people (7.7%) from 1,542 pregnant women. Many factors influence this condition. Therefore, research to identify factors that influence the perception of pregnant women is very necessary. This research is descriptive analytic with cross sectional approach. The population was 104 pregnant women. Samples were taken using accidental sampling with a sample size of 51 pregnant women. Data were analyzed using Univariate and Bivariate analysis with Chi Square test. The characteristics of pregnant women were mostly 20-35 years old, secondary education graduates, multiparous and unemployed. Most of them had good knowledge, experience, good needs, high motivation and negative perception. The knowledge, experience and motivation on pregnant womenâ€™s have no in

Keywords : Pregnant women, PITC

QUALITY OF LIFE WOMEN WITH CESAREAN SECTION HISTORY : A SYSTEMATIC LITERATURE REVIEW

Nurbita Fajarini Sri Ratnaningsih Ismarwati — Tue, 19 Nov 2019 00:00:00 +0000

The prevalence of cesarean section (CS) worldwide has increased, both with medical indications and without indication. CS has short and long term risks that have an impact on women's health and quality of life. The purpose of this systematic literature review was to review the literature on the quality of life of women with a history of cesarean section. Method: Systematic literature review used the PubMed and ProQuest databases with a period of 2008-2018. Result: Among 1529 initial articles identified, there were 10 articles that met the inclusion criteria. The quality of life of women with a history of cesarean section included physical, psychological, social and environmental health. CS had a negative impact on quality of life, and the quality of life of women with a history of CS tended to be lower compared to women who underwent vaginal delivery, especially in the physical health domain. Conclusion: The quality of life of women with a history of CS tended to be lower in the domain of physical health compared to women with vaginal birth history. It is expected that women with a history of CS make efforts to improve quality of life e.g. with physical activity (yoga, jogging, etc.). Healthcare providers are expected to be able to promote vaginal delivery, improve quality and safety in delivery services, and perform services in the form of postnatal home visits especially after CS.

Keywords: Quality of Life, Cesarean section

EFFECTIVENESS OF USING THE SMART ENERGY METHOD (REIKI) AS AN ALTERNATIVE PREVENTIVE PATIENT HYPERGLYCEMIA DIABETES MELLITUS TYPE 2

Aprilia Susanti, Dyah Rohmawati, Amik Muladi — Tue, 19 Nov 2019 00:00:00 +0000

DM affects many people in the world and is one of the biggest problems for the nation. Some treatments ranging from medical to non-medical (alternative actions) have been carried out by each individual to be able to recover from the disease. Alternative and complementary therapies are therapies that are in great demand by people throughout the world, not least in Indonesia because they are relatively cheap and safe. One alternative therapy that can be done is by the "Smart Energy" Method. Therefore, research on the use of the "Smart Energy" Method as a preventive alternative for reducing blood sugar levels in DM patients is very important. The purpose of this study was to find out and evaluate the effectiveness of using the "Smart Energy" Method as a preventive alternative for reducing blood sugar levels in DM patients. The design used in this study used a pre-experimental method with the one-group pretest-posttest design (before and after) approach. Each research subject becomes control of himself. The research was conducted at the DM Rehab Club. Taking blood samples as well as carrying out the therapy and evaluation is done on the same day. The duration of therapy is Â±20-30 minutes and carried out for 30 days with 2 methods namely direct therapy (therapist and respondent are in the same place) and long distance (therapist and respondent are not in the same place) but the principle of therapy remains the same. The implementation of Reiki therapy is assisted by a certified Reiki therapist. There was a significant difference between the examination of blood sugar levels before and after Reiki therapy. The average value of blood sugar levels before therapy is 294 mg / dl while after 30 days of therapy 266,635 mg / dl is obtained. There is effective use of the "Smart Energy" Method as a preventive alternative for reducing blood sugar levels in DM patients.

Keywords: DM, Smart Energy, REIKI

THE EFFECT OF PRODUCT QUALITY AND E-TOLL SERVICE QUALITY ON CUSTOMER SATISFACTION IN. JASA MARGA (PERSERO) TBK JAGORAWI BRANCH

Asim, Eko Sembodo, Rushadiyati — Tue, 19 Nov 2019 00:00:00 +0000

This study aims to determine the effect of E-Toll product quality on customer satisfaction, the influence of E-Toll service quality on customer satisfaction and knowing the effect of product quality and service quality on customer satisfaction PT. Jasa Marga (Persero) TBK Jagorawi Branch. The type of research used by researchers is quantitative research with survey methods. The research site was at the toll road of Taman Mini Indonesia Indah, East Jakarta in August 2018. The population target in this research was all toll road customers who came and paid tolls at the Cimanggis 3 toll gate and the number of samples was 80 respondents. Analysis of data in this study using SPSS, Version 22. The results of the study concluded that product quality has a significant effect on customer satisfaction, service quality has a significant effect on customer satisfaction, product quality and service quality have a significant effect on customer satisfaction PT. Jasa Marga (Persero) TBK Jagorawi Branch.

Keywords: Product Quality, Service Quality, Customer Satisfaction

SINGAPOREAN FLUE DETECTION WITH EXPERT SYSTEM IN SUPPORT BY JAVA JESS FRAME WORK

Sri Hasta Mulyani, Ahmad Sahal — Tue, 19 Nov 2019 00:00:00 +0000

Singaporean Flue is a disease that attacks humans, therefore, an effort to improve peopleâ€™s health is how to cope with this disease, starting from prevention, health improvement, data collection and medication (curative). To widen peopleâ€™s knowledge about health, computer science is required to provide optimal, effective and efficient knowledge. The diagnosis of Singaporean Flue is still a problem now, because the etiology is still uncertain since the early symptoms are not typical, furthermore, it is difficult to distinguish between ordinary flue and Singaporean Flue. To help diagnosing the disease, in case of unavailable specialist, a computer-based system is needed that can provide an initial diagnosis based on symptoms of the disease. The system, which will be designed as a research, is expected to provide conclusions about the disease based on existing symptoms. One system that is widely used is a knowledge-based system. By using an Expert System that will be supported by Java Jess Frame work and forward chaining, a conclusion can be obtained. To strengthen the result, calculation is also done with the certainty factor method. Therefore, a final diagnosis is obtained.

Keywords: Singaporean Flue, Disease, Expert System, Java Jess Frame

ANALYSIS OF THE PLAN FOR THE CENTRAL STERILE SUPPLY DEPARTEMENT AT BMC MAYAPADA HOSPITAL IN 2019

Maria Linggar Pratiwi, Sumijatun, Tri Suratmi — Tue, 19 Nov 2019 00:00:00 +0000

Background and Objectives: The sterilization center has a role as one of the links to the infection control process and also has a role in efforts to reduce the incidence of infection. In a preliminary study 7 patients in developed countries and 10 in developing countries out of every 100 patients admitted to the hospital will get at least one nasocomial infection. The European Center Disease Prevention and Control estimates that 4,131,000 patients are affected by nasocomial infections each year in Europe and cause an additional 16 million days of hospital care and 37,000 deaths caused by nasocomial infections. The purpose of this study is to evaluate the management of sterilization installations at BMC Mayapada Hospital in 2019. Method: This research is a research operational research using descriptive analysis with a qualitative approach. Results and Discussion: the results of research from HR still join the organizational structure of the operating room, for the room and CSSD location not in accordance with the standards of the CSSD guideline in 2009 and for facilities still sufficiently targeting the sterilization process at BMC Mayapada Hospital. Conclusion: the researcher can conclude that the central sterilization room at BMC Mayapada Hospital is not in accordance with the CSSD guidelines in 2009. Suggestion: this hospital need to have your own room for the sterilization center at BMC Mayapada Hospital

Keywords: Center for sterilization, location, room, hospital

THE EFFECT OF AROMATERAPY ON THE LEVEL OF PAIN IN MOTHER

Indah Wijayanti, Sri Ratnaningsih, Ismarwati — Tue, 19 Nov 2019 00:00:00 +0000

Their trend of increasing acts sectio caesarea (SC) in a number of hospitals, both private and government hospitals RS, whereas clinical risk to the mother who gave birth through the operation of the SC is greater than the risk of a normal delivery (vaginal).Aromatherapy is one of the nonpharmacological methods to relieve pain. Research purposes: to determine the effect of aroma therapy to decrease pain levels in maternal. Inclusion criteria: Spontaneous birth mothers, gestational age 37minggu until 40 week . Appraisal studies and synthesis methods: Critical appraisal studies using Joana Brigs Appraisal Institute and methods of synthesis using a modification PICOC. Results: Aromatherapy provides relaxation. It also increases the mother's ability to cope with labor pain. Additionally aromatherapy can be used to relieve pain, treat anxiety. Conclusions and Implications The results: Aromatherapy is inhaled activate the release of neurotransmitters such as serotonin, endorphins and norepinephrine in the hypothalamus and pituitary axis neuroreceptors modulate the immune system, alter mood, reduce anxiety, and improve the response to stress. Inhaling the aroma therapy can relieve pain, treat anxiety. Aromatherapy as a treatment to help relieve pain, in addition to aroma therapy to help reduce the anxiety that excess maternal aromatherapy is the provision in the delivery room. Aromatherapy has analgesic properties and provides Linalyl acetate, which can relieve pain

Keywords: aromatherapy, birthing pain

THE EFFECTS OF YOGA PRACTICE ON THE LEVEL OF PERIOD PAIN AMONG FEMALE STUDENTS OF NURSING PROGRAM AT RESPATI UNIVERSITY, YOGYAKARTA

Lala Budi Fitriana, Ni PutuYugawati Pradnyandari — Tue, 19 Nov 2019 00:00:00 +0000

Female adolescents often suffer from pain during periods (dysmenorrhoea). The prevalence of dysmenorrhoea in Central Java was 56%. Even though such period pain is not dangerous, it might interfere with daily activities. A non-pharmacological therapy can be used to overcome dysmenorrhoea that is through yoga practice. A preliminary study found out that 24 of 30 female students suffered from period pain. The aim of this study was to find out the effects of Yoga practice on the level of period pain among female students of Nursing Program at Respati University, Yogyakarta. It was a quantitative research with a quasi-experimental design. A consecutive sampling was used to collect data from 20 respondents using the numeric pain rating scale. As for the analysis, it used the Wilcoxon test. The numeric pain rating scale before and after yoga practice indicates a scale of 5.15 and 3.00. The bivariate test shows a p-value of 0.000. There was an effect of Yoga practice on the level of period pain among female students of Nursing Program at Respati University, Yogyakarta.

Keywords : yoga practice, period pain, female students

TB TRANSMISSION SCOURGE: SHARE SLEEPING ROOM IN DENSITY HOUSE

Meithyra Melviana Simatupang, Sri Tjahjani Budi Utami, Ema Hermawati — Tue, 19 Nov 2019 00:00:00 +0000

Mycobacterium tuberculosis exhaled by patients when coughing, sneezing, even speaking. Duration and frequency of exposure is important factor of TB transmission, especially in closed room. Therefore, household contact of TB patient is susceptible. This research aimed to find out the influence of share sleeping room with TB patient in home dense residential against tuberculosis symptoms existence at household contact of TB patient. This cross-sectional research collected data by interviewed 73 TB patients and their household contact. Results showed that household contact was suffered of TB symptoms if slept in same room with patient in crowded house. To avoid tuberculosis transmission, household contact is recommended to separate sleeping room with patient. Cross infection in crowded house can prevented by improved ventilation so that air circulation can occur and pathogenic bacteria in the air can be reduced.

Keywords : TB transmission scourge, share sleeping room

EVALUATION OF MODIFICATION OF COMPLEMENTARY NURSING INTERVENTIONS TO REDUCE HYPERTENSION FOR THE ELDERLY: A PARTICIPATORY ACTION RESEARCH

Muflih, Istianna Nurhidayati, Sang Ayu Made Adyani — Tue, 19 Nov 2019 00:00:00 +0000

Elderly people with hypertension need non-pharmacological interventions that can help stabilize blood pressure, as part of long-term care. The main objective of this study was to reduce blood pressure for elderly patients in social care institutions through implementing complementary care modifications using a participatory action research process. The design of this study is a mixed research triangulation method, which involves the use of quantitative and qualitative methods through participatory action research methodologies to develop evidence-based complementary nursing interventions. This intervention model was tested in 7 elderly people who were at least 60 years old. The nurse including the researcher chose the elderly group to facilitate the process of participatory action research to develop, implement and evaluate a modified model of complementary nursing intervention, consisting of; acupressure and relaxation techniques, for 6 days. The process of participatory action research is produced; decreased blood pressure for patients, reduced complaints of dizziness, increased comfort and increased satisfaction with complementary nursing care activities provided. Implementation of acupressure and relaxation techniques in groups can increase social interaction, self-care ability in stabilizing blood pressure and maintaining the ability of daily activities for the elderly. This study shows the efficacy of a complementary nursing modification intervention in reducing blood pressure for elderly patients with hypertension.

Keywords: Alternative Intervention; Acupressure; Blood Pressure; Older Patients

RELATIONSHIP OF TYPE 2 DIABETES MELITUS WITH QUALITY OF LIFE IN PRE ELDERLY AND ELDERLY

Nur Apriyan, Atik Kridawati, Tri Budi W. Rahardjo — Tue, 19 Nov 2019 00:00:00 +0000

Type 2 diabetes mellitus is a non-communicable disease caused by increased blood sugar levels. Type 2 diabetes mellitus at this time is very much experienced by pre elderly and the elderly who can affect their quality of life both physically and mentally. The purpose of this study was to determine the relationship between type 2 diabetes mellitus and the quality of life in pre elderly and elderly people in Primary Health Care in Cipayung District. Type of analytic survey research using cross sectional design. The population in this study were all pre elderly and elderly patients (aged> 45 years) who visited at Primary Health Care in Cipayung District. The number of samples is 101 respondents, sampling with Accidental sampling technique. Data collection was conducted by interview using the WHOQOL-OLD questionnaire. This study showed that from the results of bivariate analysis with the chi square test it was found that there was a relationship between type 2 diabetes mellitus and quality of life in pre elderly and an elderly with p = 0.037, while unrelated variables: age group p = 0.747 and history of diabetes descent p = 0.136. The results of the Multiple Logistic Regression test indicate that the diabetes variable is the variable most associated with pre elderly and elderly quality of life. The conclusion that diabetes mellitus is related to quality of life in pre elderly and elderly. For pre elderly and elderly people who have been affected by diabetes should always control their blood sugar levels so that complications do not occur so that the quality of life is good maintained.

Keywords: quality of life , diabetes mellitus, pre elderly, elderly

DIABETES SELF MANAGEMENT EDUCATION (DSME) EFFECTIVELY IMPROVES SELF-CARE BEHAVIOR IN DIABETIC FEET AND REDUCES THE INCIDENCE OF DIABETIC FOOT PROBLEMS

Santi Damayanti, Nazwar Hamdani Rahil — Tue, 19 Nov 2019 00:00:00 +0000

Diabetic foot problems as a result of hyperglycemia and trauma due to lack of patients undergoing examination and foot care. Diabetes Self Management Education (DSME) is giving patients knowledge about self-care strategies independently to improve the quality of life of their patients. Ngaglik I Health Center is one of the health centers with a large number of DM patients in the Sleman region. Based on a preliminary study 7 of 10 DM patients had diabetic foot problems in the form of callus, hallux valgus, thinning leg hair, cracked feet, scaly skin, and ulcers. The purpose of this study was to determine the effectiveness of DSME diabetic self care foot behavior and the incidence of diabetic foot problems in Ngaglik I Sleman Yogyakarta health center. The type of research was Quasi Experiment with a nonequivalent control group design. Sampling techniques are consecutive sampling and simple randomization. The statistical analysis used is using the Wilcoxon Match Pairs Test formula. The results of the study analyzed the mean differences in the behavior of self care foot diabetic pre and post DSME in the intervention group p value 0.018, while in the control group p value 0.720. The results of the analysis of mean differences in diabetic self care foot behavior after DSME in the intervention and control groups with P value 0.001. The results of different mean analysis of pre and DSME diabetic foot problems in the intervention group p value 0.010, while in the control group p value 1,000. The results of the analysis of the mean difference in diabetic foot problems after DSME in the intervention and control groups with P value 0.007. DSME effectively improves diabetic foot self-care behavior and reduces the incidence of diabetic foot problems.

Keywords: diabetic foot, self care, self management

THE HYPNOSIS EFFECTS TO RELIEF PAIN LABOR IN TANJUNGSARI PUBLIC HEALTH CENTER WORKING AREA, SUMEDANG REGENCY

Mega, Yelis Shopiati Wardah, Teni Nurlatifah HR — Tue, 19 Nov 2019 00:00:00 +0000

The pain is felt from emotional tension of anxiety until fear that can aggravate the perception of pain during the labor or parturition. The efforts to relief labor pain one of them is a hypnosis relaxation method. This research aims to know the effect of hypnosis to pain labor in Tanjungsari Public Health Center Working Area Sumedang District. This research used quantitative research by using saturated experimental research method. The samples in this research were 20 pregnant mothers of primigravida trimester III, sampling taking used purposive sampling. Data analysis was univariate analysis and bivariate analysis used t test of two independent samples with â‰¤ 0.05. The results of the study showed that the scale of labor pain of the respondents who were given the hypnosis therapy mostly were on the 3rd scale of mild pain, whereas in the respondents who were not given hypnosis therapy mostly on the scale of 4th that was controlled severe pain. There is a hypnosis effect on labor pain in Tanjungsari Public Health Center Working Area in 2017 that has been proven from the P value 0,001. The giving of hypnosis therapy as many as 2-3 times meeting before labor to pregnant mothers of trimester III can relief pain labor.

Keywords: pain, labor, hypnosis

IMPACT OF SEXUAL VIOLENCE ON FEMALE ADOLESCENCE: A SYSTEMATIC LITERATURE REVIEW

Nay Lufar, Herlin Fitriani, Anjarwati — Tue, 19 Nov 2019 00:00:00 +0000

Sexual violence is a series of unwanted sexual action including unwanted sexual drive, command to have sexual activity, verbal or non verbal sexual behavior. The impact caused by sexual violence are unwanted pregnancy, sexually transmitted infection and HIV, the usage of drugs, mental health problem, self hurting up to suicide. The aim of Systematic Literature Review was to find out the impact of sexual violence and to identify high risk group. This Systematic Literature Review use Pub Med and Science Direct database within the time range of 2008-2018. This Systematic Literature Review is adjusted to the Systematic Literature Review with 8 steps. Female adolescence has higher risk in experiencing sexual violence compare to male adolescence and it occurred in educational environment in a form of physical and physiological violence. The experience of sexual violence in adolescence affected reproductive health, mental problem, and drugs usage, self hurting, and sleep disorder. Sexual violence is a crucial problem in which the victims are increasing as time pass by. Which cause various problems both physical and psychological problems as well as sexual and reproductive problems. The victims were mostly children or adolescence, in which at this age the problem arises can be affected for life time because adolescence cannot organize by themselves due to sexual violence.

Keywords: Sexual Violence, Female, Adolescence

FACTORS RELATED TO SYMPTOMS SICK BUILDING SYNDROME IN EMPLOYEES AT OK UNIT OF MARINE HOSPITAL CILANDAK SOUTH JAKARTA

Tue, 19 Nov 2019 00:00:00 +0000

Sick building syndrome (SBS) is a set of health problems associated with air quality in a building or room where complaints are not specific to residents in the building. Some symptoms are experienced, such as mucous membrane symptoms, general symptoms, and skin symptoms. Many factors can cause symptoms of SBS, such as individual employee characteristics and physical factors of the room. Conditions in Unit OK of Cilandak Marine Hospital, the office uses Heating Ventilation and Air Conditioning (HVAC), the floor uses carpet, the outer wall is tightly closed (air tight), and the results of measurements of airborne bacterial colonies range from 946 - 1304 CFU / m3, (exceeding TLV). Complaints experienced by employees are eye irritation, dry skin, headaches, coughing, and runny nose. The purpose of this study was to find out what factors are associated with sick building syndrome symptoms in employees in the OK unit of Marine Cilandak, South Jakarta. Retrieving data by conducting interviews and observations (on gender, age, smoking habits, working period, working hours, nutritional status); take measurements (on temperature, humidity, number of bacteria); and conducting documentation studies. The method of taking air samples using the active method, namely impingement sampling. Then the sample is cultured with spread plate method. Then the data were analyzed using laboratory tests and statistical tests (cross sectional). The nine variables, which correlated statistically significantly was the period of work (p value = 0.019; OR 3.636) and room temperature (p value = 0.013; OR 4.386). Factors related to SBS are work period and room temperature.

Keywords: Sick Building Syndrome, symptoms, airborne bacterial colonies, CFU/m3

THE CORRELATION BETWEEN KNOWLEDGE LEVEL AND ATTITUDES TOWARDS HEART-LUNG EMERGENCY MANAGEMENT IN EMERGENCY NURSING TEAM MEMBERS OF UNIVERSITAS RESPATI YOGYAKARTA

Tia Amestiasih, Nazwar Hamdani Rahil, Niko Bayulus — Tue, 19 Nov 2019 00:00:00 +0000

Emergencies are life-threatening situations which need rapid first treatment, such as in victims of cardiac arrest and respiration stoppage. Handling of emergencies demand sufficient knowledge, and good attitude also plays an important role in handling emergencies. The aim of this study was to determine the correlation between the knowledge level and attitudes towards heart-lung emergency management in emergency nursing team members of UniversitasRespati Yogyakarta. This is an observational quantitative research with a cross sectional. The population of this research are active members of emergency nursing team of UniversitasRespati Yogyakarta. Samples are selected using a total sampling technique, with 31 respondents involved. Data analysis is performed using Somersâ€™ D test. The majority of respondents are in semester 8 (67.7%); aged 21 years old (41.9%), females (64.5%), and have more than 21 training experiences (71.0%). The level of knowledge of the emergency nursing team members mostly belong to sufficient category (61.3%). The attitudes of emergency nursing team members belong to good category (48.4%). Results of bivariate analysis using Somersâ€™ D test show a p-value of 0.01 < 0.05. There is a correlation between the knowledge level of emergency nursing team of UniversitasRespati Yogyakarta and attitudes towards heartlung emergency handling.

Keywords: heart-lung emergency, management, knowledge, attitude

INDONESIA'S EFFORTS IN IMPLEMENTING THE INTERNATIONAL REGIME ON AGEING THROUGH AGE-FRIENDLY CITY ON 2030

Diansari SA, Tanti, Bagus SN — Tue, 19 Nov 2019 00:00:00 +0000

The issue of increasement the number of significant elderly in most countries encourages stakeholders to initiate joint agreements or commitments at the international level related to ageing issues. Many international regimes purposed to fulfill, protect and respect the rights of the elderly. The 2002 Madrid Declaration and WHO ageing documents served as guidelines for Indonesia to design a national strategy on ageing. Age-friendly city is a concept that formed to create a conducive environment for the elderly. This paper will describe Indonesia's efforts in implementing an international regime on ageing through age-friendly city in 2030 as a manifestation of the fulfillment, protection and respect for the rights to the elderly in Indonesia.

Keywords: efforts in implementing, the international regime on ageing

RELATIONSHIP OF PHYSICAL ACTIVITIES WITH COGNITIVE FUNCTION DISORDERS IN ELDERLY IN TRESNA WERDHA SOCIAL BEACH BUDHI BEKASI DHARMA 2017

Akhmad Muttaqin, Sri Siswani, Midyawati Ahmad — Tue, 19 Nov 2019 00:00:00 +0000

The 2015 National Socio-Economic Survey (BPS) results show that Indonesia is among the four largest countries with the highest population age in the world, reaching 21.68 million or 8.43 percent of the total population. One health problem that often arises in the elderly population is a decline in cognitive function. The decline in cognitive function has an impact on decreasing daily social activities in the elderly which is a problem in public health, and has an impact on increasing family, community and government funding. This study aims to determine the relationship of physical activity to cognitive impairment in the elderly at the Social Institution Tresna Werdha Budhi Dharma Bekasi in 2017. The study design used was cross sectional in the primary data consisting of 87 respondents. The study was conducted in July 2017 using a questionnaire filled in by the respondents themselves, univariate analysis and bivariate analysis using chi-square. The results showed that 56.3% of the elderly had cognitive impairment. The statistical test results showed that there was a relationship between physical activity and impaired cognitive function in the elderly (pvalue=0,000). So it is expected that the elderly can be more independent in carrying out daily activities in accordance with the ability to minimize the incidence of injuries that occur.

Keywords: Cognitive Function, Physical Activity, Elderly

EFFECTIVENESS OF ROSELLE FLOWER TEA AND BLUE PEA FLOWER TEA TO DECREASED BLOOD SUGAR LEVELS IN ELDERLY AT MALANGREJO, SLEMAN, YOGYAKARTA

Ni Kadek Wewin Rasmeiyanti, Adi Sucipto, Nazwar Hamdani Rahil — Tue, 19 Nov 2019 00:00:00 +0000

An increase in blood glucose level can raise the risk of prediabetes incidence, especially in elderly persons due to aging, therefore they are susceptible to suffering diabetes mellitus. This can be prevented non-pharmacologically, that is, by consuming roselle flower tea and blue pea flower tea, which can lower blood glucose levels and are safe to be consumed due to their naturalproperties.To determine the effectiveness of roselle flower tea and blue pea flower tea consumption on blood glucose level in elderly persons in Malangrejo Hamlet Integrated Health Service Post, Wedomartani, Ngemplak, Sleman, Yogyakarta. The metode is quasi-experiment research with a pre and post-test nonequivalent control group design. The research was conducted between 13-30 April 2019, with 36 respondents involved as samples. The samples were selected using a simple random sampling technique, and the data collected were analyzed using the Wilcoxon test, Paired T-Test, and MannWhitney U test. The Respondents in the roselle tea group had a median pre-test random blood sugar (RBS) value of 122 mg/dl and post-test RBS value of 112 mg/dl, whereas in the blue pea flower group, the median pre-test RBS value was 137.8 mg/dl and the post-test RBS value was 125.6 mg/dl. The control group had a median pre-test RBS value of 118.5 mg/dl and post-test RBS value of 124.5 mg/dl. Results of the Wilcoxon test on the roselle group showed a p-value = 0.015 and in the control group, the p-value = 0.346, whereas the paired t-test results on the blue pea group showed a p-value = 0.002. Results of Mann-Whitney U-test on the roselle group showed a p-value = 0.015 and in the blue pea-control group, the p-value = 0.371, whereas, in the roselle-blue pea group, the p-value =0.506. There was a significant difference in the pre-test and post-test RBS in the roselle group and blue pea group but there was no significant difference in the post-test RBS value between the roselle group and the blue pea group.

Keywords: Roselle, Blue pea, RBS

THE EFFECT OF TEMPE FLOUR ON BLOOD SUGAR IN ELDERLY

Atik Kridawati, Tri Budi W. Rahradjo, Eef Hogervorst — Tue, 19 Nov 2019 00:00:00 +0000

Diabetes is an increasingly serious disease of modern civilization. The most common diabetes is type II, which is acquired diabetes. It is confirmed that aglycone can help the regulation of blood sugar. Tempe has more aglycone than other soybeans product. This study observes changes in blood sugar in elderly by fed tempe flour. Tempe flour that has been analyzed aglycone isoflavones (genistein, daidzein, glycetein), then made a formulation of tempe beverage with isoflavones content of 50 milli grams/day (35 grams of tempe flour). Respondents were given tempe twice a day at 06.00 and 18.00. The study was divided into two groups: the groups were given tempe flour (n=15) and the other group was given 17,5 grams casein (n=15). Measurement of fasting blood sugar gout using EasyTouch GCU by taking blood from the fingertips. The analysis between treatment groups used two mean difference test with an independent group Ttest. The analysis between before and after treatment of each group using the T dependent test. The results of the analysis using the Independent T-test that the fasting blood sugar did not differ significantly between the Tempe flour and casein groups. The two mean different test analysis with the dependent T-test for the analysis of each group before and after the intervention the fasting blood sugar in tempe flour group tend decrease than casein group, although that was not different significantly. The conclusion that fasting blood sugar tends to decrease after intervention in the tempe group. Further research is needed on the elderly with longer time intervention.

Keywords: tempe, elderly, blood sugar

ACTIVITY DAILY LIVING RELATED WITH DEMENTIA AT ELDERLY IN SUKABUMI SUB URBAN AREA, WEST JAVA, INDONESIA YEAR 2019

Cicilia Windiyaningsih, Nur Apriyan — Tue, 19 Nov 2019 00:00:00 +0000

Dementia is the 4th leading cause of death after heart disease, cancer and stroke for elderly people. There was an estimated 30 million people in the world who experience dementia with various causes such as illness, trauma, drugs, and depression. This study purpose was to prove geriatric depression scale that influenced dementia at elderly people in Sukabumi City. at 2019. This study used applied research; cohort designs amount 119 elder people in Integrated Health Services for Elder People in Sukabumi City. We were used questionnaire by standard Ministry of Health/World Health Organization, descriptive analysis, and multiple regressions logistic. Result was 83.2% Elderly, older people 16.8%, and dementia 9.2%. Less elderly medical history 61.3%, behavior elder person inadequate 15.1%, mental social activity 47.9%, less geriatric depression scale 45.4%, less activities daily living 42.9%, less instrument activities daily 41.2%. The risk factors that were significantly associated with dementia were activities daily living and geriatric depression scale, while other factors with a value <0.250 such as age, gender, insurance, and p value â‰¥ 0.250 as follows elderly medical history, behavior elder person, social mental activities, instrument activity daily. The risk factor of dementia in this research was proved such as activity daily living and geriatric depression scale. Conclusion dementia has influenced by activity daily living and geriatric depression scale.

Keywords: dementia, activity daily living, geriatric depression scale, elderly.

CULTURAL IMPACT ON THE QUALITY OF LIFE OF THE ELDERLY IN YOGYAKARTA

Endah Tri Wahyuni, Tri Suratmi, Tri Budi W.Rahardjo — Tue, 19 Nov 2019 00:00:00 +0000

United Nation estimates that in 2050 the number of the world's elderly will reach 1.6 billion, Indonesia is ranked 4th in the country with the largest elderly population after China, India and America. The structure of the aging population in Indonesia is an indication of the higher average life expectancy. The life expectancy of Indonesians in 2015 is 70.8 years, projected to increase to 72.2 years in 2030-2035. The increase in the number of elderly people as a result of increasing life expectancy needs to be balanced with efforts to keep the elderly in good quality of life, so they can contribute to development. Yogyakarta is a province with the highest number of elderly presentations among 34 provinces in Indonesia, namely 13.4%. Yogyakarta is known as one of the cultural cities in Indonesia. The attitude of life in the Javanese tradition, which is still practiced by the older generation, needs to be pursued in the midst of the onslaught of foreign culture due to the advancement of information technology that has the potential to change the values of life. This research was conducted in Yogyakarta in 2016, to study the impact of the values of the Javanese tradition practiced by the elderly in their daily lives towards the quality of life. The study was conducted with quantitative and qualitative approaches, with a cross sectional design. The research sample amounted to 110 elderly taken from a population of 15,891 using random sampling techniques. The quality of life of the elderly was measured using the WHOQOL BREF instrument, cultural variables were measured using a questionnaire and carried out a qualitative study with indepth interviews and focus group discussions. Univariate, bivariate, and content analysis data analysis was done. The results showed that 82.7% of the elderly were the high quality of life. The values of the Javanese tradition practiced by the elderly have a very significant impact on quality of life, with an odd ratio of 97.7. As the conclusion: Javanese philosophy that is lived and practiced in daily life contributes to determining the quality of life for the elderly in Yogyakarta, Indonesia.

Keywords: Javanese philosophy, quality of life of the elderly

HEALTH SEEKING BEHAVIOR IN STREET CHILDREN IN DKI JAKARTA

Faika Rachmawati, Tri Suratmi, Budiharto — Tue, 19 Nov 2019 00:00:00 +0000

One of the implementation of the national health system and access to health services is the searching treatment pattern. Street children have a high risk in health problems. The reluctance and unclear obstacle of street children in obtaining health services causes street children to find treatment by self-medication outside the health facilities so that it often brings impact on late diagnosis in overcoming diseases suffered by street children. This research has purpose to explore information about treatment searching behavior in street children in DKI Jakarta by looking for the relationship of knowledge, attitudes, availability of health insurance, accessibility of health services, social support with treatment searching behavior for street children in DKI Jakarta. The research design used cross sectional with a sample of 250 respondents from 7 shelters in DKI Jakarta. The sampling was conducted by cluster random sampling regardless of the strata that exist in that population and members of the population were considered homogeneous. Data collection was conducted in a quantitative method (survey) with questionnaires and qualitative (in-depth interviews). Diseases often suffered by respondents with headaches is 27.3% and fever 23.7%, 6.3% nausea, 4% itchy on the skin, itchy on genital 0.8%, difficulty of breathing 3.2%, ARI 16.6%, diarrhea 1.6%, toothache 5.1%, aches 5.4% and others 5.9%. Most of the respondents have positive behavior when they were sick or when experiencing health problems for 131 people (51.8%) and the first time they were sick was going to the Health Center for treatment with the number of respondents 106 people (41.9%). Most of the respondents had JKN health insurance, which was 175 people (69.2%) and 131 people (51.8%) used health services with JKN. A total of 143 people (56.5%) answered difficulties in obtaining health insurance. The bivariate analysis results show that there was a relationship between knowledge and treatment searching behavior on street children, with a p-value = 0.030 and the relationship between attitudes and treatment searching behavior, with p-value = 0.01 (p value <0.05). Knowledge and attitudes towards the searching behavior of street child treatment are basically quite good because they are above 50%. The searching treatment pattern for street children is more affected by the knowledge and attitudes shown by positive behavior when sick or experiencing health problems.

Keywords: behavior, searching treatment, street children.

MATERNAL KNOWLEDGE, ATTITUDE, AND NUTRITIONAL STATUS OF CHILDREN UNDER FIVE YEARS OF AGE

Sari F, Murti, Sutisna, Kusnandar — Tue, 19 Nov 2019 00:00:00 +0000

Public health issues in general in developing countries including in Indonesia are lack of micronutrients, especially for infants and children in the first two years of life. Nutritional problems that are of major concern to the world today are stunting. Nutritional problems are disruptions to individuals or the community caused by not fulfilling the need for nutrients obtained from food. This study aimed to analyze the associations of knowledge, maternal attitude with nutritional status of children under five years of age. Method: This type of research is a cross-sectional study. Research subjects for mothers who have children under five in the Puskesmas in the Municipality of Yogyakarta. The sample in this study was 383 children under five. Other data were collected by questionnaire for collecting anthropometric and measurements for the weight for age Z-score. The nutritional status of children under five years old weight for age is categorized as good Zscore -2.0 SD to 2.0 SD. The data were analyzed by a logistic regression. Result: Mother's knowledge of nutrition and the mother's attitude towards improving nutrition to the nutritional status of children under five with a significance value of Chi-Square 0.604 (> 0.05). Conclusion: Mother's knowledge about nutrition and mother's attitude towards nutritional improvement on nutritional status of children under five based on ordinal regression bivariate data analysis is no effect on the mother's knowledge about nutrition and maternal attitudes toward improving nutrition to the nutritional status of children under five.

Keywords: maternal knowledge, attitude, nutritional status of children

RELATIONSHIP OF REPRODUCTIVE WOMENâ€™S KNOWLEGDE ON VISUAL INSPECTION OF ACETIC ACID (IVA TEST) WITH IVA BEHAVIOUR TEST

Fitria Ika Wulandari, M Angelina, Nuwwaaridya, H Desti, T M Sudiro — Tue, 19 Nov 2019 00:00:00 +0000

Cervical cancer is a malignancy that affects women who are the first for women in developing countries. One way to detect cervical cancer by IVA Test. Inspection IVA is an alternative to pap smear screening for low-cost, practical, very easy to implement and simple equipment and can be done by health workers other than doctors of gynecology. IVA inspection can be done by all health professionals, especially midwives. Need for knowledge because knowledge can determine a person's positive attitude so as to encourage positive behavior. This study aims to determine the relationship of knowledge of reproductive women on visual inspection of acetic acid (IVA test) with IVA behavior test. The method in this study using Qualitative Analytical, where the population is all reproductive women age in the Gunting village Wonosari Klaten districts with 90 of sample reproductive women with probability sampling technique by means of proportional stratified random sampling, research instruments using the enclosed questionnaire using univariate and bivariate analysis. Based on data analysis of respondents who are knowledgeable enough as many as 32 people (34.4%) and the majority of respondents did not do as many as 81 people (90.0%). In the study there is a relationship of fertility women age knowledge on visual inspection of acetic acid (IVA test) with IVA behaviour test. The analysis results obtained of significant results p <0.05 (0.003 <0.05 X2 count> X2 table (11 553> 5,991) with coefficients contingency is 0.337 it means the closeness is low.

Keywords: reproductive womenâ€™s knowlegde, IVA test, IVA behaviour

EFFECT OF SALT CONSENTRATION ON THE ORGANOLEPTIC AND NUTRIENTS CONTENT OF MANDAI (TRADITIONAL FERMENTED JACKFRUIT)

Gaby Marchelin, Margaretha Arinanti, Puspita Mardika Sari — Tue, 19 Nov 2019 00:00:00 +0000

Mandai (fermented jackfruit) is traditional food from South Borneo. It was salted fermentation from rind part of Artocarpus champeden. Salt is contributing on the selection of microbial growth during fermentation processes of mandai, and potentially influence itâ€™s nutrientsal content. Objective: To identify the effect of salt concentrations on the organoleptic and nutrientsal content (protein, fat, carbohydrates, and dietary fiber) of mandai. Methods : It was true experimental study with four treatment groups consists of 0%,2%,6% and 10% of salt consentrations. This study was done by completely randomized design with two times of each treatment. Orgnoleptic properties were examined by 30 panelis by using Hedonic scale test method. Data were analyzed using Kruskal Wallis continued with post hoc Duncan Multiple Range Test. Nutrientsal content were examined by using proximate method and data were analyzed using Anova and continued using Duncan multiple range test. Results : This study found that variation of salt on the fermentation processed of mandai was significantly influence the organoleptic properties including in colour (p<0.0001), flavour (p=0.003), taste (p<0.0001), and texture (p=0,0043). The best of nutrientsal content of mandai were found in 10% of salt concentration which consist of 1,47% of protein, 16,22% of fat, 2,28% carbohydrates and 23,78% of dietary fiber. Conclusion : Consentrations of salt in the process of mandai fermentation were influence the organoleptic and nutrientsal properties of mandai.

Keywords: mandai, fermentation, jackfruit, salt

THE AGE OF MARRIED RELATIONSHIP WITH POSITIVE EVENTS ACCORDING TO DATA EXAMINATION OF THE VILLAGE DONE PKBI DIY ON JANUARY â€“ MARCH 2019

J. Nugrahaningtyas W. Utami, Chici Riansih, Tutik Astuti — Tue, 19 Nov 2019 00:00:00 +0000

The prevalence of cancer in Indonesia is about 1,4 / 1.000, population or about the. 330.000Based on the incidence of Yogyakarta cervical cancer in some cases, 339 district in the district Bantul 341 cases as many as. So the highest cancer in the Yogyakarta are district Bantul.The government has projected program early detection Indonesia in women age the 30-50 year 50 % women until 2019. Know relations age of marriage influential to the IVA positive. Research methods that were used of these tests are descriptive of analytic with an approach cross sectional. Using data examination secondary IVA January - March 2019 of the respondents 92. Sampling techniques used is a total of sampling .Analysis using the correlation chi-Square. Characteristics of respondents in PKBI Yogyakarta January- March 2019 by age most age 20-35 year some 47 ( 51,1 % ), pendidikan terakhir SMP 44 orang (47,8%), The majority of a mother working as a house wife 58 the (63,0 % ), the number of the parity of even the largest a multiparous mammal 58 the ( 63,0%), Vaginal discharge of froth and clotted 47 people (51.1%), while most mothers do not use contraception 26 people (28.3%). mother who is married to the age of <20 years with results of positive IVA tests as many as 8 people (16.7%). Statistical results with Chi-Square test p-value 0,005 p <0,05 so that there is a relationship between age married to positive IVA events. Age of marriage relationship with the incident Iva positive according to an examination IVA Conducted pkbi special region Yogyakarta In January-March 2019

Keywords: mandai, fermentation, jackfruit, salt

EFFECT OF MALNUTRITION ON THE OCCURRENCE OF ANEMIA: A systematic literature review

Mutiara Solechah, Yekti Satriyandari, Dhesi Ari Astuti — Tue, 19 Nov 2019 00:00:00 +0000

Malnutrition is increasingly recognized as common and important health problem in many developing countries, as it has a serious long-term consequences for the child and the negative effects on their development. The most common form of malnutrition is iron deficiency, especially among children. Lack of iron is one of the most widespread nutritional disorder in developing countries and developed, so that a global health problem. Anemia can affect cognitive progress, performance in school, physical growth and behavior, and the ability of your child's immunity to disease. Meeting the needs of nutrition and micronutrient is especially important in children's development and their growth. Objective: Systematic this review is to conclude on the effect of malnutrition with the incidence of anemia in children in ASIA. Great influence on the incidence of malnutrition, anemia in children by 41% -70%. Malnutrition is one of the causes of anemia in children in developing countries in ASIA, and is also influenced by other factors, such as household socioeconomic status, type of fuel used in household and sanitary facilities, education level mother, children younger age, number of siblings and fever, ASI and IMD, Gender, Diarrhea in 2 weeks, anemia status of breastfeeding mothers.

Keywords: malnutrition, anemia

CORRELATION ANALYSIS OF HYPERTENSION SELF EFFICACY WITH SELF CARE MANAGEMENT OF ADULT PATIENTS AT GROGOL SUKOHARJO HEALTH CENTER

N Hikmah, L W Susanti, A Ristiani — Tue, 19 Nov 2019 00:00:00 +0000

The national prevalence of hypertension is still very high to 25,8%, in Central Java hypertension still occupies the largest proportion of all reported non-communicable diseases which is equal to 57,87 %. In Sukoharjo regency on 2015 there were an increase of 33.207 sufferens. Hypertension is a chronic disease, therefore patients must be responsible for self care management. Hypertension patients who make lifestyle modifications to control their blood pressure are only about 30% of all hypertension sufferers and the phenomena that occur in Grogol Sukoharjo Health Center most hypertension sufferers do not manage their hypertension well and some sufferers are unable to manage it properly. Method is Explanatory research with cross sectional design. The population of this research was all patients who took medication at Grogol Sukoharjo Health Center in the period of 2017. The sampling technique used was simple random sampling of 128 people. Data collection technique are conducted by structured interviews using questionnaires. Bivarite data analysis using the chi square test. The result showed that there was a significant correlation between self efficacy and self care management of hypertension with a p value = 0.001 so it can be concluded that a person with good self efficacy can carry out self care management well too. There is a correlation between self efficacy and self care management in hypertension

Keywords: hypertension, self efficacy, self care management

FACTORS OCURRANCE OF DEPRESSION IN THE ELDERLY AT TRESNA WERDA BUDI MULYA 1 BAMBU APUS JAKARTA TIMUR

Nova Sari, Fajar Susanti, Dinni Agustin — Tue, 19 Nov 2019 00:00:00 +0000

Depression itself is one form of mental disorders in the affective mood. Mood depression is very risky for the elderly, this is caused by many factors including gender factors, health conditions, stress, family support and social interaction. This study aims to identify factors that cause depression using questionnaire measuring instruments including Kessler K10 questionnaire to measure stress, GDS questionnaire for depression screening in the elderly, family Apgar questionnaire to measure family relationships, FS questionnaire to measure social interaction, and the Pulse Profile questionnaire to measure physical health conditions in the elderly. quantitative methods with t analysis techniques to test hypotheses using Chi Square. The study showed that there was no significant relationship between the five factors examined in this study, which had lower algae values or p value> 0.05, which means there was no relationship between variables and depression in the elderly.

Keywords: depression, elderly

MANAGEMENT OF STUNTING TO IMPROVED CHILDREN NUTRITIONAL STATUS AND COGNITIVE

R Putri, R Nuzuliana, H F Kurniawati — Tue, 19 Nov 2019 00:00:00 +0000

Stunting defined as growth failure in childen under the age 5 years caused by chronic malnutrition thus children have low height-for-age. Stunting has a negative impact on the children later life, like disruption of brain development, cognitive development, growth faltering, and low immune system. Management stunting to improved nutritional status and cognitive is needed to reduce the negative impact of stunting on children. This review aims to identified management of stunting that might be possible improved children nutritional status and cognitive. Literature searching on 2 databases, Pubmed and Sciencedirect. Articles were systematically selected consistent to the topic of management stunting. Steps on writing the review were carried out in accordance with the PRISMA guidelines. 1012 articles identified from 2 databases, 15 articles that met inclusion criteria were included. Adding zinc to vitamin A, afford multiple micronutrient, and provide health education to mother increased children height and height-for-age. Provide omega-3 less effective to improved children cognitive. Management of stunting is important to prevent the negative impact of stunting to children, needs contributions from various related parties to overcome the problem of stunting. Provide health education and responsive stimulation to mother gradually can be the first step to improved children nutritional status and cognitive.

Keywords: stunting, vitamin A, micronutrient, health education.

RELATIONSHIPS OF STRESS AND SLEEP PATTERNS ON EVENTS HYPERTENSION IN ELDERLY

Adi Sucipto — Tue, 19 Nov 2019 00:00:00 +0000

In old age, physiological functions decrease due to the aging process so that non-communicable diseases will appear. Most diseases in the elderly are Non-communicable Diseases (PTM) such as sleep patterns, stress and hypertension. The results of a preliminary study conducted on 10 elderly people in Pokoh Hamlet, Wedomartani, Ngemplak, Sleman, Yogyakarta, there are 7 elderly people who have hypertension, 6 elderly people experience stress and 4 elderly people experience disturbed sleep patterns. The aim of this study was to determine the relationship of stress and sleep patterns to the incidence of hypertension in the elderly in Pokoh Hamlet, Wedomartani, Ngemplak, Sleman, Yogyakarta. This study uses descriptive analytical design with cross sectional approach. The population of this study was elderly who had hypertension in Pokoh Hamlet, Wedomartani, Ngemplak, Sleman, Yogyakarta. The sampling technique of this study uses non probability sampling with purposive sampling technique, the total population of all 61 elderly and uses a sample of 45 people after inclusion and exclusion. Showing the stress level of the elderly in the heavy category of 21 people (46.7%), sleep patterns in the heavy category of 18 people (40.0%), and hypertension in the second degree as many as 20 respondents (44.4%) . Comparative analysis of chi square obtained Ï value = 0.001. There is a significant relationship between stress and sleep patterns on the incidence of hypertension in the elderly in Pokoh Hamlet, Wedomartani, Ngemplak, Sleman, Yogyakarta.

Keywords: Stress, Sleep Patterns, Hypertension

COMBINATION OF MEDITATION THERAPY AND ROSE AROMATHERAPY REDUCE BLOOD PRESSURE AMONG ELDERLY IN MALANGREJO, NGEMPLAK, SLEMAN, YOGYAKARTA

F L Asmarani, A Fitralena — Tue, 19 Nov 2019 00:00:00 +0000

The problem that is often experienced by elderly due to the aging process in the cardiovascular system is hypertension. Elderly with hypertension in Indonesia is 25.8%, in Yogyakarta is amount to 12.8% and Sleman at 2016 showed 26.88%. Elderly with hypertension in Malangrejo is the most common disease. Pharmacological management of hypertension in the elderly results in adverse effects and management is increasingly complicated, so that non-pharmacological management takes precedence. Nursing Intervention Classification recommends meditation therapy and aromatherapy for the treatment of hypertension. Meditation is an easy to do and inexpensive activity, while roses are easy to grow and inexpensive plants. Research on reducing blood pressure with a combination of mediation therapy and rose aromatherapy is still not found. The aim of this study was to determine the effect of combination of meditation therapy and rose aromatherapy on reducing blood pressure among elderly in Malangrejo Ngemplak Sleman Yogyakarta. Average blood pressure showed 148.5 / 89.56 mmHg before intervention. After being given the intervention Blood Pressure became 128 / 77.17 mmHg. There is an effect of a combination of meditation therapy and rose aromatherapy on sistolic and diastolic blood pressure in the elderly at Malangrejo Ngemplak Sleman Yogyakarta. Evidently, this combination of therapies can reduce blood pressure

Keywords: Meditation, Rose Aromatherapy, Blood Pressure, Elderly

GERAKAN ORANG TUA ASUH LOKAL (GOAL) PROGRAM AS SEVERE UNDERWEIGHT PREVENTION PROGRAM IN BANTUL DISTRICT

Himmatul Mardiah, Ayu Fitriani — Tue, 19 Nov 2019 00:00:00 +0000

Kasihan 1 Health Center was a health center that had highest severe underweight case in Bantul at 2009 as many as 20 cases of toddlers. However, since Gerakan Orang Tua Asuh Lokal (GOAL) program was held, cases of severe underweight experienced a very significant decline, namely in 2011 as many cases as 7 toddlers, and in 2016 as many cases as 3 toddlers. The study was aimed to explore implementation of Gerakan Orang Tua Asuh Lokal (GOAL) program toward reduction of severe underweight cases in work area of Kasihan 1 Health Center.The study was conducted at Kasihan 1 Health Center. This study is qualitative with a case study approach. Informants were taken by purposive sampling method, consisting of key informants were 3 people, namely nutrition officer, doctor, midwife. And 4 other informants, namely head of administration, cadres, mothers of malnourished children. Data collection used in-depth interview techniques. Data Analysis used content analysis. GOAL program at Kasihan 1 Health Center consist of several routine activities that were often carried out by officers and communities such as voluntary donations of coins in each activity, cooperation with TK Alhamdulillah to accommodate underprivileged malnourished children, and various other routine activities such as home visits and free treatment at health center for malnourished children. Conclusion of this study is The GOAL program succeeded in reducing the number of malnutrition due to routine activities carried out, namely free treatment of health center, day care for children, and alms coins.

Keywords : gerakan orang tua asuh lokal, severe underweight, prevention program

THE DIFFERENCE OF QUALITY OF LIFE BETWEEN THE ELDERLY WHO LIVE IN FAMILY WITH THE ELDERLY WHO LIVE IN NURSING HOME

Izattul Azijah, Santi Agustina, Miftahul Jannah — Tue, 19 Nov 2019 00:00:00 +0000

The population of the elderly has increased from year to year. Based on data from the Central Bureau of Population Statistics, the estimated population of Indonesia in 2016 was 258.70 million, an increase of 20.18 million compared to 2010 (238.52 million). Meanwhile, in 2035 the population is estimated to be 305.65 million. The living environment is an important factor that influences the quality of life of the elderly. Different living environments result in changes in the role of the elderly in adjusting. The difference in the residence of the elderly causes differences in health services obtained by the elderly. The general purpose of this study was to determine the difference in the quality of life between the elderly who live in family with the elderly who live in nursing home. This study is a comparative study with a cross-sectional design. The number of respondents is 60 elderly people consisting of 30 people who live in family and 30 people who live in nursing home with the sampling technique used is quota sampling technique. The results of statistical analysis using the Independent Sample T-Test showed that there were no differences in the general quality of life between the elderly who live in family with the elderly who live in nursing home (P Value = 0.136). As for each domain, namely Domain I (sensory abilities) has a pvalue of 0.035 (Î± <0.05), Domain II (autonomy) has p-value 0.392 (Î±> 0.05), Domain III (past, present and future activities) has a p-value of 0.084 (Î±> 0.05), while Domain IV (social participation) has a p-value of 0.827 (Î±> 0.05) , Domain V (death and dying) has p-value 0.013 (Î± <0.05), Domain VI (intimacy) has p-value 0.007 (Î± <0.05). It is expected that family members and administrators of nursing home will always provide support to the elderly by inviting them to maintain the sensory abilities of the elderly.

Keywords : quality of life, elderly, nursing home

KNOWLEDGE COMMUNITY HEALTH VOLUNTEER (CHV) OF INFANT AND YOUNG CHILD FEEDING (IYCF) IN DISASTER CONDITIONS

R Widaryanti . — Tue, 19 Nov 2019 00:00:00 +0000

Indonesia is a country located on the Ring of Fire which causes high potential for natural disasters such as earthquakes, tsunamis and volcanic eruptions that require residents to evacuate if a disaster occurs. In places where refugees often establish public kitchens sometimes have not facilitated the provision of complementary feeding food for infants and toddlers so that the mother decides to provide instant food to her child. community health volunteer are expected to be able to handle this condition so as to reduce the incidence of mortality in vulnerable groups such as infants and toddlers. The aim of this study Obtain a description of community health volunteer knowledge about IYCF in disaster conditions in Yogyakarta.This research is a mix methods research, a qualitative approach to explore the pre-disaster IYCF readiness and a quantitative approach to describe community health volunteer knowledge about IYCF in disaster conditions. Sampling uses purposive sampling technique. Respondents in this research were 50 community health volunteer in Yogyakarta. The results of the study showed that from 50 community health volunteer, only 10 (20%) had participated in IYCF training. There were 56% of respondents having moderate level of knowledge and 16% of posyandu community health volunteer had a high level of knowledge about IYCF in disaster conditions. Not all community health volunteer have received training on IYCF in disaster conditions, and only a small proportion of community health volunteer have a high level of knowledge about IYCF in disaster conditions.

Keywords : eraly breastfeeding Inisiation, exclusive breastfeeding, copmlementaryfeeding, IYCF, disaster

REDUCE THE STUNTING WITH THE INFANT AND YOUNG CHILD FEEDING PRACTICE (IYCF) IN YOGYAKARTA, INDONESIA

R Widaryanti, Y Luthfiyati — Tue, 19 Nov 2019 00:00:00 +0000

Stunting in children reflects the condition of failure to develop in children under five due to chronic malnutrition, so children become too short for their age. Chronic malnutrition occurs from the womb baby until the age of two years. Efforts to prevent stunting include feeding infants and children (IYCF) starting from Early Breastfeeding Initiation to give exclusive breastfeeding until the age of 6 months and after 6 months of age. This study aims to determine the effect of IYCF on decreasing stunting. This study used observational analytic using a case control design with matching procedures. Research location in Yogyakarta. Data collection is done by questionnaire. Respondents in this study were 100 mothers who had children aged dengan6 - 60 months, 50 children as cases and 50 children as controls.The study showed that stunting infants were not treated with early breastfeeding initiation as much as 70.31%, did not get exclusive breastfeeding as much as 76.19% and did not get the right complementary feeding as much as 70.76%. The results of data processing showed p value 0,000 so that there was a relationship between IYCF and the incidence of stunting. The right practice of IYCF has been proven to reduce the incidence of stunting in Yogyakarta, Indonesia

Keywords: early breastfeeding initiation, exclusive breastfeeding, copmlementaryfeeding, IYCF, Stunting

THE FACTORS THAT INFLUENCE ANTENATAL CARE (ANC) VISIT ON PREGNANT WOMEN: SYSTEMATIC LITERATURE REVIEW

Wahyu Ernawati, Fitria, Esitra — Tue, 19 Nov 2019 00:00:00 +0000

Around 515,000 women died because of pregnancy are related to complications every year globally. According to WHO, around 90-95% of mothers and infant deaths are still become large public health problems in a developing country. One of the strategies to minimize the risks of both maternal and infant mortality is access and utilization of antenatal care (ANC) services. The World Health Organization (WHO) recommends antenatal care (ANC) as an important approach to take care of pregnant women. Method: This appraisal study used the Critical Appraisal Skills Program (CASP) program, and the synthesis method used PEOS modification with data source that was obtained from PubMed, Sincedirect, and ProQuest. Results: The results and discussion of the journal find the influencing factors of ANC visits on pregnant women which involve family support, socio-cultural, accessibility such as: transportation, distance, cost and service quality, Conclusion: Pregnant women are expected to check as routine as possible related to their pregnancy at least 4 times according to standard visits of (K4) during pregnancy.

Keywords : influence antenatal care (ANC), pregnant women

HEALTH PROBLEMS STRUCTURES OF KAMPUNG KB BASED ON PIS-PK (INDONESIA HEALTHY PROGRAM BY FAMILY APPROACH) IN WARU KIDUL VILLAGE PEKALONGAN REGENCY

Yuniarti . — Tue, 19 Nov 2019 00:00:00 +0000

Recently, Government has concern to develop family as a base of development through â€˜Kampung KBâ€™. Its implemented priority in peripheral areas to expand the accesses of development to accelerate society welfare. Kampung KB integrates multi sectors, one of them is health sector which implemented with Program Indonesia Sehat Pendekatan Keluarga (Indonesia healthy program by family approach). The aims of the study were to construct the structures of health problems in kampung KB, espesially in Waru Kidul Village, Pekalongan District, Central Java. The structures maps of Kampung KB will be used to develope the planning and evaluation of health programs. Itâ€™s a descriptive study about twelve indicators of healthy family with survey approach, these indicators are structured figuring about health problems. Population are family head in Kampung KB Waru Kidul amount two hundreds family heads and samples taken are total population. Health problems structured by using problems priority method shown with th hierarchies : 1) smoking 2) exclusive breast milk 3) health insurance JKN 4) tuberculosis 5) mental disroder 6) hypertension 8) delivering birth in health facilities 9) family planning 10) immunization 11) water sanitation 12) healthy latrines. These twelve indicators ranked based on results from focus group discussion held in Waru Kidul Kampung KB.Health problem structures effectively to define more problem in health sectors related to population, family planning and community empowering.

Keywords : health problems, kampung KB, PIS-PK

THE EFFECTIVENESS OF INFORMAL EDUCATION: ELDERLY SCHOOL ON THE HEALTH STATUS OF ELDERLY

Rizky Erwanto, Dwi Endah Kurniasih, Thomas Aquino Erjinyuare Amigo — Tue, 19 Nov 2019 00:00:00 +0000

Elderly is an at risk population because it experiences some decline in function in the body. The increasing of the elderly population is a concern of the government and society. The high number of elderly people is a challenge for the elderly to remain healthy, active and productive so that the health status of the elderly does not decrease. One of the activities that can be done in the community to contribute to the health of the elderly is through informal education, namely the elderly school. The aim of this study was to determine the effectiveness of the implementation of the elderly school towards the health status of the elderly. This was an experiment with pre and post test without control group design. The sampling technique used quota sampling which attention to inclusion criteria totaling 33 elderly. The researcher used the SF-12 instrument to measure the health status of the elderly. Data from the groups were compare with a t-test paired. Based on the bivariate test results to test the effectiveness of the implementation of the elderly school on the health status of the elderly using the Paired t test with a p value of 0.004 (p value <0.05). There is an increase in the mean value of 0.72 points before and after the implementation of the elderly school. There are significant differences in mean values before and after the elderly school so that the implementation of the elderly school is effective towards improving the health status of the elderly

Keywords : Elderly, Elderly School, Health Status

SERUM IRON LEVELS OF PRIMARY SCHOOL CHILDREN IN MALARIA-ENDEMIC REGIONS IN SELUMA REGENCY, BENGKULU PROVINCE

R Flora, M Zulkarnain, N A Fajar, A F Faisya, Nurlaily, Ikhsan, S Slamet — Thu, 19 Sep 2019 00:00:00 +0000

Children living in malaria-endemic regions are at risk of developing anemia particularly iron deficiency anemia (IDA). Iron is a very essential mineral needed by the body to help make hemoglobin, process cell division, stimulate brain cell growth, build muscle cells, and strengthen the immune system. Iron deficiency in primary school children has a significant impact on their immune system, cognitive skills, and learning achievement. The objective of this study was to analyze serum iron levels of primary school children in malaria-endemic regions in Seluma Regency, Bengkulu Province. The research design was a cross-sectional study. The research population was primary school children aged 9-11 years old in Seluma Regency Bengkulu Province collected from five subdistricts. The sample size was seventy-nine children collected by using a simple random sampling technique. The research data of this study were obtained from questionnaires (data for characteristics of parents and children), blood tests (data for hemoglobin, TIBC, saturated transferrin, and malaria), and fecal examinations (data for helminthiasis). The data were then analyzed in univariate and bivariate using SPSS. The hematology tests showed that the mean level of hemoglobin was 13.41 Â± 2.21 g/dL, serum iron was 43.42 Â± 19.88 Î¼g/dL, TIBC was 301.65 Â± 65.02 Î¼g/dL, and saturated transferrin was 15.185 Â± 8.15%. Based on these laboratory findings, 15.18% of the children were suffering from iron-deficiency anemia, 12.65% were anemia, 49.39% were iron deficiency, and 22.78% were in a normal range. The minimum level of serum iron was found in children with iron deficiency (34.19 Â± 10.46 Î¼g/dL). The results of statistical analysis using ANOVA indicated that there was a significant difference (p < 0.05) in the mean level of serum iron among children with iron deficiency anemia, iron deficiency, anemia, and normal range. The blood smears for malaria parasites showed that all children (100%) were not infected with helminthiasis. On the other hand, from the fecal examination, it was shown that twenty-six children (32.9%) were positive with helminthiasis. There was no significant correlation (p > 0.05) between hemoglobin level and helminthiasis. Almost half of the primary school children living in malaria-endemic regions of Seluma Regency, Bengkulu Province are suffering from iron deficiency. Infection of malaria parasites and helminthiasis do not contribute to iron deficiency in primary school children living in malaria-endemic regions of Seluma Regency, Bengkulu Province.

Keywords: iron serum, iron deficiency, iron deficiency anemia, primary school children, malaria-endemic areas

THE RELATIONSHIPS BETWEEN AGES, AGE OF MARRIAGE, NUMBER OF CHILDREN AND THE RESULTS OF VISUAL INSPECTION OF ACETIC ACID (VIA) ON STUDENTSâ€™ PARENTS OF MUHAMMADIYAH 1 MACANAN ELEMENTARY SCHOOL IN BIMOMARTANI, NGEMPLAK, SLEMAN, YOGYAKARTA

Sitti Khadijah, Vitrianingsih — Tue, 19 Nov 2019 00:00:00 +0000

The prevalence of cervix cancer in Indonesia reaches 0,8% and the Special Region of Yogyakarta has the highest rate which is 1,5%. This phenomenon is mainly caused by sociodemographic factors (age, social status, and economy), sexual activity factors (age and partner of sexual intercourse), parity, genital cleanliness, cigarettes, sexual disease history, cervix chronic trauma, and long-term oral contraception usage.The research was in the form of analytical observational research with cross sectional design. The subjects of the research were all mothers of the fifth graders in Muhammadiyah 1 Macanan Elementary School in Bimomartani, Ngemplak, Sleman, Yogyakarta. The data were obtained using accidental sampling technique with 47 respondents. The research instruments used were observation sheet and master table and the data were analyzed using univariat and bivariat with Chi Square test.The results of the research were that the respondent characteristics based on the age of >35 was 57,4%. Meanwhile, the age of marriage of 20-35 years of age reached 80,9% and the number of two children majority was 57,4%. Subsequently, the result of VIA test was positive with percentage of 12,8%. The relationship between ages and the result of VIA test resulted p value 0,693 as well as p value 0,869 for age of marriage and the result of VIA test. Finally, the relationship between the number of children and the result of VIA test was p value 0,311.There is no relationship between ages, age of marriage and number of children with the result of VIA test.

THE CORRELATION BETWEEN THE LEVEL OF ANXIETY AND THE DURATION OF PERIOD II OF CHILDBIRTH ON POSTPARTUM MOTHERS IN PANEMBAHAN SENOPATI RSUD BANTUL

Yurinawardani, Tutik Astuti, Sri Wulandari — Tue, 19 Nov 2019 00:00:00 +0000

Yogyakarta Province, especially the districts of Bantul reported a total maternal mortality rate in 2013 increased in 2013 amounted to 96.83 / 100,000 live births that a number of 13 cases, while in 2012 amounted to 52.2 / 100,000. Anxiety is one of the main factors that influence the labor stage. Contraction as well as cervical dilatation which is not good. The results of a preliminary study on 10 postpartum mothers on the first day in Panembahan General Hospital Senopati are 5 mothers with low anxiety, 2 others with medium anxiety and underwent 1 hour of postpartum period, while the other 3 did not feel the anxiety with postpartum less than 0.5 hours. Panembahan Senopati General Hospital Bantul. This study was analytic research with a cross sectional approach. The study population was the delivery room in Panembahan Senopati General Hospital Bantul. The sampling technique used is total sampling with the number of samples of 67 people. The instrument in collecting data was using questionnaires and medical records. The research was conducted in August 2015. Data was analyzed by using Kendal. The characteristics of postpartum mothers are mostly 20-35 years old (77.6%), multiparous parity (52.2%) and have secondary education (58.2%). The level of anxiety during labor in postpartum mothers is in moderate level of anxiety (50.7%). The duration of childbirth on postpartum mothers is in the normal category (83.6%). Panembahan Senopati General Hospital Bantul (p value = 0,003). Childbirth on postpartum mothers in Panembahan Senopati General Hospital Bantul.

Keywords : anxiety, childbirth, period II, postpartum mother

RELATIONSHIP BETWEEN HEALTH OFFICER SUPPORT AND INDEPENDENCE ABILITY IN DAILY CLEAN AND HEALTHY LIFE ACTIVITIES FOR ELDERLY PATIENTS IN PUSKESMAS BRINGIN REGION

D P Sari, M Firdaufan, A R Saputra — Tue, 19 Nov 2019 00:00:00 +0000

Elderly patients are patients who go through the final stages of human life span. The support of health workers is very instrumental in encouraging the interest of elderly patients to have the ability to be independent in their daily activities in a clean and healthy life. Based on the preliminary survey, it is known that elderly patients In Puskesmas Bringin Region live far from close families, so they need support from health workers to improve their independence in their daily activities in clean and healthy life. The purpose of the study was the relationship of support of health workers with the ability to be independent in the daily activities of clean and healthy life of elderly patients In Puskesmas Bringin Region. This study is analytical using a quantitative method with a cross sectional study approach. The population in the study was 130 respondents with a sample of 98 respondents. The research sample was taken by purposive sampling technique. The independent variable of this study is the support of health workers and the dependent variable of the ability of independence in daily activities of clean and healthy life. The research instrument used a questionnaire. Data were analyzed using the chi-square statistical test. The results showed that the majority of health staff support In Puskesmas Bringin Region was in the good category of 55 people (56.12%) and most of the independence ability in the daily activities of clean and healthy living In Puskesmas Bringin Region was independent as many as 66 people (67.35%). The results of this study of 98 respondents based on the results of Chi-Square test significance between the variables of health worker support and the ability of independence in daily activities of clean and healthy life is known that the value of Ï is 0.003 <Î± (0.05), then Ho is rejected and declared there is a relationship between the support of health workers with the ability to be independent in the daily activities of clean and healthy living In Puskesmas Bringin Region. The conclusion obtained by this study is that there is a relationship between the support of health workers with the ability to be independent in the daily activities of clean and healthy living In Puskesmas Bringin Region.

Keywords: Support from Health Officers, Independence Ability for Daily Activities Clean and Healthy Life, Elderly Patients

THE IMPLEMENTATION OF MOTHER-TO-CHILD TRANSMISSION PREVENTION PROGRAM IN ANTE NATAL CARE (A QUALITATIVE STUDY IN PUBLIC HEALTH CENTER OF SLEMAN REGENCY)

Fika Lilik Indrawati, Rizka Ayu Setyani — Tue, 19 Nov 2019 00:00:00 +0000

HIV epidemic still becomes a public health problem in the world, especially in developing countries such as Indonesia. One of the efforts that have been done to break the chain of HIV transmission is the Mother-To-Child Transmission (MTCT) prevention program. This is a qualitative study with case-study approach which involves policy maker, specifically the Public Health Office and Public Health Center (PHC) in Sleman Regency and also pregnant women as MTCT prevention program service users.This study conducts in-depth interviews and observation then the content analysis. In terms of service, the implementation of MTCT prevention program at PHC is in accordance with the policy from the Ministry of Health as to integrate MTCT prevention program in the Mother and Child Health (MCH) services, Family Planning (FP) and Adolescents Counseling on every level of health service. However, there are still some irrelevant technical matters to the HIV test offered by health facilities to pregnant women, pre and post-examination counseling and the importance of further testing to pregnant women. Generally, the implementation of MTCT prevention program in PHC did not experience significant obstacles that could affect service quality. However, longstanding examination of pregnant women made them physically weak, as well as the negative stigma in the society about HIV /AIDS. The implementation of MTCT prevention program has been carried out based on the Ministry of Health program which was socialized through Sleman Public Health Office.

Keywords: implementation, MTCT prevention program, Ante Natal Care

THE ROLE OF GLOBAL ACTORS IN AGAINST HIV / AIDS HEALTH ISSUES

Harits Dwi Wiratma, Yeyen Subandi — Tue, 19 Nov 2019 00:00:00 +0000

The health issues are one part of global problems in this world that must be resolved. This issue provides an opportunity for elements of the international community to participate in improving and building global health conditions. This provides for state actors and NGOâ€™s to work synergize in global issues, especially in health sector. It can be seen from the various hazard caused by natural and non-natural disasters. Therefore, in the international relations perspective health issues as having significant to be solved involving global stakeholders.

Keywords: global security, global health, international relations, NGO

FACTORS ASSOCIATED WITH HYPERCHOLESTEROLEMIA IN KOPAT, KARANGSARI, PENGASIH SUBDISTRICT, KULON PROGO, YOGYAKARTA

H. Yuningrum, S. Sahayati — Tue, 19 Nov 2019 00:00:00 +0000

Hypercholesterolemia is a major risk factor for coronary heart disease (CHD) because it can cause atherosclerosis. In Indonesia, the prevalence of hypercholesterolemia in the 25-34 year age group (9.3%) has increased (15.5%) in the 55-64 year age group. Risk factors for hypercholesterolemia can be divided into 2: uncontrollable factors such as age and heredity, as well as controllable factors such as obesity, cholesterol intake, high fat intake, low fiber intake, smoking, lack of physical activity and high blood sugar levels. The aim of this study the factors associated with hypercholesterolemia in Kopat Hamlet, Karangsari Village, Pengasih District, Kulon Progo Regency, Yogyakarta. Analytical research used in this study was cross sectional design. The study subjects were residents aged 40 years and above. The sampling technique uses purposive sampling method. The minimum number of samples is 60 people. Data were analyzed using univariate, bivariate (chi-square test) and multivariate (logistic regression). The results of bivariate analysis showed significant results namely BMI (RP = 1.73, 95% CI = 1.01-2.96, p-value = 0.040), fried food consumption (RP = 2.49, 95% CI = 1, 40-4.40, p-value = 0.001), fiber consumption (RP = 2.32, 95% CI = 1.31-4.12, p-value = 0.002), physical activity (RP = 3.14, 95% CI = 1.50-6.58, p-value = 0,000) and hypertension (RP = 1.90, 95% CI = 1.07-3.38, p-value = 0.020). Smoking (IDR = 1.05, 95% CI = 0.61-1.82, p-value = 0.85) and blood sugar levels (RP = 1.38, 95% CI = 0.81-2.35, p- value = 0.28) did not reach statistical significance. The results of multivariate analysis showed that the most influential risk factors for hypercholesterolemia were physical activity (RP = 7.01, 95% CI = 1.66-29.63, p- value = 0.008). Factors associated with hypercholesterolemia are BMI, fried consumption, fiber consumption, physical activity and hypertension.

Keywords: hypercholesterolemia, coronary heart disease, atherosclerosis

MODEL OF THE ALONENESS PROCESS FOR OLDER WOMEN BEING TREATED FOR DEPRESSION

T Marliana, D Pramujiwati, ES Mawarni — Tue, 19 Nov 2019 00:00:00 +0000

Depression is the most prevalent impairment of psychosocial function in older person. Approximately 20% of older adults suffer from clinically significant symptomps of depression. Gerontological mental health nurses with a clear understanding of aloneness will be able to provide a more holistic approach in their care of older women. Clear understanding of the concept is critical to be better underpinning understanding and effectively evaluate womenâ€™s experiences. The objective was to provide the first known concept analysis of aloneness to older women being treated for depression through the experiences of eighty older women. The concept analysis framework Walker and Avantâ€™s (2011) was used. Electronic bibliographic databases PROQUEST, CINAHL, MedLine,and PsycINFO were searched to find papers written in English and dated 2015-2018. Findings this research were the apparent attributes of aloneness. Women were depressed they viewed aloneness as being vulnerable, fearful, and helpless, and having a loss of control of self and identity confusion, and as the women progressed in their recovery from depression, they viewed aloneness as being self-reliant, hopeful, and resourceful and having self-determination and self-reflection. Conclusion: awareness of aloneness from the perspective of older women, nurses working in gerontological areas, community health settings, and clinics can promote not only quality of care, but also quality of life for those women.

Keywords: aloneness, depression, older women, concept analysis

THE ROLE OF SOCIAL SUPPORT IN REDUCING ANXIETY AMONG HIGH RISK PREGNANT WOMEN IN THIRD TRIMESTER

Venny Vidayanti, Dewa Ayu Arysta Pratiwi — Tue, 19 Nov 2019 00:00:00 +0000

Pregnancy anxiety is a common disorder occurred in the third trimester especially in High risk pregnancy. The psychological burden on a high risk pregnant woman can affect both babiesâ€™ and mothersâ€™ condition. It has negative impact on the outcome of pregnancy. Social support is an essential factor to improve the wellbeing of mothers and babies during pregnancy. It provides emotional, material, and information support to relieve pregnancy anxiety. The aim of the study was to determine the correlation between social support and anxiety among high risk pregnant women in third trimester at Panembahan Senopati Bantul hospital, Yogyakarta, Indonesia. This cross sectional study was conducted on 63 high risk pregnant women in third trimester. Purposive sampling was conducted in this study. Data collection tools included validated social support questionnaire and Zung Anxiety Rating Scale. The data collected was analyzed using the Spearman correlation coefficient. The results showed that social support had a negative correlation with anxiety level among high risk pregnant women (r = -0,353; P value= 0,005). Results of regression analysis revealed that social support influencing anxiety in 12.3%. Social support plays an important role on anxiety among high risk pregnant women in third trimester. The higher the social support provided, the lower the anxiety score of pregnant women occurred.

Keywords: social support, anxiety, high risk pregnant women

FULFILLMENT OF EMPLOYEE WOMEN'S RIGHTS ABOUT LACTATION ROOM IN LECTURER AND EMPLOYEES RESPATI YOGYAKARTA UNIVERSITY

Tue, 19 Nov 2019 00:00:00 +0000

Respati University in Yogyakarta (UNRIYO) has almost 70% of lecturers and employees. This situation requires serious attention from stakeholders at UNRIYO. There needs to be a comprehensive understanding of the rights of women workers based on their reproductive and production functions. Aim of this study was to create a lactation room that is able to accommodate the needs of female workers. This community service was conducted through a survey with 57 respondents, talk shows and hearings about the expectations of lecturers, employees and policy makers at Unriyo. Knowledge of respondents about exclusive breastfeeding: strongly agreed on breastfeeding only until the age of 6 months (87.7%), breast milk protects babies from disease (86%), breast milk as natural birth control (50.9%), breast milk as nutritional intake ( 80.7%) and practical breastfeeding is given to babies (82.5%). Attitudes towards exclusive breastfeeding: they did not approve of breastfeeding only at home (52.6%) and formula milk from ages 0-6 months (49.1%). Very helpful for the mother (84.2%), breast milk for 6 months had fulfilled the baby's nutrition (47.4%) formula milk and Mother gave milk to the child by milking and storing milk in the refrigerator or freezer (71.9%). Work environment support for respondents: most of them disagree with the facilities provided by Unriyo (70.2%), most strongly agreed that Breastfeeding counselors were needed to support services in the lactation room (50.9%) and procurement of exclusive room programs for exclusive breastfeeding (84.2%). Most of the respondents as educators with married marital status have good knowledge of exclusive breastfeeding, agreeable attitude about exclusive breastfeeding and support the work environment for breastfeeding working mothers. UNRIYO provides and supports exclusive breastfeeding by providing lactation room for only limited facilities and resources.

Keywords: women's labor rights, breastfeeding, lactation room

FACTORS ASSOCIATED WITH HYPERTENSION IN THE ELDERLY AT THE KEMBAYAN SUB-DISTRICT HEALTH CENTER, SANGGAU DISTRICT, WEST KALIMANTAN, 2018

Dinni Agustin, Magdalena Evi, Yuna Trisuci Aprillia — Tue, 19 Nov 2019 00:00:00 +0000

Hypertension is a disease caused by blood pressure that exceeds the normal blood pressure limit. Based on a preliminary study conducted by the researchers at the Kembayan Sub-District Health Center, Sanggau District, West Kalimantan in January to April 2018, there were 79, 37% of the incidence of hypertension in the elderly of 160 elderly in the posyandu [integrated post]. The aim of the study was to find out factors associated with the incidence of hypertension in elderly at Kembayan District Health Center, Sanggau District, West Kalimantan in 2018. This study used a quantitative approach with cross sectional design data obtained using primary and secondary data, and the instruments of the research is questionnaire. The study was conducted in December 2018- January 2019. The population and sample of the study were 127 elderly. The results showed that the majority of respondents who suffered from hypertension amounted 84 people (66%), bivariate analysis with chi-square test all variables related to the incidence of hypertension namely nutritional status (0.018), gender (0.002), and history family (0,000). Recommendation: the Puskesmas conducts periodic counseling and health checks for the elderly, in order to prevent more chronic diseases.

Keywords: hypertension, nutritional status, sex, family history

CORRELATION BETWEEN THE DENSITY OF Aedes Sp. WITH PREVALENCE OF DENGUE HEMORRHAGIC FEVER (DHF) IN KLATEN DISTRIC

Khusnul Musarofah, Nur Alvira Pasca Wati, Naomi Nisari Rosdewi — Tue, 19 Nov 2019 00:00:00 +0000

Klaten is one district that has endemic of DHF. One factor that can influence the enhancement of DHF is the high vector density of the Aedes Sp. mosquitos. Based on the data from Public Health Center, also based on the HI values, Bayat Sub District has the high category risk on the transmission of high DHF. The aim of this study to find out whether there is a correlation between density of Aedes Sp. mosquitos with prevalence of DHF. This research is a case control and sample of this research is all houses in Wiro, Paseban, and Krakitan villages. The number of sample is 52 houses which are divided into two categories, namely 26 for case and 26 for control. Sampling technique is purposive sampling. Data is analyzed using univariate and bivariate through Chi-square and U-Mann Whitney T-test ( = 0.05). Based on univariate analysis, the level of mosquito eggs density based on OI case and control is included in high and medium categories. Larval density of Aedes Sp. based on HI is included in high category, while based on CI and BI is included in medium and low categories. The density of Aedes Sp. mosquito based on MHD with mean rank in the case is higher than in the control. Based on bivariate analysis: OI have p-value 0.575 > 0.05, and CI have p-value 0.052 > 0.05. For inside MHD value is p-value 0.079 > 0.05 and outside MHD value is p-value 0.223 > 0.05. There is no correlation between the vector density of Aedes Sp. with prevalence of Dengue Hemorrhagic Fever (DHF).

Keywords : density, Aedes Sp. mosquitos., Dengue Hemorrhagic Fever, prevalence

COMPUTERIZED FILING OF MEDICAL RECORD DOCUMENTS

Nurhayati, Siwi Dwi Ariyanti — Tue, 19 Nov 2019 00:00:00 +0000

Filling is a medical record data processing unit that is responsible for the existence of medical record documents. The medical record document is a written record of the patient's medical history used by health workers when the patient's service process causes the medical record document to be quickly available and traceable.PKU Aisyiyah Boyolali Hospital was chosen as a case study in this study. It is Often found not to record documents out of filling, do not have tracer, document misfeeds (misfile), return of late medical record documents and difficulties in tracking the existence of medical record documents.The purpose of this study is to build a computer application to process data in the filling unit. Furthermore, making computer applications through stages :(1) identification of problems; (2) designing and; (3) implementation, able to produce computer applications that can produce : (1) tracer; (2) record borrowing medical record documents; (3) record the return of document records medical and; (4) processing loan report, return and control of medical record documents.

Keywords: computerized, medical record document, patient, application

FAMILY SUPPORT FOR ELDERLY COMPLIANCE IN FOLLOWING THE ELDERLY INTEGRATED HEALTH SERVICE POST

P I Listyorini, Y Ana D N Rofiyani — Tue, 19 Nov 2019 00:00:00 +0000

Family support is important in one's health. Through the family a variety of health problems can arise as well as be overcome. The elderly Integrated Health Service Post is used for the elderly, whose activities include preventive, promotive, curative, and rehabilitative activities. WHO estimates that the increase in the elderly population in 2025 compared to 1990 in Indonesia was 440%. At present there are 257 elderly in Jeruksawit Village. Until now there have been 39 members of the elderly who participated in the Integrated Elderly Health Service Post at the Semeru Ceria Elderly Integrated Health Service Post Jeruksawit Village, Gondangrejo District, Karanganyar Regency. This study aims to determine the relationship of family support to the obedience of the elderly in attending the elderly Integrated Health Service Post at the Semeru Ceria Integrated Health Service Post Jeruksawit Village, Gondangrejo District, Karanganyar Regency. This research method uses analytical research methods with a cross sectional approach. Sampling in this study was carried out by saturated sampling, meaning that all populations were sampled in this study, namely 39 elderly. The research instrument used a questionnaire. The results of univariate analysis showed that some respondents had low compliance (58.97%), and most had low family support (64.10%). Bivariate analysis using chi square showed that there was a relationship between family support and elderly obedience in attending the elderly Integrated Health Service Post with P value = 0.004 .. In conclusion there was a relationship between family support and elderly obedience in attending the Integrated Integrated Health Service Post at the Health Service Post Integrated Semeru Ceria elderly in Jeruksawit Village, Gondangrejo District, Karanganyar Regency.

Keywords: family support,elderly,compliance,integrated elderly health service post

THE INFLUENCE OF LAUGHTER THERAPY ON STRESS AMONG NURSING STUDENTS OF RESPATI YOGYAKARTA UNIVERSITY

Ririn Wahyu W, Wahyu Rochdiat M, Feby Indra Feristamala — Tue, 19 Nov 2019 00:00:00 +0000

Clinical education in nursing might cause students to get stressed. A preliminary study conducted in Respati Yogya karta University (UNRIYO) found out that 37.5% of them showed moderate stress, and 5.52% of them indicated normal stress. Laughter therapy is a therapy to overcome stress. UNRIYO has offered counseling for stress management but has not yet provided a therapy program for the students. This makes the researcher interested in laughter therapy to deal with stress among the students. The objective of this research is to identify the influence of laughter therapy on stress among nursing students of Respati Yogyakarta University. This was a quasi-experimental research with pre and posttest design with a non-equivalent control group. A quota sampling technique was used to collect data from 42 student. The Wilcoxon test was carried out for the intervention group, while the paired t-test was conducted for the control group. The independent sample t-test then used to find out the significance value between the intervention and control groups. Stress score is calculated between pre and posttest on both group. Pre-test score of intervention group was 13.00 and posttest score was 9.52. Pretest score of control group was 17.29 and post test score was 14.33. There was a difference in the score between intervention and control group( p-value = 0,000).

Keywords: depression anxiety stress, nursing student, laughter therapy

EFFECTIVENESS OF REPRODUCTIVE HEALTH TRAINING FOR PEER EDUCATOR IN MUHAMMADIYAH MACANAN ELEMENTARY SCHOOL, NGEMPLAK, SLEMAN

Soepri Tjahjono Moedji Widodo — Tue, 19 Nov 2019 00:00:00 +0000

Peer educator usually involve the use of certain group members to produce changes among other members in the same group. Peer education is often used to change the level of behavior in individuals by modifying a person's knowledge, attitudes, beliefs, or behavior. School age children are an age group that is very vulnerable to health problems especially reproductive health. Although the primary responsibility for health of school-age children is in the hands of parents, but schools have a large influence on influencing health, especially children's health. Empowering children to behave well through training in elementary schools is a strategic effort to obtain quality human beings. The aim of this study is to determine the effect of reproductive health training on the level of knowledge of peer educator. The design of the study was pre-experiment with one group pretest-postest design. Samples were all grade III, IV and V elementary school students of Muhammadiyah Macanan elementary school, Ngemplak, Sleman. Subject were 19 female students. The researcher evaluated the knowledge of peer educator before and after reproductive health training. Data collection used a questionnaire. Data analysis used Paired t-test with Î± = 0.05. The study on the knowledge of peer educator showed a value of p = 0.000, so it was concluded that there was a difference in knowledge of peer educator before and after participating in reproductive health training.

Keywords : reproductive health training, peer educator, knowledge

NUTRITIONAL STATUS OF TEACHERS AT SEKOLAH ALAM NURUL ISLAM

Sri Kadaryati, Margaretha Arinanti, Jessika Yolin, Yuni Afriani — Tue, 19 Nov 2019 00:00:00 +0000

Sekolah Alam Nurul Islam provides snacks and lunch facilities for teachers working there. Anthropometric status can describe the condition of adequate energy and protein intake. Identification of nutritional status can also be used as a reference in determining the nutritional adequacy of food served. This studyâ€™s objective is to determine the nutritional status of teachers at Sekolah Alam Nurul Islam. This was an observational study involving 98 subjects at Sekolah Alam Nurul Islam, Yogyakarta. This study was conducted in June 2019. Nutritional status was observed based on anthropometry. Bodyweight and height were measured directly using microtoice and digital body scale, then the data was used to calculate the body mass index (BMI). BMI was categorized as underweight when <18.5, normal if 18.5-25, and overweight if >25. Total of 47.96% were of normal nutritional status. An abnormal nutritional status consists of 6.12% with underweight nutritional status and 45.92% with overweight nutritional status. Most teachers have normal and overweight nutritional status. This data was considered in calculating the nutrition adequacy in the food service in schools.

Keywords : food service; nutritional status; teacher; anthropometric status

LANGUAGE GAMES REDUCING THE RISK OF DEMENTIA IN ELDERLY ADULTS

Tri Septa Nurhantoro. S.S,.Hum , Pegita Rianinda Putri — Tue, 19 Nov 2019 00:00:00 +0000

Similar to other largest countries, Indonesia has a huge number of elderly people that contributes significant number of elderly population in the world. This becomes the result of the significant progress of Indonesian government programs. However, this condition also creates another problem related to the increasing number of people who suffers from various degenerative diseases, such as dementia, which is now it does not exclusively affect elderly people. One solution to reduce the risk of dementia is practicing habitual activities that involve brain training, like playing crossword puzzle and scrabble. Those activities are not only interesting and entertaining, but can also improve memory, daily life skills, and overall mental health. Therefore, the use of language games should be well socialized to Indonesian society to prevent the risk of dementia to happen at earlier age.

Keywords: dementia, elderly adults, language games

THE IMPACT OF REMINISCENCE THERAPY AND LEMON AROMATHERAPY TREATMENT COMBINATION ONTHE STRESS OF ELDERLY IN BUDI DHARMA ELDERCARE OF UMBULHARJO YOGYAKARTA

Cristin Wiyani, Ririn Wahyu W, Kadek Dedin Sujana — Tue, 19 Nov 2019 00:00:00 +0000

Elderly is a person who enter > 60 years of age.Elderly will experience aging process and degradation of function especially the cognitive function which can cause stress on elderly if not being managed. The results of interview toward 8 elderlies in Budi Dharma Eldercare have indicated that elderlies were often having sleep disruption, being short-tempered, easily offended, agitated, and having the decrease in appetite. Stress is a physical and psychological reaction. The stress management can be done by implementing non-pharmacologist therapies, namely through the combination of Reminiscence therapy and lemon Aromatherapy as the method of expression by remembering the old memories along with inhaling lemon aromatherapy. Discovering the impact of Reminiscence Therapy and Lemon Aromatherapy Combination on Stress of Elderly in BudhiDarma Eldercare of Umbulharjo, Yogyakarta. Research method Quasi-experimental quantitative study with pre and post tests nonequivalent control group. Simple random sampling was used as the sample technique. The number of respondents was amounted 35 respondents. This research used DASS 42 as the instrument. The impact of therapies was analyzed through Wilcoxon and Mann Whitney tests. The stress scoresof the intervention group were 16.89 in mean before the therapy and 5.56 in mean after the therapy. The difference of stress scores of post and pre tests were p-value = 0.000 (p<0.05) on the intervention group and p-value = 0.162 (p<0.05) on the control group. The impact of reminiscence therapy on post test of both group is p-value = 0.000 (p<0.05). There is an impact of the Reminiscence therapy and lemon aromatherapy combination on the Stress of Elderly

Keywords: elderly, stress, reminiscence therapy and lemon aromatherapy combination.

DESIGNING FOR DEMENTIA

Eef Hogervorst, Bill Halsall, Sue Hignett, Malcolm Cook, David Kelly — Tue, 19 Nov 2019 00:00:00 +0000

Dementia is an increasing problem worldwide because of an ageing population. The costs of dementia are staggering. In 2018, they were estimated at $1 trillion worldwide, which is more than the costs of cancer and heart disease combined. Most of the costs are for informal care, to be carried by people with dementia and their family, who take care of them and have to reduce their own productivity as a resulti . High costs are also encountered when carers have burn-out and/or are no longer able to take care of the person with dementia, resulting in institutionalisation. Understandably, older people prefer to stay at home. Research from Maastricht University iihas shown that older people with dementia and their carers also spend most of their time at home. Home needs to be a safe space, to optimise independent living, keep active and engaged, experience well-being and prevent falls. The risk for falls is doubled with dementia, because of changes in gait and contrast perceptioniii . Once older people have falls resulting in fractures, their risk for reduced mobility, prolonged hospitalisation, institutionalisation and mortality increases significantly. Preventing falls in older people, particularly in those with dementia, is thus of the essence.

EVALUATION OF OCCUPATIONAL HEALTH AND SAFETY MANAGEMENT SYSTEM (OHS-MS) IMPLEMENTATION IN MANUFACTURE INDUSTRY

Ariyanto Nugroho, Azir Alfanan — Tue, 19 Nov 2019 00:00:00 +0000

Implementation of OHS-MS is one way to reduce occupational diseases, occupational-related disease and accidents also. There are so many benefits while OHS-MS being goog applied by the industry such as reduce losing work hours and increase productivity. In Indonesia OSH-MS being regulated by Government regulation number 50/2012 article number 5 and paragraph number 3, which is informed that every industrial activity which has one hundred employees or more, or there is a specific hazard with the high probability to support an accident such as explosive, pollution, fire and other accident, it have to conduct OHS-MS. Mega Andalan Kasalan (MAK) in one of big manufacture industry which has an operation at Sleman district. it has 720 employees so that way it has to conduct OHS-MS properly, OHS-MS implementation should be evaluated period, it will support to run a continues quality improvement on OHS-MS. The aim of this research is to run an evaluation of MAK OHS-MS implementation. The research will be running with qualitative, using questionnaires, checklist and also interview with the employee and person n charge with OHS-MS. They are 5 points that will be explored, they are 1. OHS-MS Policy, 2. OHS-MS Planning, 3. OHS-MS Implementation, 4. OHS-MS Monitoring an evaluation, 5. OHSMS Improvement mechanism. Conclusion of the research are: 1) MAK safety Policy develop at 2016, the chairman and all worker has run it but not quite well yet, 2) MAK safety planning also develop at 2016, which there are consists of aim a safety target, priority, control hazard, resources, time frame, indicator, and reporting system. 3) A big part of MAS safety planning has run such as provide Safety human resources and all its equipment. 4) MAK also has running monitoring and evaluation using an external provider, but not all recommendations have done yet. 5) MAK will conduct an annual audit base on ISO 18000.

Keywords: Occupational health safety, management, system

The Antenatal Care Visit On Early Detection Of Labor Complications: A Scoping Review

Desi Rofita, Dwi Ernawati, Mufdlilah — Tue, 19 Nov 2019 00:00:00 +0000

Approximately 303,000 women died and 2.6 million babies were born dead. It mostly occurs in several developing countries that have low and middle income some. This maternal death can be prevented by quality pregnancy checks. The aim of this study was to conduct scoping review to outline the influence of Antenatal Care visits on Early Detection of Labor Complications.Method: The study employed five stages for scoping review including: identifying research questions, identifying relevant literature, selecting literature, mapping data, compiling, summarizing and reporting results. The relevant literature were found from three data bases: Pubmed, Sciendirect, and Proquest selected by used quantitative research methodologies. Results: Total of 13 publications were included according to the inclusion criteria. Thematic analysis used to identify key concepts. The researcher grouped these main concepts into three themes, namely the standard antenatal care visit, the role of health workers in implementing antenatal care service, and the impact of antenatal care visits on labor complications. Conclusion: Pregnant women who conducted antenatal care visits <4 times experienced labor complications, such as preterm birth, Low Birth Weight, anemia and other complications. Providers had an important role in improving the quality of ANC services, especially related to the counseling (IEC).

Keyword: Complications Labor, Antenatal Care, Pregnancy

KNOWLEDGE AND PREPAREDNESS IN FACING UP MERAPI MOUNTAIN ERUPTION IN YOGYAKARTA

Siti Fadlilah, Fransiska Lanni — Tue, 19 Nov 2019 00:00:00 +0000

In Indonesia, especially in Yogyakarta Special Region, most of the areas are strongly influenced by active volcanoes, which still occasionally erupt. Knowledge about volcanic eruptions is essential for the residents, because it would relate with residentsâ€™ preparedness in a time of volcanic eruption. If the residentsâ€™ knowledge and preparedness is good, it would prevent so many casualties. The aim of this study to determine about knowledge and preparedness in facing up Merapi Mountain eruption in Yogyakarta This was a quantitative observational research used a cross sectional approach. The research samples were 95 who lived in Gondanglegi, Wedomartani, Yogyakarta. They were selected using an accidental sampling technique. A bivariate analysis was conducted using Somersâ€™ D test. The majority of residents were males (39 respondents or 41.1%). Most of the respondents were between 46-55 years old (41 respondents or 43.2%). Most of the respondents had good knowledge (70 respondents or 73.7%). Most of the respondents have sufficient preparedness (63 respondents or 66.3%). Results of the bivariate analysis on the correlation between knowledge with preparedness facing up Merapi Mountain eruption in Yogyakarta showed a p-value = 0.001 (p<0.05). Bivariate analyzed between age and gender with knowledge and preparedness are p-value 0.491 and 0.854. Bivariate analyzed between level of education with knowledge and preparedness are p-value 0.020 and 0.017. There were no relationship between age and gender with knowledge and preparedness.There was a relationship between level of education with knowledge and preparedness. There was a correlation between knowledge level and preparedness facing up Merapi Mountain eruption in Yogyakarta.

THE EFFECTIVENESS OF WARM COMPRESS ON BREAST MILK PRODUCTION AMONG POST PARTUM MOTHERS IN TEGALREJO HEALTH CENTER

Melania Wahyuningsih, Anita Liliana — Tue, 19 Nov 2019 00:00:00 +0000

Breast engorgement is one of the obstacles in exclusive breastfeeding for postpartum mothers. Warm compress is one way to release breast engorgement. Using warm compresses can stimulate the dilatation of the blood vessel and the lactiferous duct, that can increase the milk production. The purpose of this research study was to determine the effectiveness of warm compress on the breast milk production among postpartum mothers in the Tegalrejo Community Health Center. The research design was quasi-experiment, with control group pre-test and post-test. The Population on this research was 30 postpartum mothers. The sampling technique was consecutive sampling, 28 samples was divided by two group intervention and control group. The data analysis were used the Paired T-Test. There is significant different on the milk production among intervention of warm compress group p value 0.001. There is no significant different on milk production among the control group p value 0.77. There is significant different on the milk production among intervention group and control group p value 0.001.

Keywords: Postpartum mother, Breast milk production

STUDY OF KNOWLEDGE OBJECTIVE ANALYSIS HEALTH LABORATORY ASSEMBLY ABOUT THE BENEFITS OF SELF PROTECTIVE EQUIPMENT IN INTEGRATED LABORATORY OF FACULTY OF HEALTH SCIENCE RESPATI YOGYAKARTA UNIVERSITY

Naomi Nisari Rosdewi, Suwarto, Yoseph Emanuel Pati — Tue, 19 Nov 2019 00:00:00 +0000

From preliminary studies conducted at the UNRIYO health laboratory, the data or information that we got was very problematic because of the 5 laboratory staff we interviewed, only 2 laboratory assistants routinely used APD in each lab activity in the laboratory.This study aimed at an objective analysis of the knowledge of health laboratory staff about the benefits of personal protective equipment at the University of Yogyakarta's Respati health laboratory.This study uses qualitative methods which means a research process and understanding based on methodologies that investigate social phenomena and human problems.Laboratory staff have a good knowledge of the benefits of using personal protective equipment in the laboratory, understand the function of APD and its benefits, the use of personal protective equipment has not been specifically contained in the standard APD according to applicable SOPs, compliance with officers laboratory reports about the benefits of using personal protective equipment in accordance with the applicable regulations in the laboratory, facilities and infrastructures related to the use of personal protective equipment are quite good.Laboratory staff have good knowledge of the benefits of using personal protective equipment in the laboratory

ACCREDITATION OF MEDICAL RECORDS IN PRIMARY CARES

Sri Wahyuningsih Nugraheni, Hendratna, Arlita Diasika Nanda — Tue, 19 Nov 2019 00:00:00 +0000

Accreditation for primary cares is required and regulated in the Republic of Indonesia Minister of Health Regulation Num. 46 of 2015 Article 3. Although primary cares have been accredited, the management of medical records in primary cares has not been perfectly marked by lack of security and confidentiality of patient medical records. Therefore, research on the management of medical records based on accreditation is very important to create good administration. The aim of this study was to evaluate management of medical records in primary cares based on accreditation for primary cares and applicable legislation. Research is a qualitative research, so data collection is done by participatory and systematic observation, non-guided interviews and discussions, and documentation. Data processing starting from editing data continue triangulation data. Analysis and presentation of data is done qualitatively and quantitatively. Observations were made on the management of medical records in primary cares, interviews with medical record managers in primary cares, and reviews of medical record documents and supporting documents in the medical record management process. Result indicated that Standard criteria 8.4.1 and 8.4.2 are partially fulfilled, while the standard criteria 8.4.3 and 8.4.4 are fulfilled overall. Partially fulfilled and fulfilled overall element of accreditation assessment in primary cares are influenced by regulation, commitment of managers in doing activities based on regulations and synchronizing regulations in primary cares with nationally and internationally legislation.

Keywords : primary cares, accreditation, medical records

THE EFFECT OF BABY MASSAGES ON BABYâ€™S WEIGHT IN PRATAMA KUSUMA MEDISCA CLINIC IN WATES, YOGYAKARTA

Vitrianingsih, Sonia Dora Cardoso, Sitti Khadijah — Tue, 19 Nov 2019 00:00:00 +0000

The optimization of growth and development on children are the results of interaction of various factors which are related to each other. Those factors include genetic, environment, behavior and stimulation. One of the stimulations is a tactile stimulation in the form of baby massage. Baby massages can increase the activity of nervus vagus which causes the production growth of enzyme gastrin and insulin so that the absorption of foods will be improved and affect on babyâ€™s weight. The purpose of this research was to understand the effect of baby massages on babyâ€™s weight. This research was conducted using quasi-experimental method with two group post-test design as the control. The subjects of this research were 66 babies who were 0-1 month of age as 33 babies were case group, while the 33 others were control group. The samples were collected using purposive sampling technique with inclusion and exclusion criteria. The baby massages intervention was conducted three times in a month and a weight measuring was done every week for a month with a specified scale. The data were analyzed using independent sample t-test. There is an effect of baby massage towards the increase in babiesâ€™ weight (p-value 0,007<0,05). Then, there was also an effect of baby massage towards the percentage of the increase in babiesâ€™ weight (p-value was 0.005 < 0.05). There are some effects of baby massages on babyâ€™s weight in Pratama Kusuma Medisca clinic in Wates, Yogyakarta

Keywords: baby massage, increase of weight

THE IMPLEMENTATION OF ANTENATAL CLASS TO IMPROVE MOTHERâ€™S KNOWLEDGE OF PREGNANCY

Setyaningsih, Zakiyah — Tue, 19 Nov 2019 00:00:00 +0000

The Government's efforts to accelerate the reduction of maternal and infant mortality rate were carried out with various efforts, one of which was through increasing knowledge and changing behavior of mothers and families. Programs held by the ministry of health to support the effort was antenatal class. .Antenatal education program recommended for a pregnant woman and a spouse by the a health care professional in many parts of the world .The issue of health service for pregnant women in Indonesia which was already carried out during it is still a personal service in the required in accordance or on each visit pregnant women. The aim of this study to determine the effectiveness antenatal class in an effort to increase maternal knowledge about pregnancy care. The form of activities carried out was by forming antenatal class. The stages of this activity began with identifying pregnant women with questionnaires, forming classes for pregnant women, conducting pre-tests before meetings, delivering information about pregnancy care ( in four meetings) and conducting post tests. Analysts of differences in knowledge of pre and post test mothers were carried out using the Paired T-Test. The initial identification, it was known that pregnant women had high enthusiasm (94.12%) to take antenatal class because mothers would get information about pregnancy and there were still 70% of pregnant women who had never antenatal class, so it was formed. After attending antenatal class from each meeting it was found that the average knowledge of mothers increased compared to before attending antenatal class. The results paired t-test it is recognized that significant differences knowledge pregnant women before and after attended antenatal class. Antenatal class is one of the effective activities to increase the knowledge of pregnant women because obtained information from sources, mothers could information sharing with others.

Keywords: antenatal class, knowledge, pregnancy

ANTENATAL CARE IN THE DETECTION OF PREGNANCY COMPLICATIONS: SYSTEMATIC LITERATURE REVIEW

Supiani, Sulistyaningsih, Indriani — Tue, 19 Nov 2019 00:00:00 +0000

It is estimated that around 15-20% of pregnant women will experience high risk or obstetric complications both during pregnancy and childbirth. The direct causes of maternal death are hemorrhage (28%), eclampsia (24%) and infection (11%). The indirect causes of maternal mortality are Chronic Energy Deficiency in pregnancy (37%) and anemia in pregnancy (40%). One preventive effort to reduce the problem of maternal mortality in Indonesia is through antenatal care. Antenatal care in the form of prenatal checks to optimize the mental and physical health of pregnant women. The aim of this study was to determine the effect of antenatal care as the effort of early detection of high-risk pregnancy. This Systematic Literature review employed database from PubMed and ScienceDirect during 2014-2018. There were 439 initial articles identified. This study analyzed 6 articles that met the inclusion criteria. In early pregnancy, complications were difficult to detect, so a good antenatal care could be seen from the presence of pregnant women in antenatal visits; the effectiveness of antenatal care and the coverage of antenatal care could effectively detect pregnancy complications earlier. Pregnancy is a normal life cycle that most women must go through, but the normal conditions can threaten the lives of mothers and their babies if complications arise during pregnancy or during childbirth. Therefore, detection of pregnancy complications is very necessary so some efforts can be done to eliminate or minimize complication.

ASSOCIATION OF PREGNANT WOMENâ€™S BEHAVIOR WITH FETAL RISK OF LEAD INTOXICATION: DISCUSSION ON PROBLEM IN RESEARCH METHODOLOGY

Tamri, Iwan Tri Wibowo — Tue, 19 Nov 2019 00:00:00 +0000

Lead intoxication is one of the environmental problem causing a health problem. Fetal Risk of Lead Intoxication is the risk of the fetus to lead intoxication if the lead exists in the blood of pregnant women. The objective of the present study is to detect the association between knowledge and behavior of pregnant women with Fetal Risk of Lead Intoxication.The design type of study is crosssectional; A sample size is all of 70 blood specimen of pregnant women examined in a laboratory. The statistical analysis uses an X square test.It shows that Fetal Risk of Lead Intoxication is 50%. There is an association between pregnant womenâ€™s behavior (p < 0. 00) with and no association between pregnant womenâ€™s knowledge (p> 0.325 ) with Fetal Risk of Lead Intoxication.Health workers should educate pregnant women to avoid places or materials containing the lead.

Keywords : pregnant, behavior, fetal risk

MOIST DRESSING AND OFF-LOADING USING A CRUTCH TOWARDS THE RECOVERY OF DIABETIC FOOT ULCER

Doni Setiyawan — Tue, 19 Nov 2019 00:00:00 +0000

Diabetic foot ulcer is one of the serious complications on diabetes mellitus patient. There are three main and important principals in diabetic foot ulcer treatment: infection control, debridement, and off - loading. The infection control can be done using moist dressing that can stimulate and recover the wound fastly. Alternative off-loading can be done using simple tool such as crutch which is easily available with affordable price without decreasing the principal of off-loading. Analyze the effects of moist dressing and off-loading using crutch towards healing of diabetic foot ulcer in patient with diabetes mellitus.The design of this research was quasi eperimental with pre -test post-test control group design. The total number of the sample was 30 respondents that divided into 3 groups. The Intervention Group 1, the moist dressing and off-loading using crutch for 1,83 hours/day. The Intervention Group 2, the moist dressing and off - loading using crutch for 3,19 hours/day and the last group was controlling group. The data collecting technique used non probability sampling with consecutive sampling method and analyzed using paired t -test, one way annova, and linier regression. The scoring assesment of wound recovery used Bates Jansen Wound Assessment Tools (BJWAT). The score of BJWAT between Intervention Group 1 and Intervention Group 2 is p=0.049. The score of BJWAT between Intervention Group 1 and Controlling Group is p=0.256. The score of BJWAT between Intervention Group 2 and Controlling Group is p=0.650. Moist dressing and off-loading using crutch has affected the recovery of diabetic foot ulcer on proliferation phase. Moist dressing and offloading using crutch is one of the most influential factors towards the recovery of diabetic foot ulcer compared to the peripheral vascularity, blood glucose, and nutritional status.

Keywords: Diabetic foot ulcers, Off-loading, Moist dressing, BJWAT, Wound recovery

DESCRIPTION OF FACTORS OF HUSBAND AND HEALTH WORKERSâ€™ SUPPORT TOWARDS CERVICAL CANCER DETECTION BEHAVIOUR IN THE CHILD-BEARING AGE AT SINGAPARNA HEALTH CENTRE, TASIKMALAYA SUB-DISTRICT

S Susanti, W M Ningrum, H Sulistiyoningsih — Tue, 19 Nov 2019 00:00:00 +0000

Cervical cancer is a significant problem, especially in developing countries in which around 80% of cervical cancer cases occur every year (Ministry of Health, 2016). It is the second most frequent cancer that occurs among Indonesian women. Tasikmalaya has become the city with the highest cancer rates in Indonesia (Ministry of Health, 2018). The general objective of this study is to describe the factors related to the behaviour of early detection of cervical cancer in women of childbearing age (WCA) in the surrounding area of Singaparna Health Center in Tasikmalaya district in 2018. The research method used in this study was a quantitative method with a descriptive approach. The population of this study consisted of 5,760 women of child-bearing age living around Singaparna Health Centre. The sample size was calculated by using the Lameshow formula (1991), resulting in 374 samples chosen. The data were collected by using a questionnaire. Then, the data were analyzed by using univariate analysis method. Husbandsâ€™ support mostly belonged to the good category with the frequency of 213 (57%). Similarly, the support of health workers mostly belonged to the good category with the frequency of 220 (58.8%). A small number of participants, precisely 18 people (4.8%), had also carried out early detection tests of cervical cancer. Most husbands and health workers had provided good support in terms of examining cervical cancer. However, only a small number of participants had carried out a test of cervical cancer. For the women of childbearing age, this study suggests that they could actively seek information regarding cervical cancer by consulting directly to health workers to have early detection. Health services should provide access to services for early detection of cervical cancer.

DIFFERENCES IN KNOWLEDGE OF STANDARD FOR PROVIDING BLS TO MEMBER NURSING STUDENTS AND NONMEMBERS OF EMERGENCY NURSING TEAM (ENT) AT UNIVERSITY OF RESPATI YOGYAKARTA

Mohamad Judha, Dewa Ayu Sriputri Cintyarahayu, Endang Lestiawati — Tue, 19 Nov 2019 00:00:00 +0000

Cardiac arrest is an emergency condition that can occur in a hospital, called Hospital Cardiac Arrest (HCA) and outside the hospital, called Out Hospital Cardiac Arrest (OHCA) which requires Basic Life Support (BLS) with Cardio Pulmonary Resuscitation (CPR). Nursing students as the bystander of CPR in the community need the development of knowledge and skills in conducting early CPR by attending informal education, which organizes an emergency nursing training such as the Emergency Nursing Team (ENT). Therefore, research regarding the knowledge of the standard for providing to nursing students is essential. The aim of this study was to determine the differences in knowledge of standard for providing BLS to member nursing students and non-members of Emergency Nursing Team (ENT) at University of Respati Yogyakarta. This study is a descriptive analytic comparative study with a cross-sectional design. The sampling technique used was saturated sampling in ENT members with 34 ENT members and simple random sampling for nonENT members with 34 ENT members. Data retrieval was carried out on March 18-23 2019 using the BLS standard guideline observation instrument. Bivariate analysis using the Chi-Square test with a significant level of 0.05. The majority of ENT members have a good knowledge of standard to provide BLS more than non-ENT members. The results of the statistical test between ENT membership and standard knowledge of giving BLS were obtained p-value = 0.026 (<0.05). There is a significant difference in the knowledge of the standard for providing BLS to nursing students members and not members of the Emergency Nursing Team (ENT) at the University of Respati Yogyakarta.

Keywords : knowledge, emergency

THE INFLUENCE OF HORMONE REPLACEMENT THERAPY TO THE LIFE QUALITY OF MENOPAUSAL WOMEN

Gaidha Khusnul Pangestu, Herlin Fitriana, Rosmita Nuzuliana — Tue, 19 Nov 2019 00:00:00 +0000

According to World Health Organization , there are 25 million women in the world is estimated to reach menopause phase every year. The vasomotor symptoms influence 60% to 80% women who enter menopause phase. Premenopause sydnrome is experience by women in the world, around 70-80% European women, 60% in America, 57% in Malaysia, 18% in China and 10% in Japan and Indonesia. Hormone replacement therapy is a therapy of estrogene hormone to decrease the menopause symptom. The purpose of this Systematic Literature Review preparation is to find evidence based about Hormone Therapy of Menopausal Women in the developed country.There were eight steps of systematic literature review which were used in this review. Those eight steps covered: identifying midwifery problem, problem priority and research question, framework of primary and secondary data, relevant study identification, prism flow diagram, critical assessment, data analysis and data extraction. This systematic literature review was done by finding articles using database such as Pubmed and Pro Quest. the effectiveness of hormone therapy to menopausal women can be seen as follow: women who is given estrogen and medroxyprogesterone have experienced better changes from the menopause sweating symptom (p=0,001), sleep problem (p=<0,001), sore throat (p=0,096), and hot flushes (<0,001)Vasomotor symptom, urogenital sysmptom, and sexual dysfunction are menopausal symptom that is mostly experienced by women in before menopause, in menopause phase and after menopause. Hormone theray is an effective therapy to tackle menopause symptoms. Stopping the hormone therapy may cause significant increase to the heavy menopause symptom, which means therapy hormone has a big role in the life quality of menopausal women.

Keywords: Hormone replacement therapy, Menopause symptom and Menopause.

MODEL OF RELATIONSHIP BETWEEN EDUCATION AND EXERCISE, INFORMATION ACCESS, NORM SUBJECTIVE WITH THE EMPOWERMENT OF FAMILY PLANNING CADRE (FPC) IN KLATEN DISTRICT

Juda Julia Kristiarini, Syamsul Hadi, Kusnandar, Endang Sutisna — Tue, 19 Nov 2019 00:00:00 +0000

This study aims to examine the relationship of education and exercise (training), access to information, subjective norms with the empowerment of family planning cadres. The study design was a correlational observational type, with a survey approach. The total sample of the study was 220 people, which were taken based on proportional cluster random sampling. Data analysis techniques use path analysis. The results of the study concluded: (1) Training does not directly influence the Empowerment of FPC; (2) Information Access has a direct effect on the Empowerment of FPC; (3) Subjective Norms directly influence the Empowerment of FPC; (4) Training directly influences Subjective Norms; (5) Information Access has a direct effect on Subjective Norms; (6) Subjective Norms are able to mediate the influence of Training on the Empowerment of FPC; (7) Subjective Norms are able to mediate the influence of Information Access on FPC Empowerment.

Keywords: education and training, access to information, subjective norms, and empowerment of FPC

EFFECTIVENESS MODEL IN INTERPROFESSIONAL EDUCATION (IPE): A SYSTEMATIC LITERATURE REVIEW

D Hartati, N Kurniati, Mufdlillah — Tue, 19 Nov 2019 00:00:00 +0000

A variety of approaches to prepare students and practitioners for interprofessional collaboration has been investigated include simulation and practice-based learning, small and large group activities, synchronous and asynchronous web-based discussion, and discussion of patient cases that focus.Disparity in quality between education and dipelayan, hence improving the health need of redesigning the health system is a key element to deliver health services and the way in which health professionals are ready to enter practice. With the way the concept of collaboration including shared responsibility, shared decision making, values together, joint planning, intervention, and a variety of professional perspectives. Then the health workforce has participated in interprofessional education (IPE), Objective: to summarize and examine the literature (literature examine) the effectiveness of the model in interprofessional education (IPE). Methods: Identification of obstetric problems, prioritize problems and research questions, define the framework, Literature searching, Election articles, Critical Appraisal, data extraction, mapping. Systematic Literature Review used the PubMed, One Search, Direct Scien databases with a period of 2008-2018 Findings: Of the 17 journals were found, thematic analysis was conducted to identify the main points. We classify the main points is a model in education and effective interprofessional education models. Conclusion: AThere are certain models of the IPE that can significantly improve the performance of collaborative interprofessional participants. And the provision of additional studies for inclusion IPE early, simulations and workshops in health professional education in general can encourage better communication and collaboration between students and health professionals. Therefore it is important to have an attitude and perception of interprofessional education (IPE). Effectiveness in interprofessional educatin (IPE) interprofessional education led to an increase in attitudes towards interprofessional team and interprofessional learning, and the ability of the interprofessional team, and the confidence, knowledge, and ability to manage people with long term conditions. Showed that administration of proven interventions directly and effectively and contribute to the development of health professionals who are ready to collaborate with others to improve services to patients.

Keywords : effectiveness, interprofessional, education

THE EFFECT OF SOCIAL, CULTURAL AND RELIGIOUS ASPECT ON THE OCCURRENCE OF EARLY MARRIAGE

Linda Yulyani, Herlin Fitriani Kurniati, Anjarwati — Tue, 19 Nov 2019 00:00:00 +0000

Early marriage is a form of violence and violation of children's rights. It occurs due to many factors.Brides of early marriage also have a greater variety of bad risks related to health. This study aims to identify how the social, cultural and religious aspects influence the occurrence of early marriage. The relevant studies were searched systematically using 4 databases (PubMed, Ebscohost, ProQuest, and Science Direct), according to keywords that have been predetermined. Searches were restricted to the articles from 2008-2018. Articles were selected based on PRISMA guidelines. Then the researchers conducted critical appraisal. It was found 9 articles in the form of qualitative studies that meet the inclusion criteria and had good quality of article. The findings and analysis revealed that readiness to get married was often assessed based on signs of physical change and puberty that occur in adolescents by the social environment including family members. Therefore, there was not enough power for teenagers to make decisions. The influence of culture and perceptions of early marriage made women unaware of the dangers or effects of early marriage, which caused this practice keep going on. Meanwhile, religion or belief was often a factor that triggers or reinforces the making of early marriage decisions. Based on the results of this systematic literature review, it is found that social, cultural and spiritual aspects play important roles in influencing early marriage decisions.

Keywords: early marriage, PRISMA, bad risks

FACTORS OF LOW WEIGHT BABIES INCIDENCE ON TEENAGE PREGNANCY: A SYSTEMATIC LITERATURE REVIEW

Rabiatunnisa, Herlin Fitriani Kurniati, Anjarwati — Tue, 19 Nov 2019 00:00:00 +0000

Teenage pregnancy is a global problem in countries with high, medium and low income. In the worldwide, teenage pregnancy is more likely to occur in peripheral communities. It is due to poverty, lack of knowledge and education, and no job opportunities. Marriage at a young age often results in young childbirth. Childbirth in adolescence (before the age of 20 years) is associated with a number of complications, infant mortality, and low birth weight. This situation is due to immaturity of the reproductive organs of adolescents for pregnancy so that it can adversely affect maternal health and fetal development and growth.. The aim of this study was to find out the factors associated with the incidence of low birth weight babies in teenage pregnancies.

RELATIONSHIP BETWEEN ANEMIA AND THE QUALITY OF LIFE OF CLIENTS OF CHRONIC KIDNEY DISEASE UNDERGOING HEMODIALYSIS

Siti Jundiah, Rizki Muliani, Elmi Alawiyah — Tue, 19 Nov 2019 00:00:00 +0000

Chronic kidney disease can cause various kinds of complications, and to prevent these complications, one of the treatment measures is done by hemodialysis. Clients who undergo hemodialysis are susceptible to emotional problems and thus have an impact on decreasing quality of life. The quality of life of clients of chronic kidney disease is influenced by psychosocial factors and clinical factors, one of which is anemia. Clients with severe and prolonged anemia will experience mental and physical fatigue, decreased exercise capacity, impaired cognitive function, decreased libido and lost sexual and appetite functions which can affect the quality of life of clients. Therefore this study aims to determine the relationship of anemia to the quality of life at clients of chronic kidney disease undergoing hemodialysis. The research method used was descriptive correlational with a cross-sectional approach. The sample of this study was 57 people using purposive sampling technique, with criteria for routine CKD clients and having undergone hemodialysis for more than 6 months, hemoglobin < 10 mg/dl, age > 18 years. Instruments for measuring quality of life using the WHO-QoL Bref questionnaire, and to determine anemia seen from Hb levels taken from medical records. Data were analyzed using Spearman Rank test. The results showed more than half (0.2%) had mild anemia and more than half (54.4%) had a high quality of life. The results of the Rank Spearman correlation test obtained a value of p = 0,000 so it can be concluded that there is a relationship between anemia and the quality of life of clients of chronic kidney disease undergoing hemodialysis. Therefore, it is expected that hospitals will continue to provide health education continuously, continue to provide varied types of food, and can facilitate the formation of associations of clients, families, and officers.

Keywords : anemia, quality of life, hemodialysis

THE EFFECT OF WORK DISCIPLINE AND ORGANIZATIONAL CULTURE ON EMPLOYEE PERFORMANCE IN TYPE D GENERAL HOSPITALS IN DKI JAKARTA (Study at Type D General Hospital in East Jakarta)

Ign. A. Wirawan Nugrohadi, Nurminingsih, Pujiwati — Tue, 19 Nov 2019 00:00:00 +0000

This study aims to determine whether there is an influence between work discipline on employee performance, is there an influence between organizational culture on employee performance and to find out whether there is an influence between work discipline and organizational culture together on employee performance at Type D General Hospital Jakarta East. This research method is quantitative with a two-step approach and uses analysis of Structural Equation Modeling (SEM) methodology. The population in this study were all leaders and employees of the Type D General Hospital in DKI Jakarta, which numbered 19 Type D General Hospitals as many as 2645 people and 248 samples were calculated with Slovin sample formula. The results of the study concluded that work discipline had a significant positive effect on employee performance, organizational culture had a significant positive effect on employee performance, work discipline and organizational culture had a significant positive effect on employee performance at Type D General Hospital in East Jakarta

Keywords: work discipline, organizatioal culture, job performance, hospital, structural equation modeling

BUDGET ANALYSIS CASH FLOW WITH MODEL ANALYSIS BY MILLER AND ORR AS A MAIN ELEMENT SUPPORTING POLICY OFTIMIZATION, PLACEMENT OF FOUND AND DEBT MANAGEMENT AT THE PT JASA MARGA (PERSERO) Tbk

Maya Sova — Tue, 19 Nov 2019 00:00:00 +0000

Fund placement optimization policy and debt management are the composition of short-term debt and long term debt used by the company. Therefore, the main problem of the debt management is treasury cash management arrangements which aim to maximize the utilization of cash without neglecting the companyâ€Ÿs liquidity. The company has cash based on variety of motives that the transaction motive, motive of precaution and speculation motive. Model Miller and Orr used in this study was to determine the cash optimum, where the model assumption Miller and Orr, cash flow in to and out irregular in both time and amount for each period but the distribution of daily cash flow ( the difference between cash coming in and cash out) is normal. The conclution of this study are a model of Miller and Orr shows the characteristic activities of the funding requirements, combined with the risk analysis decisions more optimal relative, because of the potensial gain from excess funds more leverage and the potensial high cost of funds on debt management more minimal.

Keywords: Cash, Debt Management and Model Miller and Orr

IS THE FINANCIAL PERFORMANCE OF INSURANCE COMPANIES LISTED IN IDX ABLE TO MAKE PROFITABILITY AFTER THE EXISTENCE OF BPJS?

Nuraini, Ani, Ismaya, Brata, Sakti, Piguno Amrih, Baharudin, Agus — Tue, 19 Nov 2019 00:00:00 +0000

Public health insurance is very important to maintain and improve a personâ€™s life quality. The existence of BPJS, Social Insurance Administration Organization which provides medical coverage program for Indonesians, influences insurance companies that have been selling health insurance products. This paper aims to conduct research on how is financial performance of insurance companies after BPJS is formed. This study will not compare how is the financial performance of insurance companies before and after the existence of BPJS. Rather, it will focus on the ability of insurance companies in making significant profit growth after the existence of BPJS. The financial ratios used are NPM for dependent variable, and DER, DAR, ROE and ROA for independent variable. They are used to analyze net profit margin of 10 insurance companies listed in Indonesia Stock Exchange in 2014-2018. This research uses purposive sampling method and panel data. This research uses panel least square with fixed effect and is used as an analysis tool t-test and F-test are used for hypothesis testing. The study indicates that the financial ratios are : DAR and ROE of insurance companies significantly influence NPM, then DER and ROA is not significant. Based on the results, it is concluded that with the existence of BPJS, financial performance in form of financial ratios of insurance companies reduce the ability of insurance companies to generate profits.

Keywords: DER, DAR, ROE, ROA, NPM, BPJS, Financial Performance

EFFECT OF THE PERFORMANCE ASSESSMENT OF WORK SATISFACTION AND WORK ACHIEVEMENT OF NON PNS EMPLOYEES IN KEMAYORAN REGIONAL PUBLIC HOSPITAL

Nurminingsih, Sylvia Sari Rosalina, Wansaria Bancin — Tue, 19 Nov 2019 00:00:00 +0000

The aim of this study was to analyze the effect of performance appraisal on job satisfaction, the effect of performance appraisal on work performance and the influence of job satisfaction and work performance. The method used by the writer in this study is a method with a quantitative approach with the type of descriptive research and data analysis techniques of this research by using Generalized Structured Component Analysis (GSCA). Data collection techniques used are field research using questionnaires, interviews and study literature. test for validity and reliability, and test linearity assumptions. The population of this study was all non-civil servant employees of the Regional General Hospital at a number of 133 people as the research sample. From the results of research conducted, the authors get a description of the variables of performance appraisal that have a significant positive effect on job satisfaction. Performance appraisal has a significant negative effect on work performance and performance appraisal has a positive and not significant effect on work performance. Linearity test results: performance appraisal variables with significant job satisfaction, performance appraisal variables with significant work performance and job satisfaction variable with significant work performance variable. The assumption of linearity can be said to be fulfilled by using GSCA, the predictive power of observation variables at the individual level and at the construct level. The results of GSCA analysis test for performance appraisal variable measurement model (X1) is 18.53 * significant at 95% confidence level, the results of GSCA analysis test for measurement of work satisfaction indicator (Y1) model is 11.87 (CR).

Keywords: job satisfaction, performance appraisal, work performance

THE EFFECT OF OBESITY ON INCIDENCE OF PREECLAMPSIA ON PREGNANCY: A Systematic Literature Review

Tety Septiani, Yekti Satriyandari, Dhesi Ari Astuti — Tue, 19 Nov 2019 00:00:00 +0000

Preeclampsia is a complication that is very dangerous and can influence 2-8% of pregnancy. Globally, more than 287,000 women die every year due to complications in pregnancy. 10-15% of them are caused by preeclampsia. Preeclampsia remains a significant problem in threatening health in developed and developing countries. However, the impact of preeclampsia is more severe in developing countries, where treatment may be ineffective because of the delay of treatment. Obesity is the most common problem in midwifery that affects maternal and child health since it may cause short-term and long-term problems for mothers, such as increasing the risk of gestational diabetes and preeclampsia. The purpose of this systematic literature review is to conclude and explore the literature related to obesity and the incidence of preeclampsia in pregnant women. Systematic literature review utilized Pubmed, Proquest and Ebsco databases from 2008 to 2018. From the 1646 initial articles identified, this study analyzed 7 articles that fulfilled the criteria. The study found that the factors affecting the occurrence of eclampsia were maternal age, primiparas, maternal obesity, history of preeclampsia, and maternal education. It was found that the high BMI of a mother before pregnancy (Pre-pregnancy) is a risk factor for the occurrence of preeclampsia. Besides, overweight and obese during pregnancy can cause preeclampsia, and these factors can also cause severe preeclampsia.

Keywords: obesity, preeclampsia, pregnancy

THE FACTORS INFLUENCING EXCLUSIVE BREASTFEEDING: A SYSTEMATIC LITERATURE REVIEW

Nova Arami, Sri Ratnaningsih, Ismarwati — Tue, 19 Nov 2019 00:00:00 +0000

Globally, there are only 35% of babies who get exclusive breastfeeding in the first four months of life. In Africa, Asia, America and Caribbean countries prove that 47-57% of babies who are less than 2 months and 25-31% of babies aged 2-5 months get exclusive breastfeeding. Africa is one of the counties that have the highest prevalence of breastfeeding at the age of 1 year worldwide, but only 37% of babies who get exclusive breastfeeding less than 6 months of age. Breast milk is a good food and nutrition for babies because it contains a complete range of nutrients needed by babies for the growth and development of babies during the first 6 months of life. The aim of this study was to conclude and examine (Examine literature) the factors related to exclusive breastfeeding. Systematic Literature Review used 2 databases namely PubMed and ProQuest with the period 2008-2018. Factors influencing the discontinuation of exclusive breastfeeding were based on the experience of breastfeeding mothers, education, knowledge, age, occupation, support, culture, lack of health facilities, lack of awareness of mothers, Caesarean babies, low birth weight babies. Factors that support exclusive breastfeeding were the support of the husband or family, health care, psychological factors, social support and so forth. Overall rates of breastfeeding varied by country and region. Factors influencing exclusive breastfeeding could be seen from two aspects, namely factors that support exclusive breastfeeding and the factors that inhibit exclusive breastfeeding.

Keywords: babies, exclusive breastfeeding, breast milk

THE EFFECTIFITY OF HYDROYTHERAPY TOWARDS THE REDUCTION OF LABOR PAIN

N A Rahayu, H F Kurniawati, R Nuzuliana — Tue, 19 Nov 2019 00:00:00 +0000

The labor pain is a physiological response, however it can cause catecholamine increase. This can disturb uterine contractions until it can cause uterine inertia, old parturition, oxygen in the fetus is not strong until fetus distress, and also the motherâ€™s death or the fetus if the labor pain is not handled. Therefore, pain management is important for the mother during the labor. The aim of this study was to know the effectivity of hydrotherapy towards the decrease of labor pain. This study was conducted by employing systematic literature review of 12 articles taken from the PubMed and ProQuest databased. Inclusion criteria (articles 2008-2018, Full text, qualitative study design). Critical Appraisal was done with Joanna Brigs. Furthermore hydrotherapy which is treated on the giving birth mother during the active phase is proven effective in decreasing the pain and anxiety, preventing long parturition, decreasing the action of obstetrics such as episiotomy and amniotomy, increasing the prosperity of the mother and the newborn baby, and giving positive labor experience for the mother. Hydrotherapy is effective in decreasing the labor pain. A further study related to pain management non pharmacology can be conducted deeper.

Keywords : the effectifity; hydroytherapy; labor pain

THE EFFECT OF HORMONAL CONTRACEPTION ON FEMALE SEXUAL DYSFUNCTION : A SYSTEMATIC LITERATURE REVIEW

Yolanda Montessori, Yekti Satriyandari, Dhesi Ari Astuti — Tue, 19 Nov 2019 00:00:00 +0000

One of the side effects of hormonal contraception is sexual dysfunction. Sexual dysfunction can cause serious problems such as depression, emotional disorders, mental health disorders, dissatisfaction in husband and wife relationships, decreasing harmony and reducing the quality of life for women. The aim of this study was to determine the effect of hormonal contraception on the sexual function of women who became family planning recipients. Systematic literature review used search engines in the PubMed, Proquest and Science Direct databases from January 2008 to December 2018. The cause of sexual dysfunction in female hormonal contraceptive acceptors was hormonal changes. Factors that influence included age, race, parity, socioeconomic status, education level, depression, health conditions, body mass index (BMI), partner ownership, interpersonal, socio-cultural, alcohol consumption, pregnancy and smoking. The impact of sexual dysfunction in women covered depression, emotional disturbances, mental health disorders, physical health problems, anxiety and fear that affected the satisfaction of marital relationships. It is expected that health workers provide counseling regarding the long-term side effects of hormonal contraceptive use and become a consideration for policy makers to promote family planning programs for men.

Keywords : hormonal, contraception, sexual dysfunction

THE EFFECT OF GIVING KROKOT LEAVES AND BREAST CARE TOWARDS THE SMOOTHNESS OF BREAST MILK ON PARTURITION MOTHER

Ernawati, Siti Nurjanah, Wijayanti — Tue, 19 Nov 2019 00:00:00 +0000

Krokot (Portulaca oleracea, L.) is a plant that can be used as traditional medicine for smoothing breast milk circulation in order to prevent pain and swollen. Breast swelling occurs because breast milk is not breastfeeded sufficiently, until the breast milk residual is collected on ductal system which causes swelling occurance. In pain management on breast swelling, it will be more effective if combining two or more existed non pharmacology methods. One of the combination is giving krokot leaves and breast care. Both of these methods are effective methods in smoothing breast milk circulation by decreasing pain on breast swelling. The study aims to know the effect of giving krokot leaves and breast care towards the smoothness of breast milk production on parturition mother.Method used was Quasy Experimental without control group with Pre-Post test Design approach. The population were 32 parturition mother at BPM Mira as the research subjects, divided into two experimental groups. The research instruments were observation and questionnaires. The analysis used T-Paired test or Dependent (T-test Result obtain tcount value 2,177 and p-value 0,038 which explanis that there is different effect between giving krokot leaves and breast care towards the smoothness of breast milk production. Conclusion is that giving krokot leaves and breast care gives effect towards the smoothness of breast milk production .

Keywords: breast care, breast milk

THE LEADERSHIP EFFECT AND ACHIEVEMENT MOTIVATION ON PERFORMANCE LECTURE AT PUBLIC UNIVERSITY AT JAMBI CITY

Tina Rosa, Yusdi Anra, Ign. Anindya Wirawan Nugrohadi — Tue, 19 Nov 2019 00:00:00 +0000

The objective of the research is to obtain information the effect leadership and achievement motivation on performance lecturer at Public University of Jambi City.. The research was conducted by using a survey method with path analysis applied in testing hypothesis. In this research lecturer has been chosen as a unit analysis was 150 samples of lecturer were selected stratified random sampling. The results of the research are as follow: 1) ) there is direct effect of leadership on performance; 2) ) there is direct effect of achievement motivation on performance; 3) there is direct effect leadership; 3) ) there is direct effect of leadership on motivation. Based on the above findings can be concluded that, leadership, motivation can improve performance of lecturer of public university at Jambi City.

Keywords: Leadership, Achievement Motivation, Performance Lecturer

EFFECT OF MUSA ACUMINATA CAVENDISH SUBGROUP (AMBON BANANA) IN REDUCING BLOOD PRESSURE

Aprilia Susanti, Fitria Eka Resti, Reni purbanova — Tue, 19 Nov 2019 00:00:00 +0000

Hypertension is a public health problem that occurs a lot, many people do not realize that they suffer from hypertension, this is due to symptoms that are not real and at an early stage before causing serious health problems, new symptoms are evident at age 50s. Because Its presence is still difficult to detect and control, it is not surprising if hypertension is dubbed as "the silent killer" or an unexpected killer (Julianti.2005). The chemicals contained in hypertension drugs will have an impact on the body if taken too long. Nonpharmacological therapy can be given to patients with hypertension such as Banana Ambon (Musa Acuminata). Ambon banana plant (Musa acuminata 2011) flourishes in tropical regions such as Indonesia (Yuliarti, 2011). Besides its relatively safe and healthy use, Ambon banana is also cheap and easy to obtain. But now its existence is only known as just fruits and basic ingredients for making snacks and drinks. Therefore, research on Ambon banana is very important to do. The purpose of this study was to analyze the effect of Cavendish Subgroup Musa acuminata (Ambon Banana) in Reducing Blood Pressure.

Keywords : musa acuminata cavendish subgroup, ambon banana, blood pressure

FACTORS THAT INFLUENCE THE ADHERENCE OF PREGNANT WOMEN IN CONSUMING IRON SUPPLEMENTS: SYSTEMATIC LITERATURE REVIEW

Juanda Syafitasari, Fitria, Esitra — Sun, 22 Dec 2019 00:00:00 +0000

The main problem of iron in pregnancy is adherence, because women often fail to take supplement regularly as medical worker recommendation because of various factors and this also thought to be potential to increase high prevalence of anemia in pregnant women.The purpose ofthis systematic review is to find out the factors that are related to pregnant mother adherence towards iron consumption. This apprasial study used Joana Briggs Institute (JBI), and the sythetic method used PEOS modification.The result of five journals that fulfills inclusion criteria obtained factors that influence pregnant women adherence in consuming iron supplements that are age, education, occupation, knowledge, socio-economy, and ANC visits.There are relationship of pregnant women adherence in consuming fe tablets with age, education, knowledge, ANC visits, occupation parity and parity. Factor that most related to pregnant women adherence in consuming fe tablets is ANC frequency.

Keywords: adherence, factors, consumption, iron supplements, and pregnancy

ANEMIA IN EACH TRIMESTER WITH LOW BIRTH WEIGHT : A SYSTEMATIC LITERATURE REVIEW

Dewi Murtiningih, Nidatul Khofiyah, Dewi Rokhanawati — Sun, 22 Dec 2019 00:00:00 +0000

Low birth weight has negative impacts towards the baby's health, both short and long term. This occurs by several factors and one of the highest one is caused by anemia. There is substantial evidence of a U-shaped curve that shows the lowest hemoglobin concentration in pregnancy of the second trimester. The effect anemia in pregnancy and the incidence of low birth weight have different results in each trimester. The aim of this study was to analyze further effect of anemia in the respective trimester towards low birth weight. This review has eight stages, including identifying midwifery problems, determining the priority of problems and research questions, determining the framework, searching for literature, selecting articles, critical assessment, data extraction and mapping. Furthermore, with research articles from 2 databases (Pubmed and ScinceDirect) with quantitative methods. Anemia in the first trimester does not affect the occurrence of low birth weight if it does not continue to the later trimester. But anemia in the second and third trimesters potentially affect low birth weight and premature birth, with highest risk if it occurs in the third one.Conclusion: Abnormal hemoglobin concentrations in pregnant women can cause poor neonatal outcomes, namely as low birth weight.

Keywords: anemia, low birth weight

THE INFLUENCE OF THE BREAST MILK COMPLEMENTARY FOOD EDUCATION CLASS (MPASI) AIMI DEPOK

Yuna Trisuci Aprillia, Farahdibha Tenrilemba, Kusmayra Ambarwati. — Sun, 22 Dec 2019 00:00:00 +0000

Toddlers are a community group that is vulnerable to nutrition, where the prevalence of malnutrition is highest in this group. Nutritional problems, especially malnutrition, turned out to have a number that was still quite high and tended to increase. According to RISKESDAS report (2013), malnutrition in Indonesia was recorded at 19.6% and short toddler problems, namely stunting at 37.2%. The prevalence in West Java for malnutrition in the West Java region is still above 15%, and the stunting rate is above 32%. The Breast Milk Complementary Food Education Class (MPASI) organized by the Indonesian Breastfeeding Mothers Association (AIMI) Depok a trained breastfeeding counselor accompanies, provides relevant information and discussion on the Importance of MPASI, WHO MPASI according to Balanced Nutrition and Challenges in Giving MPASI. The purpose of this study was to determine the effect of breast milk supplementary education (MPASI) classes organized by the Indonesian Breastfeeding Mothers Association (AIMI) Depok on Participant Knowledge about MPASI. The type of research used is a quasi-experiment with the design of one group pre-posttest design. Method: The population and sample in this study were all participants to the MPA AIMI Depok in 2017 and 2018 who filled the Pre and Post-tests. Result: Based on the results there is a difference between pre - and post-test obtained p-value 0.0001 (Î± <0.05), meaning that there is a significant difference between pre-test and post-test knowledge after participating in the AIMI MPASI Education class. 8 (15%) respondents experienced a decline in value, 34 (66%) respondents increased, and 10 (19%) respondents remained. Suggestions for this research are expected to be carried out regularly and integrated into more communities.

Keywords: Knowledge, support, education, toddlers

THE LEADERSHIP EFFECT AND ACHIEVEMENT MOTIVATION ON PERFORMANCE LECTURE AT PUBLIC UNIVERSITY AT JAMBI CITY

Tina Rosa, Yusdi Anra, Ign. Anindya Wirawan Nugrohadi — Sun, 22 Dec 2019 00:00:00 +0000

Keywords: Leadership, Achievement Motivation, Performance Lecturer

EFFECT OF MUSA ACUMINATA CAVENDISH SUBGROUP (AMBON BANANA) IN REDUCING BLOOD PRESSURE

Aprilia Susanti, Fitria Eka Resti, Reni purbanova — Sun, 22 Dec 2019 00:00:00 +0000

Hypertension is a public health problem that occurs a lot, many people do not realize that they suffer from hypertension, this is due to symptoms that are not real and at an early stage before causing serious health problems, new symptoms are evident at age 50s. Because Its presence is still difficult to detect and control, it is not surprising if hypertension is dubbed as "the silent killer" or an unexpected killer. The chemicals contained in hypertension drugs will have an impact on the body if taken too long. Nonpharmacological therapy can be given to patients with hypertension such as Banana Ambon (Musa Acuminata). Ambon banana plant (Musa acuminata 2011) flourishes in tropical regions such as Indonesia. Besides its relatively safe and healthy use, Ambon banana is also cheap and
easy to obtain. But now its existence is only known as just fruits and basic ingredients for making snacks and drinks. Therefore, research on Ambon banana is very important to do. The purpose of this study was to analyze the effect of Cavendish Subgroup Musa acuminata (Ambon Banana) in Reducing Blood Pressure.

Keywords : musa acuminata cavendish subgroup, ambon banana, blood pressure

INVESTIGATION ANALYSIS OF PATIENT SAFETY INCIDENT AT X HOSPITAL JAKARTA

Sun, 22 Dec 2019 00:00:00 +0000

Patient safety is patient free from injury that is not supposed to occur or free from potential hazards that will occur incidents, like as Potential Injury Conditions, Non-Injury Events, Near Injuries, Events Not expected, and sentinel events. All incidents that occur must be reported and found the root cause. Hospital X has implemented a patient safety program, but still shows the standards set cannot be fulfilled, there are many events that have the potential to cause harm and even threaten safety patient, and investigative analysis has not been carried out to find the root cause. The purpose of this study is to find out the main cause of the investigation of the incidence of patient safety at X Hospital. Cases found with yellow (high) and red (extreme) risk degrees were carried out with a comprehensive investigative analysis using the Root Cause Analysis (RCA) method, using the help of fishbone diagrams, univariate analysis was also conducted to determine the frequency distribution of each incident that occurred. There were 10 incidents of patients falling (26.3%) consisting of 6 cases falling out of bed, 2 cases falling in the toilet, and 2 cases falling in the corridor. Based on the results of the assessment of risk bands, including the red (extreme) category. The results of the investigation found that the main cause was an installed safety bed fence and a slippery toilet floor. The incidence of falling patients is caused by the bed safety fence that is not installed and the floor is slippery.Â

Keywords: investigation, incident, patient safety

THE ANALYSIS OF CONFORMITY OF CONTRACEPTIVE USE ON ACTIVE FAMILY PLANNING ACCEPTORS IN CIGALONTANG, CIGALONTANG HEALTH CENTER 2018

Hapi Apriasih Tupriliany Danefi — Mon, 18 Nov 2019 00:00:00 +0000

Abstract In the last decades, the population in Indonesia is growing rapidly, placing it as the fourth largest population country in the world. According to the IDHS 2017, contraceptive use among married women in Indonesia increased from 60% in 2002-2003 to 63.3%, the highest increase occurred in the use of injectable contraceptive methods, the use of intrauterine devices (IUDs) decreased over the past 10 years. The right method is needed to reduce the birth rate. Contraceptive use is influenced by several factors, namely social and economic demographic characteristics, attitudes related to the structure and formation of the family, factors related to services, family planning service providers and knowledge about contraception and attitudes toward contraception. Whereas, the suitability of contraceptive use is influenced by family planning requests including goals, age, parity and medical history. The method of this study is descriptive quantitative. The analysis used is univariate analysis. The respondents of this study were all active family planning program acceptors, using sampling techniques with a total sampling of 488 active acceptors of keluarga berencana (KB) program. Based on the results of the study, the method of contraception used by respondents showed that injecting was used by 348 people (71.3%), 63 people consumed pill (12.9%), 49 people (10%) for IUD, 23 people used implants (4,7%), 5 people for MOW (1%). Among respondents, there are 307 people in age range 20-35 (62.9%), 169 people are above 35 (34.6%), and 12 people are under 20 (2.5%). The parity of respondents consisted of primigravida with 118 people (24.2%), 340 people (69.7%) are multigravida, and 30 people (6.1%) are grandemultipara. There are 422 of respondents (86.5%) who did not have issue with health and 66 of respondents (13.5%) had issue. Family planning program were delayed for 124 people (25.4%), 248 people (50.8%) limited themselves on the program and 116 people (23.8%) stopped the program. From the suitability of KB use based on analysis of age parity, medical history and family planning goals, it was found that 303 respondents (62.1%) were suitable for using contraception while 185 respondents (37.9%) were not suitable for using contraception. It can be concluded that many injection and pill acceptors still do not fit the criteria and medical feasibility of contraceptive use, namely injecting (76.2%) and pills (23.8%).

SCREENING AND FACTORS ASSOCIATED TUBERCULOSIS IN TASIKMALAYA REGENCY IN 2019

Wuri Ratna Hidayani — Mon, 18 Nov 2019 00:00:00 +0000

Abstract Tuberculosis is an infectious diseases with an agent Mycobacterium tuberculosis with attachks the lung organs. In 2011 the prevalence of Indonesian population diagnosed with pulmonary TB by health workers in West Java was 0,7%. In 2018 in the Health Departement recorded average of around 800 cases of tuberculosis found in Tasikmalaya region for the past 3 years [1]. The purpose of this study was to determine the results lt of to knowing tuberculosis screening in Tasikmalaya district. In addition to knowing the relationship between age, sex, source of finding, type of PMO, th results of the examination with the incidence of pulmonary TB in Tasikmalaya District in 2019. This study was an observational analytic study were all people who were sceened in Tasikmalaya regency Januari 2019. The sample of this study was that people who were screened for phlegm aged 1-75 years were selected based on inclusion criteria in totality sampling and purposive sampling in January 2019. They were reffered to pulmonary TB screening test in the form of smear test, TCM, test rongent, mantoux test as many as 279 people. Data was collected from the results of health center screening checks in Tasikmalaya District, Tasikmalaya Hospital and Singaparna Medical Center wich were recorded by pulmonary TB cadres of the Institute of Health Nahdlatul Ulema Tasikmalaya Regency January 2019. Data analysis used were univariate and bivariate and multivarate. The result of this study indicate that screening used the BTA test has a sensitivity of 93,33%, spesivisity of 92,22%, Positive Predictive value of 66,66%, Negative Predictive value of 98,8%. In TCM test sensitifity of 92%, spesivity of 98,37%, Positive Predictive value of 92%, Negative Predictive value of 98,37 % with p= 0,00. Bivariate analysis showed that there was a relationship between age, sex, source of finding, type of PMO, the results of the examination with the incidence of pulmonary TB. Age (RR= 2,03; CI 95%= 1,15-3,57; p= 0,01), sex (RR= 1,59;CI 95% = 0,95-2,63;p= 0,03); source of finding (RR =2,69; CI 95%=1,19-6,06); type of PMO (RR=0,14; CI 95%= 0,10-0,200; p=0,00); the results of the examination (RR= 58,4; CI 95%= 18,847-181,06; p=0,00). Multivariate analysis showed the source of case finding (p=0,021) and the result of examination (p=0,036) significant with pulmonary TB. The conclusion of the best screening test for sensitivity and spesivisity is the TCM test. Source of finding was the most dominant factors with pulmonary TB. The recomendations of this study were expected to be more enthusiastic for people in pulmonary TB screening as an effort to prevent early detection of pulmonary TB.

The Effect Of Giving The RASTTLE Formula (Beras Tempe ToloLele) Towards The Recovery Of Nutritional Status Of Malnutrition Toddlers In Tasikmalaya Sub-District

Sulistyoningsih H Fitriani S Susanti S — Mon, 18 Nov 2019 00:00:00 +0000

Tasikmalaya District Health Service noted that in 2014, more than 6,000 children under the age of five (toddlers) had been diagnosed to have dystrophy, and there were 169 toddlers who were suffering from malnutrition. An untreated malnutrition can increase toddlers and children death rates, decreasing quality of life, disruption of growth, and mental development disorders. For this reason, efforts are needed to restore the nutritional status of malnourished children through appropriate high nutritional feeding. The formula for giving the formula consists of rice, tempeh, tolo beans and catfish (or RASTTLE in Indonesian acronym) towards the recovery of nutritional status of malnutrition toddlers in Tasimalaya sub-district. The study was conducted in four subdistricts in Tasikmalaya sub-district. The study sample consists of 20 toddlers with poor nutrition divided into case and control groups. As many as 10 toddlers got PMT recovery and also got the RASTTLE formula (case group) and 10 toddlers only got PMT recovery without the RASTTLE formula (control group). Respondents in this study were all mothers or caregivers of toddlers who were sampled. The variables measured include the nutritional status of children by using weight / height index. The results showed that before getting treatment, the mean weight and height index of the case group was -2,344 while the index mean of weight and height in control group toddlers was -2.8640. After three months of treatment, the average changes in weight and height index for toddlers who got the RASTTLE formula (case) is up to 1.611, while the in group that doesn't get the RASTTLE formula (control) is up to 0.244. Thus, there is the effect of giving RASTTLE formula for the recovery of nutritional status of malnourished children in Tasikmalaya Regency (p = 0.001). RASTTLE formula can be developed as an alternative formula to help restoring nutritional status in malnourished children. In order for foods made from RASTTLE basic ingredients can be received and consumed by food suppliers, the creation is needed in the food making process and presentation.

THE ANALYSIS OF CONFORMITY OF CONTRACEPTIVE USE ON ACTIVE FAMILY PLANNING ACCEPTORS IN CIGALONTANG, CIGALONTANG HEALTH CENTER 2018

Hapi Apriasih, Tupriliany Danefi — Thu, 28 Nov 2019 00:00:00 +0000

In the last decades, the population in Indonesia is growing rapidly, placing it as the fourth largest population country in the world. According to the IDHS 2017, contraceptive use among married women in Indonesia increased from 60% in 2002-2003 to 63.3%, the highest increase occurred in the use of injectable contraceptive methods, the use of intrauterine devices (IUDs) decreased over the past 10 years. The right method is needed to reduce the birth rate. Contraceptive use is influenced by several factors, namely social and economic demographic characteristics, attitudes related to the structure and formation of the family, factors related to services, family planning service providers and knowledge about contraception and attitudes toward contraception. Whereas, the suitability of contraceptive use is influenced by family planning requests including goals, age, parity and medical history. The method of this study is descriptive quantitative. The analysis used is univariate analysis. The respondents of this study were all active family planning program acceptors, using sampling techniques with a total sampling of 488 active acceptors of keluarga berencana (KB) program. Based on the results of the study, the method of contraception used by respondents showed that injecting was used by 348 people (71.3%), 63 people consumed pill (12.9%), 49 people (10%) for IUD, 23 people used implants (4,7%), 5 people for MOW (1%). Among respondents, there are 307 people in age range 20-35 (62.9%), 169 people are above 35 (34.6%), and 12 people are under 20 (2.5%). The parity of respondents consisted of primigravida with 118 people (24.2%), 340 people (69.7%) are multigravida, and 30 people (6.1%) are grandemultipara. There are 422 of respondents (86.5%) who did not have issue with health and 66 of respondents (13.5%) had issue. Family planning program were delayed for 124 people (25.4%), 248 people (50.8%) limited themselves on the program and 116 people (23.8%) stopped the program. From the suitability of KB use based on analysis of age parity, medical history and family planning goals, it was found that 303 respondents (62.1%) were suitable for using contraception while 185 respondents (37.9%) were not suitable for using contraception. It can be concluded that many injection and pill acceptors still do not fit the criteria and medical feasibility of contraceptive use, namely injecting (76.2%) and pills (23.8%).

The Effect Of Giving The RASTTLE Formula (Beras Tempe ToloLele) Towards The Recovery Of Nutritional Status Of Malnutrition Toddlers In Tasikmalaya Sub-District

Sulistyoningsih H, Fitriani S, Susanti S — Thu, 28 Nov 2019 00:00:00 +0000

Tasikmalaya District Health Service noted that in 2014, more than 6,000 children under the age of five (toddlers) had been diagnosed to have dystrophy, and there were 169 toddlers who were suffering from malnutrition. An untreated malnutrition can increase toddlers and children death rates, decreasing quality of life, disruption of growth, and mental development disorders. For this reason, efforts are needed to restore the nutritional status of malnourished children through appropriate high nutritional feeding. The formula for giving the formula consists of rice, tempeh, tolo beans and catfish (or RASTTLE in Indonesian acronym) towards the recovery of nutritional status of malnutrition toddlers in Tasimalaya sub-district. The study was conducted in four sub-districts in Tasikmalaya sub-district. The study sample consists of 20 toddlers with poor nutrition divided into case and control groups. As many as 10 toddlers got PMT recovery and also got the RASTTLE formula (case group) and 10 toddlers only got PMT recovery without the RASTTLE formula (control group). Respondents in this study were all mothers or caregivers of toddlers who were sampled. The variables measured include the nutritional status of children by using weight / height index. The results showed that before getting treatment, the mean weight and height index of the case group was -2,344 while the index mean of weight and height in control group toddlers was -2.8640. After three months of treatment, the average changes in weight and height index for toddlers who got the RASTTLE formula (case) is up to 1.611, while the in group that doesn't get the RASTTLE formula (control) is up to 0.244. Thus, there is the effect of giving RASTTLE formula for the recovery of nutritional status of malnourished children in Tasikmalaya Regency (p = 0.001). RASTTLE formula can be developed as an alternative formula to help restoring nutritional status in malnourished children. In order for foods made from RASTTLE basic ingredients can be received and consumed by food suppliers, the creation is needed in the food making process and presentation.