PROFESSIONAL HEALTH JOURNAL

Analysis Of Potential Hazards In Boiler Parts Using Hirarc In Steam Power Plant (PLTU) Units Sebalang Generator Executor

Muhammad Suhendra Wijaya — 2024-08-15

In every workplace there is always a risk of accidents, which are related to company activities. Accidents are usually caused by people who do not meet company standards and unsafe environmental conditions. There is a potential danger which can cause work accidents. The aim of this research is to find out how to analyze potential hazards in the PLTU boiler section using HIRARC at the PLTU Nusantara Power Sebalang Generation Implementation Unit. This is qualitative research, with the approach used, namely observation and gathering information through in-depth interviews regarding potential dangers and safety risks to workers in the PLTU, the Sebalang generation implementing unit in the boiler unit. Then the HIRAR method was used. There were 6 informants consisting of 1 main, 3 key and 2 supporting informants using a purposive sampling technique. The instruments used were observation sheets regarding hazard identification, risk assessment and control, as well as HIRARC based on the provisions of PT PLN Nusantara Power Pusat. Results: In the boiler section of the Sebalang Power Plant Implementation Unit, there are potential hazards, namely physical hazards, chemical hazards and psychological hazards. Risk assessment with accumulated risk levels and severity levels based on PT PLN Nusantara Power Pusat's assessment. With elimination, substitution, engineering, administrative and PPE controls. Potential dangers that occur in the work environment: physical dangers (noise, extreme temperatures and exposure to coal dust ) , mechanical dangers (falling, slipping and tripping from heights and electric shocks), chemical dangers and psychological dangers from stress levels/workload.

Analysis Of Risk Factors For Covid - 19 Patients Using Mechanical Ventilation At Abdul Moeloek Lampung Hospital Year 2021

Nanang Dismiantoni — 2024-08-15

Considering that the number of confirmed cases of COVID-19 continues to increase, the Ministry of Health has issued Circular Letter Number HK 02.01/Menkes/ concerning Increasing the Capacity for Treatment of COVID-19 Patients in Hospitals Providing COVID-19 Services Issued 11/2021. This is especially true for patients on ventilators or in isolation rooms. This study aims to analyze the risk factors for COVID-19 patients who use ventilators at Abdul Moerok Hospital, Lampung in 2021. This research is a quantitative study using a cross-sectional design. The research was conducted at Abdul Moerok Regional Hospital from September 2022 to January 2023. The study population included 2,152 COVID-19 patients who were treated in hospital rooms and hospital wards. The sample was 337 people. Medical records are used as research instruments. Data were analyzed using univariate, bivariate and multivariate analysis. Respondents within 8 days after birth were 249 people (73.9%), 207 people (61.4%) had no complications, 250 people (74.2%) had oxygen saturation >90%, and 128 people were using a ventilator. people (38.0%). Relationship between age (p 0.001), gender (p 0.011), duration of Covid-19 disease (p 0.031), Covid-19 patients (p 0.001), and oxygen saturation (p 0.001), use of ventilators in Covid-19 patients. Oxygen saturation is the variable that has the greatest influence on the incidence of mechanical ventilation in Covid-19 patients, with a p-value of 0.001 and an OR of 68.285. It is hoped that the public will increase their knowledge so that they can avoid risk factors that can reduce oxygen saturation and maintain lung function

Analysis of the Implementation of the Community Health Center Integrated Recording and Reporting System (SP2TP) in 2024

Treviga Orbita Pangarindang — 2024-08-17

The Community Health Center Integrated Recording and Reporting System (SP2TP) is the main source of information for the Community Health Center Management Information System (SIMPUS). The impact of late reporting or the absence of monthly SP2TP reports is the unavailability of up to date data that can be used as accurate/relevant information for people who need it as research reference material. The phenomena that occur are delays in sending SP2TP reports by officers as well as delays in input and sending data to the Health Service which must be done on the 5th of every month. The aim of this research is to analyze the implementation of SP2TP in 2024. This type of research is qualitative with a phenomenological approach. The technique for determining informants uses Purposive Sampling with a total of 8 informants. Data collection carried out included in-depth interviews, FGDs, and observations. This research uses triangulation of sources, methods, and time. Data analysis in this research used the NVivo application. The research results show that planning and organization are quite good, but the existing human resources have multiple tasks and do not meet the qualifications, which has an impact on the timeliness of SP2TP data collection. SP2TP coordination is carried out bottom up from the bottom, namely PJ Program to PJ Health Service starting from recording data for each program and carried out using Excel. SP2TP reporting is carried out after recapitulation by the SP2TP data manager. Suggestion: Implementation of SP2TP should use Google Form or Google Spreadsheet or a special IT application for SP2TP to facilitate reporting from the Puskesmas level to the Regency/City Health Office

RELATIONSHIP BETWEEN DURATION OF USE SOCIAL MEDIA WITH QUALITY SLEEP FOR STUDY PROGRAM STUDENTS BACHELOR OF NURSING MAHARANI STICKS POOR

Rama Putra Reynaldy — 2024-08-19

Introduction:The Sleep quality is a state where awareness of something decreases, but brain activity still plays an extraordinary role. Objectives: The purpose of this study was to determine the relationship between the duration of social media use and sleep quality in undergraduate nursing students at STIKes Maharani Malang. Methods: Correlational quantitative research design with a cross sectional approach. The number of research samples is 115 students with simple random sampling technique. Results: The results showed that the value of p = 0.003 which is smaller than α (<0.05). The value of the corelation coefficient (r = 0,272) indicates that there is a relationship between the duration of social media use and the quality of sleep in undergraduate nursing students at STIKes Maharani Malang. Conclusions: The majority or as many as 54 (47.0%) respondents had a moderate duration of social media use among undergraduate nursing study program students at STIKes Maharani Malang. The majority or as many as 98 (85.2%) of respondents experienced poor sleep quality among undergraduate nursing study program students at STIKes Maharani Malang. There is a significant relationship between the duration of social media use and sleep quality in undergraduate nursing study program students at STIKes Maharani Malang with a significance value of p = (0.003) < (0.05) so that the Ha hypothesis decision is accepted, namely that there is a relationship between the duration of social media use with sleep quality in undergraduate nursing study program students at STIKes Maharani Malang.

The Relationship between Hand Washing Compliance and the Incident of Peritonitis

Rovi Agustiono — 2024-08-20

CAPD is a dialysis method using a peritoneal membrane which is used as kidney replacement therapy. Although it is easy to implement, if it is not done correctly it can cause various complications such as peritonitis. Since the start of CAPD therapy, hand washing has been the main procedure before changing fluids. CAPD data according to IRR (2018) was confirmed from the provision of consumable medical materials or peritoneal dialysis fluid to 2,105 patients. This study aims to determine the relationship between hand washing compliance and the incidence of peritonitis in the Imam Bonjol CAPD Room, Dr. Saiful Anwar Hospital, East Java Province. This research method uses an observational analytical descriptive research design with a cross sectional method. The research sample was 177 CAPD patients using random sampling technique. The research results showed that almost all respondents had hand washing compliance in the compliant category with 147 respondents (83.1%). The research results showed that almost all respondents were in the no peritonitis category that were 153 respondents (86.4%). The results of the analysis using Fisher’s Exact Test showed that the Pvalue < α with Pvalue = 0.000 and α = 0.05, this shows that there is a relationship between hand washing compliance and the incidence of peritonitis in the Imam Bonjol CAPD Room, Dr. Saiful Anwar Hospital, East Java Province. The results show that hand washing is very important in preventing peritonitis in patients undergoing CAPD therapy. Suggestions for respondents to follow the guidelines and recommendations given by medical personnel to maintain hand hygiene, especially for CAPD patients. When possible, looking for additional information or training on hand washing practices.

PREPARATION OF 70% ETHANOL EXTRACT OF PUMPKIN NANOPARTICLES (SECHIA EDULLE) USING THE INONIC GELATION METHOD IN LOZENGES TABLET FORMULATION

Rindu Ananda Aprilia — 2024-09-27

Introduction:Chayote is a plant that is efficacious in lowering blood pressure. High blood pressure in hypertension can cause increased morbidity and mortality. These bad effects can be avoided by taking medication regularly. The aim of taking medication regularly is to ensure that drug levels in the blood remain within the therapeutic range. Apart from that, to achieve maximum drug levels in the blood is to make the drug into nanoparticles. Objectives: The aim of this research is to prepare nanoparticles of 70% ethanol extract of Chayote using the ionic gelation method. Methods:The research method is laboratory experimental. The research data is in the form of quantitative data, namely the size of the nanoparticles. Results: Nanoparticle preparation was carried out using a solution of 1% Chitosan and 0.5% Na TPP with a ratio of 2:1. The results of nanoparticle preparation were tested using Particle Size Analysis. The yield weight of the extract was also calculated at 27.73%. The measurement results of 70% Chayote ethanol extract nanoparticles were 556,5 nm. Conclusions: the particle size meets the criteria for nanoparticles of 10-1000 nm (556,5 nm).

The Effect of Giving Lemon Aromatherapy to Reduce Nausea and Vomiting in Pregnant Women in the 1st Trimester in the Working Area of Sukaraja Tiga Health Center, East Lampung

Rosalia Pertiwi — 2024-09-27

Symptoms of nausea and vomiting during pregnancy, often referred to as "morningickness", are normal physiological reactions that occur in the first trimester of pregnancy. An increase in the hormones HCG and estrogen in the body triggers nausea and vomiting during pregnancy. This treatment is divided into two, namely the use of drugs in pharmacological therapy and the use of alternative ingredients such as lemon aromatherapy in non-pharmacological therapy. This study aims to identify the impact of lemon aromatherapy in reducing symptoms of nausea and vomiting in 1st trimester pregnant women in the Sukaraja Tiga Health Center, East Lampung. The quantitative research method used is quasi-experimental with a one group pre and post test approach. The number of pregnant women in the first trimester who will be studied in the period April to May 2024 is 27 people, whose gestational age ranges from 5 to 12 weeks, and experience symptoms of nausea and vomiting. The sampling method includes all samples selected deliberately using the purposive sampling method and tested using the paired sample T test. Through statistical analysis, the results of the T test were obtained with a p-value of 0.000, or p-value <0.05, indicating that lemon aromatherapy therapy had an effect on reducing nausea and vomiting in pregnant women in the first trimester in the Sukaraja Tiga Health Center, East Lampung Working Area. The hope is that pregnant women can feel better by using lemon aromatherapy to reduce nausea and vomiting.

Analysis of Factors Associated with Wus's Decision to Use an IUD in the Working Area of the Maja Public Health Center, Lebak Regency in 2024

Indah Mulia Herwisdiane — 2024-10-05

Birth control has become a global issue of great importance in maintaining a balance between population growth and available resources. One contraceptive method that is often used is the IUD. The prevalence of IUD/AKDR family planning acceptors in Indonesia is 3.8 % and in Banten 6.09%. The IUD has been a major focus of long-term contraceptive research because of its high effectiveness, reversibility, and potential additional health benefits. The aim of the research was to determine factors related to WUS's decision to use an IUD. This type of quantitative research with a cross sectional design. The population in the study, namely women of childbearing age in the Maja Health Center Working Area, numbered 9,394 and a sample of 369 people using the cluster random sampling technique . Data analysis used univariate, bivariate ( chi square), and multivariate ( multiple logistic regression). The results of bivariate analysis showed that there was no relationship between age (p=0.405), parity (p=0.837), and occupation (p= 0.875) with WUS's decision to use an IUD. Meanwhile, education (p=0.004), knowledge (p=0.000), attitude (p=0.038), husband's support (p=0.035), and support from health workers (p=0.029) affected WUS' decision to use an IUD. The factor most related to WUS's decision to use an IUD is knowledge with OR= 9.591. The conclusion from this research is that the dominant factor related to the decision to use an IUD is knowledge. WUS should actively seek information through trusted sources such as consulting with medical personnel at community health centers or reading accurate health literature.

The Effectiveness of the Nareswari Method (Breathing, Relaxation, and Coloring) on Reducing Anxiety Levels in Postpartum Mothers"

Alfadefi Khalifatunnisak — 2024-10-12

Background: The postpartum period is a period of adaptation that is quite difficult for a mother. Various complaints can arise during the postpartum period, both physical and psychological complaints. Postpartum hormonal changes and adaptation to a new role as a mother often cause mothers to experience changes in mood, and become easily sad and sensitive. These symptoms are usually called postpartum blues. The still high rate of postpartum blues in the world, namely 70-80%, and the rate of postpartum blues in Indonesia, namely 60-70%, shows that the mental health problems of postpartum mothers require special attention. The results of a preliminary study at the Mrican Community Health Center, Kediri City, showed that 70% of 52 postpartum mothers (36 respondents) experienced anxiety during the postpartum period. In Indonesia, postpartum blues is still considered normal and does not require special treatment, even though this problem has a high impact on the welfare of postpartum mothers and their babies.
Objectives: The aim of this research is to determine the effectiveness of the Nareswari method (Breathing, Relaxation, and Coloring) in reducing the anxiety level of postpartum mothers as an effort to prevent cases of postpartum blues. The Nareswari method is a combination of hypnobreastfeeding techniques and coloring therapy (coloring).
Methods: This type of research is observational analytical experimental research with a case-control approach with two group pretest and post-test. The independent variables are hypnobreastfeeding and coloring hypnosis. The dependent variable is the level of anxiety of postpartum mothers and the number of samples in this study was 50 respondents.
Results: The results of statistical tests show a significant difference between the level of anxiety in the treatment group and the control group (p-value = 0.0000 < α value 0.05).
Conclusions: The Nareswari method is effective in reducing anxiety levels in postpartum mothers. There was a significant reduction in anxiety levels after postpartum mothers routinely used this method for one month.

The Role of E-Module Application Media as Health Literacy to Increase Knowledge of Cadres in the Prevention and Management of Diarrhea in Children

Islaeli islaeli — 2024-10-12

Introduction: Diarrhea is still a major global problem and the biggest cause of death in children under five in Indonesia. Cadres have an important role in improving children's health so it is necessary to increase knowledge about the prevention and handling of diarrhea in children. E-module application media is one of the health literacy options that can provide experience accessing the process.

Objectives: to analyze the effect of e-module application media in the prevention and treatment of diarrhea in children

Methods: Pre-experiment with one group without control pretest and post-test design was used. The population in this study was 30 posyandu cadres in Punggolaka Village using total sampling. The instrument used e-module application media to provide education on preventing and managing diarrhea in children and questionnaires to measure cadre knowledge.

Results: The results showed an increase after the post-test with a mean value of 63.00 before intervention and 85.30 after intervention, while the paired t-test showed a significant effect with a p-value of <0.001 (<0.005).

Conclusions: There is a significant effect of education through the e-module application media on the knowledge of posyandu cadres in Punggolaka Village

pilot study New Patient Orientation “KANAK”(Recognizing Pediatric Room) to Prevent Child Hospitalization

Essy Sonontiko Sayekti — 2024-10-18

Introduction: Sick children experience crisis conditions for a change of environment when they have to be hospitalized. Besides that, children must be separated from their closest people and cannot do any activities such as playing. This condition is called hospitalization. New patient orientation is an introduction provided by nurses to patients and families about the services while the children are undergoing treatment in order to be able to adapt immediately, one of which is to prevent hospitalization.

Objective: Optimizing the implementation of new patient orientation “KANAK” (Recognizing Pediatric Room) through leaflet and barcode features.

Methods: This study used a descriptive research design with a pilot study approach. The sample of this study was families of new patients in the pediatric room of Blambangan Hospital. The instruments used were KANAK guidelines, leaflets and barcode features.

Results: The results of observations of the implementation of KANAK in the pediatric room to families using leaflets and barcode features carried out by the team leader and shift supervisor for 15 patients were categorized as good. Conclusion: The implementation of new patient orientation through a pilot study approach applying SWOT Analysis and implementing the PDCA concept (Plan, Do, Check and Action) during the evaluation, decreased child hospitalization.

THE RELATIONSHIP BETWEEN GADGET USAGE HABITS, PARENTING STAYLES AND EATING PATTERNS OF CHILDREN AGED 4-7 YEARS WITH THE NUTRITIONAL STATUS

Imam Syahputra Yamin — 2024-10-26

Introduction: The rapid advancement in technology and information has significantly transformed the field of communication technology. Today, many parents intentionally give gadgets to their children, believing that these devices can serve as a distraction to keep children calm while they are at work, and to make them feel comfortable at home. However, when gadget usage is uncontrolled and used merely as a distraction tool, it may impact children's behavior and nutritional status. Objectives: This study aims to explore the effects of gadget usage habits, parenting styles, and dietary patterns on the nutritional status of children aged 4-7 years. Methods: This research uses a descriptive observational design with a cross-sectional approach. The study population includes children aged 4-7 years who use gadgets, with a total sample size of 55 children. Data analysis was carried out using the Chi-Square Test. Results: The findings show a significant influence of the three variables—gadget usage, dietary patterns, and parenting style—on the nutritional status of children, with a p-value of 0.00, which is less than 0.05. It can be concluded that gadget usage, parenting style, and dietary patterns significantly affect the nutritional status of children aged 4-7 years. Conclusions: There is a noticeable impact of gadget usage habits, parenting styles, and dietary patterns on the nutritional status of children aged 4-7 years.

Relathionship RELATIONSHIP BETWEEN FULFILLMENT OF PRE-OPERATIVE FLUID NEEDS AND THE INCIDENCE OF NAUSEA AND VOMITING IN PATIENTS POST GENERAL ANESTHESIA AT DR SAIFUL ANWAR HOSPITAL, EAST JAVA PROVINCE

Shaumi Miftahul Rasyida — 2024-10-26

Introduction: Postoperative nausea and vomiting, known as Postoperative Nausea Vomiting (PONV), is one of the problems often experienced by post-operative patients. Most anesthetic drugs have a vasodilation effect which causes hypotension and hypoperfusion, thereby stimulating the CTZ to produce nausea and vomiting reactions. Hypotension will be more dangerous if the body's fluid needs are not met at the time of surgery. Hypotension is one of the triggers that can cause nausea and vomiting. Giving fluids to preoperative patients is generally done to prevent intraoperative hypotension.

Methods: The design of this research is analytical observational with a cross sectional approach, using a proportional sampling technique with a sample of 80 respondents. This research instrument uses the RINVR observation sheet and fluid calculations based on the fresh holiday formula. Data analysis using the Fisher Test with SPSS IBM Version 23.

Results: The results showed that the majority of respondents, namely 72 (90%) channeled preoperative fluid requirements less than required, 44 respondents (55%) experienced mild nausea and vomiting, 61.1% Respondents experienced mild nausea and vomiting while meeting inadequate preoperative fluid requirements. The results of the Fisher Test statistical test obtained a value of p = 0.001, which can be concluded that there is a significant relationship between preoperative fluid requirements and the incidence of nausea and vomiting in patients after general anesthesia at RSUD dr. Saiful Anwar, East Java Province.

Conclusions: In preoperative patients, a lot of fluid is lost. Fluid lost during fasting is replaced by calculating fluid requirements per day (per hour), calculating the fasting deficit (length of fasting) or dehydration (degree of dehydration). Providing sufficient fluids can reduce the risk of postoperative nausea and vomiting under general anesthesia.

Does acupressure therapy decrease blood pressure in hypertensive elderly?

Candrawati Sang Ayu Ketut — 2024-11-11

ntroduction: Hypertension is a high blood pressure condition often referred to as the "silent killer" as it is frequently asymptomatic but can lead to a range of serious health complications, including heart disease and stroke. The prevalence of hypertension continues to rise worldwide, with projections of reaching 29% of the adult population by 2025. To control hypertension, complementary therapies such as acupressure are emerging as a supportive complement to the management of high blood pressure, especially for the elderly, to improve their quality of life and ease the burden on the healthcare system.

Objectives: to analyze the effect of acupressure therapy on blood pressure in hypertensive elderly.

Methods: Pre-Experimental Design, with a One-Group Pretest-Posttest Design.

Results: The results showed a decrease in average systolic blood pressure by 24.08 mmHg, from 148.08 mmHg in the pre-test to 124.00 mmHg in the post-test, with a p value of 0.002. In addition, there was a decrease in mean diastolic blood pressure by 11.83 mmHg, from 85.83 mmHg in the pre-test to 74.00 mmHg in the post-test, with a value of (p value 0.013). These results indicate that acupressure therapy has a significant effect on reducing systolic and diastolic blood pressure in elderly hypertension.

Conclusions: These findings support using acupressure as a complementary therapy to assist in managing hypertension in the elderly, potentially improving their quality of life and reducing the burden of hypertension-related health services.