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Fitri Devi Lestari Izaak; Rini Hadiyanti

The International Conference on Education, Social Sciences and Technology 2022 International Forum of Researchers and Lecturers

The goal is to get a sense of the shop ambiance, promotions, and customer purchasing interest at Kopitema. The study technique employed is a descriptive and verification strategy. The procedure of gathering data by delivering questionnaires to Old Coffee customers as responses. Even while respondents' answers to promos are fairly positive, there are still low ratings, indicating that they still need to be improved. Similarly, consumer purchasing interest in Old Coffee based on respondents' comments is deemed strong, but the evaluation remains low and has to be improved. Partially, it was discovered that the shop environment impacts customer purchasing interest.

Ruri Maiseptya Sari; Sanisahhuri Sanisahhuri; Martini Martini

Jurnal Kesehatan Medika Udayana 2022 Sekolah Tinggi Ilmu Kesehatan Kesdam IX/Udayana

Background: One of the factors of the high MMR in Indonesia is due to the relatively low coverage of help by health workers. Puprose: The purpose of this study was to determine the relationship of family and socioeconomic support with the choice of delivery place in Puskesmas Tebing Tinggi. Methods: This study is analytic survey with cross sectional design. The research population in this study was trimester III pregnant women in Puskesmas Tebing Tinggi in July 2019, amounting to 52 people. The sample in this study was third trimester pregnant women who are in Tebing Tinggi Health Center taken in total sampling. Data collection is done using primary data. Results: The results of the study of 52 pregnant women respondents who chose non-health service facilities were 31 respondents and those who chose health service facilities were 21 respondents. From 52 family respondents who support as many as 30 respondents and do not support as many as 22 respondents, from 52 respondents with socioeconomic <UMR as many as 35 respondents and ? UMR as many as 17 respondents. Chi-square test results obtained value ?2 = 4.278 with p value = 0.05 meaning that there is a relationship of family support with the choice of delivery place in Tebing Tinggi Health Center with a moderate category. Chi-square test results (Pearson chi-square) obtained value ?2 = 8.27 with p value = 0.05 means that there is family support by choosing the place of delivery at Tebing Tinggi Health Center with a moderate category. Conclusion: It was concluded that there was a significant relationship between family support and socio-economics with the choice of delivery place in the Tebing Tinggi Health Center with a moderate category.Keywords: Family Support; Economic Sociology; Selection of Childbirth

Ida Rahmawati; Fernalia Fernalia; Ani Safitria

Jurnal Kesehatan Medika Udayana 2022 Sekolah Tinggi Ilmu Kesehatan Kesdam IX/Udayana

Background: Surgery is an invasive procedure by making an incision due to certain indications. Patients who will undergo surgery tend to have high anxiety. Purpose: This study aims to determine the effect of music therapy on preoperative patient anxiety at RSUD Dr. M. Yunus Bengkulu. Method: The study design used a pre-experimental design with one group pretest post test. The population in this study were all preoperative patients in the Flamboyan room of RSUD Dr. M. Yunus Bengkulu. Samples in the study of pre-operative patients who were met during the study were 32 people. the sampling technique uses accidental sampling. Sample criteria include: preoperative patient major surgery. Data collection techniques using primary data in the form of preoperative questionnaires for anxiety measurement. Anxiety questionnaire that HARS (Hamilton Anxiety Rating Scale). The statistical test used is the t-test. Results: The results showed that p = 0,000 <0.05 was significant. There is a significant influence of musik therapy on surgery patient anxiety in Dr. M. Yunus Bengkulu. Conclusion: Musik therapy provides a relaxation response to the body so that it can reduce anxiety levels. It is hoped that nurses can provide modality therapies such as musik therapy to preoperative patients, in order to reduce anxiety that occurs during the operating room.Keywords: Anxiety; Classical musik therapy; Preoperativ

Sugianto, Made Agus

Jurnal Kesehatan Medika Udayana 2022 Sekolah Tinggi Ilmu Kesehatan Kesdam IX/Udayana

ABSTRACTBackground: The report of the Covid-19 Task Force in Badung Regency shows an increasing trend of Covid-19 cases in Badung Regency from March to August 2020.Purpose: the purpose of this study is to obtain a map of the Covid-19 risk areas in the Badung Regency. Methods: the method in this study is a descriptive-analytic with a cross-sectional study design. This research was conducted in Badung Regency for two months from 15 July to 15 September 2020 using secondary data from the daily reports of the Covid-19 Task Force in Badung Regency from 23 August 2020 to 23 September 2020. Results: the results of the zoning mapping from the Epidemiological aspect showed that 4 sub-districts (66.6%) of the 6 sub-districts were the Covid-19 red zones. From the aspect of Regional Capability in Handling Cases of Covid-19 Infection, it shows that all districts are included in the High Response category in handling Covid-19, and from the aspect of Regional Ability to Trace the History of Close Contact of People Infected with Covid-19 it appears that 3 districts (50%) are included in the category of areas with moderate ability, while the other 3 sub-districts are included in the category of regions with low ability. Conclusion: Based on the results of this study, it is concluded that the level of the spread of Covid-19 in the Badung Regency is very high, even though the level of readiness of the Government in handling Covid-19 cases is very good. The geography of the area bordering other districts/ cities and high population mobility are suspected to be the triggers for the high number of Covid-19 cases.Keywords: Mapping; Covid-19; Badung Regency ABSTRAKLatar belakang: laporan Satuan Tugas Covid-19 Kabupaten Badung menunjukan tren peningkatan kasus Covid-19 di Kabupaten Badung dari bulan Maret hingga Agustus 2020. Tujuan: tujuan penelitian ini adalah untuk memperoleh gambaran peta daerah risiko Covid-19 di Kabupaten Badung. Metode: metode dalam penelitian ini adalah descriptive analytic dengan desain crosssectional Study. Penelitian ini dilaksanakan di Kabupaten Badung selama dua bulan dari tanggal 15 Juli sampai dengan 15 September 2020 dengan menggunakan data sekunder laporan harian Satuan Tugas Covid-19 Kabupaten Badung dari tanggal 23 Agustus 2020 sampai dengan 23 September 2020. Hasil: hasil pemetaan daerah dari aspek Epidemiologi menunjukan sebanyak 4 kecamatan (66,6%) dari 6 kecamatan merupakan zona merah Covid-19. Dari aspek Kemampuan Daerah Dalam Menangani Kasus Infeksi Covid-19 menunjukan bahwa semua kecamatan masuk dalam kategori Respon Tinggi dalam penanganan Covid-19 dan dari aspek Kemampuan Daerah Dalam Melakukan Penelusuran Riwayat Kontak Dekat Orang Yang Terinfeksi Covid-19 nampak bahwa 3 kecamatan (50%) masuk dalam kategori Daerah Dengan Kemampuan Sedang, sedangkan 3 kecamatan lainnya masuk dalam kategori Daerah Dengan Kemampuan Rendah. Simpulan: berdasarkan hasil penelitian tersebut disimpulkan bahwa tingkat persebaran Covid-19 di Kabupaten Badung sangat tinggi, meskipun tingkat kesiapan Pemerintah dalam menangani kasus Covid-19 sangat bagus. Geografis daerah yang berbatasan dengan kabupaten/kota lain serta tingginya mobilitas penduduk di duga sebagai pemicu tingginya kasus Covid-19.Keywords: Pemetaan; Covid-19; Kabupaten Badung

Daryaswanti, Putu Intan; Kadek Yoga Dwipranata; Ni Wayan Deani

Jurnal Kesehatan Medika Udayana 2022 Sekolah Tinggi Ilmu Kesehatan Kesdam IX/Udayana

Background: Diabetes Mellitus is a degenerative disease caused by changes in lifestyle such as diet can play a role in increasing blood glucose levels. This change in lifestyle is due to a lack of patient knowledge about DM management, leading to failure in DM management and complications for type II DM. The purpose of this study to determine the level of knowledge of Type 2 Diabetes Militus patients in RSUD Wangaya Kota Denpasar. Method: The method used in the study is to use descriptive methods. The study population was patients visiting the Wangaya Hospital Polyclinic in Denpasar City with medical diagnosis of type II DM. The research sample of 30 respondents with purposive sampling. The data obtained from the questionnaire that had previously been tested for validity and reliability. Then the data is analyzed univariately to see the patient demographic characteristics and is presented in the frequency distribution. Results: the results of the study obtained the level of patient knowledge about management of Type 2 DM (73.3%) in either category. When viewed by the DM management component, the patient's knowledge of DM (63.3%) is sufficiently knowledgeable, the patient's knowledge of diet (63.3%) is good, the DM patient's knowledge of medicine (90.0%) is well-informed and knowledgeable DM patients about physical exercise (60.0%) lack knowledge. Conclusion: knowledge of type II DM patients about DM management as a whole is well known, but when elaborated the components of DM management which consist of the concept of disease from type II DM, diet, medication and physical exercise are not fully well known.Keywords: Type 2 diabetes mellitus; DM management; Knowledge

Kadek Ayu Suarmini; Nyoman Mandayani; Ketut Siya Darmini; I Gede Purnawaman; I Nyoman Subanda

Jurnal Kesehatan Medika Udayana 2022 Sekolah Tinggi Ilmu Kesehatan Kesdam IX/Udayana

Backgroud: Public services perfomed by government officials in various sectors at this time are still found weaknesses. Weaknesses that occur when providing public services certainly have an impact on the quality of services received by the community. One of the public services performed by professional organizations is carried out by the branch manager of the Indonesian Midwives Association (IBI), Buleleng Regency. As for the form of public service provided is the management and extension of the midwife registration certificate (STRB) for the midwife. Purpose: The purpose of this study is to measure the midwife satisfaction index of public services conducted by the branch manager of the Indonesian midwives’ branch of the Buleleng branch. Method: The research design used is descriptive research. The population in this study were all members of STRB. The sampling technique used is probability sampling technique with simple random sampling. Data collection techniques using a questionnaire with 14 closed questions. The questionnaire was distributed through WhatsApp IBI Buleleng group by providing a link for filling out the questionnaire on google form. Result: The results of this study of the 14 elements are almost entirely namely 13 elements that are in the good category and only one element that is in the category of not good enough category in the speed of service. Conclusion: Thus, it can be concluded that the portrait of the midwife satisfaction index of public services in the Buleleng Regency is in the good category, so it can be said that the quality of the services of the IBI PC on the Buleleng Regency is also in the good category.Keywords: Administration; Midwife; Society Satisfaction Index; Public Services

Artawan, I Kadek; Wijaya, I.M.S; Arini, L.A; Sunirda, I.N

Jurnal Kesehatan Medika Udayana 2022 Sekolah Tinggi Ilmu Kesehatan Kesdam IX/Udayana

Background: Acute Myocardial Infarction (AMI) is one of the cardiovascular emergency diseases. Sign and symptoms of IMA that accompany patients coming to the Emergency departement are complaints of chest pain. Chest pain is a response that occurs due to ischemia in the myocardium. Untrained chest pain more than 20 minutes will result in irreversible heart damage. The purpose of this case study is to describe emergency nursing care in IMA patients with acute pain Method: The method used in this paper is a descriptive method with a case study approach that describes the condition of two patients suffering from IMA with acute pain. The tools used to retrieve data are IMA observation checklists and interview sheets. The data obtained were analyzed by narrating the data obtained and comparing the existing theory. Results: The IMA patient assessment focused on secondary assessment of SAMPLE. Chest pain data were obtained through the PQRST approach so that the main nursing problem was acute pain. Emergency measures performed by oxygen delivery as nonpharmacological therapy and administration of anti-ischaemic therapy and fibrinolysis as pharmacological therapy. Evaluation performed for 1 hour, the results obtained are reduced pain from the weight scale to moderate. Conclusions: As emergency nurses should pay attention to IMA assessment on secondary assessment and collaborate with medical personnel to reduce pain with pharmacological and nonpharmacological therapies.Keywords: Acute Myocardial Infarction (AMI); Acute Pain; Nursing Care; Emergency

Damayanti, Ni Made Ayu; Suardana, I Wayan; Manafe, Neil Oktovianus; Putra, I Gede Yudiana

Jurnal Kesehatan Medika Udayana 2022 Sekolah Tinggi Ilmu Kesehatan Kesdam IX/Udayana

Background: Hypertension has now become a global problem because its prevalence continues to increase along with lifestyle changes that include unhealthy habits. the aim is to find out a description of lifestyle in hypertensive patients in West Denpasar Health Center II. Method: The study design was descriptive with the Cross Sectional approach. The sample in this study were all hypertensive patients who were treated at the Denpasar Public Health Center II. The sampling technique is Acidental sampling with a sample of 46 respondents. The research instrument used was a questionnaire sheet. The results of data processing are presented in narrative form, frequency distribution tables are accompanied by interpretations. Results: Hypertension sufferers in West Denpasar Health Center II were 27 respondents (58.7%) who did not have the habit of consuming excess salt; 26 respondents (56.5%) who did not have coffee consumption habits; 34 respondents (73.9%) who did not have the habit of consuming liquor; 32 respondents (69.6) did not have smoking habits; 26 respondents (56.5%) respondents did not have enough hours of rest / sleep; respondents who do sufficient activities / sports; 46 respondents as many as 25 respondents (54.3%) obeyed taking drugs; 25 respondents (54.3%) did not routinely carry out tension control; 30 respondents (65.2%) faced maladaptive stressors. Conclusion: To reduce the incidence of hypertension in patients with hypertension, health promotion programs to the public regarding hypertension factors need to be optimized.Keywords: Hypertension; Lifestyle

Purnami, Ni Wayan; Rahayu, V.M.E Sri Purwadmi; Dira, I Ketut; Daryaswanti, Putu Intan

Jurnal Kesehatan Medika Udayana 2022 Sekolah Tinggi Ilmu Kesehatan Kesdam IX/Udayana

Background: Chronic kidney disease is a progressive and irreversible renal function disorder in which the body's ability to fail to maintain the metabolism and balance of fluids and electrolytes causes uremia. One medicine for the treatment of chronic kidney failure is hemodialysis therapy. Ironically, many patients undergoing hemodialysis experience anxiety. This study aims to determine the efforts to overcome the anxiety of chronic kidney failure in patients undergoing hemodialysis in the Hemodialysis Room of Sanglah Hospital, Denpasar. Method: The research design used was a descriptive analysis approach survey. The study sample used was kidney failure patients who experienced chronic hemodialysis anxiety and light using consecutive sampling technique. Data obtained in April 2012 by filling out a questionnaire about efforts to overcome data analysis anxiety in univariate. Results: Of the 40 respondents who underwent hemodialysis, there were 28 people (70%) experiencing moderate anxiety and 12 people (30%) experiencing mild anxiety. And to overcome anxiety is 27 people (67.50%) doing cognitive therapy and 13 people (32.50) doing relaxation techniques. Conclusions: Some efforts made such as cognitive therapy and relaxation techniques can reduce anxiety in patients with chronic renal failure undergoing hemodialysis.Keywords : Chronic Kidney Failur; Hemodialysis; Fear

I.W Edi Parjana; N. M. S Muryani; I. W Suarjaya

Jurnal Kesehatan Medika Udayana 2022 Sekolah Tinggi Ilmu Kesehatan Kesdam IX/Udayana

Background: Hallucinations are one of the mental disorders in which the client experiences sensory changes in perception, feels a false sensation in one's senses which is not really there. The family is the closest person to the patient's family role that can be carried out by family to family members who experience hallucinations is to help clients know hallucinations and train clients to control their hallucinations. Objective: The purpose of this study was to describe the role of families in treating patients with sensory perception disorders: hallucinations. Results: The results of the study were obtained in fulfilling the patient's self-care who had a good role, namely 7 (21.9%) family members, patient health care as many as 7 (21.9%) family members, prevention of potential patient accidents as many as 8 (25 , 0%) family members and were prevented from withdrawing from the environment as many as 11 (34.4%) family members who received patients with hallucinations. Conclusions: conclusions were obtained as many as 6 (18.8%) family members who play a good role in caring for patients with hallucinations. 26 (81.3%) family members did not play a good role in caring for family members with hallucinations.Keywords: Role of family; hallucinations

Kadek Agus Dwija Putra

Jurnal Kesehatan Medika Udayana 2022 Sekolah Tinggi Ilmu Kesehatan Kesdam IX/Udayana

Background: The prevalence of anemia in adolescent girls in Indonesia according to WHO reaches 30%, and in the 2013 Riskesdas report recorded 18.4% of adolescents have anemia with the highest percentage in the female sex of 23.9%. Anemia in adolescents can cause delay in physical growth and behavior and emotional disorders. This study aims to determine the relationship between knowledge about anemia and nutritional status with the incidence of anemia in young women in Badung Regency. Method: This study uses analytic cross sectional design with a sample of 106 adolescent girls aged 15-18 years in high school, Badung Regency. Data collection was carried out directly on respondents in each school, for anemia data was collected by examining blood samples or hematology panels (hemograms) with an Hematology Autoanalyzer tool, data on knowledge of anemia was carried out by means of interviews using questionnaire guidelines, and nutritional status data was carried out by how to measure anthropometry (body weight and height) to get a IMT value. The analysis conducted is univariate analysis to determine the distribution and frequency of variables and bivariate analysis using the Kai-Kuadrat/Chi-Square test with the help of the SPSS program. Result: The prevalence of anemia in young women is 13.2%. Most had normal nutritional status of 77.4%, while others were categorized as abnormal / malnutrition (2.8% thin, 17.0% fat, 2.8% obese). For the level of knowledge obtained, the majority of 77.4% have a good level of knowledge in the category of anemia. Kai-Square / Chi-Square test results showed that, there was a significant relationship between knowledge about anemia and anemia in adolescent girls (95% CI: 1.93-20.77; p = 0.003). There was no significant relationship between nutritional status and anemia in adolescent girls (p = 0.301). Conclusion: Poor knowledge about anemia is associated with the incidence of anemia in young women, whereas nutritional status is not related to the incidence in young women. It is expected that related parties make a policy regarding anemia screening and education activities especially for young women. Keywords: Anemia; Knowledge; Nutritional status

B Hamzah; St. Rahmawati Hamzah

Jurnal Kesehatan Medika Udayana 2022 Sekolah Tinggi Ilmu Kesehatan Kesdam IX/Udayana

Background: Premarital sexual behavior is one of the result of promiscuity. This problem tends to be carried out by middle adolescent groups (15-18 years). Around 63% of junior high school, high school and university-age adolescents in Indonesia claimed to have had premarital sex. Some permissive dating behaviors performed by adolescents include holding hands when dating (92%), kissing (82%), and petting (63%). Purpose: This purpose ostudy aims to determine the relationship of parental supervision and information media with premarital sexual behavior in adolescents at State High School No 1 Kotamobagu. Method: This study applied an analytic cross-sectional design with a sample of 299 school-age adolescents aged 14-18 years. The sampling technique used was stratified random sampling. Data were collected by direct interviews with respondents and analyzed univariately and bivariately using the chi square test. Results: The results of the study based on the chi square test showed that there was a relationship between parental supervision (p=0.006) and information media (p=0.001) with premarital sexual behavior in adolescents. Conclusion: There was a relationship between parental supervision and information media with sexual behavior in adolescents at State High School No 1 Kotamobagu. It is recommended to the relevant parties to play an active role in conducting supervision and providing sexual education early on so that students avoid premarital sexual behavior.Keywords: Information Media; Parental Supervision; Premarital Sexual Behavior

Ummu Khalishah, Andriani

Jurnal Kesehatan Medika Udayana 2022 Sekolah Tinggi Ilmu Kesehatan Kesdam IX/Udayana

Background: Menstrual cycle is the time since the first day of menstruation until the arrival of next menstrual period. Menstrual cycle ideally regular every month with a span of time between 21 to 35 days each time the menstrual period and menstrual cycle can vary in women during different times of life depending on various things, one of which in the stress factor. In it’s effect on the menstrual cycle, stress involves the neoro-endocrinological system as a large system of it’s role in female reproduction. This menstrual cycle disorder involves an integrative regulatory mechanism that affects the body biochemical and cellular processes including the brain and psychological. Purpose: The pupose of this study was determine the relationship of stress to the menstrual cycle for students of Islamic Boarding School of Ummu Sulaim Pekanbaru Year 2018. Method: This research uses quantitative analytic research type, with cross sectional design using questionnaire as a measuring tool as well as sampling was stratified random sampling. Results: The results of this study indicate that moderate stress with irregular menstrual cycles that have equal to 57,1% p value 0,001 > ? 0,005 means there is a relationship of stress to the menstrual cycle on students. Conclusion: The researcher’s suggestion is expected for students of Islamic Boarding School of Ummu Sulaim Pekanbaru in order to make good time management so that all activities, duties and memorization do not accumulate so it does not become burden which make student stress and consequently will affect the cycle of menstruation.Keyword : Stres, Menstrual cycle

Mukhlidah Hanun Siregar; Ratu Diah Koerniawati

Jurnal Kesehatan Medika Udayana 2022 Sekolah Tinggi Ilmu Kesehatan Kesdam IX/Udayana

ABSTRACTBackground: Essential Fatty Acids (EFAs) are one of the nutrients that are essential for the body growth and development of the brain. Omega-3 is a type of EFA and has a rele to form the immune system and development of the brain a fetus. Purpose: Therefore, this study was conducted to analyze the intake of omega-3 in pregnant women and to explore the types of local foods and ingredients that are often consumed and are source of omega-3. Methods: This study used a cross sectional design, and data were obtained by interviewing respondents using a characteristic questionnaire, food recall and semi-quantitative FFQ for the last 6 months. Results: The results showed that the average intake of omega-3 for pregnant women in trimester 3 was 0.126 grams per day. Types of food that are a source of omega-3 are fish, especially sardines, milkfish, tuna, and anchovies. The frequency of these food sources was 1-2 times per week. The average intake of omega-3 in pregnant women was still very low compared to the recommended RDA from MoH which is 1.4 grams every day. Conclusion: So, it is necessary to consider taking fish oil supplements for pregnant women adjusting to status of pregnancy.Keywords : Omega-3; Pregnancy; Stunting ABSTRAKLatar Belakang: Essensial Fatty Acid (EFA) merupakan salah satu asupan zat gizi yang sangat penting untuk pertumbuhan tubuh dan otak. Omega-3 merupakan salah satu jenis EFA yang memiliki peran dalam membentuk sistem imunitas dan perkembangan otak pada janin. Tujuan: Oleh karena itu, penelitian ini dilakukan untuk menganalisis asupan omega-3 pada ibu hamil serta mendalami jenis makanan dan bahan pengan lokal yang sering dikonsumsi dan merupakan sumber pangan omega-3. Metode: Penelitian ini menggunakan desain cross sectional, dan data diperoleh dengan wawancara kepada responden menggunakan kuesioner karakteristik, food recall dan FFQ semi kuantitaitf 6 bulan terakhir. Hasil: Hasil penelitian menunjukkan bahwa rata-rata asupan omega-3 ibu hamil trimester 3 sebesar 0,126 gram per hari. Jenis makanan yang merupakan sumber omega-3 adalah ikan utamanya ikan sarden, bandeng, tongkol, dan teri. Frekuensi konsumber jenis makanan tersebut 1-2 kali per minggu. Rata-rata asupan omega-3 pada ibu hamil masih sangat rendah dibandingkan dengan anjurkan AKG yaitu 1,4 gram. Simpulan: Oleh karena itu, perlu dipertimbangkan untuk mengonsumsi suplemen minyak ikan pada ibu hamil sesuai dengan status kehamilan.Kata kunci : Omega-3; Kehamilan; Stunting

Kristian, I Wayan Aryo Rumambi; Sumirta, I Nengah; Suarnata, I Ketut; Muryani, Ni Made Sri

Jurnal Kesehatan Medika Udayana 2022 Sekolah Tinggi Ilmu Kesehatan Kesdam IX/Udayana

Background: The presence of schizophrenia in the family is a very heavy stressor that must be borne by the family. Families who have family members with schizophrenia can increase stress and family anxiety. The purpose of this study was to describe the level of anxiety of families with one of their family members suffering from schizophrenia at Poliklinik Jiwa Rumah Sakit Jiwa Provinsi Bali. Method: This research is a quantitative research with descriptive research design with consecutive sampling technique, with a sample of 30 respondents. Results: Most of the families of schizophrenia patients experienced mild anxiety levels of 12 (40.0%) respondents, moderate anxiety as many as 11 (36.7%) respondents, severe anxiety as many as 6 (20.0%) respondents, and panic was experienced by 1 (3.3%) respondents. Conclusion: Most of the families of schizophrenic patients experience mild anxiety, as many as 12 with symptoms often feeling lethargic, muscle twitch, tremor, and often feeling short of breath.Key words: Family; Anxiety; Skizofrenia

P Novi Sagitarini

Jurnal Kesehatan Medika Udayana 2022 Sekolah Tinggi Ilmu Kesehatan Kesdam IX/Udayana

Background: Globally, cervical cancer ranks fifth and ranks second in all cancers in women in Indonesia. One of the factors that influence the incidence of cervical cancer is the age of first sexual intercourse. About 33.3% of female adolescents started dating when they were not yet 15 years old, at that age it was feared that they did not have adequate life skills, so they were at risk of having unhealthy dating behaviors such as premarital sex. Providing information related to HPV vaccination can increase their knowledge so that it will affect how young women behave towards prevention of cervical cancer through HPV vaccination. This study aims to determine the relationship between knowledge and attitudes of young women to prevent cervical cancer through HPV vaccination. Methods: The cross sectional survey was conducted on 269 people. Data was collected in December 2016-January 2017 using questionnaire. Bivariate data analysis using Rho Spearman test to determine the relationship between knowledge and attitudes of young women to prevent cervical cancer through HPV vaccination. Results: The results showed that there was a significant relationship between knowledge and attitudes of young women towards the prevention of cervical cancer through HPV vaccination with p values <0.05 and r = 0.859. Conclusion: The attitude of young women towards the prevention of cervical cancer through HPV vaccination is related to the knowledge possessed by the teenager.Keywords: Attitude; HPV vaccination; Knowledge; Teenage girl

NLP Arista Candra Dewi; Ni Made Sintha Pratiwi; Ni Luh Seri Astuti

Jurnal Kesehatan Medika Udayana 2022 Sekolah Tinggi Ilmu Kesehatan Kesdam IX/Udayana

Background: Anxiety is a feeling of discomfort, a feeling of fear caused by anticipation of danger. The impact of anxiety is bad for mother and fetus, so it needs to do intervention for resolving the anxiety. Pregnant gymnastics is one way to reduce anxiety in pregnant women. The purpose of this study knowing the effect of pregnancy exercise on the level of anxiety in prenatal mothers in the third trimester at the RSIA Cahaya Bunda Gerokgak Tabanan.Method: The desaign used the pre-experimental design of one pretest posttest group, the research subjects were prenatal mothers in the third trimester, with non probability sampling used a purposive sampling method. The research instrument with the HARS questionnaire. Statistical tests used the Wilcoxon Test, with a confidence level of 95% and p <0.05.Results: The results of the pretest were moderate anxiety of 63.3% and severe anxiety 36.7%, after the intervention, the results of the posttest score were mild anxiety (60.0%), no anxiety (36.7%) and moderate anxiety (3.3%). The Wilcoxon analysis test results get a value of ? = 0,000 and the value of ? is smaller than ? (5%) or 0.05, it means there is a significant effect of pregnancy exercise on the level of anxiety in prenatal mothers in the third trimester.Conclusion: There was a decrease in the level of anxiety before the intervention was given and after the intervention was given, so that there was the influence of pregnancy exercise on the anxiety level of prenatal pregnant women in the third trimester.Keywords: Anxiety leve;, Pregnant gymnastic; Prenatal in the third trimester

Melani Kartika Sari; Maulana Rahmat Hidayatullah

Jurnal Kesehatan Medika Udayana 2022 Sekolah Tinggi Ilmu Kesehatan Kesdam IX/Udayana

Background: Anxiety is a psychological problem that often occurs in the elderly. Anxiety is a feeling of worry whose object is biased or unclear towards something that is not certain. This is often related to the various physical, social, and economic changes that occur in the elderly due to the aging process. Laser acupoint is an alternative intervention developed from acupuncture and acupressure using low-energy laser light which aims to balance body energy and homeostasis. Purpose: The aims of this study was to analyze the effect of laser acupoint on anxiety in the elderly. Methods: This type of research is pre-experimental, one group pre-post test design with a total sample of 26 respondents. Data were collected using the Geriatric Anxiety Inventory (GAI). The points used on the Laser Acupoint are He Ku (Li. 4), Sen Men (HT.7), Tai Chong (LR.3) and Sing Cien (LR. 2). The intervention was carried out for 20 minutes, with a frequency of 2 times a week, and carried out for 6 times of therapy. Data analysis used the Wilcoxon sign rank test. Result: the result of p = 0.00 with a confidence level of 95%. This shows the effect of laser acupoint on anxiety in the elderly. Conclusion: Acupoint laser can be used as an alternative intervention in overcoming anxiety in the elderly.Keywords: Laser acupoint; Anxiety; Elderly

Alvin Abdillah; Luluk Fauziyah J

Jurnal Kesehatan Medika Udayana 2022 Sekolah Tinggi Ilmu Kesehatan Kesdam IX/Udayana

Background: Dementia in the elderly is a chronic confucius condition and the loss of cognitive abilities globally and progressively is associated with physical problems. Family health tasks as a support system are very important for people with dementia in order to do their daily activities. Purpose: This research aims to find out the relationship between family health tasks and dementia rates in the elderly. Methods: This research used analytical research type with cross sectional approach. Sample as much as 40 dementia elderly with total sampling technik. The dependent variable in this study was the dementia level in the elderly, while the independent variable was the family health task. Results: Based on the results of research, it was found that most of them have less family health duties and almost half of them with the level of dementia was severe. The Spearman Rank test resulted obtained p = 0.000 (?= 0.05), there was relationship between family health duties and the level of dementia in the elderly. Conclusion: Efforts made need to provide comprehensive and effective counseling from all sectors to the community to provide correct information about the importance of family duties or family roles to family members who have health problems, so that the community can pay attention to and care for sick families.Keywords: Family health tasks; Dementia; Elderly

Wiyani, Ni Putu; Sukarja, I Made; Krisnayani, Wina Ni Made; Daryaswanti, Putu Intan

Jurnal Kesehatan Medika Udayana 2022 Sekolah Tinggi Ilmu Kesehatan Kesdam IX/Udayana

Background: Chronic Kidney Failure is one of the important health problems in Indonesia and the world community. In Indonesia, according to data from Penetri (Persatuan Nefrologi Indonesia) the number of patients with kidney failure is estimated at 4500 people, but those detected suffering from terminal stage chronic kidney failure from those undergoing dialysis (hemodialysis) are only around 4 thousand - 5 thousand people. Cases of kidney failure in Indonesia are still relatively high every year, because there are still many Indonesian people not maintaining their diet and health. This means that chronic kidney failure ranks as one of the highest rates of disease causing death. The purpose of this study was to describe the level of adherence to patients with chronic kidney failure in undergoing a hemodialysis program in the hemodialysis room at Sanjiwani Hospital in Gianyar. Methods: This research is a descriptive observational type. This study uses a sampling technique that is purposive sampling with a total sample of 30 people. Results: In this study the results of the rate of compliance of CRF patients with hemodialysis were 27 respondents (90%) who were obedient and non-adherent as many as 3 respondents (10%). Thus most patients with chronic renal failure adhere to undergoing hemodialysis in the hemodialysis room of Sanjiwani Hospital in Gianyar. Conclusions: The conclusion of this study is that patients with chronic renal failure are expected to seek treatment regularly in accordance with the rules set by health workers. Delay of dialysis causes pulmonary complications, seizures, decreased consciousness, severe electrolyte disturbances, heart failure, which can cause death.Keywords : Chronic Kidney Failure; Hemodialysis, Compliance