Publication Search

Aging is an inevitable and complex process. Cognitive impairment and depression are often seen as comorbid conditions and major mental health problems affecting the elderly. Both of these have become global issues and place a heavy burden on the health care system and society. This cross-sectional study aims to determine the relationship between depression and the incidence of cognitive impairment in the elderly group (³60 years) who meet the criteria by total sampling at the Sasana Tresna Werda RIA Development Center in January 2019. Depressive disorder was measured using the Geriatric Depression Scale (GDS). The Mini-Mental State Examination (MMSE) is used to measure and identify cognitive impairments. Statistical analysis using the Fisher Exact test. Of the 56 respondents, the average age was 78.13 years with 69.6% of the respondents being women. From all respondents, it was found that 10 respondents experienced depression and 23.2% of the elderly had cognitive disorders. The results of the Fisher Exact statistical test stated that there was a significant relationship between the incidence of depression and the onset of cognitive impairment in the elderly group at Sasana Tresna Werda RIA Development (p-value: 0.041). Clinically, the elderly with depressive disorders have a 2.875 times higher risk of experiencing cognitive impairment compared to the elderly without depression. Treating depression can reduce the number of cognitive impairments in the elderly.    

Factors Associated with Completeness of Basic Immunization for Infants at Ulee Kareng Health Center. Basic immunization is a program carried out to protect a person's body from diseases that can be prevented by immunization (PD3I) caused by viruses or bacteria, including tuberculosis, polio, diphtheria, pertussis, tetanus, hepatitis B, flu, measles and rubella. Based on data from the Directorate General of Disease Prevention and Management, the Indonesian Ministry of Health in 2018, ranks of Aceh Province are the lowest in basic immunization coverage, which is 70%. This study aims to determine the factors associated with completeness of immunization in infants with quantitative analytical methods with a cross sectional design approach (Cut Latitude). The study was conducted in March-July 2021 and obtained as many as 62 samples with the sampling method by accidental sampling. The results of this study indicate that there is a relationship between mother's knowledge and completeness of infant basic immunization with a p-value of 0.000, there is a relationship between mother's education and completeness of infant basic immunization with p-value of 0.000001, there is a relationship between mother's employment status and completeness of infant basic immunization p-value 0.003, and there is a relationship between family support and completeness of basic infant immunization with a p-value of 0.000. The distance to the place of immunization service does not have a relationship with the completeness of infant immunization with a p-value of 0.054. The efforts of the puskesmas in achieving immunization completeness were scored well by conducting an assessment of planning, implementation and assessment activities using a questionnaire containing 5 questions on planning, 5 questions on implementation and 5 questions on assessment. Based on the results of this study, it can be concluded that the level of knowledge, education, employment status, and family support has a relationship with the status of completeness of infant immunization. The distance to the place of immunization service does not have a relationship with the infant's immunization status. The researcher's suggestion is to do research with a larger sample and add various other variables that have a relationship with the infant's immunization status.  

Childbirth is a series of events when a baby is released from the mother's womb, followed by the release of the placenta and fetal membranes from the mother's body (Fitriana and Nurwiyandani, 2018). Experimental research method with a design that is Control group pre test-Post test. The population in this study were all primigravid postpartum patients without complications during the first active phase in the working area of ​​the Halilulik Health Center, Naitimu Village, West Tasifeto District, East Nusa Tenggara, Using a purposive sampling technique, a sample of 16 people was obtained with a distribution of 8 people for the back rubbing massage treatment using the Power Massager (group 1) and 8 people for the back rubbing massage treatment using the hands (group 2). The results showed that the back rubbing massage treatment using a power massager obtained an average decrease in pain of 2.375, while the treatment of back rubbing massage using hands obtained an average decrease in pain of 1.250, obtained P count of 0.0013 P <0.05, So it can be concluded that back rubbing massage using a power massager is more effective than using hands in reducing pain in primigravida in parturient patients in the active phase 1. In conclusion, back rubbing massage using a power massager is more effective in reducing pain in primigravid patients in labor in the first active phase.

Background: Self-efficacy is the perception of the ability to consider and implement behavior patterns as self-regulation that is obtained through motivation and determining achievement of expectations. Good self-efficacy is needed not only for healthy people but also for sick people, especially people with chronic illnesses. Decreased self-efficacy can occur in people with chronic illnesses. We know that people with chronic diseases have long treatment programs, even for a lifetime, such as taking medication and sometimes this feels boring or boring. Consuming drugs or running a continuous treatment program can lead to boredom so that it is possible to want to stop taking medication. This is the background for wanting to know what actions can be taken to increase self-efficacy in people with chronic diseases. Self-efficacy increases if there is effort in dealing with existing obstacles. Interventions can be provided by health workers in increasing self-efficacy in people with chronic diseases. Objective: This study aims to describe the effect of Beapreasi therapy on self-efficacy in patients with chronic diseases at the Bergas Health Center, Semarang Regency. Methods: The research design used was descriptive and was carried out on 6 respondents, all of whom became the experimental group or all of whom became respondents. The method used to determine respondents is a purposive sampling technique. All respondents were assessed for self-efficacy using a self-efficacy scale questionnaire which was measured 2 times, namely before and after being given Beapreasi therapy. Results: The study showed that the mean value of the self-efficacy scale in the experimental group before the intervention was 81.79 and the value of the efficacy scale in the experimental group after the intervention was 89.36. this shows that there is an increase in the value on the self-efficacy scale and there is a difference in the mean value on the self-efficacy scale in the experimental group before giving the intervention with after giving the intervention with a p value of 0.00, p value <0.05 so that there is a significant/significant effect of giving reward therapy on improvement self-efficacy. Conclusion: Beapreasi therapeutic intervention can be used to maintain self-efficacy or increase self-efficacy in patients with chronic diseases, with the hope that patients will remain enthusiastic in carrying out their care and life. Beapreasi therapy can be used as a nurse's independent intervention in accompanying the care of patients with chronic diseases who require lifelong treatment and this is in an effort to increase self-efficacy in sufferers of chronic diseases.  

Nur Adyan Mantu. Description of nutritional status of stunting sufferers in children aged 12-60 months in the working area of the Tilango Health Center. Guided by Andi Akifa Sudirman as chairman and Dewi Modjo as member. Stunting is a condition where children experience delays in growth caused by lack of nutritional intake for a long time. Good nutritional status is necessary to maintain a degree of fitness and health, aiding growth for the child. The purpose of this study was to determine the nutritional status of stunting sufferers in children in the working area of the Tilango Health Center, Tenggela Village. The design of this study is quantitative descriptive research with. This research was conducted at the Tilango Health Center, Gorontalo Regency. The number of samples was 43 people. The results showed the most BB / U Nutrition Satus, namely Normal weight with 26 respondents (60.5%), the most BB / PB or BB / TB Nutrition Satus, namely Good Nutrition with 37 respondents (86.0%), the most PB / U or TB / U Nutrition Satus, namely Short (Stunting) with 38 respondents (88.4%). The existence of this research is expected to increase and increase maternal knowledge and awareness of the importance of maintaining and maintaining balanced child nutrition to avoid malnutrition.

TB is an infectious disease that is easily transmitted caused by the bacterium Mycobacterium tuberculosis. This bacterium can attack several organs in the body but most of these bacteria attack the lungs. The most common transmission is through droplet infection by TB patients. Efforts to convey information on media selection are very important and need to be considered because the correct selection and delivery will provide maximum results in increasing knowledge, attitudes and intentions. This type of research is qualitative research using a qualitative approach. The delivery of learning material at the Kebonsari Health Center uses online, namely like looking through social media. Based on the results of the research and also the results of the interviews conducted by the researchers, it was shown that the delivery of TB material using promotional media, print media, such as leaflets and posters, was effectively used and contributed to rehabilitation patients at the Kebonsari Health Center in Surabaya. Because patients think that the delivery of material uses a new leaflet for them and patients pay more attention to the material presented.

HIV screening services are the main entry point for services aimed at prevention, treatment, support and treatment. The use of HIV screening services by key populations, including transgender women, is important so that HIV status is monitored. Many transgender women work as commercial sex workers, so the spread of HIV is a cause for concern, so the use of HIV screening is important. The causes of the underutilization of HIV screening services need to be investigated. This study aims to examine the relationship between transgender perceptions of HIV screening services in the health center laboratory. The method used in this research is cross sectional with interview method. 80 transgender women in PERWAKOS were interviewed fulfilling the inclusion and exclusion criteria. The data were analyzed using the bivariate test to determine the relationship, the multivariate test to determine the simultaneous relationship, and the binary multiple regressions test on the IBM SPSS Statistics 23.0 for Mac software. Result: The sample size was 80 and it became 73. As many as (78%) 57 chose no stigma, (79.5%) 58 chose fast waiting time, (84.9%) 62 chose the distance from home to a close laboratory, (60.3 %) 44 perceived complete, (53.4%) 39 chose less professional. There is a relationship between the perception of transgender women on stigma by the laboratory staff (p = 0.000), the distance from the house to the laboratory (p = 0.000) and HIV screening services in the health center laboratory. In conclusion, there is a relationship between transgender perceptions of stigma by laboratory assistants, the distance from the house to the laboratory and the use of its services.

Nutritional status is a state of balance between the intake of nutrients consumed and the nutrients needed by the body which can be measured and assessed by child anthropometry. One of the dominant factors and can affect the nutritional status of toddlers is the attitude and behavior of mothers who lack awareness of the importance of toddler nutrition. The relationship between maternal behavior in feeding with the nutritional status of toddlers in the working area of the Putri Ayu Health Center, Jambi City is known. This study included quantitative research using a cross sectional design. The number of samples was 105 samples. Using the Spearman Rho statistical test. The results showed good maternal behavior obtained (88.6%), poor maternal behavior obtained (11.4%). Nutritional status of toddlers with good nutrition was obtained (79.0%), overnutrition (5.7%), undernutrition (8.5%) and poor nutrition was obtained (6.7%). The results of the Spearman Rho statistical test obtained a correlation coefficient of 0.587. The results showed that there was a relationship between maternal behavior in feeding with the nutritional status of toddlers in the Working Area of the Putri Ayu Health Center in Jambi City because the majority of respondents had good education and economic levels. It is expected that the community will increase their literacy from various sources related to toddler nutrition, especially for mothers who have toddlers to increase knowledge. The more public knowledge of the nutritional status of toddlers increases, the better the behavior of mothers in toddlers will be and the nutritional status of toddlers will increase.        

Antenatal care is care or care provided to pregnant women before birth, which is useful for facilitating healthy and positive outcomes for pregnant women. Perfect health services have an impact on the quality of service that gives satisfaction to everyone. This study aims to determine the relationship between the quality of health services (tangible, reliability) to the level of satisfaction of the visit of TM I pregnant women at the Labuhan Deli Health Center, Labuhan Deli District, Deli Serdang Regency. This research is an analytical quantitative research using a cross sectional design. The population in this study were all TM I pregnant women who visited the Labuhan Deli Health Center, namely 56 respondents at the Labuhan Deli Health Center, Labuhan Deli District, Deli Serdang Regency in 2023. The sampling technique was accidental sampling. Data collection was analyzed by chi-square test. The results of this study indicate that there is a correlation between the satisfaction of pregnant women at the Labuhan Deli Health Center, Labuhan Deli District, Deli Serdang Regency in 2023 based on the tangible dimension (physical evidence), and there is no relationship between the level of satisfaction of pregnant women at the Labuhan Deli Health Center, Labuhan Deli District, Deli Serdang Regency in 2023 based on dimension of realibility (reliability).

The first stage process is accompanied by pain which is a physiological process, a subjective experience of physical sensations associated with uterine contractions, dilatation and effacement of the cervix. Primiparous mothers often worry because they don't understand how to deal with childbirth. Primiparas tend to experience more anxiety, causing tension and fear so that they cannot endure the pain. The aim of this study was to find out the effect of the upright position on pain during the first stage of the active phase of labor for primiparous mothers at the Jumpandang Baru Health Center, Makassar. This type of research is quantitative experimental with a Post Test Only One Group Design approach. The population in this study were all mothers giving birth at the Jumpandang Baru Makassar Community Health Center from April to June 2023. The sample in this study was part of the population of mothers giving birth at the Jumpandang Baru Makassar Community Health Center from April to June 2023, totaling 15 people. with Purposive Sampling sampling technique.

A perineal tear is a tear that occurs at the time the baby is born either spontaneously or with a tool or action. The impact of perineal tears can result in continuous bleeding and infection of suture wounds in the birth canal, slow treatment can cause death in postpartum mothers to find out the relationship between the old partus and the baby's birth weight with perineal tears in pregnant women at the Wara Health Center, Palopo City in 2021. This study is a quantitative analytical research with a "cross sectional study" design. The population in this study is maternity mothers in the working area of the Wara Health Center, Palopo City. Sampling in this study uses a total sampling technique. Data collection uses questionnaires. The data that has been collected is then processed and analyzed using a laptop using Microsoft excel programs and statistical programs (SPSS). Data analysis includes univariate analysis by looking for frequency distribution and bivariate analysis with chi square test with significance level (.05). There was a relationship between the old partus and the incidence of perineal tears (p=0.020) and there was a relationship between the baby's birth weight and the incidence of perineal tears (p=0.007). There is a relationship between the old partus and the baby's birth weight with perineal tears in pregnant women at the Wara Health Center, Palopo City in 2021. for midwives in observing childbirth using a partograph is expected to be carried out well and be able to identify quickly and accurately to further increase vigilance in carrying out childbirth help so that perineal tears do not occur.

Employees are one of the resources in the company. The performance of employees in the company has an important role in selling the company's goals. This study aims to analyze the influence of components, individual characteristics, supervision and work discipline on employee performance. This research was conducted on employees of Tonjong Health Center and Kutamendala Health Center. The data used in this study are primary data obtained by distributing questionnaires to the respondents. The sample in this study were 94 respondents. The sampling technique uses probability sampling with simple random sampling method. Data analysis used multiple linear regression analysis with the help of SPSS v.29. Based on this study it is known that competence, individual characteristics, supervision and work discipline affect employee performance.

The problem of drug misuse among teenagers considered a national issue and becomes the concern quite hard to deal with. Teenagers are at risk for drug usage as this period is a phase of transition between childhood and adulthood known as a searching or self-identity period. This study aims to know the underlying factors to prevent drug use among teenagers at MAN 6 Kuta Baro, Aceh Besar. This research method used analytical design with a cross sectional approach with population of 118 adolescents and total sample of 54 teenagers. The proportional random sampling was used for data collection technique. This research was conducted on March 10, 2023 with univariate and bivariate analysis using the chi square test. The findings indicated that out of 54 respondents, 29 people (53.7%) made fewer attempts to prevent drug use, 32 people (59.3%) had less awareness of the dangers of using drugs, 35 people (64.8%) had negative atititude towards drugs, and less involvement from peers as many as 34 people (63%). These findings indicates that there is a relation between knowledge (p=0.003), attitudes (p=0.007), and the role of peers (p=0.017) with drug prevention attempts. In conclusion, the prevention of drug use is affected by knowledge, attitude, information, and the involvement of peers. It expects the research area to provide health counseling regarding drugs and collaborate with cross-sectoral organizations - The Health Offices and Public Health Centers.

Pregnancy exercise is a movement therapy therapy given to pregnant women to prepare themselves both physically and mentally for childbirth. Pregnancy exercise is needed by every pregnant woman, because it can make the body fit and healthy, and able to carry out daily activities, so that stress due to anxiety before giving birth can be minimized. However, many pregnant women do not do pregnancy exercise because they are unsure and afraid of their pregnancy if they do pregnancy exercise. Pregnancy exercise exercises that are carried out regularly both at the gym and at home in their spare time can lead pregnant women towards a physiological delivery as long as there are no pathological conditions accompanying the pregnancy. The purpose of Community Service in the Work Area of the Caile Health Center is to increase the ability of pregnant women and cadres to practice pregnancy exercises, so that they will increase the knowledge and health of pregnant women and prepare for childbirth. This community service activity begins with training for existing Posyandu cadres, providing supporting facilities and infrastructure in the form of leaflets and modules for pregnant women exercise, and doing pregnancy exercises in home care. The results of this Community Service activity are the formation of pregnancy exercise cadres, pregnant women can practice pregnancy exercise at home, as well as the provision of facilities and infrastructure in the form of leaflets and pregnancy exercise modules  

One of the main factors affecting health performance is their motivation in working. Motivation is a factor that encouragwes a person to perform a certain activity that leads to the achievement of a particular goal. The purpose of this study to determine the relationship between motivation with the performance of health personnel at Puskesmas Ridge Biak Numfor District. This research is an analytic survey research with cross sectional study method population number 55 people. Sample is 55 with purposive sampling tecniue. Data collection and processing using computer program SPSS version 16,0 by using fisher’s exact test. The reault of this research is the reward p=0,038<0,005,it show there is no relation between reward with performance of health worker, kia peer relations p=0,004.<0,005 it there is a relationsip between the co-worker relationship with Perfoemance of health worker, enviromental condition of p=o,ooo<o,oo5it there is reltion between work environment condition with health worker performance. Conclusion in this research is there is there is relation between reward an c0-worker and condition of work environment with performance of health worker. It is suggested to the Ridge Comunity Health Center to furher improve the relationships of good colleagues and increase health facilities and infratructure in providing services so that health workers can improve their performance.

The prevalence of stunting in the world is still relatively high, including in Indonesia and the Thousand Islands where the prevalence of stunting under five in the Thousand Islands Region is 27.1%. The purpose of this study was to determine the effect of a history of exclusive breastfeeding, sanitation and parenting styles on stunting in toddlers at the Puskesmas in the Panggang Island Sub-District, Seribu Islands in 2023. The type of research used in this study was to use a quantitative analytical descriptive method. The research design used was a cross-sectional or cross-sectional study. This research was conducted in the Thousand Islands Region in 2023. The time of the research was January – February 2023. This research was focused on parents who had toddlers in the Working Area of ​​the Panggang Island Village District Health Center in Thousand Islands in 2023 as many as 559 people. The required sample is 85 respondents. The sampling technique for respondents used a simple random sampling technique. The research instrument used to collect data is by using a questionnaire or questionnaire and collecting data by observation. Based on the results of the study, the effect of history of exclusive breastfeeding (P value = 0.001), sanitation (P value = 0.000) and parenting style (P value = 0.000) on stunting. The conclusion is that there is an effect of a history of exclusive breastfeeding, sanitation and parenting styles on stunting in toddlers in the Working Area of ​​the Panggang Island Village Health Center Seribu Islands in 2023.

Patient An A was brought by her parents to the Children's polyclinic at the Lhoksukon Health Center with complaints of itching all over her body since the past 2 weeks. Complaints mainly in the area between the fingers, toes and in the groin area. The patient's mother said that her child complained of itching which felt worse at night. The patient's mother said that this complaint first appeared when her first child came home from the dayah during the school holidays. 3 weeks ago the patient brought his first child to the puskesmas with the same complaint before he returned to the dayah. And now the patient has just brought An A for treatment with the same complaint. From the examination results, HR: 87 x/I, RR: 18 x/I, temperature: 36.5 C. Primary data were obtained through alloanamnesa and physical examination by making home visits, filling out family folders, and filling out patient files. The assessment was carried out based on the initial holistic diagnosis, process and end of the visit both quantitatively and qualitatively. Interventions carried out include education about the causes of scabies to their families, education on environmental sanitation and hygiene and management of the disease and explaining complications that may arise from the patient's disease so that the patient's family maintains personal hygiene and environmental cleanliness.

A 52 year old male patient with complaints of weakness in the body. Initially the patient was brought to the Health Center with complaints of weakness since 3 days. Weakness is felt suddenly throughout the body and feels continuously. Complaints of weakness are also accompanied by a feeling of dizziness in the head. The patient also complained of frequent urination at night, urinating more than 10 times in one night. The patient also constantly feels thirsty, but his appetite has decreased since the last 2 years or so. The patient feels a loss of weight. In addition, the patient also complained of a wound on his left leg which had not healed since 1 year ago. Primary data were obtained through anamnesis and physical examination by conducting home visits, filling out family folders, and filling out patient files. The assessment was carried out based on the initial holistic diagnosis, process and end of the visit both quantitatively and qualitatively. Patients and families are given education about diabetes mellitus including the symptoms and complications that will arise, education about the patient's motivation to take medication regularly as well as educating and teaching patients about foot care and diabetes exercise. An approach with family doctor intervention is able to improve habits that are influential in the treatment of diabetes mellitus.

Puskesmas as one of the most important health services infrastructure has a task for give health services to the whole of society. Puskesmas is accused to always keep patient’s trust and satisfaction by give quality services. Quality services in the context of the services at Puskesmas mean give services to the patient based on standard quality for fill up necessary and anxiety of the society, so that they can get satisfaction which finally can increase patient’s trust to Puskesmas. This study aims to determine the quality of health services, the causal factors, and the demands and needs of the community. Measurements from service quality using the SERQUAL method and data extraction is done either quantitatively or qualitatively.

Spinal pain in pregnancy is caused by hormonal, musculoskeletal, and stressful changes. Spinal pain in pregnancy if left untreated will have an impact on the quality of life and daily activities of pregnant women The management of spinal pain in pregnancy can include pharmacological and non-pharmacological. Non-pharmacological pain management is warm water therapy. Warm water therapy provides the effect of rirelaxation, vasodilation of blood vessels, removes metabolic waste that is no longer in use, and reduces muscle spasmsThe purpose of this study is to determine the effect of warm water therapy on reducing spinal pain in pregnant women at the Antang Health Center, Makassar City in 2022 This research is a quantitative study with a quasi-experimental design non-equivalent with one group pre-test post-test. The total population of 64 respondents with a sample of 30 respondents who met the inclusion criteria, the independent variable was warm water therapy and the dependent variable was the reduction of spinal pain in pregnant women. The results of the spinal pain scale study before warm water therapy were carried out on a moderate pain scale (4-6) there were 15 respondents with a percentage (50%). And after a warm compress was carried out, there were 18 respondents with a percentage (60%). The result of p value is 0.000 (<0.05), so Ha is accepted. There is an effect of providing warm water therapy on reducing spinal pain in pregnant women at the Rsu at the Antang Health Center, Makassar City in 2022The conclusion of this study is the effect of warm water therapy on reducing bone pain in pregnant women at the Antang Health Center, Makassar City in 2022. It is hoped that there will be further research on other non-pharmacological techniques against spinal pain in pregnancy.