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Triana Indrayani Indrayani, Tommy J F Wowor, Ni Luh Widani, Willhelmus Hary Soesilo
Journal of Health Science and Prevention, Volume 5, pp 119-123; https://doi.org/10.29080/jhsp.v5i2.594

Abstract:
There are conditions that increase an individual's risk of having a poor prognosis if infected with the COVID-19 virus, including heart disease. This condition can cause anxiety in heart failure patients and reduce the body's resistance. This study aims to identify the effect of guided imagery and health education on the anxiety of heart failure patients during the COVID 19 pandemic. The study used a Quasi Experiment. The number of samples was 62 respondents, given guided imagery relaxation and health education through booklets for 14 days. Statistical tests used Wilcoxon test and Ordinal Logistic Regression. The results showed that the level of anxiety before the intervention 61.3% moderate anxiety level and after the intervention 83.9% were not anxious. There was a significant effect between guided imagery and health education with anxiety levels (0.000). In conclusion, guided imagery relaxation and health education have an effect on decreasing the anxiety level of heart failure patients. This study recommends the need for further research on other therapies as nurse interventions in heart failure nursing care. Key words: Anxiety; COVID-19; health education; heart failure; guided imagery
Vena Agustin Pravitasari, Riska Ratnawati
Journal of Health Science and Prevention, Volume 5, pp 114-118; https://doi.org/10.29080/jhsp.v5i2.592

Abstract:
Coronavirus is a disease that can cause respiratory tract infections. The addition of cases that are increasing every day makes people more worried about their health. The purpose of this study was to analyze the relationship between knowledge and the level of anxiety about the spread of Covid-19 cases in Patihan Village, Madiun City. The researcher used quantitative research with observational survey method with cross sectional approach. In analyzing the data, the researcher used univariate analysis as a frequency measurement tool and bivariate analysis used Kendall's tau-b test statistics. The population in the study was 1373 families, the sample was 32 families. The method used is purposive sampling. The results of the bivariate test showed that there was a significant relationship between the independent variable and the dependent variable, which obtained a value (Sig. = 0.034). The level of knowledge is sufficient to have a moderate level of anxiety as many as 5 respondents (55.5%), the level of knowledge is sufficient with a level of severe anxiety as many as 4 respondents (44.5%), while the level of knowledge is good with a moderate level of anxiety as many as 4 respondents (17.4% ), and the level of knowledge is good with the level of severe anxiety as many as 19 respondents (82.6%). There is a significant relationship between knowledge and the level of anxiety about the spread of Covid-19 cases in the community in Patihan Village, Madiun City. Suggestions for further researchers can conduct qualitative research methods with a case control approach on respondents who have comorbidities.
Aryo Saloko, Asfi Manzilati
Journal of Health Science and Prevention, Volume 5, pp 106-113; https://doi.org/10.29080/jhsp.v5i2.533

Abstract:
Drug abuse has become severe not just in the world but also in Indonesia. To address this problem, public policies and researcher try to understand the drug use pattern. One of the famous concept in drug use pattern is gatheway hypothesis. The gateway hypothesis refers to the pattern of substance use initiate softer drug lead to the harder drug. However, many literature shows drug use pattern is not just gateway pattern, there is reversal pattern and using both gateway and reversal pattern. Many studies have discussed the relationship between drug use and individual characteristics. However, few of them are relatively link between individual characteristics and the sequential order in drug use. The purpose of this study is to evaluate how individual characteristics are associated with the gateway pattern and other pattern for different types of drugs. We use a secondary dataset of individual drug user patients from the Rehabilitation Center of National Narcotics Board aged 14–67 years assessed using the Addiction Severity Index (ASI), employing probit and multinominal logit model. Duration are associated with initial soft drug user with gateway pattern. While alcohol use and have high education level related with initial hard drug user with reversal pattern. Interestingly, duration and alcohol use correlated with initial intermediate drug user with all kind of pattern. Prevention and intervention efforts should be targeting high-risk characteristics of people at an initial stage of drug use and progression to the next stage.
Chaterine Rahel, Retno Adriyani, Hernanda Arie Nurfitria
Journal of Health Science and Prevention, Volume 5, pp 88-99; https://doi.org/10.29080/jhsp.v5i2.524

Abstract:
Natural hot spring is one of the recreational water. The public used it for recreation, relaxation, and therapy. The water quality should meet standards, such as free from microorganisms to prevent the onset of health complaints. This paper aimed to identify the pathogenic microorganisms and recreational water illness in natural hot spring users from worldwide studies. Method: This systematic review analysis use PRISMA Protocol as a guide to provide this article and PEO Framework to specified the criteria. Various database used to find those article is NCBI, Google Scholar, and Science Direct. In total of 10 eligible articles to analyse from 2010 -2020. Discussion: The result showed that hot spring users experienced health complaints after using hot springs contaminated with pathogenic microorganisms. The microorganisms identified were Naegleria spp, Naegleria fowleri, Legionella pneumophila, Vittaforma corneae, Mycobacterium avium-intracellulare Complex (MAC), Pseudomonas aeruginosa, and Mycobacterium phocaicum. Recreation water illnesses identified were Primary Amebic Meningoencephalitis (PAM), Legionella pneumonia, Pseudomonas foliculitis, Pseudomonas mastitis, Microsporidial keratitis, Hot tub lung (HTL), and P. aeruginosa pneumonia. Besides the water quality, age, comorbid, and frequency of visiting hot springs were risk factors of recreational water illness. Conclusion: The onset of recreational water illness in users of hot springs was influenced by the quality of water microbiology and age.
Dhani Syahputra Bukit, Alam Bakti Keloko, Taufik Ashar
Journal of Health Science and Prevention, Volume 5, pp 100-105; https://doi.org/10.29080/jhsp.v5i2.521

Abstract:
Stunting is the nutritional quality of infants under five years of age according to age compared to the usual benchmarks according to the World Health Organization's Multicentre Growth Reference Study in 2006. The incidence of stunting in infants under five years of age is a problem that exists in Indonesia and is a major nutritional problem. Data from the results of monitoring the quality of nutrition in the previous three years period has the highest prevalence compared to other nutritional problems such as malnutrition, thinness, and obesity. The purpose of this study was to analyze the correlation of the father's support and mother's behavior in Stunting Prevention Efforts in Tuntung 2 Village, Pancur Batu District, Deli Serdang Regency using a cross-sectional design. This study was done on 135 mothers who have infants aged 6-59 months as respondents. The variables in this study were father's support related to stunting prevention and the dependent variable in this study is the behavior of the mother in preventing stunting. The results showed that there was a significant correlation of the father's support and mothers’ behavior in preventing stunting (p <0.038). To increase efforts of prevent stunting, it is hoped that fathers who have not supported their wives should be more concerned about their toddler's growth and health.
Eka Rati Astuti
Journal of Health Science and Prevention, Volume 5, pp 81-87; https://doi.org/10.29080/jhsp.v5i2.517

Abstract:
Low birth weight (LBW) is one of the causes of infant mortality. LBW babies can be caused by internal and external factors. This research aims to determine the factors associated with the incidence of low birth weight. This research is a retrospective study with a case control approach. The population is all mothers who gave birth in Puskemas Kayu Kunyit in South Bengkulu Regency throughout 2019, as many as 129 people, consisting of 14 babies with LBW and 115 babies with normal birth weight. The sample of this study was 28 people consisting of 14 babies who experienced LBW and 14 babies who were not LBW. Secondary data were obtained from maternal cohort and infant cohort and cases of data the incidence of low birth weight and the risk of pregnant women. Analysis of data using statistical test Chi-Square with a 95% confidence level. The analysis shows that the factors of low birth weight are maternal age (?=0.002), maternal parity (?=0.006), and pregnancy distance (?=0.02). In conclusion, factors associated with the incidence of low birth weight are maternal age, maternal parity, and pregnancy distance in the Puskesmas Kayu Kunyit.
Siti Roziah Ria Famuji, Abdul Malik Setiawan, Achdiat Agoes
Journal of Health Science and Prevention, Volume 5, pp 65-72; https://doi.org/10.29080/jhsp.v5i2.458

Abstract:
Hypertension affects approximately 26% of the adult population and it is a leading cause of death in up to 13.5% worldwide. Hypertension is a disease with the highest prevalence in Indonesia, so good treatment and prevention are needed. Several studies suggest that there is a correlation between hypertension risk factors and the disturbance of sleep quality. Therefore, it is necessary to develop preventive and promotive efforts to obtain optimum blood pressure in patients with hypertension to avoid complications or even death. This study aims to find out the correlation between sleep quality and the value of blood pressure in the elderly ?60 years old in Batu City. A cross-sectional study was conducted in Batu City in 2020. Stratified random sampling was performed to select the respondents. A validated PSQI questionnaire and sphygmomanometer were used to assess sleep quality and blood pressure, respectively. A Chi-Square test was used to test the hypothesis. There were 391 respondents involved in this study. Most of the respondents have poor sleep quality, 205 respondents (52,43%) of which 41 respondents (20%) have normal blood pressure, and 164 respondents (80%) have high blood pressure. The statistical analysis shows a significant correlation (p=0,000) between sleep quality and blood pressure. In conclusion, hypertension is associated with poor sleep quality in the geriatric population in Batu City.
Yetty Septiani Mustar
Journal of Health Science and Prevention, Volume 5, pp 73-80; https://doi.org/10.29080/jhsp.v5i2.526

Abstract:
The spread of infectious diseases globally has been a threat to public health and national economies for many centuries. One of the undeniable sectors that contributed to the spread of disease is maritime transport. This research aimed to examine ship sanitation for controlling and preventing the potential risk of disease transmission. This study used an observational survey method, with a sample of 24 ships that anchored in the port of Kendari by using an accidental sampling technique. Findings from this research revealed that there were ships with high-risk sanitation categories or have unqualified levels of sanitation. The main determinants that contribute to accelerating the global transmission of many infectious diseases on the ship are the sign and presence of vectors. Outbreaks associated with the presence of vectors on board are usually related to inadequate control and sanitation along with insufficient attention to preventing contamination. Therefore, the crewmember on board needs to increase their knowledge through various ship sanitation training, develop sanitation programs and integrate sustainable monitoring and evaluation programs of vectors toimprove sanitation as an effort to prevent risk factors for disease transmission.
Yura Witsqa Firmansyah, Mirza Fathan Fuadi, Farida Sugiester S, Wahyu Widyantoro, Muhammad Fadli Ramadhansyah
Journal of Health Science and Prevention, Volume 5, pp 58-64; https://doi.org/10.29080/jhsp.v5i1.514

Abstract:
COVID-19 merupakan penyakit menular baru yang disebabkan oleh virus SARS-CoV-2. Ditetapkan sebagai pandemi pada 12 Maret 2020 karena memiliki sebaran kasus yang tinggi dan cepat dibeberapa negara. Pada 1 Februari 2021 total kasus COVID-19 mencapai 103 juta di dunia, sedangkan di indonesia mencaoai 1,09 juta. Banyak faktor yang mempengaruhi terhadap penularan dan kematian COVID-19, seperti kondisi lingkungan. Penelitian ini bertujuan untuk memberikan gambaran kondisi lingkungan yang dapat menjadi faktor penularan dan kematian akibat COVID-19. Metode dalam penelitian ini adalah literature review, merupakan kajian pustaka dengan kajian data sekunder diperoleh melalui jurnal penelitian yang kemudihan disintesis sehingga didapatkan 23 jurnal sebagai acuan penyusunan kajian pustaka. Hasil kajian pustaka, COVID-19 dan degradasi lingkungan memiliki penurunan pencemaran udara, air, kebisingan, dan pencemaran laut akibat lockdown. Namun, terjadi peningkatan volumen limbah B3 dari pasien COVID-19. Kemudihan COVID-19 dan pencemaran udara didapatkan hasil, karbon monoksida (CO), NO2, dan materi partikulat berdiameter kecil atau sama dengan 10 ?m' (PM10) mengalami penurunan signifikan selama lockdown global. Sedangkan untuk COVID-19 dan Klimatologi-Meteorologi didapatkan hasil, Setiap kenaikan suhu 1oC dari suhu rata-rata dapat menurunkan kasus harian COVID-19 sebesar 36% dan 57% ketika rata-rata kelembaban pada 67% dan 85,5% (%). Demikian juga kelembaban, setiap kenaikan 1oC relatif menurunkan kasus harian COVID-19 sebesar 11% hingga 22% dengan rentang suhu 5,04oC hingga 8,2oC. Simpulan penelitian ini adalah, kondisi lingkungan pada saat pandemi COVID-19 memiliki polemik tersendiri. Kerusakan lingkungan seperti pencemaran udara, laut mulai berkurang dengan adanya kebijakan lockdown sebagai upaya pencegahan dan pengendalian COVID-19. Namun beberapa polutan seperti PM2,5 , PM10, CO, NO2 dan O3 memiliki hubungan yang signifikan dengan transmisi COVID-19. Selain itu, faktor klimatologi dan meteorologi seperti suhu dan kelembaban memiliki nilai asosiasi yang kuat terhadap kasus harian COVID-19COVID-19 is a new infectious disease caused by the SARS-CoV-2 virus and was designated a pandemic on March 12, 2020, because it has spread cases in several countries. On February 1, 2021, the total number of COVID-19 cases reached 103 million in the world, and in Indonesia it reached 1.09 million. Many factors influence the transmission and death of COVID-19, for example environmental conditions. This study aims to provide an overview of environmental conditions that can be a factor for transmission and death due to COVID-19. The method in this research is literature review, which is a literature review with secondary data obtained through research journals which are then synthesized and obtained 23 articles as a reference for preparing literature reviews. COVID-19 and environmental degradation have decreased air, water, noise and marine pollution due to the lockdown, but there has been an increase in the volume of hazardous and toxic waste from COVID-19 patients. Then from air pollution, the results of decreases in CO, NO2, and PM10 during lockdown. Meanwhile, for climatology and meteorology, the result is that every 1oC increase in temperature from the average temperature can reduce daily cases of COVID-19 by 36% and 57% when the average humidity is at 67% and 85.5%. Likewis,e humidity each 1oC increase relatively reduces daily cases of COVID-19 by 11% to 22% with a temperature range of 5.04oC to 8.2oC. The conclusion of this research is that the environmental conditions at the time of the COVID-19 pandemic had their own polemic. However, several pollutants such as PM2,5, PM10, CO, NO2 and O3 have a significant relationship with the transmission of COVID-19. This literature review can provide recommendations regarding a holistic model policy for governments globally in efforts to prevent and control environmental pollution, and recycle medical waste.COVID-19 is a new infectious disease caused by the SARS-CoV-2 virus and was designated as a pandemic since March 12, 2020, because there are a lot of case in several countries. On February 1, 2021, the total number of COVID-19 cases reached 103 million in the world, and in Indonesia it reached 1.09 million. Many factors influence the transmission and death of COVID-19, for example environmental conditions. This study aims to provide an overview of environmental conditions that can be a factor for transmission and death due to COVID-19. The method in this research is literature review, which is a literature review with secondary data obtained through research journals which are then synthesized and obtained 23 articles as a reference for preparing literature reviews. COVID-19 and environmental degradation have decreased air, water, noise and marine pollution due to the lockdown, but there has been an increase in the volume of hazardous and toxic waste from COVID-19 patients. Then from air pollution, the results of decreases in CO, NO2, and PM10 during lockdown. Meanwhile, for climatology and meteorology, the result is that every 1oC increase in temperature from the average temperature can reduce daily cases of COVID-19 by 36% and 57% when the average humidity is at 67% and 85.5%. Likewis,e humidity each 1oC increase relatively reduces daily cases of COVID-19 by 11% to 22% with a temperature range of 5.04oC to 8.2oC. The conclusion of this research is that the environmental conditions during a pandemic had their own polemic. However, several pollutants such as CO, NO2, O3, PM2,5, and PM10 is closely related to the spread of COVID-19. This literature review can provide recommendations for an overall global government demonstration policy in the prevention and control of environmental pollution and recycling of medical waste.
Rahma Listyandini, Fenti Dewi Pertiwi, Dian Puspa Riana, Widya Asih Lestari
Journal of Health Science and Prevention, Volume 5, pp 40-48; https://doi.org/10.29080/jhsp.v5i1.421

Abstract:
The prevalence of metabolic syndrome in workers is high. Its impact can lower health status and disrupt work productivity. This research aimed to identify the dominant factor of metabolic syndrome among workers in government agencies of the Tanjung Priok port, Jakarta. The research method used descriptive- analytic with a cross-sectional design. The study used secondary data from medical check-up records of 256 workers in Port of Tanjung Priok. The inclusion criteria was all employees who had a medical check-up. Exclusion criteria was pregnancy and individuals with too much missing or poorly recorded information. The chi-square test and binary logistic regression were applied for analysis. The study found that metabolic syndrome prevalence was quite high in workers (38.7%). The results of a multivariate analysis showed physical activity (p = 0,003, OR = 2,238), total energy (P = 0,038, OR = 1,960), and carbohydrate intake (p = 0,014, OR = 0,490), together became the risk factor of the metabolic syndrome among workers. The dominant factor of metabolic syndrome was physical activity. The worker was susceptible to low physical activity so that the risk of metabolic syndrome was quite high. The company should improve the health promotion program in the workplace with regular screening, improved physical activity and provide a healthy meal to prevent metabolic syndrome in workers.
Estiningtyas, Anindhita Yudha Cahyaningtyas
Journal of Health Science and Prevention, Volume 5, pp 49-57; https://doi.org/10.29080/jhsp.v5i1.464

Abstract:
Postpartum Depression (PPD) is a severe complication of labour result in an adverse effect on maternal and neonatal health. Nevertheless, the factors associated with postpartum depression are very rarely examined during postpartum care. This study aimed to discover the determinants of postpartum depression among mothers in a rural area, Central Java, Indonesia. The design of the study was observational analytic with a cross-sectional approach. The setting of the study was in Sukoharjo Regency. Participants of the study were 160 mothers, ages 20-35 years old, during 0-8 weeks of postpartum that were taken using a purposive sampling technique. The participants were given two questionnaires: (1) questionnaire on the socio-demographic; and (2) the Edinburgh Postpartum Depression Scale (EPDS) questionnaire. The questionnaires were distributed to mothers’ at their houses by the interviewers. The result findings shows that the determinants of postpartum depression are occupations (p=0.012), husband support (p=0.010), family support (p=0.027), social support (p=0.025), pregnancy planning (p=0.025), monthly income (p=0.021). PPD is not associated with age (p=0.417), parity (p=0.977), and level of education (p=0.892). Key conclusion: maternal mental health services need to be addressed in the management of the risk factors to prevent the occurrence of postpartum depression. Keywords: husband support, family support, social support, postpartum depression symptoms
Safira Anis Rahmawati, Inge Dhamanti
Journal of Health Science and Prevention, Volume 5, pp 23-32; https://doi.org/10.29080/jhsp.v5i1.396

Abstract:
Healthcare Associated Infections (HAIs) atau infeksi nosokomial masih menjadi masalah yang paling sering terjadi pada pelayanan kesehatan. Rumah sakit perlu melaksanakan pencegahan dan pengendalian infeksi (PPI) sebagai standar mutu pelayanan rumah sakit serta untuk melindungi pasien, petugas kesehatan dan pengunjung dari kejadian infeksi yang tidak diharapkan. Pada kenyataannya, pelaksanaan program pencegahan dan pengendalian infeksi di berbagai rumah sakit belum terlaksana dengan baik. Penelitian ini menganalisis faktor yang mempengaruhi pelaksanaan program pencegahan dan pengendalian infeksi di rumah sakit. Penelitian ini menggunakan metode literature review dengan menggunakan 11 artikel yang berasal dari berbagai data sources. Hasil penelitian ini menunjukkan bahwa faktor yang memengaruhi pelaksanaan program pencegahan dan pengendalian infeksi di rumah sakit yaitu faktor fungsi manajemen, peran dan fungsi kepala ruangan, ketersediaan sarana dan prasarana, serta faktor budaya organisasi.
Rizki Nurmalya Kardina, Kartika Yuliani, Farah Nuriannisa
Journal of Health Science and Prevention, Volume 5, pp 33-39; https://doi.org/10.29080/jhsp.v5i1.455

Abstract:
Lactobacillus and Bifidobacterium are two genera of gram-positive bacteria that are widely used as probiotic products to improve the composition of the intestinal microbiota but until now the difference in the number of these bacteria in patients with type 2 diabetes mellitus and healthy people in Asia remains unclear. This study conducted a systematic review to analyze the differences in the number of Lactobacillus and Bifidobacterium bacteria in patients with type 2 diabetes and healthy people in Asia. The results showed that the number of Lactobacillus bacteria was higher in patients with type 2 diabetics than in healthy people. The number of Bifidobacterium bacteria in patients with type 2 diabetes tended to be lower than in healthy people, although there was some literature stating that there was no difference in the number of Bifidobacterium bacteria in patients with type 2 diabetes and in healthy people. Further research on the profile of Lactobacillus and Bifidobacterium bacteria per type (species) specifically in people with type 2 diabetes and healthy people of various ethnicities in Indonesia is needed to identify dysbiosis in people with type 2 diabetes and determine specific microbiota therapy for people with type 2 diabetes.
Fransisca Putri Intan Damalia, Atik Choirul Hidajah, Agus Ardiyansyah
Journal of Health Science and Prevention, Volume 5, pp 15-22; https://doi.org/10.29080/jhsp.v5i1.425

Abstract:
Leptospirosis is a zoonotic disease caused by Leptospira sp. and carried by rats as the main source of transmission through its urine. Risk factors for the sufferer are the condition and activity of daily individuals. Probolinggo Regency became one of the regencies/cities in East Java that had been infected by Leptospirosis and as of 20 January 2020 the case amounted to 4 and 2 of which died. This research aims to illustrate the characteristics, behaviors, and environmental conditions of the Leptospirosis in Probolinggo Regency. The research was conducted by describing four cases of Leptospirosis found in Probolinggo Regency from 1 – 20 January 2020. The cases found are depicted according to characteristic variables, behaviors, and environmental conditions. Data analysis is done in a descriptive, namely describing the distribution and presentation of each variable. Data is presented in a table or narrative form. The results showed that 75% of the patients of Leptospirosis are male-gender with an age range of 45-59 years old. Work of some sufferer (50%) is a risky job, namely farmers and builders. No sufferers use gloves during contact with puddle, the use of footwear to the yard and the habit of washing hands and feet after the activity is only done by some sufferers (50%). Almost all sufferers (75%) using well water as a source of clean water. 50% of sufferers do not have sewers. Most sufferers (75%) have pets or livestock and be aware of the presence of rats in the house. Bins owned by most sufferers (75%) is a type of open trash can. Half of the number of sufferers residing in flood prone areas. Therefore, it takes a disciplined attitude in the implementation of clean and healthy life during activities to prevent the occurrence of Leptospirosis.
Sirajudin, Adji Prayitno Setiadi, Yosi Irawati Wibowo, Eko Setiawan
Journal of Health Science and Prevention, Volume 5, pp 1-9; https://doi.org/10.29080/jhsp.v5i1.390

Abstract:
Banyaknya jumlah obat-obatan di rumah sakit seringkali meningkatkan risiko ketidaktepatan dalam manajemen persediaan farmasi, oleh karena itu, perlu dilakukan studi pengelolaan dan penggunaannya. Penelitian ini dimaksudkan untuk mengkaji efektivitas pengelolaan dan penggunaan obat di Bima, Nusa Tenggara Barat. Adapun metode penelitian ini bersifat observasional retrospektif. Analisa data dilakukan secara deskriptif. Evaluasi pengelolaan dilakukan pada tahap perencanaan, pengadaan, penyimpanan dan pendistribusian, sedangkan evaluasi penggunaan dilakukan dengan menghitung DDD/100 patient-days untuk antibiotika yang paling banyak digunakan. Hasil penelitian pada evaluasi perencanaan, diperoleh tiga jenis obat pada matrik AV yaitu Ringer Lactat, Fentanil dan Tetagam; satu jenis obat vital pada Matrik BV, yaitu anti bisa ular; dan sembilan jenis obat pada matrik CV yaitu Aminophylline inj 24mg, Serum anti tetanus 1.500IU, Fenobarbital inj, Levosol inj, Magnesium sulfat inj 20%, Norepinefrin inj, Otsu D40, Otsu MgSO4 40, Pethidine 50mg/ml. Kesesuaian dana pengadaan obat 107,3% dan rerata ketepatan pengadaan 275%; terdapat 2 jenis obat rusak pada penyimpanan (0,476 %). Analisa DDD/100 patient-days untuk 12 injeksi antibiotika diperoleh total 45,44 DDD/100 patient-days. Kesimpulan: Hasil temuan pada penelitian ini memberikan gambaran informasi awal yang dapat digunakan untuk menyempurnakan praktek pengelolaan obat yang lebih efektif dan efisien di rumah sakit-rumah sakit khususnya di RSUD Bima di masa mendatang.The large number of medications circulating in hospitals may increase the risks of mismanagement of pharmaceutical inventory; hence studies on the management and use of medication are needed. This present study aims to analyse medication management and use in Bima Regional Public Hospital. This is a retrospective observational study, using descriptive data analysis. The analysis of medication management was conducted for the planning, procurement, storage and distribution stages; while the evaluation of medication use was done on antibiotic injections commonly prescribed using DDD/100 patient-days. The results showed that in the planning stage, three medications were in the AV category (i.e. Lactated Ringer’s Infusion, Fentanyl and Tetagam Inj.); one vital medication was in the BV category (i.e. anti-snake venom serum); and nine medications were in the CV category (i.e. Aminophylline Inj. 24mg, Anti-Tetanus Serum 1500 IU, Phenobarbital Inj., Levosol Inj., Magnesium Sulphate Inj. 20%, Norepinephrine Inj., OTSU D40 Infusion, OTSU MgSO4-40 Inj., Pethidine Inj. 50 mg/ml). The conformity of procurement funding was 107.3%, while the accuracy of procurement process (medication purchased/prescribed) was 275%; and there were two damaged products during storage (0.476 %). The evaluation of medication use for 12 antibiotic injections found a total 45.44 DDD/100 patient-days. The findings in this study provides a baseline data in optimising future practices of medication management and use in hospitals, especially in Bima Regional Public Hospital.
Andi Sastria Ahmad, Abdul Azis, Fadli
Journal of Health Science and Prevention, Volume 5, pp 10-14; https://doi.org/10.29080/jhsp.v5i1.415

Abstract:
Stunting may have occurred since prenatal phases until the baby was 2 years old because of malnutrition. Children having stunting have a problem in growth and cognitive impairments. This study aims to analyze the risk factors of stunting among children under five in Empagae, Sidrap Regency. This correlational research study the correlation between posyandu visits, health workers' roles, and parenting on stunting. Technique sampling used was consecutive sampling with 52 respondents. The results showed that there was a moderate correlation between the health workers roles and stunting (p-value = 0.018; r = 0.33), strong correlation between parenting styles and stunting (p. -value = 0.000; r = 0.82), and moderate correlation between posyandu visits stunting (p-value = 0.002; r = 0.43). This research implies that mothers must fulfill nutrition to prevent stunting and be more active in posyandu activities to have nutrition monitoring. It is hoped that health workers have to control and monitor the nutritional status of toddlers, pregnant women, and mothers who have babies to prevent stunting.
Tria Wahyuningrum, Veryudha Eka Prameswari, Indra Yulianti
Journal of Health Science and Prevention, Volume 4, pp 105-110; https://doi.org/10.29080/jhsp.v4i2.272

Abstract:
Motivasi merupakan keinginan yang terdapat pada seseorang / individu yang merangsang untuk melakukan tindakan-tindakan. Motivasi orang tua dalam memberikan stimulasi pada balita sangat berperan dalam meningkatkan kemampuan tumbuh kembang balita. Tujuan penelitian ini adalah untuk menganalisis motivasi orang tua sebagai faktor yang mempengaruhi pemberian stimulasi anak melalui permainan edukatif.enis penelitian yang digunakan adalah penelitian analitik korelasional menggunakan pendekatan cross sectional, populasinya adalah semua orang tua yang memiliki anak pra sekolah di Desa Kembangsri Kecamatan Ngoro Kabupaten mojokerto sejumlah 43 orang, pengambilan sampel secara total sampling, Sampel sejumlah 43 orang. Instrumen yang digunakan untuk variabel motivasi adalah menggunakan kuesioner tertutup. Sedangkan untuk pelaksanaan stimulasi melalui APE, instrumen menggunakan kuesioner dan wawancara. Seluruh responden dikumpulkan di Balai desa Kembangsri, kemudian diberikan kuesioner tertutup dan dilakukan wawancara untuk mendapatkan data tentang 2 variabel. Uji statistik menggunakan rank spearman. Berdasarkan hasil uji statistik dimana angka koefisien korelasi pada hasil tersebut bernilai positif (0,270), itu artinya bahwa hubungan kedua variabel tersebut bersifat searah (jenis hubungan searah). Semakin tinggi motivasi orang tua maka semakin sering melakukan stimulasi melalui APE. Motivasi orang tua dalam memberikan stimulasi perlu ditingkatkan, dalam melaksanakan stimulasi melalui APE kepada anak pra sekolah. Sehingga, tumbuh kembang dapat berjalan secara optimal.
Dwi Ghunayanti Novianda, Qomaruddin Mochammad Bagus
Journal of Health Science and Prevention, Volume 4, pp 125-133; https://doi.org/10.29080/jhsp.v4i2.402

Abstract:
Imunisasi dasar merupakan salah satu program pencegahan penyakit menular untuk anak. Angka cakupan imunisasi di beberapa daerah masih belum mencapai target. Hal tersebut disebabkan oleh banyak faktor. Penelitian ini bertujuan untuk menganalisis faktor yang berhubungan dengan perilaku ibu dalam pemenuhan imunisasi dasar anak usia 12-24 bulan di Wilayah Kerja Puskesmas Sumobito Kabupaten Jombang. Penelitian ini menggunakan observasional analitik dengan pendekatan cross sectional. Pengambilan sampel menggunakan simple randomsampling, dengan jumlah sampel 73 ibu. Instrumen penelitian ini menggunakan kuesioner yang telah diuji validitas, yaitu r hitung > r tabel (0,3) dan reliabilitas, yaitu r hitung > r tabel (0,6). Analisi data menggunakan uji chi square. Hasil penelitian ini menunjukkan bahwa mayoritas ibu berperilaku tidak baik dalam pemenuhan imunisasi anak. Faktor yang berhubungan dengan perilaku ibu dalam pemenuhan imunisasi dasar anak adalah sikap (p=0,000), kepercayaan (p=0,000), dukungan keluarga (p=0,001), akses (p=0,000), dan informasi (p=0,000).
Tika Noor Prastia, Rahma Listyandini
Journal of Health Science and Prevention, Volume 4, pp 99-104; https://doi.org/10.29080/jhsp.v4i2.408

Abstract:
Stunting merupakan bentuk kekurangan gizi kronis yang dapat terjadi intergenerasi. Ibu hamil yang mengalami malnutrisi berisiko lebih besar menghasilkan anak stunting. Kondisi ini berkontribusi terhadap penurunan kualitas sumber daya manusia dan peningkatan morbiditas dan mortalitas. Tujuan dari penelitian ini adalah mengetahui adanya perbedaan kadar hemoglobin dan lingkar lengan atas ibu hamil antara baduta yang mengalami stunting dan normal di wilayah kerja Puskesmas Cibungbulang Kabupaten Bogor. Desain penelitian yang digunakan adalah deskriptif analitik dengan pendekatan cross sectional. Jumlah sampel sebanyak 115 responden yang didapatkan dengan teknik purposive sampling. Hasil penelitian menunjukkan bahwa tidak ada terdapat perbedaan kadar hemoglobin (p-value=0,835) dan lingkar lengan atas (p-value=0,114) ibu hamil antara baduta stunting dan normal. Stunting perlu difokuskan tidak hanya pada masa pra konsepsi tetapi perbaikan gizi selama periode 1000 hari pertama kehidupan karena masa tersebut merupakan masa kejar tumbuh dan menentukan kualitas individu pada fase kehidupan selanjutnya.
Mahesa Arya Muharram
Journal of Health Science and Prevention, Volume 4, pp 111-124; https://doi.org/10.29080/jhsp.v4i2.410

Abstract:
Mengurangi risiko bagi pekerja dapat dilakukan dengan berbagai cara salah satunya dengan upaya pencegahan kecelakaan kerja yang dilakukan sesuai dengan hirarki pengendalian yang terdiri dari pengendalian teknik, pengendalian administratif, dan alat pelindung diri (APD). Penelitian ini bertujuan untuk menganalisis hubungan antara dukungan sosial dan efikasi diri dengan perilaku penggunaan APD (Alat Pelindung Diri) pada pekerja fungsi RSD (receiving, storage, distribution) PT. Pertamina (Persero) DPPU Juanda Sidoarjo. Jenis penelitian ini adalah analitik observasional dengan pendekatan kuantitatif, dengan jumlah 71 sampel. Analisis data yang digunakan dalam penelitian ini adalah tabulasi silang dan regresi logistik ganda. Hasil dari penelitian ini menunjukkan bahwa pengetahuan, dukungan emosional, dukungan informasional, dukungan instrumental, efikasi tingakatan, efikasi keluasaan berhubungan dengan perilaku penggunaan APD. Sedangkan pengetahuan dan dukungan informasi menjadi variable independen yang mempengaruhi perilaku penggunaan APD dengan nilai Exp(B) sebesar 8,664 dan 18,682. Kesimpulan dari penelitian ini adalah factor yang berhubungan dengan perilaku penggunaan APD adalah pengetahuan, dukungan emosional, instrumental, informative, efikasi tingkatan, efikasi keluasaan. Sedanglan pegetahuan dan dukungan informative menjadi variabel yang mempengaruhi perilaku penggunaan APD.
Eni Suwinawati, Hanifah Ardiani, Riska Ratnawati
Journal of Health Science and Prevention, Volume 4, pp 79-84; https://doi.org/10.29080/jhsp.v4i2.388

Abstract:
Diabetes melitus tipe 2 merupakan penyakit diabetes yang disebabkan karena sel-sel tubuh tidak merespon insulin yang dilepaskan pankreas. Prevalensi DM di Indonesia tahun 2018 sebanyak 8,5 % dan tahun 2015 sebanyak 17,9 juta orang yang berisiko. Prevalensi DM Kabupaten Ngawi tahun 2018 sebesar 6,9 % dimana penderita DM tipe 2 mengalami kenaikan selama tiga tahun berturut-turut, terbukti tahun 2016 sebanyak 38.159, tahun 2017 sebanyak 43.279, dan tahun 2018 sebanyak 57.085 kasus. Tujuan penelitian ini adalah untuk mengetahui hubungan obesitas dengan kejadian DM tipe 2 di posbindu PTM Puskesmas Kendal Kabupaten Ngawi. Jenis penelitian ini menggunakan desain studi kasus kontrol. Populasi studi adalah seluruh peserta posbindu tahun 2019. Jumlah sampel sebanyak 74 responden dengan 37 responden kelompok kasus dan 37 responden kelompok kontrol. Metode yang digunakan adalah Simple Random Sampling dengan analisis Uji Chi square. Variabel yang terbukti berhubungan dengan kejadian DM tipe 2 di posbindu PTM Puskesmas Kendal Kabupaten Ngawi adalah obesitas IMT p=0,014 (OR=3,826; 95%CI=1,388-10,548), obesitas sentral p=0,020 (OR=3,423; 95%CI=1,315-8,909). Dari hasil penelitian, Penderita DM tipe 2 diharapkan melakukan perilaku kesehatan seperti menerapkan gaya hidup sehat seperti mengontrol kadar gula darah, aktivitas fisik yang cukup, dan menjaga pola makan.
, José Andrés Nollen, Sergio David Rico, Gustavo Aníbal Cortez Quiroga, Jose Luis Calvo Guirado, Gabriel Osvaldo Aubone De Los Rios
Journal of Health Science and Prevention, Volume 4, pp 91-98; https://doi.org/10.29080/jhsp.v4i2.375

Abstract:
COVID 19 has spread uniformly across the planet without distinction of hemispheres, borders, or climates. However, underdeveloped countries lack sufficient means to effectively detect and cope with the pandemic. The catastrophic economic situation forces indefinite quarantines to avoid health collapse. The scarcity of massive detection tests has led health personnel, the general population and their rulers to ignorance of the true epidemiological magnitude of SARS-CoV-2. Method: A computerized bibliographic search was performed using the Google search engine of original and review articles indexed by Scopus and WOS, in the PubMed / Medline and Cochrane databases to identify all relevant manuscripts and preprints, notices from professional societies and comments from Experts published from the start of the current epidemic related to mild COVID 19 symptoms. Tools, massive methods for detecting the disease and their low availability in underdeveloped countries were analyzed. Inexpensive and easily accessible methods for testing for the disease were discussed. Result: According to the indexed publications on the incidence of hypoxemia as a symptom and parameter of the evolution of the disease, oxygen saturation of less than 93% was determined as the limit to consider the patient suspected of COVID 19. In addition, it was determined after the analysis of published studies show an average prevalence of anosmia-hyposmia as a mild symptom in 69% of patients infected with COVID 19. Conclusion: Suspected cases of COVID 19 infection could be detected by the presence of its prevalent signs and symptoms. More studies are needed to standardize and validate the postulated screening tests.
Dita Hasni, Vivinia Rahmi Andika Putri, Mutiara Anissa
Journal of Health Science and Prevention, Volume 4, pp 85-90; https://doi.org/10.29080/jhsp.v4i2.268

Abstract:
Schizophrenia is ranked 4th of the top 10 diseases that burden worldwide. If the population of Indonesia reaches 200 million, it estimates that around two million have Schizophrenia. Based on Data from the World Health Organization (WHO), it estimates that around 24 million people worldwide have schizophrenia.2 the American Psychiatric Association (APA) were reported the incidence of Schizophrenia in the United States is about 1% of the adult population with a total of more than 2 million people. Schizophrenic patients were treated by antipsychotic agents that act to inhibit dopamine receptors, especially D2, and also inhibit adrenergic acetylcholine receptors and serotonin 5-HT2A. It can manifest side effects like extrapyramidal syndrome, amenorrhea, drowsiness, and others. This research aims to the identification of antipsychotic side effects with Glasgow Antipsychotic Side-effect Scale (GASS). 100 schizophrenics in HB. Saanin Mental Hospital were participating in this descriptive study after fulfilling the criteria of inclusion and exclusion. This study used the GASS questionnaire to interview subjects who were signing informed consent and get an explanation about this study. In this study, 92% of subjects reported mild side effects. The frequent complaints were extrapyramidal effects, sedation and CNS effects, anticholinergic effects, and weight gain (93%,80%,70 0% and 70% respectively). We found women complained of the side effects more often (16.38 ± 5.275) than men (12.58 ± 5.484) significantly with the value P = 0.001. Gass instruments can use screening antipsychotic side effects. This study concludes the most side effects complaints being extrapyramidal and drowsiness, and women more commonly found side effects than men.
Ni Putu Sri Indrani Remitha, Andreliano Yosua Rompis, Made Violin Weda Yani, I Gede Wikania Wira Wiguna, I Gusti Ayu Stiti Sadvika, I Gusti Made Anom Darma Putra
Journal of Health Science and Prevention, Volume 4, pp 68-78; https://doi.org/10.29080/jhsp.v4i2.369

Abstract:
Triple negative breast cancer (TNBC) adalah salah stau subtipe kanker payudara yang memiliki persentase sebanyak 15% dari total kasus kanker payudara. Triple negative breast cancer memiliki karakteristik yang sangat berbeda dengan jenis kanker payudara pada umumnya karena bersifat agresif, resisten terhadap pengobatan, proliferasi yang tinggi, dan angka harapan hidup yang rendah. Pengobatan yang umum dilakukan untuk TNBC adalah pembedahan dan kemoterapi. Namun, pembedahan menimbulkan banyak efek samping, seperti bentuk payudara yang berubah, terjadinya hematoma, dan lymphedema. Begitu pula dengan kemoterapi yang tidak hanya membunuh sel kanker, tetapi juga merusak sel normal di dalam tubuh. Pemanfaatan siRNA spesifik silencing gen mutan p53 dan VEGF sebagai penatalaksanaan TNBC merupakan metode yang menjanjikan. Nantinya, siRNA akan dikonjugasi dengan aptamer dan PLEGP1800. Aptamer berfungsi untuk meningkatkan kestabilannya dan PLEGP1800 digunakan untuk meningkatkan konsentrasi dan transfeksi yang lebih efisien, serta memiliki sitotoksisitas yang rendah. siRNA-Aptamer-PLEGP1800 juga akan dienkapsulasi dengan chitosan untuk meningkatkan bioavailibilitas, melindungi senyawa di dalamnya dari degradasi serum, dan meningkatkan penyerapan ke gen target. Penulisan literature review ini bertujuan untuk mengkaji mekanisme dan efek klinis siRNA-Aptamer-PLEGP1800-Chitosan sebagai terapi TNBC berbasis teknologi nano.
Rani Latifah Filmira, Mohammad Zainal Fatah
Journal of Health Science and Prevention, Volume 4, pp 58-67; https://doi.org/10.29080/jhsp.v4i2.384

Abstract:
Berdasarkan pencapaian program KKBPK pada RPJMN 2015-2019, belum mengalami banyak peningkatan, sehingga pada tahun 2017 pemerintah berupaya mengendalikan jumlah penduduk melalui pembinaan remaja terkait program KB. Penelitian terkait keinginan penerapan program KB pada remaja pria di masa mendatang tergolong sangat jarang. Tujuan penelitian ini untuk menganalisis determinan yang berhubungan dengan keinginan penerapan program KB pada remaja pria Indonesia di masa mendatang. Penelitian ini merupakan penelitian analitik observasional dengan desain penelitian cross sectional. Besar sampel penelitian berjumlah 11.459 remaja pria di Indonesia berumur 15-24 tahun dan belum menikah diperoleh menggunakan teknik multi stage sampling. Instrumen yang digunakan adalah data sekunder dari SDKI tahun 2017. Analisis data dilakukan menggunakan uji Chi Square. Hasil uji statistik menunjukkan nilai p masing-masing variabel yaitu peran keluarga (p=0,000), peran petugas kesehatan (p=0,000), akses informasi melalui televisi (p=0,000), sumber informasi dan konseling (p=0,000), pengambilan keputusan (p=0,213), dan tempat tinggal (p=0,000). Determinan keinginan penerapan program KB pada remaja pria Indonesia di masa mendatang adalah peran keluarga, peran petugas kesehatan, akses informasi melalui televisi, sumber informasi dan konseling, serta tempat tinggal. Diperlukan pendampingan BKKBN atau Dinas Kesehatan dengan melakukan peningkatan KIE terkait program KB pada remaja melalui peran yang diberikan oleh petugas kesehatan, keluarga, dan institusi pendidikan dengan menggunakan media promosi kesehatan. Memunculkan kesadaran remaja untuk mau membicarakan masalah seksual kepada petugas kesehatan melalui PIK R sebagai sumber informasi dan konseling kesehatan reproduksi remaja.
Journal of Health Science and Prevention, Volume 4, pp 50-57; https://doi.org/10.29080/jhsp.v4i1.331

Abstract:
Sisa makanan adalah makanan yang tidak habis dikonsumsi oleh pasien, dengan kategori banyak apabila sisa makanan >20% dari makanan yang disajikan dan kategori sedikit apabila sisa makanan
Journal of Health Science and Prevention, Volume 4, pp 42-49; https://doi.org/10.29080/jhsp.v4i1.256

Abstract:
Kunjungan ibu di posyandu dengan membawa balitanya sangat mendukung tercapainya salah satu tujuan posyandu yaitu meningkatkan kesehatan ibu dan balita. Berdasarkan data jumlah balita ditimbang menurut Puskesmas Kota Surabaya tahun 2017 menunjukkan bahwa Puskesmas Pucang Sewu memiliki cakupan penimbangan terendah yaitu sebesar 63,48%. Tujuan dari penelitian ini untuk menganalisis faktor yang mempengaruh niat keaktifan ibu dalam kunjungan Posyandu Balita di Puskesmas Pucang Sewu Surabaya berdasarkan theory of planned behavior. Desain penelitian yang digunakan cross sectional dengan pendekatan kuantitatif dan teknik random sampling sehingga diperoleh sampel 98 orang. Instrumen yang digunakan meliputi lembar kuesioner dan data sekunder. Kemudian analisis menggunakan uji regresi logistik. Hasil penelitian menunjukkan bahwa sikap responden terhadap perilaku aktif berpengaruh terhadap niat keaktifan mengunjungi Posyandu Balita dengan nilai (p= 0,018). Kemudian norma subyektif responden tentang keaktifan berpengaruh terhadap niat keaktifan mengunjungi Posyandu Balita dengan nilai (p= 0,030). Begitu pula dengan kontrol perilaku yang dirasakan responden untuk aktif mengunjungi Posyandu Balita juga berpengaruh terhadap niat keaktifan mengunjungi Posyandu Balita dengan nilai (p= 0,000).
, Ira Nurmala
Journal of Health Science and Prevention, Volume 4, pp 23-31; https://doi.org/10.29080/jhsp.v4i1.255

Abstract:
Gangguan makan merupakan salah satu masalah kesehatan yang harus diperhatikan. Salah satu alasan banyaknya prevalensi gangguan makan terjadi pada remaja yaitu karena remaja merupakan masa dimana terjadi banyaknya perubahan fisik pada tubuhnya. Perubahan fisik pada remaja dapat memicu timbulnya persepsi atau pandangan pada tubuhnya, persepsi tersebut yaitu body image negatif. Body image dapat dipengaruhi oleh sosial dan budaya. Penelitian ini bertujuan untuk menganalisis faktor sosio-kultural terhadap dimensi body image pada remaja. Metode penelitian yaitu penelitian kuantitatif dengan desain penelitian observasional. Berdasarkan waktu penelitian mengguanakan metode Cross sectional study. Sampel penelitian sejumlah 420 mahasiswa. Independent variable yaitu faktor sosio kultural. Dependent variable yaitu Appearance evaluation, Appearance orientation, Body area satisfaction, Overweight preoccupation, dan Self-classified weight. Instrument penelitian yaitu kuesioner faktor sosio-kultural serta kuesioner Body image (MBSRQ). Teknik analisis data univariat dan bivariat. Hasil penelitian menunjukkan terdapat hubungan antara faktor sosio-kultural terhadap appearance evaluation, appearance orientation, body area satisfaction, overweight preoccupation, dan self-classified. Kesimpulan dari penelitian ini yaitu terdapat hubungan antara faktor psikologis terhadap dimensi Body image.
Adam Suryaatmaja, Vanida Eka Pridianata
Journal of Health Science and Prevention, Volume 4, pp 14-22; https://doi.org/10.29080/jhsp.v4i1.257

Abstract:
Kebisingan merupakan salah satu dampak negatif dari kemajuan dan perkembangan dunia industri. Dampak yang dapat diakibatkan adalah tertanggunya kesehatan berupa kelelahan. Kelelahan kerja tidak hanya dipengaruhi oleh kebisingan namun juga oleh masa kerja dan beban kerja. Penelitian ini merupakan jenis penelitian kuantitatif dengan total responden 25 orang dengan diberlakukannya kriteria inklusi. Data primer menggunakan pengukuran beban kerja yaitu dengan denyut nadi kerja, mengukur intensitas kebisingan dengan Sound Level Meter (SLM) dan kelelahan kerja dengan kuesioner KAUPKK. Analisis data dilakukan secara deskriptif pada setiap variabel dan menggunakan uji tabulasi silang untuk mengetahui besar kuat hubungan. Hasil penelitian menunjukkan bahwa mayoritas usia pekerja yaitu 31-40 tahun (40%) dengan masa kerja rata – rata pekerja yaitu 9 tahun dimana beban kerja yang dirasakan yaitu termasuk dalam ketegori beban kerja tidak berlebihan (52%). Intensitas kebisingan yang melebihi NAB terdapat pada bagian spare part (85,37 dBA) dan mesin waterjet (87,44 dBA). Sedangkan kelelahan kerja diketahui 60% pekerja merasakan lelah saat bekerja. Hasil uji statistik diketahui bahwa hubungan antara masa kerja dengan kelelahan kerja diketahui kuat yaitu 0,537. Sedangkan untuk beban kerja dengan kelelahan kerja memperoleh koefisien kontingensi sebesar 0,613 yang diartikan kuat. Hasil uji antara intensitas kebisingan dengan kelelahan kerja mendapatkan koefisien kontingensi sebesar 0,471 atau dikatakan cukup kuat.
Journal of Health Science and Prevention, Volume 4, pp 32-41; https://doi.org/10.29080/jhsp.v4i1.310

Abstract:
HIV/AIDS dengan proporsi penularan dari ibu ke bayi sebesar lebih dari 1% di masyarakat merupakan indikator dari kondisi generalized level. Kondisi ini merupakan keadaan gawat darurat dimana penularan dari ibu ke bayi sudah sangat tinggi. Papua dan Afrika merupakan contoh daerah dengan generalized level. Program PMTCT adalah salah satu upaya pemerintah untuk mencegah meluasnya penularan HIV dari ibu ke bayinya utamanya saat ibu sedang hamil atau bersalin. Tujuan penelitian ini adalah untuk menggambarkan evaluasi penerapan PMTCT pada ibu rumah tangga dengan HIV di Jawa Timur. Penelitian ini merupakan studi kualitatif dengan teknik sampling non randome yaitu purposive sampling. Terdapat 6 orang ibu rumah tangga dengan HIV dari 6 kota/kabupaten di Jawa Timur, dan terdapat 6 petugas KPA, program dan LSM yang menjadi responden untuk triangulasi. Instrumen dalam penelitian ini adalah in depth interview. Hasil penelitian ini adalah sebagian besar kegiatan dari prong 1 sampai prong 4 program PMTCT telah dilaksanakan sesuai Permenkes RI No 51 Tahun 2013 tentang Pedoman Pencegahan Penularan HIV dari Ibu ke Anak. Namun ada beberapa aspek yang masih kurang baik dalam pelaksanaan PMTCT terutama follow up bagi ibu yang negatif HIV dan home visit yang perlu perhatian khusus dari pemegang kebijakan program.
, Varennia Bhargah, I Gede Agus Darsana Palgunadi, Ni Putu Sri Indrani Remitha, I Made Winarsa Ruma
Journal of Health Science and Prevention, Volume 4, pp 1-6; https://doi.org/10.29080/jhsp.v4i1.258

Abstract:
Breast cancer is malignancy that becomes significant health problem in the world. According to WHO data in 2018, there were 2.1 million cases of breast cancer with mortality rate reaching 627,000. Current breast cancer treatments are surgery, radiation therapy, hormonal therapy and chemotherapy. However, these treatments have side effects such as neuropathy, fatigue after undergoing chemotherapy, and alopecia. Natural ingredients are the choice to overcome these weaknesses, one of which is the utilization of piperine in Balinese long pepper (Piper retrofractum Vahl). Piperine can increase the bioavailability of many drugs by increasing absorption from the intestine, suppressing the metabolism of drugs in lung and liver tissue by inhibiting CYP3A4 and P84 glycoprotein P84. Piperine is easily absorbed in the intestine and excreted through urine and feces, causing minimal toxic effects. Piperine in Balinese long pepper is able to reduce breast cancer cell proliferation by 40%. Piperine can also inhibit epidermal growth factor (EGF) by inducing decreased expression of MMP-9 and MMP-13. Piperine will work through inhibition of NF-κB and PKCα phosphorylation and AP-1 activation by interfering extracellular signal-regulated kinase (ERK) signaling pathway (ERK) 1/2, p38 MAPK, and Akt which results in inhibition of migration and metastasis of breast cancer cells. Keyword: Anti-metastatic, Anti-proliferative, Breast Cancer, Piperine, Piper Retrofractum.
Rezkiyah Hoesny, Zainal Alim, Darmawati Darmawati
Journal of Health Science and Prevention, Volume 3, pp 127-130; https://doi.org/10.29080/jhsp.v3i3s.285

Abstract:
Hypertension is an increase in persistent blood pressure which can be at risk for cardiovascular diseases. An uncontrolled increase in blood pressure can cause damage to the, heart and blood vessels. The purpose of this study is to analyze the effect of deep breathing therapy on blood pressure in hypertension patients in the work area of Wara Health Centre. The research design used Quasi Experiment, one group pre-test and post-test design, to 22 respondents selected by accidental sampling. Respondent's blood pressure was measured (pre-test), then breathing therapy was carried out for 15 minutes, then the respondent's blood pressure was measured (post-test). This intervention was carried out for three consecutive days for each respondent. The results indicated the average value of systolic blood pressure before deep breathing therapy get the probability value of 0.000 showing 0.000
, Veni Hadju, Nurhaedar Jafar, Ridwan Mochtar Thaha
Journal of Health Science and Prevention, Volume 3, pp 131-135; https://doi.org/10.29080/jhsp.v3i3s.299

Abstract:
Obesity is associated with an increased risk of diseases, especially central obesity. Central obesity is a risk factor of glucose intolerance. Glucose intolerance is the beginning of diabetes mellitus. Many factors influence glucose intolerance. The aim of this study was to investigate the relationship between cortisol levels and some other factors related glucose intolerance. This study was a cross-sectional study from 12 high schools in Makassar. The analysis for this study was performed with 54 teachers. Characteristic samples, anthropometry, fasting blood glucose (FBG), cortisol were measured for all samples. Blood plasma glucose was measured from venous blood samples. Respondents were mostly female (85.2%), married (87%), bachelor’s degree (79,6%) and Buginesse (66.7%). The average age of respondents was 49.37 years. The results showed a significant relationship formula: between high cortisol levels in respondents who experienced glucose intolerance (p=0.043). Stress variables did not show a significant relationship, but the average score was higher in those who experienced glucose intolerance than those who had normal glucose. The frequency of consumption of carbohydrates, fats, proteins, and Body mass index (BMI) did not show a significant relationship with glucose intolerance. Cortisol levels are associated with glucose intolerance in adults with central obesity.
Yuliana Syam, Prihantono Prihantono, Elly Lilianty Sjattar, Arnis Puspitha
Journal of Health Science and Prevention, Volume 3, pp 136-140; https://doi.org/10.29080/jhsp.v3i3s.301

Abstract:
Chemotherapy is one of the modality therapies given to breast cancer patients to inhibit cancer cell metastases. The side effects of chemotherapy can suppress the hematopoietic system in the bone marrow and progressively affect the patient's prognosis. The aim of study was to analyze routine blood profiles as supporting data in developing nursing care for breast cancer patients undergoing chemotherapy at the RSU. Dr. Wahidin Sudirohusodo Makassar, Indonesia, from June to September 2018. This research was a descriptive research with descriptive survey method. This research was conducted at the RSU Surgical Polyclinic. Dr. Wahidin Sudirohusodo. The sampling technique used was Non-Probability Sampling a purposive sampling method. The participants of this study were patients with breast cancer who undergo chemotherapy treatment with a number of samples that meet the inclusion criteria as many as 32 people. of the 17 routine blood components which were assessed as one of the investigations in 32 patients were found to be 4 abnormal components, red blood cells mean ± SD (3.99 10^6/ uL ± 0.51), hemoglobin mean ± SD (11.18 gr/l ± 1.09), hematocrit mean ± SD (34.96% ± 3.96), and mean ± SD monocyte (15,043 10^3/uL ± 8.95). due to metastasis and side effects of chemotherapy treatment decrease red blood cells, hemoglobin, hematocrit, and increase in specific immune response through increase of monocytes indicator that performing phagocytosis.
, Nur Aspina R Djano, Rahmah Tahir
Journal of Health Science and Prevention, Volume 3, pp 52-56; https://doi.org/10.29080/jhsp.v3i3s.281

Abstract:
Background: The second stage of family development refers to the stage when a baby was born in a family of new couples. The second phase of the family starts from the birth of the first child until the baby becomes months old. This stage has a health concern in the fulfillment of its development task; namely, a type of primary immunization that is Polio immunization given completely in infants aged 1 - 4 months old. Objective: to know the correlation of family development second stage task (childbearing family) with the of Polio immunization in infants in the Area of Wara Utara KotaPublic Health Centers in 2018. Method: This research used cross-sectional analytical correlation emphasizing on the time of measurement/observation of independent and dependent variable data assessed on a one time simultaneous basis. The population of this research was families with second stage . The sample was 74 people a purposive sampling method. Data analysis by Chi-Square test. Results: The result of statistical analysis resulted in = 0,002 <α = 0,05, so there was a correlation between family development task with the of Polio immunization. Conclusion: Second stage family development task is the transition stage of the individual role, become parents/a parent and form a permanent system. This stage has attention health in fulfilling tasks development, especially Immunization.
, Dardin Dardin, Dian Pratiwi Putri
Journal of Health Science and Prevention, Volume 3, pp 146-149; https://doi.org/10.29080/jhsp.v3i3s.305

Abstract:
New patients undergoing inpatient services at the hospital should be given an orientation program to the care environment. The room orientation program is not only for patients but also for families who will be involved in the treatment process. The purpose of this study was to determine the effect of the implementation of patient orientation program on patient’s adaptability in the internal care room of the Sheikh Yusuf Hospital, Gowa Regency. The design used was pre-experimental in one subject group (one-group pretest and posttest) with the population of all samples obtained by Internal Care at Syekh Yusuf Hospital in Gowa Regency. The sample size was 21 respondents using accidental sampling. The independent variable was the implementation of patient orientation program and the dependent variable was the patient's adaptability. The methodof collecting data was a questionnaire. Data were analyzed using Wilcoxon signed rank test.The result of the study showed that there was an effect of the implementation of the patient orientation program on patient’s adaptability (p = 0,000 Z = -4,059).As the conclusion,if nurses carry out orientation programs to patients according to the procedure, the patient will be able to adapt to the environment and the treatment process.Further research on the effect of implementing an orientation program on patient’s adaptability should be directed to innovative models of patient orientation program.
Jumrah Jumrah, Rosdianah Rosdianah, Syamsuriyana Sabar, Ayu Lestari, Julia Fitria Ningsih
Journal of Health Science and Prevention, Volume 3, pp 31-38; https://doi.org/10.29080/jhsp.v3i3s.276

Abstract:
Premenopausal woman is a physiological state that has entered the aging process, which is characterized by decreased ovarian estrogen production. In conditions of estrogen deficiency often arise various debilitating syndrome called premenopausal syndrome women. This study aims to determine the relationship of nutritional status and lipid profile to sexual satisfaction in perimenopausal women. This study used cross-sectional study. The sample in this study is partly perimenopausal women in Puskesmas Bara-baraya total of 37 respondents. Data analysis used chi-square test with α = 0.05. It is shown that there was no relationship always connects two things of nutritional status based on BMI (ρ = 0.347).However, the relationship is shown based on the circumference of the abdomen showed a link (ρ = 0.048). Based on cholesterol for the status of lipid, it is shown that there is no association with sexual satisfaction (ρ = 0.006), while based triglycerides, it showed no correlation as well (ρ = 0.571).
, Risnawati H R, Ratnasari Ratnasari, Maria Ulfah Azhar
Journal of Health Science and Prevention, Volume 3, pp 141-145; https://doi.org/10.29080/jhsp.v3i3s.304

Abstract:
Hypertension is called the silent killer because the symptoms are often without complaints. The number of people with hypertension in the world continue to increase every year, estimated that by 2025 there will be 1.5 billion people affected by hypertension. It is also estimated that every year 9.4 million people die from hypertension and complications. when anti-hypertension is needed, non-pharmacological treatment can be used as a complement to get a better treatment effect. One of the non-pharmacological therapies offered to reduce hypertension with massage therapy (massage). The aim of the study was to determine the effect of foot massage on reducing blood pressure in hypertensive patients in the work area of ​​Bontomarannu Health Center, Gowa Regency. This research was conducted on January 2015 using the static group comparison method. The population in this study were residents in the working area of ​​Bontomarannu Health Center and samples were taken with purposive sampling technique with a total sample of 20 people. Based on the results of the study it was found that the administration of foot massage interventions can reduce blood pressure. The statistical test results showed between the systole control group (p-value 0.798), the diastolic control group (p-value 0.726) and the systolic treatment group (p-value 0.004), the diastolic treatment group (p-value 0.005). The administration of foot massage intervention has an influence on the decrease in blood pressure compared to the group that is not given a foot massage intervention.
Mutmainnah Sari, Arbianingsih Arbianingsih, A. Adriana Amal
Journal of Health Science and Prevention, Volume 3, pp 110-115; https://doi.org/10.29080/jhsp.v3i3s.286

Abstract:
The data from the World Health Organization in 2017, suicidal behavior of teenagers Indonesia of 13-17 years old, as many 5.6% teens had made plans related to the way they committed suicide. The aim of this research is to find out the analysis of the incidence of depression and risk of suicide using Buddy App on teenagers in Makassar. This research was an analytic quantitative with cross-sectional study approach. As many 285 teenagers involved in this research recruited by simple random sampling. Data collected by using a of depression namely KADS that are provided through online form and questionnaire of risk of suicide, namely CSSRS using buddy apps. It is called Buddy App because of its function as an application that can be a close friend to users. The incidence of depression and risk of suicide is higher in the late adolescents. Mean of depression in early adolescent (4.78) and late adolescent (6.31). The statistical test results showed the significant differences between the incidence of depression (p-value 0,000) and the level of risk of suicide (p-value 0,022) in early adolescence and late adolescents. The next researcher is expected to examine the level of depression in each level of suicide risk by developing the questionnaire of depression.
Sriwahyuni Sriwahyuni
Journal of Health Science and Prevention, Volume 3, pp 121-126; https://doi.org/10.29080/jhsp.v3i3s.302

Abstract:
The services of emergency patients play a very important role based on the principle of ’time saving is life saving’. This means that all actions taken during an emergency condition must be truly effective and efficient. This is reminiscent of the condition that people can lose their lives just in minutes. Response time depends on the speed available as well as the quality of providing assistance to save lives/prevent disability. There are many factors that influence nurses' response time which are education level, knowledge, length of work, and training. To know factors related to nurse-responded time on handling of emergency patient in IGD Room at Sawerigading Hospital. The research design used was cross-sectional analytic correlation. The respondents were all nurses implementing in IGD Room at Sawerigading Hospital. The population is this study were 31 nurses in IGD Room at Sawerigading Hospital and were selected using total sampling method. . Data analysis used chi-square test. There is a long working relationship with nurse respond time on emergency patient handling (value ρ = 0,014 <α = 0,05). There is norelationship of education with nurse time responder (value ρ = 0,729> α = 0,05). There is no relationship of gadar training with nurse respond time (value ρ = 0,307> α = 0,05). Factors related to nurse respond time on handling of emergency patient in IGD Room at Sawerigading Hospital that is long work. Therefore, the quality of service in the ER should also be improved through improvement efforts concerning with resources, facilities, procedures, services, and other technical aspects.
, Asbath Said
Journal of Health Science and Prevention, Volume 3, pp 116-120; https://doi.org/10.29080/jhsp.v3i3s.287

Abstract:
Fraud actions at institutions can catapult health costs. Globally, the potential loss due to fraud is estimated at 7,29% every year. Increasing the number of referrals in advanced health facilities FKTL is an indication of fraud behavior. In Southeast Sulawesi, the referral rate is high, reaching 17% with the maximum ideal standard for the average referral rate of first level health facilities(FKTP) to advanced health facilities(FKTL), not more than 5%. While in Kendari City in 2015, the referral rate from Puskesmas to Abunawas General Hospital was also still high at around 9.5% in 2015 and an increase of 15.3% in 2016. One of the puskesmas that provided referrals was Abeli ​​Community Health Center. This study aims to analyze the potential for fraud prevention in the implementation of National health insurance(JKN) at Abeli ​​Health Center. This study using observational analytic using one group pre test and post test design. Research was conducted at Abeli ​​Health Center and technique used was cluster random sampling with 28 respondents. From the statatistic test results obtained, there were differences in knowledge before and after the intervention with a mean gap value of 0, 21429 with a lower limit of 0.05226 and an upper limit of 37631 and a p value<α (0.011
Lestari Lorna Lolo, Romi R S
Journal of Health Science and Prevention, Volume 3, pp 9-13; https://doi.org/10.29080/jhsp.v3i3s.274

Abstract:
Pulmonary tuberculosis is a direct infectious disease caused by TB germs (mycobacterium tuberculosis). Health problems experienced by one family member can affect other family members, especially families who care for TB patients known as infectious diseases, so families are required to understand pulmonary TB as a whole. However, families who care for TB patients still lack understanding about recovery of the pulmonary TB patients. The purpose of the study was to analyze the influence of health counseling on family knowledge about recovery of pulmonary TB patients in the working area of Puskesmas. The kind of research is quantitative using the pre-experimental design of one group pre-post test. The subject of research were families who treated TB patients in the working area of Puskesmas Burau. Interventions got by providing health counseling using leaflets. Data collection method used a questionnaire. The results of the study used paired samples T-test with a calculated value for the influence of health counseling on family knowledge about recovery of pulmonary TB patients obtained p-value = 0,000 smaller than the value of p-value = 0.05. From the analysis can be interpreted that Ha is accepted and H0 rejected or there was an effect of health counseling on family knowledge about recovery of pulmonary TB patients. The suggestion of research is suggested to the health center to keep improving the health counseling routines that have been conducted and to modify the counseling method so that TB patients and families are not saturated with the provision of information about pulmonary TB.
Nurwulansari Nurwulansari, Maria Ulfah Ashar, Huriati Huriati, Sysnawati Syarif
Journal of Health Science and Prevention, Volume 3, pp 72-78; https://doi.org/10.29080/jhsp.v3i3s.282

Abstract:
During the hospitalization process, the child will show anxiety due to unfamiliar environmental factors, lack of freedom in activities, and lack of emotional support. Continual anxiety will cause a decrease in the immune system so that it accelerates the occurrence of disease complications during treatment and slows down the recovery process. The focus of nursing intervention that is done is to minimize anxiety by providing psychological support to children through the provision of constructive play therapy. The aim if this research is to determine the effect of constructive play therapy towards the anxiety level of preschool children due to hospitalization. The research design used in this study was Pre-experiment with a one-group pre-post test design. Data collection using preschool anxiety scale (PAS) questionnaire. The sample in this study were 30 respondents selected by using accidental sampling technique. Based on the results of the Wilcoxon Test analysis, the mean value of pre-test 36.57 and post-test 28.23 and the value of p = 0.0001
Azwar Azwar, Nur Hidayah, Andi Adriana Amal, Syamsiah Rauf
Journal of Health Science and Prevention, Volume 3, pp 107-109; https://doi.org/10.29080/jhsp.v3i3s.298

Abstract:
The high number of nurses who work can illustrate that nurses have an important role in improving health status so that strategic steps are needed in managing nursing staff in a better direction. As for the impact caused by uncontrolled nursing staff is dissatisfaction with nurses nurses so that the decline in nurse performance in providing nursing care to patients so that nurse satisfaction is an indicator that must be considered by all parties concerned. The solution to this problem is the issuance of the Government Regulation of the Republic of Indonesia through the ministry of health which has issued a policy regarding nurses' career paths as an embodiment in improving the quality of nursing staff and is expected to be able to increase nursing staff satisfaction. The writing of this article aims to see how the career path influences the satisfaction of nurses in the hospital. Literature and research review was carried out using several databases: 12 articles from Google Scholar and Pubmed with key words in nurse careers, performance, nurses and nurse satisfaction with career paths. From the results of a review of several journals included in the inclusion criteria, it was found that nurses' career paths had good effectiveness towards increasing nurse satisfaction, this can be seen by the existence of a continuous education system and work rewards that are owned by the career level system.
Journal of Health Science and Prevention, Volume 3, pp 95-98; https://doi.org/10.29080/jhsp.v3i3s.296

Abstract:
Social interaction denotes adaptation with surroundings between individual and individual, individuals and groups, and groups and groups. The purpose of this research is to know the influence of gadget towards the social interaction of juveniles at SMK Gunung Sari 1 Makassar. The type of this research is quantitative descriptive using Simple Random Sampling with the number of 41 samples which means that the analysis of scientific method used number starting from data collection, data interpretation and its result. The purpose of this is to know the influence of independent variable, gadget (the intensity of use, communication and online game wich correlation wards dependent variable (social interaction of teenagers). Based on the statistical test by using Correlation test in this analysis used is the correlation with ameaningα= 0.05 an confidence interval, the intensity of gadget use was obtained by the value of p = 0.000 with the value of r = 0.615 which means that the result of the hypothesis mentioned that there was an effect of the intensity of the gadget use towards the social interaction of adolescents with moderate relationship and positive direction (unidirectional). The variable gadget as the means of communication to the variable of online game addiction obtained a value of p=0.000 with r=0.689. Thus, there is an influence of online game towards the social interaction of juveniles with strong relationships and unidirectional.
Journal of Health Science and Prevention, Volume 3, pp 57-62; https://doi.org/10.29080/jhsp.v3i3s.291

Abstract:
Factors Associated with the Selection of Contraception Devices in Fertile Age Couples in Tabang Village, Bolong Village, North Walenrang District, Luwu Regency, 2016. This study aims to analyze the factors related to respondents. Where the theory that explains there are several factors that can influence the selection of the tools that most influence are fundamental things. This research was conducted in Tabang Hamlet, Bolong Village, North Walenrang District, Luwu Regency using cross- sectional tudy method. The population in this study were 30 couples in the suburbs (PUS) who used contraception in Tabang Village, Bolong Village, North Walenrang District, Luwu Regency. The sampling technique in this study used total sampling. Data collection through data demographics and questionnaires, data analysis using Chi-Square Test. The results of the study showed that most respondents chose injectable contraceptive methods. There is a very effective relationship between the values ​​with contraceptive selection p value = 0.00 (5 0.05), there is a relationship between knowledge and with the choice of toxicity p value = 0.01 (5 0.05), and there is a relationship that means between education with contraceptive selection p-value = 0.01 (≤ 0.05). From this study, knowledge and education were the most effective factors in the factors related to the selection of contraception devices in fertile age couples (Pus) in Tabang Village, Bolong Village, North Walenrang District.
Nurwahidah Nurwahidah, Arbianingsih Arbianingsih
Journal of Health Science and Prevention, Volume 3, pp 24-30; https://doi.org/10.29080/jhsp.v3i3s.280

Abstract:
Frequency of stools in diarrhea children requires special attention because it can cause dehydration which is the leading cause of death in children with diarrhea. Previous studies state that tempe and honey are effective in reducing the frequency of stools in diarrhea children. However, it is not known which intervention is more effective. Therefore, this study aims to determine whether there is a difference in the effectiveness of tempe biscuits and honey to decrease the frequency of stools in diarrhea. This study employed the quasi-experiment design with two groups pre and post-test. A total of 30 samples were taken by Accidental Sampling. Samples were divided into 2 groups, where 15 people were given the intervention of tempe biscuits, and 15 other people were given honey. Giving tempe biscuits and honey are given 3 times a day for two consecutive days. Data were analyzed using the Wilcoxon Test. The results of this study indicate that tempe biscuits and honey is effective in reducing the frequency of stools in diarrhea children (p = 0.001 and p
, Syahrul Syahrul, Ilkafah Ilkafah, Arnis Puspitha
Journal of Health Science and Prevention, Volume 3, pp 39-45; https://doi.org/10.29080/jhsp.v3i3s.283

Abstract:
The Prevalence of obesity among children in the urban areas is increasing due to less physical activity, high consumption of fast-food, and more time spent on using the gadget. This study aimed to identify physical activity among obese and non-obese children. This descriptive study involved 322 obese and non-obese students from 4th to 6th grade in an elementary school in Makassar. Physical Activity Questionnaire for Older Children (PAQ-C) was used to measure children’s physical activity, while the anthropometrical parameter was measured using a standardized instrument. Children’s body mass index for age z-score (BAZ) was used to classify their nutritional status based on the criteria of Growth Reference for Children from 5 to 19 years old from World Health Organization. Cross-tabulation was used in analyzing the data. Obese and non-obese children in this study were found 53 (16,0%) and 279 (84,0%), respectively. A hundred percent of obese children have low physical activity, while non-obese children have better physical activity. In conclusion, elementary school students in this study have low physical activity, particularly among obese children. Children are rarely spent on their time to do physical activity. There is a need to promote appropriate physical activity among children to prevent and treat obesity among children. Health professionals could provide health education and counseling to children, family and/or schools to manage physical activity among children.
, Syahrul Syahrul, Takdir Tahir
Journal of Health Science and Prevention, Volume 3, pp 63-66; https://doi.org/10.29080/jhsp.v3i3s.292

Abstract:
The nurse is a professional who has the ability, responsibility, and authority incarrying out nursing services/care at various levels of nursing services whose lives are fully influenced by the quality of work life (QWL) as a consequence of a dynamic change in the work environment. Therefore in order to increase the capacity of nurses in meeting the quality of health services, it is necessary to research the Quality of Work Life. The purpose of the literature study was to identify the nurses’ quality of work life in supporting the improvement of the quality of health services. The database used in the making of this literature review is Pubmed, Science Diret, and Google Scholar published in 2012-2018. There are 6 articles that meet the criteria with the results showing that the fulfillment of QWL nurses can affect organizational commitment, job satisfaction, and turnover. Fulfillment of nurses’ QWL is important to do, where if the nurses’ QWL is fulfilled, it provides many benefits to the nurse and has a direct impact on the health services provided so that organizational attention is needed because QWL is seen as capable of increasing the participation of workers in the organization. The increase in QWL in the hospital can improve the professionalism of nurses and influence the effectiveness and organization productivity.
Lindriani Lindriani, Nilawati Uly
Journal of Health Science and Prevention, Volume 3, pp 19-23; https://doi.org/10.29080/jhsp.v3i3s.279

Abstract:
One of the factors decline of immunization coverage is community understanding which is still limited. Even confused about immunization due to a lack of knowledge and attitudes of parents towards immunization. The purpose of this research is to know the relationship between giving health education to mother’s knowledge and attitudes about completeness of immunization in posyandu bulo village walenrang districtin 2018. The research design was used quasy-experiment with one group pre and post test design approach. The population in this research was all the mothers who came to bring her son to Posyandu for immunization. The sampling technique used total sampling with the total samples were 42 respondents. The data that has been collected then processed and analyzed by using computer and statistic program (SPSS) with T test-dependent. The results of this research showed the differences with the increasing of mothers’ knowledge after pre-test (p-value=0,01) and there were differences with the increasing of mothers’ knowledge after post-test (p-value=0,01). The conclusion in this research was there were Relationship Between Giving Health Education to Mother’s Knowledge and Attitudes About Completeness of Immunization in Posyandu Bulo Village Walenrang District in 2018. It is expected that the next researcher will perform direct observation on the completeness of immunizations.
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