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GAMBARAN PENGGUNAAN KB HORMONAL DENGAN SIKLUS MENSTRUASI DI WILAYAH KERJA PUSKESMAS GAMBIRSARI SURAKARTA

Introduction: Hormonal contraception is a type of contraception that contains estrogen and progestron hormones and a combination of both. Types of hormonal contraception consist of pills, injections, implants and one of the side effects of using hormonal contraception is a disruption of the menstrual cycle. Objective: to describe the use of hormonal birth control with the menstrual cycle in the working area of ​​the Surakarta Gambirsari Health Center. Method: Type of quantitative descriptive research. The sampling technique is purposive sampling. The instrument used is a checklist. Results: based on the results of the 3-month injection univariate KB test as many as 95 (26.2%) experienced a change in elongated menstrual cycle> 35 days by 70 (35.5%), implantable family planning with respondents 83 (22.9%) experiencing prolonged menstrual cycles > 35 days 66 (33.3%), 1 month injection KB with respondents 93 (25.6%) also experienced changes in the normal menstrual cycle 23-35 days 52 (39.1%), birth control pills with 92 respondents (25, 3%) the majority experienced a normal menstrual cycle of 23-35 days as many as 62 (66.0%). Conclusion: Most family planning acceptors have normal menstrual cycles. 1 month injection KB acceptors have the majority of normal menstrual cycles. Actors with 3 months injection KB are mostly long menstrual cycles. Most implantable KB acceptors have a long menstrual cycle.
 Key Words: Hormonal, KB, Menstrual Cycle

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KERAGU-RAGUAN VAKSINASI COVID-19 BERHUBUNGAN DENGAN KECEMASAN KESEHATAN DI MASYARAKAT

Introduction: Covid-19 vaccine was very important to prevent the spread of Covid-19. Our government has made Covid-19 vaccination program, so it can be followed by community. However, there were still many people who have not vaccinated caused by many things that lead to public hesitant about participating government's vaccination program. This study aims to determine the relationship between hesitancy of vaccine Covid19 and health anxiety in community..
 Methods: This study used a cross-sectional research design, and used questionnaire to collect data. Sampels are people in Boyolangu Village. Sampling method was consecutive sampling (N=122). Study was held on June 2021. Vaccination hesitancy was refer to delay in acceptance or refusal Anxienty scored was analyze byHamilton Rating Scale for Anxiety (HRS-A).
 Result: The results of this study indicate 75,5% vaccination program scope. From 122 samples, 98 (80,3%) respondents have Covid-19 Vaccine Hesitancy and 64 respondents (52.5%) experienced anxiety. Chi-square test showed significant relationship between heshlitancy of vaccine covid-19 and health anxiety p<0,05.
 Discussion: Hesitancy about participating Covid-19 vaccination were still quite high in community. So it was necessary for government and health workers to continue to promote education about importance of vaccine covid-19 by using a therapeutic communication approach and other method which can community accepted.
 
 Keywords: hesitancy, anxiety, vaccine Covid-19

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KEPATUHAN REMAJA DALAM MENERAPKAN PROTOKOL KESEHATAN UNTUK MENCEGAH COVID

Background: The Indonesian government has intervened to suppress the increasingly massive spread of the COVID-19 virus. one of them by implementation health protocols Wear masks, wash hands, keep your distance, and away from the crowds.. the level of adolescent compliance tends to be low in apply health protocol. Teenagers tend to ignore health protocols because they feel their bodies are healthy or immune. so they don't apply health protocols strictly. Research objective: Description of adolescent’s compliance in implementing health protocols as an effort to prevent Covid 19 at puskesmas air besar kota ambon. Research method This research used simple descriptive with a cross sectional approach, which the type of research that is carried out only once or immediately by looking for relationship of variables, where the data is collected at any time or the data is obtained at that time.The variable in this study is a single variable (univariate), that is adolescents in implementing health protocols as an effort to preventing Covid 19.The population in this study were 306 people. The sample in this study were 173 people. The cluster purposive sampling technique was used in determining the amound of respondents who would be the sample of the study, that is adolescents who were at puskesmas air besar kota ambon and were agree to be respondents. The research was implemented at puskesmas air besar kota ambon February to March 2021.Research Finding: The results of the univariate data analysis showed that 90 respondents were in the category of comforming to the health protocol covid 19.Conclusion: For the case of compliance, 90 respondents complied with the covid 19 health protocol.The results showed the importance of youth awareness in implementing health protocols as an effort to prevent the spread of covid 19

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HUBUNGAN POLA ASUH ORANG TUA DENGAN KEMAMPUAN SOSIALISASI PADA ANAK USIA 4-5 TAHUN

Kemampuan sosialisasi salah satu hasil penting yang harus dimiliki seorang anak ketika akan memasuki usia sekolah (anak prasekolah), tidak saja meliputi kecerdasan dan keterampilan motorik tetapi kemampuan sosisalisasi juga tidak kalah pentingnya. Faktor yang mempengaruhi sosialisasi pada anak yaitu pola pengasuhan orang tua, pengaruh teman sebaya, penerimaan diri dan lingkungan. Tujuan penelitian ini untuk mengetahui hubungan pola asuh orang tua dengan kemampuan sosialisasi pada anak usia 4-5 tahun di Paud Nurul Fikri Tulungagung.
 Desain penelitian ini cross sectional. Populasinya adalah semua orang tua dan anak 4-5 tahun di Paud Nurul Fikri Desa Ngrance Kecamatan Pakel sebanyak 33 responden dengan menggunakan teknik sampling Total Sampling. Data dikumpulkan dengan pengisian kuesioner dan observasi, kemudian diolah dengan editing, coding, scoring dan tabulating dan di uji menggunakan Spearman rho dengan program SPSS.
 Hasil penelitian didapatkan pola asuh orang tua dalam kategori demokrasi yaitu 27 responden (81,8%) sedangkan kemampuan sosialisasi dalam kategori baik sebanyak 25 responden (75,8%). Hasil uji statistic spearman rho dengan signifikansi 0,05 didapatkanilai P value = 0,008 lebih kecil dari nilai α = 0,05 (0,008< 0,05) sehingga terdapat hubungan antara pola asuh orang tua dengan kemampuan sosialisasi pada anak usia 4-5 tahun di paud nurul fikri tulungagung.
 Kata Kunci : Pola Asuh, Kemampuan Sosialisasi, Usia Prasekolah

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Open Access
GAMBARAN TINGKAT DEPRESI PADA LANSIA DI MASA PANDEMIC COVID-19

Pandemi Covid -19 merupakan bentuk kasus baru di dunia kesehatan yang mempunyai beragam dampak, baik biologis, psikologis, sosial dan spiritual. Kondisi seperti ini harus benar-benar diwaspadai terutama pada usia rentan dan resiko yaitu salah satunya usia lansia. Depresi pada lansia merupakan gangguan psikiatri dan merupakan masalah kesehatan mental yang sering terjadi dikalangan lanjut usia. Prevalensi depresi didunia sekitar 8-15%. Hasil survey dari berbagai negara di dunia diperoleh prevalensi rata- rata depresi pada lansia adalah 13,5 % dengan perbandingan wanita:pria 14,1: 8,6 dimana wanita dua kali lebih banyak daripada pria. Penelitian ini bertujuan untuk Mengetahui gambaran tingkat depresi pada lansia di Masa Pandemic Covid-19. Jenis penelitian ini adalah penelitian desain deskriptif cross sectional dengan teknik consecutive sampling yang bertujuan untuk melihat gambaran tingkat depresi lansia menggunakan instrument penelitian berupa kuesioner Geriatric Depression Scale Short Form (GDS-S). Berdasarkan penelitian didapatkan hasil Umur lansia yang mengalami depresi pada masa Pandemic Covid-19 sebagian besar adalah Usia lanjut (60–74 tahun), jenis kelamin perempuan, status perkawinan lansia sebagian besar janda, riwayat penyakit lansia sebagian besar hipertensi, tingkat pendidikan lansia sebagian besar SD. Kesimpulan penelitian gambaran tingkat depresi pada lansia pada masa pandemic covid-19 sebagian besar mengalami depresi ringan. Depression in the elderly is a psychiatric disorder and is a mental health problem that often occurs among the elderly. The prevalence of depression in the world is around 8-15% and survey results from various countries in the world show that the average prevalence of depression in the elderly is 13.5% with the ratio of women: men is 14.1: 8.6 where women are twice as many as men. . This research aimed to determine the level of depression in the elderly during the Covid-19 Pandemic. This type of research used a cross sectional descriptive design with consecutive sampling technique which aims to describe the level of depression in the elderly using a research instrument in the form of a Geriatric Depression Scale Short Form (GDS-S) questionnaire. The result showed Depression during the Covid-19 Pandemic was mostly elderly (60 - 74 years), female sex, most of the elderly marital status was widowed, history of elderly disease was mostly hypertension, education level of the elderly was mostly elementary school. The description of the level of depression in the elderly during the Covid-19 pandemic mostly experienced mild depression.

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PERBEDAAN PERILAKU MASYARAKAT DALAM GERAKAN MASYARAKAT HIDUP SEHAT (GERMAS) DAERAH RURAL DAN URBAN

Masyarakat memiliki peran penting dalam pembangunan nasional. Salah satu bagian yang tidak terpisahkan dalam pembangunan nasional adalah status kesehatan. Gerakan masyarakat hidup sehat (GERMAS) merupakan program peningkatan status kesehatan berbasis masyarakat. Pemerintah Jawa Tengah sendiri menetapkan indikator GERMAS di Jawa Tengah yaitu ABCDEF yang merupakan singkatan dari Aktivias Fisik rutin 30 menit sehari, Banyak konsumsi sayur setiap hari, Cek Kesehatan, Diberikannya ASI ekseklusif, Enyahlah secepatnya asap rokok dan Fokus pada pencegahan stunting. Penelitian ini bertujuan untuk mengetahui perbedaan perilaku masyarakat dalam pelaksanaan GERMAS rural dan urban. Rancangan cross sectional digunakan untuk mengumpulkan data dalam variabel karakter perilaku masyarakat dalam GERMAS di daerah rural dan urban. Lokasi penelitian ini di Desa Plantaran Kaliwungu Selatan dan Kelurahan Bugangin Kendal. Responden dalam penelitian ini berjumlah 288 orang. Pengumpulan data dengan wawancara menggunakan kuesioner terstuktur. Analisis data menggunakan software komputer. Uji statistik yang digunakan adalah chi square untuk mengetahui perbedaan perilaku GERMAS pada masyarakat rural dan urban. Hasil penelitian menunjukkan bahwa terdapat perbedaan perilaku gerakan masyarakat hidup sehat pada masyarakat rural dan kelompok masyarakat urban (p=0,001). Perlu dilakukan edukasi tentang indikator perilaku gerakan masyarakat hidup sehat, sehingga masyarakat dapat menjalani kehidupan secara sehat sesuai program yang dijalankan oleh pemerintah. The community has an important role in national development. One of the inseparable part of national development is health status. The Healthy Living Community Movement (GERMAS) is a community-based health status improvement program. The Central Java goverment sets the GERMAS indicator in Central Java, namely ABCDEF which stands for routine physical activity for 30 minutes a day, lots of vegetable comsumption every day, health checks, giving exclusive breastfeeding, get rid of ciggarette smoke as soon as possible and focus on preventing stunting. This study aims to determine the differences in communty behavior in the implementation of rural and urban GERMAS. Cross sectional design was used to collect data on the variable character behavior of the community in GERMAS in rural and urban areas. Location of this research is in the village of Plantaran Kaliwungu Selatan and Bugangin Kendal. Respondents in this study amounted to 288 people. Data collected with a questionnaire. Data analysis using computer software. The statistical test used is the chi square test to determine the differences in GERMAS behavior in rural and urban communities. The results showed that there were differences in the behavior of the healthy life movement in rural and urban (p=0,001). Education needs to be carried out on indicators of the behavior of community movement to live a healthy life, so that people can live a healthy life according to the programs run by the goverment.

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PERAN JUMANTIK PADA KEJADIAN DEMAM BERDARAH DENGUE: STUDI POTONG LINTANG DI UPTD PUSKESMAS KUTA SELATAN

ABSTRACTJumantik plays a role in the early vigilance system to monitor the presence and inhibit the development of the Dengue Hemorrhagic Fever (Dengue) mosquito vector. Jumantik cadres are expected to be active in monitoring their environment to reduce the number of dengue cases. However, in 2020 there will be an increase in dengue cases in South Kuta. This study purposed to determine the correlation between the role of jumantik and the incidence of dengue fever at the UPTD Puskesmas Kuta Selatan. This study used observational quantitative research with a cross-sectional design. The sample amounted to 67 jumantik selected by total sampling. Data were collected using a questionnaire and documentary sheet of DHF case reports. Data analysis used Rank Spearman's test. It was found that the majority of jumantik's role was good (77.6%) and the incidence of dengue fever decreased (74.6%). The analysis shows that there is a significant relationship between the role of jumantik and the incidence of dengue fever in the UPTD Puskesmas Kuta Selatan with a moderate and positive correlation, which means the better the role of jumantik in carrying out their duties. The better the jumantik work, the incidence of dengue fever decreases (p value 0.002 <α 0.05 and coefficient correlation of 0, 427). It is recommended to the health office to carry out training and health education for jumantik on an ongoing basis which is carried out every one semester.

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KEWASPADAAN BERKENDARA DAN KECELAKAAN KERJA PADA PENGEMUDI OJEK ONLINE DRIVING AWARENESS AND WORKPLACE ACCIDENT AMONG MOTORCYCLE TAXI DRIVERS

Prevalence of workplace accident among online motorcycle taxi driver was quiet high. Worplace accident may cause injury, disability, death, and decrease of productivity. Many factors contribute to cause accident among online motorcycle taxi driver, one of them was driving awareness. This study aimed to investigate correlation between driving awareness and worplace accident among online motorcycle taxi drivers. It is correlative descriptive quantitative method. Data of driving awareness gathered by situational awareness questionnaire. Data of worplace accident gathered by short answer questionnaire. The Population was online motorcycle taxi drivers who were operating around Tembalang Semarang City, sample taken with convenient sampling consist of 290 drivers. Cross tabulation among driving awareness and workplace accident presented by a table. Correlative analysis with Sommers’ d test to know correlation between driving awareness and workplace accident. Result showed that 41 (28,9 %) drivers performing bad driving awarenes experience no accident, 78 (54,9 %) near miss, and 23 (16,2 %) accident; 58 (49,6 %) drivers performing sufficient driving awarenes experience no accident, 42 (35,9 %) near miss, and 17 (14,5 %) accident; while 24 (77,4%) drivers performing good driving awarenes experience no accident, 6 (19,4%) near miss, and 1 (3,2%) accident. Sommers’ d test showed the coefficient correlation was 0,24, means there is correlation between driving awarenes and workplace accident among online motorcycle taxi drivers. Drivers and the company should doing efforts to prevent workplace accident in order to maintain safety and productivity, one of them by performing good driving awareness during working.

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