PATIENT SAFETY IN EMERGENCY

MATERNAL BEHAVIOR RELATIONSHIP WEIGHING ON CHILDREN WITH NUTRITIONAL STATUS OF CHILDREN WORKING AREAHEALTH CENTER CITY AEK HABIL SIBOLGA 2016

2019-09-02T03:36:44+07:00

Observing the growth of under five years old children through weighing each month indicated that the percentage of 6-59 month-old children who were not weighed in the last six months tended to increase from 25.5% in 2007 to 34.3% in 2013. The objective of the research was to find out the correlation of women?s behavior in weighing of under five years old children with the nutritional status of children. The research was descriptive with cross sectional design. The population was 1,082 under five years old children in 13 integrated service post and 92 of them were used as the samples, using purposive sampling technique and proportional random sampling technique. The result of the research showed that 33.7% of the under five years old children had under weight, 3.3% severe under weight, 4.3% severe stunting and 2.2% severe wasting. The variables which were correlated with nutritional status were knowledge, based on WAZ at p-value=0.001 and WHZ at p-value=0.002, attitude based on WAZ at p-value=0.001 and HAZ at p-value=0.011 and action base on WAZ at p-value 0.001, HAZ at p-value=0.004, and WHZ at p value=0.001 in the working area of Aek Habil Puskesmas Sibolga 2016. It is recommended that the Health Agency and Aek Habil Puskesmas Sibolga, increase health service on the level of integrated service post intensively, especially in nutrition intake by providing giving food supplement program and information about the importance of weighing under five years old children and supporting facility for integrated service post activities.

ANALYSIS OF NUTRITIONAL STATUS OF CHILDREN IN THE VILLAGE PAIHEME DISTRICT CENTRAL TAPANULI NORTH SUMATRA

2019-09-02T03:50:17+07:00

The nutritional status of children under five years in Indonesia is still cause for concern, because of 5,119,935 children under five of 17,983,244 children under five in Indonesia (28.47%) include in group of malnutrition. Nutritional problems in Indonesia and developing countries in general are still dominated by protein energy malnutrition, iron anemia problems, interference problems caused by lack of iodine, the problem of lack of vitamins and the problem of obesity, especially in big cities and remote areas. The low nutritional status of children in West Sorkam subdistrict Sipeapea Paiheme village public health center (PHC) work area related to knowledge, income, education, occupation, status of diarrhea and exclusive breastfeeding. This is a descriptive analytic study with cross-sectional analysis is to determine the nutritional status of infants in Middle Tapanuli District West Sorkam subdistrict Sipeapea Paiheme PHC work area. The study population was mothers who have children under five, with a large sample of 96 mothers. Data was collected by interview using a questionnaire. Analysis of data using simple logistic regression test at 95% confidence level. The result showed that most of the good nutritional status of 67.7% and malnutrition status of 32.3%. Factors knowledge, education and status of children under five with diarrhea had a significant association with the nutritional status of children in which the value of p-values <0.05. While the factor income, employment and exclusive breastfeeding did not have a significant relationship with the nutritional status of children in which the value of p-value> 0.05. From the multiple logistic regression test results concluded that the education variable is the dominant with score OR = 8.271, which means mother of higher education have the opportunity to her children good nutritional status than mothers with low education after the controlled variable knowledge, job, status of children under five with diarrhea and exclusive breastfeeding. Suggested for health workers in the district of West Sorkam in order to further improve counselling about nutrition to the public and counselling on how to prevent diarrhea to reduce the incidence of diarrhea and to increase the knowledge of the mother in providing good nutrition for children.

EFFECT OF BALANCE EXERCISE BALANCE AND MUSCLE STRENGTH AGAINST ELDERLY WITH RISK OF FALLING IN PUSKESMAS SUBDISTRICT KOLANG CENTRAL TAPANULI

2019-09-02T03:55:01+07:00

Total growth of elderly population in the world is increasing, the results of a study published by the United Nations Population Fund - United revealing the number of elderly in the world can reach the amount of 1 billion people within the next 10 years. Predictions for 2020 are approximately 28.8 million people or about 11:34% of the total population (Sutriyanto, 2012). Prasansuk, (2004) also concluded that one advantage or influence balannce exercise is to improve postural balance the elderly. Aristo research results Farabi (2007) conducted at Hospital Dr. Kariadi that is not found patient falls with TUG test time of less than 10 seconds. A significant association between TUG test time with the frequency of falls (p <0.05). This research is a quantitative research design is quasi-experimental design with two-group pretest-posttest control group design. Statistical test in this research use test Independent t test to see differences in balance and muscle strength before and after the intervention in the control group and the intervention group. Paired samples test to test the level of significance of the effect of exercise on the balance balance and muscle strength in the elderly with fall risk sub-district Puskesmas Kolang Central Tapanuli and eta squared values to assess the effect size. squared = 0.51), with p = 0.003. This indicates a balance effect of exercise on the balance. The decline of the musculoskeletal system of the elderly have a very big role to teterjadinya falls on or it can be said that the factors decrease musculoskeletal system is purely belongs elderly who have an influence on postural balance. Terjdadi muscle wasting in the elderly causes decreased muscle strength, especially the muscles of the lower extremities. Eksterimitas muscle weakness below can cause postural balance disorders. This may result in inaction move, in short steps, decrease the rhythm, the foot can not tread firmly and tend to look shaky, difficult or delayed mengantisispasi outages like slipping and tripping. Some of these indicators can increase the risk of falls in the elderly (Darmojo 2011).

17 RELATIONSHIP OF KNOWLEDGEOF STROKE PATIENT WITH COMPLIANCE THROUGH PHYSIOTHERAPY ON PHYSIOTHERAPY CLINIC IN DR.PIRNGADI HOSPITAL ON YEAR 2016

2019-09-02T10:12:43+07:00

Stroke is a clinical syndrome due to brain blood vessel disorders, sudden onset and usually affects patients aged 45-80 years. Generally men are affected slightly more often than women. There are usually no symptoms prodrama or sudden onset of early symptoms. After a stroke a few patients have disorders such as paralysis, decreased communication skills, mental changes due to depression. Therefore, stroke patients need to undergo rehabilitation as much as possible in order to restore the function of the body. One type of care given is physiotherapy. Physiotherapy is essential to prevent stiffness and immobility. Stroke patients considers incurable disease and stroke will suffer a lifetime, while the good treatment of post-stroke disability can be minimized, thus the need to undergo physiotherapy stroke patient compliance. Post-stroke patient compliance in undergoing physiotherapy Installation Medical Rehabilitation Hospital in Sleman, known in category obedient as many as 13 people (65.5%). This research is an analytic that aims to determine the relationship of patients' knowledge about stroke with compliance with physiotherapy in the physiotherapy room Hospital RSUD Dr.Pirngadi on year 2016, with cross sectional study. Respondents in this study as many as 32 people by using accidental sampling.Results showed that the majority of 15 respondents (46.9%) are knowledgeable enough [and as many as 21 respondents (65.5%) do not comply with physiotherapy and 9 respondents (28.1 %) dutifully undergoing physiotherapy. Based on an analysis using the chi-square test showed no significant relationship between the knowledge of stroke patients with adherence to undergo physiotherapy, ie, p-value = 0.021 (p <0.05).

THE DIFFERENCE IN THE ACCELERATION OF WOUND HEALING POST LAPAROTOMY USING 10% PROVIDONE IODINE AND GENTAMICIN OINTMENT 0.1%

2019-09-02T10:17:17+07:00

Background: The Post-operative wound is a wound with particular care to avoid the risk of infections that could impede the healing process. Gentamicin 0.1% ointment is an aminoglycoside antibiotic, used to treat different types of bacterial infections, while 10% is providone Iodine is a chemical substance which has antiseptic properties. Purpose : the aimed of this study is to determine the difference in the acceleration of wound healing post-laparotomy using iodine providone 10% with 0.1% gentamicin ointment. Method : This is a pre-experimental research study. Samples in this study amounted to 28 who were divided into two groups: group 1 intervening with iodine providine 10% and 2 intervention groups with gentamicin ointment 0.1%. Statistically using Mann-Whitney test (P <0.05). Result: in the intervention group with 0.1% gentamicin ointment laparotomy wound heal faster post as many as 10 people (71%), while the intervention group with 10% iodine providone only 2 (14%) with a P value of 0.000 (P <0.05) Conclusion: gentamicin ointment 0.1% accelerating wound healing in patients with post-laparotomy

THE EFFECT OF EARLY BREASTFEEDING INITIATION ON DURATION OF THIRD STAGE OF DELIVERY

2019-09-02T10:25:30+07:00

The risk of postpartum hemorrhage will occur that could endanger the lives of mother when the contraction is not good and lengthening of the third stage of labor. Hence Early breastfeeding initiation is expected to affect the smooth muscle tissue of the uterus to contract thus speeding up the release of the placenta from the uterine wall and help reduce bleeding after delivery. This study aims to analyze the effect of early breastfeeding initiation on the duration of third stage of labor. This study is a cross-sectional comparatif study. The tools used in the research is digital stopwatch, weight scales and tape meter. Observations of newborns with normal deliveries were implemented early breastfeeding initiation or not, then measuring the duration of third stage of labor and the duration of the placenta discharge in both groups. Data were analyzed using the Mann-Whitney test, and the p-value of <0.05 was considered statistically significant. A total of 32 women were studied (16 in observation group, 16 in control group). The average duration of third stage of labor in early breastfeeding initiation group for 08,15 ± 0.3 minutes and the average duration of third stage of labor in the non early breastfeeding initiation group for 10.23 ± 1.3 minutes. The average duration of the placenta discharge at early breastfeeding initiation group for 02.15 ± 0.3 minutes and in non early breastfeeding initiation group for 02.45 ± 1.8 minutes. There is a significant relationship between early breastfeeding initiation on the duration of third stage of labor with p value 0.030 (<0.05). There was no significant relationship between early breastfeeding initiation with the duration of placenta disccharge with p value> 0.05. From the results of this study concluded that early breastfeeding initiation affect the acceleration duration of third stage of labor. Duration of the placenta discharge was lower with the early breastfeeding group, though not statistically significant.

THE INFLUENCE OF REST DIET AND ZUMBA AEROBIC GYMNASTIC TO THE BODY MASS INDEX TO THE FEMALE COLLEGE STUDENT WITH OVERWEIGHT IN DEPARTMENT OF NUTRITION, HEALTH POLITECHNIC KEMENKES MEDAN

2019-09-02T03:27:13+07:00

Nutrition problem in Indonesia is a nutrition multi problem in which the malnutrition has not yet eliminated totally, there is an over nutrition problem. Overweight and obesity is susceptible to the young adults specially to the female adolescent. This is caused by the change of sedentary lifestyle and eating poattern to the western food. According to the World Health Organization (WHO) data in 2011, the obesity rate in the world is increase for twice in 1980. Almost 43 million of child under five have overweight in 2010. One of efforts in solving the overweight and obesity problem is by diet. The alternative diet will be introduced in the society is REST (Regulated balancing lower energi) diet. The application of diet must be followed by physical activities. The physical activities is such as sports or practice. One of suggested sport for the lower of body weight is aerobic gymnastic. The objective of this research is to study the influence of REST diet andZumba Aerobic Gymnastic to the BMI to the female college student with the overweight in Department of Nutrition of Health Polytechnic of Kemenkes Medan.This research is a quasi experiment with pre and post test design. The number of sample in this research are 40 samples that chosen with inclusion criteria. REST diet is implemented in each day and Zumba aerobic gymnastic in duration of ? 200 minutes in a week.The result of research indicates that the average of BMI to the female college student of 40 sample with overweight before the Diet REST intervention and Zumba aerobic gymnastic is 29.30 kg/m2 while the average of BMI to the female college student with overweight after REST diet intervention and Zumba aerobic gumnastic is 25.81 kg/m2 so it indicates the lower of BMI for 3.49 kg/m2 in 3 months.Based on the statistical test with T test Dependent, it obtain that p = 0.001 < 0.05 means there is influence of REST diet and Zuma aerobic Gymnastic to the BMI of the female college student with overweight in Department of Nutrition of Health Polytechnic of Kemenkes Medan.

WARM COMPRESS ACTION TO REDUCE PAINFUL OF MENSTRUATION OR DYSMENORRHEA AT SMP N 1 DESA BARU AREA PANCUR BATU DISTRICT DELI SERDANG REGENCY

2020-03-03T05:35:12+07:00

Painful of menstruation or Dysmenorrhea is the imbalance of progesterone in the blood and it can cause pain, psychological factors also contributed of dysmenorrhea in some women. There were 90% women had dysmenorrhea problem. This problem is at least disturbing 50% women in reproductive age and 60-85% girls in teen age, which made many absences at school or office. According Sulastri research shows that dysmenorrhea had effectted for daily activities and it was caused absences more than 3 days at school. Poureslami research (2001) in Sulastri research (2006) shows that almost 10 % teens had „absence rate? during one till three days a month or discapable teens to doing daily activities because of high pain. Many female students who had dysmenorrhea, experienced decrease of concentration in class and many female students had absences because of dysmenorrhea. The nursing techniques to reduce dysmenorrhea with uses a warm compress the abdomen, the abdomen masase, keep body posture being good, exercises or sports,and balanced nutrition. The aim and purpose of this dedication is to help the female students to doing Warm Compresses Action which can reduce painful of menstruation or dysmenorrhea. This research had hold on 5th August 2016 at SMP N 1 Desa Baru Area Pancur Batu District Deli Serdang regency. The objects of this research are the female students SMP N 1 on 8 and 9 grade as many as 40 students and using demonstration method. After the demonstration of Warm compresses Action, all of the students were able to doing a warm compress to reduce painful of menstruation or dysmenorrhea.