JURNAL KESEHATAN KARTIKA

HUBUNGAN PELAYANAN PRIMA DENGAN KEPUASAN PASIEN BERDASARKAN PERSEPSI PASIEN DI PUSKESMAS MELONG TENGAH DENGAN METODE SERVQUAL

Muhamad Rizki Maulana — 2024-08-25

Background: Services that are not in accordance with patient expectations will lead to customer complaints, this is supported by the data on patient complaints at the Lubuk Besar Health Center in 2020 in 1 patient complaint a lot is found in the health center service by 66.67%, against health center facilities by 13.33%, friendliness of health center staff 13.33%, while the lowest patient complaints are found in the availability of drugs and the location of the health center posyandu by 6.6.7%. So that in providing services must be excellent, excellent service consists of 6 components, namely, attitude, ability, appearance, attention, action and responsibility. Good service can lead to patient satisfaction. Objective: This study aims to determine the relationship between excellent service and patient satisfaction based on patient perceptions at the Melong Tengah Health Center using the SERVQUAL method. Method: The design used is an analytic survey with a cross sectional approach. The sample size was 93 people using purposive sampling technique with inclusion and exclusion criteria. Data collection using a questionnaire with a Likert scale. Data analysis was carried out, namely univariate and bivariate (Chi-Square).. Results: Based on the results of univariate analysis, it can be seen that 51 people (54.8%) felt the service was not good and 51 people (54.8%) felt less satisfied. The Chi-Square test results show that there is a relationship between excellent service and patient satisfaction with a p value of 0.00 <0.05.. Conclusion: that there is a relationship between excellent service and patient satisfaction. Suggestions for puskesmas can optimize the suggestion box properly and pay attention to the patient waiting room, for further researchers to examine factors that affect patient satisfaction.

HHUBUNGAN CITRA TUBUH (BODY IMAGE) DENGAN KECEMASAN SOSIAL PADA REMAJA PEREMPUAN DI SMAN 1 PADALARANG

Fahiza Fauziah Azzahra — 2024-08-25

EFEKTIVITAS PEMBERIAN AIR REBUSAN DAUN SALAM UNTUK MENGATASI KETIDAKSTABILAN KADAR GLUKOSA DARAH : HIPERGLIKEMIA PADA DIABETES MELLITUS TIPE II DI WILAYAH BINAAN PUSKESMAS KEDU

Nurul Khasanah — 2024-08-25

Background : Type II diabetes mellitus is a chronic metabolic disorder characterized by increased blood glucose (hyperglycemia). The global prevalence of diabetes in 2021 reached 10.5% or 537 million adults, with almost half unaware of their condition. IDF predicts this prevalence will increase to 643 million in 2030 and 783 million in 2045, with more than 90% of sufferers experiencing type 2 diabetes which is triggered by various factors. Additionally, approximately 541 million people have Impaired Glucose Tolerance (IGT), which increases the risk of type 2 diabetes (1–3). One non-pharmacological action that can be taken is hyperglycemia management which focuses on providing oral fluid intake of boiled bay leaf water, which contains flavonoids to reduce blood glucose levels by inhibiting glucose reabsorption in the kidneys. Objective: provides an overview of the effectiveness of giving bay leaf decoction in overcoming the problem of unstable blood glucose levels. Method : The research uses a qualitative case study with a case study research approach strategy. The researcher explains a descriptive research approach that focuses on overcoming unstable blood glucose levels by administering bay leaf boiled water in type II diabetes mellitus. The results : After being given bay leaf boiled water for 7 days, both respondents experienced a decrease in blood glucose levels. Respondent 1's current blood glucose level was 460 mg/dl to 237 mg/dl and respondent 2's current blood glucose level was 266 mg/dl to 224 mg/dl. conclusion : the administration of bay leaf infusion is effective in addressing blood glucose instability in patients with type II diabetes mellitus.

PENERAPAN SENAM LANSIA UNTUK MENGATASI GANGGUAN POLA TIDUR PADA LANSIA DENGAN INSOMNIA

Revina Indria Tsani — 2024-08-25

Background: the number of elderly people in Indonesia in 2020 reached 9.92%, 67% of this number experienced insomnia and 78.1% of this number were women. Insomnia is characterized by difficulty falling asleep, waking up at night or too early and being sleepy during the day. Insomnia can cause physical, mental, quality of life and memory problems in the elderly. Elderly exercise was chosen because it can overcome insomnia and has a positive impact on physical fitness.Objective: to determine the effect of implementing elderly exercise to improve sleep patterns in elderly people with insomnia. Method: using a qualitative case study design with a case study research approach. Data was obtained through interviews and tests, and the results were presented in the form of a descriptive narrative. The subjects in this study were 2 people aged over 60 years who experienced mild to moderate insomnia for more than 3 weeks, didn’t take sleeping pills and were able to carry out activities independently. Implementation is carried out every two days 3 times, with a duration of 15 minutes per session. Results: after doing elderly exercise 3 times in 6 days for 15 minutes, the pattern Both subjects' sleep improved and their insomnia levels decreased from mild insomnia to no complaints of insomnia. Conclusion: the application of elderly exercise is effective in improving sleep patterns in elderly people who experience insomnia.

HUBUNGAN DURASI PENGGUNAAN GADGET DENGAN PERKEMBANGAN SOSIAL EMOSIONAL ANAK PRASEKOLAH DI TK MURAI SEJAHTERA KABUPATEN SUMEDANG

Ismatul Maula — 2024-08-25

Background: The prevalence of preschool children using gadgets has increased from 33.44% in 2022 to 38.92% in 2023. Excessive use of gadgets can have a negative impact on the social-emotional development of preschool children. Objective: This study aimed to determine the relationship between the duration of gadget use and the social-emotional development of preschool children of Murai Sejahtera kindergarten, Sumedang Regency. Method: The type of research is quantitative research using an analytic survey method with a cross-sectional approach. Sampling using a total sampling technique with 42 mothers whose children are enrolled in Murai Sejahtera kindergarten. The instruments in this study used a survey sheet for the duration of gadget use and SDQ (Strengths and Difficulties Questionnaire). The test used was Mann-Whitney. Result: The results showed that 23 (54.8%) children used gadgets >1 hour/day. Meanwhile, children's social-emotional development was normal (median = 13). The bivariate analysis results showed a p-value < α (0.007 < 0.05). Conclusion: There is a correlation between the duration of gadget use and the social-emotional development of preschool children at Murai Sejahtera Kindergarten, Sumedang Regency. Parents expect to conduct open communication with children about the benefits and risks of gadget use, set time limits for gadget use according to age, and become a good example for children in using gadgets.

HUBUNGAN DUKUNGAN KELUARGA DENGAN TINGKAT KECEMASAN LANSIA YANG MENGALAMI DIABETES MELITUS TIPE 2 DI PUSKESMAS CIGUGUR TENGAH 2024

Nadiya Aurelia Suhandi — 2024-08-25

Background: Type 2 Diabetes Mellitus is an annual disease that occurs due to damage to the pancreatic system to produce insulin, therefore people who have diabetes mellitus tend to experience anxiety due to the disease, therefore family support will greatly affect the level of anxiety experienced by people with diabetes mellitus. Objective: to determine the relationship between family support and the anxiety level of the elderly who experience type 2 diabetes mellitus at the Central Cigugur Health Center. Method: analytic survey with a cross sectional approach. The number of samples in this study were 59 patients with type 2 diabetes mellitus with elderly age (>60 years) at the Central Cigugur Health Center. Samples were selected using convenience sampling technique. The research instruments used were the Hensarling Diabetes Family Support Scale (HDFSS) questionnaire and the Geatric Anxiety Inventory (GAI). Data analysis in this study using univariate and bivariate analysis with the chi square test. Result: 69.5% of respondents who received low family support. Meanwhile there were 45.8% of respondents who had mild anxiety, as a result of lack of family support the patient experienced anxiety. It is proven that there is a significant relationship between family support and the anxiety level of the elderly who experience type 2 diabetes mellitus, with a p value of 0.001 < α (0.05). Conclusion: There is a significant relationship between family support and the level of anxiety in elderly people who suffer from type 2 diabetes mellitus

Keywords: : Anxiety, type 2 diabetes mellitus, elderly, family support

PENERAPAN AKUPRESURE TERHADAP DIARE PADA ANAK TOODLER DENGAN GASTROENTERITIS DI RUANG MELATI RUMAH SAKIT DUSTIRA : CASE REPORT

Rini Mulyati — 2024-10-21

Background: Gastroenteritis is inflammation that occurs in the digestive tract, namely the mucosa of the stomach and small intestine. One of the symptoms of gastroenteritis is diarrhea. Diarrhea is the second cause of death in children under five, and was the cause of the deaths of 370,000 children in 2019. One action that can reduce the frequency of diarrhea is the acupressure technique. Method: The method of this case study is a case report in the form of maintenance by applying evidence-based nursing to patients who are managing acute gastroenteritis who are experiencing diarrhea problems by applying acupressure techniques for 2 days with data collection techniques of interviews, observation, physical examination and documentation study. The technique was carried out for 2 days with 2 meetings each day in the morning and evening with a duration of 1 minute at the points St 36, Cv 12, Bl 25, and Li 4 using the tonification technique. The inclusion criteria for this acupressure technique are children aged 0-5 years, children with acute diarrhea problems, given pharmacological therapy and with parental consent. Results: It was found that the frequency of defecation before the acupressure technique was carried out was liquid defecation 5 times, after acupressure therapy the frequency of defecation was reduced to 3 times. Conclusion: After implementing EBN, acupressure was proven to reduce the frequency of defecation in gastroenteric patients.

EFEKTIFITAS KUMUR-KUMUR MENGGUNAKAN REBUSAN CENGKEH UNTUK MENGATASI NYERI AKUT PADA KARIES GIGI DI TPQ ALHIKMAH TEMANGGUNG

Alivia Diah Faradilla Sukma Parapat Faradilla — 2024-08-25

Background: Dental caries, or tooth decay, is a disease that affects the hard tissues of the teeth due to bacterial activity that causes softening of these tissues, resulting in the formation of a hole in the tooth. Acute pain is characterized by a sudden or slow onset with varying degrees of intensity from mild to severe, with an anticipated or predictable end. Objective: To determine the effectiveness of mouth rinses using clove decoction on reducing pain in dental caries at TPQ Alhikmah Temanggung. Method:qualitative descriptive method by applying case studies. The research subjects in this nursing care were clients with dental caries pain at TPQ Alhikmah Temanggung, totaling 2 patients with a three-day treatment period. Result:The results after being given the action of gargling for 3 days, using clove decoction there was a decrease in the level of pain control in dental caries. Conclusion: Giving clove decoction for mouth rinses has proven effective for acute pain due to dental caries.