Jurnal Ilmiah Kesehatan Media Husada 2020-11-25T02:51:16+00:00 Ns. Nurma Afiani, S.Kep.M.Kep Open Journal Systems <p>Jurnal Ilmiah Kesehatan Media Husada (JIKMH) is a scientific communication media, which is published biannually by the Lembaga Penelitian Pengabdian kepada Masyarakat (LPPM) STIKES Widyagama Husada. JIKMH publishes both literary and fieldwork studies in the field of health, specifically midwifery, nursing, and environmental health.</p> <p>&nbsp;</p> <p>&nbsp;</p> <p>&nbsp;</p> <p>&nbsp;</p> <p>&nbsp;</p> <p>&nbsp;</p> <p>&nbsp;</p> <p>&nbsp;</p> <p>&nbsp;</p> <p>&nbsp;</p> <p>&nbsp;</p> <p>&nbsp;</p> <p>&nbsp;</p> <p>&nbsp;</p> <p>&nbsp;</p> <p>&nbsp;</p> <p>&nbsp;</p> <p>&nbsp;</p> <p>&nbsp;</p> <p>&nbsp;</p> <p>&nbsp;</p> <p>&nbsp;</p> the Phenomenology Study: Post-Flood and Landslide Farmers Resilience Experiences in Klungkung Village, Sukorambi District, Jember Regency 2020-11-25T02:49:53+00:00 FITRIO DEVIANTONY <p><em>Floods and landslides are disasters that can cause a lot of damage related to the material and of course fatalities, as well as the amount of damage from the environment that occurs, and other impacts will undoubtedly affect the psychology of the communities that changed by the disaster. The psychological effect of this unusual event will undoubtedly lead to trauma or it called posttraumatic stress disorder (PTSD). This study aims to explore the experiences of farmers who experience floods and landslides directly, the research design used is a qualitative research design using an interpretative phenomenology approach. The technique of collecting data used in-depth interviews with a semi-structured interview guide involving five participants and analyzed using interpretative analysis of phenomenology. This study produced six themes including disasters that occur due to humans, accepting the existing reality, getting closer to God, having the desire to farm again, recovering the family economy, keeping the environment around and improving themselves. The role of health workers is important because the impact caused by this condition can be worse so that health workers need to provide services so that farmers can understand, live and be able to accept and adapt to the conditions that occur</em></p> 2020-11-24T04:35:10+00:00 ##submission.copyrightStatement## THE CORRELATION OF GLUCOSE LEVELS AND DIABETIC FOOT ULCERS EVEL BASED ON BATES-JENSEN WOUND ASSESSMENT-TOOLS IN MALANG 2020-11-25T02:50:02+00:00 Taufan Arif <p><strong><em>Introduce: </em></strong><em>Diabetic Foot Ulcers was a a pathological condition of the foot due to diabetes mellitus. Amputation cases of diabetic ulcers reach 1 million every year. This study was explain the correlation of glucose levels with the level of diabetic foot ulcers based on the Bates-jensen wound assessment tools in malang. </em><strong><em>Methods: </em></strong><em>The study was cross sectional design. The population were 60 respondents. The independent variables was glucose. The dependent variable was the level of diabetic foot ulcers based on the Bates-jensen wound assessment tools. Glucose instruments use glucometers. The diabetic foot ulcers instrument uses observation sheet based on bates-jensen wound assessment tools. Data were analyzed using the Pearson product moment test which was preceded by a normality test using the Kolmogorov-Smirnov Z test. <strong>Result: </strong>The normality test using kolmogorov-smirnov Z showed a result of 0.733 which means the data is normally distributed. Pearson product moment test results showed 0.017 which means there is a relationship between random glucose levels and the level of diabetic foot ulcers based on the bates-jensen wound assessment tools. <strong>Discussion:</strong> the condition of high blood glucose levels that occur in patients with diabetes mellitus affects the flexibility of red blood cells that release O2, so that O2 in the blood decreases and peripheral hypoxia occurs which makes peripheral tissue perfusion ineffective. When peripheral tissue perfusion is inadequate, the supply of nutrients and oxygen levels will decrease so that the condition will worsen the tissue ischemia until tissue death or necrosis eventually occurs</em>.</p> 2020-11-24T06:14:17+00:00 ##submission.copyrightStatement## ISLAMIC ECOLOGICAL CULTURE: INTRUMEN UNTUK MEMBENTUK PERILAKU HIDUP BERSIH DAN SEHAT 2020-11-25T02:50:14+00:00 Muntaha Ahmad <p><strong>Abstract</strong></p> <p><em>This study aims to describe the formation of the ecological culture of the Tsanawiyah Level Madrasah students, therefore the ecological culture can be used as an instrument for shaping Clean and Healthy Behavior. The method used in this research is a case study. Namely, to describe in depth about the success of MTsN 1 Malang in shaping the ecological culture of its students. The results showed that MTsN 1 Malang succeeded in building Clean and Healthy Behavior for its students through ecological culture. This ecological culture is formed through the inculcation of monotheistic values, through the Integrated Islamic Religious Education curriculum, habituation, exemplary, joint movement in the form of Environmental Ambassadors and supported by the Madrasah environment as a laboratory. With this ecological culture, the behavior of students who are aware of cleanliness and healthy living can be formed well.</em></p> <p><em>&nbsp;</em><strong><em>Abstrak</em></strong></p> <p><em>Penelitian ini bertujuan untuk mendeskripsikan pembentukan budaya ekologis siswa Madrasah Tingkat Tsanawiyah, sehingga budaya ekologis tersebut dapat diajadikan sebagai instrumen pembentuk Perilaku Hidup Bersih dan Sehat. &nbsp;Metode yang digunakan dalam penelitian ini adalah studi kasus. </em><em>Yakni mendeskripsikan secara mendalam tentang keberhasilan MTsN 1 Malang dalam membentuk </em><em>budya </em><em>ekologis siswanya. Hasil penelitian menunjukkan bahwa MTsN 1 Malang berhasil membangun </em><em>Perilaku Hidup Bersih dan Sehat </em><em>peserta didiknya melalui budaya ekologis. Budaya ekologis </em><em>tersebut dibentuk melalui penanaman nilai tauhid, melaui </em><em>kurikulum Pendidikan Agama Islam Intergratif, pembiasaan, keteladanan, gerakan bersama </em><em>dalam wujud Duta Lingkungan </em><em>dan didukung dengan lingkungan Madrasah</em><em> sebagai laboratirum. Dengan budya ekologis tersebut perilaku siswa yang sadar akan kebersihan dan hidup sehat </em><em>dapat terbentuk dengan baik.</em></p> 2020-11-24T00:00:00+00:00 ##submission.copyrightStatement## PERBANDINGAN METODE SIRKUMSISI MODERN (KLAMP DAN LEM) TERHADAP PROSES PENYEMBUHAN LUKA PASCA SIRKUMSISI PADA ANAK 2020-11-25T02:50:25+00:00 Ari Damayanti Wahyuningrum <p>Circumcision is a minor surgical procedure permormed as a modification of part the body by making an incision in the prepurtium of a part of the body by making incision in the prepurtium. The prepurtium that has not been circumcised has bacterial colonies which are risk factor for urinary tract infections. The insidence rate of urinary tract infections in Indonesia in infants who have not been circumcised under 1 year is 35% and children over 1 year are 22% of 200 children. The tecnology that eveloved in circumcision from the conventional methode of suture has shifted to the modern method of seamless circumcision. This study aims to compare the clamp and glue methods to the wound healing process after circumcision in chlidren. The research method was cohort with comparative statistical analysis of P<sub>value</sub> 0.000&lt;0.05 so there is a significant difference between the result of the klamp method ang glue in the healing process. Where the wound healing process in the glue method is much faster than the klamp method because it is more optimal in the hemostasis and inflammation phase because there are no foreign object namely the klamp.</p> <p><strong><em>&nbsp;</em></strong></p> <p><strong><em>Keywords</em></strong><em>:</em> Modern circumcision, Klamp, Glue, Wound Healing.</p> 2020-11-24T06:19:04+00:00 ##submission.copyrightStatement## DUKUNGAN KADER DAN KELUARGA DENGAN PEMANFAATAN POS PEMBINAAN TERPADU PENYAKIT TIDAK MENULAR DI WILAYAH KERJA TLOGOSARI DI BONDOWOSO 2020-11-25T02:50:34+00:00 Handono Fatkhur Rahman <p><em>Posbindu is a form of early detection of risk factors carried out continuously and continuously. Prevention of non-contagious disease is a combination of efforts for independent maintenance initiatives by officers, the community, and the individuals concerned and health promotion policies are then implemented intensively. The purpose of the study was to analyze the relationship between cadre and family support with the use of integrated non-communicable disease PTM posts in the Tlogosari Community Health Center Tlogosari District work area. The research design with a cross sectional research approach with a total sample of 221 respondents who met the inclusion criteria with judgment sampling technique.Then analyzed by chi-square test. The results of the study showed that out of 221 respondents, most of the cadre support used Posbindu as many as 119 respondents (53.8%) and most of the families who used Posbindu were 119 respondents (53.8%). Statistical test results with Chi Square test obtained ρ = 0.00, so that ρ &lt;0.05, interpreted that there is a relationship between cadre support and the use of Posbindu, likewise there is a family relationship with the use of Posbindu by obtaining ρ = 0.00, so ρ &lt; 0.05. It was concluded that there was support from cadres and families with the use of Posbindu in the Tlogosari Community Health Center and it was hoped that the community would really use Posbindu PTM as the smallest health facility in the community to prevent the increase in the incidence of non-communicable diseases.</em></p> 2020-11-24T06:22:20+00:00 ##submission.copyrightStatement## Pengaruh Role Model Guru Wali Kelas Terhadap Peningkatan Kesadaran Perilaku Hidup Bersih Sehat Siswa 2020-11-25T02:50:41+00:00 Mizam Ari Kurniyanti <p><strong><em>A</em></strong><strong><em>bstra</em></strong><strong><em>ct</em></strong></p> <p><em>Education clean and healthy behaviors ( phbs ) to </em><em>kindergarden is</em><em> very important because children </em><em>in kindergarden</em><em> is age group that is vulnerable to health problems, so phbs should also be applied in schools.</em> <em>Moore says ( 2012 ) teachers have a role in preserving the health of behavior of a .Teachers can serve as counselor , the instruction , motivator , manager , and models in indicate something good like clean and healthy living behavior</em><em>.</em> <em>The design of this study is analytic observation , with the approach cross sectional .Data analysis that will be used using test t in pairs / wilcoxon where such tests done to determine there were differences in meaningful weighted between 2 groups, namely phbs before guidance and after development in the kindergarten teachers about the importance of phbs to their students , behavior phbs kindergarten students before and after training teachers, while to analyze is there the influence of role model ( knowledge and a role ) of the teacher class size on raising awareness hygienic life behavior healthy kindergarten students witness use wilcoxon test</em><em>.</em> <em>Research results obtained the significance of knowledge and role of teachers as rolemodel is 0.189 which means there is no significant difference between knowledge and teachers before and after guidance on the importance of phbs on the kids.The analysis of behavior phbs students before and after development in the class teachers, obtained the significance is 0.00 which would mean there are significant influence of behavior phbs students before and after coaching given for the teacher the class.The analysis of the influence of rolemodel ( knowledge and the role of ) teachers the class size on raising awareness behaviors students get healthy the significance of 0.898 which means no influence rolemodel teachers the class size on raising awareness behaviors fresh healthy kindergarten students from.This also means that when knowledge and role of teachers good the attitude phbs students also good will, and when knowledge and role of teachers ugly</em><em> the attitude PHBS on student is also ugly</em></p> <p><strong><em>&nbsp;</em></strong></p> <p><strong><em>Keywords</em></strong><em>:</em> <em>Teacher, PHBS Attitude</em></p> <p><em>&nbsp;</em></p> <p><strong>Abstrak</strong></p> <p><em>Pendidikan perilaku hidup bersih dan sehat (PHBS) terhadap anak taman kanak-kanak sangat perlu dilakukan mengingat anak usia taman kanak-kanak merupakan kelompok umur yang rawan terhadap masalah kesehatan, sehingga PHBS juga perlu diterapkan di sekolah. </em><em>Menurut Moore (2012) guru mempunyai peran terhadap perilaku anak dalam memelihara kesehatannya. Guru dapat berperan sebagai konselor, pemberi instruksi, motivator, manajer, dan model dalam menunjukkan sesuatu yang baik misalnya dalam perilaku hidup bersih dan sehat. </em><em>Desain penelitian ini adalah</em><em> analitik observasi, dengan pendekatan cross sectional. Analisis data yang akan digunakan menggunakan uji T berpasangan/Wilcoxon </em><em>dimana uji tersebut dilakukan untuk menentukan terdapat perbedaan rerata yang bermakna antara 2 kelompok yaitu PHBS sebelum pembinaan dan Sesudah pembinaan pada guru TK Syuhada tentang </em><em>pentingnya PHBS pada siswa, perilaku PHBS siswa TK Syuhada sebelum dan sesudah pembinaan guru, sedangkan untuk menganalisa adakah pengaruh </em><em>Role Model (pengetahuan dan peran)</em><em> guru wali kelas </em><em>Terhadap Peningkatan Kesadaran Perilaku Hidup Bersih Sehat Siswa TK Syuhada menggunakan uji Wilcoxon.</em> <em>Hasil penelitian didapatkan hasil signifikansi pengetahun dan peran guru sebagai rolemodel adalah 0.189 yang berarti tidak terdapat perbedaan yang signifikan antara </em><em>Pengetahuan dan guru Guru sebelum dan sesudah pembinaan tentang pentingnya PHBS pada siswa. Hasil analisis antara perilaku PHBS siswa sebelum dan sesudah pembinaan pada guru wali kelas, didapatkan hasil signifikansi &nbsp;adalah 0.00 yang berarti ada pengaruh yang signifikan antara perilaku PHBS siswa sebelum dan sesudah pembinaan yang diberikan pada guru wali kelas. </em><em>Hasil analisis tentang pengaruh Rolemodel(pengetahuan dan peran) guru wali kelas terhadap peningkatan kesadaran perilaku hidup sehat siswa didapatkan hasil signifikansi sebesar </em><em>0.898 yang berarti tidak ada pengaruh Rolemodel Guru wali kelas terhadap peningkatan kesadaran Perilaku Hidup Bersih Sehat Siswa TK Syuhada. Hal ini juga berarti bahwa apabila pengetahuan dan peran guru baik maka sikap PHBS siswa juga akan baik, dan apabila pengetahuan dan peran guru jelek maka sikap PHBS siswa juga akan jelek</em><em>.</em></p> <p>&nbsp;</p> 2020-11-24T06:25:07+00:00 ##submission.copyrightStatement## HUBUNGAN ANTARA KUALITAS PELAYANAN DENGAN KEPUASAN PASIEN PENGGUNA BPJS DI RAWAT INAP RS. BAPTIS BATU 2020-11-25T02:51:07+00:00 Dwi Wulan Fitriani <p><strong>ABSTRAK</strong></p> <p>Suatu pelayanan dikatakan baik oleh pasien,&nbsp; apabila jasa yang diberikan &nbsp;dapat memenuhi kebutuhan atau harapan pasien. Untuk itu rumah sakit diharapkan dapat memberikan pelayanan yang lebih berkualitas dan konsisten. Penelitian ini bertujuan untuk mengetahui hubungan antara kualitas pelayanan dengan kepuasan pasien pengguna BPJS di rawat inap RS. Baptis Batu. Jenis penelitian yang digunakan adalah kuantitatif dengan rancangan deskriptif korelasional. Jumlah sampel dalam penelitian ini sebanyak 76 responden dengan teknik <em>Probability Sampling</em> dengan metode <em>simple random sampling.</em> Analisis data hasil penelitian menggunakan uji <em>Spearman Rank.</em> Hasil penelitian menunjukkan bahwa 78,94% kualitas pelayanan baik dan 73,36% kepuasan pasien baik. Hasil penelitian&nbsp; menggunakan uji statistik dengan uji <em>Spearman Rank. </em>Didapatkan bahwa koefisien korelasi (r) kepuasan pasien dan kualitas pelayanan sebesar 0,805 dengan taraf signifikasi (ρ) adalah 0,000 dengan ρ&lt;0,01. Kesimpulan dari penelitian ini adalah terdapat hubungan antara kualitas pelayanan dengan kepuasan pasien pengguna BPJS di rawat inap RS. Baptis Batu. Semakin tinggi kualitas pelayanan yang diterima pasien maka semakin tinggi kepuasan pasien. Pihak rumah sakit perlu memperbaiki kualitas pelayanan yang kurang yaitu fasilitas fisik rumah sakit khususnya kamar mandi pasien, kecepatan pelayanan obat dan meningkatkan keterampilan serta pengetahuan dari petugas kesehatan.</p> <p><strong>Kata Kunci : Kualitas pelayanan, kepuasan pasien, BPJS</strong></p> 2020-11-24T06:27:30+00:00 ##submission.copyrightStatement##