Jurnal Kajian Ilmiah Kesehatan dan Teknologi

Hubungan Status Gizi dengan Kejadian Diare pada Balita di Wilayah Kerja Puskesmas Pangi

2026-04-01T03:14:48+00:00

Diarrhea remains a major health problem among under-five children and contributes significantly to childhood morbidity, particularly in primary healthcare settings. Nutritional status plays an important role in children’s immune response to infectious diseases; however, the association between nutritional status and diarrhea incidence varies across settings. This study aimed to analyze the relationship between nutritional status and diarrhea incidence among under-five children in the working area of Puskesmas Pangi in 2024.This study employed a cross-sectional analytic design using secondary data at the village aggregate level. Data on nutritional status were obtained from the 2024 child growth monitoring records (BNBA) using weight-for-height (W/H) indicators, while data on diarrhea incidence were collected from the 2024 routine reporting records of Puskesmas Pangi. The study population consisted of 725 under-five children recorded in both data sources. Data analysis included univariate analysis and bivariate analysis using Spearman correlation with a significance level of α = 0.05. The results showed that the majority of under-five children had normal nutritional status based on the W/H indicator. Diarrhea cases among under-five children were reported in all villages within the study area, with varying numbers of cases. Spearman correlation analysis indicated a positive but weak-to-moderate association between the proportion of poor nutritional status and the proportion of diarrhea incidence; however, the association was not statistically significant (p > 0.05). In conclusion, nutritional status was not significantly associated with diarrhea incidence among under-five children at the village aggregate level in the working area of Puskesmas Pangi in 2024. Comprehensive diarrhea prevention efforts should consider other contributing factors beyond nutritional status, including environmental sanitation, access to clean water, and hygienic behavior.

Efektivitas Oral Hygiene Menggunakan Povidone-Iodine 1% terhadap Pencegahan Pneumonia pada Pasien dengan Penurunan Kesadaran di Ruang ICU

2026-04-01T03:16:46+00:00

Ventilator-Associated Pneumonia (VAP) merupakan infeksi nosokomial yang sering terjadi pada pasien yang dirawat di Intensive Care Unit (ICU), khususnya pada pasien stroke dengan komorbid diabetes melitus yang menggunakan ventilator mekanik. Penurunan kesadaran, pemasangan endotracheal tube, gangguan refleks protektif jalan napas, serta kondisi hiperglikemia meningkatkan risiko kolonisasi mikroorganisme orofaring yang berpotensi menyebabkan VAP. Salah satu intervensi keperawatan yang direkomendasikan dalam bundle pencegahan VAP adalah oral hygiene menggunakan agen antiseptik. Penelitian ini bertujuan untuk menganalisis efektivitas oral hygiene menggunakan povidone iodine 1% dalam mencegah kejadian Ventilator-Associated Pneumonia pada pasien stroke dengan diabetes melitus yang menggunakan ventilator mekanik di ruang ICU. Penelitian ini menggunakan desain studi kasus deskriptif terhadap dua pasien yang dirawat di ICU rumah sakit yang sama, yaitu satu pasien dengan diagnosis stroke iskemik berulang dan diabetes melitus serta satu pasien dengan diagnosis stroke infark dan diabetes melitus. Intervensi keperawatan berupa oral hygiene menggunakan povidone iodine 1% dilakukan secara terjadwal tiga kali sehari dan dikombinasikan dengan bundle VAP, meliputi suction efektif, posisi semi-Fowler 30°, serta pemantauan klinis berkelanjutan. Evaluasi dilakukan melalui pengamatan klinis, meliputi kebersihan rongga mulut, karakter sekret, frekuensi napas, saturasi oksigen, kadar gula darah sewaktu, dan nilai Modified Clinical Pulmonary Infection Score (MCPIS). Hasil penelitian menunjukkan perbaikan bersihan jalan napas pada kedua pasien, ditandai dengan penurunan produksi sekret, berkurangnya ronki, stabilitas frekuensi napas, serta peningkatan saturasi oksigen. Selama periode observasi, nilai MCPIS pada kedua pasien tetap ≤5 dan tidak ditemukan tanda klinis terjadinya VAP. Dengan demikian, oral hygiene menggunakan povidone iodine 1% efektif dalam mencegah Ventilator-Associated Pneumonia pada pasien stroke dengan diabetes melitus yang menggunakan ventilator mekanik di ICU dan direkomendasikan untuk diintegrasikan ke dalam standar operasional prosedur keperawatan ICU

HUBUNGAN TINGKAT PENGETAHUAN DAN SIKAP PASIEN HIPERTENSI TENTANG PENGENDALIAN HIPERTENSI DI WILAYAH KERJA PUSKESMAS SARITANI KABUPATEN BOALEMO

2026-04-10T02:16:00+00:00

Hypertension is a silent disease because people do not know they have it until they have their blood pressure checked. Hypertension is the biggest cause of stroke, both systolic and diastolic blood pressure. According to WHO data, around 972 million Indonesians aged 18 and over had hypertension in 2014. According to Boalemo Regency Health Profile Data for 2024, Saritani Community Health Center had 559 people with hypertension. Hypertension can be prevented and controlled by cultivating a healthy lifestyle. The public's lack of knowledge about hypertension and its preventive measures risks significantly increasing the prevalence of this disease. The high incidence of hypertension at Saritani Community Health Center is thought to be related to low self-control efforts even though sufferers may have been aware of their condition, or due to a lack of initial public awareness of their hypertension status. This condition underlies the urgency of conducting this research to evaluate the correlation between the level of knowledge and attitudes of patients in controlling hypertension in the working area of the Saritani Health Center.