Journal of Health Sciences

EFFECT OF GARLIC POWDER (ALLIUM SATIVUM LINN) ON REDUCING THE SIGN AND SYMPTOMS OF PULMONARY TUBERCULOSIS

Retno Twistiandayani Retno — 2024-08-29

Garlic contains substances that function as broad-spectrum antimicrobials that can inhibit the bacteria that cause Tuberculosis (TB). The purpose of this study was to explain the effect of providing garlic powder (Allium Sativum Linn) on reducing the signs and symptoms of pulmonary TB. This study was a quasi-experimental study using a control group pre-posttest design approach. The population of this study were all patients with pulmonary TB at Metatu Health Center, Benjeng, Gresik. The purposive sampling technique was used to recruit respondents and obtained 22 respondents who were divided into treatment groups and control groups. The treatment group received 5gr of garlic powder 3x/day. The instruments used were standard operational procedure and observation sheets for signs and symptoms of pulmonary TB. Data analysis using Paired T-Test test with α < 0.05. The statistical test results obtained p value = 0.000 which means that there was a significant difference in the decrease in signs and symptoms of pulmonary TB before and after the administration of garlic powder. The results of statistical tests in the control group obtained p value = 0.341, which means that there was no significant difference in reducing signs and symptoms of pulmonary TB in the control group. The allicin compound in garlic is able to inhibit the bacteria that cause tuberculosis. The health center is expected to make Standard Operational Procedure related to complementary nursing by giving garlic powder to patients with pulmonary TB.

Characteristics of Chronic Kidney Disease Patients Undergoing Hemodialysis at RSPAL Dr. Ramelan Surabaya from January to June 2022

Anita Carolina — 2024-08-29

Chronic Kidney Disease (CKD) is a persistent abnormality in kidney function or

structure, with or without a decline in glomerular filtration rate (GFR) below 60

mL/min/1.73 m², lasting for more than three months. CKD diagnosis relies on markers

of kidney damage and/or a reduction in GFR. Patients with advanced CKD,

characterized by a GFR below 15 mL/min/1.73 m², typically require dialysis. In 2018,

60,852 individuals in Indonesia were reported to have CKD requiring lifelong dialysis.

This study aims to assess the characteristics of CKD patients undergoing hemodialysis.

This research employs descriptive design. The sample consists of all CKD patients

undergoing hemodialysis, as recorded in the medical records of RSPAL dr. Ramelan

Surabaya between January and June 2022. The findings reveal that more than half of the

patients (52.7%) had been on hemodialysis for more than 12 months. Many of the

patients (66.2%) were between 40 and 60 years old, with males accounting for 54.1% of

the sample. Hypertension and diabetes mellitus were identified as the most common

comorbid conditions (31.1%), while pain medication consumption was the least reported

cause (2.7%). All patients had hemoglobin levels below the normal range (<13 g/dL for

males and <12 g/dL for females) and relied on BPJS (Indonesia’s national health

insurance) to cover the cost of hemodialysis. Furthermore, most patients exhibited

creatinine levels exceeding 1.5 mg/dL, blood urea nitrogen (BUN) levels above 24

mg/dL, serum iron (SI) levels between 45 and 158 µg/dL, and total iron-binding

capacity (TIBC) levels below 250 µg/dL.

The Relationship Between Confirmed COVID-19 Positive Characteristics of Laboring Mothers and the Incidence of Asphyxia in Infants at Hospital Dr. Hasan Sadikin Bandung

Dinna Triyani — 2024-08-29

The Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) is the cause of

Coronavirus Disease 2019 (COVID-19). In December 2021, the Omicron variation was

first identified in Indonesia, and it has since been linked to nearly 72 million cases

worldwide. When COVID-19 is present during pregnancy, unfavorable outcomes

including stillbirth, preterm delivery, and maternal mortality may occur. The purpose of

this research was to examine the association between the features of women who tested

positive for COVID-19 and the incidence of asphyxia in their babies at Dr. Hasan

Sadikin General Hospital in Bandung between July 2021 and July 2022. A quantitative

descriptive technique was used, and 69 mothers and 70 babies were sampled overall.

Medical records provided the data, which was then subjected to chi-square analysis.

There was no discernible correlation between the incidence of hypoxia and the mother's

age (p = 0.838), parity (p = 0.647), or delivery method (p = 0.313). Nonetheless, a

noteworthy correlation was seen between the gestational age (p = 0.001) and the

maternal difficulties (p = 0.013) associated with baby hypoxia. This research found that

whereas age, parity, and delivery style were not substantially linked with newborn

hypoxia, gestational age and COVID-19-related problems were.

Risk Factors for Dyspepsia Incidence in Community Aged 15-64 Years in Oesao Village, Oeaso Community Health Center Work Area

Elistho Adrianus Ndun — 2024-08-29

Dyspepsia is a non-communicable disease affecting the digestive system, characterized

by symptoms such as heartburn, abdominal discomfort, nausea, vomiting, bloating, and

feeling of fullness. As of June 2022, more than 376 cases of dyspepsia were reported in

the village of Oesao, with the condition being most prevalent among individuals aged

15-64 years. This study aimed to identify the risk factors for dyspepsia in individuals

aged 15-64 in the village of Oesao and its surrounding areas, served by Puskesmas

Oesao. An analytic observational study with a case-control design was conducted at

Puskesmas Oesao from May to June 2023. A total of 213 respondents were recruited

using random sampling with a 1:2 ratio. Data was collected through interviews. The

relationship between various factors and dyspepsia incidence was analyzed using p-

values with alpha <0.05 as the significance threshold. The results of the study showed

that diet was significantly associated with dyspepsia (p < 0.05). Coffee consumption

was significantly associated with dyspepsia (p < 0.05). Alcohol consumption was

significantly associated with dyspepsia (p < 0.05). Sour and spicy foods were

significantly associated with dyspepsia (p < 0.05). This study concludes that coffee,

alcohol, sour, and spicy foods have a significant relationship with the incidence of

dyspepsia.

Correlation of Side Effects of ARV (Antiretroviral) Drugs with ARV Therapy Compliance in PLWHA at KDS Jombang Care Center Plus of Jombang Regency

Riska Putri Dessyanti — 2024-08-29

Human Immunodeficiency Virus (HIV) attacks white blood cells, leading to a weakened

immune system. Acquired Immune Deficiency Syndrome (AIDS) refers to the set of

symptoms caused by the decline in immunity due to HIV. Antiretroviral therapy (ART)

is used to suppress viral replication, with treatment success largely dependent on

adherence to therapy. However, side effects of antiretroviral drugs can negatively

impact adherence by causing unwanted symptoms that discourage patients from

continuing treatment. This study aims to analyze the correlation between the side effects

of antiretroviral drugs and adherence to antiretroviral therapy among people with

HIV/AIDS in the Jombang Care Center Plus Peer Support Community, Jombang

Regency. This study used a cross-sectional design with purposive sampling, involving

38 respondents. Adherence to ART was assessed using the Morisky Medication

Adherence Scale-8 (MMAS-8) questionnaire, while the side effects of antiretroviral

drugs were evaluated using the Group Clinical Trial AIDS questionnaire. Statistical

analysis was performed using Somers' D test. The Somers' D test showed a significant

correlation between the side effects of antiretroviral drugs and adherence to therapy (p =

0.002, p < 0.05). This study concludes that side effects of antiretroviral drugs are

significantly associated with adherence to antiretroviral therapy among people with

HIV/AIDS in the Jombang Care Center Plus Peer Support Community.

Factors Influencing the Completeness of Basic Immunization for Infants in the Catchment Area of Simpangkatis Health Center, Central Bangka District, 2023

Monica — 2024-08-29

Immunization plays a crucial role in children’s development by preventing various

dangerous diseases and disabilities such as chickenpox, polio, and tuberculosis. This

research employed an analytical method with a cross-sectional study design. Data was

collected through questionnaires in September 2023, with a sample size of 91

respondents. The study’s findings revealed significant relationships between the level of

maternal education (p = 0.025), maternal knowledge (p = 0.024), and maternal

employment status (p = 0.021) with the completeness of basic immunizations for babies.

However, family support did not show a significant relationship (p = 0.074) with

immunization completeness. In conclusion, maternal education, knowledge, and

employment status significantly influence the completeness of basic immunizations for

infants. However, family support does not appear to play a significant role in ensuring

immunization completeness in the work area of the Simpangkatis Health Center, Central

Bangka Regency, in 2023.

Relationship between Respondent Characteristics and Noise Intensity with Increased Blood Pressure in Production Unit Workers of PT Japfa Comfeed Indonesia, Tbk. Plant Margomulyo

Sofia Sofia — 2024-11-24

The most common physical risk at work is noise, which may cause several health issues.

These include diseases of the auditory system and non-auditory impacts including poor

communication, tension, anxiety, high blood pressure, and decreased productivity. At

the production unit of PT Japfa Comfeed Indonesia, Tbk. Plant Margomulyo, this

research aimed to examine the association between respondent characteristics and noise

intensity in the workplace and changes in workers' blood pressure before and after work.

51 respondents participated in the cross-sectional study using an analytical and

observational methodology. The results showed that elevated blood pressure was

significantly correlated with age (p = 0.000), duration of service (p = 0.007), usage of

personal protective equipment (PPE) (p = 0.011), and noise intensity (p = 0.000).

Nonetheless, no statistically significant correlation was seen between elevated blood

pressure and dietary state (p = 0.467), smoking behaviors (p = 0.763), or history of

hypertension (p = 0.170). These findings suggest that while lifestyle factors like

smoking and nutritional status have less impact in this context, occupational factors—

particularly noise exposure—as well as certain personal characteristics like age and

length of service are linked to elevated blood pressure in workers.

Modifying Factors and Level of Knowledge About Pregnancy Danger Signs That Influence Antenatal Care Utilization Compliance

Widia Shofa Ilmiah — 2024-08-29

The 3rd Sustainable Development Goal (SDG) is to guarantee healthy lives and to

promote well-being. Reducing the maternal mortality ratio (MMR) to 70 per 100,000

live births is one of the SDG's primary metrics. In Indonesia, 74.1% of expectant

mothers had at least four antenatal care (ANC) appointments in 2018, while 70.67% of

mothers finished six ANC visits in 2022. The percentage was 74.92% in East Java,

while the coverage in Nganjuk Regency decreased slightly from 79.90% in 2017 to

77.92% in 2019. The purpose of this research was to examine the moderating variables

and the impact of pregnancy risk sign information on ANC use compliance. The study

included all 53 pregnant women in the community and used a quantitative, cross-

sectional, analytic correlation design. Total sampling, questionnaires, MCH books, and

observation sheets were used as data-collecting techniques. A study of binary logistic

regression was used. According to the findings, there was no discernible impact of

schooling on ANC compliance (p = 0.546). ANC compliance was, however,

substantially correlated with knowledge (p = 0.050; PR = 7.099), gestational age (p =

0.005; PR = 0.023), parity (p = 0.020; PR = 0.089), and information (p = 0.029; PR =

0.051). Notably, ANC adherence was seven times more impacted by knowledge level.

Six ANC visits must be completed to identify and avoid issues early on, which

emphasizes the need to raise pregnant women's knowledge in order to increase

compliance.

The Effectiveness of Digitalization in Family Caregiver Empowerment Model (FCEM) for Reducing Diabetes Incidence in Rural Areas: An App-Based Literature Review Study

Fahmi Wildana — 2024-08-29

Diabetes mellitus (DM) is a condition characterised by anomalies in insulin production,

action, or both, which result in hyperglycemia and insufficient management of blood

glucose levels. Patients, their families, and the healthcare system must bear a heavy

burden when it comes to the long-term management of diabetes mellitus (DM) via

medication and lifestyle changes. To lower the prevalence of diabetes, especially in

rural regions, this project aims to explore the possibility of incorporating the Family-

Centered Empowerment Model (FCEM) into a digital application. Using a literature

review technique, this study gathered information from books, articles from relevant

organizations, and journal publications. The search was conducted using keywords like

Empowerment, Family, Diabetes, Telehealth, and FCEM to find sites that fit the

inclusion requirements. According to the findings, the FCEM intervention significantly

improves quality of life, psychological management, physical activity, and health

education in addition to encouraging lifestyle changes. Additionally, it raises health

literacy, which boosts psychological support, increases adherence to blood sugar

management, and lessens disease-related anxiety.