Jurnal Kesehatan Komunitas 2019-11-22T07:10:29+00:00 Jasrida Yunita, S.KM, M.Kes Open Journal Systems <p>Published by :<br><strong>P3M Sekolah Tinggi Ilmu Kesehatan (STIKes) Hang Tuah Pekanbaru</strong><br>Jl. Mustafa Sari No. 5 Pekanbaru Riau Telp.0761-33815 Fax 0761-868666.&nbsp;<br>Website:; Email:</p> Effectiveness Of Toilet Training Education On Mother's Behavior And Toddler Age Toilet Training Ability (18-36 Months) 2019-09-04T06:10:16+00:00 Hafiko Andresni Zahtamal Zahtamal Winda Septiani Mitra Mitra Lita Lita <p><strong><em>ABSTRAC</em><em>T</em></strong></p> <p><em>Toilet training is an effort to train children to be able to control and urinate (BAK) and defecate (BAB). Toilet training is one of the main tasks of children at toddler age. Toilet training is one of the main tasks of children in toddler age which is very important to be done to create independence in children in controlling BAK and BAB and children know the parts of the body and their functions.</em> <em>Data in 2012 shows that ± 60% of parents do not teach toilet training to children from an early age. The aim of the study was to find out the effectiveness of toilet training education on maternal behavior and toilet skills in toddler age training (18-36 months). The study was conducted in July-August 2018. This type of quantitative research used the design of the Quasy pretest and posttest experiment with non-equivalent control group design. Samples were 36 mothers and 36 children with purposive sampling technique. Data analysis used Paired t test, Wilcoxon test, Man-Whitney test an Independent t test. The results showed that toilet training education through lecture methods, modules and maze games was more effective than toilet training education through lecture and leaflet methods on children's knowledge and abilities. Conversely, for the role of mothers in supervision there is no significant difference in effectiveness. Health education is recommended in health promotion programs to increase maternal knowledge, the role of mothers and the ability of toilet training children independently.</em></p> <p><em>Keywords: Toilet training, Lecture method, Module, Maze game, Leaflet, </em><em>Knowledge, Role of mother, Children's ability.</em></p> 2019-09-03T06:47:47+00:00 Copyright (c) 2019 Jurnal Kesehatan Komunitas Improving Reproductive Health Knowledge on Women Through Majelis Taklim 2019-11-22T07:10:29+00:00 Encep Syarifudin Enung Nugraha <p><em>Reproductive health for women is important in building harmonious family quality. The widespread participation of women in religious and health knowledge will provide a large portion of human development as a whole. Increasing religious knowledge activities are routine things that are followed every week, this is aimed at strengthening Islamic and religious members of the education council.</em></p> <p><em>Education council (majelis taklim) is a form of education that emphasizes to increase spiritual potential and forming students or worshipers to become human beings who believe, fear Allah and have noble character. Noble character includes ethics, character, and morals as manifestations of religious education. Increasing spiritual potential includes practicing, understanding, and planting religious values, as well as practicing those values in individual life or community collectives.</em></p> <p><em>The purpose of this research to determine the level of participation of the education council in increasing religious of knowledge about reproductive health and knowing the level of participation of the education council.</em></p> <p><em>The research method used descriptive qualitative by participatory action research (PAR) at education council in Banten, Indonesia and sampling technique by random sampling as a member of education council.&nbsp; </em></p> <p><em>The summary of this research showed that the level of religious knowledge about the reproductive health of the assisted participants is good that it gives a psychological impulse to register for early detection of reproductive disease. The woman reproductive health can improve by education council participation. &nbsp;</em></p> 2019-09-03T06:49:38+00:00 Copyright (c) 2019 Jurnal Kesehatan Komunitas The Relation of Learning Organization toward Officer Performance's at General Hospital Petala Bumi Riau Province in 2018 2019-09-04T06:09:06+00:00 Rizal Husfaudin Budi Hartono Nurmaimun Nurmaimun Jasrida Yunita Arnawilis Arnawilis <p>Organisasi pembelajaran adalah iklim kerjasama yang dapat menciptakan sumber daya manusia agar memiliki komitmen, integritas dan tanggung jawab secara kolektif terhadap keseluruhan kinerja organisasi. Kinerja adalah suatu hasil kerja yang dicapai dalam melaksanakan tugas-tugas yang dibebankan. Naik turunnya jumlah kunjungan pasien di RSUD Petala Bumi Provinsi Riau dapat dikarenakan menurunya pula kinerja petugas, hal tersebut dapat dilihat dari jumlah kunjungan pasien selama lima tahun terakhir. Tujuan penelitian ini untuk mengetahui hubungan Learning organization terhadap kinerja petugas. Jenis penelitian ini kuantitatif desain <em>cross sectional</em>. Metode pengambilan sampel simple random sampling untuk. Jumlah sampel untuk penelitian sebanyak 75. Analisis data dilakukan&nbsp; secara dekriptif, <em>chi square</em>, dan logistik linier ganda. Dari hasil analisa multivariat kinerja petugas baik 32, &nbsp;berpikir sistem baik 25 <em>Pvalue</em> 0,027, visi bersama baik 28 <em>Pvalue </em>0,152, pembelajaran tim baik 24 <em>Pvalue</em> 0,027, keahlian pribadi baik 30 <em>Pvalue</em> 0,086 dan mental model baik 34 <em>Pvalue</em> 0,213. Variable <em>Learning Organization</em> yang paling berpeluang terhadap kinerja adalah pembelajaran tim. Kesimpulan dari <em>learning organization</em> terhadap kinerja petugas di RSUD Petala Bumi Provinsi Riau dapat berjalan dengan baik dan semakin meningkat maka kepuasan pelanggan akan tercapai secara maksimal.</p> 2019-09-03T06:58:26+00:00 Copyright (c) 2019 Jurnal Kesehatan Komunitas Correlation of Knowledge, Nutritional Status, and Physical Activity with Incidents of Dysmenorrhea on Female Students of YLPI Pekanbaru tahun 2018 2019-11-22T07:09:55+00:00 Rika Karmila Winda Septiani <p><em>Dysmenorrhoea is pain when menstruation is felt in the lower part of the abdomen that comes from cramps in uterus. Dysmenorrhoea is divided into primary dysmenorrhoea and secondary dysmenorrhoea Based on early survey, that always there are students going to UKS every month and permission not to attend the learning process because they have dysmenorrhea, and most of the students prefer to go home because of unbearable pain. Based on interviews, from 15 female students, 26.67% of them have never experienced dysmenorrhoea. 73.77% said they had different menstrual pain complaints.This researchh purpose is to knowing correlation of nutrition status , physic activity, and knowledge toward incidents of dysmenorrhea on female students of YLPI Pekanbaru senior high school in 2018. This research type is qualitative analytic with cross sectional design. The sample in this reseach were XI and XII grade, totaling 143 peoples. Data collection was conducted by distributing questionnaires for variables of dysmenorrhea, physical activity and knowledge. Measuring height and weighing female students was conducted for nutritional status variables. The research result show that, there are meaningful correlation among nutritional status (</em><em>Pvalue= 0,016</em><em>) and</em><em>PR (95% CI)= 5,600 (1,449-21,641)</em><em>, physical activity (</em><em>P value = 0,003</em><em>) andPR (95% CI)= 6,587 (2,000-21,695), knowledge (</em><em>P value = 0,004</em><em>)and</em><em>PR (95% CI)= 6,000 (1,887-18,083)</em><em> with incidents of dysmenorrhea on female students of YLPI Pekanbaru Senior High School in 2018.</em><em>Suggestions for the school to form Youth Counseling Information Center in environment of YLPI </em><em>Senior </em><em>High School that is useful as a forum for giving or educating information such as adolescent health, especially regarding dysmenorrhoea</em></p> 2019-09-03T07:05:12+00:00 Copyright (c) 2019 Jurnal Kesehatan Komunitas Affects of Latrine Ownership to the Community Morbidity in Papua Province 2019-09-04T06:07:56+00:00 Agus Sumarsono <p>Papua Revives Mandiri and Prosperity is the aspiration of All Communities in Papua Province, Independence and prosperity can only be realized if the Community Has a Healthy Body and Soul. The degree of health is not only realized by the level of health services, but also influenced by environmental sanitation, including the ownership of latrines as a place to defecate. The Papua Central Bureau of Statistics has presented data related to the Environmental Health and Morbidity Figures data.This study uses a quantitative descriptive approach, with analytical statistics, utilizing available secondary data. The method is used to determine the average latrine ownership number and the average value of morbidity rates according to Kabuopaten City in Papua Province. Furthermore, looking for 3 (three) districts that have the highest and lowest numbers both in terms of toilet ownership and morbidity rates. Furthermore, with the average value of the two variables, you want to know the relationship between the two variables with simple linear regression using the Exel Toolpack.&nbsp;Results: The absence of latrines is related to the number of morbidity obtained by the equation Y = -0.085X + 10.04 and the value of R² = 0.021. Regression test results obtained df = 1 value F = 5.58 with a significant level of 0.025559 which means there is a significant relationship between toilet ownership and morbidity rates</p> 2019-09-03T07:13:37+00:00 Copyright (c) 2019 Jurnal Kesehatan Komunitas Correlation between Knowledge and Attiude of Mother with Giving Vitamin A to Toddlers 2019-09-04T06:07:22+00:00 Prasetyaningsih Prasetyaningsih <p>Background: Vitamin A is one of the important nutrients that are fat-soluble and stored in the liver, cannot be made by the body, so it must be fulfilled from the outside (essential). 40 million children suffer from vitamin A deficiency and 13 million children show clinical symptoms of eye disorders. Pariaman Health Center is the region with the lowest coverage of vitamin A, which is 74% of 1546 toddlers. The purpose of this study was to determine the correlation between the level of knowledge and attitudes of mothers with giving vitamin A for toddler in Pariaman Health Center, pariaman city, 2017.</p> <p>Methods: This type of analytic descriptive research using the approach is cross sectional. The study was conducted in Pariaman Health Center in September 2017. The study population was mothers who had toddler who were in the work area of Pariaman Health Center totaling 1,546 people, 93 samples were obtained using accidental sampling method Data processing was Univariate and Bivariate using Chi Square analysis computerized.</p> <p>Results: Univariate results showed that 51.6% had low knowledge, 64.5% had a negative attitude, 64.5% gave vitamin A capsules for toddlers. There is a significant relationship between the knowledge of mothers with giving vitamin A for toddlers, p value 0.001 &lt;0.05. There was a significant correlation between the attitudes of mothers with giving vitamin A, p value 0.001 &lt;0.05.</p> <p>Conclusion: The low coverage of vitamin A in Pariaman Health Center was apparently influenced by a lack of knowledge and also a negative mother's attitude. It is expected that the health center will further improve health services to the community, should counseling about vitamin A be held every month so that mothers' understanding of vitamin A increases</p> 2019-09-03T07:18:33+00:00 Copyright (c) 2019 Jurnal Kesehatan Komunitas Food Choices During Pregnancy Periods In Pulau Godang Kari 2019-09-04T06:06:46+00:00 Vella Yovinna Tobing Yati Afiyanti Imami Nur Rachmawati <p>Cultural practice of nutritional consumption during pregnancy can affect the quality of maternal and fetal health. Mothers need sufficient nutrients to be able to adapt of pregnancy changes. The growth and development of the fetus is depends on the mother. Some cultural practices believe that some types of food have a bad impact on both the mother and the fetus, so that the food is prohibited to be consumed during the pregnancy period. The purpose of the study was to explore the types of prohibited foods during pregnancy in Pulau Godang Kari, Kuantan Singingi. This is an ethnographic research was conducted on 15 informants consisting of pregnant women, families, midwife and traditioanl birth attendance. Data collection used direct observation, focus group discussions and interviews that are analyzed by using content analysis. Prohibition of certain types of food based on the type of food that was believed that the properties are not good, so it was believed to have a bad effect on the mother and fetus. The implementation of cultural practices related to dietary restrictions is still being carried out, because of the belief that something unwanted will happen if you choose to consume these foods. Therefore, health workers must be able to provide culturally sensitive health services, so they can provide alternative food choices to fulfill nutritional needs during pregnancy period</p> 2019-09-03T07:32:20+00:00 Copyright (c) 2019 Jurnal Kesehatan Komunitas The Correlation Between Head Nurse Supervision And Handover Implementation In Inpatient Ward RSUD Petala Bumi Riau Province 2019-09-04T06:06:11+00:00 Susi Erianti Rani Lisa Indra Beni Sepila <p><em>Handover was a communication that accurred at the trun of shift, which had the purpose of communicating infformation about the state of the patient on previouse nursing care. If handover was not carried out properly&nbsp; it could lead to undesirable things (KTD). This research aimed to know the supervisory relationship between head of the room and handover practice. The study was quantitative research with correlation method and cross sectional design. Samples of this study were 40 people that taken using total sampling technique. The data were analyzed in univariat and bivariate, univariate used frequency distribution and bivariate used chi square test. The results showed that 85% were female, 57,5% were D III, 92,5% on 3rd level were (&gt;5 years), 92,5% were absence of ward training, 57,5% of respondents stated that supervisory relationship was good, 60,0% of respondents handover implementation was not appropriate SOP and there was a significant relationship between the head of the room with handover implementation (p =0,013&lt;0,05). It was expected that the hospital management paid more attention to the nurse’s work to match the existing SOP.</em></p> 2019-09-03T07:41:36+00:00 Copyright (c) 2019 Jurnal Kesehatan Komunitas Determinants of the Family Response of Patients with Mental Disorders in Outpatient Ward in Psychiatric Hospital 2019-09-04T06:05:32+00:00 La Ode Alifariki Rahmawati Rahmawati <p><em>People with mental disorders often get greater stigma and debate from their respective communities than individuals who suffer from other diseases. Not only does it attract negatives towards sufferers, but also for family members, asking for tolerance, denial, and exclusion. </em></p> <p><em>This study discusses factors related to family response from patient mental illness</em></p> <p><em>This type of research is observational analytic using a cross sectional design with a total sample of 43 respondents. The sample is determined using purposive sampling. The technique of collecting data using questionnaires and collecting with chi square (X2) statistics. </em></p> <p><em>The results showed that there was a weak relationship between knowledge and family responses of outpatients with mental disorders (X2hit = 7.467, phi = 0.477), there was a moderate relationship between family structures and responses of street mental health nurses (X2hit = 10.356, phi = 0.557) , there is a strong relationship between the support system with outpatient emergency response families (X2hit = 16,320, phi = 0,675), There is a strong relationship between family resources and the outpatient family response (X2hit = 10,689, phi = 0,557). </em></p> <p><em>This study can conclude that family respondents to mental problems are related to knowledge, family structure, support systems and family resources.</em></p> 2019-09-03T07:45:37+00:00 Copyright (c) 2019 Jurnal Kesehatan Komunitas The Analysis of Medical Service Performances For BPJS's Patients And Non-BPJS's Patients At Surgery Room In District General Hospital 2019-09-04T06:04:55+00:00 N. Imas Susanti Budi Hartono <p>Background: According to Law No. 36 of 2009 on Health, that the government is responsible for the implementation of public health services through Badan Penyelenggara Jaminan Sosial (BPJS). The implementation of these policy lead highly medics’ turn over and declining medics’ performance at the surgery room, such as: postponed the surgery, reschedule the surgery, low patient’s informed concern, and medics’ disappointed for the amount of incentive. Methods: This researches use cross sectional design, conduct a preliminary research study to the 10 respondents, distributed the draft questionnaire to the 15 respondents for the first test of validity and reliability the questionnaire’s questions, distribute final questionnaire to respondents in the surgery room totaling 25 medics’ respondents, and then processing &amp; analyzing data using multiple linear regression model. To strengthen that quantitative research method, this research also does qualitative method analyzing by interviewing 5 expertises as informant Results: The results of research, shows that there are six factors that should affect to the services performance for BPJS and Non BPJS patients, that are: age of medics, length of employment, motivation, competence, incentives, and time of incentive payments. Based on modeling factors (based on classic model) describes that all of those factors are simultaneously affecting to the service performance for both of BPJS and Non BPJS patients in significantly. Conclusion: The difference in the performance of doctors between BPJS and Non BPJS patients that occur is certainly not in accordance with the mandate of the Act No. 36 of 2009 concerning Health, where the principle of patient care must be based on equality and justice. In this context, hospital management needs to manage wiser and wiser regarding the services of medical personnel in this hospital</p> 2019-09-03T08:02:59+00:00 Copyright (c) 2019 Jurnal Kesehatan Komunitas Factor Related to Nurse Performance in the in Patient Ward of the Rokan Hulu General Hospital 2017 2019-09-04T06:04:17+00:00 Ahmad Hanafi Filda Wahyuni <p>Hospital is an organizaon which is establish because of the complexity of public demands and they began to realize the importance of health. Therefore there is a demand to the hospital to give the maximal services to the public. Nursing care service in the hospital is one of determinant for the quality service and hospital presge in the public percepon. The nurses performances is become important to meet a demand of the public demand of the maximal quality service. This study aims to determine the relaonship training, leadership, supervision, movaon to the nurse’s performance in the inpaent ward of the Rokan Hulu General Hospital 2017 This was a quantave study with analyc obervaonal desain and cross seconal approach. The analysis used univariate and bivariate analysis with chi-square test. Populaon were nurses at inpaent ward of the Rokan Hulu General Hospital amount 120 persons. Sample were 55 person who taken by accidental sampling. The results showed that there was a significant relaonship between training (OR 4,25, p= 0,022), leadership (OR 4,44, p=0,019), supervision (OR 5,47, p=0,008), movaon (OR 5,14, p=0,010) It can be concluded that the nurse’s performance is closely related to training, leadership, supervision, and movaon. It is recommended to the majareial of Rokan Hulu Regional Hospital to more frequent send nurses to aending the appropriate training, further improving good leadership funcons to improve nurse performance, supervision from supervisors in order to perform the task well, and need to provide movaon to the nurse in order to improve the performance of nurses.</p> 2019-09-03T08:11:24+00:00 Copyright (c) 2019 Jurnal Kesehatan Komunitas