Cesareans antibiotic prophylaxis aims to prevent the clinical manifestations of SSI expected to occur. Theoretically, Cefazoline is considered more advantageous as a cesarean prophylactic antibiotic than Ceftriaxone. This study aims to compare the effectiveness of Cefazoline and Ceftriaxone as cesarean prophylactic antibiotics at RSIA Trisna Medika Tulungagung from October–December 2021. The study used a cross-sectional research design using 214 medical records data of patients with preoperative prophylactic antibiotics Cefazoline and Ceftriaxone (1:1). Data analysis includes antibiotic use profiles and therapeutic effectiveness data. Statistical analysis used the Mann-Whitney U Test. Research results showed that Cefazoline and Ceftriaxone have the same effectiveness as cesarean prophylactic antibiotics at RSIA Trisna Medika Tulungagung October – December 2021 based on pulse frequency, breath frequency, 10d post-op wound pain, purulent, dry wound, SSI, and LOS.
ABSTRAK Kasus Covid-19 semakin hari semakin bertambah, sehingga perlu adanya cara untuk memutus rantai penyebaran / transmisi dan melindungi masyarakat dari infeksi virus tersebut. Upaya yang dapat dilakukan untuk memutus rantai penyebaran yaitu dengan cara 3M (Memakai masker, Menjaga jarak, dan Mencuci Tangan). Upaya lain yang harus dilaksanakan yaitu dengan cara meningkatkan imunitas tubuh, agar virus yang menginfeksi tubuh dapat langsung dilawan oleh sistem imunitas tubuh, sehingga dapat mengurangi proses infeksi. Salah satu cara peningkatan imunitas tubuh dengan cara mengonsumsi obat tradisional (seperti ramuan herbal, jamu, ekstrak tanaman dll). Berdasarkan hasil analisa situasi, masyarakat desa ngranti belum mengetahui jenis, manfaat dan cara pembuatan dari tanaman herbal yang dapat digunakan sebagai minuman jamu untuk meningkatkan sistem kekebalan tubuh. Desain kegiatan ini menggunakan rancangan pre-eksperimental dengan rancangan pre test – post test design yaitu dengan melakukan intervensi berupa edukasi menggunakan leaflet. Edukasi yang dilakukan berisi jenis, manfaat dan cara pembuatan jamu dari tanaman herbal. Hasil pengabdian masyarakat ini menunjukkan rata-rata nilai pre test 6,1 dan rata-rata nilai post tes 7,6, analisa spss menunjukkan terdapat peningkatan pengetahuan yang signifikan dengan nilai p value 0,002. Kata Kunci: Covid-19, Jamu, Imunitas ABSTRACT Covid-19 cases are increasing day by day, so there is a need for a way to break the chain of transmission/transmission and protect the public from infection with the virus. Efforts that can be made to break the chain of spread are by means of 3M (wearing masks, maintaining distance, and washing hands). Another effort that must be carried out is by increasing the body's immunity so that viruses that infect the body can be directly resisted by the body's immune system, so as to reduce the infection process. One way to increase the body's immunity is by consuming traditional medicines (such as herbal ingredients, herbs, plant extracts, etc.). Based on the results of the situation analysis, the villagers of Ngranti do not yet know the types, benefits, and methods of making herbal plants that can be used as herbal drinks to boost the immune system. The design of this activity uses a pre-experimental design with a pre-test - post-test design, namely by conducting an intervention in the form of education using leaflets. The education carried out contained the types, benefits, and methods of making herbal medicine from herbal plants. The results of this community service show an average pretest value of 6.1 and an average post-test value of 7.6, the SPSS analysis shows that there is a significant increase in knowledge with a p-value of 0.002. Keywords: Covid-19, Herbal Medicine, Immunity
Diabetes adalah salah satu penyakit tidak menular dan bersifat kronis serta prevalensinya cukup tinggi di Indonesia bahkan Dunia. Penyakit ini ditandai dengan peningkatan kadar gula darah acak ≥ 200 mg/dl. Kadar gula darah yang tinggi dan tidak terkontrol dapat menyebabkan berbagai komplikasi sepert gagal, ginjal, stroke, neuropati dan lain sebagainya. Salah satu strategi dalam kontrol gula darah selain mengontrol asupan makanan adalah juga dengan mengkonsumsi obat antidiabetes secara rutin sesuai dosis. Salah satu masalah dari penggunaan obat adalah pengetahuan yang rendah serta “lupa” yang sering menjadi faktor yang mengurangi kepatuhan pasien dalam mengkonsumsi obat antidiabetes. Untuk meningkatkan pengetahuan maka salah satu yang bisa dilakukan adalah dengan penyuluhan dan mengurangi faktor lupa dapat menggunakan pillbox. Pengabdian ini terbagi menjadi 4 tahapan. Tahap pertama adalah melakukan pengukuran pengetahuan dan kepatuhan warga, tahap ke empat juga melakukan pengukuran pengetahuan dan kepatuhan warga setelah adanya pengabdian dengan menggunakan kuesioner. Setelah akhir pengabdian, data dianalisis dengan Shapiro-Wilk dilanjutkan uji Willcoxon karena data tidak terdistribusi normal untuk mengetahui perbedaan pengetahuan dan kepatuhan sebelum dan sesudah pengabdian ini. Dari hasil pengabdian ini tidak terdapat perbedaan yang signifikan terhadap nilai pengetahuan sebelum 79,78 ± 3,90 sesudah 80,38 ± 4,63 dengan p-value > 0,05, akan tetapi terjadi peningkatan nilai kepatuhan sebelum 22,90 ± 4,01 dan sesudah 15,98 ± 2,84 dengan p-value < 0,05.
Hypertension is a type of disease that is difficult to control, this is because in some cases there are no signs and symptoms that appear. The provision of pharmacological therapy is deemed insufficient to control the patient's blood pressure, so it is necessary to conduct research related to complementary therapies. Complementary therapy that can be given can be in the form of garlic capsules which contain allicin which is efficacious in lowering blood pressure. The purpose of this study was to determine the effect of complementary therapy with garlic capsules (Allium Sativum Linn) on the value of Mean Arterial Pressure (MAP) in patients with uncontrolled hypertension. The study design was a Randomized Controlled Trial (RCT). Measurement of MAP was carried out pre-post therapy, namely at week 0, 1, 2, 3, and 4. The sampling technique used simple random sampling, the sample was divided into a control group (placebo) and a treatment group each consisting of 30 people. The results of sociodemographic characteristics show that more people with hypertension are at the age of 45-54 years, female gender, last education is high school, work as a farmer, long suffering from hypertension <5 years. Paired t-test analysis showed that the average result of the decrease in MAP in the garlic capsule group was 20.23 with a P Value of 0.000, which means that there is a significant difference between the MAP value before and after administration of garlic capsules. The placebo group had a P Value of 0.258, this shows that there is no difference in MAP before and after giving placebo. The conclusion of this study is that giving garlic capsules can reduce blood pressure in hypertensive patients.
ABSTRAK Hipertensi sering terjadi pada lansia karena terjadi perubahan struktural dan fungsional pada sistem pembuluh perifer yang mengakibatkan penuruan distensi dan daya regang pembuluh darah. Kurangnya pengetahuan pasien tentang penyakit hipertensi menyebabkan target terapi pengobatan sulit untuk dicapai. Pada pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan pasien lansia yang menderita hipertensi dengan cara pemberian informasi melalui leaflet. Metode pengabdian masyarakat ini menggunakan rancangan pre-eksperimental dengan cara pre test – post test design yaitu dengan melakukan intervensi berupa penyuluhan menggunakan leaflet. Hasil pengabdian masyarakat ini menunjukkan terdapat pengaruh yang signifikan terhadap pemberian leaflet dan edukasi terhadap peningkatan pengetahuan pasien hipertensi dengan nilai p-value 0,001. Terdapat pengaruh yang signifikan terhadap pemberian leaflet dan edukasi terhadap penurunan tekanan darah sistolik pasien hipertensi dengan nilai p-value 0,006 dan tidak terdapat pengaruh yang signifikan terhadap pemberian leaflet dan edukasi terhadap peningkatan pengetahuan pasien hipertensi dengan nilai p-value 0,414. Kata kunci: Hipertensi, Lansia, Leaflet, Pengetahuan ABSTRACT Hypertension often occurs in the elderly due to structural and functional changes in the peripheral vascular system which results in decreased distension and stretching of blood vessels. The patient's lack of knowledge about hypertension causes the target of treatment therapy to be difficult to achieve. This community service aims to increase the knowledge of elderly patients suffering from hypertension by providing information through leaflets. This community service method uses a pre-experimental design by means of pre-test - post-test design, namely by intervening in the form of counseling using leaflets. The results of this community service show that there is a significant effect on the provision of leaflets and education on increasing the knowledge of hypertensive patients with a p-value of 0.001. There is a significant effect on the provision of leaflets and education on the reduction of systolic blood pressure in hypertensive patients with a p-value of 0.006 and there is no significant effect on leaflet provision and education on increasing knowledge of hypertensive patients with a p-value of 0.414. Keywords: Hypertension, Elderly, Leaflet, Knowledge
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