Background: During the pandemic, people who visit health services are afraid of being exposed to the corona virus. The public prefers to use digital services as evidenced by the increase in the use of digital services in the health and education sectors by 41% and 38%. In Indonesia, the use of telemedicine has been urged for use during the pandemic period, but it has not been realized because of constraints on the time and facilities available, especially in primary health. One of the simpler and more efficient applications is the chatbot application. Chatterbot (also known as chatbot or bots) is a computer program designed to balance intellectuals with one or more humans, both audio and text. Purpose: This study aims to test the effectiveness of using the chatbot application as an online information facility on the satisfaction level of primary health users. Method : This study used a pre-experimental research design with a one shot case study approach. The population in this study were the users of Kota Timur Public Health Center in Gorontalo City. The number of samples taken was 60 people through purposive sampling method. Result : After using chatbot, it was found that most of the respondents showed satisfaction in the very high range or excellent with a proportion of 73.3% (44 respondents), the average usability score was 89.9 (> 70) which means that the level of usefulness of the application is at a very high range which indicates this application can be accepted or easy to use by the community. Conclusion; The chatbot application is very helpful for respondents in accessing health information and services during a pandemic and needs to be further developed for online media consultations on other types of health services.
Background: A large number of reccurence in pulmonary TB patients is due to a lack of knowledge to perform self-care at home, which is assumend as a lack of readiness of pulmonary TB patients when facing discharge. Health education can increase knowledge, willingness, and community role in preventing pulmonary TB disease. Objective: The research aimed at determining the effect of health education towards discharge readiness of pulmonary TB patients at Interna Ward II of RSUD Toto Kabila, Bone Bolango District. Methods:This research applied Pre-Experimental design with One Group Pretest-Posttest design. The research samples were 23 respondents with the purposive sampling method. Results: Research finding based on the Wilcoxon statistical test revealed that there was a significant change in the knowledge before and after was given health education with the p-value = 0,000. Conclusion: It can be concluded that there was an effect of healt education towards discharge readiness of pulmonary TB patients at Interna Ward II of RSUD Toto Kabila,Bone Bolango District.
Hipertensi merupakan penyebab utama penyakit jantung, gagal ginjal, dan stroke. Salah satu terapi non farmakologi yang dapat menurunkan tekanan darah adalah dengan mengkonsumsi pisang cavendish (atau pisang ambon), dimana tujuan dari penelitian ini adalah untuk menganalisis pengaruh buah tersebut terhadap penurunan tekanan darah pasien hipertensi usia lanjut. 41 pasien hipertensi diperoleh dari pengambilan data sebelumnya di daerah penelitian, melibatkan 428 lansia dengan target usia pra lansia antara 45 hingga 59 tahun pada tahun 2019. Penelitian ini menggunakan metode kuantitatif dengan desain pre eksperimen dan one group pre test post test, dilakukan pada tanggal 24-29 Februari 2020 dengan menggunakan kuesioner yang terdiri dari data demografi dan lembar observasi tekanan darah lansia untuk pengumpulan data. Hasil penelitian menunjukkan bahwa penurunan terjadi setelah intervensi konsumsi dimulai, berdasarkan uji analisis menggunakan Wilcoxon Signed Rank Test dimana nilai p tekanan darah sistolik = 0,001 (α < 0,05), dan nilai p tekanan darah diastolik = 0,001 (α < 0,05). Oleh karena itu, disimpulkan bahwa terdapat pengaruh yang signifikan konsumsi pisang cavendish terhadap penurunan tekanan darah pada lansia penderita hipertensi.
Penyakit hipertensi merupakan penyakit tidak menular peringkat pertama terbanyak di Provinsi Gorontalo selama empat tahun berturut-turut dengan 29.391 kasus pada tahun 2020. 60% penderita hipertensi mengalami komplikasi stroke, penyakit ginjal, dan kebutaan. Hal ini disebabkan kurangnya kemampuan pasien hipertensi dalam melakukan manajemen perawatan diri atau self care management. Self care management sangat dipengaruhi oleh motivasi dan keyakinan diri pasien hipertensi yang dikenal dengan istilah efikasi diri. Tujuan kegiatan pengabdian masyarakat ini adalah meningkatkan efikasi diri pasien hipertensi melalui edukasi terstruktur di masyarakat. Kegiatan pengabdian masyarakat ini dilakukan di Wilayah Kerja Puskesmas Kabila pada bulan Juli sampai September dengan metode edukasi terstruktur terhadap 20 orang pasien hipertensi terkait self care management yang meliputi strategi diet, aktifitas fisik , manajemen stress dan kepatuhan pengobatan. Sebelum dan setelah kegiatan, dilakukan pengukuran efikasi diri dan motivasi mencegah komplikasi pada pasien hipertensi. Setelah kegiatan, didapatkan peningkatan efikasi diri pasien hipertensi dengan rata-rata skor 19 menjadi 28, selain itu juga didapatkan peningkatan skor pada motivasi mencegah komplikasi dari skor 32 menjadi 65. Edukasi self care management dapat menjadi alternatif strategi dalam meningkatkan keyakinan diri atau efikasi diri dan motivasi pasien hipertensi dalam melakukan perawatan diri dan pengobatan sehingga kualitas hidup pasien hipertensi dapat meningkat.Hypertension is the first-ranked non-communicable disease in Gorontalo Province for four consecutive years, with 29,391 cases in 2020. Complications such as stroke, kidney disease, and blindness affect 60% of hypertension patients. This is due to hypertensive patients' inability to manage their own health care. Self-care management is strongly influenced by the motivation and self-confidence of hypertensive patients, known as self-efficacy. The purpose of this community service activity is to increase the self-efficacy of hypertensive patients through structured education in the community. This community service activity was carried out in the working area of the Kabila Health Center from July to September with a structured educational method for 20 hypertension patients regarding self-care management, which included diet strategies, physical activity, stress management, and medication adherence. Before and after the activity, self-efficacy and motivation to prevent complications in hypertension patients were measured. After the activity, there was an increase in the self-efficacy of hypertensive patients with an average score of 19 to 28, and besides that, there was also an increase in the score on motivation to prevent complications from a score of 32 to 65. Self-care management education can be an alternative strategy for increasing hypertensive patients' self-confidence, self-efficacy, and motivation to carry out self-care and treatment, thereby improving their quality of life.
Background: To deal with problem sarising from miscommunication between health professions, good collaboration between health workers must beim proved through Interprofessional Collaboration (IPC). Improvementof IPC can bed one by introduc in go ther professions and collaboration systems since education period in campus through Interprofessional Education (IPE). In health polytechnic, IPE still a newthing in academicstage, andstill not implementedwell. IPE culture must beimproved in health institution so that collaboration ability of the student will formed before they entranced work climate. One formof IPE implementation can bed one through case study approach between students with different majors. Purpose: This study aims to explore benefits of students in participating in IPE with a case study approach. Methods: this study used a qualitative design with a phenomenological method approach. The sample used was 12 informantsobtained through purposive sampling method. The student who agreed to be informant in theresearch, was involved in IPE simulation through case study. Student divided into small group discussion consisted of different majors, i.enursing majors, nutrision ist majors and midwifery majors. After simulation finished, the studen tasked about their experienced during simulation activity. Result; Through the maticanalysis , wefound 4 the mesaccording to experience during IPE simulation; Cooperation and mutual understanding between professions, Imporved Problem Solving and Team Decision Making Ability, enlarge scientific knowledgeandeliminating professional selfishness or egoism. Conclusion; IPE with a case study approach can provide great benefits in increasing the ability of students to collaborate between different majors in solving patient health problems so that their implementation needs to be improved in thepre-clinical stage and during clinical practice.
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