Sapporo Medical Journal

Abstract : The Jakarta Health Office initiated the “Knock on Doors, Serve with Heart” (hereinafter called KPLDH standing for Ketuk Pintu Layani Dengan Hati) program with the main objective of serving the community with a heart to the fullest and preventing sick people from becoming poor. KPLDH is an effort by the government to bring health services closer to the community, especially in the promotional and preventive fields. This study aims to develop a construction variable model for the KPLDH Program Performance index to measure the effectiveness of the KPLDH public policy program in Jakarta using the Baldrige Framework approach. This evaluation implementation research aims to determine the level of success of a program or to determine the effectiveness of program implementation. This research was conducted in mix-method. The study was followed by 44 sub-district health centers in Jakarta with a total of 308 respondents who submitted the KPLDH Program Performance Index assessment using the Baldrige assessment method approach. The results of the KPLDH Program Performance Index assessment are 82,16% with the predicate level of Benchmark Leader at the excellent level. These results indicate the implementation of the program with a systematic, effective, and responsive approach to the derivatives of the policies that have been determined, and good to excellent integration is proven by analysis, learning and sharing of organizational best practices as a key management strategy.

Abstract : Hypercholesterolemia is a primary risk factor for cardiovascular disease. One of the natural food that can lower cholesterol is Spirulina. Spirulina contains several active ingredients, especially phycocyanin and β-carotene, which have antioxidant activity and anti-inflammatory activity. Spirulina will be mixed with Yogurt that can lower cholesterol as well. The purpose of this study was to evaluate the effect of Spirulina Yogurt (Spirulina platensis) on total blood cholesterol levels in patients with hypercholesterolemia. The study was used as a pretest-posttest randomized control trial experimental with a control group design. The population in this study was hypercholesterolemia patients (total cholesterol ≥200 mg/dl). Samples were taken by purposive sampling, a sample of 8 people in the treatment group, and 8 people in the control group. The treatment group was given Spirulina Yogurt (1gram/200ml/day), while the control group was given Yogurt (200ml/day) for 14 days. The results showed that there was no significant change in the value of the control group (p=0,074>0,05), but there was a significant change in the treatment group (p=0,017<0,05). There was no significant difference in total cholesterol between the treatment and control groups (p = 0,812>0,05). Therefore, further research is needed to determine the effective dose and period time of the study and the process of making Spirulina yogurt properly so that it can be effective in lowering cholesterol.

Abstract : Thalassemia patient has physical and emotional problems due to illness condition, routine treatment, and it will affect their Quality of life. To relieve problems of the thalassemia patients, nurses should modify the environment of the patients and family by using the transcultural nursing model. Methods: It used a quasi-experimental method with pre and post-test design. There were 64 families of thalassemia patients who were participated as the sample by purposive non-random sampling technique and divided equally into the intervention and control group. The result showed that the mean post-test score of Quality of life in the intervention group was 118.22 (SD = 16.62). Meanwhile, the control group was 81.94 (SD = 12.26). There were significant differences in Quality of life among patients between the intervention and the control group (p = 0.001). This research assessment focused on the cultural elements of Lenninger's transcultural nursing. It is concerned with the cognitive ability to know about the values, beliefs, and expression patterns used to guide, support, or provide individuals, families, or groups with the opportunities to sustain health, be healthy, develop and survive. The conclusion is that the transcultural nursing model's application influences the Quality of life of thalassemia patients. It is recommended to nurses who care the thalassemia patients should apply the model of transcultural nursing.

Abstract : Despite the continuous renal replacement therapy (CRRT) indicated on patients with severe (Grade 4) hand, foot and mouth disease (HFMD), the mortality rate is high. The aim of the study was to assess the effectiveness of CRRT in earlier stages of severe HFMD pediatric patients on improving their mortality. A retrospective, case series study was conducted on severe HFMD cases diagnosed clinically, confirmed by polymerase chain reaction (PCR) assay and received CRRT. Variables were recorded at: Pediatric intensive care unit (PICU) admission, CRRT initiation and 16 hours after CRRT intervention. Data were processed and analyzed using STATA version 14.0. Thirty-eight eligible cases were included in the study. The mean age was 25.3 months; the male:female ratio was 1.5. Most cases were admitted within the first 3 day of illness (94.7%). The rate of HFMD grade 3 and grade 4 indicated CRRT was about 26.3% and 73.7% respectively. Vital signs, hematological and biochemical parameters improved significantly after 16 hours of CRRT. The average duration of CRRT was 2.4 ± 0.7 days. The survival rate of cases with HFMD grade 3 was 82.1% higher than that of cases with HFMD grade 4 at 40% significantly. The overall survival rate of HFMD patients indicated CRRT was about 71%. The CRRT could be considered as one of the measures contributing to the improvement of mortality rate in patients with severe HFMD. Early indication of CRRT can greatly improve clinical outcome in severe HFMD patients.

Abstract : Education is an effort to influence individuals, groups, and communities to have knowledge that can be used to improve health status. In implementing education, learning media can be used, one of which is using an android application. Information on women's reproductive health, especially leukorrhea, is very important for women, especially pregnant women, because of the various effects. This study aims to determine the effect of education on increasing pregnant women's knowledge about leukorrhea using the Mapaccing application. This study used a pre-experimental method (one group pre-test and post-test design). The number of samples is 30 taken using the accidental sampling technique. In the first stage, the socialization of the use of the Mapaccing application was carried out for two days. The Mapaccing application is installed on their respective Android phones. The mother was then reminded to read and study the leukorrhea material every day for two weeks, with 10 minutes of studying/reading. Based on the research results, it was obtained that the pre-test value was 74.66 and the post-test score was 100, there was an increase in knowledge of 25.34%, with a P-value of 0.000 smaller than the value of α 0.05. Based on the results, it can be concluded that the Android-based Mapaccing educational media application increases the knowledge of pregnant women about leukorrhea.