Jurnal Online Universitas Muhammadiyah Surabaya
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Risk Assessment Pelaksanaan Pekerjaan Galian Menggunakan Metode Blasting Berdasarkan Perspektif Kontraktor dan Masyarakat
Get PDFProyek kontruksi bendungan merupakan salah satu proyek memiliki tingkat kompleksitas pekerjaan yang tinggi. Pelaksanaan pekerjaan galian menggunakan crawler drill pada batuan keras dirasa kurang menghasilkan angka produktifitas sesuai dengan target. Blasting adalah metode alternatif pada pekerjaan galian yang bekerja dengan cara menghancurkan suatu kesatuan batu yang memiliki volume besar menjadi partikel-partikel yang menjadi lebih kecil. Metode blasting memiliki tingkat produktiftas yang tinggi pada pekerjaan galian, sisi lain dari keunggulan metode ini adalah memiliki risiko-risiko yang dapat membahayakan keselamatan konstruksi. Risk Assessment dibutuhkan untuk memahami tingkat risiko dan mengambil langkah-langkah untuk mengurangi atau mengendalikan dampaknya. Analisa risiko yang digunakan adalah metode probabilitas dan dampak. Perspektif yang digunakan pada penilaian ini adalah berdasarkan sudut pandang kontraktor dan masyarakat, sehingga dapat dilakukan penarikan kesimpulan atau variabel yang beririsan terhadap masing-masing perspektif. Berdasarkan hasil identifikasi risiko menurut sudut pandang kontraktor terdiri dari 53 jenis risiko dan menurut sudut pandang masyarakat terdapat 12 jenis risiko. Hasil penilaian risiko menurut perspektif kontraktor menghasilkan 8 risiko berkategori tinggi dan perspektif masyarakat terdapat 3 risiko berkategori tinggi. Prioritas mitigasi risiko dilakukan terhadap risiko-risiko yang berkategori tinggi. Terdapat risiko yang beririsan terhadap pelaksanaan metode blasting antara perspektif kontraktor dan masyarakat yaitu risiko pendengaran terganggu
Mengatasi Slow Learner Siswa Tunagrahita SLB Karya Bhakti Surabaya Melalui Aplikasi Special Edu
Get PDFTujuan dari kegiatan ini adalah dalam rangka memberikan pendampingan kepada guru SLB Karya Bhakti Surabaya dalam meningkatkan kualitas pembelajaran dengan penerapan strategi pembelajaran yang tepat dengan metode pembelajaran PAIKEM. Serta, membuat aplikasi Spesical edu yang dapat memudahkan siswa dalam membaca, menulis, dan berhitung yang terintegrasi dengan Augmented Reality untuk mengatasi slow learner. Metode pelaksanaan terdiri dari 5 tahap yaitu tahap persiapan, tahap implementasi, tahap monitoring dan evaluasi, tahap penyusunan laporan pelaksanaan kegiatan dan tahap keberlanjutan program. Hasil yang ditemukan dalam penerapan aplikasi special edu adalah peningkatan perhatian dan fokus siswa, pemahaman konsep yang lebih baik dan peningkatan interaksi sosial siswa. Hasil evaluasi menunjukkan bahwa 90% mitra merasa sangat puas dan puas terhadap relevansi program. Untuk kualitas penyampaian materi, tingkat pemahaman mitra mencapai 85%. Selain itu, 88% mitra puas dengan kinerja tim di lapangan, dan sebanyak 80% mitra optimis bahwa program ini akan memberikan dampak positif dalam jangka panjang
Penerapan Teknik Kompres Daun Kubis Dalam Mengurangi Nyeri Dan Pembengkakan Payudara Pada Ibu Post Partum Di Wilayah Kerja Puskesmas Limboto
Get PDFBackground: In general, breast pain and swelling are normal for post partum mothers at the beginning of breastfeeding after giving birth, where at the beginning of breastfeeding, the baby is still not adequate for breastfeeding so a lot of milk will accumulate in the breasts which causes the breasts to become swollen and painful, but even though this condition is considered normal, but if not treated properly it can cause complications in the form of mastitis (Salat & Indriyani, 2019). To treat breast pain and swelling, namely cold cabbage leaf compresses, warm compresses and manually expressing breast milk. This study aims to determine the application of the cabbage leaf compress technique in reducing pain and breast swelling in post partum mothers in the Limboto Health Center Working Area.
Methods: This research uses a quasi-experimental research design using the one group pretest-posttest design method. The research object is post-partum mothers who are in the working area of the Limboto health center. The subjects in this case study were 15 patients. The research instrument used an observation sheet using the NRS or Numeric Rating pain measurement scale observation sheet and the breast swelling scale, namely SPES or Six Point Engorgement Scale.
Results: Based on the results of statistical tests using the Wilcoxon test, it was found that the average pain scale value before was 4.40 (SD 1.298) and after was 0.20 (SD 0.775) with a p-value of 0.001 < α 0.05 and the average swelling scale before was 4.67 (SD 0.617) and after is 1.80 (SD 0.862) with p-value 0.000 < α 0.05
Conclusion: There were a significant difference between the average pain and swelling before and after applying the cabbage leaf compress technique so that it is found that the cabbage leaf compress technique can be applied in reducing pain and breast swelling in post partum mothers in the Limboto Health Center Working Area
Hubungan Perception Barriers Dengan Keaktifan Kunjungan Ibu Dalam Posyandu Balita
Get PDFThe success of the posyandu program is very dependent on the active participation of the community, especially mothers with toddlers, but the reality on the ground is that the level of activity of mothers visiting posyandu is still often low. Various factors can influence this activity, one of which is the perceived barriers felt by the mother. Objective: The aim of this research is to analyze perception barriers with mothers' activeness in posyandu activities. Methods: This research design uses analytics with a cross-sectional approach. The population in this study were mothers who had participated in posyandu activities for at least 6 months. This research instrument uses a perception barriers questionnaire from the health belief model theory and documentation studies from the results of posyandu visits. Results: In this study the p-value obtained was 0.001. This shows that there is a relationship between perceived barriers and the activeness of mothers' visits to toddler posyandu. The main factors that influence perceptions of barriers include the mother's lack of understanding of the benefits of posyandu, lack of adequate posyandu facilities, and time constraints due to the mother's busy schedule. Conclusion: there is a significant relationship between perception barriers and the activeness of mothers' visits to toddler posyandu. The higher the perceived barriers, the lower the mother's active level of visitation.The success of the posyandu program is very dependent on the active participation of the community, especially mothers with toddlers, but the reality on the ground is that the level of activity of mothers visiting posyandu is still often low. Various factors can influence this activity, one of which is the perceived barriers felt by the mother. Objective: The aim of this research is to analyze perception barriers with mothers' activeness in posyandu activities. Methods: This research design uses analytics with a cross-sectional approach. The population in this study were mothers who had participated in posyandu activities for at least 6 months. This research instrument uses a perception barriers questionnaire from the health belief model theory and documentation studies from the results of posyandu visits. Results: In this study the p-value obtained was 0.001. This shows that there is a relationship between perceived barriers and the activeness of mothers' visits to toddler posyandu. The main factors that influence perceptions of barriers include the mother's lack of understanding of the benefits of posyandu, lack of adequate posyandu facilities, and time constraints due to the mother's busy schedule. Conclusion: there is a significant relationship between perception barriers and the activeness of mothers' visits to toddler posyandu. The higher the perceived barriers, the lower the mother's active level of visitation
Penatalaksanaan Asuhan Keperawatan dengan Masalah Gangguan Oksigenasi pada Pasien Chronic Kidney Desease: OXYGENATION DISORDER PROBLEMS IN CHRONIC KIDNEY DISEASE PATIENTS
No full textObjective: to analyze the management of nursing care with oxygenation disorders in Chronic Kidney Disease (CKD) patients.Methods: This research design uses a case study research design in the nursing care process starting from assessment, nursing diagnosis, nursing intervention, implementation and nursing evaluation. The target of the study was Mr. D with a diagnosis of Chronic Kidney Disease (CKD) with oxygenation disorders undergoing hemodialysis treatment.Results: The results of the assessment showed that Mr. D experienced severe shortness of breath marked by a respiratory rate of 26 x/minute, there was nose cupping. The main nursing diagnosis was ineffective breathing patterns related to respiratory effort obstruction marked by dyspnea. Nursing interventions included observation and therapeutic actions. Implementation and evaluation were carried out for 1x24 hours, it was found that Mr. D's shortness of breath decreased slightly, RR decreased from 26 x/minute to 24 x/minute.Conclusion: Implementastion nursing care management for patients experiencing oxygenation disorders will reduce the main problems felt by the patient.Tujuan: untuk menganalisis penatalaksanaan asuhan keperawatan dengan gangguan oksigenasi pada pasien Penyakit Chronic Kidney Disease (CKD)Metode: Desain penelitian ini menggunakan desain penelitian studi kasus dalam proses asuhan keperawatan mulai dari pengkajian, diagnosa keperawatan, intervensi keperawatan, implementasi dan evaluasi keperawatan. Sasaran penelitian adalah Tn. D dengan diagnosa Chronic Kidney Disease (CKD) dengan gangguan oksigenasi yang menjalani perawatan hemodialisis.Hasil: Hasil pengkajian menunjukkan Tn. D mengalami sesak nafas berat ditandai dengan frekuensi nafas 26 x/menit, terdapat cupping hidung. Diagnosa keperawatan utama adalah pola nafas tidak efektif berhubungan dengan obstruksi usaha pernafasan ditandai dengan dispnea. Intervensi keperawatan meliputi observasi dan tindakan terapeutik. Implementasi dan evaluasi dilakukan selama 1x24 jam, didapatkan bahwa sesak nafas Tn. D sedikit menurun, RR menurun dari 26 x/menit menjadi 24 x/menit.Kesimpulan: Implementasi manajemen asuhan keperawatan pada pasien yang mengalami gangguan oksigenasi akan mengurangi masalah utama yang dirasakan pasien
Implementasi Kode Etik Keperawatan Sesuai Dengan Undang-Undang Nomor 17 Tahun 2023 Dalam Pelayanan Keperawatan Anak
Get PDFThe nursing code of ethics played a crucial role in ensuring that pediatric nursing care adhered to professional, ethical, and legal standards. However, its implementation faced various challenges. This study analyzed the application of the code of ethics in pediatric nursing care based on Law No. 17 of 2023 and the factors influencing its implementation. This research employed a qualitative method with a phenomenological approach. Data were collected through in-depth interviews with nurses in the pediatric care unit at RSU Muhammadiyah Babat Lamongan, as well as an analysis of the nursing code of ethics and legal regulations. The findings reveal that nurses' understanding of the code of ethics varies, influenced by work experience and training. Five main themes emerged: the relationship between nurses and clients, nursing practice, society, colleagues, and the profession. The alignment of the code of ethics with Law No. 17 of 2023 is evident in several articles, including Articles 44-49, 23(2), 177(1), and 291(1). The primary challenges included ethical conflicts in decision-making, communication with patients' families, and limited resources. Continuous training and clearer hospital policies were necessary to enhance compliance with the code of ethics.Objective: The nursing code of ethics played a crucial role in ensuring that pediatric nursing care adhered to professional, ethical, and legal standards. However, its implementation faced various challenges. This study analyzed the application of the code of ethics in pediatric nursing care based on Law No. 17 of 2023 and the factors influencing its implementation.
Methods: This research employed a qualitative method with a phenomenological approach. Data were collected through in-depth interviews with nurses in the pediatric care unit at RSU Muhammadiyah Babat Lamongan, as well as an analysis of the nursing code of ethics and legal regulations.
Results: The findings reveal that nurses' understanding of the code of ethics varies, influenced by work experience and training. Five main themes emerged: the relationship between nurses and clients, nursing practice, society, colleagues, and the profession. The alignment of the code of ethics with Law No. 17 of 2023 is evident in several articles, including Articles 44-49, 23(2), 177(1), and 291(1).
Conclusion: The primary challenges included ethical conflicts in decision-making, communication with patients' families, and limited resources. Continuous training and clearer hospital policies were necessary to enhance compliance with the code of ethics
Peran Persepsi Pemberdayaan Terhadap Diabetes Distress pada Pasien Diabetes Tipe 2
Get PDFObjective: The purpose of this study was to examine the relationship between the role of empowerment and diabetes distress in patients with type 2 diabetes in Indonesia. Methods: A cross-sectional design was used in this study. A total of 162 adult patients with type 2 diabetes were recruited from two health centers using convenience sampling. Self-report questionnaires and medical records were used to collect data on demographic and disease characteristics, the role of empowerment and diabetes distress. Bivariate analysis was used to test for significant correlations of variables.Results: The results of this study were that the role of perceived empowerment was negatively associated with diabetes distressConclusion: The importance of empowerment decision-making conflicts with diabetes distress in patients with type 2 diabetes in Indonesia. Health care providers need to be aware that increasing the perception of empowerment without considering decision-making conflict can increase diabetes distress.Objective: The purpose of this study was to examine the relationship between the role of empowerment and diabetes distress in patients with type 2 diabetes in Indonesia. Methods: A cross-sectional design was used in this study. A total of 162 adult patients with type 2 diabetes were recruited from two health centers using convenience sampling. Self-report questionnaires and medical records were used to collect data on demographic and disease characteristics, the role of empowerment and diabetes distress. Bivariate analysis was used to test for significant correlations of variables.Results: The results of this study were that the role of perceived empowerment was negatively associated with diabetes distressConclusion: The importance of empowerment decision-making conflicts with diabetes distress in patients with type 2 diabetes in Indonesia. Health care providers need to be aware that increasing the perception of empowerment without considering decision-making conflict can increase diabetes distress
Intervensi Berbasis Self-Efficacy dan Spiritualitas: Implikasi Praktis Pencegahan Quarter Life Crisis di Kalangan Mahasiswa Kesehatan
Get PDFObjective: This study aims to identify the relationship between Self-Efficacy, spirituality, and Quarter Life Crisis (QLC) among final-year health students at STIKES Banyuwangi.
Methods: A quantitative approach with a cross-sectional correlational design was employed. The study involved 43 final-year students experiencing QLC from a population of 79. Data were collected using the General Self-Efficacy Scale, Spiritual Well-Being Scale, and a QLC questionnaire, then analyzed using Rank Spearman correlation.
Results: Most students (60.5%) managed QLC at a "good" level. A significant negative correlation was found between Self-Efficacy and QLC (r=0.548, p<0.01), and between spirituality and QLC (r=0.646, p<0.01). This indicates that higher Self-Efficacy and spirituality are associated with lower QLC levels.
Conclusion: Self-Efficacy and spirituality are crucial protective factors against QLC in final-year health students. These findings suggest the importance of interventions focused on enhancing Self-Efficacy and spiritual well-being to support students' psychological welfare.Objective: This study aims to identify the relationship between Self-Efficacy, spirituality, and Quarter Life Crisis (QLC) among final-year health students at STIKES Banyuwangi.
Methods: A quantitative approach with a cross-sectional correlational design was employed. The study involved 43 final-year students experiencing QLC from a population of 79. Data were collected using the General Self-Efficacy Scale, Spiritual Well-Being Scale, and a QLC questionnaire, then analyzed using Rank Spearman correlation.
Results: Most students (60.5%) managed QLC at a "good" level. A significant negative correlation was found between Self-Efficacy and QLC (r=0.548, p<0.01), and between spirituality and QLC (r=0.646, p<0.01). This indicates that higher Self-Efficacy and spirituality are associated with lower QLC levels.
Conclusion: Self-Efficacy and spirituality are crucial protective factors against QLC in final-year health students. These findings suggest the importance of interventions focused on enhancing Self-Efficacy and spiritual well-being to support students' psychological welfare
Hubungan Usia Ibu Hamil Dengan Preeklmasia Di Poli Kandungan
Get PDFIntroduction: Maternal mortality rate (MMR) is a complex health problem that is influenced by various factors, one of which is preeclampsia. Risk factors for preeclampsia include maternal age, gravida, obesity, and other comorbidities. This study aims to analyze the relationship between the age of pregnant women and the incidence of preeclampsia in the Gynecology Clinic of Jombang Hospital. Methods: This study used a correlational analytic design with a retrospective approach. The population in this study was medical record data of pregnant women on June 01-August 30, 2024 at Jombang District Hospital with gestational age > 20 weeks who visited in the period June 1-August 30, 2024 at Jombang District Hospital (N=494). Samples were taken by random sampling as many as 221 respondents. The independent variable was maternal age, while the dependent variable was the incidence of preeclampsia. Data analysis using Chi-square test. Results: Most of the pregnant women (53.39%) were at the age of 20-35 years (n=118). The statistical test results showed a value of ρ=0.313 (ρ>0.05), which indicated no significant relationship between maternal age and the incidence of preeclampsia. Conclusion: There is no significant relationship between the age of pregnant women and preeclampsia in the Gynecology Clinic of Jombang Hospital. Other factors such as obesity, gravida, and comorbidities may be more influential. It is recommended that pregnant women regularly check their pregnancy for early detection of preeclampsia risk.
Keywords: Age, Pregnant Women, Preeclampsi
This study aims to analyze the relationship between the age of pregnant women and the incidence of preeclampsia in the Gynecology Clinic of Jombang Hospital. Methods: This study used a correlational analytic design with a retrospective approach. The population in this study was medical record data of pregnant women on June 01-August 30, 2024 at Jombang District Hospital with gestational age > 20 weeks who visited in the period June 1-August 30, 2024 at Jombang District Hospital (N=494). Samples were taken by random sampling as many as 221 respondents. The independent variable was maternal age, while the dependent variable was the incidence of preeclampsia. Data analysis using Chi-square test. Results: Most of the pregnant women (53.39%) were at the age of 20-35 years (n=118). The statistical test results showed a value of ρ=0.313 (ρ>0.05), which indicated no significant relationship between maternal age and the incidence of preeclampsia. Conclusion: There is no significant relationship between the age of pregnant women and preeclampsia in the Gynecology Clinic of Jombang Hospital. Other factors such as obesity, gravida, and comorbidities may be more influential. It is recommended that pregnant women regularly check their pregnancy for early detection of preeclampsia risk
Perancangan Kontrol Adaptif Kepadatan Arus Lalu Lintas dengan Metode Convolutional Neural Network
Get PDFKemacetan lalu lintas merupakan salah satu permasalahan dan tantangan yang memerlukan solusi berbasis teknologi cerdas. Perancangan ini membentuk sistem kontrol adaptif kepadatan arus lalu lintas menggunakan metode Convolutional Neural Network (CNN) dan pendekatan algoritme YOLOv8. Sistem ini mengintegrasikan teknologi computer vision dan deep learning untuk mendeteksi, menghitung, dan mengklasifikasikan kendaraan secara real-time, berbasis data citra digital kamera CCTV. Perancangan dilakukan dengan data input salah satu pertigaan Kota Malang pada dua waktu dan kondisi yang berbeda. Perhitungan matematis dan training data juga dilakukan menggunakan software komputasi MATLAB. Pada hasil perancangan, didapatkan nilai akurasi pada rentang 30 – 45%. Dengan sekuensial pertama, prioritas lalu lintas jalur 3, jalur 2, lalu jalur 1. Kemudian pada sekuensial kedua, prioritas lalu lintas jalur 3, jalur 1, dan jalur 2. Meskipun nilai akurasi terbatas, perancangan ini berpotensi bahwa teknologi deep learning dapat mengoptimalkan manajemen lalu lintas. Dengan faktor yang berpengaruh seperti kualitas data input, pemrograman sistem, kondisi cuaca, dan sudut pembacaan kamera