e-Jurnal Poltekkes Tanjungkarang
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PROGRAM RETENSI PERAWAT UNTUK MENGURANGI TURNOVER PERAWAT NON PNS DI RUMAH SAKIT X
Rumah sakit harus mampu mempertahankan pegawai, terutama tenaga kesehatan seperti perawat, hal ini dilakukan agar rumah sakit dapat mempertahankan eksistensinya. Angka turnover yang tinggi merupakan sebuah ancaman bagi rumah sakit, oleh karena itu dibutuhkan program retensi pegawai untuk mempertahankan pegawai dari turnover intention. Penelitian ini bertujuan untuk mengetahui gambaran proses pengembangan perawat non PNS di Rumah Sakit X. Penelitian ini menggunakan metode kualitatif dengan jenis penelitian deskriptif. Data diperoleh melalui wawancara terhadap perawat PNS, perawat non PNS, perawat yang telah resign, dan pihak manajemen Rumah Sakit X. Hasil penenlitian ini menunjukkan bahwa Rumah Sakit X telah melaksanakan program retensi pegawai, namun belum bisa menurunkan angka turnover perawat non PNS. Sistem remunerasi yang merupakan program retensi pegawai perlu ditinjau ulang, karena dengan adanya sistem remunerasi, turnover perawat non PNS semakin meningkat. Turnover perawat non PNS di Rumah Sakit X disebabkan oleh kepastian karier dan kesejahteraan pegawai yang kurang. Program retensi pegawai di Rumah Sakit X harus fokus pada faktor penyebab turnover perawat non PNS, agar program retensi pegawai dapat dirancang dengan baik. Pihak manajemen Rumah Sakit X harus melakukan analisa yang tepat dan melihat berbagai dampak yang akan muncul dari penerapan program retensi pegawai tersebut
Indeks Masa Tubuh, Usia, dan Peningkatan Kadar Kolesterol Total
Background: Total cholesterol level is the best indicator that can predict the risk of cardiovascular disease. Hypercholesterolemia is an important risk factor for cardiovascular disease as a major cause of death and illness globally. Purpose: To analyze the relationship between body mass index (BMI), age, and sex with total cholesterol levels in employees. Methods: This study is a cross-sectional study using secondary data from the results of the medical check-up of employees of PT KAI Divre IV Tanjung Karang in 2018 Population 2143 people, sample size 722 calculated based on differences in two proportions. The dependent variable is total cholesterol levels. The independent variables Body Mass Index (BMI), sex, and age were analyzed by computer with bivariate analysis. Results: There was a relationship between BMI (p = 0.0001, OR 1.870) and age (p = 0.004, OR 1.975 with total cholesterol levels. Conclusion: Body mass index (BMI) and age as risk factors that increase total cholesterol levels. It is important to control total cholesterol with routine checks with increasing age and increasing body weight (obesity).Latar belakang: Kadar kolesterol total sebagai bagian indikator terbaik yang dapat memprediksi risiko penyakit kardiovaskuler. Hiperkolesterolemia merupakan faktor risiko penting penyakit kardiovaskuler sebagai penyebab utama kematian dan kesakitan secara global. Tujuan: menganalisis hubungan indek masa tubuh (IMT), usia dan jenis kelamin dengan kadar koesterol total pada karyawan. Metode: Penelitian ini adalah penelitian cross sectional menggunakan data sekunder hasil medical check up karyawan PT KAI Divre IV Tanjung Karang tahun 2018 Populasi 2143 orang, besar sampel 722 dihitung berdasarkan beda dua proporsi.. Variabel dependen kadar kolesterol total. Variabel independen Indeks Masa Tubuh (IMT), jenis kelamin dan umur dianalsis dengan komputer dengan analisis bivariat. Hasil: Terdapat hubungan antara IMT (p=0,0001, OR 1,870) dan usia (p=0,004, OR 1,975 dengan kadar kolesterol total. Simpulan: Indek masa tubuh (IMT) dan usia sebagai faktor risiko yang meningkatkan kadar koesterol total. Kadar kolesterol total penting dikendalikan dengan pemeriksaan rutin dengan semakin bertambah usia dan peningkatan berat badan (obesitas)
Evaluasi Implementasi Program Kelas Ibu Hamil (KIH)
Pregnant Women Class (KIH) is meant to learn together about health for pregnant women, in the form of face-to-face in groups that aim to improve their knowledge and skills. To see it’s the effectiveness of implementation as an effort to develop KIH, it is necessary to evaluate the implementation of KIH. Type of research Evaluation with an evaluation model used to find CIPP which aims to find the Context, Inputs, Processes, and Products of KIH. The technique of collecting data was using study documentation, in-depth interview, observation, and active participation, using a research protocol. Data analysis by data validity and classifying data according to focus and research questions, combining data in the form of matrices or tables and triangulation strategies to describe the results of the analysis and research findings. The results of the evaluation, objectives, process, and implementation of the KIH as a whole have been carried out, but not all activities are by the implementation guidelines that have been set. The focus of activities is not appropriate and requires improvement by evaluation standards, namely the formulation of objectives, setting targets, infrastructure, and the KIH implementation team of facilitators. Recommendations for the implementing team should come from Interprofessional Collaboration (IPC), in the process of implementing the KIH it is expected and suitable with the Standard Operating Procedure (SOP), the need to develop KIH model that is needed for high-risk pregnant women
Faktor Resiko Kejadian Kecacingan Pada Target Pemberian Obat Cacing
Latar Belakang: Kecacingan merupakan penyakit infeksi yang umum terjadi di daerah tropis. Masih tingginya angka kejadian kecacingan disebabkan oleh banyak masyarakat yang tinggal di perkebunan. Hal tersebut menjadi faktor resiko terutama pada anak sekolah dasar yang sering bermain di atas permukaan tanah. Tujuan: Penelitian ini bertujuan untuk menganalisis faktor-faktor yang berhubungan dengan angka kejadian cacingan pada anak sekolah dasar di Wilayah Kerja Puskesmas Air Beliti.Metode: Penelitian ini merupakan penelitian survei analitik dengan menggunakan desain cross sectional dilakukan Januari - Maret 2021 di sekolah dasar di Wilayah Kerja Puskesmas Air Beliti. Populasi dalam penelitian ini adalah seluruh anak yang menjadi sasaran pemberian obat cacing di Wilayah Kerja Puskesmas Air Beliti dengan jumlah sasaran 22.362 orang. Sampel dalam penelitian ini adalah sebagian anak yang menjadi sasaran pemberian obat cacing di wilayah kerja Puskesmas Air Beliti memenuhi kriteria inklusi. Peneliti mendapatkan minimal sampel sebanyak 94 anak.  Analisis data menggunakan analisis univariat, bivariat yang dilakukan uji chi-square, dan multivariat menggunakan uji regresi logistik berganda.Hasil: Analisis menunjukkan bahwa kebiasaan cuci tangan (p-value 0,001), kebersihan kuku (p-value 0,007) dan kebiasaan jajan (p-value 0,001) memiliki hubungan signifikan dengan kejadian kecacingan pada anak SD. Variabel kebiasaan jajan menjadi variabel yang paling dominan berhubungan dengan kejadian cacingan pada anak sekolah dasar. Simpulan: Perilaku hidup bersih dan sehat perlu ditekankan kepada siswa sekolah dasar. Hal tersebut juga harus menjadi tanggung jawab orang tua siswa dan guru. Terutama kebiasaan mencuci tangan, menjaga kebersihan kuku, dan memilih jajan yang bersih. AbstractBackground: Worms are an infectious disease that is common in the tropics. The high incidence of helminthiasis is caused by many people living in plantations. This is a risk factor, especially for elementary school children who often play on the ground. Purpose: This study aims to analyze the factors associated with the incidence of intestinal worms in elementary school children in the Air Beliti Health Center Work Area.Methods: This research is an analytical survey research using a cross-sectional design conducted in Januar-March 2021 in elementary schools in the Air Beliti Health Center Work Area. The population in this study were all children who were the target of worming in the Air Beliti Health Center working area with a target number of 22,362 people. The sample in this study was some children who were the target of giving worm medicine in the Air Beliti Health Center working area and met the inclusion criteria. Researchers get a minimum sample of 94 children. Data analysis used univariate analysis, bivariate using chi-square test, and multivariate using multiple logistic regression test.Results: The analysis showed that handwashing habits (p-value 0.000), nail hygiene (p-value 0.007), and snacking habits (p-value 0.000) had a significant relationship with the incidence of worms in elementary school children. The variable of snacking habits became the most dominant variable associated with the incidence of intestinal worms in elementary school children. Conclusion: Clean and healthy living behavior needs to be emphasized to elementary school students. It should also be the responsibility of parents and teachers. Especially the habit of washing hands, keeping nails clean, and choosing clean snacks.Â
Pengaruh Konsumsi Madu terhadap Lama Persalinan Kala I dan Kala II
The proportion of incidence of prolonged labor is 4,3 and is the second order of birth disorders or complications after premature rupture of membranes. The problem in this study was that 9% of women who gave birth were referred to the hospital because they experienced prolonged labor/labor was not advanced. This study aims to determine the effect of honey consumption on stage I and stage II labor duration in third-trimester multigravida pregnant women at PMB Karang Anyar Community Health Center, South Lampung Regency in 2019. This type of research is a quantitative (analytical) research method using a true experimental design with a post-test design only control group design. The subjects of the study were 90 third trimester multigravida, pregnant women. Data collection uses primary data. Univariate data analysis using percentages and bivariate analysis using chi-square. The results showed that there was an effect of giving honey consumption to third-trimester multigravida pregnant women on the first stage of labor with a p-value of 0,05 and there was an effect on the duration of labor in the second stage with a p-value of 0,02. Midwives as service providers to pregnant women and women who give birth advise mothers to consume honey 2-3 tablespoons 2 times a day from 34 weeks of gestation for good uterine contractions and increase the strength of the mother to push during the labor process
Metode Distraksi Audio dengan Media Dzikir Jaly terhadap Penurunan Kecemasan Persalinan Kala I Fase Aktif
Anxiety can be experienced by someone in any situation especially in mothers who will face childbirth. Excessive anxiety in expectant mothers can also slow down cervical dilatation and further facilitate the childbirth process. Based on this, anxiety should be addressed to avoid complications during childbirth. One of the efforts in alleviating anxiety in maternity mothers is to use distraction techniques with the media of Dzikr. This study aims to know the effect of the audio distraction technique with the media of dzikr jaly on anxiety in childbirth during the active phase at Sekayu General Hospital in 2020. This research used a pre-experimental one-group pretest-posttest design. The sample was taken from the population that met the inclusion criteria, with 33 people with purposive sampling. The results of the study using t-test obtained the value of Significance 0.000 (Ï-value<0,05) means there is a meaningful difference between decreased maternity anxiety when the active phase to before and after therapy. Audio distraction technique with media of Dzikr Jaly affects the decreased anxiety in maternity mothers during the active phase of the Sekayu General Hospital
Efek Obesitas dengan Indikator Rasio Lingkar Pinggang Panggul, Kolesterol, Trigliserida dan LDL terhadap Kejadian Penyakit Jantung Koroner pada Orang Dewasa: Literatur Review
Background: Coronary heart disease (CHD) is the highest cause of death in the world. Obesity is one of the risk factors for CHD. Purpose: A literature review to examine the effect of obesity with indicators of waist-to-hip ratio, cholesterol, triglycerides, and LDL on CHD in adults. Methods: Literature review study based on journals from 2016 to 2021 which were obtained from the PubMed, ScienceDirect, and Google Scholar databases with the keywords obesity, coronary heart disease, and adults. Results: This literature study found 10 articles that matched the inclusion and exclusion criteria. From the article review, it is known that there are characteristics of obesity in adults, causes of obesity, coronary heart disease, and the relationship between CHD and obesity. Conclusion: Obesity with indicators of waist circumference to hip ratio, cholesterol, triglycerides, and LDL have an effect on the incidence of CHD in adults by looking at the indicators of waist-to-hip ratio, cholesterol levels, and fat levels.Latar Belakang: Penyakit jantung koroner (PJK) merupakan penyebab kematian tertinggi di dunia. Obesitas menjadi salah satu faktor risiko PJK. Tujuan: Literatur review untuk mengkaji efek obesitas dengan indikator dengan indikator rasio lingkar pinggang panggul, kolesterol, trigliserida dan LDL terhadap PJK pada orang dewasa. Metode: Studi literature review berdasarkan jurnal-jurnal pada tahun 2016 sampai tahun 2021 yang telah diperoleh dari database PubMed, ScienceDirect, dan Google Cendekia dengan kata kunci obesitas, penyakit jantung koroner, dan dewasa. Hasil: Studi literatur ini didapatkan 10 artikel yang sesuai dengan kriteria inklusi dan ekslusi. Dari tinjauan artikel di ketahui terdapat karakteristik obesitas pada orang dewasa, penyebab obesitas, penyakit jantung koroner, dan hubungan PJK dengan obesitas. Simpulan: Obesitas dengan Indikator Rasio Lingkar Pinggang Panggul, Kolesterol, Trigliserida dan LDL berpengaruh terhadap kejadian PJK pada orang dewasa dengan melihat indikator rasio lingkar pinggang panggul, kadar kolesterol, dan kadar lemak
PEMANFAATAN AMPAS TEBU SEBAGAI ARANG AKTIF DENGAN AKTIVATOR LARUTAN BELIMBING WULUH (Averrhoa bilimbi L.)
One of the efforts to utilize bagasse is activated carbon which can be used as an adsorbent for the pharmaceutical industry, foodstuffs, and water purification to remove odors, tastes and colors. So far, the raw materials for making activated carbon use coal and coconut shells, while the activator uses chemicals such as KOH, NaOH, H2SO4, HCl, and others. The manufacture of activated carbon is carried out in three stages, namely the process of dehydration, carbonization, and activation. Bagasse that has been dehydrated for 2 days using sunlight, is carbonized for 1 hour at a temperature of 4500C. Carbon is activated using starfruit extract with a ratio of extract: distilled water, 100%: 0%, 75%: 0%, 50%: 505, 25%: 75%, and the time is varied, namely for 4 hours, 8 hours, 16 hours, and 24 hours.From the research results as much as 4.000 grams of bagasse carbonized to produce 170 grams of carbon. The results of the analysis of the proximate content in bagasse activated carbon have met the Indonesian National Standard (SNI 06–3730–1995), namely the best Total Moisture Content of 2.88%, the best Volatile Matter of 6.88%. The best ash was 3.11%. The best-fixed carbon was 86.30%. The iodine number produced from the bagasse activated carbon is 937.9686 mg / g.The Iodine number has met the requirements of the Indonesian Industry Standard (SII 0258-88), which is more than 750 mg / g, indicating that the activation of activated carbon using starfruit is very reactive. Starfruit can be used as an environmentally friendly activator in making activated carbon
Literature Review: Efektivitas Interprofessional Education (IPE) Terhadap Peningkatan Kemampuan dan Kompetensi antar Profesi Kesehatan
Interprofessional Education (IPE) is a learning process between students from various health workers from different educational backgrounds, that interacting and collaborating to produce and provide promotive, preventive, curative, and rehabilitative health services. The implementation of the IPE program in academic education is important to help develop the concept of collaboration between health professionals to prepare and create better, professional, and competent health workers to deal with health problems. The purpose of this study was to determine how the effectiveness of interprofessional education in increasing the ability and competence of health professionals. The method in this study is a literature study article or narrative review in the form of a study of several research journals related to the effectiveness of interprofessional education on increasing abilities and competition between health professions obtained through Google Scholar, PubMed, and Science Direct. The benefits of IPE activities are students can learn to collaborate and function in a team and bring this knowledge, skills, and attitudes into future practice through enhancing several aspects such as communicating, collaborating, determining the roles and responsibilities of each profession, conflict management, decision making, sharing knowledge and skills and finally mutual respect between friends. Based on the cited literature review, it can be cited that interprofessional education (IPE) is a way to increase competence and collaboration skills between professions so that it can create health professionals who are professional, capable, and able to improve the quality of health services
Media Promosi Kesehatan Hygiene Sanitasi Pengolahan Makanan pada Industri Rumah Tangga Tempe
The majority of the people of Beji Village, Batu City, make a living as tempe craftsmen. Observations related to the sanitation hygiene of tempe processing workers are still not good. Based on the results of interviews with the head of the tempe craftsmen association in Beji Village, it is stated that there has never been any counseling related to sanitation hygiene. For this reason, promotion efforts are needed. food processing hygiene and sanitation to increase knowledge of personal hygiene attitudes and practices at work. This study uses the Research and Development (R&D) design and the P-Process theoretical framework, namely from step 1 in the form of target analysis, step 2 strategic design, to step 3 media development. Questionnaires were given to 20 respondents and interviewed to explore the characteristics of respondents. In addition, validation tests were also carried out by 4 expert reviewers. Tempe home industry workers need additional information about personal hygiene standards and behavior at work. The media created were adapted to the characteristics of the respondents using Indonesian and the Malangan local language as slogans. The results of this study were posters, leaflets, and videos with messages about the importance of personal hygiene in working using a rational approach with the aim that the target gains new knowledge to increase knowledge Attitudes and practices of processing workers are related to the importance of personal hygiene at work