Beranda Jurnal Online Politeknik Kesehatan Kemenkes Semarang (POLTEKKES E-Journal)
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Analisis Ketepatan Pengkodean Diagnosis Hipertensi Di Rumah Sakit Arjawinangun
Abstrak Salah satu target global penyakit tidak menular adalah menurunkan prevalensi Hipertensi sebesar 33% antara tahun 2010 dan 2030. Hipertensi merupakan salah satu standar pelayanan minimal (SPM) kesehatan di Indonesia. Angka Cakupan pelayanan kesehatan penderita hipertensi di Jawa barat tahun 2020 sebesar 34,7 % berdasarkan hasil pengukuran tekanan darah. Cakupan pelayanan kesehatan penderita hipertensi tertinggi di Jawa Barat terjadi di kota Cirebon. Pelaporan morbiditas kasus hipertensi di Rumah Sakit dibagi menjadi kode I10 dan I11-I15 pada ICD-10. Ketidakakuratan kode diagnosis akan mempengaruhi data dan informasi laporan, ketepatan tarif INA-CBG’s yang pada saat ini digunakan sebagai metode pembayaran untuk pelayanan pasien dengan asuransi atau jaminan. Dampak yang terjadi ketika terdapat ketidaktepatan dalam kode hasil verifikasi dari BPJS akan terjadi kelebihan pembayaran atau kekurangan pembayaran. Tujuan penelitian ini untuk mengetahui pelaksanaan kodifikasi pasien Hipertensi rawat jalan di Rumah Sakit Arjawinangun. Metode penelitian yang digunakan adalah deskriptif kuantitatif dengan desain penelitian analisis univariat. Pengumpulan data dengan menggunakan instrumen ceklist. Sampel penelitian sebanyak 73 pasien dari populasi kunjungan
Seci's Knowledge Management Based Training Model and Social Support for the Dental and Oral Health Maintenance Behavior of Children with Special Needs
Introduction: Children with special needs are a high risk group for health problems, so they need help and cooperation with others to get and maintain health, including in maintaining their oral health. The condition of the oral cavity is strongly influenced by age factors (especially very young children), the severity of the disorder/abnormality, and environmental conditions where children are highly dependent on their parents, siblings, or caregivers in caring for their oral cavity. There needs to be a training model for parents and teachers. Methods: This research is analytic observational with a cross sectional approach to analyze the variation in magnitude or contribution between the variables studied based on the research objectives. The subjects studied were parents of children with special needs with a sample size of 110 people at SLB BC Optima and SLB Karya Bhakti Surabaya. Collecting data using a questionnaire, with the variables studied: Perception of the training model, social support, parental interest and dental and oral health maintenance behavior in children with special needs. Data analysis using Structural Equation Modeling (SEM) with Linear Structural Relationship (LISREL). Research results and analysis: The results show that: maintenance of oral health in children with special needs is influenced by training, social support and parental interest. The results of the model goodness test concluded that the final SEM model formed was a fit model, because of the 5 model goodness criteria, where the Chi-square value was 108.28 ( from the table value 138.81), RMSEA (0.054), GFI (0.936) , AGFI (0.905) and CFI (0.911) have met the fit model. Discussion: SECI Knowledge Management-Based Training Model and Social Support for Dental and Oral Health Maintenance Behavior for Children with Special Needs can be used as an alternative in an effort to improve dental and oral health maintenance behavior in children with special need
Implementasi Pasar Tradisional Sehat di Kabupaten Banyumas dan Bagaimana Dampak dari Pandemi Covid 19
Pasar tradisional atau pasar basah merupakan bagian penting bagi kehidupan masyarakat. Selain dapat memenuhi kebutuhan yang diperlukan oleh masyarakat. Pasar tradisional juga dapat menjadi tempat penularan penyakit salah satu yang sedang ramai saat ini adalah Covid 19. Penelitian ini adalah penelitian kualitatif yang berlandaskan fenomenologi. Pengumpulan data dilakukan menggunakan pedoman wawancara melalui indepth Interview . Penelitian ini bertujuan untuk mengetahui seperti apa implementasi atau upaya yang dilakukan oleh para stake holder yang bertugas untuk melakukan pengelolaan pasar khususnya penyehatan pasar di Kabupaten Banyumas. Hasil dari penelitian ini adalah Secara struktur organisa, regulasi, anggaran belum ada khusus untuk menangani pasar sehat. Namun ada bidang atau penanggung jawab pasar secara umum. Adanya Permasalahan terkait dengan anggaran karena tumpang tindih tugas dan wewenang, Kurangnya kordinasi baik secara horizontal maupun vertikal, kurangnya ketegasan dalam menegakan aturan dan adanya perubahan pandangan stakeholder dalam melakukan penanganan pasar sehat yang dikarenakan pandemi Covid 19
The Correlation between Alexithymia with Gender among Nursing Students
Background: alexithymia is a psychological condition characterized by the inability to recognize and express emotions verbally or non-verbally. People who experience alexithymia often have difficulty identifying and expressing their emotions appropriately and clearly.Purpose: the purpose of this study was to determine relationship of alexithymia with gender among nursing students in Universitas Padjadjaran.Methods: the population of this study was active students in the Bachelor's program of the Faculty of Nursing, Universitas Padjadjaran, Jatinangor/Garut and Pangandaran campus, who experienced social media addiction and are in the class of 2017, 2018, 2019, and 2020. The instrument used was the Toronto Alexithymia Scale-20 (TAS-20). Total sample was 590 students. This instrument was an instrument containing 20 statement items used to assess the level of alexithymia.Results: based on the results of the analysis of the data obtained, there is a relationship between the alexithymia level variable and gender with a sig value relationship. with a positive correlation coefficient value of 0.285, which means that the strength of the relationship between the two variables is sufficient.Conclusion: there is an adequate and positive relationship between gender and the level of alexithymia among nursing students in Universitas Padjadjaran
Quality Of Life For Adolescents With Divorced Parents On Physical And Psychological Conditions In Indonesia: Literature Review
Quality of life can be interpreted as a person's view of life related to culture, values, and other factors. The quality of life of adolescents in Indonesia can be influenced by various factors, such as family. Families with divorced parents must experience differences and changes from families with intact parents. The purpose of this study was to describe the quality of life of adolescents in terms of physical and psychological conditions with divorced parents in Indonesia. The research method used in this research is Literature Review. The search for journal articles used 4 databases with a combination of the PICO(S) components and met the inclusion criteria so that 31 articles were extracted according to the research objectives. The results of the analysis show that the quality of life of adolescents with divorced parents depends on each of these adolescents. Physical condition can be seen from the components of pain and discomfort, energy and fatigue, and sleep and rest. And psychological conditions can be seen from the components of positive feeling, thinking, learning, memory, and concentration, negative feelings, self-esteem, and spirituality personal belief
Differences In The Effect Of The Combination Of Square Stepping And Gaze Stabilization With Square Stepping And Core Stability On Dynamic Balance In The Elderly
Physiological changes in the elderly occur related to skeletal muscle changes and are related to the balance of the fall risk assessment. Therefore, researchers provide Square Stepping, Gaze stabilization, and Core stability exercise interventions to improve dynamic balance. Square stepping exercise is an exercise to improve lower extremity functional fitness. Gaze Stabilization is an exercise to improve balance by way of cooperation between the vestibular system and the visual system. While Core Stability is a special exercise intended to help improve abdominal and lumbo pelvic muscles in trunk stability. The purpose of the study was to determine the difference in the effect between the combination of Square stepping and Gaze stabilization exercise with Square stepping and Core stability exercise on improving dynamic balance in the elderly. This research is a quantitative study with a quasi experimental type of research. The sample amounted to 30 respondents with a purposive sampling technique. Measurement of dynamic balance using TUGT. The Square Stepping intervention was carried out 3 times a week for 4 weeks, Gaze Stabilisation was carried out 3 times a week for 4 weeks and Core Stability was carried out 2 times a week for 4 weeks. Based on the Mann-Whitney Test using the TUGT measurement instrument, a significance value of 0.034 (p 0.05) was obtained. The results of this study indicate that there is a difference in the effect between giving square stepping and gaze stabilization with square stepping and core stability exercise on improving dynamic balance in the elderly
PERBANDINGAN PENGGUNAAN SAMPAH ORGANIK YANG BERBEDA TERHADAP PERTUMBUHAN DAN NUTRISI LARVA LALAT HERMETIA ILLUCENS
Besarnya persentase timbulan sampah organik merupakan suatu masalah yang dapat mengganggu kesehatan dan lingkungan. Pengelolaan sampah organik dapat dilakukan dengan menggunakan larva/maggot BSF (Black Soldier Fly). Metode penelitian yang digunakan yaitu pre-eksperimen dengan desain One-Shot Case Study yang dilakukan tanpa adanya kelompok kontrol menggunakan analisis Uji One Way Anova. Variabel yang diteliti, yaitu pertumbuhan dan nutrisi maggot sebagai variabel dependen dan variasi media sebagai variabel independen. Penelitian dilakukan selama lima bulan dari tahap persiapan hingga pelaporan menggunakan maggot umur 8 hari yang diberi pakan selama 10 hari. Hasil berat maggot tertinggi yaitu menggunakan media sampah organik TPST dan susu dengan rata-rata 2017 gr. Kandungan lemak pada maggot tertinggi yaitu menggunakan media sampah organik TPST dan Susu dengan rata-rata 33,23 %. Kandungan protein tertinggi pada maggot yaitu menggunakan media sampah organik TPST dengan rata-rata 27,01 %. Kesimpulan dilakukan Uji Anova dihasilkan nilai sig. 0,05, artinya terdapat perbedaan pada berat dan kandungan lemak dengan nilai. Kemudian dilanjut uji post hoct test atau turkey hsd dihasilkan terdapat perbedaan berat dan kandungan lemak pada setiap variasi media sampah yang digunakan dengan nilai sig. 0,05.Besarnya persentase timbulan sampah organik di Banyumas merupakan suatu masalah yang dapat mengganggu kesehatan dan lingkungan. Pengelolaan sampah organik dapat dilakukan dengan menggunakan larva/maggot BSF (Black Soldier Fly). Penelitian ini bertujuan untuk mengukur dan menganalisis pertumbuhan (berat), nutrisi (lemak dan protein) pada maggot setelah diberi pakan yang berbeda. Metode penelitian yang digunakan yaitu pre-eksperimen dengan desain One-Shot Case Study yang dilakukan tanpa adanya kelompok kontrol. Analisis menggunakan Uji One Way Anova. Berat maggot tertinggi yaitu menggunakan media sampah organik TPST + susu dengan rata-rata 2017 gr. Sedangkan berat maggot terendah yaitu menggunakan media roti basi dengan rata-rata 200 gr. Kandungan lemak pada maggot tertinggi yaitu menggunakan media sampah organik TPST + Susu dengan rata-rata 33,23 %. Sedangkan kandungan lemak pada maggot terendah yaitu \ menggunakan media TPST dengan rata-rata 30,20 %. Kandungan protein tertinggi pada maggot yaitu menggunakan media sampah organik TPST dengan rata-rata 27,01 %. Sedangkan kandungan protein terendah pada maggot yaitu menggunakan media Roti dengan rata-rata 22,30 %. Dilakukan Uji statistik dengan SPSS versi 25 dengan uji anova terdapat perbedaan pada berat dan kandungan lemak, kemudian dilanjut uji post hoct test atau turkey hsd dihasilkan terdapat perbedaan berat dan kandungan lemak pada setiap jenis media sampah yang digunakan
Efektifitas Edukasi Gizi Dengan Media Instagram Terhadap Pengetahuan, Sikap, Dan Pola Makan Untuk Pencegahan Obesitas Pada Siswa SMA
Latar belakang : Obesitas pada usia remaja adalah faktor risiko penyebab penyakit kronis yang berhubungan dengan peningkatan risiko obesitas pada usia dewasa. Prevalensi overweight dan obesitas antara anak-anak serta remaja dengan usia 5-19 tahun mengalami peningkatan cukup tinggi dari 4% pada tahun 1975 menjadi lebih dari 18% pada tahun 2016.Tujuan : Mengetahui efektifitas edukasi gizi dengan media Instagram terhadap pengetahuan, sikap, dan pola makan pada siswa sebagai upaya pencegahan obesitasMetode : Penelitian berjenis True Experimen dan rancangan pretest-posttest control group design. Masing-masing kelompok memiliki jumlah responden sebanyak 18 siswa. Waktu penelitian selama 17 hari. Data yang dikumpulkan yaitu pengetahuan, sikap dan pola makan yang diperoleh melalui pengisian kuesioner secara langsung. Formulir pengetahuan dan sikap masing-masing terdiri dari 15 pertanyaan. Pola makan menggunakan formulir Food Frequency Questionairre (FFQ). Analisis statistik menggunakan Independent T-test dan Mann-Whitney Test.Hasil : Terdapat pengaruh signifikan edukasi gizi dengan media Instagram terhadap pengetahuan (p = 0,03) dan sikap (p = 0,00). Namun, tidak terdapat pengaruh signifikan terhadap pola makan (p 0,05).Kesimpulan : Terdapat pengaruh signifikan edukasi gizi dengan media Instagram terhadap pengetahuan dan sikap (p 0,05). Namun, tidak terdapat pengaruh signifikan terhadap pola makan (p 0,05)
Antimicrobial Effectiveness of Propolis and Probiotics Combination as Root Canal Medicament against Enterococcus faecalis
The application of intracanal medicaments is essential to support root canal sterilization against intrusive bacteria, which can easily penetrate and remain survive in the dentinal tubules. Root canal medicament is expected to penetrate tubules and eradicate the bacteria, leading to prognosis improvement of endodontic treatment. There is an upcoming consideration on using natural substance as an alternative root canal medicament, due to the side effects potency of chemical-based medicament. Propolis and probiotics are two natural promising antimicrobial and health beneficial substance to consider. This study aims to evaluate antimicrobial capacity of probiotics and with propolis combination as potential medicaments against Enterococcus faecalis. Eighteen extracted human second premolars were sectioned 8 mm below the CEJ. The dentin blocks were then prepared under the similar dimensional standards. E. faecalis was used in the dentin blocks preconditioning incubation for 12h. The samples were classified into six groups (n = 3). Group 1: untreated; Group 2: Ca(OH)2; Group 3: Ca(OH)2 + probiotics; Group 4: Ca(OH)2 + 1% water-based propolis (WEP); Group 5: probiotics; and Group 6: 1% WEP + probiotics. The grinded dentin was collected and recultivated. The number of cultivated bacteria was further counted. The results showed that the CFU was significantly lower in all groups compared to the untreated, but not significantly different between groups. Although they were not significantly different, probiotics and combined treatments exhibited lower CFU than the sole Ca(OH)2
Analysis of Factors That Influencing Decisions Parents of Patients with Palatoschisis Receiving Palatoplasty Actions
Paltoschisis is a congenital abnormality of the palate that affects the function of speech, eating, and facial development in newborns. Palatoplasty in patients with palatoschisis often involves the role of parents. The decision to accept palatoplasty can be complex for parents of patients with palatoschisis because it involves a variety of factors. This study aims to analyze the factors that influence the decision of parents of patients with palatoschisis to accept palatoplasty. This type of research is a qualitative method with a descriptive phenomenological approach. The study population is parents of patients with palatoschisis who will receive palatoplasty surgery. Sampling was done by purposive sampling of 3 respondents. Hypothesis testing is done by in-depth interviews and thematic analysis. The results of this study show that the decision to accept palatoplasty for children with palatoschisis is very important and complex, and often involves the main role of parents as decision-makers. Supporting factors, cost factors, and need factors influence the decision of parents of patients with palatoschisis who will receive palatoplasty surgery. Confidence in the decision of parents with palatoschisis is a determinant in accepting palatoplasty surgery through YPPCBL Bandung. This research can provide a basis for the development of psychosocial interventions that can improve the quality of parents' decisions in dealing with palatoplast