Direktori Jurnal Elektronik Universitas Imelda Medan
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INTERAKSI OBAT ANTIDIABETES DENGAN OBAT ANTITUBERKULOSIS (OAT) PADA PASIEN DIABETES MELLITUS TIPE 2 YANG TERINFEKSI TB PARU DI INSTALASI RAWAT INAP RUMAH SAKIT UMUM IMELDA PEKERJA INDONESIA MEDAN
Get PDFDiabetes is a medical condition that can worsen the severity of pulmonary tuberculosis (TB) infection. Combining Antidiabetic Drugs with Antituberculosis Drugs (OAT) in type 2 DM patients who have pulmonary TB can cause undesirable pharmacological interactions. The aim of this study is to explain the relationship between Antidiabetic Drugs and OAT. The research design used in this study is a cross-sectional observational design, with a focus on descriptive statistical analysis. The research sample consisted of 72 patients. Data collection was carried out retrospectively using medical records and doctor's prescription forms. The Medscape (Drug Interactions Checker) tool was used for drug interaction analysis, while SPSS (Statistical Product and Service Solution) 21.0 for Windows was used for data processing. Research findings revealed that the occurrence of drug interactions between Antidiabetic Drugs and OAT varied based on gender characteristics, with 56.9% observed in men and 43.1% in women. Pharmacodynamic interactions reached 25.5% based on the mechanism of action, while pharmacokinetic interactions reached 5.7%. The remaining 68.9% were classified as unknown interactions. In contrast, minor types of drug interactions reached 68.9% in terms of severity, while moderate types of interactions reached 31.1%, and there were no significant interactions. This study concludes that the combination of antidiabetic drugs and OAT mainly causes pharmacological interactions both in the pharmacodynamic and pharmacokinetic pathways, with varying levels of severity, ranging from minimal to moderate
Tinjauan Karakteristik Sumber Daya Manusia Di Unit Rekam Medis Dalam Meningkatkan Efisiensi Dan Efektivitas Pelayanan Di UPT Puskesmas Kedai Durian Tahun 2022
Get PDFTo manage a medical records unit and produce quality health information, adequate resource support is needed, including human resources, facilities and infrastructure. The aim of this research is to determine the management of human resources in the medical records unit in improving the efficiency and effectiveness of services at the UPT Puskesmas Kedai Durian. This research uses a descriptive qualitative research type with a cross sectional approach where data collection was carried out by interviews in September 2022 with employees of the medical records unit at the Toko Durian Health Center, Medan City with the number of officers in the medical records unit being 4 people, including 1 D3 medical records person, 1 person D3 nursing, 1 person D4 midwifery, and 1 person S1 nursing. Based on research results, in managing human resources in the medical records unit to improve the efficiency and effectiveness of services at the UPT Puskesmas Kedai Durian, the majority of employees in the medical records unit do not have a medical records background and have never attended previous training. In conclusion, the UPT of the Kedai Durian Health Center in Medan City is still not efficient and effective in providing services in the Medical Records Unit
Hubungan Keyakinan Manfaat dan Kemudahan Dengan Kelengkapan Pengisian Rekam Medis
Get PDFConfidence in convenience and confidence in the benefits of filling out medical records are important, if we feel confident about the benefits, automatically filling out medical records completely. Incomplete filling of medical records can cause harm to health services, if something unexpected happens. The medical record is said to be complete if all the indicators contained in the cheek list are filled out completely, the medical record is said to be incomplete if one indicator is not filled in, so there are still many hospitals that get incomplete scores below 100%. Based on this description, the purpose of this study is to determine the relationship between usefulness beliefs and convenience beliefs with the completeness of filling out medical records. This research is an observational study with a cross sectional study design. This research was conducted at Dharma Yadnya General Hospital, within a period of 3 months, namely, January 2022-March 2022, the population of this study were doctors and medical records. The sample selection used non-probability sampling method, for the selection of samples in the medical record using the accidential sampling method. Collecting data using a questionnaire and a cheek list completeness of filling out medical records. The results obtained in this study are that there is no relationship between the belief in the benefits and the belief in convenience with the completeness of filling out the medical record with a p value of 0.164 and a p value of 0.109. Based on the results of this study, even though the belief in the benefits and convenience is good, it does not mean that the health worker fills out the medical record completely, this of course requires consistency and time in filling out the medical record, if the hospital can provide SPO related to filling out the medical record
Analisis Kelengkapan Desain Formulir Pasien Rawat Jalan Di Puskesmas Purwokerto Timur I
Get PDFPuskesmas is one of the health service institutions provided by the Indonesian government and is the spearhead of the national health system. Efforts in establishing quality health centre service quality, that is, by paying attention to every aspect of it. The anatomical and physical aspects are used here. Please note the number of measurement cards for patients. One of them is processing the patient's medical record form design. Medical record forms are designed and used for maintenance and monitoring. The design of the form aims to improve and complete aspects of the outpatient form design that are currently still in use and to improve the quality of health services at the Purwokerto Timur I Health Center. The objective of this research is to identify the completeness of the outpatient forms available at the Purwokerto Health Center. Timur I. This analysis uses a quantitative method with a cross-sectional descriptive approach. The subject of this study was the outpatient form at the Purwokerto Timur I Health Center. The results obtained from this study were quite good, that is, there was an outpatient form at the Purwokerto Timur I Health Center, but the results of the analysis of this form still need to be improved in completeness. There is a completeness of 76,92% in the form. The aspect of the content that has the best completeness of the form.Puskesmas merupakan salah satu lembaga pelayanan kesehatan yang disediakan oleh pemerintah Indonesia dan merupakan ujung tombak sistem kesehatan nasional. Upaya dalam mewujudkan mutu pelayanan Puskesmas yang bermutu, yaitu dengan memperhatikan setiap aspek yang ada di dalamnya. Aspek anatomi dan fisik digunakan di sini. Harap dicatat jumlah kartu pengukuran untuk pasien. Salah satunya adalah pengolahan desain formulir rekam medis pasien. Formulir rekam medis dirancang dan digunakan untuk pemeliharaan dan pemantauan. Perancangan formulir yang dirancang bertujuan untuk menyempurnakan dan melengkapi aspek desain formulir rawat jalan yang saat ini masih digunakan serta untuk meningkatkan mutu pelayanan kesehatan di Puskesmas Purwokerto Timur I. Tujuan penelitian ini adalah untuk mengetahui kelengkapan formulir rawat jalan yang tersedia di Puskesmas Purwokerto. Timur I. Analisis ini menggunakan metode penelitian deskriptif dengan pendekatan kualitatif. Subyek penelitian ini adalah formulir rawat jalan di Puskesmas Purwokerto Timur I. Hasil yang diperoleh dari penelitian ini cukup baik yaitu sudah tersedia formulir rawat jalan di Puskesmas Purwokerto Timur I, namun hasil analisa formulir ini masih perlu ditingkatkan kelengkapannya. Aspek tersebut merupakan penyempurnaan dari model klinik rawat jalan yang digunakan saat ini. Kesimpulan yang didapat adalah peneliti membuat desain formulir rawat jalan yang baru sesuai dengan pedoman yang ada
Analisis Penyebab Pengembalian Klaim BPJS Pasien Rawat Inap Ditinjau Dari Proses Pengkodean Di RSUD Majenang
Get PDFPending Claim is a refund because there is no agreement between BPJS Health and FKRTL regarding coding rules and medical determination (claim dispute). The correct diagnosis and action code will determine the smooth process of submitting claims for medical services to BPJS Health and reduce the number of claim returns. This study aims to determine the causes of inpatient claim returns in terms of the coding process at Majenang Hospital. The research method used is a qualitative method with an observational descriptive design. Data was obtained from pending claims from July to September 2023. Data collection methods were observation and interviews. Majenang Hospital research results showed that 371 claims were returned and 187 claims were returned due to coding confirmation. Factors inhibiting the accuracy of a diagnosis or action code are the use of combined codes, errors in determining the main diagnosis, differences in perception, and discrepancies in supporting results with the diagnosis. Efforts that can be made to minimize the number of claim returns include reviewing diagnosis or action codes, communicating between DPJP, the casemix team and BPJS verifiers, coding training and having an SPO.Klaim yang tertunda adalah pengembalian dana karena belum adanya kesepakatan antara BPJS Kesehatan dan FKRTL mengenai aturan penentuan koding dan medis (dispute klaim). Diagnosis dan kode tindakan yang tepat akan menentukan kelancaran proses pengajuan klaim pelayanan medis ke BPJS Kesehatan dan mengurangi jumlah pengembalian klaim. Penelitian ini bertujuan untuk mengetahui keakuratan pengkodean pada return klaim rawat inap dan faktor penghambat keakuratan pengkodean data klinis. Metode penelitian yang digunakan adalah metode kualitatif dengan desain deskriptif observasional. Sampel datanya adalah data return klaim pada bulan Juli sampai September 2023. Teknik pengumpulan datanya adalah observasi dan wawancara. Hasil penelitian RSUD Majenang menunjukkan terdapat 2.689 klaim yang diajukan pada Juli-September 2023 dan 371 klaim dikembalikan. Pengembalian klaim karena konfirmasi coding sebanyak 187 klaim. Hasil penelitian menunjukkan bahwa faktor penghambat keakuratan diagnosis atau kode tindakan adalah penggunaan kode gabungan, kesalahan dalam menentukan diagnosis utama, perbedaan persepsi, dan ketidaksesuaian hasil pendukung dengan diagnosis. Upaya yang dapat dilakukan untuk meminimalisir jumlah pengembalian klaim antara lain dengan melakukan review diagnosis atau kode tindakan, komunikasi antara DPJP, tim casemix dan verifikator BPJS, pelatihan coding dan memiliki SPO
Gambaran Pengetahuan dan Sikap Pasien Post Bedah Elektif tentang Informed Consent di RS X Tahun 2024
Get PDFInformed consent is giving consent after obtaining complete information. The patient has the right to accept or reject some or all of the assistance measures that will be provided. This decision depends on the patient's knowledge and attitude regarding consent to medical treatment. Several cases of medical malpractice in Indonesia actually started with the failure to implement informed consent properly. The aim of this research is to analyze the knowledge and attitudes of post-elective surgery patients regarding informed consent at Hospital X. This type of research is descriptive quantitative. The sampling technique uses accidental sampling. The population in this study was 42 patients after elective surgery in December 2023. The research instrument used a questionnaire sheet. The results of the study showed that of the 42 post-elective surgical patients regarding informed consent at Hospital Efforts are needed to simplify explanations in language that is easy for patients to understand and use certain media to improve patient understanding.Informed consent adalah memberikan persetujuan setelah memperoleh informasi secara lengkap. Pasien mempunyai hak untuk menerima atau menolak sebagian atau seluruh tindakan bantuan yang akan diberikan. Keputusan ini bergantung pada pengetahuan dan sikap pasien mengenai persetujuan terhadap tindakan medis. Beberapa kasus malpraktik kedokteran di Indonesia sebenarnya bermula dari kegagalan dalam menerapkan informed consent dengan baik. Tujuan penelitian ini adalah untuk menganalisis pengetahuan dan sikap pasien pasca operasi elektif mengenai informed consent di Rumah Sakit X. Jenis penelitian yang digunakan adalah deskriptif kuantitatif. Teknik pengambilan sampel menggunakan Accidental Sampling. Populasi dalam penelitian ini adalah 42 pasien pasca operasi elektif pada bulan Desember 2023. Instrumen penelitian menggunakan lembar kuesioner. Hasil penelitian menunjukkan bahwa dari 42 pasien pasca bedah elektif mengenai informed consent di Rumah Sakit diperlukan upaya untuk menyederhanakan penjelasan dengan bahasa yang mudah dipahami pasien dan menggunakan media tertentu untuk meningkatkan pemahaman pasien
GAMBARAN KEJADIAN BABY BLUES PADA IBU POSTPARTUM DI KOTA MEDAN
Get PDFPostpartum depression in postpartum mothers usually begins with the postpartum blues or baby blues. Baby blues syndrome is often considered not very important and is arely considered, because even if many experience it, it is often only seen as a side effect of fatigue after giving birth. But basically abby blues are very dangerous for the healt of postpartum mothers and also dangerous for their babies. The purpose of this research is to find out how the prevalence of abbay blues in the city of Medan, North Sumatera. The samples taken in this study were 80 postpartum mothers. The method used is descriptive quantitative research with primary data collection through questionnaire interviews according to the Edinburgh Postpartum Depression Scale. The result of study can be stated that many mothers experience baby blues as much as 92,5% of respondents. Mothers who experienced the incidence of baby blues from the age of <20 were 56,25%. As well as the incidence of postpartum blues in primipadra mothers as much as 72,52%. Symptoms of postpartum blues are characterized by the presence of disturbances such as reaction of depression or sadbess, crying,irritability, anxiety, feeling unstable, tending to blame oneself, impaired appetite
PENATALAKSANAAN ASUHAN PADA IBU POSTPARTUM BLUES DI KLINIK MANDA MEDAN
Get PDFPostpartum blues Approximately 70-80% of post-partum mothers experience mood or feeling disorders, in general this condition is still considered normal, is felt from 2-3 days after giving birth and normally disappears after 2 weeks postpartum. This study provides comprehensive midwifery care for pregnant women, maternity, postpartum, BBL, neonates and family planning using a midwifery management approach to Ny. “D” with the case of the ASI Dam. Care in this study with observation and evaluation. The subject of this care is Mrs. “D” with POSTPARTUM BLUES at Manda Clinic. This research activity is about the handling of POSTPARTUM BLUES in postpartum mothers. The study conducted observations and evaluations of mothers on a regular basis. Observations and evaluations were carried out not only assessing but knowing and assessing the conditions and support for mothers. Husbands and parents are also needed to support mothers. This research was conducted at the Manda Clinic.Factors that cause the appearance of signs and symptoms of the postpartum blues. The results showed that age and parity were not always the triggering factors for postpartum blues symptoms, the causes of postpartum blues were worrying about the baby, maternal fatigue factor, comments from people around about the mother, husband's support and presence, adaptation to the baby's presence
HUBUNGAN STATUS GIZI DENGAN KEJADIAN TB PARU DI RUMAH SAKIT KHUSUS PARU SUMATERA UTARA TAHUN 2023
Get PDFNutritional status is a value that shows the balance between the absorption of nutrients from food and the nutritional needs required by a person's body. Pulmonary TB is a disease caused by Mycobacterium tuberculosis and can be transmitted through air or droplets. Pulmonary TB sufferers who have less than normal nutritional status require a longer healing time and it is possible that pulmonary TB disease can recur. This study aims to determine the relationship between nutritional status and the incidence of pulmonary TB at the North Sumatra Special Lung Hospital in 2023. This research was conducted on April 5 - 18 2023. This research method uses a cross sectional design using a purposive sampling technique with a total of 88 respondents. This research instrument uses observation sheets, scales, and measuring tape. In this research, the data analysis used is univariate and bivariate analysis. The research results showed that of the 88 respondents there were 49 respondents (55.7%) with a mild level of underweight nutritional status, and 59 (67.0%) respondents had positive (+) acid-fast bacteria results. The statistical test results show that there is a relationship between nutritional status and the incidence of pulmonary TB at the North Sumatra Special Lung Hospital in 2023 with the results of the chi-square test, obtained p value = 0.002. Therefore, the nutritional status of pulmonary TB patients needs to be improved and paid attention to in order to speed up the healing process for pulmonary TB patients with health education provided by health services.Status gizi adalah nilai yang menunjukkan keseimbangan antara penyerapan zat gizi dari makanan dengan kebutuhan zat gizi yang diperlukan oleh tubuh seseorang. TB paru adalah suatu penyakit yang disebabkan oleh mycobacterium tuberculosis dan dapat menular melalui udara atau droplet. Penderita TB paru yang memiliki status gizi kurang di bawah normal memerlukan waktu penyembuhan yang lebih lama dan kemungkinan penyakit TB paru dapat kambuh kembali. Penelitian ini bertujuan untuk mengetahui hubungan status gizi dengan kejadian TB paru di Rumah Sakit Khusus Paru Sumatera Utara tahun 2023. Penelitian ini dilakukan pada 5 - 18 April tahun 2023. Metode penelitian ini menggunakan desain cross sectional dengan menggunakan teknik pengambilan sampel purposive sampling yang berjumlah 88 responden. Instrument penelitian ini menggunakan lembar observasi, timbangan, dan pita ukur. Dalam penelitian ini, analisa data yang digunakan adalah analisa univariat dan bivariat. Hasil penelitian menunjukkan bahwa dari 88 responden terdapat 49 responden (55,7%) dengan status gizi kurus tingkat ringan dan sebanyak 59 (67,0%) responden yang memiliki hasil BTA positif (+). Hasil uji statistik menunjukkan ada hubungan status gizi dengan kejadian TB paru di Rumah Sakit Khusus Paru Sumatera Utara tahun 2023 dengan hasil uji chi-square, diperoleh p value = 0,002. Oleh karena itu, status gizi pada pasien TB paru perlu ditingkatkan dan diperhatikan agar dapat mempercepat proses penyembuhan pasien TB paru dengan penyuluhan kesehatan yang diberikan oleh pelayanan kesehatan.
 
EVALUASI PENGALAMAN PASIEN DENGAN HIPERTENSI SELAMA PERAWATAN DI RUANG RAWAT INAP RUMAH SAKIT IMELDA PEKERJA INDONESIA MEDAN
Get PDFHypertension often causes no symptoms, while persistently high blood pressure over a long period of time can cause complications. The purpose of the study was to determine the experience of patients with hypertension during treatment in the inpatient ward of Imelda Indonesian Workers Hospital Medan. The type of research conducted in this study is a qualitative research with a descriptive phenomenological approach. This research was carried out in the inpatient ward of Imelda Indonesian Workers Hospital Medan in July-August 2022. Participants in this study were 5 patients with hypertension. Data collection techniques in this study used in-depth interview techniques. The results of the study of participants affected by hypertension varied in their length of suffering from hypertension, between 1 to 7 years. Participants revealed that the initial symptoms felt were dizziness, headache, blurred vision, the presence of objects that seemed to move, stiffness and pain in the back of the neck and weakness. When symptoms occurred, participants did not know if the symptoms they felt were signs of having hypertension. Participants affected by hypertension maintained their daily diet at the beginning of their hypertension, still limiting foods such as coffee, meat, fatty foods, but after a long time they could no longer hold back their appetite so they could no longer limit their daily food. Participants have difficulty when maintaining a diet, namely participants have not been able to keep food from salty, fatty, fried, meat and have not been controlled in maintaining a daily food diet. The experience of participants when receiving hypertension therapy was that at the beginning they were sick, participants were still obedient in taking drugs, but over time the participants were getting bored and even fed up with hypertension drugs so that more people did not take drugs according to the doctor's recommendations that had been given to participants. The changes felt when participants were affected by hypertension were that participants were more limited in time to carry out activities and some even took holidays or leave because they had to be hospitalized because of the high blood pressure experienced by these participants. The support that the participants got was that the participant's family always provided support to the participants and accompanied them until the treatment process was completed.Hipertensi seringkali tidak menimbulkan gejala, sementara tekanan darah yang terus-menerus tinggi dalam jangka waktu lama dapat menimbulkan komplikasi. Tujuan penelitian untuk mengetahui pengalaman pasien dengan hipertensi selama perawatan di ruang rawat inap Rumah Sakit Imelda Pekerja Indonesia Medan. Jenis penelitian yang dilakukan pada penelitian ini adalah penelitian kualitatif dengan pendekatan fenomenologi deskriptif. Penelitian ini dilaksanakan di ruang rawat inap Rumah Sakit Imelda Pekerja Indonesia Medan pada bulan Juli-Agustus 2022. Partisipan dalam penelitian ini pasien dengan hipertensi sebanyak 5 orang. Teknik pengumpulan data dalam penelitian ini menggunakan teknik wawancara secara mendalam (in-depth interview). Hasil penelitian partisipan yang terkena hipertensi bervariasi lama menderita hipertensi, antara 1 sampai 7 tahun. Partisipan mengungkapkan awal gejala yang dirasakan adalah pusing, nyeri kepala, pandangan kabur, adanya benda yang seperti bergerak, kaku kuduk dan nyeri di belakang leher dan lemas. Pada saat gejala timbul, partisipan tidak mengetahui jika gejala yang dirasakan merupakan tanda-tanda mengalami hipertensi. Partisipan yang terkena hipertensi menjaga diet makan sehari-hari pada awal terkena hipertensi masih membatasi makanan seperti kopi, daging, makanan berlemak, namun setelah semakin lama sudah tidak bisa lagi menahan selera makan sehingga kembali lagi tidak bisa membatasi makanan sehari-hari. Partisipan dalam kesulitan saat menjaga diet makanan yaitu partisipan belum bisa menjaga makanan dari yang asin, berlemak, gorengan, daging dan belum terkontrol dalam menjaga diet makanan sehari-hari. Pengalaman partisipan ketika mendapatkan terapi hipertensi yaitu pada awal mengalami sakit partisipan masih patuh dalam mengkonsumsi obat, namun lama kelamaan partisipan sudah mulai bosan dan bahkan muak dengan obat hipertensi sehingga lebih banyak tidak mengkonsumsi obat sesuai dengan anjuran dokter yang sudah diberikan kepada partisipan. Perubahan yang dirasakan ketika partisipan terkena hipertensi adalah partisipan lebih terbatas waktu dalam melakukan kegiatan bahkan ada juga yang sampai libur atau cuti karena harus rawat inap karena tekanan darah tinggi yang dialami partisipan tersebut. Dukungan yang didapatkan partisipan bahwa keluarga partisipan selalu memberikan dukungan kepada partisipan dan mendampingi sampai proses pengobatan selesai