Direktori Jurnal Elektronik Universitas Imelda Medan
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KESIAPAN FASILITAS KESEHATAN PRIMER SWASTA KLINIK PRATAMA DALAM PELAYANAN TBC
Get PDF Tuberculosis (TB) is a type of infectious disease which is one of the ten main causes of world health problems because it has negative impacts including death. The aim of this research is to find out how prepared the private primary health facility Pratama Clinic is for TB services. The research method used is descriptive qualitative research. The location of this research was carried out at four Pratama Clinics in the working area of the Terjun Community Health Center, Paya Pasir Village, Medan City. This research was carried out from March to August 2023. The number of participants in this research were 8 health workers who worked at the Pratama Clinic. Research data was collected through in-depth interviews with participants and analyzed thematically. The research results consist of 5 (five) themes, namely: (1) tuberculosis examinations have been carried out, but sputum examinations are still carried out at community health centers, (2) examination results take a long time due to the lack of equipment, (3) tuberculosis training is only attended by personnel certain health conditions and (4) patients do not return to the clinic to get tuberculosis results because the patient's understanding of tuberculosis is still lacking. The conclusion of this research is that the Pratama clinic is ready to treat TB patients and the clinic only provides pots for suspected sputum from patients, the limited sputum examination tools mean that you have to wait for the results within two to three days, the Pratama clinic has already attended training but those who do training only certain people and patient understanding about tuberculosis is still lacking.Tuberculosis (TBC) merupakan jenis penyakit menular yang menjadi salah satu dari sepuluh penyebab utama masalah kesehatan dunia karena memiliki dampak buruk hingga pada kematian. Tujuan penelitian ini adalah untuk mengetahui bagaimana kesiapan fasilitas kesehatan primer swasta Klinik Pratama dalam pelayanan TBC. Metode penelitian yang digunakan adalah jenis penelitian deskriptif kualitatif. Lokasi penelitian ini dilaksanakan pada empat Klinik Pratama yang berada di wilayah kerja Puskesmas Terjun Kelurahan Paya Pasir Kota Medan. Waktu penelitian ini dilaksanakan pada bulan Maret hingga Agustus 2023. Jumlah partisipan dalam penelitian ini adalah 8 orang tenaga kesehatan yang bekerja di Klinik Pratama. Data penelitian dikumpulkan melalui wawancara mendalam pada partisipan dan dianalisa secara tematik. Hasil penelitian terdiri dari 5 (lima) tema yaitu : (1) pemeriksaan tuberculosis telah dilakukan, akan tetapi pemeriksaan sputumnya masih dikakukan di puskesmas, (2) lamanya hasil pemeriksaan disebabkan karena jumlah alat yang kurang, (3) pelatihan tuberculosis hanya diikuti oleh tenaga kesehatan tertentu dan (4) pasien tidak kembali ke klinik untuk mendapatkan hasil tuberculosis karena pemahaman pasien tentang tuberculosis masih kurang. Kesimpulan dari penelitian ini adalah klinik pratama sudah siap dalam menangani pasien TBC dan di klinik hanya meyediakan pot untuk sputum terduga pasien, alat pemeriksaan sputum yang terbatas menyebabkan harus menunggu hasilnya dalam waktu dua sampai tiga hari, klinik pratama sudah pernah mengikuti pelatihan akan tetapi yang mengikuti pelatihan hanya orang tertentu saja dan pemahaman pasien tentang tuberculosis masih kurang
LITERATUR REVIEW: BEBERAPA FORMULASI DARI ASAP CAIR
Get PDFLiquid smoke is the result of condensation or direct combustion produced from materials containing lignin, cellulose, hemicellulose and other carbon compounds. Based on the literature read, it turns out that there are many contents of liquid smoke, one of which is as a preservative. The method used in this research is the literature review method where this method can help in terms of inputting data in detail and clearly. The results of this study state that liquid smoke can be used in preservative, antibacterial and deodorizing latex preparations. The purpose of this research is to find out how many uses for liquid smoke so that it can be used in everyday life. The conclusion in this study is that liquid smoke is most widely used in preservatives which distinguishes the method used in the form of a literature review
KURANGNYA MANAJEMEN PERAWATAN DIRI DAN PENGENDALIAN TEKANAN DARAH PASIEN HIPERTENSI DI DAERAH LAHAN BASAH
Get PDFHypertension is the non-communicable disease with relatively high prevalence in Indonesia. The continuity of hypertension care is crucial for patients to control their blood pressure and prevent complications of this silent-killer disease. This research aims to analyze the self-management and blood pressure control of hypertension patients in wetland areas. Taking place in the area supported by the Faculty of Nursing, Universitas Riau, which is the coastal area of the Siak River, Pekanbaru, this research was a quantitative study; descriptive analytic. Thirty participants who were hypertensive patient without complication were chosen by purposive sampling. The instruments were a hypertension patient self-management questionnaire and a digital sphygmomanometer to measure blood pressure. The result showed the majority of the participants was in productive age; adult (33%) and pre-elderly (47%). The result also showed that no participant had good self-management, and most of them had poor self-management (53%). It also revealed only 23% of participants consume anti-hypertension medications regularly, while the rest of them is not taking medication at all. Most of the participants’ blood pressures were uncontrolled (97%). The average systolic pressure was 159 mmHg with maximum point at 238 mmHg and diastolic pressure was 98 mmHg with maximum point at 141 mmHg. This research indicates the urgency in dealing with hypertension, especially in research locations.Hipertensi merupakan penyakit tidak menular dengan angka kejadian yang tinggi di Indonesia. Keberlanjutan perawatan secara mandiri sangat diperlukan bagi pasien hipertensi agar tekanan darah dapat dikendalikan dan mencegah komplikasi dari penyakit silent killer ini. Penelitian ini bertujuan untuk menganalisa manajemen diri dan pengendalian tekanan darah pasien hipertensi di daerah lahan basah. Penelitian dilakukan di daerah binaan Fakultas Keperawatan Universitas Riau yang merupakan wilayah pesisir sungai Siak, Pekanbaru. Penelitian kuantitatif dengan pendekatan deskriptif analitik dilakukan pada 30 orang responden yang dipilih dengan metode purposive sampling dengan kriteria pasien hipertensi tanpa komplikasi. Data diambil dengan menggunakan kuesioner manajemen diri pasien hipertensi dan pengukuran tekanan darah menggunakan sphygmomanometer digital. Hasil penelitian menunjukkan mayoritas responden berada di rentang usia produktif yaitu dewasa (33%) dan pralansia (47%). Hasil penelitian juga menunjukkan tidak satupun responden yang memiliki manajemen diri yang baik, paling banyak berada pada rentang kurang (53%). Hasil penelitian juga menunjukkan hanya 23% responden yang rutin mengonsumsi obat anti hipertensi, sedangkan sisanya tidak mengonsumsi sama sekali. Hasil pengukuran tekanan darah menunjukkan tekanan darah tidak terkontrol pada hampir semua responden (97%). Rata- rata tekanan darah sistolik yaitu 159 mmHg dan rata- rata tekanan darah diastolik 98 mmHg dengan nilai tekanan darah sistolik paling tinggi mencapai angka 238 mmHg dan tekanan darah diastolik mencapai 141 mmHg. Hasil ini menunjukkan adanya urgensi dalam penanganan masalah hipertensi secara umum dan di daerah penelitian khususnya
PENERAPAN PIJAT TUINA DAN MINYAK SERAI DALAM MENURUNKAN NYERI DAN MENINGKATKAN KUALITAS TIDUR ANAK DENGUE HEMORRHAGIC FEVER
Get PDFDengue Hemorrhagic Fever (DHF) is caused by the dengue virus transmitted through the bite of Aedes aegypti mosquitoes, which can induce fever. Tui Na massage is a potential alternative therapy with fewer side effects and economic burdens, offering greater flexibility for both parents and children to accept treatment. The purpose is to assess the pain intensity and improvement in sleep quality before and after Tui Na massage therapy. This study employed a single-case study research method in nursing science conducted from October 31 to November 2, 2023, at RSUD Banyumas. The results obtained were before therapy, Patient An. A frequently complained of pain, making sleep difficult. After receiving Tui Na massage and lemongrass aromatherapy oil for 15 minutes daily over three (3) days, there was a decrease in pain intensity and an improvement in sleep quality. Based on the results of the assessment, diagnosis, nursing care plan, impelentation adn evaluation as well as the application of evidence based practice, it was concluded that there was a reduction in pain intensity and an improvement in sleep quality following Tui Na massage therapy combined with lemongrass aromatherapy oil.Dengue Hemorrhagic Fever (DHF) adalah penyakit yang disebabkan oleh infeksi virus dengue yang menyebar melalui gigitan nyamuk Aedes aegepty dan dapat menyebabkan demam tinggi. Pijat Tui Na merupakan alternatif yang berpotensi dengan efek samping dan biaya ekonomi yang lebih rendah, serta lebih mudah diterima baik oleh orang tua maupun anak. Tujuannya untuk mengetahui gambaran intesitas nyeri dan peningkatan kualitas tidur sebelum dan sesudan dilakukan pijat tui na. Metode penelitian menggunakan case single study yang dilakukan pada 31 Oktober – 2 November 2023 di RSUD Banyumas. Hasil yang diperoleh sebelum dilakukan terapi pada pasien An. A sering mengeluh nyeri sehingga sulit untuk tidur, setelah dilakukan pijat tui na dan minyak aromaterapi serai wangi selama 15 menit, terapi dilakukan selama 3 hari terdapat penurunan intensitas nyeri dan peningkatan kuliatas tidur. Berdasarkan hasil pengkajian, diagnosa, rencana asuhan keperawatan, implementasi dan evaluasi serta penerapan evidence based practice diperoleh kesimpulan bahwa terdapat penurunan intensitas nyeri dan meningkatnya kualitas tidur setelah dilakukan terapi pijat tui na dan minyak aromaterapi serai wangi
KLASIFIKASI PENGKODINGAN PENYAKIT DAN TINDAKAN DENGAN DIAGNOSA DIABETES MELITUS PADA TN. A DI UPT PUSKESMAS SERING TAHUN 2023
Get PDFKoding merupakan kegiatan menetapkan kode penyakit dan tindakan dengan tepat sesuai klasifikasi yang diberlakukan di Indonesia International Statistical Classification of Diseases, Tenth Revision (ICD-10) dan tentang Penyakit dan Tindakan Medis yaitu International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) dalam pelayanan dan manajemen kesehatan. Klasifikasi dan kodefikasi penyakit, masalah- masalah yang berkaitan dengan kesehatan dan tindakan medis merupakan kompetensi pertama Profesi Perekam Medis dan Informasi Kesehatan. Kegiatan pengabdian kepada masyarakat dilaksanakan di Puskemas Sering bertujuan memberikan penyuluhan tentang Pengkodingan penyakit dan tindakan DM. Metode yang digunakan dalam pengabdian kepada masyarakat ini adalah dengan memberikan penyuluhan secara langsung, demonstrasi dan pendampingan dalam pelaksanaan proses pengkodingan rekam medis untuk menurunkan ketidaktepatan penentuan kode penyakit dan tindakan DM di puskemas. Hasil dari kegiatan pengabdian kepada masyarakat ini adalah meningkatnya pengetahuan dan keterampilan dalam menentukan kode penyakit dan tindakan. Kegiatan ini berhasil dilaksanakan atas dukungan dan kerja sama yang baik dari semua pihak baik tim pelaksana, mahasiswa, petugas dan Kepala Puskesmas Sering serta Dinas Kesehatan Kota Medan
Evaluasi Penerapan Sistem Informasi Khanza Menggunakan Metode HOT-FIT Di Rumah Sakit Tentara Reksodiwiryo Kota Padang
Get PDFThe transformation of changes from Manual Medical Records to Electronic Medical Records by the Government has been stipulated by the Minister of Health by issuing and stipulating Permenkes Number 24 of 2022 concerning Electronic Medical Records, in Permenkes no 24 of 2022 all Health Facilities will be implemented at the end of December 2023.Simkes Khanza is one of the Electronic Medical Record (RME) Health Management Information System Application programs that can be used by Hospitals, Clinics, PUSKESMAS, as well as Independent Practices that are open in nature, the Khanza Program is a program for Hospital Information Systems designed so that the home hospitals in managing management and processing hospital data can make reports properly and correctly. In carrying out data processing, the method used is the HOT-FIT method where this method is a theoretical framework model used to evaluate information systems in the field of health services.The purpose of this research is how much the benefits and programs of Khanza are in the Reksodowiryo Army Hospital, Padang City. From the results of research data processing consisting of 20 sample questionnaires with 32 questions obtained which were distributed and discussions with hospital staff, it was found that the use of the system in humans was a score of 64.83%, an average of 3 and a TCR of 81.4 which means that the human variable in using the system khanza, , User Satisfaction, trouble-free, user-friendliness means very good. Furthermore, for the organizational variable, the score was 64.83%, the average was 3.2 and the TCR was 81 with very good results. Then for the Technology variable, the score was 66.3%, the average was 3.3 and the TCR was 82.9 with very good results. Furthermore, the Benefit variable score is 65.3%, the average is 3.3 and the TCR is 81.9 with very good results. It can be concluded that the Khanza program is really needed in RST. Reksodowiryo City of Padang.Tranformasi perubahan Rekam Medis Manual ke Rekam Medis Elektronik oleh Pemerintah telah ditetapkan oleh Menteri Kesehatan dengan mengeluarkan dan menetapkan Permenkes Nomor 24 tahum 2022 tentang Rekam Medis Elektronik, dalam Permenkes no 24 tahun 2022 seluruh Fasyankes diterapkan pada akhir Desember 2023.
Simkes Khanza merupakan salah satu program Rekam Medis Elektronik (RME) Aplikasi Sistem Informasi Manajemen Kesehatan yang dapat di gunakan Rumah Sakit, Klinik, PUSKESMAS, serta Praktek Mandiri yang bersifat terbuka, Program Khanza adalah sebuah program untuk Sistem Informasi Rumah Sakit yang dirancang agar pihak rumah sakit dalam mengelola manajemen dan mengolah data rumah sakit dapat membuat laporan-laporan dengan baik dan benar. Dalam Melakukan pengolahan data maka metode yang digunakan adalah metode HOT-FIT dimana metode ini merupakan model kerangka teori yang dipakai untuk mengevaluasi sistem informasi dalam bidang pelayanan kesehatan.
Tujuan dilakukan penelitian ini adalah seberapa besarkah manfaat dan program Khanza dilingkungan Rumah Sakit Tentara Reksodowiryo Kota Padang. Dari hasil pengolahan data penelitian terdiri 20 sampel kuesioner dengan 32 pertanyaan didapatkan yang dibagikan dan diskusi dengan staf rumah sakit didapatkan penggunaan sistem pada manusia sebanyak skor 64,83 %, rata 3 dan TCR sebanyak 81,4 yang artinya bahwa pada variabel Manusia dalam penggunaan sistem khanza, , Kepuasan Pengguna, bebas dari kesulitan, kemudahan pengguna artinya sangat baik. Selanjutnya pada variabel Organisasi skor 64,83 %, rata 3,2 dan TCR sebanyak 81 dengan hasil sangat baik, Selanjutnya untuk variabel Teknologi dengan skor 66,3%, rat-rata 3,3 dan TCR 82,9 dengan hasil sangat baik. Selanjutnya variabel Manfaat skor 65,3%, rat-rata 3,3 dan TCR 81,9 dengan hasil sangat baik maka dapat disimpulkan bahwa program khanza sangat dibutuhkan di RST. Reksodowiryo Kota Padang.
 
STUDI KASUS: ASUHAN KEBIDANAN PASKA PERSALINAN DENGAN RETENSIO URINE
Get PDFPostpartum urinary retention is defined as the absence of spontaneous urination or the inability to urinate spontaneously starting 6 hours after vaginal delivery, and the inability to urinate spontaneously 6 hours after catheter removal during delivery with the following actions:caesarean section. This complaint can be caused by hormonal changes, changes in the contractile response of the bladder, innervation trauma that occurs in the bladder, and several other risk factors, namely perineal laceration or episiotomy, delivery with the help of tools, duration of the first stage of labor.>12 hours, duration of second stage of labor>1 hour in multiparas, and birth weight of the baby>3800 grams. The aim of this research is to provide midwifery care to mothers after giving birth who complain of not being able to urinate since 3 days after giving birth. Care is carried out by paying attention to midwifery management steps according to Helen Varney. The research was carried out from 27 March to 09 April 2023 at Gunung Jati Hospital, Cirebon City, using a case study research method and the research subject was Mrs W P1 A0 aged 23 years. Primary and secondary data collection. Primary data was obtained through interviews, observation and physical examination, while secondary data was obtained through documentation and literature studies. The analysis used is descriptive and exploratory through studying data from research subjects. The results of the care were discussed by taking into account similar previous research and a review of relevant literature so that it could be concluded that there was no gap between theory and the care given to Mrs
HUBUNGAN AKTIVITAS FISIK DENGAN KADAR GULA DARAH PADA PASIEN DIABETES MELLITUS TIPE 2 DI PUSKESMAS BINJAI ESTATE
Get PDFDiabetes mellitus (DM) is a dangerous disease because it can cause many complications. Physical activity is necessary for successful diabetes treatment. The aim of this study was to determine the relationship between physical activity and blood glucose levels in type 2 diabetes patients at the Binjai Estate Health Center. The type of research used is correlational research with a cross sectional design. The population of this study consisted of type 2 DM patients in the working area of ??the Binjai Estate Health Center from January 2020 to March 2020, using a purposive sampling technique, the population was 209. The sample size was taken 20% of the total population, namely 42 people (Arikunto, 2013). The data collection method used the Baecke questionnaire, analysis used the chi-square test with ? = 0.05. The research results showed that the majority of DM sufferers had the type with light physical activity, namely 21 people (50.00%) and the majority of DM sufferers had the type with KGD >200 mg/dL, namely 34 people (81.00%). The test results obtained Asymp.Sig value. (2 sides) = 0.000, namely <0.05, meaning there is a relationship between physical activity and blood sugar levels in type 2 DM sufferers at the Binjai Estate Health Center. It is recommended for diabetes mellitus sufferers to always be active in physical activity.Diabetes melitus (DM) merupakan penyakit yang berbahaya karena dapat menimbulkan banyak komplikasi. Aktivitas fisik diperlukan untuk keberhasilan pengobatan diabetes. Tujuan penelitian ini adalah untuk mengetahui hubungan aktivitas fisik dengan kadar glukosa darah pada pasien diabetes tipe 2 di Puskesmas Binjai Estate. Jenis penelitian yang digunakan adalah penelitian korelasional dengan desain cross sectional. Populasi penelitian ini terdiri dari pasien DM tipe 2 di wilayah kerja Puskesmas Binjai Estate pada bulan Februari 2022- Feberuari 2023, dengan menggunakan teknik purposive sampling, populasinya berjumlah 209. Besar sampel diambil 20% dari jumlah populasi yaitu sebesar 42 orang (Arikunto, 2013). Metode pengumpulan data menggunakan kuesioner Baecke, analisis menggunakan uji chi-square dengan ?= 0,05. Hasil penelitian didapatkan mayoritas penderita DM tipe dengan aktivitas fisik ringan yaitu sebanyak 21 orang (50,00%) dan mayoritas penderita DM tipe dengan KGD >200 mg/dL sebanyak 34 orang (81,00%). Hasil uji didapatkan nilai Asymp.Sig. (2 sisi) = 0,000 yaitu<0,05 artinya ada hubungan aktivitas fisik dengan kadar gula darah pada penderita DM tipe 2 di Puskesmas Binjai Estate. Disarankan bagi penderita diabetes melitus untuk selalu aktif melakukan aktivitas fisik
PEMBERIAN EDUKASI PERSONAL HYGIENE SELAMA “MENSTRUASI”
Get PDFPersonal hygiene saat menstruasi termasuk dalam hal penting untuk menentukan Kesehatan organ reproduksi pada remaja putri agar terhindar dari infeksi. Masalah yang akan muncul akibat kurangnya menjaga kebersihan personal hygiene saat menstruasi yaitu timbulnya masalah Kesehatan seperti keputihan, infeksi, serta dapat menimbulkan penyakit yang serius yaitu penyakit kanker serviks. Metode penyuluhan menggunakan metode deskriptif observasional dengan 30 partisipasi yang berada di SMP Swasta Bina Siswa. Teknik pengambilan sampel dengan purposive sampel. Sedangkan pengambilan data melalui evaluasi instrument tanya jawab yang dilakukan dengan materi tentang bagaimana menjaga kebersihan hygiene Selama menstruasi. Berdasarkan hasil evaluasi, pemahaman para siswa pemberian edukasi manfaat dalam menjaga kebersihan personal hygiene mengalami peningkatan pengetahuan siswa dari 36,6 % menjadi 81, 5 % berpengetahuan baik.Pengetahuan merupakan dominan penting dan faktor utama dalam menentukan perilaku seseorang. Siswa putri mampu memiliki kebiasaan yang baik dalam menjaga Kesehatan dir
FAKTOR PENYEBAB KETIDAKPATUHAN IBU MELAKUKAN IMUNISASI DASAR DI KELURAHAN SIDEREJO HILIR
Get PDFWithin the scope of health services, the preventive sector is the main priority. In the preventive sector, it is a top priority in the scope of health services. One form of health intervention that is very effective in reducing infant and toddler mortality rates in the health service system is immunization. Objective: The aim of this research is to find out the causes of maternal non-compliance with basic immunization in Siderejo Hilir Village. Method: This research uses qualitative methods as a phenomenological approach by producing in-depth information from interview scripts, interview notes and documentation. The research location in this research is located in Siderejo Hilir Village, Medan Tembung subdistrict. There were 5 participants in the research. The overall research time for this research was 3 months, starting from September 21 to December 19 2023. Results: from the results of interviews with the five participants, 100% of them had not carried out basic immunizations for their children. The majority of participants were in their 30s. The majority of participants have junior high school/equivalent education, with the mother's status working as a housewife. Factors that cause mothers' non-compliance in carrying out basic immunizations come from several sources that have been explored. The author is of the opinion that the factors that cause mothers' non-compliance in carrying out basic immunizations include: Education, Knowledge, confidence, work, economy, and family support