Direktori Jurnal Elektronik Universitas Imelda Medan
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Faktor-Faktor Yang Mempengaruhi Ketepatan Kode Diagnosa External Cause Kasus Kecelakaan Sepeda Motor Di RSU Imelda Pekerja Indonesia Medan Tahun 2023
Get PDFCodefication classification is an activity that groups diseases based on certain. Coding of disease diagnoses must be carried out accurately and completely. The assignment of disease diagnosis codes is in accordance with ICD-10 rules. External cause is a code used to classify the external cause of an illness whwther caused by accidents, injuries, burns, poisoning, side effects of other cause. Factors thar influence the accuracy of external cause diagnosis codes are discrepancies in giving diagnosis codes, erros and discrepancies in giving additional codes for descriptions of activity and place of occurrence. As a passenger or driver, do not include the external cause code in the wxisting diagnosis. This research was conducted at RSU Imelda Pekerja Indonesia Medan with the aim of research to determine the factors that influence the accuracy of the external cause diagnosis code for motorbike accident cases at RSU Imelda Pekerja Indonesia Medan in 2023. This research uses quantitative analytical methods with a cross sectional approch. The research results showed that there was a significant influence of the variable completeness of assessment eith coding accuracy with a value (p value 0.002 < 0,05), there was an influence of completeness of laboratory examination with coding accuracy with a value ( p value 0.045 < 0,05), there was an influence og the quality of code officers according to length of service with value (p value 0.003 < 0,05) and there is an influence on the quality of code officers according to training followed by value (p value 0.017 < 0,05).
 
Analisis Efisiensi Penggunaan Tempat Tidur Di RSJD Dr. Arif Zainudin Surakarta
Get PDFHealth Statistics provide information about people’s health and use of health services. The percentage of bed use in health service facilities been formulated consists of 4 parameters, namely BOR, LOS, TOI, BTO which can be depicted in a graphic known as Barber Johnson. The purpose of this study is to analyze the efficiency of bed use based on Barber Johnson at RSJD Dr. Arif Zainudin Surakarta in 2021. The type of research used is quantitative descriptive with Cross sectional design. Population in the form of monthly SHRI recapitulation. The results of this study show that the BOR calculation in 2021 was 48.43% in (Quarter 1), 58.82% (Quarter II), 46.56% (Quarter III), 42.63% (Quarter IV). 20-day AVLOS (Quarter I), 20 days (Quarter II), 18 days (Quarter III), 19 days (Quarter IV), TOI 21 days (Quarter I), 14 days (Quarter II), 21 days (Quarter III), 26 days (Quarter IV), BTO 2 times (Quarter I), 3 times (Quarter II), 2 times (Quarter III and IV). From the analysis conducted, the use of beds in RSJD has not been efficient. To improve the efficiency of bed use, hospital management further improves quality of service and limits value of inpatient indicators according to mental hospitals
HUBUNGAN POLA MENSTRUASI DENGAN KEJADIAN ANEMIA PADA SISWI MA PERGURUAN ISLAM NURUL KASYSYAF (PINK)
Get PDFAnemia is a condition where the concentration of hemoglobin in the blood is lower than normal, someone who has anemia will experience conditions such as weakness, fatigue, lethargy and loss of concentration. And carried out on students who have experienced menstruation. Research Objectives: To know about the relationship between menstrual patterns and the incidence of anemia in SMA PINK 03 Tambun Selatan students. Methods: The design of this study used an analytical survey with a cross sectional design. Sample: The research sample was 127 students using purposive sampling technique. Research Results: The results obtained in this study were 73 (57.5%) female students who experienced anemia and (52%) 66 female students who experienced abnormal menstruation. The relationship between menstrual patterns and the incidence of anemia in female students through the chi-square test results in a p-value of 0.000, p value < a (0.05). Conclusion: Students who have anemia are likely to experience abnormal menstrual patterns. Suggestion: It is expected that students consume nutritious food and contain lots of iron, even though they experience abnormal menstruation.
 
ANALISIS FAKTOR RESIKO KETUBAN PECAH DINI DI PUSKESMAS MARGADANA
Get PDFMaternal Mortality Rate is an indicator of maternal welfare that occurs from pregnancy to the end of the postpartum period. Infection is one of the contributors to AKI in Indonesia. Premature rupture of membranes is a condition where the membranes rupture before the time of delivery which occurs at the end of pregnancy or prematurely which can cause infection. This research is a descriptive study with the research objective to determine the risk factors for KPD in the Margadana Health Center area of ??Tegal City. The total population is 22 respondents. The research results showed that the majority of respondents who experienced premature rupture of membranes were multiparous and aged 20 to 35 years. There were more respondents with normal fetal position than abnormal position and most respondents did not experience pre-eclampsia
PENERAPAN TINDAKAN PROGRESSIVE MUSCLE RELAXATION (PMR) DAN DEEP BREATHING EXERCISES (DBE) UNTUK MENGATASI SESAK NAPAS PADA PASIEN PENYAKIT PARU OBSTRUKTIF KRONIS (PPOK) DI RSUP PERSAHABATAN JAKARTA TIMUR
Get PDFBackground: Chronic obstructive pulmonary disease (COPD) is a chronic lung disease with progressive, irreversible and partially reversible airway obstruction. COPD includes chronic bronchitis and emphysema, or a combination. COPD patients generally complain of continuous shortness of breath and this will result in a decrease in the patient's quality of life and as a result the patient will go back and forth to the hospital. To prevent this, it is necessary to do breathing exercises. The aim of implementing EBNP is to implement Progressive Muscle Relaxation (PMR) and Deep Breathing Exercises (DBE) interventions to change the shortness of breath response in COPD patients in the form of a randomized controlled trial with a pre-post-test design. The sampling technique uses G-Power version 3.1.9.7 with T-test, one tail, effect size 0.53, alpha error 0.05, and power 0.80, a minimum of 18 is required plus a possibility of error of 10%, so the number of patients needed in this study is 20 at Persahabatan Hospital, East Jakarta. The implementation of PMR actions with 13 (thirteen) movements and DBE with 6 (six) movements is carried out every day for 5 weeks, from May 15 to June 16 2023. Method: The study design in this research is a case study involving 40 respondents. Respondents were divided into two groups, namely 20 people in the PMR group and 20 people in the DBE group. Evaluation is carried out every week using the dyspnoe-12 instrument. Results: This application shows that there is a difference in the response to shortness of breath between before and after the PMR procedure (P value 0.001) and the DBE procedure (P value = 0.001). Conclusion: The application of EBNP recommends the need for nurses to carry out PMR and DBE interventions to change the shortness of breath response in COPD patients.Latar Belakang: Penyakit paru obstruktif kronik (PPOK) merupakan penyakit paru kronis dengan adanya obstruksi jalan napas yang progresif, ireversibel, dan sebagian reversibel. PPOK mencakup bronkitis kronis dan emfisema, atau kombinasi. Pasien PPOK umumnya mengeluh sesak napas terus-menerus dan akan mengakibatkan penurunan kualitas hidup pasien dan akibatnya pasien akan bolak balik masuk rumah sakit. Untuk mencegah hal tersebut maka perlu dilakukan latihan pernapasan. Tujuan Penerapan EBNP ini bertujuan untuk menerapkan intervensi Progressive Muscle Relaxation (PMR) dan Deep Breathing Exercises (DBE) terhadap perubahan respon sesak napas pada pasien PPOK dalam bentuk randomized controlled trial dengan pre-post-test design. Teknik pengambilan sampel menggunakan menggunakan G-Power versi 3.1.9.7 dengan uji-T, one tail, effect size 0.53, alpha error 0.05, dan power 0.80, diperlukan minimal 18 ditambah kemungkinan error 10%, maka pasien yang dibutuhkan dalam penelitian ini berjumlah 20 di RSUP Persahabatan Jakarta Timur. Penerapan tindakan PMR dengan 13 (tiga belas) gerakan dan DBE dengan 6 (Enam) gerakan dilakukan setiap hari selama 5 minggu, dari tanggal 15 Mei s/d 16 Juni 2023. Metode: Desain study pada penelitian ini adalah Quasi ekspriment dengan melibatkan 40 responden. Responden dibuat menjadi dua kelompok yaitu 20 orang kelompok PMR dan 20 orang kelompok DBE. Evaluasi dilakukan setiap minggu dengan menggunakan instrumen dispnoe-12. Hasil: penerapan ini menunjukkan bahwa ada perbedaan respon sesak napas antara sebelum dan setelah tindakan PMR (P value 0.001) dan tindakan DBE (Pvalue= 0,001). Kesimpulan: Penerapan EBNP ini merekomendasikan perlunya perawat melakukan intervensi PMR dan DBE untuk perubahan respon sesak napas pada pasien PPOK
HUBUNGAN PENGETAHUAN DENGAN SIKAP PENGGUNAAN TABLET Fe PADA WANITA DALAM PENCEGAHAN STUNTING DI RW 012 DESA SUKAMEKAR
Get PDFIron or Fe deficiency is still a micronutrient problem in the world, especially in Indonesia. The cause of iron deficiency is lack of knowledge and unsupportive attitudes. The aim of the research is to determine the relationship between the level of knowledge and attitudes towards using Fe tablets among women in preventing stunting in RW 012 Sukamekar Village. The research uses an analytical survey method through a cross sectional approach, namely collecting data all at once or at one time. The data collection technique is through distributing questionnaires, the technique used to determine the sample in this research is Non Random Sampling, using a Purposive sampling technique. The results of this research from 75 respondents showed knowledge of the use of Fe tablets in women in preventing stunting in RW 012 Sukamekar Village, 30 (40%) had sufficient knowledge, 29 (38.7%) people had a good attitude. Bivariate analysis obtained a p value of 0.024 (<p=0.005). The conclusion from this research is that there is a relationship between knowledge and attitudes towards using Fe tablets among women in preventing stunting in RW 012 Sukamekar Village with a p-value of 0.024
REDESAIN MAP REKAM MEDIS DI UPT PUSKESMAS PEKAN LABUHAN KOTA MEDAN
Get PDFPelayanan kesehatan di puskesmas tidak terlepas dari dukungan data-data pasien yang semuanya itu harus tercatat dengan baik dan benar di dalam rekam medis. Map rekam medis (folder) merupakan sampul yang berfungsi untuk menjaga semua formulir rekam medis pasien yang ada dalam satu file dan terlindungi dari kerusakan secara fisik serta menjaga kerahasiaan data pasien didalamnya. Tujuan dari pengabdian ini yaitu untuk mendesain ulang sampul rekam medis dilihat dari aspek anatomi, fisik dan isi, serta disesuaikan dengan kebutuhan data pasien yang ada di wilayah kerja UPT Puskesmas Pekan Labuhan Medan. Metode pengabdian yang digunakan adalah dengan melakukan kolaborasi dengan petugas penyimpanan rekam medis di puskesmas yang terdiri dari pemberian edukasi tentang desain rekam medis yang baik, konsultasi dan perancangan map rekam medis sesuai kebutuhan di puskesmas, serta melakukan demonstrasi dan pendampingan penerapan map rekam medis di puskesmas. Kegiatan pengabdian ini dilakukan pada bulan Februari 2024 dengan jumlah partisipan sebanyak 10 orang petugas kesehatan di UPT Puskesmas Pekan Labuhan. Kegiatan pengabdian ini dilakukan selama 3 bulan. Adapun hasil dari kegiatan pengabdian ini adalah meningkatnya pengetahuan dan keterampilan petugas dalam mendesain map rekam medis yang baik serta sebuah desain produk map (folder) rekam medis di UPT Puskesmas Pekan Labuhan Medan. Keberhasilan kegiatan pengabdian ini didukung oleh kerja sama yang baik dari tim pengabdian masyarakat, petugas dan kepala UPT Puskesmas Pekan Labuhan Medan serta Dinas Kesehatan Kota Medan
PENGARUH PIJAT BAYI TERHADAP MOTORIK KASAR PADA BAYI USIA 6 – 12 BULAN DI WILAYAH KERJA PUSKESMAS PULAU SAPI
Get PDFOne of the procedures that is often done on babies is baby massage. Baby massage is a treatment that involves giving a gentle touch to the baby's body, either structured or unstructured. Massage carried out periodically or routinely on babies' feet, stomach, chest, hands, back and stretching movements can improve gross motor development in babies their age. The aim of the research was to determine the effect of baby massage on the motor skills of babies aged 6 - 12 months in the Sapi Island Health Center Working Area. The type of research used is Quasi Experimental, One Group Pretest-posttest design. The population in this study were all babies aged 6 – 12 months who had had their baby's development checked at the UPTD Puskesmas Pulau Sapi in 2024, totaling 15 respondents. Univariate analysis in this research used the frequency distribution of baby age, frequency distribution of gender, frequency distribution of motor development before and after baby massage. Then bivariate analysis uses the Wicoxon Sign Rank Test and before carrying out this test it is necessary to carry out a Normality test on the gross motor variable. Normality test results show sig 0.000 < 0.05, which means the data is not normally distributed, which means the Wilcoxon Sign Rank Test can be continued. The results for the Wilcoxon Sign Rank Test were 0.000, there was an influence on gross motor development before and after giving massage to babies aged 6 - 12 months. So it can be done regularly to optimize the baby's gross motor development
DETERMINAN FAKTOR RISIKO YANG MEMPENGARUHI PERDARAHAN POST PARTUM DI WILAYAH MAKASSAR
Get PDFSecara global, perdarahan post partum adalah salah satu penyebab utama kematian ibu. Di negara berkembang, ini menyumbang lebih dari 30% dari semua kematian ibu. Penilaian faktor risiko perdarahan post partum harus dilakukan selama periode antenatal, intrapartum dan post partum untuk pencegahan tepat waktu morbiditas dan mortalitas ibu terkait dengan perdarahan post partum. Tujuan penelitian ini untuk menganalisis determinan faktor risiko yang mempengaruhi anemia Terhadap perdarahan post partum. Metode Penelitian menggunakan desain case control study dengan menggunakan pendekatan retrospectif. Populasi dalam penelitian ibu post partum dan sampel adalah ibuyang mengalami perdarahan post partum, Teknik pengambilan sampel secara total sampling dengan jumlah sampel 77 kasus dan 77 kontrol sehingga total sampel 154 responden. Uji statistic dengn Odds Ratio dan uji Mann Whitney. Hasil Penelitian menunjukkan bahwa perdarahan post Partum lebih banyak ditemukan pada kelompok kasus dengan anemia 67 (87,0%) dibandingkan pada kelompok kontrol 51 (66,2%). menunjukkan bahwa dari 121 (78,57%) orang yang mempunyai risiko anemia, responden yang mengalami perdarahan lebih banyak pada kelompok kasus sebanyak 70 responden, di bandingkan kelompok kontrol yaitu 51 orang (37,5%). Berdasarkan hasil uji statistic odds Ratio dengan nilai 5,09 dengan Tingkat kepercayaan (CI) 0,05 dan Lower limit =2.054 dan upper limit =12,656, oleh karena itu ibu hamil yang anemia berisiko 5,09 kali lebih besar mengalami perdarahan post partum jika di bandingkan dengan ibu hamil yang tidak anemia, sedangkan dalam uji statistic Mann Whitney dengan nila p 0,000, berarti ada perbedaan yang signifikan antara kelompok kasus dan kelompok control. Dapat di simpulkan bahwa anemia merupakan faktor risiko terhadap perdarahan post partum
UJI POTENSI ANTITUBERKULOSIS EKSTRAK n-HEKSAN DAN EKSTRAK ETANOL DAUN RIMBANG (Solanum torvum Sw.) SECARA IN VITRO
Get PDFTuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis which still affects many Indonesians and causes death. Currently, many people are resistant to treating tuberculosis using synthetic chemicals, so many sufferers find it difficult to recover, while the discovery of new drugs is still rare, therefore we need drugs made from natural ingredients that have been used by the community to treat coughs with phlegm and blood, which is one of the Symptoms of tuberculosis include rimbang leaves (Solanum torvum Sw.). Therefore, researchers conducted antituberculosis potential tests with rimbang leaf extract (Solanum torvum Sw.) with the aim of obtaining alternative medicines from plants that are rational, safe, cheap and easy to obtain. The extract was made by percolation using n-hexane followed by ethanol fractionation, then a phytochemical screening test was carried out on fresh leaves, simplicia, ethanol extract and n-hexane extract. The antituberculosis test of n-hexane extract and ethanol extract was carried out on Mycobacterium tuberculosis bacteria using the Lowenstein-Jensen method using patient sputum which was first identified using Ziehl Nielsen staining. The results of the phytochemical screening test showed that the chemical compound groups in fresh leaves, simplicia, ethanol extract and n-hexane extract, namely ethanol extract, were positive for alkaloids, flavonoids, glycosides, saponins, steroids/triterpenoids. and tannins while the n-hexane extract was positive for glycosides and steroids/triterpenoids. The antituberculosis effectiveness of ethanol extract is stronger than n-hexane extract, because in the 1st week and 2nd week the ethanol extract was able to inhibit the growth of Mycobacterium tuberculosis, while the n-hexane extract from the 1st to the 4th week did not inhibit the growth of Mycobacterium tuberculosis at all