Direktori Jurnal Elektronik Universitas Imelda Medan
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Keselamatan dan Kesehatan Kerja (K3) Petugas Rekam Medis Ruang Filling di Rumah Sakit Bhayangkara Tingkat III Banjarmasin
Get PDFFilling unit rekam medis mempunyai peran penting dalam pemeliharaan rekam medis terutama dalam hal penyimpanan dan perlindungan rekam medis. Penyimpanan rekam medis dapat berjalan dengan baik apabila fasilitas penunjang dalam kegiatan penyimpanan tersedia dan lingkungan kerja mendukung sehingga dapat memudahkan dalam pengambilan, penyediaan dan penyimpanan rekam medis. pengambilan dan penyimpanan dokumen rekam medis, petugas filling pernah tertimpa dokumen rekam medis, tergores dokumen rekam medis, rak rekam medis, petugas filling terjatuh saat mengambil dokumen rekam medis yang tinggi. Sehingga diteliti serta diketahui penerapan keselamatan dan kesehatan kerja (K3) berdasarkan faktor sumber daya manusia dan faktor lingkungan kerja di Rumah Sakit Bhayangkara Tingkat III Banjarmasin. Jenis penelitian dalam penelitian ini adalah kualitatif dengan pendekatan deskriptif. Subjek penelitian ini berjumlah 3 orang yaitu Kepala Unit Rekam Medis sebagai informan 1, Petugas filling rawat jalan sebagai informan 2 dan petugas filling rawat inap sebagai informan 3. Instrument penelitian ini menggunakan pedoman wawancara danobservasi. Hasil penelitian ini adalah Penerapan keselamatan dan kesehatan kerja (K3) di Rumah Sakit Bhayangkara Tingkat III Banjarmasin belum berjalan baik berdasarkan faktor sumber daya manusia dalam penggunaan alat pelindung diri (APD) sebagian besar menggunakan masker, berdasarkan faktor lingkungan kerja pada ruang filling rawat jalan pencahayaan dan jarak antar rak belum memenuhi standar, pada ruang filling rawat inap suhu, kelembaban, pencahayaan dan jarak antar rak belum memenuhi standar. Sehingga perlu sosialisasi penerapan penggunaan APD dan pengecekan sarana prasarana secara berkala terhadap sarana prasarana untuk pemenuhan standar ruang fillingThe medical record filling unit has an important role in maintaining medical records, especially in terms of storing and protecting medical records. Storing medical records can run well if supporting facilities for storage activities are available and the work environment is supportive so that it makes it easier to retrieve, provide and store medical records. taking and storing medical record documents, the filling officer was hit by a medical record document, scratched by a medical record document, a medical record shelf, a filling officer fell while taking a tall medical record document. So that it is researched and known about the implementation of occupational safety and health (K3) based on human resource factors and work environment factors at the Bhayangkara Level III Hospital, Banjarmasin. The type of research in this research is qualitative with a descriptive approach. The subjects of this research were 3 people, namely the Head of the Medical Records Unit as informant 1, the outpatient filling officer as informant 2 and the inpatient filling officer as informant 3. This research instrument used interview and observation guidelines. The results of this research are that the implementation of occupational safety and health (K3) at the Bhayangkara Level III Hospital in Banjarmasin has not gone well based on human resource factors in the use of personal protective equipment (PPE), most of them use masks, based on work environment factors in the lighting outpatient filling room. and the distance between shelves does not meet the standards, in the inpatient filling room the temperature, humidity, lighting and distance between shelves do not meet the standards. So it is necessary to socialize the implementation of the use of PPE and periodically check infrastructure to meet filling room standards
PENGARUH PENERAPAN MODEL PELAYANAN MATERNITAS PENDAMPINGAN ONE STUDENT ONE CLIENT (OSOC) TERHADAP TINGKAT KECEMASAN PADA IBU DALAM MASA POSTPARTUM DI RS PERMATA HATI KISARAN TAHUN 2022
Get PDFPsychological problems experienced by mothers giving birth in hospitals really need optimal attention and care. The psychological changes experienced by postpartum mothers can be caused by the adjustment phase of the mother towards her role as a parent. After giving birth, mothers really need support and motivation to support all activities and new roles. So that postpartum mothers need more attention from the family, the people around them, especially from their husbands. At this time the mother really needs attention, understanding and affection that is more specific otherwise there will be coping failure in the postpartum mother which results in anxiety during the postpartum period. The aim of the research is to analyze the effect of implementing the One Student One Client (OSOC) maternity service model on maternal anxiety levels in the postpartum period at Permata Hati Kisaran Hospital in 2022. Quasi-experimental research with a non-equivalent control group design. The subjects of this study were 80 postpartum mothers divided into 2 groups into the intervention group and the control group. In the intervention group, intervention was given in the form of providing OSOC assistance during the postpartum period, while the control group was given conventional postpartum care. The results showed that there was an effect of applying the OSOC model to a decrease in anxiety in postpartum mothers with a probability of 7.429 times not feeling anxiety compared to those who were not accompanied. The results of data analysis revealed that the OSOC intervention group had an effect on the anxiety level of postpartum mothers with an asymp value. Sig 0.000 (< 0.05). Referring to the results of data analysis and research findings, it can be concluded that the effect of applying the OSOC maternity service model has an effect on the anxiety level of mothers in the postpartum period
AIR REBUSAN JAHE MERAH DAN AIR KELAPA TERHADAP INTENSITAS NYERI DISMENORE PADA REMAJA PUTRI
Get PDFIt is very important to treat dysmenorrhea, especially in teenagers, because if it is not treated it will affect the teenagers' own activities. The impact that arises from dysmenorrhea is the feeling of discomfort that women feel every time they menstruate, problems with the reproductive system can arise. To find out the comparison of the effectiveness of consuming red ginger boiled water and coconut water on the intensity of dysmenorrhea pain in young women at MTS Almarfuiyah in 2023. This research uses qualitative methods with a case study approach. This activity is carried out on young women who experience dysmenorrhea. In this study, the sample consisted of 2 people, where 1 sample used the intervention of consuming red ginger boiled water and 1 sample used green coconut water. The research instrument used to collect data is the data collection tool in this research using the Numeric Rating Scale (NRS) observation sheet. The study used univariate analysis to describe the comparison of the effectiveness of consuming red ginger boiled water and a mixture of coconut water on the intensity of dysmenorrhea pain in young women at MTS Almarfuiyah in 2023. Based on the results of these two observations, it is known that consumption of red ginger boiled water is more effective in reducing pain levels. Dysmenorrhea is seen from 3 days of intervention from scale 7 down to scale 4 and up to scale 1, while for consumption of green coconut water seen from 3 days of intervention from scale 7 down to scale 5 and up to scale 2. Midwives can collaborate with the school to register data on female students who experience dysmenorrhea to obtain information on how to reduce pain.
 
POTENSI NIOSOMAL GEL SEBAGAI PENGHANTARAN OBAT ANTIINFLAMASI MELALUI SISTEM PENGHANTARAN TRANSDERMAL
Get PDFNonsteroidal anti-inflammatory drugs (NSAIDs) are one of the most popular drugs used, and the WHO model lists essential medicines due to their efficacy in reducing pain and inflammation. Orally administered is prone to causing adverse reactions, while injections administered are not conducive to self-administration of the drug because the patient feels uncomfortable, thereby reducing patient compliance. Transdermal delivery is one solution because it has the potential to improve the safety profile and increase the drug's bioavailability. The use of drug delivery systems based on colloidal particulate carriers such as niosomes has advantages over conventional dosage forms because these particles can act as a reservoir containing the drug and can increase penetration. Based on the discussion presented, gel-based niosomes formulations in various research results show better drug release and permeation through the skin compared to conventional formulations. The presence of cholesterol and surfactant components plays an important role in helping drug permeation through the skin in terms of increasing the number of permeating drug molecules and the depth of permeation that occurs. Hydrogel-forming polymers are the first choice for loading niosomes because they are biocompatible and easy to obtain. Carpobol is the polymer most chosen because of its ability to spread easily, forming homogeneous and transparent preparations
PENDIDIKAN KESEHATAN TENTANG PENYAKIT DAN LATIHAN JALAN SEHAT PENDERITA HIPERTENSI DI DESA KOLAM KECAMATAN PERCUT SEI TUAN
Get PDFPenyakit hipertensi merupakan penyakit dengan jumlah besar, morbiditas dan mortalitas tinggi serta biaya besar sehingga sangat penting dalam pencegahan dan penatalaksanaan hipertensi termasuk komplikasinya. Hipertensi merupakan peningkatan tekanan darah berupa sistolik ? 140 mmHg dan diastolik ? 90 mmHg. Penatalaksanaan hipertensi dengan modifikasi gaya hidup sangat penting untuk mengontrol tekanan darah. Salah satu modifikasi gaya hidup untuk manajemen hipertensi yang dapat mengontrol tekanan darah yaitu dengan aktivitas fisik. Aktivitas fisik dapat berupa berjalan kaki atau jalan sehat. Upaya pencegahan dan pengendalian penyakit hipertensi adalah perilaku preventif dan gaya hidup sehat melalui pendidikan kesehatan kepada masyarakat tentang penyakit hipertensi. Pengabdian masyarakat ini bertujuan mengidentifikasi pengaruh penyuluhan penyakit hipertensi dan latihan jalan sehat untuk meningkatkan pengetahuan dan kontrol tekanan darah. Pengabdian masyarakat dilaksanakan di Desa Kolam Kecamatan Percut Sei Tuan pada bulan Oktober – Desember 2023 dengan metode pelaksanaan pengabdian meliputi: observasi, ceramah tanya jawab, dan pelatihan dengan 22 partisipan. Hasil evaluasi didapatkan peningkatan nilai pengetahuan dengan mayoritas baik setelah dilakukan pengabdian dan penurunan tekanan darah sistolik dengan mayoritas tekanan darah sistolik 120 – 139 mmHg. Pemberian pendidikan kesehatan tentang penyakit hipertensi dan pelatihan jalan sehat pada kelompok atau masyarakat untuk mencegah dan mengendalikan penyakit hipertensi agar mencapai derajat kesehatan yang sempurna, baik fisik, mental, dan sosial di masyarakat
HUBUNGAN PENGETAHUAN IBU HAMIL TENTANG ALAT KONTRASEPSI BAWAH KULIT (AKBK) DENGAN SIKAP DALAM PEMILIHAN AKBK DI UPTD PUSKESMAS DAWAN I KLUNGKUNG
Get PDFThe increasing population in Indonesia makes it difficult for the government to reduce the maternal mortality rate (MMR). One effort that can be made is a family planning (KB) program. The aim of this study was to determine the relationship between third trimester pregnant women's knowledge about implants and attitudes towards implant selection at the Dawan I Klungkung Community Health Center UPTD. This research uses correlational analytics with a cross-sectional approach. The research was carried out in the 2nd week of March to the 4th week of April 2024. Samples were taken using purposive sampling with a total of 61 respondents. Research instrument with questionnaire. The results of univariate data analysis showed that mothers were aged 20-35 years (88.5%), higher education category (65.6%), private work (50.8%), multipara (62.3%), good knowledge (67 .2%) and positive attitude (54.1%) while bivariate uses a contingency test with a p value <0.05. The conclusion of this study is that there is a relationship between third trimester pregnant women's knowledge about implants and attitudes towards implant selection. It is hoped that the Community Health Center can increase outreach activities related to the importance of contraceptive implants
STUDY MIXED METHODS PPNMSS (PERCEIVED PRENATAL MATERNAL STRESS SCALE) TERHADAP TINGKAT STRES IBU REMAJA DENGAN KTD (KEHAMILAN TIDAK DIINGINKAN)
Get PDFTeenage pregnancy is a global phenomenon with well-known causes and serious health, social and economic impacts. Globally, the Adolescent Birth Rate (ABR) is decreasing, but the rate of change is uneven across regions. Adolescent mothers (aged 10–19 years) face a higher risk of eclampsia, puerperal endometritis, and systemic infections than women aged 20–24 years, and infants of adolescent mothers face a higher risk of low birth weight, preterm birth, and neonatal emergencies. The purpose of this study was to analyze and explore the stress levels of adolescent mothers with PPNMSS in unintended pregnancies. The research method used was a mixed method with a Sequential Explanatory Design approach. The sample in this study was 45 adolescent pregnant women and those who were used as qualitative research informants were adolescent pregnant women who experienced severe stress. This study used a purposive sampling technique. Data collection using the PPNMSS questionnaire and in-depth interviews. Data analysis was carried out using univariate tests with the aim of describing the characteristics of informants and the stress levels of pregnant women. In the bivariate test with the chi square test through SPSS version 25 aims to see what is related to the stress level of pregnant women who are teenagers. While qualitative analysis can be done after finding pregnant teenage mothers with the highest scores who experience stress during pregnancy. The analysis used with thematic analysis with Nvivo 12 Plus software starting from data collection, data reduction, data display, verification and confirmation of conclusions (conclusion drawing and verification). The results of the study showed that pregnant women who were teenagers were mostly 19 years old (33.0%), the majority of junior high school education (42.0%), the majority of teenage mothers did not work (80.0%) and the majority experienced severe stress (29.0%). Based on the Pearson chi-square value (0.001; 0.024; 0.029) showed a relationship between age, education and work with the stress level of pregnant women who were teenagers. The research theme consists of factors causing Unwanted Pregnancy (KTD), coping strategies for Unwanted Pregnancy, the impact of Unwanted Pregnancy. Conclusion: High stress on unwanted pregnancy and high desire among adolescent couples to have abortion, highlight the need for coping strategies and information support from health workers, especially through social media promotion
BEBAN PERAWATAN, KESIAPAN MERAWAT, DAN KECEMASAN PADA FAMILY CAREGIVER ANAK DENGAN KANKER DI INDONESIA
Get PDFABSTRACT
Background: Family caregivers (FCs) of children with cancer experience various psychological stresses. Objective: This study aims to identify the relationship between burden of care and readiness to care on family caregiver anxiety of children with cancer. Methods: The design in this study is correlative analytic with a cross sectional approach. We recruited 127 study subjects from the inpatient and outpatient ward of the National Cancer Centre, Jakarta from March to April 2023 using purposive sampling technique. Anxiety and factors affecting the psychological distress of family caregivers of children with cancer were identified with the Generalised Anxiety Disorder-7 (GAD-7), Zarit Burden Interview (ZBI) and Preparedness for Caregiving Scale (PCS) instruments. The data from this study were analyzed using the chi-square test and binary logistic regression. Results: Of the 132 family caregivers recruited for this study in the initial phase, 127 family caregivers completed the research questionnaire where the majority were female, aged between 18-45 years old, graduated from secondary education, had more than equal income, caring for children with high risk, were in outpatient or paediatric care, experienced mild care burden, said they were not prepared to provide care to a child with cancer, and experienced mild anxiety. Family caregiver anxiety levels tended to be significantly influenced by age (18-45 years) (p=0.004), cancer category (p=0.018) and burden of care (0.001). Conclusion: the heavier the burden of care and the unpreparedness of family caregivers in providing care to children with cancer, the level of anxiety will increase. Suggestion: there is a need to design and target psychosocial interventions to reduce the burden of care, increase care readiness which can reduce family caregiver anxiety levels.Latar belakang: family caregiver (FC) anak dengan kanker mengalami berbagai tekanan psikologis. Tujuan: penelitian ini bertujuan untuk mengidentifikasi hubungan antara beban perawatan dan kesiapan merawat terhadap kecemasan family caregiver anak dengan kanker. Metode: desain pada penelitian ini adalah analitik korelatif dengan pendekatan cross sectional. Kami merekrut 127 subjek penelitian dari ruang rawat inap dan rawat jalan di Pusat Kanker Nasional Rumah Sakit Kanker Dharmais, Jakarta dari bulan Maret hingga April 2023 dengan tehnik purposive sampling. Kecemasan dan faktor yang mempengaruhi tekanan psikologis family Caregiver anak dengan kanker di identifikasi dengan instrumen Generalized Anxiety Disorder-7 (GAD-7), Zarit Burden Interview (ZBI) dan Preparedness for Caregiving Scale (PCS). Data hasil penelitian ini dianalisis menggunakan uji chi-square dan binary logistic regression. Hasil: dari 132 family caregiver yang direkrut untuk penelitian ini pada tahap awal, 127 family caregiver menyelesaikan pengisian kuesioner penelitian dimana mayoritas berjenis kelamin perempuan, berusia antara 18-45 tahun, lulusan pendidikan menengah, memiliki penghasilan lebih dari sama dengan cukup, merawat anak dengan resiko tinggi, berada di rawat jalan atau poli anak, mengalami beban perawatan kategori ringan, mengatakan tidak siap memberikan perawatan kepada anak dengan kanker, dan mengalami kecemasan kategori ringan.Tingkat kecemasan family caregiver cenderung dipengaruhi secara signifikan oleh usia (18-45 tahun) (p=0,004), kategori kanker (p=0,018) dan beban perawatan (0,001). Kesimpulan: semakin berat beban perawatan dan ketidak siap family caregiver dalam memberikan perawatan kepada anak dengan kanker maka tingkat kecemasan akan meningkat. Saran: diperlukannya merancang dan menargetkan intervensi psikososial untuk mengurangi beban perawatan, meningkatkan kesiapan merawat yang dapat menurunkan tingkat kecemasan family caregiver
IDENTIFIKASI STRUKTUR SENYAWA FLAVONOID DARI DAUN KESUM (Polygonum minus Huds.) MENGGUNAKAN METODE PEREAKSI GESER
Get PDFPolygonum minus Huds atau tanaman kesum merupakan tanaman khas Kalimantan Barat. Kandungan metabolit sekunder pada tanaman ini yaitu fenol, terpenoid, alkaloid, flavonoid, saponin, dan tanin. Penelitian sebelumnya menunjukkan bahwa adanya isolat senyawa kimia golongan flavonoid. Dalam penelitian ini bertujuan untuk mengidentifikasi struktur senyawa flavonoid pada daun kesum menggunakan metode pereaksi geser. Ekstraksi dilakukan dengan cara maserasi menggunakan pelarut metanol selama 7x24 jam. Setelah itu, dilakukan skrining fitokimia menggunakan pereaksi Wilstater, H2SO4, dan NaOH 10%. Pemantauan ekstrak dilakukan menggunakan plat KLT dengan eluen n-heksan : etil asetat : asam asetat 98% (8 : 1 : 1). Kemudian dilakukan fraksinasi kromatografi cair vakum dengan eluen n-heksan (100%), n-heksan : etil asetat (50% : 50%), etil asetat (100%), etil asetat : metanol (50% : 50%), metanol (100%) dan kromatografi kolom dengan eluen n-heksan : etil asetat : asam asetat 98% (8 : 1 : 1). Tahap selanjutnya, isolasi menggunakan kromatografi lapis tipis preparatif dan dilakukan uji kemurnian dengan kromatografi lapis tipis dua dimensi. Identifikasi struktur senyawa flavonoid menggunakan pereaksi geser dilakukan dengan penambahan pereaksi geser seperti NaOH 2N, AlCl3 5%, NaOAc, NaOAc/H3BO3 dilakukan untuk menentukan kedudukan gugus hidroksil fenol bebas pada inti flavonoid. Berdasarkan hasil interpretasi menggunakan spektrofotometer UV-Vis (metode pereaksi geser) menunjukkan adanya flavonoid golongan flavonol (flavonoid 3-OH tersubstitusi). Berdasarkan teori kemotaksonomi, tumbuhan dalam satu famili umumnya mempunyai senyawa kimia yang serupa, sehingga kemungkinan mempunyai potensi yang serupa untuk pengobatan penyakit
PENYULUHAN KESEHATAN TENTANG PERTUMBUHAN DAN PERKEMBANGAN ANAK DI WILAYAH KERJA PUSKESMAS TANJUNG REJO
Get PDFPendahuluan. Setiap orang tua ingin memiliki anak yang berkualitas, cerdas, sehat dan sukses di masa depan, demikian juga setiap bangsa menginginkan generasi penerus yang mampu bersaing dan unggul ditengah persaingan global yang sangat kompetitif. Agar anak bisa tumbuh dan berkembang secara optimal, maka anak membutuhkan pemenuhan kebutuhan secara fisik dan biologis, kasih sayang dan emosi, serta kebutuhan stimulasi. Tujuan. Adapun tujuan pengabdian kepada masyarakat ini adalah pemberian materi tentang pengertian tumbuh kembang anak, tahapan perkembangan, indikator pertumbuhan dan gangguang tumbuh kembang anak. Metode. Metode yang digunakan adalah ceramah, diskusi dan tanya jawab. Pelaksanaan penyuluhan stimulasi pertumbuhan dan perkembangan yang dilaksanakan di Wilayah Kerja Puskesmas Tanjung Rejo pada bulan Juni 2024. Pelaksanaan stimulasi pertumbuhan dan perkembangan di Posyandu Tanjung Rejo berjalan dengan lancar. Peserta dalam Penyuluhan ini diikuti oleh 23 ibu balita, mahasiswa dan kader. Hasil. Peserta sangat aktif saat mengikuti penyuluhan, ini terlihat pada saat sesi tanya jawab banyak peserta yang mengajukan pertanyaan. Dari hasil kuesioner diperoleh hasil pengetahuan ibu balita sebelum dilakukan penyuluhan sebesar 17,58% dan setelah penyuluhan diberikan mengalami peningkatan yang sangat signifikan yaitu 82,42%. Kesimpulan. Di harapkan peserta yang mengikuti penyuluhan tentang stimulasi dan deteksi dini tumbuh kembang semakin mengerti dan dapat membagi informasi yang diterima kepada warga lain