Direktori Jurnal Elektronik Universitas Imelda Medan
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Pengaruh Efektivitas Pelayanan Pendaftaran Online Aplikasi Mobile JKN Terhadap Kepuasan Pasien Rawat Jalan di Rumah Sakit Karya Bhakti Pratiwi Bogor
Get PDFDigital transformation in healthcare services is an essential requirement for enhancing efficiency and patient convenience. This study aims to analyze the influence of the effectiveness of online registration services through the Mobile JKN application on patient satisfaction at Karya Bhakti Pratiwi Hospital in Bogor. The research employed a quantitative approach with a causal associative design involving a survey of 100 outpatient respondents and supporting data from interviews obtained from the period of February 10 to May 10, 2025. The findings indicate that service speed and ease of access are the most important aspects for patients. Factors such as digital literacy, internet network quality, user experience with the application, and staff support significantly contribute to service effectiveness. The effectiveness of the service has been proven to have a significant positive impact on patient satisfaction. Nevertheless, several issues were identified in its implementation, such as discrepancies in real-time information displayed by the application, limited patient understanding of features and registration steps, and an application flow that is not fully understood by some users. Therefore, it is recommended that hospitals emphasize strengthening patients' digital capabilities, improving service infrastructure, and providing staff support to ensure the success of a more inclusive, adaptive, and patient-centered digital healthcare transformation.Digital transformation in healthcare services is an essential requirement for enhancing efficiency and patient convenience. This study aims to analyze the influence of the effectiveness of online registration services through the Mobile JKN application on patient satisfaction at Karya Bhakti Pratiwi Hospital in Bogor. The research employed a quantitative approach with a causal associative design, involving a survey of 100 outpatient respondents and supporting data from interviews. The findings indicate that service speed and ease of access are the most important aspects for patients. Factors such as digital literacy, internet network quality, user experience with the application, and staff support significantly contribute to service effectiveness. The effectiveness of the service has been proven to have a significant positive impact on patient satisfaction. Nevertheless, several issues were identified in its implementation, such as discrepancies in real-time information displayed by the application, limited patient understanding of features and registration steps, and an application flow that is not fully understood by some users. Therefore, it is recommended that hospitals emphasize strengthening patients' digital capabilities, improving service infrastructure, and providing staff support to ensure the success of a more inclusive, adaptive, and patient-centered digital healthcare transformation
Variabel Dan Metadata Rekam Medis Elektronik Sebagai Standar Interoperabilitas Data Kesehatan di Rumah Sakit
Get PDFElectronic Medical Records (EMRs) require interoperability capabilities to effectively integrate with other health information systems. For EMRs integration, it is crucial to adhere to the guidelines outlined in KMK HK.01.07/MENKES/1423/2022. The implementation of EMRs was carried out in 2019 at Hospital X. Until now, Hospital X has not adjusted the EMRs’ variables and metadata. This study aimed to analyze EMRs’ variables and metadata for health data interoperability. This was a quantitative study. Data collection used a documentation study guideline instrument. Data analysis used descriptive statistic. This study showed that variables and metadata from 5 datasets consisting of emergency, outpatient, inpatient, laboratory, and pharmacy datasets, there were 45,3% exist and appropriate; 20% exist and inappropriate, and 34,7% do not exist compared to KMK HK.01.07/MENKES/1423/2022. To improve the quality of EMRs, it is necessary to adjust variables and metadata in accordance with KMK HK.01.07/MENKES/1423/2022; identify users’ data and information needs; and conduct periodic quality audits and evaluations of EMRs.Rekam Medis Elektronik harus memiliki kemampuan interoperabilitas agar dapat terintegrasi dengan sistem informasi kesehatan lain. Untuk integrasi, RME wajib mengikuti KMK No. HK.01.07/MENKES/1423/2022 tentang pedoman variabel dan meta data pada penyelenggaraan RME. Implementasi RME dilakukan tahun 2019 di RS X. Sampai saat ini di RS X belum dilakukan penyesuaian variabel dan metadata RME sesuai dengan pedoman variabel dan meta data pada penyelenggaraan RME oleh Kementerian Kesehatan RI. Studi ini bertujuan untuk menganalisis variabel dan meta data RME untuk interoperabilitas data kesehatan. Jenis penelitian adalah penelitian kuantitatif. Pengumpulan data menggunakan instrumen pedoman studi dokumentasi. Analisis data menggunakan statistik deskriptif. Hasil penelitian menunjukkan dari 5 dataset yang terdiri dari dataset IGD, rawat jalan, rawat inap, laboratorium, dan apotek terdapat variabel dan meta data yang ada dan sesuai sebesar 45,3%; ada dan tidak sesuai 20%, dan tidak ada 34,7% dibandingkan dengan KMK No. HK.01.07/MENKES/1423/2022. Untuk peningkatan kualitas RME perlu dilakukan penyesuaian variabel dan meta data sesuai dengan KMK No. HK.01.07/MENKES/1423/2022; identifikasi kebutuhan data dan informasi pengguna; serta audit mutu dan evaluasi rekam medis elektronik secara berkala
HUBUNGAN PARTISIPASI KELAS IBU HAMIL DENGAN KEJADIAN KETUBAN PECAH DINI DI PUSKESMAS JEBED KABUPATEN PEMALANG
Get PDFIntroduction: Beyond reducing the risk of infection, no prophylactic strategies are currently available, and the cause of premature rupture of membranes remains unknown. Prenatal seminars can be used to educate and support pregnant women on how to manage premature rupture of membranes, among other initiatives. Objective: The aim of this study was to determine how the prevalence of premature rupture of membranes at the Mampu Bersalin Jebed Community Health Center in Pemalang Regency is associated with enrollment in prenatal classes. Methods: This study used a cross-sectional design and quantitative methodology. Using a purposive sampling approach, the sample size was 84 respondents, 42 of whom were mothers who experienced premature rupture of membranes and 42 of whom did not. The Spearman Rank correlation test was used to analyze secondary data from the community health center's medical records at a 5% significance level. Results: 24 respondents, or 28.6% of mothers with BPD, were mostly actively involved in prenatal classes, while 26 respondents, or 31% of mothers without BPD, participated primarily passively. With a p-value of 0.082, Spearman's Rank correlation test analysis did not reveal an association between attending prenatal classes and the risk of premature rupture of membranes. Conclusion: Based on the research results, it shows that there is no relationship between participation in pregnancy classes and the incidence of KPD with a p value of 0.082
FAKTOR RISIKO TERJADINYA GANGGUAN FUNGSI KOGNITIF PADA PASIEN PASCA STROKE BERULANG DI RUMAH SAKIT UMUM IMELDA PEKERJA INDONESIA MEDAN TAHUN 2024
Get PDFStroke is a neurological condition that can cause impaired cognitive function. The risk of post-stroke cognitive impairment is higher in individuals who have experienced a recurrent stroke. This study aims to identify the main risk factors that contribute to impaired cognitive function in post-stroke patients. This research was conducted using qualitative descriptive research methods, the research location was carried out at the Imelda Workers Indonesia General Hospital, Medan. The research time from the start of preparing the proposal to completion was from March 2024 to August 2024. Research data was collected through in-depth interviews with participants and analyzed. The results of this research consist of 4 themes, namely: 1. (The influence of age on impaired cognitive function after a stroke). 2. (Between men and women who have the greatest potential to experience impaired cognitive function after a stroke). 3. (The patient's daily habits before experiencing impaired cognitive function after a stroke change). 4. (Is there a history of other diseases that can cause impaired cognitive function after a stroke). The conclusions from this research are: 1. Age influences cognitive function disorders after a stroke. 2. Women are more at risk of experiencing impaired cognitive function than men. 3. Activity has a big influence on impaired cognitive function after a stroke. 4. Participants' ignorance about post-stroke cognitive function disorders is increasing.Stroke merupakan kondisi neurologis yang dapat menyebabkan gangguan fungsi kognitif. Risiko gangguan kognitif pasca stroke semakin tinggi pada individu yang mengalami stroke berbulang. Penelitian ini bertujuan untuk mengidentifikasi faktor risiko utama yang berkontribusi terhadap gangguan fungsi kognitif pada pasien pasca stroke berbulang. Penelitian ini dilakukan menggunakan metode penelitian deskriptif kualitatif, lokasi penelitian dilakukan di Rumah Sakit Umum Imelda Pekerja Indonesia Medan. Waktu penelitian dari awal penyusunan proposal hingga selesai dari bbulan Maret 2024 hingga bbulan Agustus 2024. Data penelitian dikumpulkan melaluii wawancara mendalam pada partisipan dan dianalisa. Hasil dari penelitian ini terdiri dari 4 tema yaitu : 1. (Berpengaruhnya usia pada gangguan fungsi kognitif pasca stroke berbulang). 2. (Antara pria dan wanita siaapakah yang paling berpotensi mengalami gangguan fungsi kognitif pasca stroke berbulang). 3. (Kebiasaan sehari-hari pasien sebelum mengalami gangguan fungsi kognitif pasca stroke berbulang). 4. (Aapakah ada riwayat penyakit lain yang dapat menyebabkan gangguan fungsi kognitif pasca stroke berbulang). Kesimpbulan dari penelitian ini adalah : 1. Usia berpengaruh pada gangguan fungsi kognitif pasca stroke berbulang. 2. Jenis kelami perempuan lebihh beresiko mengalami gangguan fungsi kognitif daripada laki-laki. 3. Aktivitas sangat berpengaruh pada gangguan fungsi kognitif pasca stroke berbulang. 4. Ketidaktahuan partisipan mengenai penyakit gangguan fungsi kognitif pasca stroke berbulang
Efektivitas Model Edukasi M-Chat berbasis ChatGPT untuk Pendeteksian Autis pada Anak
No full textEarly detection of autism in children aged 16–30 months is crucial for timely intervention and improved developmental outcomes. This study aims to analyze the effectiveness of the ChatGPT-based M-CHAT educational model in enhancing parental knowledge and assisting with the completion of the Modified Checklist for Autism in Toddlers (M-CHAT). This model is designed as an interactive assistant that provides explanations about autism, the function of the M-CHAT, and guidelines for self-completion and initial interpretation of screening results. The research method employs a quasi-experimental approach with a pre-test and post-test design involving 60 parent respondents. The research instrument consisted of a 1-5 Likert scale questionnaire measuring three domains: knowledge about autism and M-CHAT, self-completion ability, and satisfaction and usability of the model. Validity was analyzed using Pearson correlation, reliability using Cronbach's alpha, and effectiveness was tested using a paired sample t-test. The results showed that all questionnaire items were valid and reliable. The average pre-test scores in the domains of knowledge, completion, and usability significantly increased in the post-test (p < 0.001). Thus, the ChatGPT-based M-CHAT educational model is effective in improving parents' understanding, self-completion ability, and user satisfaction and can be used as a tool for early autism screening.Pendeteksian dini autism pada anak usia 16-30 bulan sangat penting untuk intervensi tepat waktu dan peningkatan kualitas perkembangan. Penelitian ini bertujuan menganalisis efektivitas model edukasi M-CHAT berbasis ChatGPT untuk meningkatkan pengetahuan orangtua dan pendampingan pengisian Modified Checklist for Autism in Toddlers (M-CHAT). Model ini dirancang sebagai asisten interaktif yang memberikan penjelasan mengenai autism, fungsi M-CHAT dan panduan pengisian mandiri serta interpretasi awal hasil skrining. Metode penelitian menggunakan pendekatan kuasi eksperimen dengan desain pre-test dan post test pada 60 orangtua responden. Instrument penelitian berupa kuesioner likert 1-5 yang mengukur tiga domain yaitu pengetahuan tentang autism dan M-CHAT, kemampuan pengisian secara mandiri serta kepuasan dan usability model. Analisis validitas menggunakan korelasi Pearson, reliabilitas dengan Crobach’s alpha dan efektivitas diuji melalui paired sample t test. Hasil penelitian menunjukkan semua item kuesioner valid dan reliabel. Skor rata-rata pre tes pada domain pengetahuan, pengisian dan usability meningkat signifikan pada post test (p < 0.001). sehingga, model edukasi M-CHAT berbasis ChatGPT efektif meningkatkan pemahaman orangtua, kemampuan pengisian madiri, dan kepuasan pengguna dan dapat dijadikan alat bantu untuk skrining autism din
EVALUASI PENGGUNAAN ANTIBIOTIK PADA PASIEN PEDIATRI DI INSTALASI RAWAT INAP UPTD KHUSUS RUMAH SAKIT UMUM HAJI MEDAN TAHUN 2024
Get PDFOne of the health problems is infection. Bacteria are the most common cause. Antibiotic use is increasing because of more bacterial infections. This condition can cause the risk of antibiotic resistance. In children, antibiotic resistance can occur in conditions that impact mortality, morbidity, and high medical costs. This study aims to determine the evaluation of antibiotic use and a description of the evaluation of antibiotic use with the ATC/DDD method from medical records of hospitalized patients receiving antibiotic therapy. The research method used is observational research (non-experimental) with a quantitative approach, which includes analysis of patient characteristics and antibiotic use patterns. The results showed that the cephalosporin antibiotic group (80.4%) was used most often. The most common type of antibiotic used was ceftriaxone (38.8%). The most common type of treatment was intravenous (56.1%). In quantitative evaluation using the ATC/DDD method, the antibiotic with the highest DDD/100 patient days value was cefixime, with 124.46, and the antibiotic with the lowest DDD/100 patient days value was Ripampicin, with 0.04. The conclusion of this study is based on the analysis of antibiotic use using the ATC/DDD approach, regarding the Medan Haji General Hospital in 2024. Antibiotic use was evaluated using the ATC/DDD approach, resulting in a total DDD/100 inpatient days value of 202.11%. Cefixime had the highest DDD/100 inpatient days value, which was 120.15%, with a total antibiotic length of stay (LOS) of 325 days
STRATEGI HUBUNGAN MASYARAKAT (HUMAS) DALAM MENINGKATKAN CITRA PUBLIK LEMBAGA PENDIDIKAN PADA MASA PANDEMIC COVID-19
Get PDFThe outbreak of Covid-19 in 2019 hit almost all parts of the world. This condition has various negative impacts on human life, both in the political, economic and educational sectors in particular, experiencing a huge impact. Based on these problems, it does not mean that educational institutions are discouraged from improving the public image of educational institutions. This study was conducted with the aim of determining the strategy of Public Relations in improving the public image of educational institutions during the Covid-19 pandemic. The research method used in this study uses a literature study approach which is a data collection technique by conducting a review study of literature studies, books and reports related to the problems to be solved. Based on the results of the study, it was found that Public Relations can use several strategies to improve the public image of educational institutions during the Covid-19 pandemic, namely byMewabahnya Covid-19 pada 2019 melanda hampir di seluruh belahan dunia. Kondisi tersebut memberikan berbagai dampak negatif bagi kehidupan manusia baik pada sektor politik, ekonomi dan pendidikan khsusnya mengalami dampat yang begitu besar. Berdasarkan permasalahan tersebut, tidak berarti lembaga pendidikan putus semangat untuk meningkatkan citra publik lembaga pendidikan. Penelitian ini dibuat dengan tujuan untuk mengetahui strategi HUMAS dalam meningkatkan citra publik lembaga pendidikan pada masa pandemi covid-19. Metode penelitian yang digunakan dalam penelitian ini menggunakan pendekatan studi kepustakaan yang merupakan teknik pengumpulan data dengan mengadakan studi penelaahan terhadap studi literature, buku dan laporan-laporan yang berkaitan dengan masalah yang akan dipecahkan. Berdasarkan hasil penelitain, didapatkan bahwa HUMAS dapat menggunakan beberapa strategi dalam meningkatkan citra publik lembaga pendidikan pada masa pandemi covid-19 yaitu dengan melaksanakan 1) pameran lembaga pendidikan 2) Layanan konten website dan sosial media 3) Program virtual kehumasan (internal) dan Bimbungan konseling online. Sehingga dapat disimpulkan, Dengan adanya strategi tersebut, HUMAS diharapkan mampu meningkatkan citra publik lembaga pendidikan pada masa pandemi covid-1
Perancangan Sistem Informasi Keuangan Berbasis Web untuk Monitoring Pendapatan Usaha di Rumah Ide Coffee
No full textThe information system in every company must be built according to the business needs and business activities carried out by each company. Given the importance of implementing an accounting information system in a company, each company is required to implement an Accounting Information System that is appropriate to the conditions of each company. One system used by companies is the Cash Receipt Accounting System. This is because the Accounting Information System is an organization of forms, records, and reports that are coordinated in such a way to provide the information needed by management. In processing cash receipts and disbursements data at Kost Pelangi, Microsoft Excel software has been used, however, there are still often obstacles in inputting cash receipts and disbursements data such as duplicate data and data manipulation when the computer is used by other staff due to the ease of accessing the Excel application, so it is feared that the treasurer's performance will not run optimally. The system is built using the PHP programming language with an SQL database so that it can simplify data retrieval and minimize errors in recording.Sistem informasi pada setiap perusahaan harus dibangun sesuai dengan kebutuhan bisnis dan kegiatan usaha yang dijalankan oleh masing-masing perusahaan. Mengingat pentingnya penerapan sistem informasi akuntansi pada suatu perusahaan, maka setiap perusahaan dituntut untuk menerapkan Sistem Informasi Akuntansi yang sesuai dengan kondisi perusahaan masing-masing. Salah satu sistem yang digunakan oleh perusahaan adalah Sistem Akuntansi Penerimaan Kas. Hal ini dikarenakan Sistem Informasi Akuntansi merupakan suatu pengorganisasian formulir, catatan, dan laporan yang dikoordinasikan sedemikian rupa untuk menyediakan informasi yang dibutuhkan oleh manajemen. Dalam pengolahan data penerimaan dan pengeluaran kas pada Kost Pelangi telah digunakan software Microsoft Excel, namun masih sering terjadi kendala dalam penginputan data penerimaan dan pengeluaran kas seperti adanya data ganda dan manipulasi data pada saat komputer digunakan oleh staf lain dikarenakan kemudahan dalam mengakses aplikasi Excel, sehingga dikhawatirkan kinerja bendahara tidak dapat berjalan secara maksimal. Sistem yang dibangun menggunakan bahasa pemrograman PHP dengan database SQL sehingga dapat mempermudah dalam pencarian data dan meminimalisir kesalahan dalam pencatatan
EFEKTIVITAS TERAPI REMINISCENCE DALAM MENGURANGI DEPRESI PADA PASIEN GAGAL GINJAL KRONIK YANG MENJALANI HEMODIALISA DI RUMAH SAKIT UMUM IMELDA PEKERJA INDONESIA MEDAN TAHUN 2024
Get PDFChronic kidney failure is a non-communicable disease caused by a decrease in the ability of the kidneys to carry out their functions. Hemodialysis therapy is a therapy given to sufferers of chronic kidney failure which functions to replace the work of the kidneys using a dialysis machine. Hemodialysis procedures performed on kidney failure patients are likely to cause depression because sufferers undergoing hemodialysis may experience feelings of discomfort or depression due to weakness in their physical condition and dependence on dialysis machines throughout their lives. The aim of this study was to determine the effectiveness of reminiscence therapy in reducing depression in chronic kidney failure patients undergoing hemodialysis at Imelda Pekerja Indonesia Hospital. This type of research is quantitative research, with the Quasy Experiment method, and with a pre-test and post-test group research design. This research was conducted in April – July 2024 in the Hemodialysis Room at Imelda Pekerja Indonesia Hospital, Medan. This research uses a non-probability sampling technique using a purposive sampling method, namely using inclusion criteria in determining the sample, so that the total research sample is 20 respondents. The instrument used in this research is a questionnaire that refers to the Beck Depression Inventory (BDI-II) to determine depression status. Data analysis used univariate and bivariate analysis with the Wilcoxon test in the SPSS application. The results of the Wilcoxon statistical test showed a significant (p) value of 0.000 (p < 0.05), meaning that there was an effect of giving reminiscence therapy on depression status or in other words reminiscence therapy was effective in reducing depression in chronic kidney failure patients undergoing hemodialysis at Imelda Pekerja Indonesia Hospital, Medan.Gagal ginjal kronik merupakan penyakit tidak menular yang disebabkan karena menurunnya kemampuan ginjal dalam melakukan fungsinya. Terapi hemodialisa adalah salah satu terapi yang diberikan kepada penderita gagal ginjal kronik yang berfungsi untuk menggantikan kerja ginjal dengan menggunakan mesin dialisis. Tindakan hemodialisa yang dilakukan pada pasien gagal ginjal berkemungkinan menyebabkan depresi yang disebabkan karena penderita yang menjalani hemodialisa dapat mengalami perasaan tidak nyaman ataupun tertekan akibat kelemahan kondisi fisik dan ketergantungan pada mesin dialisis sepanjang hidupnya. Tujuan penelitian ini adalah untuk mengetahui efektivitas terapi reminiscence dalam mengurangi depresi pada pasien gagal ginjal kronik yang menjalani hemodialisa di Rumah Sakit Umum Imelda Pekerja Indonesia. Jenis penelitian ini adalah Jenis penelitian ini adalah penelitian kuantitatif, dengan metode Quasy Experiment, dan dengan rancangan penelitian pre-test and post-test group. Penelitian ini dilakukan pada bulan April – Juli 2024 di Ruangan Hemodialisa Rumah Sakit Umum Imelda Pekerja Indonesia Medan. Penelitian ini menggunakan teknik pengambilan sampel Non-probability sampling dengan menggunakan metode purposive sampling yaitu dengan menggunakan kriteria inklusi dalam menentukan sampel, sehingga total sampel penelitian sebanyak 20 responden. Instrument yang digunakan pada penelitian ini adalah kuesioner yang mengacu pada Beck Depression Inventory (BDI-II) untuk mengetahui status depresi. Analisa data menggunakan analisa univariat dan bivariate dengan Uji Wilcoxon di aplikasi SPSS. Hasil uji statistic wilcoxon didapatkan nilai signifikan (p) value sebesar 0,000 (p< 0,05), artinya terdapat pengaruh pemberian terapi reminiscence terhadap status depresi atau dengan kata lain terapi reminiscence efektif dalam mengurangi depresi pada pasien gagal ginjal kronik yang menjalani hemodialisa di Rumah Sakit Umum Imelda Pekerja Indonesia Medan