Direktori Jurnal Elektronik Universitas Imelda Medan
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Faktor Yang Berpengaruh Dalam Penggunaan Sistem INA CBGs Di Rumah Sakit Islam Jakarta Pondok Kopi
Get PDFThe implementation of the financing system in hospitals using the INA-CBGs system. The INA-CBGs system is a payment made at a package rate covering all components of resources in hospitals used in services, both medical and non-medical services. This research aims to identify the application of the INA-CBGs system and factors influencing the 6M method. The method used in this research is descriptive analysis with a qualitative approach. Descriptive analysis is the process of analyzing, explaining and summarizing events and phenomena from data obtained through interviews and field observations directly regarding the use of the INA-CBGs system. The results showed that the influence factor in the use of the INA-CBGs system can be reviewed from 6M. Man, the influence of humans is the incompatibility of the required crew with officers who do three jobs at once, the incompatibility of the educational background of outpatient coding officers with professional standards and the lack of implementation of special training regarding the INA-CBGs system. Materials, the influence of this factor is the unavailability of ICD-10 and ICD-9-CM books in casemix. Machines, the influence of machine factors, namely sometimes the internet is less stable and the lack of printer machines provided. Methods, the influence of the method factor, namely the unformed SPO from the hospital regarding the use of the INA-CBGs system. Money, the supporting factor is that there is a reward in overtime to encourage officers, while the obstacle is the difference in hospital costs and INA-CBGs packages. Market, supporting influence in the target market, namely inpatient BPJS patients with class 3 selection
Perancangan Sistem Informasi Pendaftaran Pasien Rawat Jalan Menggunakan Visual Studio 2010 Di RSUD Al-Ihsan
Get PDFRegistration is the initial process of the entire medical recording process that will be carried out on patients in the implementation of health services to patients. Registration is one of the very important initial processes. This study aims to determine the design of the outpatient patient registration information system using Microsoft Visual Studio 2010 at RSUD Al-Ihsan so that the outpatient patient registration process can be well-integrated and efficient in terms of patient service time and also make it easier for officers to register patients. The research method used in this study is a qualitative method with a descriptive approach. The technique used to collect data was through direct observation, interviews with medical record officers, and also a literature review of previous studies. The problem that occurred in the hospital was when patients registered for outpatient services, the patient's name did not appear in the system. To overcome this problem, this design was made using the System Development Life Cycle (SDLC) development method through the stages of needs analysis, design, implementation, and testing assisted by the creation of flowmap designs, Context Diagrams, Data Flow Diagrams, and Entity Relationship Diagrams, which were then implemented using Microsoft Visual Studio 2010 as a programming language using the Microsoft Access database so that the data that has been inputted can be saved so that the names of patients who have registered for outpatient services can appear. The results of the system design that have been made and tested using Black Box testing show that the system functions as intended. In conclusion, the information system design can help and facilitate registration officers in serving patients at the outpatient patient acceptance site effectively and efficiently
KEBIASAAN MAKAN SUKU ALUNE DENGAN HIPERURISEMIA
Get PDFMaluku Province has the highest incidence of hyperuricemia in Indonesia. The people of Maluku, including the Alune Tribe in Elpaputih Village, Seram Regency, have eating habits related to the local culture and traditions. Eating habits in hyperuricemia patients can trigger an increase or decrease in uric acid levels. The research aims to explore the eating habits of hyperuricemia patientsin the Alune tribe. The research method is descriptive qualitative. This research explores the eating habits among ten housewives. Criteria for participants are people with hyperuricemia in the family based on community health center data. Source triangulation used through community health center data on hyperuricemia, in-depth interviews, observation and thematic analysis. The results showed the concept of food, coconut milk as a favorite food and food setup for families with hyperuricemia. The food concept of the Alune Tribe is hereditary, putus asa, kumpul basudara, and bayah seram. Hereditary means the types of food are passed down from ancestors. Next, putus asa is introducing local foods such as papeda/sago porridge to children. Kumpul basudara is a symbol of brotherhood. Bayah seram concept is a particular tradition of the Alune people to prevent danger. Women have a position and role in food production with family food recipes from generation to generation, especially foods containing coconut milk. Women use food sources around the house and process them using firewood and a stove. Prevention of hyperuricemia through reducing food portions and food substitution. Tribal eating habits depend on cultural characteristics and geographic location.Provinsi Maluku memiliki kejadian hiperurisemia tertinggi di Indonesia. Masyarakat Maluku, termasuk Suku Alune di Desa Elpaputih, Kabupaten Seram, memiliki kebiasaan makan yang erat dengan budaya dan tradisi lokal. Padahal kebiasaan makan pada penderita hiperurisemia dapat memicu peningkatan atau penurunan kadar asam urat dalam tubuh. Penelitian bertujuan untuk mengeksplorasi kebiasaan makan pada penderita hiperurisemia suku Alune. Metode penelitian dengan kualitatif deskriptif. Penelitian ini menggali kebiasaanmakan masyarakat Suku Alune pada 10 ibu rumah tanggadi Desa Elpaputih, Kabupaten Seram Barat, Maluku, Indonesia. Kriteria partisipan adalah memiliki hiperurisemia di dalam keluarga berdasarkan data Puskesmas. Keabsahan data menggunakan triangulasi sumbermelalui data puskesmas tentang hiperuresemia, wawancara mendalam, observasi partisipatif dan dianalisa tematik. Hasil penelitian menunjukkan tiga tema yakni konsep makanan, santan sebagai makanan favorit dan pengaturan makan bagi keluarga dengan penderita hiperuresemia. Konsep makanan Suku Alune adalahturun-temurun, putus pusa, kumpul basudara, adat, serta bayah seram. Pertama, jenis makanan diturunkan dari orang tua dan lelehur. Kedua, konsep putus asa dengan membiasakan makanan lokal pada anak-anak dalam keluarga seperti papeda/ bubur sagu. Ketiga, kumpul basudara sebagai lambang persaudaraan. Keempat, bahaya seram sebagi tradisi khusus masyarakat Alune untuk mencegah bahaya. Perempuan memiliki posisi dan peran dalam produksi makanan dengan resep makanan keluarga dari generasi ke generasi, terutama makanan bersantan. Perempuan menggunakan sumber bahan makanan yang ada disekitar rumah dan mengolahnya dengan menggunakan kayu api dan tungku. Pencegahan hiperuresemia melalui pengurangan porsi makanan dan subtitusi makanan. Kebiasaan makan kesukuan bergantung pada karakteristik budaya dan letak geografis
POLA PENGGUNAAN OBAT ANTIDIABETES PADA PASIEN RAWAT INAP RSUD ANUTAPURA PALU
Get PDFThis study aims to determine the pattern of antidiabetic treatment and the accuracy of the use of antidiabetic drugs based on indications, drugs, patients, and doses of use at Anutapura Hospital Palu. This study is a descriptive research method using a cross-sectional method with retrospective data collection based on medical record data for type 2 Diabetes mellitus patients in 2021. Sampling was carried out using a minimized sampling technique with medical record data of 30 patients based on inclusion criteria. The results of this study are patients with Type 2 Diabetes Mellitus, which are female, as many as 16 patients (54%), in the age range of 48-60 years as many as 14 patients (46%), the most widely used oral antidiabetic drug group is Biguanid group (Metformin) as many as 18 patients (70%), the type of insulin drug that was most widely used was Novorapid as many as 13 patients (61.91%), and adjunctive drugs with the highest use of therapy, namely Amlodipine as many as 14 patients with a percentage (7, 4%). Antidiabetic treatment is based on the right indication (100%), right drug (50%), right patient (93%) and right dose (100%)
Value Information System Design Web Based Academic At Triseta Education
Get PDFIn the millennial era where technology is increasingly sophisticated, information systems are needed in the business world, both for internal and external parties. Information systems can provide valid data to make it easier for interested parties to know the condition of the company or business being run by the company. However, there are still some companies that still use simple (manual) information systems so that consumers and parents of students have to come to the location or place of study. Moving on from the problems above, the researcher aims to build a computerized academic value information system for checking, recording and reporting student grade data. In addition to being web-based, data information can be accessed at any time. This application uses XAMPP as a web server for system design and MySQL as a database. The design of the login menu which consists of the IT Section, supervisors and user/admin has separate access when opening the application so that program security is maintained. This system works to enter and store data, student assessment processes and student final grade reports so that it is easier to find out information on student grades that will be submitted by the school. Research has produced a value processing system that helps the work of administration and homeroom teachers and can make it easier for users to carry out value processing so that value management can be processed more efficiently and effectively, so that it can be directly accessed and value information can be conveyed properly.In the millennial era that is increasingly sophisticated in technology, information systems in the business world are needed, both for internal and external parties of the company. Information systems can provide valid data to make it easier for interested parties to know the condition of the company or business being run by the company. However, there are still some companies that still use simple (manual) information systems so that consumers and parents of students must come to the location or place of learning. Moving on from the problems above, the researcher aims to build an information system for computerized academic grades checking, recording and reporting of student grade data. In addition, by being web-based, data information can be accessed at any time. This application uses XAMPP as a web server for system design and MySQL as a database. The design of the login menu consisting of the IT department, supervisor and user/admin has separate access when opening the application so that program security is maintained. This system works to enter and store data, student assessment processes and student final grade reports so that it is easier to find out student grade information that will be submitted by the school. Research has produced a value processing system that helps the work of administration and homeroom teachers and can make it easier for users to process values ??so that value management can be processed more efficiently and effectively, so that it can be directly accessed and value information can be conveyed properly. In addition, the system interface is implemented according to the existing report card display so that the system can be used easily and produces accurate value calculations
GAMBARAN PERSIAPAN CALON PENDONOR DARAH BAGI IBU HAMIL
Get PDFIn 2018, the number of maternal deaths in the Special Region of Yogyakarta increased from 2017 to 36 cases, and in 2019 the number of maternal deaths was also at the same rate as the previous year. Therefore, the government has launched an effort to reduce MMR, namely the Delivery Planning and Complications Prevention Program (P4K). P4K indicators include birth attendants, birth attendants, place of delivery, transportation, and prospective blood donors. The purpose of this scientific papers to find out the description of the characteristics of prospective donors for pregnant women at Kasihan 1 Health Center. This study uses a quantitative descriptive method. The population consists of 204 pregnant women and the samples are 67 pregnant women selected by using slovin formula. The data analysis used in this study is univariate analysis. The results showed that there were 67 pregnant women with the results that 58 pregnant women (86,6%) had not prepared prospective blood donors, and 9 pregnant women (13,4%) had prepared prospective blood donors. The 9 porspective donors, there were 5 prospective donors (55,6%) who passed the initial selection and 4 prospective donors (44,4%) who did not pass the initial selection
HUBUNGAN PELAKSANAAN ROOMING IN PADA IBU NIFAS DENGAN PENINGKATAN FREKUENSI PEMBERIAN ASI DI RSU ROYAL PRIMA MEDAN TAHUN 2022
Get PDFRooming in is a joint care between a newborn and his mother who is treated in one room in the same room for 24 full hours so that an early infant mother bonding process occurs immediately due to body touch between the baby and mother (Paninsari, 2020). The research method used is cross sectional. The purpose of the study was to determine the relationship between the implementation of rooming in postpartum mothers with the increase in the frequency of breastfeeding at the RSU. Royal Prima Medan. The sample in this study were 30 respondents with purposive sampling technique. Collecting data using observation and questionnaires. The research was conducted from September to October. The results of the study were the majority of respondents aged 31-40 years were 20 people (66.7%), the minority respondents aged 19-30 years were 10 people (33.3%). And the majority of respondents with D3-S1 education are 17 (56.7%) people, while the minority have elementary-high school education as many as 13 (43.3%) respondents. The majority of respondents who gave birth to normal were 25 (83.3%) people, while the minority type of delivery was caesarean section as many as 5 (16.7) respondents. And the majority who did not carry out hospitalization were 16 (53.3%) while the minority who did hospitalization were 14 (46.7%) respondents. The majority of the frequency 8-12 times a day as many as 19 (63.3%) respondents and the minority of the frequency of breastfeeding 2-6 times a day as many as 11 (36.7) respondents. Data analysis using Chi square results obtained by the value of value = 0.000, with a value of value < (0.05). Conclusion There is a significant relationship between rooming in and an increase in the frequency of breastfeeding for postpartum mothers at the Royal Prima Hospital in Medan
PENGALAMAN IBU PASCA PERSALINAN DAN MENYUSUI DENGAN ASUHAN KEBIDANAN KOMPLEMENTER
Get PDFComplementary and alternative medicine in some midwifery communities has become an important part of midwifery practice. For midwives and women, complementary midwifery services are an alternative choice to reduce medical interventions in postpartum and breastfeeding mothers. Complementary therapy is one of the community's treatment options, especially for postpartum and breastfeeding mothers. The purpose of this study was to determine the experiences of postpartum and breastfeeding mothers with complementary postpartum midwifery care. The research method used is a qualitative research method with a phenomenological design. Data collection was carried out by way of in-depth interviews. The sample of this study were 10 respondents consisting of 5 postpartum and breastfeeding mothers who used complementary postpartum midwifery care as the main informants and 5 husband respondents as triangulation informants using purposive sampling technique. The results of this research are that postpartum and breastfeeding mothers have good experience and are happy with providing complementary postpartum midwifery care, the response of respondents is good, because they can provide alternative treatments that are given to provide solutions that occur during postpartum and breastfeeding mothers
PENERAPAN TERAPI RENDAM KAKI AIR HANGAT PADA LANSIA DENGAN INSOMNIA DI WILAYAH KERJA PUSKESMAS DI KOTA BEKASI
Get PDFBackground: Insomnia is a health problem in the form of sleep disorders experienced by the elderly. Insomnia has several effects including fatigue, memory impairment, and irritability, to avoid these effects, warm water foot bath therapy can be carried out. Objective: This study aims to determine the application of warm water foot soak therapy in the elderly to reduce insomnia in the UPTD area of ??the Bekasi Jaya Health Center and to find out the results of providing nursing care to the elderly with insomnia with a nursing process approach. Methodology: This study uses a case study method with data collection on cases by observation, interviews, documentation of nursing records and active participation. The instruments used in this study were the Insomnia Severity Index (ISI) and the Epworth Sleep Scale (ESS). Subjects: The subjects in this study were 5 elderly people aged 60-67 years who had sleep disturbances or insomnia. Results: The results of this case study can be that the application of warm water foot soak therapy which was instructed directly by the author to the subject can affect changes in the Insomnia Severity Index and Epworth Sleep Scale scales which are carried out routinely for 5 consecutive days. The results in this study show that the average Insomnia Severity Index scale before warm water foot soak therapy is 10-9 or severe insomnia and after warm water foot soak therapy is 0-2 or no insomnia, while the results in this study show an average The average Epworth Sleep Scale scale before warm water foot soak therapy is 11-7 or severe insomnia and after warm water foot soak therapy is 3-2 or mild insomnia and no insomnia. Recommend: For patients with sleep disorders or insomnia, they can apply warm water foot bath therapy independently, which is done once a day in the afternoon before going to bed.Latar Belakang : Insomnia merupakan masalah kesehatan berupa gangguan tidur yang dialami oleh lansia. Insomnia memiliki beberapa dampak diantaranya mudah lelah, gangguan memori, dan mudah marah, untuk menghindari dampak tersebut dapat dilakukan terapi rendam kaki air hangat. Tujuan : Penelitian ini bertujuan untuk mengetahui penerapan terapi rendam kaki air hangat pada lansia untuk penurunan insomnia di wilayah UPTD Puskesmas Bekasi Jaya serta mengetahui hasil pemberian asuhan keperawatan kepada lansia insomnia dengan pendekatan proses keperawatan. Metodologi: Penelitian ini menggunakan metode studi kasus dengan pengambilan data pada kasus dengan Observasi, wawancara, dokumentasi catatan keperawatan dan partisipasi aktif. Instrumen yang digunakan dalam penelitian ini adalah Insomnia Severity Index (ISI) dan Epworth Sleep Scale (ESS). Subjek: Subjek pada penelitian ini adalah 5 orang lansia usia 60-67 tahun yang mengalami gangguan tidur atau insomnia. Hasil: Hasil studi kasus ini dapat bahwa penerapan terapi rendam kaki air hangat yang diinstrusikan langsung oleh penulis kepada subyek dapat berpengaruh terhadap perubahan skala Insomnia Severity Index dan Epworth Sleep Scale yang dilakukan secara rutin selama 5 hari berturut-turut. Hasil dalam studi ini menunjukkan rata-rata skala Insomnia Severity Index sebelum dilakukan terapi rendam kaki air hangat yaitu 10-9 atau insomnia berat dan sesudah dilakukan terapi rendam kaki air hangat yaitu 0-2 atau tidak ada insomnia. Sedangkan hasil dalam studi ini menunjukkan rata-rata skala Epworth Sleep Scale sebelum dilakukan terapi rendam kaki air hangat yaitu 11-7 atau insomnia berat dan sesudah dilakukan terapi rendam kaki air hangat yaitu 3-2 atau insomnia ringan dan tidak ada insomnia. Rekomendasikan : Bagi pasien gangguan tidur atau insomnia dapat melakukan penerapan terapi rendam kaki air hangat secara mandiri yang dilakukan 1 kali sehari di siang hari sebelum tidur
HUBUNGAN KUALITAS PEMULIHAN DENGAN EVALUASI KEPUASAN PASIEN PASCA OPERASI SC DENGAN METODE ERACS DI RSABB
Get PDFChildbirth procedures C-section, usually induce inconvenience post-surgery for the patient such as pain, mobility and personal fulfillment difficulty, and a mother’s duty to nurse their newborn. Enhanced Recovery After Cesarean Surgery or ERACS is a series of treatments that could speed up the patient recovery after surgery, from preoperative preparation to the patient discharge. Some hospitals in Indonesia have conducted their own study regarding the correlation between patient recovery quality to patient’s satisfaction level, but RS Awal Bros Batam doesn’t have the study yet. This study was done using an observational method and quantitative approach using Chi square on 30 C-section patients who are using ERACS method. The study was conducted in Solandra Room, RS Awal Bros Batam from January – February 2023. The result showed 83.3% of the patients recovered well and 83.3% patients satisfied with ERACS method. Chi square statistic test showed that the recovery quality and the patient’s satisfaction is dependent on one another (p < 0.005). Therefore, there is a correlation between the patient’s recovery quality and their satisfaction level on C-section with ERACS method