Direktori Jurnal Elektronik Universitas Imelda Medan
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Faktor-Faktor yang Mempengaruhi Kejadian Diare pada Balita di Desa Suro Baru Tahun 2017
This research is to find out the factors that influence the incidence of diarrhea in children under five in Suro Baru Village, Suro District, Aceh Singkil Regency in 2017. This type of research uses analytical observational methods, which means that research is conducted to determine the factors that influence diarrhea in infants . Pregnancy methods Samples are taken using total sampling where sampling techniques are used when members of the population are sampled. In this analysis used the chi-square test times squared 0.05 and 95% confidence level. Based on the statics test the chi-square test obtained a value of p = 0.001 (p <0.05). With a significant level of 0.05. The incidence of diarrhea is caused by several factors that occur in Suro Baru Village, Suro District, Aceh Singkil Regency, 2017
Pemanfaatan Pati Kulit Ubi Kayu sebagai Bahan Baku Edible Coating dengan Penambahan Kitosan untuk Memperpanjang Umur Simpan Jeruk Rimau Gerga Lebong (RGL) Bengkulu
Province has a superior local citrus commodity, namely the Rimau Gerga Bengkulu (RGL) orange. RGL oranges have specifications including elliptic fruit (clavate-ovoid), yellow-orange, thick fruit skin (0.4-0.5 cm), large fruit size (173-347 grams), fresh sour sweet fruit flesh taste , 89.2% water content, 10.51% sugar content, 0.92% acid content, and vitamin C content 18.34mg / 100g. One of the constraints to developing RGL oranges is the low shelf life of citrus fruits (easy to rot) ) especially if stored at room temperature due to poor post-harvest handling. Cassava skin starch is very potential to be used as the basic material for making edible coatin. Every 1 kg of cassava will usually produce ± 20% of cassava skin with starch content ranging from 44-59%. Although cassava starch has good properties as an ingredient in making edible coatings, starch has the disadvantages of low water resistance and low water vapor barrier so that it is easily damaged / torn and the storage is less than optimal so it needs the addition of biopolymers, hydrophobic in nature and or which have antimicrobial properties. one of them is chitosan. This research is a basic research to (1) determine the quantity of starch from cassava peel produced (2) Determine the amount of starch to be made for the use of cassava starch concentration that will be applied to grapefruit gerga rhythm (RGL). The yield resulting from the manufacture of cassava peel starch is 9.1%. The application of starch from cassava and chitosan to citrus gerong lebong (RGL) is still considered feasible because with 405 grams of starch from cassava peels can smear up to 243 oranges
Tinjauan Penyebab Terjadinya Misfile Dokumen Rekam Medis Rawat Jalan Di RSUD Kabupaten Jombang Tahun 2020
Medical record outpatient and emergency must be accompanied and completed after service to patiens the same day. This study aims to find out the factors that cause misfile from the management aspects of man, method, machine, and material in Jombang District Hospital. This research is descriptive qualitative with a case study approach. The sample in this study were 11 officers. Data collection techniques used are questionnaires and observation sheets. The results showed that in the man element, it was found that the problem of the absence of medical record officers with a background in medical record education where it is also a trigger for misfile in the filing room, the absence of training for medical record officers due to the lack of programs related to medical record training in Jombang District Hospital, and officers have never been rewarded in any form such as praise or incentives and penalties to be motivated to work better. In the method element found the problem of the absence of the implementation of medical record documents investigation activities every day periodically by officers to prevent the occurrence of misfile. On the machine element found problems of not using tracer and outguide. In the material element found the problem is that the color code in Jombang District Hospital is not applied in its entirety because of the lack of importance of color coding officers to prevent misfiles. It can be suggested that leaders should provide rewards and punishments, participate in training, make policies related to DRM investigation activities, tracer implementation, and color coding on DRM covers.Rekam medis rawat jalan dan gawat darurat wajib dilengkapi dan diselesaikan setelah pelayanan kepada pasien hari itu juga. Penelitian ini bertujuan untuk mengetahui penyebab misfile dari aspek manjemen man, method, machine, dan material di RSUD Kabupaten Jombang. Penelitian bersifat deskriptif kuatilatif dengan pendekatan case study. Sampel pada penelitian ini adalah 11 orang petugas. Teknik pengumpulan data yang digunakan adalah lembar kuesioner dan observasi. Hasil penelitian menunjukkan bahwa pada unsur man, ditemukan masalah tidak adanya petugas rekam medis berlatar belakang pendidikan rekam medis dimana hal tersebut juga sebagai pemicu terjadinya misfile di ruang filing, tidak adanya pelatihan untuk petugas rekam medis dikarenakan belum adanya program terkait pelatihan rekam medis di RSUD Kabupaten Jombang, dan petugas belum pernah mendapatkan penghargaan dalam bentuk apapun seperti pujian atau insentif dan hukuman agar termotivasi bekerja lebih baik. Pada unsur method ditemukan masalah tidak adanya pelaksanaan kegiatan penyisiran dokumen rekam medis setiap hari secara berkala oleh petugas untuk mencegah terjadinya misfile. Pada unsur machine ditemukan masalah tidak digunakannya tracer dan outguide. Pada unsur material ditemukan masalah yaitu kode warna di RSUD Kabupaten Jombang tidak diterapkan secara keseluruhan karena kurangnya pengetahuan petugas akan pentingnya kode warna untuk mencegah terjadinya misfile. Dapat disarankan bahwa sebaiknya pimpinan memberikan reward dan punishment, mengikutsertakan pelatihan, menambah item dalam SOP pencarian dokumen rekam medik terkait penyisiran DRM, diterapkannya tracer, dan diberikannya kode warna pada seluruh sampul DRM
Tinjauan Manajemen Informasi Dan Rekam Medis (MIRM) 11 Dan 14 Standar Nasional Akreditasi Rumah Sakit (SNARS) Di RSU X Tasikmalaya Tahun 2022
Hospital accreditation is an acknowledgment of service quality. The results of a preliminary study in the filing room, the storage door was not locked because it was the access door to the medical record room, it was found that medical records were stored in cardboard boxes, storage of files stored in an untidy manner made medical records damaged and folded, and no tracer was available. The purpose of this study was to determine the application of security and confidentiality aspects of medical records according to MIRM 11 and 14. This type of research was qualitative with a phenomenological approach. The research subjects were 4 informants with data collection methods using in-depth interviews, observation, and documentation studies. Data analysis used thematic analysis. The results of the study provided SOP and SK for the prevention of unauthorized use of medical records. Protection from loss by recording in the register book. Protection from damage is to replace the cover, adequate facilities, and there are K3 officers. Protection from access interference is with officers always on guard at the storage room. The protection of the storage room against unauthorized access is that the door is always locked. There are SOP on the confidentiality and privacy of information. Regulations are enforced at the time of release of information and when accessing files. Other compliance officers comply with the time of returning medical recordsAkreditasi rumah sakit merupakan pengakuan terhadap mutu pelayanan. Hasil studi pendahuluan pada ruang filing, pintu penyimpanan tidak dikunci karena merupakan pintu akses menuju ruang rekam medis, ditemukan rekam medis disimpan pada kardus, penyimpanan berkas tersimpan dengan kurang rapi membuat rekam medis rusak dan terlipat, dan tidak tersedia tracer. Tujuan dari penelitian ini untuk mengetahui penerapan aspek keamanan dan kerahasiaan rekam medis sesuai standar MIRM 11 dan 14. Jenis penelitian ini adalah kualitatif dengan pendekatan studi kasus. Subjek penelitian berjumlah 4 informan dengan metode pengumpulan data menggunakan wawancara mendalam, observasi, dan studi dokumentasi. Analisis data menggunakan analisis tematik. Hasil penelitian tersedia SPO dan SK untuk pencegahan penggunaan rekam medis tanpa izin. Perlindungan dari kehilangan melakukan pencatatan pada buku register. Perlindungan dari kerusakan adalah mengganti cover, fasilitas yang cukup, serta terdapat petugas K3. Perlindungan dari gangguan akses adalah dengan petugas selalu berjaga pada ruang penyimpanan. Perlindungan pada ruang penyimpanan terhadap akses yang tidak berhak adalah pintu selalu di kunci. Tersedia SPO mengenai kerahasiaan dan privasi informasi. Regulasi dilaksanakan pada saat pelepasan informasi dan pada saat mengakses berkas. Kepatuhan lainnya petugas mematuhi terhadap waktu pengembalian rekam medis
Optimalisasi Penentuan Kriteria Siswa Kelas Unggul dengan Metode Simple Additive Weighting
Education has an important role that is very decisive, not only for the development and realization of individuals but also for the development of the nation and state. This relates to the same quality of education and must be provided to Indonesian citizens, both normally and differently. The process of class division every new academic year is usually still carried out conventionally, namely by means of the sorting method and does not involve intelligent system technology. Therefore, not all students who enter the superior class have the desired criteria. The use of a Decision Support System (DSS) is expected to help the decisions made in selecting and determining who is the best student, considering that so far no particular method has been used in selecting students so that sometimes decisions are considered less objective and not on target. This decision support system using the simple additive weighting (SAW) method is processed with data sourced from student data at SMP Negeri 25 Padang. This research was conducted by finding the weight value for each attribute, then a ranking process was carried out that would determine the optimal alternative, namely the best students. Based on the analysis of the decision support system with this method is done by taking 3 criteria, namely the criteria for attitudes, criteria for value and criteria for ranking. Where the results of the researcher are the rankings that can support the best decisions for the criteria of superior class students. From the researcher, it can be concluded that the best students have high attitude criteria, high scoring criteria, and high ranking criteria. Based on the data that has been researched, there are students who score Exelia Monica with code A5 having a value of 3.Pendidikan memiliki peranan penting yang amat menentukan, tidak hanya bagi perkembangan dan perwujudan individu tetapi juga bagi pembangunan bangsa dan negara. Hal tersebut berkaitan dengan kualitas pendidikan yang sama dan harus diberikan kepada warga negara Indonesia baik secara normal maupun berlainan. Proses pembagian kelas setiap tahun ajaran baru biasanya masih dilakukan secara konvesional, yakni dengan metode pengurutan dan belum melibatkan teknologi system cerdas. Oleh karena itu tidak semua siswa yang masuk dikelas unggul memiliki kriteria yang diinginkan. Penggunaan Sistem Pendukung Keputusan (SPK) diharapkan dapat membantu keputusan yang diambil dalam memilih dan menentukan siapakah yang menjadi siswa terbaik, mengingat selama ini tidak digunakan metode tertentu dalam memilih siswa sehingga terkadang keputusan dianggap kurang objective dan tidak tepat sasaran. Sistem penunjang keputusan dengan metode simple additive weighting (SAW) ini diolah dengan data yang bersumber dari data siswa pada SMP Negeri 25 Padang. Penelitian ini dilakukan dengan mencari nilai bobot untuk setiap atribut, kemudian dilakukan proses perankingan yang akan menentukan alteratif yang optimal, yaitu siswa terbaik. Berdasarkan analisis terhadap system penunjang keputusan dengan metode ini dilakukan dengan mengambil 3 kriteria yaitu kriteria sikap, kriteria nilai dan kriteria rangking. Dari peneliti dapat di simpulkan siswa terbaik memiliki kriteria sikap yang tinggi, kriteria nilai yang tinggi, dan kriteria rengking yang tinggi. Berdasarkan data yang telah diteliti terdapat siswa yang bernala Exelia Monica dengan kode dengan kode A5 memiliki nilai 3
SOSIALISASI SISTEM PENYIMPANAN REKAM MEDIS DI UPT PUSKESMAS PADANG BULAN SELAYANG II TAHUN 2022
Puskesmas merupakan salah satu sarana pelayanan kesehatan masyarakat, dimana dalam pelayanan tersebut terdapat pelayanan rekam medis. Pelyanan rekam medis merupakan adalah kegiatan menjaga, memelihara dan melayani rekam medis baik secara manual maupun elektronik sampai menyajikan informasi kesehatan di Puskesmas. Puskesmas PB Selayang II belum melaksanakan sistem penyimpanan rekam medis dikarenakan puskesmas tersebut hanya melayani pasien rawat jalan. Tujuan dari kegiatan ini adalah untuk membuat SOP sistem penyimpanan rekam medis, menerapkan sistem penyimpanan rekam medis dan tracer di puskesmas. Metode yang digunakan adalah project based learning. Hasil dari pengabdian ini adalah bertambahnya pengetahuan petugas rekam medis mengenai sistem penyimpanan rekam medis dan tracer. Pembuatan SOP dan tracer di UPT puskesmas PB Selayanng II. Pengabdian ini berhasil dilaksanakan berkat kerjasama yang baik antara tim pelaksana, mahasiswa, petugas puskesmas dan kepala UPT Puskesmas PB Selayang II serta Dinas Kesehatan Kota Medan
Tinjauan Aspek Ergonomi Pada Ruang Penyimpanan Berdasarkan Standart Nasional Akreditasi Rumah Sakit (SNARS) Edisi 1 Di RSU Tere Margareth Medan Tahun 2020
In SNARS edition 1, it is known that medical record documents in paper or electronic form must be kept safe and confidential so they must be stored in a location that is protected from water, fire, heat, and other damage and protected from interference with access and unauthorized use. The purpose of this study was to determine the ergonomics aspect based on the National Standard for Hospital Accreditation (SNARS) Edition 1. The method used was observation and interviews with a descriptive type of research located at Tere Margareth General Hospital Medan in July 2020. The population in this study was the physical aspect. Ergonomics and medical records officers in the storage room as many as 2 people using the total sampling technique. is the storage room for medical record files at the Tere Margareth hospital that does not meet accreditation standards because there are still problems that occur related to room security which can be assessed based on the standard of ergonomic aspects. Ask the hospital to pay more attention to the state of the medical record storage room in order to meet the standard assessment elements of information management and medical records in SNARS Edition 1
Analisis Kelengkapan Pengisian Resume Medis Rawat Inap di RS Darurat Covid-19 Wisma Atlet Kemayoran
The completeness of medical records is very important to affect the process of services provided by health workers and impact on the quality of services of a hospital. Preliminary study results conducted at RSDC Wisma Atlet Kemayoran, filling out medical resume form 5 out of 10 files no signature name of medical resume form. Also found, 3 out of 10 files have no outgoing diagnostic information. The purpose of this study is to identify the completeness of the patient's identity, review of important reports, authenticity review and review of the correct completeness of the medical resume form at RSDC Wisma Atlet Kemayoran. This research is qualitative research. The study subject consisted of 2 doctors who filled out a medical resume. The object of the study was a sample of inpatient medical records from June 7-21, 2021 based on slovin formula as many as 98 files. The results of the study on the completeness of filling a medical resume seen from 4 aspects have not been high enough. Incomplete filling of medical resume forms is influenced by several factors, namely man, methode, material, and machine factors
EFEKTIVITAS HIDROGEL TERHADAP PENYEMBUHAN LUKA PADA PASIEN PRESSURE ULCER
Abstract
Background: Pressure ulcers or pressure sores are localized injuries to the skin and underlying tissue, usually in the area of ??bony prominences caused by pressure, or pressure that causes friction from the shear itself which can interfere with the patient's recovery process. and cause pain and infection, thus increasing the length of the treatment process. One of the studies conducted by Fauziah&Soniya, (2020) stated that the incidence of pressure ulcers was 33.3%, this incidence is very high when compared to the incidence of pressure ulcers in ASEAN which only ranges from 21%-31.3%. There are two strategies in the treatment of pressure ulcers, namely by relieving pressure and using wound dressings. One of them is the hydrogel dressing which is the choice in treating pressure sores because it is effective and has moisturizing properties so that it accelerates the wound healing process. Purpose: The purpose of this paper is to determine the effectiveness of hydrogel on wound healing in pressure ulcer patients according to the literature study. Methods: The research design used in this research paper is a literature review through a search for articles from pubmed. Results: Based on the results of literature analysis from 2 scientific articles, it was shown that hydrogel dressing can increase epithelialization and accelerate wound healing. Hydrogel dressing has the advantage of a shorter replacement time every 3 days and also has a healing period of 21-85 days in stage II, III, and IV pressure sores. Conclusion: Hydrogel dressing has an important role in the wound healing process as one of the modern wound dressings, which means that using a hydrogel dressing is an effective method in the wound healing process.
Keyword: Pressure Ulcer, Hydrogel Dressing, Wound Healing
Abstrak
Latar Belakang : Pressure Ulcer atau luka tekan merupakan cedera terlokalisir di area kulit dan jaringan dibawahnya biasanya diarea penonjolan tulang yang disebabkan oleh tekanan (pressure), atau tekanan yang mengakibatkan gesekan (friction) dari tekanan (shear) itu sendiri yang dapat mengganggu proses pemulihan pasien serta menimbulkan nyeri dan infeksi sehingga menambah lama proses perawatan. Salah satu penelitian yang dilakukan oleh Fauziah & Soniya, (2020) menyatakan insiden terjadinya luka tekan sebesar 33,3%, angka kejadian ini sangat tinggi bila dibandingkan dengan insiden pressure ulcer di ASEAN yang hanya berkisar 21%-31,3%. Ada dua strategi dalam pengobatan pressure ulcer yaitu dengan menghilangkan tekanan dan menggunakan balutan luka. Salah satunya dengan balutan hidrogel yang menjadi pilihan dalam menangani luka tekan karena efektif dan sifatnya yang melembabkan sehingga lebih mempercepat proses penyembuhan luka. Tujuan : Tujuan dari penulisan ini untuk mengetahui efektivitas hidrogel terhadap penyembuhan luka pada pasien pressure ulcer sesuai studi literatur. Metode : Desain penelitian yang digunakan dalam penelitian karya tulis ilmiah ini adalah literatur review melalui pencarian artikel dari pubmed. Hasil : Berdasarkan hasil analisis literatur dari 2 artikel ilmiah menunjukan bahwa balutan hidrogel dapat meningkatkan epitelisasi dan mempercepat penyembuhan luka. Balutan hidrogel memiliki keuntungan yaitu waktu pergantian yang lebih pendek setiap 3 hari sekali juga memiliki jangka waktu penyembuhan antara 21-85 hari pada luka tekan stage II, III, dan IV.Kesimpulan : Balutan hidrogel memiliki peran penting dalam proses penyembuhan luka sebagai salah satu balutan luka modern yang artinya dengan menggunakan balutan hidrogel merupakan suatu metode yang efektif dalam proses penyembuhan luka.
Keyword : Pressure Ulcer, Balutan Hidrogel, Penyembuhan Luka.
 
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN UPAYA PENCEGAHAN PENULARAN COVID-19 DI DESA TANJUNG MERIAH KECAMATAN STTU JEHE KABUPATEN PAKPAK BHARAT
Corona virus Disease 2019 (COVID-19) is an infectious disease caused by Severe Acute Respiratory Syndrome Corona virus 2 (SARS-CoV-2). SARSCoV-2 is a new type of coronavirus that has never been previously identified in humans. Which can cause respiratory syndrome. This research is a quantitative research with descriptive research method. The population in this study were all heads of families in Dusun 3, Tanjang Meriah Village, totaling 287 people with a total of 68 families. And the technique of sampling is a non-probability technique, namely the Accident Sampling technique, which is a technique for determining the sample based on chance. The results showed that 16 people (53%), keeping a distance of 8 people (27%), by washing their hands, as many as 6 people (20%). Various measures have been implemented to prevent the spread of Covid -19 in Indonesia, one of which is through the 3M Movement. The 3M movement is one of the efforts currently being carried out by the government to break the chain of the spread of Covid-19 in Indonesia. These include wearing masks, social distancing, and washing hands. It is hoped that all people will continue to follow the health protocol in accordance with city and village government regulations.
Corona virus Disease 2019 (COVID-19) adalah penyakit menular yang disebabkan oleh Severe Acute Respiratory Syndrome Corona virus 2 (SARS-CoV-2). SARSCoV-2 merupakan corona virus jenis baru yang belum pernah diidentifikasi sebelumnya pada manusia. Yang bisa menyebabkan penyakit sindrom pernafasan , Penelitian ini merupakan penelitian kuantitatif dengan metode penelitan deskriptif. Populasi Dalam Penelitian Ini Adalah Semua Kepala keluarga Di Dusun 3 Desa Tanjang Meriah Berjumlah 287 jiwa dengan jumlah KK sebanyak 68 kk. Dan Tehnik dalam pengambilan sampel adalah tehnik Non Probalitity yaitu tehnik Accident Sampling yaitu tehnik penentuan sampel berdasarkan kebetulan. Hasil penelitian diketahui bahwa responden yang melaksanakan upaya pencegahan covid-19 yaitu dengan menggunaan masker sebanyak 16 orang (53%), dengan menjaga jarak sebanyak 8 orang (27%), dengan mencuci tangan sebanyak 6 orang (20%). Berbagai langkah telah diterapkan dalam mencegah penyebaran Covid -19 di Indonesia, salah satunya adalah melalui Gerakan 3M. Gerakan 3M merupakan salah satu upaya yang saat ini sedang dijalankan oleh pemerintah guna memutus rantai penyebaran Covid- 19 di Indonesia. Yaitu memakai masker, menjaga jarak, dan mencuci tangan. Diharapkan kepada seluruh masyarakat untuk tetap mengikuti protocol kesehatan sesuai dengan peraturan pemerintah kota dan desa