Direktori Jurnal Elektronik Universitas Imelda Medan
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KEPADATAN JENTIK AEDES AEGYPTI DI KELURAHAN ANGIN NAULI KECAMATAN SIBOLGA UTARA
Dengue fever is a major factor that has become a public health problem in Indonesia with high morbidity and mortality rates and has the potential to cause extraordinary events (KLB) and / or epidemics as well as to impact the economic loss of society Dengue fever is a vector-borne disease. Dengue fever contributed 204,171 (47.87%) of the number of sufferers due to five vector-borne and zoonotic diseases in Indonesia in 2016 and ranks second after malaria. Efforts to eradicate mosquito vectors can be carried out through eradication of mosquito nests (PSN). The high density of Aedes aegypti mosquitoes has a high risk of transmitting mosquitoes for dengue transmission. Larva Free Rate (ABJ) is a measure of vector eradication efforts through the PSN-3M showing the level of community participation in preventing dengue. Sibolga City is one of the municipalities in North Sumatra Province. Sibolga City consists of 4 districts. The number of dengue cases in Sibolga City in 2016 was 103 cases, where the highest cases were in North Sibolga District, with 40 cases (4). This type of research uses descriptive method. This descriptive study aims to determine the density of aedes aegypti larvae. Time and place of research The research was conducted in August - November 2020 in Angin Nauli Village, North Sibolga District. The population and samples are all houses that have containers in Angin Nauli Village. Sampling was done by total sampling. The number of households in Angin Nauli Village is 858 households. The results of this study are expected to add insight to researchers and readers so that in the future it can prevent an increase in the number of Aedes Aggpty mosquitoes and reduce the number of dengue fever (DHF) in Angin Nauli Village, North Sibolga District.
Penyakit demam berdarah adalah faktor utama yang menjadi masalah Kesehatan masyarakat di Indonesia dengan angka kesakitan dan kematian yang cukup tinggi serta berpotensi menimbulkan kejadian luar biasa (KLB) dan/atau wabah serta memberikan dampak kerugian ekonomi masyarakat. Demam berdarah merupakan salah satu penyakit menular melalui vector. Penyakit demam berdarah menyumbang sebesar 204.171 (47,87%) dari jumlah penderita akibat lima penyakit tular vektor dan zoonotik di Indonesia pada tahun 2016 dan menempati urutan kedua setelah penyakit malaria. Upaya pemberantasan vektor nyamuk dapat dilakukan melalui pemberantasan sarang nyamuk (PSN). Kepadatan nyamuk Aedes aegypti yang tinggi mempunyai risiko transmisi nyamuk yang cukup tinggi untuk terjadi penularan penyakit DBD. Angka Bebas Jentik (ABJ) merupakan tolok ukur upaya pemberantasan vektor melalui PSN-3M menunjukkan tingkat partisipasi masyarakat dalam mencegah DBD. Kota Sibolga Merupakan salah satu Kotamadya di Provinsi Sumatera Utara. Kota Sibolga terdiri dari 4 kecamatan. Jumlah kasus DBD di Kota Sibolga pada tahun 2016 ada sebanyak 103 kasus, dimana kasus tertinggi berada di Kecamatan Sibolga Utara yaitu sebanyak 40 kasus (4). Jenis penelitian ini menggunakan metode deskriptif Penelitian deskriptif ini bertujuan untuk mengetahui kepadatan jentik aedes aegypti. Waktu dan tempat penelitian Penelitian dilakukan pada bulan Agustus – November 2020 di Kelurahan Angin Nauli Kecamatan Sibolga Utara. Populasi dan sampel adalah seluruh rumah yang memiliki kontainer di Kelurahan Angin Nauli. Pengambilan Sampel dilakukan secara total sampling. Jumlah rumah tangga di Kelurahan Angin Nauli sebanyak 858 rumah tangga. Hasil penelitian ini diharapkan dapat menambah wawasan bagi peneliti dan penbaca agar kedepannya dapat mencegah terjadinya pemambahan jumlah populasi nyamuk aedes aggpty dan menurunkan angka terjadinya penyakit demam berdarah (DBD) di kelurahan angin nauli kecamatan sibolga utara
Tinjauan Pelepasan Informasi Rekam Medis Kepada Pihak Ketiga Di RSU Imelda Pekerja Indonesia Medan
The Imelda Workers General Hospital of Indonesia does not yet have specific routines regarding the release of medical record information to third parties. however, they have used regular procedures for providing information and borrowing medical records in general, This study aims to determine the number of requests for medical record information. This type of research is descriptive, namely the research method carried out with the aim of making an objective state. The population was 4 people and the sample size was 4 people as the total sampling with the research methodology using quantitative methods. How to collect data by interview and observation. The results showed that the services of the Imelda Hospital for Indonesian Workers in Medan according to legalized death certificates amounted to 34 percent (0.56%), claims for raharja services amounted to 56 percent (0.92%), audits and insurance claims were 69 percent (1.14%) , research or education as much as 54 percent (0.89), post mortem as much as 28 percent (0.46%), BPJS as much as 5,790 percent (99.00%). Based on the results of the study, it is known that knowing the data on the number of requests for medical record information in January-June 2020 is 6,224 with a percentage (99.97%). As well as the absence of a special SPO on procedures and utilization of medical record information of deceased patients, however, they have used the permanent procedure of providing information and borrowing medical records in general. It is recommended that hospitals and medical record officers provide regular training or coaching to officers. And to health workers, especially medical records, in order to maintain the confidentiality of patient medical record information and carry out the established procedures properly.
 
Analisa Persepsi Verifikator Terhadap Kode Tindakan Medis Di RS Umum Citra Bunda Medical Center Padang
Based on the initial survey conducted by researchers, it was found that there were differences in perceptions between code verifiers and BPJS verifiers about medical action codes. In February, there were 15 disease codes with different perceptions, because the hospital had to follow the code based on the BPJS. The research objective was to analyze the perception of medical action codes by verifiers at Bunda Medical Center Hospital.This type of research is qualitative with a phenomonological approach. Research is conducted by in-depth interviews with 1 medical support person, 1 medical committee person, 1 code verifier, and 1 BPJS verifier, using a voice recorder and using interview guidelines. Data were analyzed using the Collaizzi method.The results showed that what hampered the implementation of the verification of medical action codes was that the doctor's writing was difficult to read by the verifier. There are differences in the perceptions of the verifier about the medical action code, where the verification of the medical action code is based on the number of resources used in the service, while the BPJS verifier thinks the medical action code is based on the level of severity or severity level. The conclusion in this study is that the educational qualifications between the BPJS verifier and the verification of medical action codes are not yet appropriate, then the BPJS verifier verifies the code based on the severity level it should be based on the most spent resources
Pengaruh Pemberian Kode Warna Wilayah Pada Folder Terhadap Ketepatan Penyimpanan Berkas Rekam Medis Di Puskesmas Wadaslintang 1
A Medical records are files containing notes and documents regarding the patient's identity, examination, treatment, actions and other services that have been provided to patients. So that a medical file is strictly protected so that it is not damaged or lost.Based on observations, it was found that there were several files of medical records that were interchanged or not in the normal filling rack. Medical record files can be exchanged due to the large number of regional shelf columns so that alternatives and innovations are needed to increase the accuracy of returning and retrieving medical record files correctly.Troubleshooting efforts are being made, namely by providing a regional color code in the medical record file folder so that errors in taking and returning medical record files can be minimized.Based on the results of observations made by the author, it was found that there was an effect before and after color coding the region in the medical record file folder
Perancangan Sistem Informasi Peminjaman dan Pengembalian Rekam Medis Rawat Jalan di Rumah Sakit Muhammadiyah Bandung
This research was conducted based on the problem of managing the borrowing and returning outpatient medical records at the Muhammadiyah Hospital Bandung which aims to find solutions to these problems to support the effectiveness of medical record services. The research method used in this research is a qualitative method with a descriptive approach. The data collection techniques used were interviews, observation, and study approach. In making the software design the writer uses the waterfall method and the supporting applications used are Microsoft Visual Studio 2010 and Microsoft Access 2013. From the results of the research conducted, the authors found several problems in the management of borrowing and returning outpatient medical records, namely: (1). There were no medical records found on the storage shelf; (2). Recording of borrowing and returning medical records still uses a manual system; (3). The absence of reports on borrowing and returning medical records. The suggestions that can be given by the author, namely : (1). It is better if the borrowing of medical records is determined by the due date so that there are no more medical records that are late to be returned to the storage room; (2). An information system is needed on borrowing and returning medical records to support activities in the hospital, especially in making reports on borrowing and returning medical records. The result of this research is an information system for borrowing and returning medical record files at Muhammadiyah Hospital Bandung
Upaya Meningkatkan Kepatuhan Profesional Pemberi Asuhan Pasien Dalam Dokumentasi Rekam Medis
Adanya tuntutan rumah sakit untuk menjamin kelengkapan rekam medis, perlu didukung dengan upaya rumah sakit melalui suatu regulasi dan edukasi kepada para PPA dalam proses pendokumentasian rekam medis. Lebih lanjut bahwa paradigma faktor manusia, dalam hal ini adalah PPA dalam menjaga kualitas rekam medis cukup berpengaruh langsung dalam keselamatan pasien. Tujuan dari penelitian ini adalah mengeksplorasi upaya rumah sakit dalam meningkatkan kepatuhan PPA pada dokumentasi rekam medis Penelitian ini merupakan penelitian deskriptif dengan pendekatan kualitatif. Rancangan penelitian menggunakan metode cross sectional. Penelitian ini dilaksanakan di RSUD Panembahan Senopati Bantul. Hasil penelitian menunjuukan RSUD Panembahan Senopati Bantul telah berupaya meningkatkan kepatuhan PPA dengan menetapkan regulasi berupa Pedoman Pelayanan Rekam Medis dan SPO Pengisian Rekam Medis. Upaya dari aspek material dilakukan dengan menyediakan formulir rekam medis berbahan kertas ukuran A4 berat 80 gram berbentuk persegi panjang dengan beberapa warna sesuai kebutuhan pengguna dan diberikan nomor formulir rekam medis. RSUD Panembahan Senopati Bantul telah melakukan penilaian kinerja setiap tahun sekali di akhir tahun, akan tetapi penilai kinerja berkaitan dengan kepatuhan PPA dalam dokumentasi rekam medis belum tertuang dalam SKP. Dalam upaya meningkatkan kepatuhan PPA dalam dokumentasi rekam medis, maka Tim KMKP menetapkan angka ketidaklengkapan assesmen awal medis dalam 24 jam pada pasien rawat inap melalui Instalasi Gawat Darurat (IGD) sebagai indikator mutu prioritas di RSUD Panembahan Senopati Bantul. Sebaiknya dalam upaya meningkatkan motivasi, budaya kerja dan kepatuhan PPA dalam dokumentasi medis, maka RSUD Panembahan Senopati Bantul dapat menerapkan reward dan punishment, sehingga tercapai kepuasan kerja karyawa
EFEKTIVITAS PEMBERIAN KESEHATAN THE HEALTH BELIEF MODEL TERHADAP PENGETAHUAN KELUARGA TENTANG TB PARU DI RS TNI AL Dr. KOMANG MAKES BELAWAN
Pulmonary tuberculosis (TB) is an infectious disease in the lungs caused by bacteria, namely Mycobacterium tuberculosis. The number of pulmonary TB cases in Dr. Komang Makes Belawan as many as 23 patients. The high number of morbid cases is thought to have a lack of family understanding of TB sufferers regarding the concept of prevention and treatment of pulmonary tuberculosis accompanied by ineffective implementation of education by nurses. The research objective was to determine the effectiveness of health provision by applying The Health Belief Model to the knowledge of families with pulmonary tuberculosis. This research was conducted at the TNI AL Dr. Komang Makes Belawan was conducted starting July 2020. This type of research was a quasi-experimental design with a pre-test-post-test without a control group design. The population was 23 people with pulmonary tuberculosis patients and all of them were used as research samples. The results showed that the average score of knowledge before being given health education by implementing the Health Belief Model with leafelt (intervention) counseling was 11.47 and increased to 15.00 after the intervention with an average of 3.53. The results of the paired t test analysis showed that health education with the application of The Health Belief Model was effective in increasing the knowledge of families with pulmonary tuberculosis with a p value of 0.000 <0.05. The conclusion is that there are differences in family knowledge about pulmonary TB before and after getting health education The Health Belief Model.Tuberkulosis paru (TB) merupakan penyakit menular pada paru yang disebabkan oleh bakteri yaitu Mycobacterium tuberculosis. Jumlah kasus TB Paru di RS TNI AL Dr. Komang Makes Belawan sebanyak 23 pasien. Tingginya kasus kesakitan diduga kurang pahamnya keluarga tentang penderita TB tentang konsep pencegahan dan pengobatan TB Paru disertai belum efektifnya penerapan edukasi oleh perawat. Tujuan penelitian untuk mengetahui efektivitas pemberian kesehatan dengan penerapan The Health Belief Model terhadap pengetahuan keluarga penderita TB Paru.Penelitian ini dilakukan di RS TNI AL Dr. Komang Makes Belawan dilakukan mulai bulan Juli 2020. Jenis penelitian adalah quasi-eksperimen dengan rancangan pre test-post test without control group design. Populasi adalah keluarga penderita pasien TB Paru sebanyak 23 orang dan seluruh dijadikan sampel penelitian.Hasil penelitian menunjukkan rata-rata skor pengetahuan sebelum diberikan pendidikan kesehatan penerapan Health Belief Model dengan konseling menggunakan leafelt (intervensi) sebesar 11,47 dan meningkatkan menjadi 15,00 sesudah intervensi dengan selirih rata-rata 3,53. Hasil analisis uji paired t test, pendidikan kesehatan dengan penerapan The Health Belief Modelefektif meningkatkan pengetahuan keluarga penderita TB Paru dengan nilai p 0,000<0,05. Kesimpulan ada perbedaan pengetahuan keluarga tentang TB Paru sebelum dan sesudah mendapatkan pendidikan kesehatan The Health Belief Model
HUBUNGAN FUNGSI KOGNITIF DENGAN TEKANAN DARAH PADA PASIEN HIPERTENSI
Hypertension is a condition of increasing a person's blood pressure above normal which can lead to an increase in morbidity (morbidity) and death (mortality). Blood pressure conditions are associated with decrease cognitive function. High blood pressure can increase the occurrence of vascular disorders in the brain, which of course will affect the working system of the brain which is the cognitive center. The purpose of this study was to identify the relationship between cognitive function and blood pressure in hypertensive patients. The type of this research is correlation analytic with cross sectional design. The population of this study were all hypertensive patients at UPT Puskesmas Tanjung Rejo Deli Serdang aged 35-49 years. Sampling using purposive sampling technique. The research instrument used a questionnaire and the data was tested first with the Kolmogorof Smirnov normality test, because the data were not normally distributed, an alternative was carried out using the spearmen test. The results showed that the mean blood pressure was 155.8; SD=12,3. Mean cognitive function mean=23,21; SD = 1.71 and the relationship between cognitive function and blood pressure in hypertensive patients with p value = 0.006; r= -0.376 which means that there is a relationship between cognitive function and blood pressure in hypertensive patients with sufficient correlation strength.
Keywords : Cognitive Function, Blood Pressure, HypertensionHipertensi merupakan kondisi peningkatan tekanan darah seseorang di atas normal yang dapat mengakibatkan peningkatan angka kesakitan (morbiditas) dan angka kematian (mortalitas). Kondisi tekanan darah berkaitan dengan penurunan fungsi kognitif. Tekanan darah yang tinggi dapat meningkatkan terjadinya gangguan vaskularisasi pada otak, yang tentunya akan berpengaruh terhadap sistem kerja otak yang menjadi pusat kognitif. Tujuan penelitian ini adalah untuk mengidentifikasi hubungan fungsi kognitif dengan tekanan darah pada pasien hipertensi. Jenis penelitian ini yaitu analitik korelasi dengan desain cross sectional. Populasi penelitian ini adalah seluruh pasien hipertensi di UPT Puskesmas Tanjung Rejo Deli Serdang yang berusia 35-49 tahun. Pengambilan sampel menggunakan teknik purposive sampling. Instrumen penelitian ini memakai kuesioner dan data diuji terlebih dahulu dengan uji normalitas Kolmogorof Smirnov, karena data tidak berdistribusi normal maka dilakukan alternatif menggunakan uji uji spearmen. Hasil penelitian menunjukkan rata-rata tekanan darah nilai mean=155,8; SD=12,3. Rata-rata fungsi kognitif mean=23,21; SD=1,71 dan hubungan fungsi kognitif dengan tekanan darah pada pasien hipertensi nilai p value = 0,006; r= -0,376 yang berarti ada hubungan fungsi kognitif dengan tekanan darah pada pasien hipertensi dengan kekuatan korelasi cukup.
Kata Kunci : Fungsi Kognitif, Tekanan Darah, Hipertens
Perancangan Sistem Informasi Peserta Keluarga Berencana di Perwakilan BKKBN Sumatera Utara Berbasis Visual Basic (VB) Net
The Family Planning and Reproductive Health Program is implemented to regulate the number of children, the spacing of children's births according to the wishes and without elements from any party. Thus, a healthy, prosperous and quality family will be realized. Services in this unit aim to ensure the smooth running and satisfaction of family planning participants at the National Population and Family Planning Agency (BKKBN) Representative. The BKKBN is in charge of carrying out government duties in the field of family planning and prosperous families. The BKKBN used to have a slogan that two children are enough, boys and girls are the same. Manual data management has many weaknesses besides taking a long time, its accuracy is not acceptable because it allows errors to occur. With these problems, a system was created to facilitate the process of storing data on family planning participants. Problems that are often encountered are registration that is quite long for family planning participants who still use the manual system and the ineffectiveness of family planning data management at the North Sumatra BKKBN Representative. The aim is to implement a new system that will make it easier for employees to input data, search data, and store data on family planning participants
PENGARUH TEKNIK HYPNOBREASTFEEDING TERHADAP PENGELUARAN ASI PADA IBU NIFAS
Payudara seorang wanita yang menghasilkan ASI (air susu ibu) merupakan asupan nutrisi yang sangat baik dalam proses pertumbuhan dan perkembangan seorang bayi. Didalam ASI (air susu ibu) terkandung semua gizi yang sangat diperlukan oleh seorang bayi dalam pertumbuhannya dan perkembangannya yang sempurna dan merupakan asupan nutrisi yang terbaik bagi bayi. Saat bayi dalam keadaan sakit air susu ibu akan menjadi obat yang akan menyelamatkan jiwanya. Kecemasan yang dialami ibu nifas saat menyusui bayinya akan berdampak terhadap kurangnya isapan pada bayi dan akan berpengaruh terhadap kurangnya produksi ASI sehingga membuat ASI tidak lancar. Produksi ASI akan terus meningkat selama 6 bulan dengan rata-rata produksi ASI mencapai 700-800ml kemudian produksi ASI akan menurun setelah lebih dari 6 bulan pertama menjadi 500-600ml, salah satu metode yang dapat merangsang produksi ASI adalah dengan melakukan metode teknik hypnobreastfeeding. Tujuan penelitian ini adalah untuk mengetahui pengaruh teknik hypnobreastfeeding terhadap pengeluaran ASI pada ibu nifas di Puskesmas Kota Datar. Desain penelitian ini menggunakan metode pre-eksperimen dengan design one group pre-test dan post- test. Jumlah sampel pada penelitian ini sebanyak 30 orang berdasarkan total populasi ibu nifas yang menyusui bayi dengan teknik total sampling. Aspek pengukuran data menggunakan lembar observasi dengan analisi bivariate.Hasil penelitian ini menunjukkan bahwa responden mengalami peningkatan produksi ASI.Hasil analisi data maka diperoleh nilai Z -4.4.889 dan Asymp Sig sebesar 0,000<0,005.Kesimpulan penelitian ini menyatakan bahwa ada pengaruh teknik hypnobreastfeeding terhadap pengeluaran ASI pada ibu