Direktori Jurnal Elektronik Universitas Imelda Medan
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STUDI LITERATUR: PENGARUH TERAPI PIJAT REFLEKSI KAKI TERHADAP KELELAHAN PADA PASIEN HEMODIALISIS
Get PDFHemodialysis can cause various kinds of problems including fatigue, around 7-92% of hemodialysis patients experience fatigue. One of the therapies that can overcome this fatigue is reflexology foot massage therapy. This literature review aims to determine the effect of foot reflexology massage on hemodialysis patients with fatigue problems. The design in this scientific paper is a literature review search using electronic data base namely ProQuest and Pubmed. The keywords used in the search are hemodialysis, foot reflexology, fatigue. inclusion criteria used in the article are accessible full text available in english and indonesian years the articles used are limited to the last ten years, results are found each of 2 articles from google schoolar and pubmed, from the four articles discussing the effectiveness of foot reflexology massage on the decline fatigue in hemodialysis patients. The results of the study showed the benefits of foot reflexology in reducing fatigue in hemodialysis patient
STRES DAN KOPING MAHASISWA KEPERAWATAN SELAMA PEMBELAJARAN DARING DI MASA PANDEMIK COVID-19
Get PDFTraditional learning has shifted into online learning by the policy to prevent the transmission of the Covid-19 virus. Online learning is a learning pattern using internet technology networks. The online learning system is a new learning system in Indonesia and can cause stress. Coping is a response to changes in the learning system. The research objective was conducted to describe the level of stress and coping in students of the Faculty of Nursing, Universitas Advent Indonesia. Using descriptive quantiative research, the population of the study were all students of the academic and profession stage of bachelor nursing program. Convenience sampling method utilized and, 157 respondents filled out the validated DDAS-42 and coping strategy questionnaires. The questionnaires were distributed via google form and the data were analyzed using a frequency distribution to describe the level of stress and coping utilization in online learning. The results showed that most of the students were at normal stress levels, a small proportion at mild, moderate, severe levels and very little at very severe levels. Most of the students utilized emotion- focused coping and a small proportion utilized problem-focused coping or equally utilized the two coping strategies. Educators and students should be aware of stres and effective coping management.Pembelajaran tradisional telah berganti menjadi pembelajaran daring oleh adanya kebijakan pencegahan penularan virus Covid-19. Pembelajaran daring adalah pola pembelajaran menggunakan jaringan teknologi internet. Sistem pembelajaran daring merupakan sistem pembelajaran yang baru di Indonesia dan dapat memicu stres. Koping merupakan tanggapan terhadap perubahan sistem pembelajaran daring tersebut. Tujuan penelitian ini dilakukan untuk mengetahui gambaran tingkat stres dan koping pada mahasiswa Fakultas Ilmu Keperawatan Universitas Advent Indonesia. Populasi dari penelitian yaitu seluruh mahasiswa program studi pendidikan ners tahap akademik dan profesi di Fakultas Ilmu Keperawatan UNAI. Dengan menggunakan metode convenience sampling sebanyak 157 responden mengisi kuesioner DDAS-42 dan strategi koping yang telah valid. Kuesioner dibagikan melalui google form dan data dianalisa menggunakan distribusi frekuensi untuk melihat gambaran tingkat stres dan koping yang digunakan dalam pembelajaran daring. Hasil penelitian menunjukkan sebagian besar mahasiswa berada pada tingkat stres normal, sebagian kecil pada tingkat ringan, sedang, parah dan sangat sedikit pada tingkat sangat parah. Hampir sebagian besar mahasiswa menggunakan koping berfokus pada emosi dan sebagian kecil menggunakan koping berfokus pada masalah atau secara seimbang menggunakan kedua strategi koping tersebut.Mahasiswa dan tenaga pendidik diharapkan dapat mengenal stres dan manajemen koping yang efektif. Menggali faktor-faktor stres dan hubungannya dengan strategi koping dalam pembelajaran daring adalah penting untuk penelitian lebih lanjut
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PEMBERIAN ASI EKSKLUSIF DI WILAYAH KERJA PUSKESMAS SITINJO KABUPATEN DAIRI TAHUN 2020
Get PDFExclusive breastfeeding is an action or activity that babies give breastfeed without additional liquid such as formula milk, oranges, honey, mineral water and without additional food such as banana, papaya, milk, biscuit, and porridge, except vitamin, mineral and medication.Exclusive breastfeeding is good for babies brain growth, most nutrition sources, relieve digestive, immune boosting infant, reduce the risk of obesity and nourish baby's lungs as well. On the other hand, Exclusive breastfeeding also benefits for mothers by economically profitable, durable, confidence to lactating, practical, convenient, delaying pregnancy, relieve overweight, diminution uterus, diminution of breast cancer, uterine cancer, reduce stress and reduce the risk osteoporosis. The factors which related to exclusive breastfeeding has not figured out. The research is descriptive analytical by cross sectional study approach. It analyzes the breastfeeding in region of Public Health Centre Sitinjo of Dairi.The population of research is 118 mothers who have babies 0-6 months in region of Public Health Centre Sitinjoof Dairi. The analysis data is univariate analysis, bivariate analysis Chi-square, and multivariate analysis logistic regression.The results showed age (p = 0,896), level of education (p = 0.582), work (p = 0,545), and income (p = 0,224) are not relevance with exclusive breastfeeding. Knowledge (p = 0.002; Or = 0,285), attitude (p = 0.001; Or = 0,211), place of birth (p = 0.000; Or = 0,280), and support the husband (p = 0.000; Or = 0,334) are relevance with exclusive breastfeeding. Knowledge, attitude, support the husband and place of birth are able to explain exclusive breastfeeding of 42.6% simultaneously. It is suggested to Public health Centre to do outreach the husband to improve knowledge of exclusive breastfeeding and its benefits. It is suggested to health service facilities to support program exclusive breastfeeding.ASI Eksklusif adalah suatu tindakan atau kegiatan dimana bayi hanya diberi ASI saja tanpa tambahan cairan lainnya seperti susu formula, jeruk, madu, air teh, air putih dan tanpa makanan padat seperti pisang, pepaya, bubur,susu, biskuit, bubur nasi, dan tim kecuali vitamin, mineral dan obat.ASI Ekslusif baik bagi pertumbuhan otak bayi, sebagai sumber nutrisi terbaik bagi bayi, meringankan pencernaan, meningkatkan kekebalan tubuh bayi, dan dapat mengurangi resiko obesitas di kemudian hari, serta ASI menyehatkan paru-paru bayi.Sedangkan bagi ibu ASI menguntungkan secara ekonomi, tidak pernah basi, memberikan percayadiri untuk menyusui, praktis dan tidak merepotkan, dapat menunda kehamilan, mengurangi resiko berat badan berlebih, mempercepat pengecilan ukuran rahim ibu, mengurangi resiko kanker payudara, mengurangi resiko kanker rahim, dan mengurangi stress dan kegelisahan serta dapat mengurangi resiko osteoporosis. Belum diketahui faktor apa saja yang berhubungan dengan pemberian asi eksklusif.Jenis penelitian ini merupakan penelitian deskriptif analisis dengan pendekatan sekat lintang (cross sectional study) yang bertujuan untuk menganalisis faktor-faktor yang berhubungan dengan pemberian ASI Eksklusif di wilayah kerjaPuskesmas SitinjoKecamatan Sitinjo Kabupaten Dairi. Populasi dalam penelitian ini adalah semua ibu yang memiliki bayi usia 0-6bulan di Wilayah KerjaPuskesmas Sitinjo Kabupaten Dairi sebanyak 118 orang. Analisis data melalui tahapanan alisis univariat, analisis bivariat dengan ujiChi-square, dan analisis multivariat dengan regresi logistik berganda.Hasil penelitian menunjukkan bahwa bahwa Tidak ada hubungan umur (p = 0,896), tingkat pendidikan (p = 0,608), pekerjaan (p = 0,545),dan pendapatan (p = 0,224) dengan pemberian ASI Eksklusif. Ada hubungan pengetahuan (p=0,002; OR=0,285), sikap (p=0,001; OR=0,211), tempat melahirkan (p=0,000; OR=0,280), dan dukungan suami (p=0,000; OR=0,334)dengan pemberian ASIEksklusif. Pengetahuan, sikap, dukungan suami dan tempat melahirkan secara bersama-sama mampu menjelaskan pemberian ASI Eksklusif sebesar 42,6%. Disarankan kepada pihak Puskesmas untuk melakukan penyuluhan kepada suami untuk meningkatkan pengetahuan khususnya tentang ASI Eksklusif dan manfaatnya. Disarankan kepada fasilitas pelayanan kesehatan tempat melahirkan untuk mendukung program ASI Eksklusif
Tinjauan Alur Prosedur Pelayanan Pasien Rawat Jalan Peserta BPJS di RSU Imelda Pekerja Indonesia Medan
Get PDFRawat jalan merupakan pelayanan yang diberikan kepada pasien untuk berobat atau keperluan lainnya tanpa tinggal diruang rawat inap rumah sakit. RSU Imelda Pekerja Indonesia Medan juga berpotensi menjadi salah satu rumah sakit rujukan di Kota Medan Sumatera Utara. Tempat pendaftaran rawat jalan RSU Imelda Pekerja Indonesia Medan dimulai dari pendaftaran pasien hingga pasien mendapatkan pelayanan. Berdasarkan survey diketahui bahwa jika pasien BPJS tidak melengkapi persyaratan seperti foto copy KTP dan KK, surat rujukan, foto copy SKP dan foto copy kartu BPJS dalam sehari maka pasien tersebut tidak segera mendapatkan pelayanan lebih lanjut. RSU Imelda Pekerja Indonesia Medan belum mempunyai prosedur pendaftaran secara khusus untuk pasien rawat jalan BPJS sehingga masih sulit untuk menelusuri dokumen rekam medis diruang filling dan juga pendistribusian dokumen rekam medis ke poliklinik masih sangat lama. Hal ini menyebabkan pelayanan pasien BPJS tidak segera terpenuhi. Tujuan penelitian untuk mengetahui alur prosedur pelayanan pasien rawat jalan peserta BPJS. Jenis penelitian yaitu deskriptif, subyek yang diteliti yaitu pasien rawat jalan BPJS dengan obyek penelitian yaitu RSU Imelda Pekerja Indonesia Medan. Instrumen yang digunakan dengan wawancara dan observasi langsung ke lapangan
Integrasi PHP Native Dengan Sistem Jitsi Converence Server Menggunakan API
Get PDFThe era of 4.0 and the Covid 19 Pandemic currently requires teaching staff to be creative in improving services to their students, the large number of paid media meetings have an impact on the high price of an education or course being implemented, without having to understand a lot about the coding structure of PHP Native, teaching staff can it is easy to implement the meeting server using its own website, so that learning can still be carried out easily and of course at a low price even free. The media used is only using the API (Application Programming Interface) on the Jitsi Meeting server and hosting the teaching staff's website server. This technique is expected to be able to assist the teaching staff in making it easier to interact with their students during the Covid 19 Pandemic
DAMPAK PERKEBUNAN KELAPA SAWIT TERHADAP SURPLUS PENDAPATAN MASYARAKAT (STUDY KASUS KEC.BANDAR PASIR MANDOGE, KAB. ASAHAN)
Get PDFThe development of oil palm plantations is essentially rural-oriented economic development. Bandar Pasir Mandoge district with its rural base is the 2nd largest plantation center in Asahan Regency. This becomes a great potential for high income of people from these commodities. The approach usedin this study uses a descriptive qualitative approach that is a study that intends to understand the phenomena of what is experienced by the research subject such as behavior, perception, motivation,action, etc. holistically and by way of description in the form of words and language in a special context that is natural and by utilizing various natural methods. The results of this study show that the ability of economic relaionship between communities in Bandar Pasir Mandoge District, AsahanRegency is still strong. This is evident from the mutually needy and mutually beneficial relationship between the role of society as workers, farmers and entrepreneurs. But there is still income inequality between workers, farmers and employers. This happens for several reasons, first the people in thissub-district do not get the same opportunity to take part in the process of improving their economy, because people who come from low economies do not have enough land and capital to develop oil palm plantation businesses
Sistem Informasi Perhotelan Berbasis Web (Studi Kasus Hotel Deli Indah)
Get PDFProcessing is the main activity in a company, processing is carried out to produce output that can be utilized by the company. Hotel Deli Indah in its work operations, namely the Front Office (FO) has difficulty in processing room reservations to making reports because it is still done manually and does not provideinformation that can be accessed directly by the manager. Therefore we need a system that can perform data processing in an integrated and computerized manner, which is supported by the use of a web-based system so as to facilitate the presentation of hotel information and room reservations that can be accessed by visitors and hotel management. The system design uses the waterfall method which is carried out in five stages, namely Analysis, Design, Implementation, Testing and Maintenance. The tools used in the analysis of this system design consist of flow maps, context diagrams, data flow diagrams, data dictionaries, relation tables, and the software used is Macromedia Dreamweaver, PHP with MYSQL as the database media. With this web-based roomreservation information system, it will help and simplify the work in the room reservation process by the front office (FO) and optimize work effectiveness for the hotel management department
Pengaruh Retribusi Daerah, DAK dan DAU terhadap Belanja Daerah pada Kabupaten/Kota
Get PDFThe purpose of this study is to know and analyze partially and simultaneously the effect of regional retribution, General Allocation Funds, and Special Allocation Funds on regional expenditure in North Sumatra Province. The sample in this study is a financial area that is categorized as low, namely 5 districts and 5 cities, all of which consist of 22 regions and 5 years of observation so that the total number is 110 observations. Data analysis using multiple linear regression statistical tests. The results showed that partially the General Allocation Fund and the Special Allocation Fund had a significant effect on regional expenditure in North Sumatra Province. The regional levies and , General Allocation Funds have no significant effect on regional spending in North Sumatra Province. Meanwhile, simultaneously there is a significant influence between regional retribution, , General Allocation Funds, and Special Allocation Funds for regional expenditure in Districts and cities
Analisis Pengimplementasian Pendistribusian Berkas Rekam Medis Pasien Rawat Jalan Di Rumah Sakit X Bandung
Get PDFMedical records are an important part of the treatment of patient health, one form of service in each public health facilities is the distribution of medical record files. Based on research conducted at Hospital X Bandung, in the distribution of medical records the system used has not fully used electronic, the data entered into the application will then be searched manually by the officer for further medical record files distributed to each polyclinic concerned. The purpose of this study is to find out how the distribution of outpatient medical records at Hospital X Bandung using descriptive qualitative research methods that are research that aims to explain and describe the on distributing outpatient medical record documents with subjects in this study is an outpatient medical record document at Hospital X Bandung while the object in this study is the medical record officer in the distribution and filing. Thus, it can be concluded that the implementation of the distribution of medical record files has been quite effective and in accordance with the standard of time that has been set and Standard Operating Procedure that has been made despite some problems and constraints that always occur at the time of distribution of medical records, one of them is the application system used errors or buffering, the code on each polyclinic is sometimes confused with each other, but the officers can solve the problem
Analisis Trend Dan Grafik Barber Johnson Pada Efisiensi Tempat Tidur Di Rumah Sakit X Kota Bandung
Get PDFTrend analysis is a statistical analysis method used for planning and evaluating efforts to minimize risk for the better. The purpose of this study was to analyze trends and barber johnson charts on the efficiency of bed use at X Hospital, Bandung City. This type of research is a qualitative method with a descriptive approach. Observations and interviews were carried out with data processing officers and medical record reporting officers, while secondary data was obtained from RL3 Year 2020 at Hospital X Bandung City. Data analysis using least square trend method and Barber Johnson chart. The results showed that the trend of BOR and BTO in Quarter I-IV of 2020 decreased. The trend of AvLOS and TOI in Quarter I and II increased, while in Quarter III and IV it decreased. Based on the results of the study, it can be analyzed that the use of beds at Hospital X Bandung City in 2020 has not been efficient, only reaching 20-60% while the standard value according to Barber Johnson is 75-85%, but it can be predicted that the TOI indicator will be more efficient, while the BOR indicator , AvLOS, and BTO are increasingly inefficient because their values ??are getting further away from the predetermined standard values. To increase efficiency in the use of beds, the hospital should evaluate the beds and improve the quality of service