Direktori Jurnal Elektronik Universitas Imelda Medan
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Pengaruh Faktor Predisposisi, Faktor Pendorong Dan Faktor Pendukung Terhadap Pencatatan Rekam Medis di RSUD Dr. RM Djoelham Binjai
Get PDFLaw of the Republic of Indonesia number: 29 of 2004 concerning Medical Practice, which includes the obligation of doctors and dentists to make medical records. The results of the evaluation of the completeness of medical records in RSUD Dr. RM Djoelham Binjai still found incomplete medical record files. This study aims to determine the effect of predisposing factors (knowledge, attitudes), driving factors (support from other officers) and supporting factors (facilities and facilities, regulations) on the behavior of doctors in recording medical records. The research design used in this study was a descriptive analytic survey with a cross sectional design, a sample of 29 doctors and quantitative data analysis with univariate, bivariate and multivariate analysis. Based on the results of the chi square test, it was obtained that Knowledge variable p = 0.001, Attitude power p = 0.002, other support staff p = 0.000, facilities and facilities p = 0.002 and settings p = 0.007 multivariate test showed that of the 5 variables tested multiple logistic regression showed variable which has a p-value > 0.05. Based on the results of the multiple logistic regression test, the significant value of the model together was obtained at 0.002 < 0.05, which means that the four variables used as models have a significant influence on Medical Record Recording, the factor that has the greatest influence on Medical Record Recording is the Support Personnel variable. Others are indicated by an OR value of 0.062. The conclusion in this study is that there is an influence, Knowledge, Attitude, Support of Other Personnel, Facilities and Facilities, and Regulations on the Completeness of Medical Record Recording. It is hoped that doctors do not delay in recording complete medical records
PENGARUH PROGRESSIVE MUSCLE RELAXATIONS TERHADAP KUALITAS TIDUR DAN KADAR GULA DARAH PADA DIABETES DI DESA HULU KECAMATAN PANCUR BATU KABUPATEN DELI SERDANG
No full textDiabetes erupts relatively resulting in a mechanism for controling glucose levels in the body, if it is not controlled creates potential complications of experiencing hyperglycemia and hyperglycemia. Condition can be found in diabeteic patients experiencing anxiety, prolonged severe stress and lack of activity/exercise, resulting in inadequate sleep quality, eventually leading to increased blood glucose levels in every system of the body. The research design was quasi experimental method with pre and post with control group, for each group consisted of 32 samples with consecutive sampling technique. The data were analyzed statistically by Wilcoxon Sign Range Test and Mann Whitney U. The result showed that there was an effect of progressive muscle relaxation with a very significant increase in sleep quality where the first intervention difference was (1) in diabetes p = 0.695 (<0.05), and the second intervention group (2) p= 0.00 (p<0.05), with the second group intervention (2) diabetes p= 0.00 (p<0.05). Suggestions to diabetic patients always try actively perform progressive muscle relaxation regularly and measurably every day, in reducing muscle tension, stress anxiety stabilize blood glucose levels and improve sleep quality in the pillars of controlling diabetes complications.Diabetes melitus rmengakibatkan mekanisme pengontrolan kadar glukosa dalam tubuh relative. Apabila tidak terkontrol, menimbulkan potensial komplikasi yaitu hiperglikemia. Hiperglikemia kondisi dapat ditemukan pada pasien diabetes mengalami kecemasan,strees hebat berkepanjangan dan kurang aktifitas /exercaise sehingga berdampak kualitas tidur tidak adekuat,akhirnya menimbulkan meningkatkan kadar glukosa darah setiap sistem tubuh. Rancangan penelitian metode kuasi eksperimen dengan pre and post with control group, untuk masing-masing kelompok terdiri 32 orang sampel dengan tehnik consecutive sampling. Data dianalisis secara uji statistik Wilcoxon Sign Range Test dan Mann Whitney U. Hasil penelitian adalah adanya pengaruh Progresive Muscle Relaxation dengan peningkatan kualitas tidur yang sangat signifikan dimana perbedaan intervensi pertama (1) pada diabetes p=0.695(<0.05),dan kelompok intervensi kedua (2) p=0.00(p<0.05),dan adanya pengaruh yang sangat signifikan. Progresive Muscle Relaxation terhadap penurunan glukosa darah dengan perbedaan sebelum dan setelah intervensi pertama (1) pada diabetesi p=0.627 (p>0.05),dengan intervensi kelompok kedua (2) diabetes p=0.00 (p<0.05) Saran kepada pasien diabetes upanya selalu aktif melakukanan relaksasi otot progresive (Progresive Muscle Relaxation) secara teratu dan terukur setiap hari,dalam mengurangi ketenganan otot,kecemasan strees menstabilkan kadar glukosa darah serta meningkatkan kualitas tidur dalam pilar mengendalikan komplikasi diabetes
EDUKASI PENANGANAN BENDUNGAN ASI PADA IBU POSTPARTUM DI KLINIK NANA DIANA HELVETIA MEDAN TAHUN 2021
Get PDFMasa nifas (puerperium) adalah dimulai setelah plasenta lahir dan berakhir ketika alat-alat kandungan kembali seperti keadaan sebelum hamil. Masa ini merupakan periode kritis baik bagi ibu maupun bayinya maka perlu diperhatikan. Salah satu masalah pada masa nifas adalah bendungan ASI. Bendungan ASI dapat mengganggu kenyamanan ibu masa nifas dan menghalangi efektifitas ASI Eksklusif. Peran penting dalam susksesnya pemberian ASI Eksklusif adalah upaya pencegahan terjadinya bendungan ASI pada ibu postpartum yaitu dengan memperdayakan ibu postpartum untuk memperhatikan teknik menyusui yang baik dan benar. Dengan pemberian pengetahuan kepada ibu postpartum tentang penanganan bendungan ASI yang tepat maka diharapkan ibu dapat merubah perilaku untuk mengutamakan pemberian ASI eksklusif dengan tepat. Metode dalam pengabdian masyarakat ini menggunakan komunikasi interaktif edukasi dan pelatihan secara langsung kepada dengan 20 Partisipan ibu postpartum di Klinik Nana Diana Helvetia Medan. Hasil dari kegiatan pengabdian masyarakat ini adalah terjadi peningkatan pengetahuan dari mean rata–rata 36,2 meningkat menjadi 65,07. Kesimpulan ada peningkatan pengetahuan dan ketrampilan ibu tentang penanganan bendungan ASI setelah dilakukan Edukasi di Klinik Nana Diana Helvetia Medan tahun 2021
Tinjauan Pelaksanaan Sistem Penyimpanan Rekam Medis Berdasarkan Standar Akreditasi Di UPTD Puskesmas Kotanopan Mandailing Natal
Get PDFStorage of medical records is one of the assessments in puskesmas accreditation standards. The medical record file storage system is very important to do in health care institutions, because the storage system can make it easier for medical record files to be stored in storage racks, speed up the recovery or retrieval of medical record files stored on storage racks, easy to return, and protect record files. from theft, physical, chemical and biological damage. The purpose of this study was to determine how the implementation of a medical record storage system based on puskesmas accreditation standards, which was carried out in August 2020. The research method used was descriptive research with a qualitative approach. The number of research informants was 4 people. Storage of medical records had not used tracers and expedition book as a means of replacing medical record files and notes in and out of borrowed medical record files. Meanwhile, tracer and expedition books can assist officers in searching for missing / out of place medical record files. This can hamper the provision of patient medical record files that are needed. It is hoped that the UPTD Puskesmas Kotanopan will provide regular training or debriefing to medical record officer
Perancangan Sistem Informasi Perhitungan Dana Desa Pada Desa Tebing Lestari Kampar
Get PDFWith the existence of clear and simple procedures, the calculation service process can run effectively and efficiently. This situation can make it easier for the village budget plan makers to realize and disburse the village funds and simplify the calculations. The author designed a Village Fund calculation information system in the Village of Tebing Lestari Kampar using Microsoft Visual Studio 2010 software and MySQL as the database and crystal report as the report. Theresearch design that I use is research design with premier data and secondary data, the type of research used is academic research, the research method used is a survey and directly involved in the field to find out how the village fund calculation system in Kampar cliffs, development methods used is a methodology oriented to output, process and data. Information system design is a context diagram and data flow diagram. With the application of the design and implementation of the system of calculating village cliffs in sustainable kampar implementation, this can facilitate the calculation and in the preparation of reports that are processed quickly and in terms of calculations. The implementation of the design design of the village fund calculation system based on Visual Studio 2010 can help the performance of the section of the village budgeting team / treasurer in the Village of Tebing Lestari Kampar
KAJIAN ETNOBOTANI DAN BIOAKTIFITAS TUMBUHAN OBAT KABUPATEN TAPANULI UTARA
Get PDFTraditional medicinal plants have the potential for health maintenance and alternative medicine as well as increasing the competitiveness of the national economy because Indonesia is one of the countries rich in biodiversity. This research was conducted in March-June 2021 in Tapanuli Regency, North Sumatra, 3 different villages that are part of the Parmonangan sub-district, namely, Aekraja Village, Hutatinggi Village, Sisordak Village. The objectives to be achieved are to find out how to use medicinal plants. The research method used includes selecting respondents for traditional healers, ethnobotanical surveys including field surveys, interviews and sampling of medicinal plants and preparing herbarium specimens. The results obtained were then analyzed descriptively by calculating the index values ??of U, RFC and RI. Where the largest UV results are UV analysis, the Zingiber officinale value is found to have a value (the largest UV is 0.4), and the highest RFC use values ??include: Zingiber Offiicinale (RFC 0.4), and the highest Relative Impotance values ??include: Zingiber Offiicinale (RFC 0.67) then Based on the results of bioactivity observations; It can be seen that the use of Zingiber officinale contains glucan chemical and polygalacturonan with biactivity as an antitussive. This traditional utility is attempted to be linked to reports from previous scientific studies published electronically such as PubMed, Google Scholar, PubChem, and ScienceDirec
EFEK EKSTRAK TANAMAN ASHITABA PADA KADAR SERUM ALKALIN FOSFATASE (ALP) PADA TIKUS YANG TERPAPAR LUKA BAKAR
Get PDFSerum alkaline phosphatase (ALP) levels increases in burn tissue damage. Several bioactive compounds found in Ashitaba, are expected to reduce serum ALP levels and enhance the process of wound healing. This study aims to prove that administration of oral Ashitaba extract can reduce serum ALP levels in rats exposed to burn trauma. This study uses true experimental post-test control group design with a total of 20 Sprague dawley rats as samples. All samples were inflicted with 2nd degree burn wound and divided into 2 groups, treatment group (Ashitaba extract 300 mg/KgBW) and control group. Blood serum were analyzed for ALP levels on the 2nd, 8th and 14th days. Kinetic-IFCC method was used to find serum ALP levels. Data was analyzed using Mann-Whitney Test, paired T-test amd independence T-test. Scalded wound size was measured macroscopically over the course of 21 days to find contracture rate. In conclusion, Ashitaba extract is not proven to significantly reduce the serum ALP levels, increase contracture rate and enhance burn wound healing process. However, there was slight increase in contracture rate in treatment group as compared to control group. In addition, there was a lower ALP levels in treatment group as compared to control group in day 8
PENINGKATAN PENGETAHUAN IBU DALAM PEMBERIAN ASI EKSKLUSIF PADA BAYI USIA 0-6 BULAN
Get PDFPertumbuhan dan perkembangan bayi sebagian ditentukan oleh jumlah ASI yang diperoleh, termasuk energi dan zat gizi lainnya yang terkandung di dalam ASI tersebut. Selain itu ASI juga muda dicerna, karena selain mengandung zat gizi yang sesuai, juga mengandung enzim-enzim untuk mencernakan zat-zat gizi berkualitas tinggi yang berguna untuk pertumbuhan kecerdasan bayi/anak. Setiap bayi baru lahir berhak mendapatkan air susu ibunya, karena dengan pemberian Air Susu Ibu (ASI) dalam satu jam pertama kehidupannya, maka bayi akan mendapat sumber gizi terbaik dan dapat menyelamatkan jiwa bayi pada bulan-bulan pertama yang rawan. Namun hasil survey menunjukan banyak ibu-ibu yang enggan untuk memberikan ASI kepada bayinya, padahal ASI itu sendiri adalah gizi terbaik untuk bayi. Metode yang digunakan deskriptif observasional dengan 28 partisipan yang datang berkunjung ke Klinik Manda. Pemilihan sampel berdasarkan purposive sample. Sedangkan pengambilan data melalui evaluasi instrument pertanyaan yang dilaksanakan dengan daftar check list tentang pemberian ASI Eksklusif. Tim pengabdian masyarakat memberikan materi tentang pentingnya ASI Ekslusif secara langsung dengan mematuhi protokol kesehatan. Dari hasil evaluasi diperoleh peningkatan pengetahuan partisipan tentang pemberian ASI Eksklusif pada bayi yang semula nilai rata-rata 47,5 menjadi 84,2. Pengetahuan merupakan domain penting dan faktor awal seseorang untuk berperilaku. Pengetahuan membentuk keyakinan peserta sehingga mau memberikan ASI Eksklusif pada bayi nya
Ketidaktepatan Kode Diagnosis Kasus Neoplasma Menggunakan ICD-10 Di RSUP H.Adam Malik Medan Tahun 2019
Get PDFABSTRAK
Informasi peyakit dirumah sakit tidak akan lengkap dan bermanfaat apabila belum diolah, maka untuk itu perlu dilakukan pengkodean. Penelitian ini bertujuan untuk mengetahui ketepatan kode diagnosis pada kasus neoplasma menggunakan ICD-10 di RSUP. H. Adam Malik tahun 2019. Penelitian ini menggunakan metode kuantitatif dengan pendekatan cross sectional, Jumlah sampel yang digunakan sebanyak 93 dokumen dan 4 orang responden. Ketepatan kode morfologi diagnosis neoplasma diperoleh hasil 88 (95%) kode tepat 6 karakter, 0 (0%) kode tepat 5 karakter, 0 (0%) kode tepat 4 karakter, 3 (3%) kode tidak tepat sama sekali dan 2 (2%) tidak dikode. Ketepatan kode topografi diperoleh hasil 79 (85%) kode tepat 4 karakter, 8 (9%) kode tepat 3 karakter, 4 (4%) kode tepat 2 karakter, 0 (0%) kode tepat 1 karakter, 0 (0%) kode tidak tepat sama sekali dan 0 (0%) kode tidak dikerjakan. Faktor yang menjadi penyebab ketidaktepatan dalam pengodean adalah petugas coding sulit untuk membaca tulisan dokter sehingga penulis menyarankan sebaiknya dalam pengkodingan diagnosis tetap mengikuti kaidah dan aturan yang ada pada ICD-10.
Kata Kunci: Ketepatan, Diagnosis, Neoplasma, Pengkodean
Abstract
Information for patients in hospitals will not be complete and useful if it has not been processed, so coding is necessary. This study aims to determine the accuracy of the diagnosis code in cases of neoplasm using ICD-10 in RSUP. H. Adam Malik in 2019. This study used a quantitative method with a cross sectional approach. The number of samples used was 93 documents and 4 respondents. The accuracy of the morphological code for the diagnosis of neoplasm was 88 (95%) the code was exactly 6 characters, 0 (0%) the code was exactly 5 characters, 0 (0%) the code was exactly 4 characters, 3 (3%) the code was not correct at all and 2 ( 2%) is not coded. The accuracy of the topographic code is 79 (85%) the code is exactly 4 characters, 8 (9%) the code is exactly 3 characters, 4 (4%) the code is exactly 2 characters, 0 (0%) the code is exactly 1 character, 0 (0%) code is not correct at all and code 0 (0%) is not working. The factor that caused the inaccuracy in coding was that it was difficult for coding officers to read the doctor's writings, so the authors suggested that the coding of the diagnosis should still follow the rules and regulations in the ICD-10.
Keywords: Accuracy, Diagnosis, Neoplasm, Encodin
HUBUNGAN MOTIVASI BIDAN TENTANG P4K DENGAN PENERAPAN PROGRAM STIKER P4K PADA IBU HAMIL DI RUMAH SAKIT IMELDA MEDAN
Get PDFMaternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) are health indicators of a country. Data of the 2012 Demographic Health Survey of Indonesia (DHSI) indicates that the maternal mortality rate increased by 359 deaths per 100,000 live births. Such rate was higher than the data of 2015DHSI, i.e. 228 deaths per 100,000 live births. The 2012 DHSI indicates IMR of 32 deaths ??per 1,000 live births, slightly lower than the 2007 DHSI indicating 34 deaths per 1,000 live births. One of the efforts to reduce MMR and IMR is through the Delivery Planning and Complication Prevention Program (PCPP). Midwives’ motivation about PCPP belonged to the category of moderate motivation (79.4%). The implementation of PCPP sticker program was mostly as planned (74.6%). There was a correlation between midwives’ motivation about PCPP and the implementation of PCPP sticker for pregnant women in the Imelda Hospital in 2020 with p-value = 0.01