Husada Mahakam: Journal of Health
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PENGARUH KOMUNIKASI TERAPEUTIK TERHADAP INTENSITAS NYERI PERSALINAN KALA I DI RUMAH SAKIT Dr. R HARDJANTO BALIKPAPAN TAHUN 2020
Full text linkBackground: The first stage of childbirth consists of contractions which can press on the nerve endings, causing pain stimulation. Approximately 90% of deliveries are accompanied by pain and 7-14% are not. Therapeutic communication can reduce the thought of anxiety on the patient, reducing the patient doubts therefor providing stimulation of calm and reducing pain.
Objective : To determine the effect of therapeutic communication on the intensity of latent phase I labor pain.
Methods: quasi experiment method and one group pretest - posttest research design. The population of all mothers giving birth from January to September was 1,123 people. The sample of this research was 12 latent phase I stage mothers with purposive sampling technique as many as 12 people. Observational research instrument. The data analysis technique is univariate analysis with the mean, median, standard deviation, minimum and maximum mean values, while the bivariate analysis uses paired t test.
Result: pre-experimental labor pain average of 6.33, post-experimental average of 3.92. There is an effect of therapeutic communication on the intensity of labor pain during the latent phase of the p value of 0.000.
Conclusion:Therapeutic communication affects labor pain. Suggestions for dr. R. Hardjanto Hospital Balikpapan, thereputic communication can be recommended in midwifery care for delivery and to make therapeutic communication SOPs.
Keywords: Therapeutic Communication, Labor Pain IntensityLatar Belakang : Pada kala I kontraksi dapat menekan ujung syaraf sehingga menimbulkan rangsangan nyeri. Kurang lebih 90% persalinan disertai rasa nyeri dan 7-14% tidak disertai nyeri. Komunikasi terapeutik dapat mengurangi beban perasaan dan rasa takut yang ada pada pasien, mengurangi keraguan pasien sehingga memberikan stimulasi ketenangan dan mengurangi nyeri.
Tujuan penelitian : mengetahui pengaruh komunikasi terapeutik terhadap intensitas nyeri persalinan kala I Fase Laten.
Metode penelitian : metode quasi eksperimen dan rancangan penelitian one group pretest – posttest. Populasi seluruh ibu bersalin periode Januari sampai September sebanyak 1.123 orang. Sampel penelitian adalah ibu bersalin kala I fase laten dengan teknik sampel purposive sampling sebanyak 12 orang. Instrument penelitian observasi. Teknik Analisa data analisa univariat dengan nilai tengah mean, media, standar deviasi, minimum dan maksimum sedangkan analisa bivariat dengan uji paired t test.
Hasil penelitian : nyeri persalinan pre eksperimen rata-rata 6,33, sesudah eksperimen rata-rata 3,92. Ada pengaruh komunikasi terapeutik terhadap intensitas nyeri persalinan kala 1 fase laten nilai p value 0,000.
Kesimpulan : komunikasi terapeutik berpengaruh terhadap nyeri persalinan. Saran Bagi Rumah Sakit dr. R. Hardjanto Balikpapan komunikasi terepeutik dapat direkomendasikan pada asuhan kebidanan pada persalinan dan membuat SOP komunikasi terapeutik.
Kata Kunci : Komunikasi Terapeutik, Intensitas Nyeri Persalina
Hubungan Durasi Rata-Rata Penggunaan Smartphone dengan Kejadian Tenosynovitis De Quervaina
Full text linkLatar Belakang. Smartphone merupakan salah satu alat komunikasi yang paling sering digunakan dibanding alat komunikasi lainnya baik oleh kalangan muda maupun kalangan tua. Penggunaan smartphone yang berlebihan dapat menyebabkan gangguan kesehatan salah satunya ialah Tenosynovitis De Quervain (TDQ).
Tujuan. Mengetahui hubungan durasi rata-rata penggunaan smartphone perhari dengan kejadian TDQ.
Metode. Penelitian ini merupakan observasional analitik dengan pendekatan cross sectional. Sampel penelitian adalah mahasiswa Program Studi Kedokteran Fakultas Kedokteran Universitas Mulawarman sebanyak 153 responden yang diambil secara consecutive sampling. Data dianalisis dengan menggunakan uji statistik chi-square.
Hasil. 86 % mahasiswa Fakultas Kedokteran Universitas Mulawarman menggunakan smartphone dengan durasi ≥5 jam. 68% mahasiswa Fakultas Kedokteran Universitas Mulawarman memiliki hasil TDQ positif. Hubungan durasi rata-rata penggunaan smartphone dengan kejadian TDQ menunjukkan p=0,000.
Kesimpulan. Terdapat hubungan antara durasi rata-rata penggunaan smartphone dengan kejadian TDQ.
Kata Kunci: durasi penggunaan, smartphone, tenosynovitis, de quervain
Background. Smartphone is one of the most commonly used communication device compared to various other devices both in young and old generation. Excessive use of smartphones can cause health problems, one of them is Tenosynovitis De Quervain (TDQ).
Purpose. An understanding of the relationship between the average duration of smartphone usage per day with TDQ incidence.
Methods. This research is an analytic observational with cross sectional approach. The research samples were 153 students of the Medical Study Program at the Faculty of Medicine, Mulawarman University, taken using consecutive sampling technique. The data was analyzed using chi-square statistical test.
Results. 86% of Mulawarman University Faculty of Medicine students use smartphones with a duration of ≥5 hours. 68% of Mulawarman University Faculty of Medicine students have positive TDQ results. The relationship of the average duration of smartphone use with TDQ events showed p = 0,000.
Conclusion. There is a relationship between the average duration of smartphone usage with TDQ incidence.
Keywords : Usage duration, smartphone, tenosynovitis, de quervai
MEDIASI KEPUASAN KERJA ANTARA PENGEMBANGAN KARIR DAN KINERJA PERAWAT RUMAH SAKIT UMUM DAERAH ABDUL WAHAB SJAHRANIE SAMARINDA
Full text linkAchievement of optimal performance can be done if nurses have career development and competence, besides that nurse satisfaction is also a determining factor in Nurse performance. The purpose of this study was to determine the effect of career development and competence on job satisfaction and performance. The population in this study was the Staff Nurses. The sampling technique is Saturated Sampling (Sensus). The sample in this study were all staff nurses who worked in the inpatient ward of the AWS Samarinda regional general hospital, totaling 201 staff nurses. This research was analyzed using the SmartPLS program. The results of this study indicate that career development has a positive and significant effect on job satisfaction, competence has a positive and not significant effect on job satisfaction, career development has a positive and not significant effect on nurse performance, competence has a positive and significant effect on performance, job satisfaction has a positive and significant effect on Nurses performance, job satisfaction has mediates between career development and performance on Nurses AWS Samarinda regional general hospital.
Keywords: Career Development, Competence, Satisfaction, Nurse Performanc
Implementation of Interprofessional Collaboration in Type 2 Diabetes Mellitus Care in Health Service Facilities
No full textManagement of Type 2 Diabetes Mellitus (T2DM) treatment in Indonesia had not been optimal, marked by the increasing incidence of both macro and micro complications which have an impact on high morbidity and mortality rates. As a chronic disease, the priority of T2DM management strategies was early detection and prevention of complications that could be done with a collaborative multi-disciplinary team approach. This study aimed to analyze the application of inter-professional collaboration in T2DM services in health care facilities in East Kalimantan. This research method was cross-sectional. A total of 120 T2DM patients who had received treatment both at the hospital and at the Primary Health Centre were involved in this study. The research variables were interpersonal collaboration, communication, team decision making, and conflict management. The results of the observations showed that the interaction of officers in the T2DM service activities went well and gave each other information among the team about conditions and management plans. Team communication played a role in the implementation of inter-professional collaboration on the treatment of T2DM in both hospitals and health centers. We believe that effective communication will reduce various barriers such as professional egos, skill gaps, or team knowledge which will increase the team's motivation to provide quality service.Manajemen pengobatan Diabetes Melitus Tipe 2 (DMT2) di Indonesia belum optimal ditandai dengan semakin meningkatnya insidens komplikasi baik makro maupun mikro yang berdampak tingginya angka kesakitan dan kematian. Sebagai penyakit kronis, prioritas strategi penanggulangan DMT2 adalah penemuan dini dan pencegahan komplikasi yang dapat dilakukan dengan pendekatan tim berbagai disiplin ilmu yang berkolaborasi. Penelitian bertujuan menganalisa penerapan interprofesional kolaborasi dalam pelayanan DMT2 di sarana pelayanan kesehatan di Kalimantan Timur. Metode penelitian ini adalah cross sectional. Sebanyak 120 penderita DMT2 yang pernah mendapat pengobatan baik dirumah sakit maupun di Puskesmas dilibatkan dalam penelitian ini. Variabel penelitian adalah kolaborasi interpersonal, komunikasi, pengambilan keputusan dalam tim dan manajemen konflik. Hasil observasi menunjukkan interaksi petugas dalam kegiatan pelayanan DMT2 berjalan dengan baik dan saling memberi informasi sesama tim tentang kondisi dan rencana tatalaksana. Komunikasi tim berperan dalam pelaksanaan kolaborasi interprofessional pada pengobatan DMT2 baik di rumah sakit maupun Puskesmas. Kami percaya komunikasi efektif akan mengurangi berbagai hambatan seperti ego profesi, kesenjangan ketrampilan atau pengetahuan tim yang akan meningkatkan motivasi tim untuk memberikan pelayanan yang kualitas
STRES DAN RESILIENSI REMAJA DI MASA PANDEMI COVID-19
Full text linkThe existence of a pandemic raises a sense of concern for the community. For this reason, various efforts and policies were made to tackle the spread of Covid-19, including limiting school meetings and the imposition of online learning which is one of the stressors for adolescents. To overcome these stressors, one of them is needed resilience in adolescents. The purpose of this study was to determine the relationship between resilience and stress in adolescents during the Covid-19 pandemic. This research method is a quantitative correlation study with a cross-sectional design. Sampling in this study using accidental sampling technique. The sample in this study were adolescents aged 12-18 years in the city of Yogyakarta. The number of samples in this study were 136 respondents. The instruments used in this study used a modified resilience questionnaire from Monica (2015) and a stress questionnaire with DASS-42. Bivariable analysis using the Chi-Square test. The results of this study indicate the Chi Square results with a p value of 0.001 (p <0.05) which indicates that there is a relationship between resilience and stress in adolescents. The conclusion of this study is that there is a relationship between resilience and stress in adolescents
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PERILAKU SEKSUAL PRANIKAH PADA SISWA SMA SAMARINDA
Full text linkBackground; Adolescent Reproductive Health (15-24 years), 8% of young men agree to premarital sexual relations, and only 1% of young women. PKBI East Kalimantan (2008), among 300 adolescents (ages 13-20 years), 12% of respondents claimed to have had sex, 56% of them had sex like husband and wife, and most were high school / vocational high school students.
Aim; The aim of this study was to determine the factors associated with premarital sexual behavior in high school students in Samarinda City. Research outputs can be: Modules, International Journals, Seminars, Flip sheets and Leaflets on Premarital Sexual Behavior in Adolescents,
Method; The study used a cross sectional approach with a sample of 356 in 9 high schools and vocational schools in Samarinda, using the Slovin sample formula
Results; 1) There is a significant relationship between attitude, religiosity, and parenting factors with premarital sexual behavior among high school students in the city of Samarinda. 2) There is no significant relationship between information source factors and premarital sexual behavior among high school students in Samarinda City.
Conclusion; 1) It is very necessary to instill the values of good and positive attitudes for adolescents, especially in high school students as a reinforcement of premarital sexual understanding and its effects, 2) There needs to be an increase in fostering the appreciation and practice of religious values in schools and the implementation of religious obligations while at both at school and at home, 3) Open communication relations between parents and children are needed in order to implement good and democratic parenting.
 
DESCRIPTION OF KNOWLEDGE AND COMPLIANCE PAY IN JKN PARTICIPATION IN PANGGUNGHARJO VILLAGE, YOGYAKARTA
Full text linkABSTRAK
Jaminan Keseatan Nasional (JKN) merupakan salah satu program yang dibuat untuk membangun penduduk indonesia yang sehat. Dengan mengikuti kepesertaan JKN, diharapkan masyarakat mendapatkan pelayanan kesehatan yang baik dan pengobatan yang sesuai dengan pembayaran yang terjangkau. Kepesertaan JKN terdiri dari beberapa tingkatan kepesertaan sehingga masyarakat dapat mengikuti sesuai dengan kondisi masing-masing, pemilihan kepesertaan ini dapat dipengaruhi oleh beberapa faktor seperti pengetahuan, penghasilan, motivasi dan sebagainya. Sehingga penelitian ini bertujuan untuk mengetahui gambaran pengetahuan dan kepatuhan membayar dalam kepesertaan JKN di Desa Panggungharjo, Yogyakarta. Penelitian ini menggunakan rancangan crossectional dan pendekatan deskriptif kuantitatif, dengan menggunakan teknik accidental sampling didapatkan sebanyak 40 responden. dengan hasil kepesertaan JKN masyarakat Desa Panggungharjo sebesar 97,5%, dengan tingkat kepatuhan membayar sebesar 97,5% dan memiliki pengetahuan yang baik sebesar 87,5%. Sehingga dapat dikatakan bahwa masyarakat Desa Panggungharjo sudah berpengetahuan baik dan patuh dalam membayar iuran JK
Annona muricata (KAJIAN PEMANFAATAN DAN BIOAKTIVITASNYA DALAM KESEHATAN)
Full text linkAnnona muricata (AM) with the local name soursop is a multifunctional plant that is easily found in the yard which is used as a source of fruit, medicine and shade. In Indonesia in the 2000s, AM leaf was widely used as a cancer drug because it was considered safer and cheaper than synthetic drugs. Various facts show that the use of plants as traditional medicine sometimes causes side effects. This study aims to reveal the relationship between the use of AM as a traditional medicine and its bioactivity. The writing of this article is based on the study of literature in various books, research results and journals published online and offline by using the keywords Annona muricata and Annona muricata bioactivity. In ethnobotany AM is used as a treatment for intestinal worms, cancer, anti-hypertension, diabetes mellitus, headaches, fever, toothache, cough, and asthma. Various research results show that AM bioactivity as anti-Leismania, anti-helmet, anti-cancer, anti-oxidant, antidiabetic mellitus, and anti-malaria. Annonacin, acetogenin, and polyphenols are AM bioactive compounds that are known to have chemopreventive effects on cancer
UJI DIAGNOSTIK GENE XPERT MTB/RIF PADA PEMERIKSAAN MYCOBACTERIUM TUBERCULOSIS DI RSUD R. SYAMSUDIN SH KOTA SUKABUMI
Full text linkMycobacterium Tuberculosis infection is one of the endemic infectious diseases in Indonesia. The Mycobacterium Tuberculosis examination method in Indonesia uses conventional microscopic techniques. However, currently, a rapid molecular examination method has been developed, which is Gene Xpert MTB / RIF. The Clinical Laboratory of Syamsudin SH Sukabumi Regional Hospital is one of the hospitals that received a Gene Xpert MTB / RIF tool grant from the government. In the course of its use, diagnostic tests have not been conducted on this tools. The purpose of this study was diagnostic testing of Gene Xpert MTB / RIF for the examination of Mycobacterium Tuberculosis infection with sputum specimens. Diagnostic test values are calculated by making a 2x2 table. The comparison method in this study is conventional microscopic. Gene Xpert MTB / RIF the Clinical Laboratory of Syamsudin SH Sukabumi Regional Hospital, those are Sensitivity 85.3%, Specificity 100%, Positive Prediction Value 100% and Negative Prediction Value 92.3%. The conclusion of this research is the Gene Xpert MTB / RIF of The Clinical Laboratory of Syamsudin SH Sukabumi Regional Hospital is very high so that it can be used for screening and diagnostic Mycobacterium Tuberculosis infections.Infeksi Mycobacterium Tuberculosis adalah salah satu penyakit menular endemik di Indonesia. Metode pemeriksaan Mycobacterium Tuberculosis di Indonesia menggunakan teknik mikroskopis konvensional. Namun, saat ini, metode pemeriksaan molekuler cepat telah dikembangkan, yaitu Gene Xpert MTB / RIF. Laboratorium Klinik Rumah Sakit Syamsudin SH Sukabumi adalah salah satu rumah sakit yang menerima hibah alat Gene Xpert MTB / RIF dari pemerintah. Dalam perjalanan penggunaannya, tes diagnostik belum dilakukan pada alat ini. Tujuan dari penelitian ini adalah pengujian diagnostik Gene Xpert MTB / RIF untuk pemeriksaan infeksi Mycobacterium Tuberculosis dengan spesimen sputum. Nilai tes diagnostik dihitung dengan membuat tabel 2x2. Metode perbandingan dalam penelitian ini adalah mikroskopis konvensional. Gene Xpert MTB / RIF Laboratorium Klinik Rumah Sakit Syamsudin SH Sukabumi, yaitu Sensitivitas 85,3%, Spesifisitas 100%, Nilai Prediksi Positif 100% dan Nilai Prediksi Negatif 92,3%. Kesimpulan dari penelitian ini adalah Gen Xpert MTB / RIF dari Laboratorium Klinik RS Syamsudin SH sangat tinggi sehingga dapat digunakan untuk skrining dan diagnostik infeksi Mycobacterium Tuberculosis
Analisis Pengelolaan Limbah Medis Puskesmas di Kecamatan Babulu Kabupaten Penajam Paser Utara Berdasarkan Permenkes Nomor 27 Tahun 2017
Full text linkThe amount of medical waste originating from health facilities are expected progressively increasing. Waste generated from medical efforts such as health centers, polyclinics and hospitals are the type of waste which are included in the category of biohazard waste is very dangerous type of environment, where many exiles viruses, bacteria and other harmful substances. This study was conducted to analyze the management of solid medical waste in the public health centers in Kecamatan Penajam Kabupaten Penajam Paser Utara Provinsi Kalimantan Timur.
This research is a qualitative descriptive. The object of research is the implementation of medical waste management in health centers and community health centers target sanitarians and janitor. The research variables include the characteristics of medical waste, stage management, medical waste management officers, facilities, SOP and the perceived health impact of medical waste management officers.
The results showed solid medical waste management of health centers is not in accordance with the applicable provisions of the color of plastic bags are used not appropriate, storage locations are not eligible, and there are medical waste that is not destroyed by incineration. Medical waste management facilities not adequate ie no conveyance and no incinerators. Medical waste management is done not in accordance with the SOP and SOP is not in accordance with regulations. Medical waste management officers not using PPE.
It is advisable to do a lug medical waste with a plastic bag, label and symbol in accordance with existing regulations. Medical waste storage location is advisable to be in a secure area and symbols and labels. Waste disposal is done in the health center in order to keep attention to the existing guidelines to minimize the risk. The need for training on medical waste management and use of PPE