UNKLAB Ejournal System (Univ. Klabat)
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Analisis Faktor-Faktor yang Berhubungan dengan Angka Kematian Pasien Intensive Care Unit
Full text linkPendeteksi awal pada saat pasien masuk di Intensive Care Unit (ICU) merupakan bagian penting dalam membantu menurunkan angka kematian. Tujuan penelitian ini untuk menganalisis faktor-faktor yang berhubungan dengan angka kematian pasien ICU. Cross sectional study design digunakan dalam penelitian ini, dan pengambilan sample menggunakan total sampling dari rekam medis pasien di ICU pada bulan Oktober 2023 sampai September 2024. Analisis statistik yang digunakan adalah Pearson correlation coefficient, t-test, one-way ANOVA, and Hierarchical multiple regression. Sebanyak 73 data pasien meninggal di ICU diambil dalam penelitian ini. Hasinya mendapati bahwa, variable yang berhubungan significant dengan angka kematian pasien di ICU adalah usia (r= 0.24, p= 0.05), komorbiditas (r= -0.87, p= 0.01), kesadaran (r= -0.27, p= 0.01), dan diastolic pasien (r= 0.28, p= 0.05); Sedangkan veriabel ventilator mekanik, admisi, dan diagnostic tidak mempunyai hubungan yang significant dengan angka kematian pasien di ICU. Selain itu, variable predictor dari angka kematian pasien di ICU adalah usia, komorbiditas, systolic, diastolic dan diagnostic akut dari pasien dengan menyumbang 99.5% kematian di ICU. Implikasi penelitian ini adalah untuk memonitor ketat pasien ICU dengan usia lanjut, komorbidity, status kesadaran, dan tekanan darah terhadap angka kematian; Selain itu, tenaga kesehatan perlu memperhatikan secara cermat terhadap predictor dari angka kematian pasien di ICU seperti usia lansia, masuk dengan diagnosa akut, memiliki banyak komorbiditas, serta tidak stabilnya tekanan darah (systolic maupun diastolic) pada saat pasien masuk ke ICU.
Early detection upon patient admission to the Intensive Care Unit (ICU) is crucial in reducing mortality rates. This study analyzes the factors associated with ICU patient mortality. A cross-sectional study design was employed, with total sampling conducted using medical records of ICU patients from October 2023 to September 2024. The statistics analysis were used by Pearson correlation coefficient, t-test, one-way ANOVAs, and Hierarchical multiple regression. A total of 73 ICU patient mortality cases were analyzed. The findings indicate that variables significantly associated with ICU mortality included age (r = 0.24, p = 0.05), comorbidities (r= -0.87, p= 0.01), level of consciousness (r= -0.27, p= 0.01), and diastolic blood pressure (r= 0.28, p= 0.05). However, mechanical ventilation, admission type, and primary diagnosis were not significantly associated with ICU mortality. Additionally, the predictive factors for ICU mortality included age, comorbidities, systolic blood pressure, diastolic blood pressure, and acute diagnosis, collectively accounting for 99.5% of ICU deaths. The findings highlight the need for close monitoring of ICU patients, particularly those who are elderly, have multiple comorbidities, exhibit altered consciousness, or have unstable blood pressure. Furthermore, healthcare providers should carefully assess key predictors of ICU mortality, including advanced age, acute admission diagnosis, high comorbidity burden, and blood pressure instability (both systolic and diastolic) upon ICU admission
HIPERTENSI DENGAN KEMAMPUAN PENDENGARAN PADA PENDERITA HIPERTENSI DI KELURAHAN MADIDIR URE
Full text linkHipertensi merupakan penyakit yang sering di temui di masyarakat dan dapat menyebabkan banyak komplikasi dalam tubuh manusia. Salah satu komplikasi yang berpotensi terjadi adalah gangguan pendengaran yang diakibatkan karena hipoksia jaringan dan ketidakseimbangan ion dalam stria vaskularis. Tujuan penelitian ini untuk mengetahui apakah ada hubungan yang signifikan antara hipertensi dengan kemampuan pendengaran pada masyarakat di Kelurahan Madidir Ure. Metode penelitian digunakan kuantitatif korelasi dengan pendekatan cross sectional, teknik pengambilan sampel yaitu purposive sampling dengan jumlah 60 responden. Spigmomanometer dan stethoscope digunakan untuk mengukur tekanan darah, sementara tes bisik digunakan untuk pemeriksaan kemampuan pendengaran. Hasil penelitian untuk uji korelasi menggunakan rumus Spearman Correlation menunjukkan hubungan yang signifikan antara tekanan darah sistolik dengan kemampuan pendengaran (0,028) dengan kekuatan hubungan yang rendah dengan arah negatif (nilai r – 0,284), sementara untuk tekanan darah diastolik menunjukkan hasil yang tidak signifikan (0,716). Lama menderita hipertensi dengan kemampuan pendengaran menunjukkan hubungan yang signifikan (0,000) dengan kekuatan hubungan cukup kuat dengan arah negatif (nilai r -0,578). Rekomendasi bagi para penderita hipertensi agar lebih dini memeriksakan pendengaran pada instansi kesehatan terdekat agar dapat menditeksi lebih dini kemampuan pendengaran yang ada, serta mencari jalan keluar yang terbaik. Bagi peneliti selanjutnya agar dapat meneliti faktor-faktor lainnya yang dapat berhubungan dengan kemampuan pendengaran seperti usia, jenis kelamin, terpapar dengan kebisingan, serta jenis obat hipertensi yang digunakan.
Hypertension is a prevalent condition within the community that can lead to numerous complications within the human body, including, but not limited to, hearing loss. This loss can result from tissue hypoxia and an imbalance of ions within the stria vascularis.The objective of this study was to ascertain the existence of a significant relationship between hypertension and hearing loss within the community of Madidir Ure Village. The research method employed was quantitative correlation with a cross-sectional approach, and the sampling technique was purposive sampling, with a total of 60 respondents included in the study.Blood pressure was measured using a sphygmomanometer and a stethoscope, while a whisper test was used to check for hearing loss. The results of the correlation test using the Spearman Correlation formula show a significant relationship between systolic blood pressure and hearing impairment (0.028) with a low strength of relationship in a negative direction (r value - 0.284), while for diastolic blood pressure, the results are insignificant (0.716). Furthermore, the duration of hypertension in conjunction with hearing impairment exhibits a substantial relationship (p = 0.000), demonstrating a robust negative correlation (r = -0.578).It is recommended that individuals with hypertension undergo audiological evaluation at health agencies in a timely manner, with the aim of identifying and addressing any existing hearing impairments. Further research is recommended to examine other factors that may be related to hearing loss, such as age, gender, exposure to noise, and the type of hypertension medication used
HUBUNGAN ANTARA KECEMASAN PADA PASIEN POST OPERASI TERHADAP KESIAPAN PASIEN MENGHADAPI PERAWATAN LANJUTAN
Full text linkLatar belakang: Kecemasan adalah salah satu respons emosional yang umum dialami pasien post operatif, serta berdampak pada proses pemulihan secara keseluruhan. Tujuan: Tujuan dari penelitian ini untuk mengetahui hubungan antara kecemasan dan perawatan lanjutan post operative di rumah. Metode: Cross-sectional study design digunakan dalam penelitian ini. Teknik pengambilan sample menggunakan Convenience sampling pada 30 responden. Readiness for Hospital Discharge Scale (RHDS) dan The State-Trait Anxiety Inventory (STAI) digunakan sebagai alat ukur. Pearson correlation, Independent t-test, dan Hierarchical multiple regressions digunakan untuk mengolah data. Hasil: Usia mempunyai hubungan yang signifikan dengan perawatan lanjutan post operative di rumah (r= -.79, p< .01), dan kecemasan mempunyai hubungan yang significant dengan perawatan lanjutan post operative di rumah (r= .53, p< .01); Sedangkan, jenis kelamin tidak mempunyai pengaruh yang significant terhadap perawatan lanjutan post operative di rumah. Kesimpulan: Kesiapan pasien dalam menghadapai perawatan lanjutan dirumah memiliki peran dalam menangani masalah kecemasan, serta usia dari responden dapat membantu pasien dalam menghadapi perawatan lanjutan dirumah.
Background: Anxiety is a common emotional response experienced by post-operative patients and significantly impacts the overall recovery process. Purpose: This study aims to examine the relationship between anxiety and post-operative home-based care. Methods: A cross-sectional study design was employed. A total of 30 respondents were selected using the convenience sampling technique. The Readiness for Hospital Discharge Scale (RHDS) and The State-Trait Anxiety Inventory (STAI) were used as measurement tools. Data were analyzed using Pearson correlation, independent t-test, and hierarchical multiple regression. Results: Age was found to have a significant relationship with post-operative home-based care (r = -0.79, p < .01), while anxiety also showed a significant correlation with post-operative home-based care (r = 0.53, p < .01). However, gender did not have a significant effect on post-operative home-based care. Conclusion: Patient readiness for post-operative home-based care plays a crucial role in managing anxiety, and patient age may influence their ability to cope with post-operative care at home
THE ROLE OF THE FAMILY IN HANDLING STUNTING INCIDENTS IN TODDLERS (CASE STUDY IN KARANGANYAR REGENCY)
Full text linkStunting is an unresolved problem to date. In fact, there are still many areas in Indonesia that have quite high stunting rates in toddlers, one of which is in Karanganyar Regency. This study aims to determine the study of the role of the family in handling stunting in toddlers. In answering the research objectives, a phenomenological approach was used which is included in one of the qualitative methods. The sampling technique was carried out purposively, namely in Gebyog Village, Mojogedang District. The sample size in the study was 10 parents who had stunted children in Gebyog Village, Mojogedang District. Qualitative analysis of the research results was also presented using the collaizi method by conducting interviews and making field notes with word-for-word transcripts. Based on the results of the study, it can be seen that the role of parents is mostly at a sufficient level. The results of the study also stated that the nutritional status of most children is at a low level. This is due to the limited economic status of the parents' household so that nutritional intake cannot be met optimally. The results of the study also stated that 4 aspects were identified that were suspected of having an influence, namely perspective and experience, psychological response, parental expectations and moral and material support. Parents' experience in preventing stunting, namely the desire and motivation for stunting to occur. Parents are expected to try to access information related to stunting prevention and apply it in everyday life.
 
PENGETAHUAN DAN PERILAKU PENGGUNAAN ANTIBIOTIK OLEH MAHASISWA KEPERAWATAN
Full text linkResistensi antibiotik, yang menyebabkan 1,27 juta kematian global pada 2019, terus meningkat di Indonesia, dengan lebih dari 70% kasus resistensi tercatat pada 2023, sehingga memerlukan intervensi pada perilaku penggunaan antibiotik, khususnya di kalangan mahasiswa keperawatan. Tujuan: Mengetahui hubungan tingkat pengetahuan dengan perilaku penggunaan antibiotik mahasiswa Ilmu Keperawatan Universitas Katolik De La Salle Manado. Desain: Penelitian ini menggunakan desain deskripsi korelasi dengan target populasi mahasiswa. Metode confinience sampling digunakan, dengan jumlah populasi 250 dan yang hadir serta bersedia sebanyak 158 responden. Hasil: Nilai Spearman’s rho sebesar 0,504 dengan ρ-value <0,001 menunjukkan terdapat korelasi positif sedang antara tingkat pengetahuan dan perilaku penggunaan antibiotik pada mahasiswa Ilmu Keperawatan Universitas Katolik De La Salle Manado. Kesimpulan: Terdapat korelasi positif sedang antara tingkat pengetahuan dan perilaku penggunaan antibiotik pada mahasiswa Ilmu Keperawatan Universitas Katolik De La Salle Manado.
Background: Antibiotic resistance, which caused 1.27 million global deaths in 2019, continues to rise in Indonesia, with over 70% of resistance cases recorded in 2023. This highlights the need for interventions targeting antibiotic use behavior, particularly among nursing students. Objective: To determine the relationship between knowledge levels and antibiotic use behavior among Nursing Science students at Universitas Katolik De La Salle Manado. Design: This study employed a descriptive correlation design with nursing students as the target population. A confinience sampling method was used, with 250 individuals in the population and 158 respondents who were present and willing to participate. Results: Spearman’s rho value of 0.504 with a ρ-value <0.001 indicated a moderate positive correlation between knowledge levels and antibiotic use behavior among Nursing Science students at Universitas Katolik De La Salle Manado. Conclusion: There is a moderate positive correlation between knowledge levels and antibiotic use behavior among Nursing Science students at Universitas Katolik De La Salle Manado
RELIGIUSITAS DAN TINGKAT KECEMASAN MENGHADAPI DUNIA PEKERJAAN PADA MAHASISWA
Full text linkBagi mahasiswa yang akan beralih dari dunia pendidikan pada dunia pekerjaan, kecemasan sangat signifikan dirasakan dalam kehidupan. Kecemasan dalam menghadapi dunia kerja dipicu oleh berbagai faktor, seperti ketidakpastian masa depan, kurangnya pengalaman, dan ekspektasi sosial yang tinggi. Kecemasan yang berlebihan yang dialami oleh mahasiswa dapat diminimalisir dengan melakukan intervensi psikologi salah satunya dengan meningkatkan religiusitas. Universitas Klabat (UNKLAB) merupakan salah satu kampus yang berada di Sulawesi Utara yang menanamkan ilmu kerohanian yang tinggi bagi para mahasiswanya. Penelitian ini bertujuan untuk untuk mengetahui hubungan antara tingkat religiusitas dengan Tingkat kecemasan mahasiswa dalam menghadapi dunia pekerjaan pada mahasiswa Profesi Ners, Fakultas Keperawatan (FKEP) UNKLAB. Penelitian ini telah menggunakan desain penelitian descriptive correlation dengan pendekatan cross-sectional. Sampel penelitian ditentukan dengan menggunakan teknik total sampling dengan jumlah partisipan sebanyak 73 mahasiswa Profesi Ners. Hasil analisis menunjukan nilai signifikan p = 0.358; r = -0.109 yang mana menyimpulkan bahwa tidak terdapat hubungan yang signifikan antara religiusitas dengan tingkat kecemasan menghadapi dunia pekerjaan pada mahasiswa Profesi Ners FKEP UNKLAB. Direkomendasikan kepada mahasiswa yang masi berada pada kategori religiusitas rendah untuk dapat meningkatkan religiusitas. Untuk penelitian selanjutnya, untuk melakukan penelitian pada sampel yang lebih besar.
For students on the verge of transitioning from the academic realm to the professional sphere, anxiety plays a pivotal role in their lives. Anxiety in relation to the world of work is triggered by various factors, including uncertainty about the future, a lack of experience, and high social expectations. The phenomenon of excessive anxiety experienced by students can be mitigated through the implementation of psychological interventions. One such intervention involves the promotion of religiosity. Universitas Klabat (UNKLAB), located in North Sulawesi, is an institution that prioritizes the cultivation of profound spiritual knowledge among its students. This study aims to determine the relationship between the level of religiosity and the level of student anxiety in facing the world of work in Profesi Ners students, Fakultas Keperawatan (FKEP) UNKLAB. This study has used a descriptive correlation research design with a cross-sectional approach. The research sample was determined using a total sampling technique with 73 participants. The analysis results show a significant value of p = 0.358; r = -0.109, which concludes that there is no significant relationship between religiosity and the level of anxiety facing the world of work in Profesi Ners students FKEP UNKLAB. It is recommended that students who are still in the low religiosity category be able to increase their religiosity. For further research, conduct research on a larger sample.
 
Digital Transformation in Halal Certification: Opportunities for SMEs in Indonesia
No full textMany MSMEs in Indonesia continue to face challenges in understanding digital halal certification due to limited access to technology and digital infrastructure. To address this issue, effective technological education and online halal certification training are essential to help MSMEs fully utilize the certification process. This study aims to explore the opportunities and benefits of digital transformation in halal certification for MSMEs. Using a qualitative approach with a case study method, the research focuses on MSMEs in Kraton Village, Kencong, Jember, that have obtained halal certification through a mobile application. Data was collected through in-depth interviews, observations, and documentation, then analyzed using the Miles and Huberman method, which includes data reduction, conclusion drawing, and verification. The findings reveal a significant positive impact of digital technology—particularly mobile applications—on the halal certification process for MSMEs. The adoption of digital tools has significantly reduced administrative burdens by simplifying the certification application process, minimizing the need for physical documents, and streamlining bureaucratic procedures. These results indicate that digital technology enhances administrative efficiency, expands market opportunities, and improves access to halal certification. However, this study has limitations, including a narrow sample size and the lack of long-term analysis. Future research should expand the sample, investigate long-term effects, and assess the training and challenges faced by MSMEs in adopting digital halal certification
Increasing Knowledge about Pregnancy Prevention among Adolescents through Education Intervention
Full text linkAdolescent pregnancy has become a significant public health issue worldwide, including in Indonesia which has a negative impact on the holistic health of adolescents. One effective approach to addressing the issue of teenage pregnancy is through health education interventions aimed at increasing adolescent knowledge and awareness of reproductive health. The research aims to analyze the influence of health education on the prevention of adolescents pregnancy. The research method used was quasi-experimental with a pre-post design, involving 30 female student respondents in this study, with samples taken using the total sampling method. Data were collected by distributing questionnaires before and after the health education intervention. Data analysis was conducted using the Wilcoxon Signed Ranks Test formula. The results of the pretest and post-test scores from 30 participants. The minimum score on the pretest was 41, while the maximum score was 76, with an average of 56.90. After the treatment, the posttest scores showed a minimum of 71, a maximum of 94, with an average of 82.17. The analysis used the Wilcoxon Signed Ranks Test to see the significant difference in knowledge before and after the treatment, obtaining a p-value of 0.000 < α. 0.05. Indicates that Ho is rejected, which means that the intervention conducted has successfully increased adolescents' knowledge about pregnancy prevention among Adolescent. Further research is required to investigate other variables like video on demand or Google slide media that may affect the efficacy of interventions and to ascertain the optimal means for disseminating information to adolescents.
Kehamilan remaja telah menjadi masalah kesehatan masyarakat yang signifikan di seluruh dunia, termasuk di Indonesia yang berdampak negatif pada kesehatan holistik remaja. Salah satu pendekatan yang efektif untuk mengatasi masalah kehamilan remaja adalah melalui intervensi pendidikan kesehatan yang bertujuan untuk meningkatkan pengetahuan dan kesadaran remaja tentang kesehatan reproduksi. Penelitian ini bertujuan untuk menganalisis pengaruh Pendidikan Kesehatan terhadap pencegahan kehamilan remaja. Metode penelitian yang digunakan adalah kuasi-eksperimental dengan desain pre-post, melibatkan 30 responden siswi dalam penelitian ini, dengan sampel diambil menggunakan metode total sampling. Data dikumpulkan dengan menyebarkan kuesioner sebelum dan setelah intervensi Pendidikan Kesehatan. Analisis data dilakukan menggunakan rumus Uji Wilcoxon Signed Ranks. Hasil skor pretest dan post-test dari 30 peserta. Skor minimum pada pretest adalah 41, sedangkan skor maksimum adalah 76, dengan rata-rata 56,90. Setelah perlakuan, skor posttest menunjukkan minimum 71, maksimum 94, dengan rata-rata 82,17. , Analisis menggunakan Uji Wilcoxon Signed Ranks untuk melihat perbedaan signifikan dalam pengetahuan sebelum dan setelah perlakuan, memperoleh nilai p sebesar 0.000 < α. 0.05. ,Menunjukkan bahwa Ho ditolak, yang berarti bahwa intervensi yang dilakukan telah berhasil meningkatkan pengetahuan remaja tentang pencegahan kehamilan di kalangan remaja. Penelitian lebih lanjut diperlukan untuk menyelidiki variabel lain seperti media video on demand atau google slide yang mungkin mempengaruhi efektivitas intervensi dan untuk menentukan cara terbaik dalam menyebarkan informasi kepada remaja
Political Accounting in Indonesia’s Strategic SOE IPO
Full text linkIndonesia has increasingly turned to initial public offerings of strategic state-owned enterprises (SOEs) to finance post-pandemic development ambitions and showcase its climate credentials. The February 2023 listing of PT Pertamina Geothermal Energy (PGEO)—the country’s first geothermal-focused flotation—typifies this strategy, presenting the company as a flagship of the national green-transition agenda. This article investigates how accounting disclosures surrounding the IPO were mobilized as instruments of political legitimacy. Employing a mixed-methods design, the study combines systematic content analysis of the PGEO prospectus and 2022–2023 sustainability reports with an event study of abnormal share-price movements across an eleven-day (±5) window. The textual analysis uncovers a carefully layered narrative in which themes of “green leadership”, “energy sovereignty”, and “inclusive growth” are interwoven with governance affirmations to appeal simultaneously to investors, policy-makers, and civil society. The event study registers a cumulative abnormal return of approximately five per cent by day +2, indicating that markets provisionally validated the legitimacy signals embedded in the disclosures. Collectively, the findings suggest that PGEO’s IPO was orchestrated not merely as a capital-market transaction but as a calibrated act of political accounting aligning investor confidence with state objectives
Kebiasaan Berbahasa Inggris dan Rencana Kerja ke Luar Negeri dengan Hasil Belajar Bahasa Inggris Mahasiswa Keperawatan
No full textHasil belajar mahasiswa keperawatan merupakan indikator penting dalam menilai kesiapan mereka memasuki dunia kerja, terutama di tengah meningkatnya kebutuhan tenaga kesehatan global. Penelitian ini bertujuan untuk menganalisis hubungan antara kebiasaan berbahasa Inggris dan rencana kerja ke luar negeri dengan hasil belajar bahasa Inggris mahasiswa keperawatan. Penelitian ini menggunakan pendekatan kuantitatif dengan desain deskriptif komparatif dan metode longitudinal. Data dikumpulkan dari mahasiswa Fakultas Keperawatan pada salah satu universitas swasta di Sulawesi Utara selama semester ganjil tahun ajaran 2024–2025. Data dianalisis menggunakan uji Kruskal-Wallis dan dilanjutkan dengan Dunn Test. Hasil penelitian menunjukkan adanya perbedaan signifikan dalam hasil belajar berdasarkan kebiasaan berbahasa Inggris dan rencana kerja ke luar negeri (p < 0,05). Mahasiswa yang lebih sering menggunakan bahasa Inggris serta memiliki rencana kerja ke luar negeri cenderung memiliki hasil belajar yang lebih tinggi dibandingkan kelompok lainnya. Temuan ini mengindikasikan bahwa faktor kebiasaan dan motivasi karier memiliki kontribusi penting terhadap capaian akademik. Pentingnya penguatan pembelajaran bahasa Inggris dan bimbingan karier global dalam pendidikan keperawatan, serta perlunya penelitian lanjutan dengan pendekatan kualitatif untuk mengeksplorasi dimensi motivasional secara lebih mendalam.
Nursing students' learning outcomes are important indicators in assessing their readiness to enter the workforce, especially amidst the increasing need for global health workers. This study aims to analyze the relationship between English language habits and overseas work plans with nursing students' English language learning outcomes. This study used a quantitative approach with a comparative descriptive design and longitudinal method. Data were collected from students of the Faculty of Nursing at a private university in North Sulawesi during the odd semester of the 2024–2025 academic year. Data were analyzed using the Kruskal-Wallis test and continued with the Dunn Test. The results showed significant differences in learning outcomes based on English language habits and overseas work plans (p < 0.05). Students who use English more often and have overseas work plans tend to have higher learning outcomes than other groups. These findings indicate that career habit and motivation factors have important contributions to academic achievement. The importance of strengthening English language learning and global career guidance in nursing education, as well as the need for further research with a qualitative approach to explore the motivational dimension in more depth