Jurnal Health Sains (JHS)
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KNOWLEDGE TO INCREASE NURSING WORK PERFORMANCE INPATIENT CARE: EMPIRICAL STUDY AT RSUD TAMANSARI
Get PDFThe hospital has the role of providing a holistic health care services. Nursing personnel makes up the largest proportion, which are almost 50% of all hospital human resources. The purpose of this study is to determine the effect analysis of motivation, workload and knowledge on the performance of nursing staff at RSUD Tamansari inpatient care. The method used in this study is cross sectional in the form of quantitative causality. Data collection used a survey method by taking questionnaires from 41 nurses in the inpatient unit of RSUD Tamansari. The sampling technique used in this study is total sampling. The analysis between variables using multiple linear regression test. The results showed that motivation and knowledge variables had a significant value of <0.05, while the workload variable had a significant value of >0.05. The research findings show that the dominant knowledge variable influences the performance of nursing staff inpatient care at RSUD Tamansari. The conclusion in this study is that motivation and knowledge have a direct and significant effect on the performance of nursing staff at inpatient care at RSUD Tamansari and workload does not have a direct and significant effect on the performance of nursing staff at inpatient care at RSUD Tamansari. One of the managerial implications is that hospital management and training units need to improve the education and training system as a priority
Protective Effect of Andropraphis Paniculata Aqueous Extract (EAAp) Against Isoniazid and Rifampicin-Induced Rat Liver Damage
Get PDFIsoniazid (INH) and rifampicin (RIF) are first-line antituberculosis drugs (OAT) in tuberculosis treatment that are used for at least 6 months. The use of OAT has been associated with toxic reactions in the liver and causes hepatitis. This study aimed to determine the effect of an aqueous extract of Andrographis paniculata (EAAp) on liver damage induced by INH and RIF. Method: Male Sprague-Dawley rats weighing 250–300g were divided into 5 groups, each consisting of 6 mice. Animals were given isoniazid and rifampicin at 100 mg/kg, respectively, to induce liver damage, silymarin (25 mg/kg) for the positive control group, and Ap extract at doses of 200mg and 300 mg/kg for the test group. All treatments were given orally once daily for 28 days. Measurement of serum aspartate transaminase (AST), alanine transaminase (ALT), alkaline phosphatase (ALP), bilirubin, and liver histopathology levels was carried out to determine the effect of EAAp on liver damage by INH and RIF. Results: Rats treated with INH+RIF were hepatotoxic, as evidenced by increased serum ALT, AST, and ALP activity, total bilirubin levels, and histopathological changes in the liver. Administration of Ap extract doses of 200 mg/kg and 300 mg/kg significantly decreased liver biochemical and histological changes caused by OAT. Conclusions: EAAp has a protective effect against hepatotoxic-induced INH and RIF in animal models
Survey of Inflammatory Biomarkers in Blood and Sputum in Pulmonary Tuberculosis Patients
Get PDFTuberculosis (TB) is still a global health problem that exists today. Various efforts to reduce the number of TB patients have been carried out ranging from detection efforts to treatment and prevention efforts. Many studies have been conducted previously to look at the detection potential of laboratory diagnoses in finding new cases of tuberculosis. Likewise, efforts to detect prognosis in the laboratory to monitor the development of the condition of TB patients. The development of inflammatory conditions in TB patients is important to accelerate the healing process of these patients. Inflammatory marker tests have been widely performed on several types of laboratory test parameters. CRP and LDH are types of testing that have potential as markers of inflammatory development in TB patients. However, proven tests generally use blood specimens, which are commonly used in laboratory analysis for these parameters. Meanwhile, the current research theme has also been directed at the use of other types of specimens that can show inflammatory conditions experienced by a person. Saliva is known to have potential as another alternative specimen that can be used for such purposes. Saliva is easily obtained and does not require invasive techniques such as needle invocation, so it is considered to have more advantages if it can be proven as a laboratory test specimen that can provide information that is as good and accurate as blood or serum. This study aimed to assess the potential of saliva as an alternative specimen for laboratory analysis with the aim of markers in the assessment of prognosis of TB patients. CRP examination and LDH enzyme activity were chosen in this study of serum and saliva specimens of TB subjects and controls. From this study, it is expected to be shown that saliva can be used as an alternative specimen in laboratory analysis for inflammatory marker tests on both parameters. The results obtained showed that the measurement of LDH activity and and CRP levels in saliva observed in this study proved to have good potential in predicting the presence of inflammation and cell damage experienced by TB subjects. LDH test results have a strong relationship between serum and saliva as laboratory test materials, even salivary LDH levels are higher than serum. While CRP, although saliva showed low levels, the correlation test carried out still showed a strong relationship between the results of the two types of specimens
Analysis of The Regulation of The Minister of Health Regulation Number 24 of 2022 Concerning Medical Records in Terms of Conventional Medical Record Management
Get PDFHealth is part of basic human needs. Because without health it is difficult for a person to carry out daily activities and meet other needs in this life. The following are some sources of data/legal materials that can be used for research on the Juridical Review of the Minister of Health Regulation Number 24 of 2022 concerning Medical Records. The theoretical basis of research on the Juridical Review of the Minister of Health Regulation Number 24 of 2022 concerning Medical Records, in the Management of Conventional Medical Records, includes
Efektivitas Senam Tai Chi terhadap Nilai Angkle Brachial Indeks Pada Diabetes Mellitus Tipe 2 Perokok dan non Perokok Di Kota Bima
No full textDiabetes mellitus is a metabolic disorder that is often associated with modern lifestyle habits such as smoking. The content of toxins in cigarettes can cause blood circulation disorders in the legs which can be measured through examination of the value of the ankle brachial pressure index. This comparative descriptive study aims to identify differences in anklebrachial pressure index values in smokers and non-smokers of diabetes mellitus patients. The sampling technique is in the form of purposive sampling involving 100 respondents to type 2 diabetes mellitus. The results of data analysis with the paired t test obtained a p-value value of 0.0001 > 0.05 there was an effect of giving tai chi movement on the value of ABI in smoker respondents, and obtained a p value of 0.01 > 0.05 there was an influence of giving tai chi movements on the value of ABI in non-smoker respondents. The conclusions of this study show that there are differences in the value of the ankle brachial pressure index in smokers and non-smokers of diabetes mellitus patients after being given tai chi. To prevent the occurrence of complications of diabetes mellitus, it is hoped that you will maintain a good lifestyle such as not smoking, maintaining a diet, and exercising regularly.Diabetes melitus merupakan gangguan metabolisme yang sering dikaitkandengan kebiasaan gaya hidup modern seperti kebiasaan merokok. Kandungan racundalam rokok dapat menyebabkan gangguan sirkulasi darah pada kaki yang dapatdiukur melalui pemeriksaan nilai ankle brachial pressure index. Penelitiandeskriptif komparatif ini bertujuan untuk mengidentifikasi perbedaan nilai anklebrachial pressure index pada pasien diabetes melitus perokok dan non perokok. Teknik pengambilan sampel berupa purposive sampling dengan melibatkan 100 responden diabetes melitus tipe 2. Hasil analisa data dengan uji paired t test didapatkan p-value value 0.0001 > 0.05 terdapat pengaruh pemberian gerakan tai chi terhadap nilai ABI pada responden perokok, dan didapatkan nilai p value 0.01 > 0.05 terdapat pengaruh pemberian gerakan tai chi terhadap nilai ABI pada responden non perokok. Kesimpulan penelitian ini menunjukan bahwa terdapat perbedaan nilai ankle brachial pressure index pada pasien diabetes melitus perokok dan non perokok setelah diberikan tai chi. Untuk mencegah terjadinya komplikasi diabetes melitus diharapkan tetap menjaga gaya hidup yang baik seperti jangan merokok, menjaga pola makan, dan rutin berolahraga.
 
Pengembangan Pemasaran Dental Tourism Sebagai Peluang Bisnis Kesehatan Pariwisata di Bali
Get PDFThe Minister of Tourism and Creative Economy (Menparekraf) Sandiaga Uno launched Bali as a health-based tourism destination (medical tourism), this was done to create jobs and restore the glory of the Island of the Gods tourism sector. Dental Tourism is a business opportunity to invite tourists besides enjoying the beauty of nature, dental care packages are included, moreover there are lots of non-emergency dental treatments. Phase 1 research aims to find out what is the motivation, and the level of satisfaction with dental tourism services in Bali in 2022. The method used is the Delphi method, and quantitative data collection is carried out using a questionnaire. Descriptive statistical analysis tests are calculated using SPSS Version 20. Reliability of the dimensions of motivation and satisfaction is analyzed using Cronbach's Alpha. The reliability of the motivation and satisfaction dimensions were analyzed using Cronbach's Alpha. The results obtained from 342 respondents, 51.8% more women than men, with the origin of the respondents from abroad, the most from Australia (60.5%), and related to dental care as many as (21.7%) willing to do dental work. filling and as many as (17%) want to do scaling when doing dental treatment in Bali. In terms of motivation, most (75.7%) of respondents have good driving motivation and most (76.9%) have good pull motivation to do dental treatment in Bali. The chi-square test showed that push motivation and pull motivation had a relationship with the satisfaction received by respondents after doing dental treatment in Bali (p <0.05). Where if someone has a better push and pull motivation, then there is a greater chance of getting satisfaction after doing dental treatment in Bali. The results of multivariate analysis show that a good driving motivation has a 1.5 times greater chance of obtaining satisfaction after doing dental treatment in Bali. Meanwhile, someone who has a good pulling motivation has a 2.8 times greater chance of getting satisfaction after doing dental treatment in Bali.Menteri Pariwisata dan Ekonomi Kreatif (Menparekraf) Sandiaga Uno mencanangkan Bali sebagai destinasi wisata berbasis kesehatan (medical tourism), hal ini dilakukan untuk membuka lapangan kerja dan mengembalikan kejayaan sektor pariwisata Pulau Dewata. Dental Tourism adalah suatu peluang bisnis untuk mengajak wisatawan selain menikmati keindahan alam, dimasukkan paket perawatan gigi apalagi banyak sekali perawatan gigi yang non darurat. Penelitian tahap 1 tujuannya ingin mengetahui apa motivasi, dan tingkat kepuasan layanan dental tourism di Bali tahun 2022. Metode yang dipergunakan adalah metode Delphi, dan pengambilan data kuantitatif dengan kuesiner, Uji analisis Statistik deskriptif dihitung menggunakan SPSS Versi 20. Reabilitas dimensi motivasi dan kepuasan dianalisis menggunakan Cronbach,s Alpha. Hasil yang diperoleh dari 342 responde, lebih banyak peremuan 51,8% dibanding laki-laki, dengan asal responden dari mancanegara, yang paling banyak dari Australia (60,5%), dan terkait perawatan gigi sebanyak (21,7%) mau melakukan filling dan sebanyak (17%) mau melakukan scalling ketika melakukan perobatan gigi di Bali. Terkait dengan motivasi, sebagian besar (75,7%) responden memiliki motivasi pendorong yang baik dan sebagian besar pula (76,9%) memiliki motivasi penarik yang baik untuk melakukan pengobatan gigi di Bali. Uji chi-square didapatkan hasil motivasi pendorong dan motivasi penarik memiliki hubungan dengan kepuasan yang diterima responden setelah melakukan pengobatan gigi di Bali (p<0,05). Dimana jika seseorang memiliki motivasi pendorong dan motivasi penarik yang lebih baik, maka berpeluang lebih besar mendapatkan kepuasan setelah melakukan pengobatan gigi di Bali. Hasil analisis multivariate menunjukkan motivasi pendorong yang baik berpeluang 1,5 kali lebih besar memperoleh kepuasan setelah melakukan pengobatan gigi di Bali. Sedangkan seseorang yang memiliki motivasi penarik yang baik berpeluang 2,8 kali lebih besar memperoleh kepuasan setelah melakukan pengobatan gigi di Bali
Implementasi Clinical Pathway dengan Analisa Penggunaan Antibiotika, Pasien Anak dengan Demam Tifoid Rawat Inap
Get PDFClinical Pathway (CP) is an important part of the documents and tools to realize good clinical governance in hospitals. In Indonesia, this document is also one of the requirements that must be met in the Hospital Accreditation Standard version of the Hospital Accreditation Commission (KARS). The aim of this study was to determine the effectiveness of implementing CP in pediatric patients with typhoid fever on clinical outcomes, length of stay, use of antibiotics at Permata Bekasi Hospital. Providing information and scientific data regarding the implementation of CP on clinical outcomes and can be used as a reference material in making programs and regulation of antibiotics used for pediatric patients with typhoid fever in a rational manner. The research used is a quantitative method with a pre and post approach after the implementation of CP using secondary data, namely medical records of patients with typhoid fever hospitalized at Permata Bekasi Hospital retrospectively. The age group before CP was the most aged 5 - <10 years (29.8%), as well as the group after CP the most aged 5 - <10 years (34.7%), it can be concluded that the age range was diagnosed with typhoid fever more than the age of the other patients. The effectiveness of CP implementation after CP can reduce the average length of stay according to CP recommendations compared to before CP implementation.Clinical Pathway (CP) dibuat untuk memberikan rincian apa yang harus dilakukan pada kondisi klinis tertentu. Pengembangan dan penerapan CP demam tifoid rawat inap di Rumah Sakit Permata Bekasi sebelumnya belum pernah dilakukan evaluasi, sehingga diperlukan penelitian yang bertujuan untuk mengetahui efektivitas CP, yang diharapkan dapat menjadi salah satu instrumen dalam upaya peningkatan mutu bagi Rumah Sakit Permata Bekasi. Demam tifoid adalah penyakit demam akut yang disebabkan oleh infeksi bakteri Salmonella typhi, penyakit ini sering ditemukan di rumah sakit Permata Bekasi. Pengobatan terhadap penyakit ini adalah menggunakan antibiotika yang merupakan obat utama. Penelitian ini merupakan penelitian observasional dengan metode potong lintang untuk mengetahui efektifitas CP sebelum (Januari-Desember 2017) dan sesudah (Januari-Desember 2018) implementasinya. Jumlah sampel pada penelitian ini adalah 242 sampel dimana pembagiannya sebelum CP sebanyak 121 pasien dan sesudah CP sebanyak 121 pasien. Jumlah pasien yang diberikan terapi simptomatis analgetik/antipiretik terdapat penurunan setelah CP (86.8%) sebelum CP (95%), Sebelum implementasi CP persentase antibiotika yang rasional sebanyak 38(31.4%) dan sesudah CP sebanyak 34(28%) dan penggunaan antibiotika terbesar adalah ceftriakson, sebelum CP 61,57(98.4%) dan sesudah CP sebanyak 68.03(96.9%). Implementasi CP mempengaruhi lama rawat, tapi tidak mempengaruhi kualitas dan kuantitas penggunaan antibiotika. Tidak ada perbedaan signifikan terkait Outcome klinis pasien sebelum dan sesudah CP dimana pasien diperbolehkan pulang/membaik
The Influence of Emotional Intelligence, Nurse Loyalty, Leadership Style, Intervention of Motivational Variables in Hospital
Get PDFEmployees are human resources which are the most important assets to provide excellence to drive the dynamics of an organization or company. Loyal employees can be a very valuable asset for the organization because they can help get as much profit as possible for the organization. The purpose of this study was to analyze the influence of leadership, Emotion intelligence on employee loyalty with motivation as an intervening variable on nurses at the South Sumatra Type C Hospital. This research is a quantitative research, data collection was carried out using a questionnaire instrument. The number of samples determined is 120 employees. The sampling technique was done by purposive sampling. The analytical method using the partial least squares approach - structural equation modeling (SEM-PLS) with the SMART PLS program was used for data analysis. The results showed that leadership style had a positive and significant effect on employee motivation and loyalty, Emotion intelligence had a positive and significant effect on employee motivation and loyalty, and work motivation had a positive and significant effect on employee loyalty at the South Sumatra Type C Hospital
Hubungan Penggunaan Kontrasepsi Hormonal dengan Hasil Pemeriksaan Inspeksi Visual Asam Asetat (IVA)
Get PDFCervical cancer is a malignancy of cells that occurs in the cervix. In 2015, in NTB there were 8,020 people who had cervical cancer and in 2016 it had increased to 14,431 people. Hormonal contraception is a risk factor for cervical cancer. This study aims to determine the relationship between the use of hormonal contraception and VIA examination results at the Meninting Public Health Center. Cross Sectional research design with medical record measurement tools. A total of 59 research samples were carried out using a purposive sample sampling technique in patients who underwent IVA examinations at the puskesmas, stating that from June 2021 - November 2022 data. Bivariate analysis test using the Chi Square correlation test. The results showed that 30 samples had positive IVA and 29 samples had negative IVA results. Obtained a p-value of 0.011 (p-value,0.05) for the use of contraceptive pills with IVA examination results, a P-value of 0.000 (p-value 0.05) for the use of injecting contraceptives with IVA examination results and a p-value of 0.030 (p- value, 0.05) for the use of implant contraception with IVA examination results. There is a significant relationship between the use of hormonal contraception and the results of visual inspection of acetic acid (IVA) at the Meninting Health Center.Kanker serviks merupakan keganasan sel yang terjadi pada serviks. Pada tahun 2015, di NTB terdapat 8.020 penduduk yang mengalami kanker serviks dan pada tahun 2016 mengalami peningkatan menjadi 14.431 jiwa. Kontrasepsi hormonal merupakan factor resiko penyebab kanker serviks. Penelitian ini bertujuan untuk mengetahui hubungan penggunaan kontrasepsi hormonal dengan hasil pemeriksaan IVA di puskesmas meninting.. Desain penelitian Cross Sectional dengan alat ukur rekam medis. Sebanyak 59 sampel penelitian dilakukan dengan teknik pengambilan sampel purposive sample pada pasien yang melakukan pemeriksaan IVA di puskesmas meninting dari data bulan juni 2021 – November 2022. Uji analisis bivariat menggunakan uji korelasi Chi Square. Hasil penelitian menunjukkan bahwa 30 sampel mengalami positif IVA dan 29 sampel dengan hasil pemeriksaan negative IVA. Didapatkan p-value 0,011 (p-value,0,05) untuk penggunaan kontrasepsi pil dengan hasil pemeriksan IVA, P-value 0,000 (p-value0,05) untuk penggunaan kontrasepi suntik dengan hasil pemeriksaan IVA dan p-value 0,030 (p-value,0,05) untuk penggunaan kontrasepsi implant dengan hasil pemeriksaan IVA. Terdapat hubungan yang signifikan Antara Penggunaan Kontrasepsi Hormonal Dengan Hasil Pemeriksaan Inspeksi Visual Asam Asetat (IVA) Di Puskesmas Meninting
Information Technology-Based Educational Video Model For Changes In Gingival Health Status In Adolescents
Get PDFThe health problem that is often experienced by adolescents is dental and oral hygiene, RISKESDAS data for 2018, 57.6% of Indonesian people have dental and oral health problems. Gingival problems are common in adolescents. Lack of dental and oral hygiene causes gingival inflammation. Plaque, bacteria, and calculus that accumulate on the tooth surface are the main causes of periodontal disease. Early detection that is carried out independently as well as providing solutions for prevention and treatment to patients is very necessary. Media that is currently developing among adolescents is technology-based media which is increasingly creative and can be a solution for preventing dental disease. Proving appropriate information technology-based educational videos and their effective application to changes in gingival health status in adolescents. The research method used is Research and Development (RnD) with Quasy Experiment pre-test post-test control group design. Educational video based on information technology is appropriate for changes in gingival health status with the results of expert validation of 83% and p-value 0.044 and its application is effective in increasing knowledge (p=0.000), attitude (p=0.002), skills (p=0.000), GI (p = 0.001). As well as indicated by the delta value of knowledge (2.14), attitude (1.29), skills (2.14), decreased GI score (0.44) compared to the control group. Educational videos have proven to be appropriate and effective in their application to changes in gingival health status in adolescents marked by a decrease in the gingival index score.Masalah kesehatan yang sering dialami oleh remaja adalah kebersihan gigi dan mulut, data RISKESDAS tahun 2018, 57,6% masyarakat Indonesia memiliki permasalahan kesehatan gigi dan mulut. Masalah gingiva sering terjadi pada remaja. Kurangnya kebersihan gigi dan mulut menyebabkan terjadinya inflamasi gingiva. Plak, bakteri, dan kalkulus yang terakumulasi pada permukaan gigi merupakan penyebab utama penyakit periodontal. Deteksi dini yang dilakukan secara mandiri serta pemberian solusi untuk pencegahan dan pengobatan kepada pasien sangat diperlukan. Media yang sedang berkembang dikalangan remaja adalah media berbasis teknologi yang semakin kreatif dapat menjadi solusi pencegahan penyakit gigi. Membuktikan video edukasi berbasis teknologi informasi yang layak dan efektif penerapannya terhadap perubahan status kesehatan gingiva pada remaja. Metode penelitian yang digunakan adalah Research and Development (RnD) dengan Quasy Experiment pre-test post-test control group design. Video edukasi berbasis teknologi informasi layak terhadap perubahan status kesehatan gingiva dengan hasil validasi ahli 83% dan p-value 0,044 serta penerapannya efektif meningkatkan pengetahuan (p=0,000), sikap (p=0,002), keterampilan (p=0,000), GI (p=0,001). Serta ditunjukkan dengan nilai delta pengetahuan (2,14), sikap (1,29), keterampilan (2,14), penurunan skor GI (0,44) dibandingkan kelompok kontrol. Video edukasi terbukti layak dan efektif penerapannya terhadap perubahan status kesehatan gingiva pada remaja ditandai dengan menurunnya skor gingival indeks