Jurnal Health Sains (JHS)
Not a member yet
676 research outputs found
Sort by
Case Report: Anencephaly On G2p1a0 Gravida 16-17 Weeks Pregnant Women With Covid 19 Mild Symptoms
Get PDFBackground: Anencephaly is severe congenital malformation of the central nervous system (CNS), with complete or partial absence of the cranium and brain. The incidence of this case is estimated to be between 1-5 events per 1000 births. Anencephaly arises from an embryonal defect before day 28 so that there is no closure of the anterior neuropore (cranial end of the neural tube). Case Summary: Case report about patient woman aged 21 years with COVID-19 infection who never had an ultrasound in the first trimester with complaints of abdominal pain a day ago, diminished fetal movement, there was not a release of blood show and mucus. An ultrasound examination performed in the second trimester and vaginal delivery is performed. Conclusion: Anencephaly is a malformation that has a high mortality according to the failure of the closure of the sefic part of the neural tube. The ISUOG guidelines recommend that ultrasonography be performed on pregnant women between 11 and 13 weeks. Through this paper, an explanation of the transabdominal and transvaginal 2D grayscale ultrasound examination to assess crown rump length and cranium at 11-13 weeks of pregnancy can detect anencephaly early
The Impact of Mental Health on Work Productivity in The Workplace
Get PDFHuman resources are one of the important factors in achieving company goals. Companies need to do human resource management well, need to pay attention to the condition of each employee so that human resources can continue to work with high work productivity in the workplace. The purpose of this study was to determine the impact of mental health on work productivity in the workplace of employees. The research method used is quantitative method. The results showed that mental health has a positive effect on work productivity in the workplace. Mental health is the main concern of the company in addition to physical health. As for some aspects of mental health that affect work productivity include concentration and focus, high stress levels, motivation and work enthusiasm, task completion effectiveness, attendance and absenteeism, and work relationships
Analysis Of The Suitability Of INA-CGBS Claim Coding at BPJS Kesehatan Wasin at RSUP prof. dr. I.G.N.G.NGOERAH Denpasar
Get PDFRSUP Prof.Dr.I.G.N.G.Ngoerah Denpasar is an advanced service facility which is part of supporting the running of national insurance programs processed by the BPJS agency. The BPJS Health wasin audit aims to ensure that companies or participants have fulfilled their obligations regarding health insurance provided by BPJS Health, where reimbursement for advanced health services costs uses the INA-CGBs E-Claim application. INA-CBG E-Claim is an application specifically designed to assist hospitals in the national health insurance claim process. INA-CBG's is the amount of claim payment by BPJS to health facilities where the INA-CBG's rate uses a coding system with ICD-10 for diagnosis and ICD 9CM for procedures or actions. The aim of this research is to obtain the suitability of INA-CBGs claim coding on BPJS Health wasin at Prof. Dr. IGNGNgoerah Denpasar Hospital. Empirical legal research used in this research, with a quantitative approach. which exists in fact. The results of this research are that the impact of losses from discrepancies in the coding of clinical data affects the financing of health services, so there is a need for a BPJS Health data processing process regarding re-confirmation regarding the advantages and disadvantages of claims that will be paid. In August 2023, there was confirmation that there were 638 inpatient data processing data, 2339 outpatient data. Then action was taken by the hospital to provide training to coding officers and continue to regularly monitor and check the hospital's internal verification
Faktor-Faktor yang Mempengaruhi Penggunaan Kontrasepsi Hormonal Suntik 3 Bulan
Get PDFThe Family Planning (KB) program is a program to control the rate of population growth in order to meet the public's demand for better and better quality reproductive health (KR) services. The family planning program does not only aim to control the rate of population growth, but also to meet the demands of the community for quality family planning and reproductive health (KR) services, reduce the maternal mortality rate (MMR) and infant mortality rate (IMR) and improve reproductive health which aims to form a nice little family. Injectable contraception is a method of preventing pregnancy with hormonal injections. Injectable birth control is one of the most widely used methods of preventing pregnancy in Indonesia. Reviewing the literature regarding the factors that influence the use of 3-month injectable hormonal contraception. The method of writing this article is a literature review found in medical journal databases such as PubMed and Google Scholar. The results of the study showed that there was a significant relationship between the factors that influenced the 3-month injectable hormonal contraception. Based on the articles that have been collected, the results of the study show that age, education level, and husband's support are the main factors influencing the use of 3-month injection contraceptives. Based on the results of the discussion above, it can be concluded that the factors that influence the use of 3-month injections are influenced by 1). Age factor, 2). Weight gain factor 3) Husband support factor, 4) Education factor. Program Keluarga Berencana (KB) merupakan sebuah program untuk mengendalikan laju pertumbuhan penduduk untuk dapat memenuhi permintaaan masyarakat akan pelayanan kesehatan reproduksi (KR) yang lebih baik dan berkualitas. Program KB tidak hanya bertujuan untuk mengendalikan laju pertumbuhan penduduk, tetapi juga untuk memenuhi tuntutan masyarakat akan pelayanan KB dan Kesehatan Reproduksi (KR) yang berkualitas, menurunkan Angka Kematian Ibu (AKI) dan Angka Kematian Bayi (AKB) serta meningkatkan kesehatan reproduksi yang bertujuan untuk membentuk keluarga kecil yang baik. Kontrasepsi suntik adalah metode pencegahan kehamilan dengan di suntikan hormonal. KB suntik merupakan salah satu metode pencegahan kehamilan yang paling banyak digunakan di Indonesia. Mengkaji literatur mengenai faktor- faktor yang mempengaruhi penggunaan kontrasepsi hormonal KB suntik 3 bulan. Metode penulisan artikel ini adalah review literature yang terdapat pada database jurnal kesehatan seperti PubMed, dan Google Scholar. Hasil penelitian menunjukkan terdapat hubungan signifikan antara faktor yang mempengaruhi kontrasepsi hormonal KB suntik 3 bulan. Berdasarkan artikel yang telah dikumpulkan, hasil penelitian menunjukkan bahwa usia, tingkat pendidikan, dan dukungan suami merupakan faktor utama yang mempengaruhi penggunaan kontrasepsi KB suntik 3 bulan. erdasarkan hasil pembahasan diatas, dapat disimpulkan bahwa faktor yang mempengaruhi penggunaan kb suntik 3 bulan dipengaruhi oleh 1). Faktor Usia, 2). Faktor Kenaikan berat badan 3) Faktor Dukungan suami, 4) Faktor Pendidikan
Hubungan Pelaksanaan Patient Centered Care (PCC) dengan Kepuasan Pasien Rawat Inap
Get PDFPatient centered care (PCC) is a health service activity that is collaborative between health workers, patients and families in supporting the treatment needs of patients in hospitals. The goal is health workers from the patients themselves and their families to the services that have been carried out by health in the hospital. This study aims to determine the relationship between the implementation of patient centered care with inpatient satisfaction at Mitra Sejati General Hospital. The type of research is quantitative with a cross-sectional design which was conducted in July 2022 at Mitra Sejati General Hospital with purposive sampling technique. The total population in this study were all inpatients at the RSU. True Partners during the month of June. with a total sample of 110 hospitalized patients. The instrument in this study used a questionnaire. The data obtained in this study were analyzed by Spearmen Rank correlation analysis. The results showed that there was a relationship between patient centered care and satisfaction of inpatients at Mitra Sejati Hospital with a p value of 0.001 (p<0.05) and an r value of 0.656 which was included in the 0.600-0.799 interval and was classified as a strong category. It can be said that it is okay to implement patient centered care to increase the level of satisfaction of inpatients at Mitra Sejati Hospital. Therefore, it is recommended that the hospital conduct socialization in the form of education on the implementation of patient centered care on a regular basis to all health in the hospital. The creation of patient satisfaction will determine the good image and accreditation assessment of Mitra Sejati Hospital in the future.Patient centered care (PCC) merupakan kegiatan pelayanan kesehatan bersifat kolaborasi antara tenaga kesehatan, pasien dan keluarga dalam mendukung kebutuhan pengobatan pasien di rumah sakit. Kepuasan pasien adalah penilaian dari pasien itu sendiri maupun keluarga terhadap pelayanan yang telah dilakukan oleh tenaga kesehatan di rumah sakit. Penelitian ini bertujuan untuk mengetahui hubungan pelaksanaan patient centered care dengan kepuasan pasien rawat inap di RSU Mitra Sejati. Jenis penelitian adalah kuantitatif dengan desain cross- sectional yang dilakukan pada bulan Juli 2022 di RSU Mitra Sejati dengan teknik purposive sampling. Jumlah populasi dalam penelitian ini adalah semua pasien rawat inap di RSU. Mitra Sejati selama bulan Juni. dengan jumlah sampel sebanyak 110 pasien rawat inap. Instrumen dalam penelitian ini menggunakan kuesioner. Data yang diperoleh dalam penelitian ini dianalisis dengan analisis korelasi Rank Spearmen. Hasil penelitian menunjukkan terdapat hubungan patient centered care dengan kepuasan pasien rawat inap di RSU Mitra Sejati dengan p value 0,001 (p<0,05) serta diperoleh nilai r= 0,656 termasuk dalam interval 0,600- 0,799 dan tergolong kategori kuat. Dapat disimpulkan bahwa semakin baik pelaksanaan patient centered care maka semakin tinggi tingkat kepuasan pasien rawat inap di Rumah Sakit Mitra Sejati. Oleh karena itu disarankan, pihak rumah sakit melakukan sosialisai berupa edukasi pelaksanaan patient centred care secara berkala kepada semua tenaga kesehatan di rumah sakit tersebut. Terciptanya kepuasan pasien akan menentukan citra baik dan peningkatan penilaian akreditasi RSU Mitra Sejati di masa depan
Diet, Pregnancy Distance, and Age at Marriage with Chronic Energy Deficiency (KEK) in Pregnant Women
Get PDFKronic energy deficiency (kekurangan energy kronis/KEK) is condition someone that suffer food shortage regularly (Chronic) marked humerus (LILA) <23,5 cm with the result that appearing health problems. Prevalence of chronic energy deficiency (KEK) in expectant mother at year 2013 nationally is 24,2% and decrease be 17,3% at years 2018 based Riskesda data 2018. This research have urpose to know relationship nourishment system, Spacing pregnancy, and marriageable age toward chronic energy deficiency (KEK) at Puskesmas Tongauna Utara occupation area in years 2021. This research as analistical observation research by approach “Cross Sectional Study” And have conducted in date 29 March-03 at Puskesmas Tongauna Utara occupation area. Sample in the research is 49 expectant mother. This research using “total sampling technique” is technique taking sample same with population. Then, this research using “Pearson Correlation” statistics test. The result of this research show that expectant mother which have goodn ourishment system is 51,0%, then have not nourishment system enough is 49,0%, expectant mother that have spacing high risk pregnancy is 16,3% then, that have not risk to pregnancy is 83,7%. The expectant mother have risk to marriageable age is 12,2% then, the expectant mother have not risk to marriageable age is 87,8%. The result of try out using spearmen correlation show that there is not relationship nourishment system toward expectant mother KEK (P = 0,376), spacing pregnancy toward expectant mother KEK (P = 0,4420), marriageable age toward expectant mother KEK (P = 0,165)
Anesthetic Management in Cerebellopontine Angle Tumor (CPA) Removal Patients
Get PDFIntroduction : Cerebellopontine Angle Tumor (CPA) is the most common type of tumor found in the posterior fossa. Without a proper anesthetic approach, this can increase the risk of brain edema and hemorrhage due to surgical manipulation. Case Illustration : A 46-year-old woman was diagnosed with a meningioma type CPA tumor, CT-Scan found meningioma in the left petrous tentorial tubercullum sellae with perifocal edema in the pons and left cerebellum. The patient was planned to get tumor excision surgery in a supine position. General anesthesia was performed, induced using propofol, fentanyl and rocuronium. The patient had a good hemodynamic profile while in the ICU postopertively. Discussion : Proper patient positioning during CPA tumor surgery is one of the important factors in the success or failure of the procedure. TIVA technique uses propofol and fentanyl, can reduce CBF reduce intracranial pressure, maintain brain perfusion pressure and reduce CMRO2 to protect brain tissue from damage.Conclusion : Several things that must be evaluated routinely in these patients are maintaining hemodynamic stability by maintaining adequate cerebral perfusion pressure, reducing cerebral blood flow, maintaining normal autoregulation, reducing the rate of cerebral metabolic oxygen, and maintaining an adequate cerebral oxygen supply
FAKTOR-FAKTOR YANG MEMPENGARUHI PEMBERIAN ASI EKSKLUSIF PADA IBU PEKERJA DI NEGARA BERKEMBANG
Get PDFLatar Belakang: ASI juga merupakan sumber energi dan nutrisi yang penting selama sakit, dan mengurangi angka kematian pada anak kurang gizi. Menyusui merupakan proses fisiologis untuk memberikan nutrisi pada bayi secara optimal. Untuk mengkaji bukti terkait faktor-faktor yang mempengaruhi keberhasilan pemberian ASI eksklusif pada ibu bekerja. Dalam Scoping review menggunakan framework dari Arksey dan O'Malley yaitu memfokuskan review dengan framework PEOS, melakukan pencarian literatur menggunakan database yang relevan dan grey literature, memilih studi yang relevan menggunakan kriteria inklusi dan eksklusi, melakukan critical appraisal untuk penilaian kualitas artikel, melakukan data ekstraksi, analisis dan dapat melaporkan hasil. Ada 8 artikel yang dipilih dan mendapat Grade A. 8 artikel diperoleh penelitian yang dilakukan di negara berkembang.Latar Belakang: ASI juga merupakan sumber energi dan nutrisi penting selama sakit, dan mengurangi angka kematian di antara anak-anak yang kekurangan gizi. Menyusui merupakan proses fisiologis untuk memberikan nutrisi kepada bayi secara optimal.
Tujuan: Untuk mereview evidence terkait dengan faktor-faktor yang mempengaruhi keberhasilan pemberian ASI Eksklusif pada Ibu Bekerja.
Metode: Pada Scoping review menggunakan framework dari Arksey dan O’Malley, dimana melakukan focusing review dengan framework PEOS, melakukan literature searching menggunakan database dan grey literature yang relevan, melakukan seleksi studi yang relevan dengan menggunakan kriteria inklusi dan ekslusi, melakukan critical appraisal untuk penilaian kualitas artikel, melakukan data extraksi, menganalisis dan dapat melaporkan hasil.
Hasil: terdapat 8 Artikel yang terseleksi dan mendapatkan Grade A. 8 artikel didapatkan penelitian yang dilakukan di negara berkembang.
Kesimpulan: terdapat 7 faktor yang mempengaruhi keberhasilan pemberian ASI eksklusif pada ibu bekerja yaitu pengetahuan, status pendidikan, fasilitas menyusui, status pekerjaan, dukungan suami, dukungan keluarga, dan dukungan tenaga kesehatan
Analysis of Hospital Emergency Department Performance Measurement with Balanced Scorecard
Get PDFEmergency Department (IGD) is the face of a hospital (RS). Good hospital emergency room services will result in patient satisfaction and the community around the hospital, so that the hospital becomes an option as a health facility. The performance of a hospital emergency room needs to be assessed objectively so that continuous efforts can be made to improve services. Balanced Scorecard (BSC) assessment can be used in service assessment in organizations such as hospitals or parts of organizations such as emergency room hospitals. This study aims to determine the components in emergency room services that play the most role in achieving the performance of emergency room services that support hospital performance. This research method is a scoping review using literature studies using keywords from the Balanced Scorecard AND Hospital AND Emergency with literature search strategies from the databases Ebsco Host, Embase, Scopus, Pubmed, Proquest, and Google Scholar. The results of the study contained 6 (six) appropriate articles after screening using PRISMA 2020 Flow Diagram. BSC either independently or combined with other methods can be used as performance monitoring in the health sector both in hospitals and in one of the units such as the Emergency Installation. There are 4 perspectives, namely: finance, customers, internal business processes and growth learning, where it is found that the education factor of staff training is the most widely intervened approach that results in improving the performance of emergency rooms and hospital finances. Further research suggestion is that further research is needed to assess the other three factors in the Balanced Scorecard that will effectively improve performance in other units of RS
RELATIONSHIP BETWEEN DELIVERY METHOD WITH NEONATAL HYPERBILIRUBINEMIA
Get PDFJaundice in newborn was the most leading cause for hospitalization in newborns. It was manifest as yellowish discoloration of mucosa membrane caused by increase in serum or plasma bilirubin. This condition can be cause either by increased production breakdown of red blood cells, disorder in conjugation or impaired excretion. Meanwhile, some research also stated that delivery method can influence bilirubin concentration in newborn. This study was conducted to determine relationship between delivery method with neonatal hyperbilirubinemia that already receive phototherapy. As much as 104 babies with hyperbilirubinemia were included into this observational research. Around 55% of them, neonates were delivered by caesarean section. In conclusion, caesarean section method of delivery is associated with neonatal hyperbilirubinemia (p value 0.001)