Jurnal Health Sains (JHS)
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Analysis Of The Influence Of Nurse Competence, Teamwork, And Supervision Techniques In Patient-Centered Care Implementation At RSUD Dradjat Prawiranegara
Full text linkPatient-focused care is a comprehensive, responsive, and integrated health service approach, with the aim of meeting the diverse needs of patients and their families. This approach emphasizes the importance of the role of health workers, especially nurses, in providing services that are not only oriented towards medical actions, but also towards patient preferences, values, and expectations. Purpose: This study aims to analyze the influence of nurse competence and teamwork on patient-focused care, with supervision techniques as a mediating variable, at Dr. Dradjat Prawiranegara Regional General Hospital, Serang Regency, Banten. Method: The type of research used is quantitative with a descriptive analytical design. Data collection was carried out through questionnaires. Data analysis includes descriptive analysis using the three box method approach, as well as inferential analysis using Structural Equation Modeling–Partial Least Square (SEM-PLS). Population and Sample: The study population was all nurses working in the inpatient ward of Dr. Dradjat Prawiranegara Regional General Hospital, Serang, with a sample size of 250 nurses. Results: The study shows that nurse competence and teamwork have a significant effect on supervision techniques. Furthermore, nurse competence, teamwork, and supervision techniques had both partial and simultaneous effects on the implementation of patient-centered care. The R-square test results also confirmed that these three independent variables simultaneously made a strong contribution to achieving patient-centered care in hospitals
The Effect of Progressive Muscle Therapy to Reduce Hypertension in Mr. A in the Lotus Room of Wonosari Hospital
No full textBackground: As one of the most important public health problems in the world, hypertension is known as a silent killer so patients are unaware of the severity of hypertension. Hypertensive conditions cause an increase in blood pressure of more than 140/90 mmHg. Kidney failure, myocardial infarction, encephalopathy (brain injury), and seizure stroke are some of the complications that often occur due to hypertension. Progressive muscle relaxation therapy is able to lower blood pressure by relaxing by recognizing tense muscles and then releasing tension in the muscles Objective: To determine the Effect of Progressive Muscle Therapy to Reduce Hypertension in Mr. A in the Lotus Room of Wonosari Hospital. Method: Descriptive case study, namely using a series of nursing processes on individuals including assessment, diagnosis, intervention, implementation, and evaluation. The research subjects are determined based on inclusion and exclusion criteria. It was determined that as many as 1 subject met the criteria to then conduct research. Results: The results of the application of non-pharmacological techniques of hypertension using Progressive Muscle Therapy, carried out for 3 days. The results of the management were obtained that there was a decrease in blood pressure from 170/90 mmhg to 130/80 mmhg. Conclusion: The implementation of nursing in Mr. A is effective by providing techniques to provide an influence on Progressive Muscle Therapy. Able to reduce hypertension with an average decrease for 3 days (8.3/3.3mmHg)
penerapan sistem manajemen keselamatan dan kesehatan kerja di PLN ULP Rantepao Toraja Utara: Implementation Of Occupational Health and Safety Management System at PLN ULP Rantepao, North Toraja.
No full textADELFINA RUMAE, 2025. Implementation Of Occupational Health and Safety Management System at PLN ULP Rantepao, North Toraja. (Supervised by Apdiyani Toalu and Muhammad Rifai) Occupational Health and Safety (OHS) is an essential aspect in the workplace, especially in the electricity sector, which is known for its high risks. The application of the Occupational Health and Safety Management System (OHSMS) is therefore crucial to prevent workplace accidents and to create a safe and healthy work environment. PLN ULP Rantepao, North Toraja, is one of the operational units under the Sulawesi South, Southeast, and West Region Main Unit (UIW Sulselbar). This research aims to comprehensively describe the implementation of the Occupational Health and Safety Management System (OHSMS) at PLN ULP Rantepao, North Toraja. The research uses a descriptive qualitative approach, referring to the five main elements of OHSMS according to Government Regulation No. 50 of 2012: OHS Policy Determination, OHS Planning, OHS Plan Implementation, OHS Performance Monitoring and Evaluation, as well as OHSMS Review and Improvement. Data were collected through interviews, direct field observation, and supporting documentation. The results show that the OHS policy is established by the Main Unit (UIW Sulselbar), while PLN ULP Rantepao, North Toraja is responsible for technical implementation in the field. OHS planning is carried out collaboratively, involving all divisions including field technicians. OHS implementation has been running well, as indicated by the provision of PPE, work permits, and regular safety briefings before starting work. However, challenges remain, such as the inconsistency of some workers in using PPE. Monitoring and evaluation are conducted systematically through regular inspections and the PLN Inspekta application. OHSMS review and improvement are carried out based on employee input, evaluation results, and SOP adjustments to ensure the sustainability and effectiveness of the system. Overall, the implementation of OHSMS at PLN ULP Rantepao, North Toraja has been adequate. Nevertheless, there is still a need to improve employees’ awareness and discipline regarding the OHS culture. It is recommended that training, outreach, and supervision of OHS implementation continue to be enhanced to achieve a safer and more sustainable work culture.
Keywords: OHSMS, PLN, Safety Management, Performance Evaluation
The Effect of Internet Gaming Disorder on Learning Motivation of Students at Sman 21 Medan
Full text linkOnline gaming behavior can increase excitement and reduce stress in students. However, uncontrolled online gaming behavior will lead to addiction which is then called Internet Gaming Disorder. Students with Internet Gamig Disorder tend to spend their time playing online games rather than their daily activities and this will have an impact on students' tasks as students by neglecting the levers so that they will lose their motivation to learn. This study aims to analyze the influence of Internet Gaming Disorder on the learning motivation of high school students. The design of this research is case control. The sample used in this study was 1:2 ratio, namely 27 students as case subjects and 54 students as control subjects. Data collection was carried out using IDGS-SF9 and AMS questionnaires. The results of this research data were analyzed using the Chi Square test. The results of the study found that the learning motivation of the case subjects was in the average category, namely 26 students (96.3%). Meanwhile, the control subjects of student learning motivation were relatively high, namely 34 students (63%). Based on the results of the Chi Square test, the influence of Internet Gaming Disorde on learning motivation (p<0.05) with an odd ratio of 44.2. Suggestions for further researchers could examine the influence of Internet Gaming Disorder on learning motivation in high school students with a larger population
Managing Cecal Enterocutaneous Fistula Through Application of Cecostomy Tube : an Effective Approach
Full text linkOne of the rare post appendectomy complications is enterocutaneous fistula in the cecum. There is limited research on surgical treatment for this condition; however, excising the fistula and performing primary closure with placement of a cecostomy tube could be considered as another potential approach. A 12-year-old boy who underwent appendectomy surgery 2.5 years ago presented with a complaint of fecal discharge from a surgical scar in the right lower abdomen, which began 7 days after the operation. He observed intestinal mucosa protruding from the enterocutaneous fistula opening two weeks prior to hospital admission. Fistulography revealed an enterocutaneous fistula in the right lower abdomen originating from the proximal ascending colon. During exploratory laparotomy, an enterocutaneous fistula was identified in the cecum, originating from the appendiceal stump. The fistula was excised, followed by primary suture and insertion of a cecostomy tube, positioned with its end 15 cm proximal to the ileocecal junction. The cecum was then fixed to the right lower abdominal peritoneal wall. The cecostomy tube was removed on the 14th day after surgery, and during follow-up, there were no signs of leakage or recurrence of the fistula. The management of fistulas involves both conservative and surgical approaches. In our instance, surgical intervention included excising the fistula and performing primary suture, along with inserting a cecostomy tube. This approach aimed to preserve the function of the cecum, thereby reducing pressure on it and facilitating decompression. This case is uncommon, and there is limited literature on its treatment. It necessitates personalized management. The use of a cecostomy tube could be considered as an alternative surgical approach in managing enterocutaneous fistulas involving the cecum
Pedunculated Osteochondroma of the Right Foot Following Traumatic Injury: A Rare Case Report
Full text linkOsteochondromas are the most common benign bone tumors, accounting for 20-50% of all benign osseous neoplasms. However, osteochondromas involving the foot and ankle are rare, representing only 3-10% of all cases. The relationship between trauma and osteochondroma development remains a subject of clinical interest. A 37-year-old female presented with three-month history of progressive right foot pain following a traumatic fall down stairs. Examination revealed a 5cm × 5cm × 2cm firm, non-mobile mass on the lateral foot with restricted ankle motion. The mass had enlarged from 2cm × 2cm to 4cm × 4cm over three months. Pedunculated osteochondroma was diagnosed clinically and radiologically. Complete surgical excision was performed using osteoclasis technique. Histopathology confirmed benign osteochondroma with uneventful post-operative recovery. The temporal relationship between the traumatic fall and subsequent identification of the osteochondroma raises important questions about whether trauma triggered secondary osteochondroma development or simply brought attention to a pre-existing asymptomatic lesion. Post-traumatic osteochondromas are thought to arise from displacement of growth plate cartilage fragments through the cortex, though the exact mechanism remains incompletely understood. The progressive enlargement over three months in a skeletally mature adult was potentially concerning for malignant transformation; however, the clinical presentation and benign histopathological diagnosis confirmed a benign lesion. Plain radiography demonstrating cortical and medullary continuity with the parent bone remains the primary diagnostic modality, with cross-sectional imaging reserved for cases with atypical features or concern for malignancy. Osteochondroma should be considered in the differential diagnosis of post-traumatic foot masses presenting with hard swelling and restricted motion. Complete surgical excision achieves excellent outcomes with low recurrence rates. Timely diagnosis through appropriate imaging and multidisciplinary collaboration are crucial for optimal management
Thoracal Spinal Fusion In Tuberculous Spondylitis With Pulmonary Oedema And Thrombocytosis: A case report
Full text linkTB is caused by Mycobacterium tuberculosis (M. tb). Tuberculosis (TB) prevalence is increasing in developed nations and continuing to cause significant mortality in low and middle income countries. When M. tb disseminates to the vertebral column, it is called Pott’s disease or spinal TB. The frequency, symptoms, and severity of the disease range by the location of the spine and the region of the affected vertebrae. The delay in establishing diagnosis and management results in complications such as spinal cord compression and spinal deformity. Tuberculous spondylitis is the most dangerous form of musculoskeletal tuberculosis because it can cause bone destruction, deformity and paraplegia. The spread of tuberculosis infection will cause inflammation in paradiscs, and causes progressive bone destruction and then will make vertebral collapse and deformity arising shaped kyphosis (posterior angulation) called gibbus. The role of surgical debridement and fusion with TB is controversial, and good results may be obtained with either medical treatment or surgery. Surgery may be more appropriate when definite cord compression is documented or for complications such as abscess or sinus formation or spinal instability
Differences in the Incidence of Urinary Retention in Spinal Anesthesia Between Lidocaine 2% 60mg and Buvipacaine 0.5% 10 Mg in Postoperative Patients at RS PKU Muhammadiyah Gamping
Full text linkThe most common regional anesthesia procedure used in various operations, especially operations on the lower abdomen and lower extremities, is spinal anesthesia. Urinary retention is a urination disorder, where the flow of urine is weak, not flowing smoothly, and there is a feeling of something remaining and dissatisfaction when urinating, resulting in discomfort. Urinary retention is one of the common complications that occurs after spinal anesthesia. This study aims to determine the comparison of the incidence of urinary retention after spinal anesthesia with lidocaine 2% 60mg and bupivacaine 0.5% 10mg. the test results showed that the p-value = 0.500 (p>0.05), so H1 was rejected and H0 was accepted, which means there is no significant relationship between the incidence of urinary retention and the anesthetic drugs lidocaine or bupivacaine. There is no significant difference regarding the incidence of urinary retention during spinal anesthesia between lidocaine 2% 60 mg and bupivacaine 0.5% 10 mg in postoperative patients at PKU Muhammadiyah Gamping Hospital
Comparison of Open and Endoscopic Approach in Carpal Tunnel Release: A Systematic Review
Full text linkCarpal Tunnel Syndrome (CTS) is a musculoskeletal disorder caused by the compression of the median nerve, with an incidence of 1 to 3 cases per 1000 people annually and a prevalence of 50 per 1000 in the United States. The two main surgical treatments for CTS are open carpal tunnel release (OCTR) and endoscopic carpal tunnel release (ECTR). This study aims to compare the outcomes of ECTR and OCTR based on randomized controlled trials (RCTs). A systematic review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, focusing on RCTs published between 2013 and 2023. The outcomes analyzed included the Boston Carpal Tunnel Questionnaire Symptom Severity Scale (BCTQ-S), Boston Carpal Tunnel Questionnaire Functional Status Scale (BCTQ-F), VAS score, and postoperative complications. The Grading of Recommendations Assessment, Development, and Evaluation (GRADE) guidelines were used to assess the level of evidence. Seven studies, including 271 hands treated with ECTR and 285 hands treated with OCTR, were reviewed. The comparison results showed minimal differences in BCTQ-S (MD=0.06), BCTQ-F (MD=0.02), VAS (MD=0.03), and complications (ECTR vs OCTR = 5 vs 9). Both ECTR and OCTR produced similar results, with only slight differences observed. In conclusion, ECTR and OCTR offer comparable outcomes based on BCTQ-S, BCTQ-F, VAS score, and postoperative complications. Despite some differences, these findings should be interpreted cautiously and not considered conclusive
Hubungan Kinerja Dengan Tingkat Stres Pada Tenaga Kesehatan Di Rsi Loano Kabupaten Purworejo
No full textPenurunan kinerja tenaga kesehatan di Indonesia mengalami peningkatan yang sangat signifikan. Selain disebabkan oleh stres kerja yang meningkat, hal ini juga disebabkan oleh berkurangnya jam kerja dan sistem bekerja dari rumah. Stres kerja yang terjadi di pelayanan kesehatan disebabkan oleh pekerjaan yang semakin tinggi dan dituntut untuk bertanggung jawab dan tanggap dalam keadaan darurat, serta harus mengambil keputusan secara terburu-buru yang menyebabkan tekanan lebih besar pada tenaga kesehatan. Program Magister Kedokteran Kerja Fakultas Kedokteran Universitas Indonesia (MKK FKUI) mencatat sebanyak 83% tenaga kesehatan di Indonesia mengalami sindrom burnout sedang dan berat, yang menyebabkan penurunan kinerja tenaga kesehatan. Jenis penelitian ini adalah observasi analitik dengan pendekatan cross-sectional. Analisis statistik Spearman Rank sebagai analisis data yang digunakan. Koefisien korelasi (r) sebesar 0,963 menunjukkan kekuatan hubungan antara variabel kinerja dengan tingkat stres tenaga kesehatan sangat kuat. Arah korelasi dalam analisis variabel ini adalah negatif (-) dan memiliki nilai ρ sebesar 0,000 (ρ < 0,05). Terdapat hubungan antara kinerja dan tingkat stres tenaga kesehatan di Rumah Sakit Islam Loano, Purworejo. Semakin tinggi kinerja (baik), semakin rendah tingkat stres tenaga kesehatan