Jurnal Online STIKes Al-Insyirah
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    PERAN SISTEM PROTEKSI KEBAKARAN DALAM UPAYA PUBLIC BUILDING FIRE PREVENTION DI PELABUHAN X

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    https://docs.google.com/document/d/1WjVb22IyK8bOWdMROVUIyuSYLcu4JAtf/edit?usp=drive_link&ouid=101000294218448414922&rtpof=true&sd=trueFire, as an uncontrolled hazard, poses a significant threat to human life and business continuity. A field investigation at Port X revealed that both active and passive fire protection systems are either incomplete or non-compliant with safety standards.This study aims to evaluate the port\u27s fire safety implementation, focusing on fire prevention strategies, the effectiveness of fire protection systems, the role of human resources, and existing Standard Operating Procedures (SOPs). Using a qualitative research approach with in-depth interviews and observation, data was collected from five informants at Port X in March 2025. Triangulation of sources and methods was applied to ensure the validity of the findings. The results show that the port possesses only one type of active fire protection, a fire extinguisher (APAR), which also fails to meet technical requirements. The port lacks a dedicated fire-fighting team, and fire safety training is not extended to all workers. Furthermore, there is no specific fire-related SOP, and the port\u27s sole reliance on external emergency services is a major safety gap.This non-compliance is a direct violation of national regulations, specifically Minister of Transportation Regulation No. 50 of 2021 and the Minister of Public Works Regulation, which stipulate fire prevention and handling standards to protect life and property. The findings highlight a critical need for the port to adopt a more robust safety framework. It is strongly recommended that a comprehensive fire protection system be implemented, along with a focus on improving human factors and procedural compliance to mitigate operational risks effectively

    FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN ISPA BAGIAN ATAS DI PUSKESMAS SAPAT, KUALA INDRAGIRI, INDRAGIRI HILIR

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    https://docs.google.com/document/d/1uOhmaY4IZzyVHoVhqO8qcab52RYJQKEF/edit?usp=sharing&ouid=113692251827577710416&rtpof=true&sd=trueUpper Acute Respiratory Infection (ARI) is a self-limiting respiratory tract inflammation; however, its prevalence among the elderly at the Sapat Health Center, Indragiri Hilir Regency, showed an increasing trend of 109 cases during the 2023–2024 period. This quantitative study utilized a cross-sectional design to identify the factors triggering these high figures. Involving 91 respondents selected through accidental sampling, the data were analyzed using the Chi Square test to examine the relationships between variables. The results revealed that knowledge levels (p = 0.017), attitudes (p = 0.047), and smoking habits (p = 0.018) are significant risk factors associated with the incidence of upper ARI. Elderly individuals with smoking habits and low knowledge levels have a higher probability of contracting the infection. Based on these findings, it is recommended that the elderly stop smoking to maintain respiratory health. Furthermore, the Sapat Health Center is expected to improve the effectiveness of health promotion by using more engaging educational media, such as leaflets and posters. This effort aims to strengthen knowledge and transform the attitudes of the elderly to become more preventive against the dangers of respiratory diseases

    PENGARUH PROMOSI KESEHATAN MENGGUNAKAN MEDIA AUDIO VISUAL TERHADAP PENGETAHUAN SISWA TENTANG PENYAKIT MENULAR SEKSUAL

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    Tingkat pengetahuan terhadap penyakit Menular Seksual dapat merubah perilaku seseorang terhadap penyakit tersebut. Salah satu media Informasi untuk meningkatakn pengetahuan itu dapat menggunakan media audio visual. Tujuan penelitian ini untuk mengetahui pengaruh promosi kesehatan menggunakan media audio visual terhadap pengetahuan siswa tentang penyakit menular seksual. Populasi pada penelitian ini adalah seluruh siswa kelas X di SMK Teknologi Nasional Palembang. Sampel pada penelitian ini dimabil menggunakan total sampling sebanyak 113 orang. Hasil Penelitian menunjukkan usia responden paling banyak yaitu 16 tahun berjumlah 72 orang (63,7%), usia responden 15 tahun berjumlah 35 responden (31%) dan usia responden 14 tahun berjumlah 6 responden (5,3%). Jenis kelamin lebih banyak responden laki-laki yaitu 81 responden (71,7%) dibandingkan responden perempuan yaitu 32 responden (28,3). pengetahuan sebelum dan sesudah memiliki nilai mean -18,053 yang artinya dari nilai rata-rata sebelum dan sesudah mengalami selisih peningkatan sebesar 18,053, dengan Std. Devitation 7,572. Nilai sig (2-tailed) 0,000 yang artinya ada pengaruh media video Tentang Penyakit Menular Seksual Di Smk Teknologi Nasional Palembang. Pada studi ini didapatkan ada pengaruh media audio visual Tentang Penyakit Menular Seksual Di Smk Teknologi Nasional Palembang. Untuk itu media yang dapat digunakan bagi petugas kesehatan salah satunya adalah media audio visual yang hasilnya dapat membantu meningkatkan pengetahuan sebagai langkah mencegah penyakit menular seksual.The level of knowledge about sexually transmitted diseases can change a person\u27s behavior towards the disease. One of the information media to increase knowledge can use audio-visual media. The aim of this study was to determine the effect of health promotion using audio-visual media on students\u27 knowledge about sexually transmitted diseases. The population in this study were all grade X students at SMK Teknologi Nasional Palembang. The sample in this study was taken using a total sampling of 113 people. The results of the study showed that the age of the respondents was the most, namely 16 years old, totaling 72 people (63.7%), the age of respondents 15 years old totaling 35 respondents (31%) and the age of respondents 14 years old totaling 6 respondents (5.3%). Gender was more male respondents, namely 81 respondents (71.7%) compared to female respondents, namely 32 respondents (28.3). knowledge before and after had a mean value of -18.053, which means that from the average value before and after there was an increase of 18.053, with a Std. Devitation of 7.572. The sig value (2-tailed) is 0.000, which means that there is an influence of video media on sexually transmitted diseases at SMK Teknologi Nasional Palembang. In this study, it was found that there was an influence of audio-visual media on sexually transmitted diseases at SMK Teknologi Nasional Palembang. For this reason, one of the media that can be used for health workers is audio-visual media, the results of which can help increase knowledge as a step to prevent sexually transmitted diseases

    HUBUNGAN KEPUASAN KERJA DENGAN TURNOVER INTENTION PADA PERAWAT DI RSU MITRA MEDIKA

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    Turnover intention atau niat perawat untuk meninggalkan pekerjaannya merupakan salah satu permasalahan serius dalam manajemen sumber daya manusia di rumah sakit karena dapat menurunkan stabilitas pelayanan serta meningkatkan biaya operasional. Salah satu faktor yang berpengaruh terhadap turnover intention adalah kepuasan kerja. Penelitian ini bertujuan untuk mengetahui hubungan antara kepuasan kerja dengan turnover intention pada perawat di RSU Mitra Medika. Jenis penelitian ini adalah deskriptif korelasi dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh perawat di RSU Mitra Medika sebanyak 142 orang dengan jumlah sampel sebanyak 105 responden yang diambil menggunakan teknik probability sampling. Pengumpulan data dilakukan menggunakan kuesioner Job Satisfaction Surveikuesioner turnover intention yang diadaptasi dari teori Mobley. Analisis data dilakukan secara univariat dan bivariat dengan uji Chi-Square pada tingkat kepercayaan 95% (α = 0,05). Hasil penelitian menunjukkan bahwa sebagian besar perawat memiliki tingkat kepuasan kerja baik sebanyak 53 responden (50,5%) dan turnover intention ringan sebanyak 77 responden (73,3%). Hasil uji Chi-Square menunjukkan nilai p = 0,000 (p < 0,05) yang berarti terdapat hubungan signifikan antara kepuasan kerja dengan turnover intention pada perawat di RSU Mitra Medika.Kesimpulan penelitian ini adalah semakin tinggi tingkat kepuasan kerja perawat maka semakin rendah turnover intention yang dimiliki. Disarankan kepada pihak manajemen rumah sakit untuk meningkatkan kepuasan kerja melalui pemberian penghargaan, pengembangan karier, serta menciptakan lingkungan kerja yang nyaman guna mengurangi turnover intention di kalangan perawat.Turnover intention is a serious problem in human resource management in hospitals because it can reduce service stability and increase operational costs. One factor influencing turnover intention is job satisfaction. This study aims to determine the relationship between job satisfaction and turnover intention among nurses at Mitra Medika Hospital. This study used a descriptive correlational approach with a cross-sectional approach. The population in this study was all 142 nurses at Mitra Medika Hospital, with a sample size of 105 respondents drawn using probability sampling techniques. Data collection was conducted using the Job Satisfaction Survey (JSS) questionnaire and a turnover intention questionnaire adapted from Mobley\u27s (1982) theory. Data analysis was performed using univariate and bivariate methods using the Chi-Square test at a 95% confidence level (α = 0.05). The results showed that the majority of nurses had a good level of job satisfaction (53 respondents (50.5%), and 77 respondents (73.3%) had a low level of turnover intention. The Chi-Square test results showed a p-value of 0.000 (p < 0.05), indicating a significant relationship between job satisfaction and turnover intention among nurses at Mitra Medika Hospital. The conclusion of this study is that the higher the level of job satisfaction among nurses, the lower their turnover intention. Hospital management is recommended to improve job satisfaction through rewards, career development, and creating a comfortable work environment to reduce turnover intention among nurses

    STUDI KASUS PENERAPAN TERAPI MUSIK SUARA ALAM PADA PASIEN POST ORIF FRAKTUR DISTAL OS RADIUS SINISTRA UNTUK MANAJEMEN NYERI DI RUANG SERUNI RSUD PROF. DR. MARGONO SOEKARJO PURWOKERTO

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    Fraktur distal os radius merupakan salah satu cedera muskuloskeletal yang sering terjadi dan sering memerlukan tindakan pembedahan open reduction internal fixation (ORIF). Pasien pasca ORIF umumnya mengalami nyeri yang dapat mengganggu kenyamanan dan pemulihan. Terapi musik, khususnya musik suara alam, merupakan intervensi nonfarmakologis yang aman, mudah diterapkan, dan mampu membantu menurunkan persepsi nyeri melalui mekanisme relaksasi fisiologis dan psikologis. Studi kasus ini bertujuan mendeskripsikan penerapan terapi musik suara alam pada pasien post ORIF fraktur distal os radius sinistra dalam upaya manajemen nyeri. Penelitian dilakukan pada Tn. W di RSUD Prof. Dr. Margono Soekarjo Purwokerto selama 28–30 Agustus 2025 menggunakan pendekatan pengkajian komprehensif dan penilaian nyeri dengan Numeric Rating Scale (NRS). Intervensi diberikan satu kali sehari selama tiga hari berturut-turut dengan durasi 20 menit. Hasil menunjukkan adanya penurunan intensitas nyeri secara bertahap dari skala 6 menjadi 2 selama tiga hari. Pasien melaporkan merasa lebih rileks dan nyaman setelah intervensi. Kesimpulannya, terapi musik suara alam efektif sebagai intervensi pendamping dalam menurunkan nyeri akut pada pasien post ORIF serta dapat diterapkan secara mandiri oleh pasien maupun keluarga.Distal radius fracture is one of the most common musculoskeletal injuries and often requires open reduction internal fixation (ORIF). Post-ORIF patients frequently experience pain that interferes with comfort and recovery. Music therapy, particularly nature-sound music, is a safe and simple non-pharmacological intervention that can reduce pain perception through physiological and psychological relaxation mechanisms. This case study aims to describe the application of nature-sound music therapy for pain management in a patient with post-ORIF distal radius fracture. The study was conducted on Mr. W at Prof. Dr. Margono Soekarjo General Hospital Purwokerto from August 28 to 30, 2025, using comprehensive assessment and the Numeric Rating Scale (NRS) for pain evaluation. The intervention was administered once daily for three consecutive days, with a duration of 20 minutes. The results showed a gradual decrease in pain intensity from a score of 6 to 2 over the three-day period. The patient reported feeling more relaxed and comfortable after the intervention. In conclusion, nature-sound music therapy is effective as an adjunct intervention to reduce acute pain in post-ORIF patients and can be practiced independently by patients and their families

    EFEKTIVITAS AROMATERAPI LEVENDER UNTUK MENURUNKAN KECEMASAN IBU HAMIL PRIMIGRAVIDA TRIMESTER III DI PMB ERNITA S.TR. KEB KOTA PEKANBARU

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    Gangguan mental yang dialami ibu hamil biasanya dikarenakan oleh rasa khawatir akan perubahan kondisi fisik seperti bentuk tubuh dan berat badan ibu selama hamil membuat ibu rentan mengalami gangguan mental dan dapat membuat ibu mengalami kehamilan berisiko tinggi. Salah satu metode nonfarmakologis untuk menurunkan nyeri adalah aromaterapi yang merupakan proses penyembuhan kuno menggunakan sari tumbuhan aromatik murni. Penelitian ini bertujuan untuk mengetahui efektivitas aromaterapi lavender untuk menurunkan kecemasan pada ibu hamil primigravida rimester III di PMB Ernita, S.Tr.Keb Kota Pekanbaru yang dilakukan pada agustus-januari 2025. Jenis penelitian yang digunakan quasy-experiment dengan rancangan pre test- post test with the one group design. Jumlah sampel adalah 17 orang yang ditentukan dengan total sampling. Uji statistik yang digunakan adalah paired sample t-test dan diperoleh nilai p 0,000 (p < 0,05). Hasil uji statistik menunjukkan sebelum pemberian aromaterapi nilai mean adalah 41,71 dan setelah pemberian aromaterapi yaitu 53,00 dengan nilai p dari Paired Sample T-Test adalah 0,000 (<0,05), dengan demikian diketahui bahwa aromaterapi lavender efektiv  untuk menurunkan kecemasan pada ibu hamil primigravida trimester III di PMB Ernita, S.Tr.Keb Kota Pekanbaru Psychological disturbances experienced by pregnant women are generally triggered by concerns regarding physical changes such as body shape and weight gain during pregnancy. These conditions increase vulnerability to mental health problems, potentially leading to high-risk pregnancies. One of the non pharmacological interventions proven effective in reducing anxiety is aromatherapy, a natural healing method using pure aromatic plant extracts. This study aimed to examine the effectiveness of lavender aromatherapy in reducing anxiety levels among third-trimester primigravida pregnant women at PMB Ernita, S.Tr.Keb, Pekanbaru City. The research applied a quasi-experimental design with a one group pre-test and post-test approach conducted from August to January 2025, involving 17 respondents selected through a total sampling technique. The instrument used was a modified Hamilton Rating Scale for Anxiety (HRS-A), and data were analyzed using the Paired Sample t-test. The results revealed a significant difference in anxiety levels before and after intervention with a p-value of 0.000 (p < 0.05). The mean anxiety score increased from 41.71 before to 53.00 after the administration of lavender aromatherapy. These findings confirm that lavender aromatherapy is effective in reducing anxiety among third-trimester primigravida pregnant women at PMB Ernita, S.Tr.Keb, Pekanbaru City. It is hoped that pregnant women will use lavender aromatherapy as an alternative treatment to help reduce/relieve anxiety in primigravida mothers in the third trimester

    PENGARUH ANTENATAL CLASS DENGAN TEKNIK RELAKSASI TERHADAP KESEHATAN MENTAL IBU  PRE PARTUM

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    Cases of mental health disorders are the biggest cause of maternal mortality (MMR) in Indonesia. Pregnant women with mental health disorders have risk factors resulting in miscarriage, bleeding during labor and postpartum hemorrhage and mothers are susceptible to infection, fetuses are at risk of premature birth, fetuses are susceptible to infection and Intra Uterine Fetal Death (IUFD). Objectives To determine the effect of antenatal classes with relaxation techniques on the mental health of pre-partum mothers in Pekanbaru City. Method This research is a quantitative study with a quasi-experimental research design using 2 groups, namely the intervention group of 30 people given antenatal class material treatment and applying breathing relaxation techniques for 1 month with 4 meetings and a control group of 30 people who were not given treatment for 1 month. The sampling technique is purposive sampling, primary and secondary data sources, Instruments used are attendance lists, paper questionnaires, KIA books, relaxation music, and antenatal class education modules. The research location is at the Senapelan Health Center and Rumbai Health Center, Data analysis uses univariate analysis and bivariate analysis with SPSS 21 dependent T-test. Results The average mental health score of the control group pretest (84.0) and posttest (71.9) P 0.000 while the intervention group pretest (64.4) and posttest (45.1) P 0.000. There is an effect of antenatal class with relaxation techniques on the mental health of prepartum mothers. The conclusion is that antenatal class with relaxation techniques is a new innovation to improve the mental health of prepartum mothers.Cases of mental health disorders are the biggest cause of maternal mortality (MMR) in Indonesia. Pregnant women with mental health disorders have risk factors resulting in miscarriage, bleeding during labor and postpartum hemorrhage and mothers are susceptible to infection, fetuses are at risk of premature birth, fetuses are susceptible to infection and Intra Uterine Fetal Death (IUFD). Objectives To determine the effect of antenatal classes with relaxation techniques on the mental health of pre-partum mothers. Method This research is a quantitative study with a quasi-experimental research design using 2 groups, namely the intervention group of 30 people given antenatal class material treatment and applying breathing relaxation techniques for 1 month with 4 meetings and a control group of 30 people who were not given treatment for 4 weeks. The sampling technique is purposive sampling, with The inclusion criteria were gestational age >28 weeks, no pregnancy complications, and willingness to participate in more than three antenatal care sessions. Exclusion criteria included mothers who had not attended three antenatal care classes, high-risk pregnancies, and a history of abortion. The research instruments were the W-DEQ (Wijma Delivery Expectancy/Experience Questionnaire) and antenatal class modules. Data analysis used SPSS 22 with a dependent t-test. Results The average mental health score of the control group pretest (84.0) and posttest (71.9) P 0.000 while the intervention group pretest (64.4) and posttest (45.1) P 0.000. There is an effect of antenatal class with relaxation techniques on the mental health of prepartum mothers. The conclusion is that antenatal class with relaxation techniques is a new innovation to improve the mental health of prepartum mothers

    HUBUNGAN SELF EFFICASY DENGAN KUALITAS HIDUP PADA PASIEN DIABETES MELITUS TIPE II

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    Diabetes melitus (DM) merupakan suatu kondisi atau gangguan metabolik yang berlangsung lama, yang ditandai dengan kadar glukosa darah yang tinggi akibat dari resistensi insulin. DM dapat menimbulkan komplikasi yang berdampak negatif terhadap kehidupan pasien. Salah satu yang mempengaruhi kualitas hidup pasien DM adalah self efikasi. Self efikasi yang kurang pada pasien DM mengenai kondisi dan kesehatan dapat menyebabkan perilaku yang sesuai kesehatan. Penelitian ini bertujuan untuk mengetahui hubungan self efikasi dan kualitas hidup pasien diabetes melitus tipe 2 di puskesmas Kota Tanjungpinang. Metode penelitian adalah korelasional dengan pendekatan cross sectional. Jumlah sampel 70 orang menggunakan teknik purposive sampling. Analisis data dilakukan menggunakan uji Spearman Rank. Hasil penelitian menunjukkan bahwa 56,3% orang DM tipe 2 memiliki self efikasi cukup, dan kualitas hidup kategori sedang 54,9%. Hasil uji Spearman Rank diperoleh nilai p value sebesar 0,001 (<0,05), dengan nilai r=0,0462, menunjukkan ada hubungan positif self efikasi dan kualitas hidup pasien diabetes melitus tipe 2 di puskesmas Kota Tanjungpinang. Diharapkan pasien DM tipe 2 dapat meningkatkan kesadaran dalam menerapkan enam pilar pengelolaan DM serta memperkuat self efikasi untuk meningkatkan kualitas hidup melalui pola hidup sehat.Diabetes mellitus (DM) is a long-lasting metabolic condition or disorder characterized by high blood glucose levels due to insulin resistance. DM can cause complications that negatively impact the patient\u27s life. One factor that affects the quality of life of DM patients is self-efficacy. Low self-efficacy in DM patients regarding their condition and health can lead to unhealthy behaviors. This study aims to determine the relationship between self-efficacy and quality of life of type 2 diabetes mellitus patients at the Tanjungpinang City community health center. The research method is correlational with a cross-sectional approach. The sample size was 70 people using a purposive sampling technique. Data analysis was performed using the Spearman Rank test. The results showed that 56.3% of type 2 DM patients had sufficient self-efficacy, and 54.9% had a moderate quality of life. The Spearman Rank test obtained a p-value of 0.001 (<0.05), with an r value of 0.0462, indicating a positive relationship between self-efficacy and quality of life of type 2 diabetes mellitus patients at the Tanjungpinang City community health center. It is hoped that type 2 DM patients can increase awareness in implementing the six pillars of DM management and strengthen self-efficacy to improve the quality of life through a healthy lifestyle

    HUBUNGAN KEPERCAYAAN KESEHATAN DENGAN KEPATUHAN MINUM OBAT PADA PENDERITA HIPERTENSI DI PUSKESMAS

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    Hipertensi yang tidak terkontrol dan terjadi terus- menerus membahayakan penderita hipertensi. Karena akan mengakibatkan komplikasi. Keberhasilan terapi pengobatan dalam mencegah terjadinya komplikasi hipertensi ditentukan oleh kepatuhan minum obat. Faktor yang memengaruhi kepatuhan yaitu berkaitan dengan terapi pengobatan pasien, salah satunya adalah faktor nya adalah durasi pengobatan yang panjang, regimen terapi yang kompleks, efek samping oabt dan kurangnya pengetahuan pasien terkait hipertensi dikarenakan faktor kepercayaan kesehatan diyakinin pasien. Tujuan penelitian ini adalah untuk menganalisis hubungan kepercayaan kesehatan dengan kepatihan minum obat pada penderita hipertensidi Puskesmas Tembilahan Hulu Kabupaten Indragiri Hilir. Jenis penelitian ini merupakan penelitian kuantitatif dengan pendekatan cross sectional. Populasi pada penelitian ini adalah penderita Hipertensi sebanyak 100 orang. Teknik sampling yang digunakan yaitu purposive sampling berjumlah 80 orang. Data diperoleh dengan menggunakan kuesioner. Analisa data menggunakan uji chi square. Hasil penelitian didapatkan sebagian besar ibu sebanyak 47,5% responden memiliki kepercayaan kesehatan rendah, sebagian besar responden memiiki kepatuhan minum obat yang rendah yaitu sebanyak 85%. Terdapat hubungan bermakna antara kerpecayaan kesehatan dengan kepatuhan minum obat pada penderita Hipertensi di Puskesmas Tembilahan Hulu (p value 0,003). Disarankan agar Puskemas meningkatkan pelayanan agar kepercayaan masyarakat meningkat serta dapat menyampaikan informasi dengan baik mengenai hipertensi.Uncontrolled and persistent hypertension poses a significant risk to individuals living with the condition, as it can lead to complications. The success of antihypertensive therapy in preventing complications is largely determined by medication adherence. Several factors influence adherence, especially those related to treatment, such as long treatment durations, complex therapeutic regimens, medication side effects, and a lack of patient knowledge about hypertension—often due to the individual’s underlying health beliefs. The purpose of this study was to analyze the relationship between health beliefs and medication adherence among individuals with hypertension at the Tembilahan Hulu Community Health Center, Indragiri Hilir Regency. This was a quantitative study using a cross-sectional approach. The study population consisted of 100 people diagnosed with hypertension, and 80 participants were selected using purposive sampling.Data were collected using questionnaires, and the analysis was conducted using the chi-square test. The findings revealed that a majority of the respondents (47.5%) had low health beliefs, and most (85%) had low medication adherence. A significant relationship was found between health beliefs and medication adherence among hypertensive patients at the Tembilahan Hulu Health Center (p-value = 0.003). It is recommended that the Community Health Center improve its services so that public trust increases and it can convey information properly regarding hypertension

    EVALUASI NILAI SIGMA PADA ALAT KIMIA KLINIK MENGGUNAKAN KONTROL KUALITAS PEMERIKSAAN ASAM URAT

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    Kesalahan diagnosis medis merupakan permasalahan serius dalam dunia kesehatan yang dapat berdampak fatal bagi pasien. Data dari Johns Hopkins University menyebutkan bahwa sekitar 795.000 orang di Amerika Serikat terdampak oleh kesalahan diagnosis setiap tahunnya, menjadikannya salah satu penyebab utama kematian di negara tersebut. Salah satu faktor yang berkontribusi terhadap tingginya angka ini adalah ketidakandalan alat pemeriksaan laboratorium, khususnya alat kimia klinik yang memiliki peran vital dalam proses diagnosis melalui analisis darah. Ketepatan hasil dari alat ini sangat menentukan pengambilan keputusan medis yang tepat. Seiring meningkatnya prevalensi penyakit asam urat secara global dengan peningkatan sebesar 13,6% per 100.000 penduduk termasuk di Indonesia. Penelitian ini dilakukan untuk mengevaluasi nilai sigma sebagai indikator performa alat kimia klinik A15 dalam pemeriksaan kadar asam urat. Metode yang digunakan adalah deskriptif kuantitatif, dengan pengambilan data sebanyak 30 kali selama 30 hari di salah satu laboratorium rumah sakit di Pekanbaru. Hasil pengukuran menunjukkan akurasi -11,62%, presisi 5,97%, total kesalahan 0,31%, dan nilai sigma sebesar 4,80. Semua nilai berada dalam batas toleransi yang ditetapkan, yaitu presisi <6%, total kesalahan <17%, dan sigma >3. Dengan nilai sigma > 3 alat kimia klinik A15  berada pada level 4 yang memenuhi kriteria kelayakan sebagai alat diagnostik andal untuk pemeriksaan asam urat di laboratorium klinik

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