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Faktor yang Memengaruhi Pemahaman Pasien terhadap Penjelasan Informed Consent Operasi di Rumah Sakit Vita Insani Pematangsiantar Tahun 2019
No full textThe explanation of informed consent/approval of medical action is one thing that is very important before surgery. In its implementation, every hospital must have a fixed procedure as a reference. From the preliminary research in February 2019 that the informed consent was still not in accordance with applicable procedures to patients and their families who had performed surgery. From 30 people there were 12 people (40%) do not understand the contents of the medical information submitted by doctors in the form of risks, complications and surgical procedures.
The design of this study used a cross-sectional analytic survey which aimed to find out the factors that influenced the patient's understanding of the explanation of the informed consent for surgery at Vita Insani Hospital Pematangsiantar. The population was patients and families representing patients who had performed major surgery. Sampling data were done with a total sampling method amounted 223 respondents. Data collection were collected with questionnaires. Data analysis used univariate, bivariate with chi-square test and multivariate with logistic regression test.
The results showed that the level of patient understanding of the explanation of informed consent for surgery in the understanding category (97.3%). From the results of phase I logistic regression test, it was found that the factors that influence the level of patient understanding of the explanation of the informed consent of the operation at Vita Insani Hospital Pematangsiantar was Education, Time of Information Submission and Psychology. From the results of phase II logistic regression test the most dominant variable influencing is the time of delivery of information with a value of sig = 0.010.
The conclusion is the level of patient understanding of the explanation of informed consent operations in the category of understanding and factors that significantly affect patient understanding is the factor of access to information in the form of time of delivery of information. It is suggested to give an informed consent explanation when delivering the information and must refer to the stipulated conditions
PENGARUH BEBAN KERJA TERHADAP KINERJA PEGAWAI PADA INSTALASI REKAM MEDIS DI RSUD ACEH SINGKIL TAHUN 2019
No full textOne industry sector that needs special attention in terms of HR workload is the hospital. Based on preliminary surveys conducted at Aceh Singkil Regional Hospital, it is known that there are 17 medical records officers consisting of 6 officers who are medical record professionals and 11 non-medical record officers. so that in the division of tasks in the medical record installation officers who work in the medical record have more tasks than non-medical record officers.
This type of research is a qualitative study with a case study approach (Case Study) to find out and identify how the influence of workload on employee performance in the medical record installation in Aceh Singkil Hospital in 2019 which was carried out from January to June 2019. Research informants this numbered six people who obtained the Purposive Sampling technique.
The results showed the implementation of the job description (job description) medical records are still overlapping so that it affects the performance of employees. The workload in the Medical Record Installation is not evenly distributed between the medical record officer and the non-medical record officer which causes the implementation of medical record duties to be less than optimal. SOP for Medical Record Installation already exists, but has not been realized to the maximum because there are several obstacles.
The conclusion of this study is that the implementation of the job description of the medical record is still overlapping. Medical record workload affects employee performance. SOP in Medical Records Installation still has obstacles, namely facilities and infrastructure and also its human resources. The advice given is that it should be done to improve the quality of human resources, the addition of employees who are educated in medical records and to improve infrastructure and human resources in the Medical Records Installation.
Keywords: Workload, Employee Performance, Medical Record Installatio
GAMBARAN PERENCANAAN OBAT PADA PASIEN DIABETES MELITUS RAWAT JALAN RUMAH SAKIT TK II PUTRI HIJAU MEDAN TAHUN 2019
No full textMedication Management is an effort to determine the type, amount and quality of drugs according to need. This study aims to determine the description of the medication planning in outpatient diabetes mellitus patients at TK Hijau Putri Hijau Hospital Medan in April 2019.
This research was non-experimental research. This type of research is a survey with a descriptive method. The research was conducted at the Hospital of TK II Hijau Putri Medan in April 2019. The sample was taken amounted, 38 patients.
The results showed the most use of diabetes mellitus medication in April was a combination (metformin + glimepiride) of 16 patients (42.1%). Overall data on the use of diabetes mellitus medication is the most (metformin 500 mg) of 1,680 tablets. The drug ordering system in Medan Putri TK II Hospital is conducted for all depots and there is no separation between outpatient, inpatient, emergency room, and ICU.
The conclusion of this study is that the Planning System for diabetes mellitus drugs at Putri Hijau Kindergarten Medan Medan is by consumption method. Planning is carried out for the needs of one year by looking at the average use of monthly drugs and drugs that are held following the list of drugs in the Hospital Formulary. It is recommended for further researchers to examine drug planning based on ABC analysis
Formulasi Sediaan Sabun Padat Transparan Kombinasi Minyakj Zaitun (Olive oil) dan Minyak Sereh (Citronella oil)
Get PDFCleanliness has become an obligation that must be applied in everyday life. This can be seen from so many germs or bacteria that accidentally spread and multiply in the human body. Soap is one type of surfactant that is used to clean the skin both dirt and bacteria. Because of this nature, soap is able to remove impurities (usually fat) from the body. The purpose of this research is to find out that olive oil and citronella oil can be formulated in transparent solid soap dosage form.
The method used in this study was an experimental method which was to experiment with a transparent solid soap formula from olive oil and lemongrass oil. The formula made was by comparison between olive oil and citronella oil (concentration of formula I = 0.5% and 1%, formula II 1% and 1.5%, formula III 1.5% and 2%. Tests conducted in this study include organoleptic, pH test, high foam, and Irritation tests on volunteer skins and tests of interest.
The results showed that transparent solid soap dosage form, organoleptic test showed the form of pale yellow blank, odorless aroma, solid form, formula I yellow soap color, citronella oil aroma, solid form, formula II yellow soap color, lemongrass oil soap aroma, form solid soap and formula III the color of yellow soap, the aroma of citronella oil soap and the form of solid soap. Transparent solid soap dosage form made have a pH in the range of 9 to 11, according to Indonesian National Standard, the high foam requirement was around 13-220 mm, and irritation test on volunteers does not cause irritation on volunteers.
The conclusion of this research shows that the combination of olive oil and citronella oil can be formulated into a transparent solid soap form. The suggestion in this study is that the next researcher can do a stability test, test the water content when making transparent solid soap from olive oil (Olive oil) and lemongrass oil (Citronella oil)
ANALISIS KANDUNGAN PEMANIS BUATAN (SAKARIN) PADA MANISAN BUAH YANG DIJUAL DI PASAR PETISAH DAN PASAR PUSAT PASAR MEDAN TAHUN 2019
Get PDFArtificial sweeteners are chemically processed sweeteners, and these compounds are not found in nature such as saccharin. Saccharin is an artificial sweetener made from sodium salt from saccharin acid in the form of white crystalline powder and is odorless and very sweet. The purpose of giving high levels of sugar to candied fruit is to provide a sweet taste and prevent the growth of microorganisms (moldy or moldy).
This research is a descriptive survey research that is to determine the presence or absence of artificial sweeteners (saccharin) in candied fruit sold in Petisah Market and Central Market Market and to determine levels of artificial sweetener substances in candied fruit by laboratory examinations qualitatively and quantitatively using titration method.
Based on the results of research conducted at the Industrial Chemical Technology Polytechnic Laboratory, it can be seen that from the eighteen samples examined all containing positive sweetener made of saccharin which exceeds the provisions of SNI 01-6993-2004 About Food Additives Artificial Sweeteners in Food Products in Sugary Fruits (500mg / kg).
The conclusion of this study the sweetener used in candied fruits, mangoes and kedondong was saccharin. The levels used in candied zalacca, mango and kedondong taken from the separating market and the central market all did not meet the standards. Suggestions in this study are expected for the public to be more careful in choosing foods and limiting the consumption of foods containing artificial sweeteners
FAKTOR DETERMINAN STUNTING DI PUSKESMAS GUNUNG MERIAH KABUPATEN ACEH SINGKIL PROVINSI ACEH TAHUN 2019
Get PDFBalita dalam proses pertumbahan dan perkembangan tidak selalu ideal atau sering disebut bertubuh pendek (stunting). Laporan Stimulasi Deteksi Intervensi Dini Tumbuh Kembang Balita usia 0-59 bulan menderita stunting dengar kategori pendek dan sangat pendek sebanyak 176 dari 897 orang balita di Puskesmas Gunung Meriah. Tujuan penelitian adalah menganalisis faktor umur ibu, umur menikah, pendidikan, pekerjaan, pendapatan, pengetahuan, sikap, pemberian makanan, kebiasaan makan, dan praktek kesehatan dengan dengan stunting di Puskesmas Gunung Meriah Kabupaten Aceh Singkil Provinsi Aceh. Jenis penelitian adalah mix methode dengan pendekatan kualitatif Case Control dan penelitian kualitatif fenomena. Populasi sebanyak 91 orang balita stunting. Sampel pendekatan kuantitatif sebanyak 91 orang balita stunting dan 91 orang balita tidak stunting. Informan pendekatan kualitatif yaitu 3 orang ibu balita stunting, 1 orang petugas gizi dan 1 orang bidan Desa Silulusan. Data kuantitatif dianalisis secara univariat, bivariat dan multivariat, sedangkan data kualitatif melalui reduksi data, penyajian dan penarikan kesimpulan. Hasil penelitian menunjukkan faktor pengetahuan (0,013), sikap (0,011), pemberian makan (0,005), kebiasaan makan (0,004) dan praktek kesehatan (0,010) berpengaruh terhadap stunting. Sedangkan umu ibu, umur menikah, suku bangsa, pendidikan, pendapatan dan pendapatan tidak berpengaruh terhadap stunting. Hasil wawancara ditemukan faktor pola makan ibu sewaktu hamil, kepercayaan, pendapatan, dan kebersihan balita memengaruhi balita stunting. Kesimpulan diperoleh bahwa faktor yang dapat memengaruhi stunting balita adalah pengetahuan, sikap, pemberian makan, kebiasaan makan dan praktek kesehatan. Disarankan Puskesmas Gunung Meriah menyelenggarakan penyuluhan kepada masyarakat tentang 1000 HPK secara berkala tentang gizi dan mengangkat kader lebih memprioritaskan kader yang berpengalaman dan mengalokasikan dana stunting. Keluarga membawa balita ke Posyandu setiap bula
FORMULASI DAN UJI SENSITIVITAS SEDIAAN GEL DARI ANTIBIOTIK DOKSISIKLIN DAN TETRASIKLIN TERHADAP BAKTERI Propianibacterium acne
Get PDFBackground: Acne is a chronic inflammatory disease of the pilosebaceous unit caused by the bacterium Propionibacterium acnes. Anti-acne preparations were chosen in gel preparations because they have the advantage of being non-sticky and containing no oil and volatile properties. Objective: The purpose of this study was to determine whether doxycycline and tetracycline can be formulated as anti-acne gel and to find out a comparison of the dosage of doxycycline, tetracycline and Mediklin® gel against Propionibacterium acne bacteria. Method: This study of research was an experimental parametric method including preparation of gel preparations (concentrations of tetracycline and doxycycline 1 mg, 2 mg, and 4 mg), evaluation of formulas which include: evaluating the stability of preparations, and testing the antibacterial activity of anti-acne gel preparations with comparative gel (Mediklin®) against Propionibacterium acne bacteria (ATCC 6919) by Agar Diffusion method. The study was conducted at the Microbiology Laboratory, Faculty of Pharmacy, University of North Sumatra. Based on Organoleptic variable, the results showed in cold temperatures that the shape, odour and colour did not change experienced, otherwise in room temperature it was experienced, but for the Mediklin® gel did not change. Result: The test results of antibacterial activity of tetracycline concentration of 1 mg, against propionibacterium acnes bacteria obtained 24.03 mm, doxycycline concentration of 1 mg, against propionibacterium acne bacteria obtained 24.37 mm, the concentration of Mediklin® gel obtained 1% was 17.94%. Conclusion: Tetracycline and doxycycline have very strong inhibition
HUBUNGAN FREKUENSI DAN DURASI MENYUSUI DENGAN KEJADIAN BENDUNGAN ASI PADA IBU NIFAS DI PRAKTEK BIDAN MANDIRI ROMAULI SILALAHI TAHUN 2019
Get PDFWorld Health Organization (WHO) in the United States in 2015 the percentage of breastfeeding women who experienced breastmilk inhibition reached an average of 87.05% or obtained 8242 post-partum mothers out of 12,765 people. caused by the frequency of breastfeeding that is not optimal and the duration of breastfeeding is not long. Objective: The purpose of this study was to determine the relationship between frequency and duration of breastfeeding with the incidence of breastmilk inhibition in the Romauli Silalahi Maternity clinical in Medan 2019. Methods: The study was an analytic survey with cross-sectional approach. This research was conducted at the Independent Midwife Practice Romauli Silalahi maternity clinical. The population in this study were all postpartum mothers in Romauli Silalahi Clinic in 2019 and a sample of 30 respondents with accidental sampling technique. Techniques and ways of collecting data used questionnaire sheets. Data analysis using univariate and bivariate data with chi-square test. Result: Based on statistical tests with the chi-square test obtained p-value of .033<.05 concluded the relationship between the frequency of breastfeeding with and duration of breastfeeding with breastmilk inhibition were found with p-value .011<.05. Conclusion: It is recommended for research sites to be able to provide information and counseling about the frequency and duration of breastfeeding to all mothers who breastfeed in order to prevent the occurrence of breast milk dams.
Keywords: Frequency of Breastfeeding, Duration of Breastfeeding, and Breastmilk Inhibitio
FAKTOR YANG MEMPENGARUHI ANEMIA PADA IBU HAMIL DI KLINIK SITI HAJAR TAHUN 2019
Get PDFBackground: Anemia is a condition of decreased hemoglobin, hematocrit and the number of erythrocytes below normal values. According to World Health Organization anemia in pregnant women is a condition of hemoglobin levels of less than 11gr/dl. The prevalence of pregnant women experiencing iron deficiency is 35%-75%, and 40% of maternal deaths in developing countries caused by anemia. Objective: The study aims to determine the factors associated with anemia in pregnant women at Siti Hajar Clinic in 2019. Methods: The research design used analytical survey with cross sectional approach. The population was 30 pregnant women with anemia and all of them were used as research samples. The data used primary data and tested with chi-square. Results: of the most age studies in the category of not at risk (73.3%), parity of the multigravida category (53.3%), pregnancy distance category (.05), parity p(.695)>(.05), pregnancy spacing p(.038)<(.05), knowledge with p-value (.038)<(,05). Multivariate analysis with a simple linear regression test that influenced knowledge in this study with a sig value of .028. Conclusion: shows there is a relationship between pregnancy spacing and knowledge with anemia, there is no relationship between age and parity with anemia in pregnant women at Siti Hajar Clinic in 2019. There is an influence of knowledge with anemia and no effect on age, parity , distance between pregnancy and anemia in pregnant women
UJI EFEKTIVITAS SALEP EKSTRAK RIMPANG KUNYIT (Curcuma domestica Val) UNTUK PENGOBATAN LUKA SAYAT PADA TIKUS PUTIH JANTAN
Get PDFTurmeric is used in various fields such as health, culinary and cosmetics. In traditional medicine, turmeric is used as an anti-inflammatory, antiseptic, anti-inflammatory, anorexia, wound medicine and liver disorders. Turmeric (Curcuma domestica Val) contains curcumin compounds which can accelerate re-epithelialization, cell proliferation, and collagen synthesis. Objective: This study aims to determine the effectiveness of turmeric rhizome extract ointment in cut wounds and to determine the comparison of the effectiveness of ointments with commercial drugs (Povidone-iodine) as treat cut. Method: This research was an experimental laboratory with a post-test control group design method. The samples used were 25 white male rats of Rattusnorvegicus aged 2-3 months which were divided into 5 groups namely povidone-iodine 10% as a positive control, ointment at a dose of 4%, 8%, turmeric rhizome extract and negative control. The treatment was carried out for 14 days. Data collection by documenting and recording the treat cut time. Result: The results showed that the 8% dose of ointment was more effective than the 4% dose in accelerating treat in white rats seen on the 8th day the wound had healed with the formation of new tissue. Whereas the 4% dose is less effective in accelerating wound healing seen in the 11th day. Conclusion: Based on the results of the study, it can be concluded that the ointment of turmeric (Curcuma domestica Val.) Extract at a dose of 8% can be used as a wounded drug but it is less effective when compared with the povidone-iodine drug