VISIKES: Jurnal Kesehatan Masyarakat
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Analisis Deskriptif Masalah Kesehatan Pada Nelayan di Desa Kemojan, Karimun Jawa, Jepara
Background: Indonesian population 58.22% work in the informal sector where on average 33% work as farmers and fishermen. This underlies the importance of paying attention to the informal sector in terms of occupational health. Karimun Jawa region at least 60% of the population work as fishermen and traditional divers.Method: This type of descriptive research with the aim to describe the condition of the description of health problems experienced by fishermen in Kemojan village with a sample of 21 fishermen with research instruments in the form of questionnaires, HB quick check, tensimeter, and urine color sample tests.Results: Respondent's blood pressure showed a systolic pressure that was more than normal or more than 121mmHg of 81% of the total 21 respondents and 47.6% had a diastole level that was more than normal, with 32% of respondents having higher levels of hemoglobin abnormal and 61.9% experiencing moderate dehydration.Conclusion: Respondent's blood pressure showed a tendency to experience hypertension, and lack of consumption of mineral water. Divers of fisherman respondents are advised to be able to control salt consumption to reduce the potential risk of hypertension and increase consumption of mineral water so that respondents avoid interference with the excretion channels in the body
Gambaran Perawatan Pasien Covid-19 di RS Darurat Rumah Dinas Walikota Semarang Covid-19 Patient Treatment in Emergency Hospital at the Semarang Mayor's Official House
Ketanggapan Pemerintah Kota Semarang dalam penanganan covid-19 ditunjukkan dengan mengoptimalkan Rumah Dinas Walikota sebagai rumah isolasi dan rumah sakit darurat. Penelitian ini bertujuan untuk mendeskripsikan aktivitas perawatan, lama rawat inap hingga sembuh, dan kepuasan pasien. Desain penelitian adalah observasional deskriptif dengan pendekatan cross sectional. Pengumpulan data dilakukan melalui observasi terhadap 4.326 data pasien selama tiga bulan (Mei-Juli) serta wawancara kepada dokter penanggung jawab dan 30 orang pasien yang sedang dirawat. Hasil penelitian menggambarkan bahwa aktivitas harian selama perawatan meliputi: senam pagi dan sore, pemeriksaan tanda vital dua kali sehari, evaluasi swab test setiap hari, kegiatan spiritual bersama, hiburan, dan dukungan psikologis, serta peningkatan keterampilan yang melibatkan perguruan tinggi dan organisasi profesi. Rata-rata lama waktu pemulihan adalah tiga hari dengan tingkat kesembuhan 95% dan sebagian besar pasien merespon puas (77%) terhadap perawatan di rumah sakit darurat. Terdapat kesinambungan antara kegiatan perawatan, kepuasan pasien dan waktu pemulihan
Analysis of Factors Related to Compliance With The Use of Personal Protective Equipment (PPE) on Construction Workers at PT. Jaya Kusuma Sarana (PT. JKS)
1)Background: Human resources are one part of the company. Therefore a sound management system is needed. A work accident can be from one of the human factors, namely, not obeying PPE. Therefore, current occupational health and safety issues are not only an obligation that must be paid attention to by workers but also must be fulfilled by the work system because this is a demand that every worker must meet. 2) Objective: This study aims to analyze the factors related to compliance with the use of personal protective equipment (PPE) in construction project workers at PT. JKS 2021. 3) Method: This research was conducted using an analytical observational method with a cross-sectional design of construction workers to construct GBI NDC by PT. JKS. The number of samples in this study was 96 construction workers at PT. JKS. The data is processed using the Spearman rank test. 4) Result: The results showed the behavior of the use of PPE workers at PT. JKS in the construction was good (60 workers) with a percentage of 62.5%. There was a relationship between knowledge and supervision with compliance with the use of PPE on construction project workers of GBI NDC construction by PT. JKS with each value (P-value 0.008) and (P-value 0.020) while there is no relationship between attitude and motivation with compliance with the use of PPE with each value (P-value 0.880) and (P-value 0.628). 5) Conclusion: There was a relationship between knowledge and supervision with the use of PPE on construction workers at PT. JKS
PATIENT CLAIM FINANCING AT RSUP DR. KARIADI SEMARANG DURING THE COVID-19 PANDEMIC
RSUP Dr. Kariadi Semarang sees both outpatients and inpatients to assess their health status and condition. Patient's health status and condition are classified into two groups: comorbid and co-incident. Patient claims are funded based on status and health conditions of comorbid and co-incident patients. The objectives this research is to know about the patient claim financing procedures of RSUP Dr. Kariadi Semarang during covid-19 pandemic. This research is descriptive qualitative using phenomenological. Primary data sources quotations were chosen using either purposeful sampling or criterion-based selection. The research informants are the primary informants. Informants are Hospital's first primary informant, the Coordinator of Coding Casemixes, and the second primary informant, the Nurse Coordinator of the Covid-19 Handling Room, as well as the first triangulation informant, the Head of the Medical Record Unit, and the second triangulation informant, the Head of the Covid-19 Handling Task Force. Interviews is methods for gathering data. Source triangulation is used for data triangulation. Data analysis using flow model of analysis and interactive analysis model. The result of this research are covid-19 with comorbidity or covid-19 with co-incident in patients because the guarantor is different, the case will be entered twice if it is a co-incident. If the condition is comorbid, the claim is handled separately. Previously, a claim was made for the covid-19 case, and if the covid-19 case was completed but the comorbidities persisted, the guarantor was changed from the Ministry of Health to BPJS Health. The conclusion is during the covid-19 pandemic, the procedures of RSUP Dr. Kariadi Semarang's patient claim financing process are two, such as the guarantor from the Ministry of Health and BPJS Health. Keywords: Patient claim, financing, process
JENIS KELAMIN, USIA DAN PENDIDIKAN DENGAN PERILAKU PENGGUNAAN INTERNET PADA TENAGA KESEHATAN DI PUSKESMAS KOTA SEMARANG
Semarang Smart City merupakan perbaikan layanan di semua sektor termasuk sektor kesehatan dengan memanfaatkan teknologi informasi dengan dikembangkannya sistem informasi kesehatan. Menurut APJII, jumlah pengguna internet di Indonesia untuk tenaga kesehatan masih sangat rendah sebesar 0,1%. Keberhasilan penerapan teknologi dan informasi perlu diimbangi dengan kemampuan yang dimiliki petugas kesehatan. Maka perlu kita mengetahui hubungan jenis kelamin, usia dan tingkat pendidikan dengan penggunaan internet pada tenaga kesehatan di PuskesmasKota Semarang. Jenis penelitian kuantitatif dengan uji statistik chisquare. Sampel dalam penelitian ini adalah tenaga kesehatan (medis dan penunjang medis) di Puskesmas Kota Semarang. Jumlah sampel dalam penelitian ini sebanyak 397 responden. Pengumpulan data menggunakan kuesioner. Hasil penelitianmenunjukan terdapat hubungan yang signifikan antara jeniskelamin dengan perilaku penggunaan internet dengan mobilephone (pv=0,021) dan komputer (pv=0,028), terdapat hubungan yang signifikat pula tingkat pendidikan dengan perilaku penggunaan internet dengan mobile phone (pv=0,004) dan komputer (pv=0,000), namun tidak ada hubungan yang signifikanantara usia dengan penggunaan internet dengan mobile phone (pv=0,841) dan komputer (pv=0,136). Ketersediaan internet dikantor dapat dimanfaatkan sebagaimana mestinya untuk mendukung pelayanan kesehatan bukan untuk mengakses hiburan yang dapat berdampak pada produktifitas kerja. Selain itu, diperlukan upaya peningkatan literasi teknologi informasikomunikasi pada tenaga kesehatan
PERUBAHAN RERATA SKOR NYERI PUNGGUNG PADA IBU HAMIL TRIMESTER III SEBELUM DAN SESUDAH DIBERIKAN MASSAGE EFFLEURAGE
Background: pregnant women will lose their balance and they will tend to stretch their back and neck which may cause their lower backbend and their lower back muscles pulled which may inflict pain. Massase therapy is oneof the non-pharmacological therapies that can reduce back pain for pregnant women, massage will reducemuscle tension and pain, increase mobility and improve blood circulation. Purpose: To find out the changes in the mean score of back pain in the third trimester of Pregnant Women before and effleurage massage inWanatawang Village, Songgom Sub-district, Brebes Regency. Method: This was pre-experimental research withone group pretest-posttest design with 25 pregnant women as the respondents. The inclusion are : pregnant women who have back pain. The data were collected using a questionnaire and analyzed using Wilcoxon signed-rank test. Results: The mean score before being given effleurage massage was 6.75 andchanged to 3.56 after being given the massage with a scale of 3.91 and a p-value of 0.0000 (<0.05). The analysis results showed that there was a change of mean score before and after effleurage massage. Conclusion: effleurage massage was effective on the change of mean score of back pain in the third-trimesterpregnant women.Keywords: Effleurage Massage, Back Pain, Third Trimester Pregnant Wome
KESEHATAN KESELAMATAN KERJA PETUGAS FILLING UNIT REKAM MEDIS STUDI KASUS DI RUMAH SAKIT KABUPATEN TEGAL
Latar belakang: Kesehatan keselamatan kerja (k3) diterapkan agar dapat menghasilkan produktivitas kerja dengan pelayanan kesehatan yang aman, bermutu dan efektif dengan mengutamakan kepentingan pasien sesuai prosedur kesehatan. dari hasil survey awal , Petugas menggalami masalah gangguan kesehatan seperti sesak nafas, batuk dan pilek. oleh karena itu, di perlukan penelitian lebih lanjut untuk menggali informasi. Tujuan: Penelitian ini bertujuan ntuk mengetahui risiko gangguan lingkungan kerja dan gangguan kesehatan keselamatan kerja (k3) pada petugas rekam medis dibagian filing. Metode: Penelitian ini termasuk dalam penelitian deskriptif, pengumpulan data dilakukan dengan menggunakan kuesioner dalam bentuk google form yang diisi oleh kepala rekam medis dan petugas filing, analisis hasil dengan menghitung hasil jawaban responden, terhadap pertanyaan penelitian yang di berikan yaitu : persentase gangguan kesehatan, serta ketersediaan dan kepatuhan petugas dalam penggunaan APD, Hasil : Risiko Kecelakaan kerja yang mempunyai prosentase tertinggi di bagian filling di rumah sakit adalah tersayat dokumen, sedangkan risiko gangguan kesehatan yang sering dialami oleh petugas di kedua rumah sakit adalah pegal-pegal, sedangkan yang paling jarang di alami adalah mata perih. Di kedua rumah sakit telah tersedia APD ( alat pelindung diri ) bagi petugas, namun APD yang paling sering di gunakan adalah masker. Diperlukan upaya lebih lanjut dari rumah sakit agar petugas lebih tertib dalam menggunakan alat pelindung diri serta mewaspadai risiko terjadinya gangguan kesehatan dan keselamatan kerja.Kata Kunci ; Kesehatan Keselamatan Kerja, Rekam Medis, AP
Analisis Keberadaan Mikrobiologi Air Minum Depot Air Minum
Tingginya kebutuhan manusia akan air minum harus dibarengi dengan kualitas dan kuantitas yang baik. Depot air minum merupakan salah satu jawaban atas permasalahan penyediaan air minum di perkotaan. Pengawasan dan pembinaan yang kurang dari pemerintah setempat serta tingkat kepatuhan pengusaha yang kurang akan berdampak pada air hasil olahan depot air minum. Mengidentifikasi kualitas dan hygiene sanitasi depot air minum. Penelitian ini merupakan penelitian deskriptif dengan 60 sampel. Teknik pengambilan sampel menggunakan purposive sampling. Pemeriksaan mikrobiologi air menggunakan metode plate agar yang diinkubasi pada incubator. Observasi dilakukan menggunakan Permenkes 43 tahun 2014 tentang hygiene sanitasi didapatkan bahwa bahwa tempat 66,67%, peralatan 91,67%, dan penjamah 38,33% dikategorikan laik. Uji laboratorium terhadap air baku didapat air PDAM 75%, mata air 56,5% air sumur 0% kategori memenuhi syarat. Pada air minum terdapat 65% parameter coliform dan 80% dan 35% parameter E.coli dikategorikan memenuhi syarat. Metode desinfeksi menggunakan RO mereduksi 23,16% coliform dan 12% E.coli lebih baik dari Non RO. Bahan baku yang paling baik adalah sumber air dari PDAM. Hygiene sanitasi depot relatif baik untuk peralatan, sedangkan untuk tempat dan penjamah kualitasnya dinilai masih kurang sehingga harus dilakukan pengawasan terhadap hygiene sanitasi. Metode desinfeksi reverse osmosis merupakan metode yang paling baik mereduksi bakteri
Analisis Pengaruh Kepercayaan Terhadap Loyalitas Pasien Melalui Nilai Pasien di RS Islam Sultan Agung pada Masa Pandemi Covid-19
Trust in management and policy practice (MPP) and in front line employee (FLE) at hospital are essential factors that need to be assured in the Covid-19 pandemic so that patients can feel safe. Patients’ trust in this pandemic is mainly influenced by patients’ experiences while using the health service provided by hospital, thus affecting patient’s value that might determine patients’ loyalty. This study is aimed to analyze the effect of trust towards loyalty thorough patients’ value. A quantitative study was conducted by distributing a self-administered questionnaire to outpatients at Sultan Agung Hospital during November – December 2021. The partial least squares structural equation modelling (PLS-SEM) was used to analyze the relationships between trust, value, and loyalty. This study showed that patients’ trust to MPP have positive association towards patients’ value to FLE (H1: t-values = 40.597, p < 0.05). A positive association was also observed in patients’ trust to FLE towards patients’ value (H3: t-values =5.915, p < 0.05) and patients’ value towards patients’ loyalty (H4: t-values =25.914, p < 0.05). There was no significant effect of patients’ trust to MPP towards patients’ value (H2: t-values = 1.444, p = 0,149)
GANGGUAN KESEHATAN MASYARAKAT YANG BERMUKIM DI SEKITAR TEMPAT PEMBUANGAN AKHIR (TPA) SAMPAH PIYUNGAN
Health risks can occur if people live close to the landfill. This study aims to determine the health problems of the people who live around the Piyungan landfill. Using a purposive sampling technique, this study involved six participants who lived around the Piyungan garbage dump. The instrument used was a human instrument with interview guidelines, as well as observation and content analysis. The results showed that all participants worked as scavengers and experienced symptoms of health problems. Health complaints felt by all participants were headache, cough, runny nose and shortness of breath. While 83% felt a sore throat, 66% felt itchy skin, and 50% complained of nausea. Continuous contact with garbage gives a high risk of experiencing health problems. It is hoped that people who work as scavengers at the Piyungan landfill can increase efforts to reduce health impacts by carrying out clean and healthy living behaviours such as washing hands before and after eating, changing work clothes every day, and using personal protective equipment, especially masks when working to minimize harmful gases. In the air enters the body.Keywords: Health problems, society, piyungan landfil