VISIKES: Jurnal Kesehatan Masyarakat
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LITERASI KESEHATAN PASIEN DIABETES MELLITUS PESERTA PROLANIS DI WILAYAH KERJA PUSKESMAS KEDUNGMUNDU TAHUN 2019
As a result of low health literacy levels, patients will face more challenges when they access and use the health care service system. This research purpose is to know about literacy levels based on a patient's characteristics and their activities in the Program of Chronic Disease Management (PROLANIS). The researcher did the descriptive research by using the HLS-EU-Q16 questionnaire which was adapted in the Indonesian language. Respondents in this study were 20 Diabetes Mellitus Patients in Prolanis Participants in 2020. The result of the research showed that the respondents who live in the Kedungmundu Primary Healthcare Center (PHC) area mostly were elderly (55%), female (55%), high school graduates (50%), have a job (50%). PROLANIS activities followed by the respondent are medical consultation (100%), education program (100%), and gymnastic (90%). Health literacy categories were Inadequate HL (35%), Problematic HL (50%), and Sufficient HL (15%). This result shows the extra need for handling people with Diabetes Mellitus, especially for the elderly. It should be important to monitor a patient's blood sugar and to educate the patients for better self-management.Keywords: diabetes mellitus, literasi kesehatan, prolani
Analisis Faktor Risiko Kejadian Keracunan Pestisida Anorganik Pada Enzim Cholinesterase Dalam Darah Petani
Background and objectives: improved agricultural farmers using pesticides. The pesticide was toxic materials so it was harmful to health and the environment. The purpose of this research was to know the factors associated with the occurrence of inorganic pesticides poisoning against the enzyme cholinesterase in the blood on the farmers.Methodology: this research used analytic observational research-using the crossed sectional studied design. The sample in this research was the 45 respondents. A researched instrument in the form of a structured questionnaire, the taking of a blood sample to test cholinesterase, with the ethics commission with a number of 128/EC/FKM/2017. Results the statistical results could be concluded that there was no relationship between age (p 0. 18), educational leveled (p 0,546), age (p 0. 279), the number of pesticides (p 0. 58), how management (p 1. 000), the completeness of ppe (personal protective equipment) (p 1. 000) on the incidence of pesticides poisoning in inorganic horticultural farmers in the village of Batur, Getasan, Semarang regency. However, the relationship between dose (p 0. 006) and the incidence of pesticide poisoning in organic horticulture farmers in the village of Batur, Getasan, Semarang regency.Conclusions: the farmers should pay more attention to the completeness of the personal time off work, suggested the existence of health services for the management and construction of health workers and for other researchers expected the presence of further researched towards the factors associated with the incidence of pesticide poisoning with larger populations as well as the wider scopeKeywords: Cholinesterase, Horticulture Farmers, Pesticide Poisonin
Edugames Ular Tangga Electronik untuk Peningkatan Pengetahuan dan Literasi Tuberculosis Siswa Kelas 5 SDN Bangunharjo Semarang
Berdasarkan data Dinas Kesehatan Kota Semarang, persentase penderita TB anak meningkat dari 20% di tahun 2018 menjadi 23% di tahun 2019. Perilaku pencegahan penularan ke populasi yang lebih luas perlu didorong dengan pengetahuan dan literasi yang adekuat. Media permainan edukasi perlu dikembangkan sesuai karakteristik dan minat anak dalam bentuk elektronik edugames agar dapat lebih mudah diakses secara luas. Penelitian ini bertujuan untuk mengembangkan dan menguji efektivitas media terhadap peningkatan pengetahuan dan literasi TB. Jenis penelitian eksperimen dengan desain Pre Eksperimen One Grup Pre Test Post Test dilakukan terhadap 66 siswa kelas 5 SDN Bangunharjo Semarang. Karena penelitian dilaksanakan dalam situasi pandemi, paparan media dan penilaian variabel sebelum dan setelah paparan media dilakukan secara online menggunakan google form. Uji statistik menggunakan Wilcoxon dan Uji Paired Sampe T-test. Hasil penelitian menunjukkan ada perbedaan pengetahuan (p-value 0,001) dan literasi TB (p-Value 0,03) sebelum dan sesudah paparan media. Media edugames ular tangga electronik dapat digunakan dan diterapkan untuk siswa kelas 5 sekolah dasar lainnya dengan karakteristik sasaran yang relatif sama.Kata Kunci : Tuberkulosis, Pengetahuan, Literacy, Media, Ular TanggaKepustakaan: 40, 2006-202
Hubungan perilaku hidup sehat orang tua balita dengan literasi KMS (Kartu Menuju Sehat) sebagai sumber informasi tumbuh kembang balita
Masa tumbuh kembang anak adalah suatu masa dimana anak tersebut mencapai tinggi badan, berat badan, dan perkembangan dari sisi motorik kasar serta halus secara optimal. Masa tumbuh kembang anak ada di usia 0-5 tahun, usia keemasan (the golden ages period). Hal ini penting, karena termasuk dalam 1000 hari kehidupan pertama. Dalam rangka pemenuhan gizi balita, maka dibentuklah Posyandu sebagai sarana untuk memantau tumbuh kembang anak serta tempat untuk memberikan pemberian makanan tambahan dan pemberian vitamin. Untuk itu maka penelitian ini bertujuan mengetahui hubungan literasi KMS dengan perilaku sehat orang tua balita.Jenis penelitian adalah penelitian kuantitatif yaitu menggunakan kuesioner untuk mengetahui budaya perilaku hidup sehat orang tua, dan literasi buku KMS. Selanjutnya dilakukan dilakukan pelatihan literasi buku KMS dan perilaku hidup sehat. Hasil kuesioner dianalisis secara kuantitatif.Hasil penelitian bahwa Sig literasi KMS pada perilaku hidup sehat orang tua = 0,000 < 0,05 dan Sig perilaku hidup sehat orang tua pada literasi KMS =0,000 < 0,05 sehingga Ho ditolak artinya Ada korelasi/ hubungan antara Literasi KMS dan Perilaku hidup sehat orang tua.Ibu dengan balita dianjurkan untuk memperbarui data di KMS setiap bulan dengan membawa balita ke posyandu untuk ditimbang. Dengan memantau pertumbuhan anak melalui KMS ini, dokter dapat menentukan apakah seorang anak tumbuh normal, atau mengalami gangguan pertumbuhan sehingga dapat didagnosis dan ditangani lebih dini. Kata Kunci: KMS, Perilaku Sehat Orang Tua, Balita, Posyand
STATUS MUTU AIR SUNGAI GEDE KABUPATEN JEPARA
Gede River used by people in Karangrandu Village, Jepara for farming, animal husbandry, and source for clean water. Since 2015, river with 3 km long already been polluted. The river condition are black, smell, and can cause itching. This pollution caused by industry development in Jepara. The aim of this study are determining status of Gede River water quality also identifying polluted source which affect to status of water quality. Sampling taken on three locations, observation and measurement done in three days, where each day take two times on 08.00 AM and 04.00 PM. Analysis of river water measured by Physics Parameter (temperature and TSS), Chemical Parameter (pH, COD, and DO) and Microbiology Parameter (Total of Fecal Coliform). Status definition of water quality on this research based on Pollution Index method according to Decree of Enviroment Minister No. 115 Year of 2003. Status of Gede River water quality is light polluted with the most pollution on upstream that come from textile industry waste, tofu and tempe industry waste, and domestic waste. Unsuitable parameter with quality standard are temperature, COD, DO, and Total of Fecal Coliform.Keywords : River Water, Status of Water Quality, Enviromental Quality Standard, Pollution, Paramete
Dampak Kesehatan Kecanduan Permainan Pada Pemain Game Usia Muda : Tinjauan Sistematis
ABSTRACTGame addiction is an excessive use of the game for a long time. The World Health Organization has categorized game addiction as a mental disorder. The purpose of this study was to determine the factors that influence participants to play games, and determine the health effects of game addiction. This research was conducted on 18 to 21 April 2020 with the literature review method of the article on http://garuda.ristekdikti.go.id published in the period 2013 to 2019, according to the search there were 51 articles according to keywords and there were 14 selected articles. The results obtained by factors that influence participants to play games are there are facilities to play games at home, environmental influences, and the desire to play the game. Health effects that will arise are changes in diet and changes in sleep patterns that are not good, this will have a serious health impact on someone who is addicted to the game or gaming disorder if the behavior is maintained. For gamers to be able to limit the time to play the game a maximum of 1 hour a day, do not delay eating and drinking, do not delay urinating, and sleep at least eight hours a day.Keywords: Impact, health, addiction, gaming, adolescents
ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN PENGGUNAAN EARLY WARNING SYSTEM PADA PERUBAHAN KLINIS PASIEN DI RUMAH SAKIT X
Early Warning System (EWS) is an information system on patient care that needed to support decision making of patient’s clinical change. The impact of EWS usage on patient’s clinical change still varies therefore a question raised whether EWS usage will improve hospital service quality. The lack of information on factors related to EWS usage effectivity became the reason to conduct this study. The study aimed to understand the factors that relates to EWS usage. The study was a cross sectional approach. Population in the study was 297 EWS healthcare users in X Hospital. Sample taken in the study was 168 healthcare users with proportionate stratified random sampling method. EWS usage data were collected from medical records audit. Factors related to EWS usage data was taken from questionnaire. Relationship between factors and EWS usage were analyzed by using Chi square test and logistic regression test. Proper EWS usage on patient’s clinical change in X Hospital general ward was very low. System quality, user satisfaction and organization structure independently were significant related to EWS usage. Organization structure and user satisfaction have an impact as 12.374 times and 4.671 times to the use of EWS system.Keywords: EWS; General ward; Service qualiti
WEBGIS PEMETAAN TREND KEJADIAN STUNTING PROVINSI JAWA TENGAH 2015-2017
Stunting is a chronic nutritional problem and needs to be addressed immediately. This study aims to map the distribution of the prevalence of stunting in all districts / cities in Central Java province based on the criteria of community nutrition problems by WHO, namely if the region> 20% then the region must immediately make an intervention effort to reduce its prevalence. The design of this study uses research and development using Quantum GIS software. The variable studied was secondary data on the prevalence of stunting in 35 districts/ cities in Central Java Province from 2015-2017. The flowchart of making a geographical system was arranged in a flowchart. Areas with stunting conditions <20% in 2015 in Purbalingga, Kudus, Semarang, Pemalang, Tegal, Surakarta and Semarang City; in 2016 in Banyumas, Magelang, Kendal, Semarang, Semarang City, Salatiga, Semarang City and 1 green zone area (<10%) in Pati; In 2017 all regions in Central Java are chronic. Based on mapping in 2015, the most yellow zone in number among other years. In 2016, the yellow zone shifted to another region and there was one green zone. Whereas in 2017, all regions were in the red zone. Keywords: stunting, Geographic information system, webGIS, Jawa Tenga
Kelengkapan Informasi Medis Dalam Penetapan Kode Morbiditas, Pada Kasus Chronic Kidney Disease Di Rumah Sakit Panti Wiloso Dr Cipto Semarang
Observations were made on the medical record documents of the Chronic Kidney Disease (CKD) case, found incomplete medical information, namely the results of X-rays of 70%, other tests of 20%, writing of disease history of 10% and some of the stages of disease were not written. The results of the interview with one of the coders were due to the lack of accuracy in filling in medical supporting data. The aim of the study was to describe the medical information in determining morbidity coding in CKD cases.Using a quantitative descriptive research approach, data from observations of 63 documents of CKD inpatient medical records were completed with information from one of the inpatient coder officers.The results showed that, there was still incomplete medical information such as the results of investigations and medical history. And several documents were found whose examination result sheets were not in DRM. The procedure for determining the code in the RS Panti Wilasa Dr Cipto in the CKD case did not differ in giving morbidity codes with other cases. The flow is in accordance with the implementation guidelines for coding in ICD 10 Revision 2010. However, in determining the code the main obstacle is the lack of clarity in writing medical diagnoses, and there is an incomplete history. The conformity of the morbidity code based on ICD-10 version 2010 in the case of CKD in Dr Cipto Panti Wilasa Hospital was 71.42% and the code mismatch was 28.58%. This is due to incomplete medical information and unclear stages of CKD disease.It is advisable for the coder to confirm to the DPJP if there is a diagnosis that is illegible or less specific so that the code generated is appropriate and precise, especially in the diagnosis of CKD. The need to complete medical information and double-check medical record documents before coding.Keywords: Medical Record Documents, Chronic Kidney Diseases, Morbidity Code, ICD-1
FManajemen Retensi Dokumen Rekam Medis Nonaktif Kasus Tb Paru Di Puskesmas Halmahera Kota Semarang Tahun 2019
Medical records at non-hospital health care facilities are stored for at least 2 years after the last date of treatment. Halmahera Primary Health Care (PHC) has never done retention or destruction of medical record documents for pulmonary TB cases. The study aims to determine the factors that were obstacles in the retention of pulmonary TB cases at Halmahera PHC. This research is descriptive qualitative research with cross sectional approach. Data collection by observation and interviews. The subjects of this study were 5 filing officers. The object of this study were medical record documents of pulmonary TB patients, the policy of medical record document retention for pulmonary TB cases, the standard of medical record document retention for pulmonary TB cases. Based on the results of the study, 3 out of 5 filing staff understood retention of medical record documents in general, The filing storage systems was centralized but medical record documents for pulmonary TB cases were not included into the family folder, there were no policies and standards regarding retention of medical record documents for pulmonary TB cases, there is no facilities for medical record document retention for pulmonary TB cases. The obstacle in the implementation of medical record document retention for pulmonary TB cases were the unavailability of retention facilities, no schedule for archive retention, no place to store the inactive medical record documents, and excessive staff workload. Suggestions, The PHC need to make standards about document retention for pulmonary TB cases, provide information and technical guidance to filing staff about medical record document retention.Keywords: filing staff knowledge, storage system, retention standard Literature : 15 (2001 – 2020