50 research outputs found
Admission Informatics System of In-patient as Administrative and Clinical Decision Support System in Badan RSUD dr. H Soewondo Kabupaten Kendal
No full textBackground : Appropriateness in Admission represent quality of medical services. Appropriateness Evaluation Protocol (AEP) is protocol that used to evaluate inpatient admission according to medical indications. Preliminary study shows that there are some problem due to admission informatics system in Badan RSUD dr. H Soewondo Kabupaten. i.e. difficulty to access clinical examination information, admission procedure not use AEP yet so there is 40 % misadmission of all inpatient and there are no access to information of medical services appropriateness.
Objective : The research was carried out to design admission informatics system of in-patient as administrative and clinical decision support system in Badan RSUD dr. H Soewondo Kabupaten Kendal.
Methods : The research was done in two step. First step was qualitative study applied Framework for Application of System Technique (FAST) to design informatics system. Second step used one group pretest – posttest design, trying informatics system that built comparing acceptability, accessibility, sensitivity, representativeness and timely.
Result : The result of this research was admission informatics system design consist of input design, output design, data base design and interface design continuing to build AEP based admission informatics system. Trial result shows that respondent give their agreement in old and new system for acceptability (2.20 and 3.18), accessibility (2.25 and 3.19), sensitivity (2.30 and 3,10), representativeness (2,40 and 3,13), and timely (2.13 and 3.13) and it was statistically significant (p : 0.0001)
Sumber Utama : www.mikm.undip.ac.i
SISTEM INFORMASI ADMISI PASIEN RAWAT INAP UNTUK MEMBANTU PENGAMBILAN KEPUTUSAN KLINIS DAN ADMINISTRASI DI BADAN RUMAH SAKIT UMUM DAERAH ( RSUD ) DR. H . SOEWONDO KABUPATEN KENDAL ( Admission Informatics System of In-patient as Administrative and Clinical Decision Support System in Badan RSUD dr. H Soewondo Kabupaten Kendal)
No full textBackground : Appropriateness in Admission represent quality of medical
services. Appropriateness Evaluation Protocol (AEP) is protocol that used to
evaluate inpatient admission according to medical indications. Preliminary study
shows that there are some problem due to admission informatics system in
Badan RSUD dr. H Soewondo Kabupaten. i.e. difficulty to access clinical
examination information, admission procedure not use AEP yet so there is 40 %
misadmission of all inpatient and there are no access to information of medical
services appropriateness.
Objective : The research was carried out to design admission informatics system
of in-patient as administrative and clinical decision support system in Badan
RSUD dr. H Soewondo Kabupaten Kendal.
Methods : The research was done in two step. First step was qualitative study
applied Framework for Application of System Technique (FAST) to design
informatics system. Second step used one group pretest – posttest design, trying
informatics system that built comparing acceptability, accessibility, sensitivity,
representativeness and timely.
Result : The result of this research was admission informatics system design
consist of input design, output design, data base design and interface design
continuing to build AEP based admission informatics system. Trial result shows
that respondent give their agreement in old and new system for acceptability
(2.20 and 3.18), accessibility (2.25 and 3.19), sensitivity (2.30 and 3,10),
representativeness (2,40 and 3,13), and timely (2.13 and 3.13) and it was
statistically significant (p : 0.0001)
Recommendation : The management commitment required to carry on
admission informatics system, annual evaluation of system performance required
to anticipate changes of information requirement and it is required to design input
faster using high technology instrument.
Latar Belakang : Ketepatan admisi merupakan salah satu indikator kualitas
pelayanan medis yang sesuai dengan standar. Appropriateness Evaluation
Protocol (AEP) merupakan protokol yang digunakan untuk menilai ketapatan
admisi pasien rawat inap. Studi pendahuluan menunjukkan di Badan RSUD dr. H
Soewondo Kabupaten Kendal didapatkan beberapa permasalahan terkait dengan
sistem informasi admisi yaitu kesulitan dalam mengetahui informasi hasil
pemeriksaan klinis, prosedur keputusan admisi belum menggunakan standar
AEP sehingga dari pengamatan menunjukkan ketidaktepatan admisi sebesar 40
%, kesulitan dalam mengetahui informasi mengenai ketepatan pelayanan klinis.
Tujuan : Tujuan penelitian ini adalah untuk merancang sistem informasi admisi
pasien rawat inap untuk membantu pengambilan keputusan klinis dan
administrasi dalam admisi pasien rawat inap di Badan RSUD dr. H Soewondo
Kabupaten Kendal.
Metode : Penelitian dilakukan dalam 2 tahap penelitian. Tahap pertama
merupakan penelitian kualitatif digunakan dalam perancangan sistem informasi
dengan menerapkan Framework for Application of System Technique (FAST).
Tahap kedua penelitian kuantitatif dengan rancangan one group pretest-postest
design, yaitu uji coba sistem informasi admisi dengan membandingkan indikatorindikator
akseptabilitas, aksesibilitas, sensitivitas, kerepresentatifan dan
ketepatan waktu.
Hasil : Hasil penelitian ini adalah rancangan sistem informasi admisi pasien rawat
inap (SIA) meliputi rancangan input, output, basis data dan interface dilanjutkan
dengan membangun sistem sehingga dihasilkan SIA berbasis AEP. Hasil uji coba
menunjukkan kepersetujuan responden dari sistem lama dan sistem baru dari
aspek akseptabilitas (RRT 2,20 dan 3,18), aksesibilitas (RRT 2,25 dan 3,19),
sensitivitas(RRT 2,30 dan 3,10), kerepresentatifan (RRT 2,40 dan 3,16) dan
ketepatan waktu (RRT 2,13 dan 3,13) dengan perbedaan yang bermakna (p :
0,0001).
Saran : Diperlukan komitmen manajemen untuk dapat menjalankan SIA,
evaluasi setiap tahun terhadap kinerja sistem diperlukan untuk mengantisipasi
perubahan kebutuhan informasi dan diperlukan rancangan input data yang cepat
dengan teknologi tinggi
Risk Factors of Acute Upper Respiratory Tract Infection Incidence (Non-Covid-19): A Case Study in the Work Area of the Sukorejo Primary Healthcare Center, Pacitan Regency
No full textIntroduction: Acute Upper respiratory tract infection was the highest case among the other diseases in Sukorejo Primary Healthcare Center, Pacitan Regency. Health protocol policies have an impact on healthy living behavior, which can prevent COVID-19 and acute upper respiratory infection (non-COVID-19). Rumors in the community stated that all acute upper respiratory infections had been tested for COVID-19, and were declared positive for COVID-19. This study aimed to determine the factors associated with acute upper respiratory tract infections (non-COVID-19).Methods: This study was conducted in an analytic observational method with a case-control study design. There were 61 subjects in the case and 61 subjects aged 26-65 years in the control groups. Sampling was done by simple random sampling for the case and purposive sampling for the control group. Data were analyzed by chi-square tests and logistic regression models.Results: Based on bivariate analysis, the inappropriate use of masks, smoking, inappropriate hand washing habits, high density on room occupancy, and inappropriate house ventilation area were the risk factors of acute upper respiratory tract infections (non-COVID-19). After controlling for the other variables, smoking habits (OR=2.723; 95%Cl=1.216-6.098; p=0.015), inappropriate house ventilation area (OR=2.569; 95%Cl=1.149-5.743; p=0.022), high density in room occupancy density (OR=2.425; 95%Cl=1.087-5.410; p =0.031) and the inappropriate use of masks (OR=2.320; 95%Cl=1.021-5.173; p=0.045) were the risk factors of acute upper respiratory tract infection (non-COVID-19) incidence.Conclusion: The risk factors of acute upper respiratory tract infection (non-COVID-19) incidence were smoking habits, inappropriate house ventilation, high density in room occupancy and the inappropriate use of mask
The Effect Of Neck Pain On Craniovertebral Angle Due To The Use Of Smartphone As A Learning Media For Physiotherapy Students In Widya Husada University Semarang
No full textThe COVID-19 pandemic in Indonesia affects student learning methods, one of which is the change from offline to online. Learning activities using a smartphone for a long time causes the neck position to become not ergonomic. The result will be neck pain. The purpose of this study was to determine the effect of the craniovertebral angle on neck pain in physiotherapy students at Widya Husada University Semarang. The research method using observational cross sectional. The results showed that most of the samples had normal cranivertebral angle (CVA) with mild neck pain and neck pain frequency more than 1 time per week. While the strong correlation is CVA is directly proportional to the frequency of neck pain
HUBUNGAN STATUS VAKSINASI BCG, RIWAYAT KONTAK DAN PERSONAL HYGIENE DENGAN KUSTA DI KOTA PEKALONGAN
No full textKusta masih menjadi masalah kesehatan masyarakat di berbagai negara umumnya negara berkembang, termasuk Indonesia. Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara status vaksinasi BCG, riwayat kontak dan personal hygiene dengan kejadian kusta. Penelitian ini merupakan penelitian analitik observasional dengan pendekatan kasus kontrol secara retrospektif. Pada penelitian ini menggunakan total sampling pada kelompok kasus dan accidental sampling pada kelompok kontrol, dengan jumlah masing-masing 64 orang. Analisis data dilakukan secara univariat, bivariat dan berstrata dengan uji chi square (α=0,05) dan menghitung nilai Odds Ratio (OR). Dari hasil penelitian didapatkan bahwa faktor yang berhubungan dengan kejadian kusta adalah status vaksinasi BCG (p=0,000;OR=3,621), riwayat kontak (p=0,000;OR=5,800) dan lama kontak (p=0,000; OR=15,815). Sedangkan personal hygiene (p=0,077) tidak berhubungan dengan kejadian kusta. Variabel umur, tingkat pendidikan dan status sosial ekonomi tidak terbukti sebagai variabel perancu dalam hubungan antara status vaksinasi BCG. Akan tetapi pendidikan merupakan variabel perancu dalam hubungan antara personal hygiene dengan kejadian kusta. Saran bagi petugas bagian P2PL adalah meningkatkan kegiatan surveilans epidemiologi penyakit kusta. Bagi kepala puskesmas diharapkan untuk meningkatkan penemuan penderita secara aktif, meningkatkan penyuluhan kepada masyarakat tentang penyakit kusta dan meningkatkan cakupan vaksinasi BCG. Bagi peneliti selanjutnya untuk menghindari bias recall dan bias seleksi.
Leprosy remains a public health problem in many developing countries, including Indonesia. The purpose of this study was to determine the relation between BCG vaccination status, contact with patient, and personal hygiene and leprosy. This study was an observational analytic study with approach case control restropectively. This study used total sampling in case group and accidental sampling in control group, in total 64 peoples each group. Data analysis used univariate, bivariate and stratified by chi square test (α = 0,05) and calculated the odd ratio (OR). The result showed that the factors related with the leprosy were BCG vaccination status (p=0,000;OR=3,621), contact with patient (p=0,000;OR=5,800) and duration of contact (p=0,000; OR=15,815). While personal hygiene was not associated with the leprosy (p=0,077). Variables of age, education and socioeconomic status did not proven as a confounding variable in relation between BCG vaccination status and leprosy. But education was confounding variable in relation between personal hygiene and leprosy. Recommendation for P2PL officer is to improve epidemiological surveillance of leprosy. For the head of the health center is expected to increase active case detection, improving counseling to society about leprosy defect and increasing the coverage of BCG vaccination. For the other researchers to avoid recall bias and selection bias
RESULT OF POLYMERASE CHAIN REACTION (PCR) TEST POSITIVITY AND VACCINATION ASSOCIATED WITH INCIDENCE RATE OF COVID-19 IN JEPARA REGENCY
No full textCOVID-19 merupakan penyakit menular disebabkan oleh virus SARS-CoV-2. Kabupaten Jepara menjadi salah satu wilayah tersebarnya COVID-19 dan telah menerapkan strategi testing serta vaksinasi sebagai upaya penanganan pandemi. Penelitian ini bertujuan untuk mengkaji hubungan tingkat tes positif PCR dan tingkat vaksinasi terhadap laju insidensi COVID-19 di Kabupaten Jepara. Penelitian ini menggunakan pendekatan kuantitatif dengan desain cross-sectional. Unit analisis penelitian ini merupakan periode waktu dalam satuan minggu. Populasi dan sampel berupa data sekunder angka kasus COVID-19, hasil tes PCR, dan vaksinasi COVID-19 yang tercatat di Dinas Kesehatan Kabupaten Jepara pada 1 Juni 2020 sampai 30 Juni 2022, dengan menggunakan teknik total sampling. Instrumen penelitian berupa lembar pencatatan. Hasil uji korelasi Spearman diperoleh adanya korelasi positif yang sangat kuat antara tingkat tes positif PCR dengan laju insidensi COVID-19 (r=0,810). Terdapat hubungan antara tingkat vaksinasi dengan laju insidensi COVID-19 di Kabupaten Jepara dengan arah korelasi negatif yaitu dosis pertama (r=-0,603) berkorelasi kuat, dosis kedua berkorelasi sedang (r=-0,591), dosis ketiga (r=-0,311) berkorelasi lemah. Simpulan penelitian ini adalah terdapat hubungan antara tingkat tes positif PCR dan tingkat vaksinasi dengan laju insidensi COVID-19 di Kabupaten Jepara
EFEKTIVITAS METODE SIMULASI PERMAINAN “MONOPOLI HIV” TERHADAP TINGKAT PENGETAHUAN KOMPREHENSIF HIV/AIDS PADA REMAJA DI KOTA SEMARANG (STUDI KASUS DI SMA KESATRIAN 1 SEMARANG)
No full textDi Indonesia jumlah kasus HIV/AIDS meningkat pada kelompok umur 20-29 tahun. Upaya pencegahan dapat dilakukan dengan meningkatkan pengetahuan komprehensif HIV/AIDS pada remaja melalui pendidikan kesehatan. Tujuan penelitian ini adalah untuk mengetahui efektivitas metode simulasi permainan terhadap pengetahuan komprehensif HIV/AIDS pada remaja dikota Semarang (studi kasus di SMA Kesatrian 1 Semarang). Penelitian ini merupakan penelitian eksperimen semu dengan rancangan penelitian pretest-posttest with control group. Sampel dalam penelitian berjumlah 25 pada masing-masing kelompok kontrol dan eksperimen. Pengambilan data berupa pretest dan posttes dengan selang waktu 16 hari. Analisis menggunakan Uji McNemar dan chi square. Hasil penelitian menunjukan ada perbedaan pengetahuan komprehensif HIV/AIDS yang bermakna antara sebelum dan setelah intervensi pendidikan kesehatan dengan metode simulasi permainan (p value = 0,000). Maka dapat disimpulkan bahwa metode simulasi permainan efektif dalam meningkatkan pengetahuan komprehensif HIV/AIDS pada remaja di SMA Kesatrian 1 Semarang.
In Indonesia, cases of HIV / AIDS increased in the age group 20-29 years. Prevention efforts can be made to improve the comprehensive knowledge of HIV / AIDS among adolescents through health education. The purpose of this study was to determine the effectiveness of the simulation game method to comprehensive knowledge of HIV / AIDS among adolescents in the city of Semarang (case study in Kesatrian 1 Semarang senior high school). This study was a quasi-experimental research with pretest-posttest study design with control group. The total sample were 25 on each of the control and experimental groups. Collecting data in the form of pretest and posttes with an interval of 16 days. Analysis used the McNemar test and chi-square. The results showed there was significantly difference in the comprehensive knowledge of HIV / AIDS between before and after the intervention of health education with game simulation method (p value = 0.000). It could be concluded that the simulation game method was effective in improving the comprehensive knowledge of HIV / AIDS among adolescents in Kesatrian 1 Semarang senior high school
Association of Kidney Stones with Metabolic Syndrome Parameters in Indonesia
No full textBackground: Kidney stone disease is common throughout the world with the lifetime risk of kidney stones in the United States exceeding 12% in men and 6% in women. In the United States, the prevalence of metabolic syndrome is 24% in men and 23.4% in women. Elevated prevalence of kidney stones is often associated with metabolic syndrome and metabolic syndrome itself. Objective: To assess the association between kidney stones and metabolic syndrome parameters in differences gender. Methode: Using a cross-sectional study, data obtained from secondary data of Riset Kesehatan Dasar (Riskesdas) 2013. A total of 26,063 people were as respondents in our study. Diagnosis of kidney stone based on Riskesdas 2013 interview. Metabolic syndrome was diagnosed according to the National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III) and PERKENI. Chi-square test and multivariate logistic regression were used in data analysis. Result: Number of respondents have been diagnosed with kidney stones by doctors was 226 (0.9%) respondents from 26,063 respondents. Central obesity was a dominant factor which associated with the risk of kidney stones in male respondents (OR 1.9; 95% CI 1.3-2.9; p=0.003) after adjustment for age. Metabolic syndrome was a dominant factor which associated with the risk of kidney stones in female respondent (OR 6.1; 95% CI 3.4-11.3; p<0.001) after adjustment for age. Conclusion: Metabolic syndrome and central obesity were associated with the risk of kidney stones
PENINGKATAN PENGETAHUAN DAN SIKAP WARGA BINAAN KASUS NARKOBA DALAM PENCEGAHAN HIV DAN AIDS DI LEMBAGA PEMASYARAKATAN KELAS IIA SEMARANG
No full textSebagai salah satu kelompok yang berisiko tinggi terkena HIV dan AIDS terbanyak ke-2 di Semarang dengan proporsi kasus 21,21%, para pengguna Napza menghadapi dua risiko untuk terkena HIV/AIDS, yaitu mereka yang menggunakan Napza suntik dan melakukan hubungan seksual terutama dengan lebih dari satu pasangan, atau melakukan hubungan seks tanpa menggunakan kondom. Salah satu upaya awal menurunkan prevalensi kasus pada kelomok tersebut adalah melalui upaya pencegahan yaitu dengan peningkatan pengetahuan dan sikap sikap warga binaan kasus narkoba. Penyuluhan sebagai salah satu metode pendidikan terbukti cukup efektif dalam meningkatkan pengetahuan, merubah sikap dan perilaku. Hal ini ditunjukkan dengan hasil uji rerata tingkat pengetahuan dan sikap peserta penyuluhan dalam pencegahan HIV/AIDS. Ratarata hasil post test baik pengetahuan atau sikap mengalami peningkatan dari pre testnya. Melalui penyuluhan dengan metode ceramah, diskusi dan pemutaran film tentang fakta HIV/AIDS cukup efektif dalam meningkatkan pengetahuan dan merubah sikap warga binaan lembaga pemasyarakatan. Kombinasi metodemetode ini dapat menambah ketertarikan audiens terhadap pesan/informasi yang disampaikan sehingga peserta dapat mengikutinya dan memahami materi yang disampaikan secara lengkap. Disarankan bagi Lapas untuk melakukan follow up dengan pembentukan pendidik sebaya di lingkungan Lapas yang dimaksudkan untuk memberdayakan warga binaan agar secara aktif dapat melakukan upaya pencegahan HIV/AIDS secara mandiri. Untuk kegiatan pengabdian selanjutnya dapat dilakukan dengan kegiatan pembentukan dan pelatihan bagi pendidik sebaya di Lapas. </p
Sistem Informasi Admisi Pasien Membantu Ketepatan Pengambilan Keputusan Admisi Pasien
No full textAppropriateness in admission represent quality of medical services. Appropriateness Evaluation Protocol (AEP) is protocol that used to evaluate inpatient admission according to medical indications. The research was carried out to design admission information system of inpatient as administrative and clinical decision support system in Rumah Sakit Umum Daerah dr. H. Soewondo Kabupaten Kendal. The research was done in twostep. First step was qualitative study applied Framework for Application of System Technique (FAST) to design information system. Second step used one group pretest-posttest design, trying information system that built comparing acceptability, accessibility, sensitivity, representativeness and punctuality. The result of this research was admission information system design consist of input design, output design, data base design and interface design continuing to build AEP based admission information system. Trial result shows that respondents give their agreement in old and new system for acceptability (2,20 and 3,18), accessibility (2,25 and 3,19), sensitivity (2,30 and 3,10), representativeness (2,40 and 3,13), and punctuality(2,13 and 3,13), and it was statistically significant (p = 0,0001). The management commitment is required to carry on admission information system, annual evaluation of system performance required to anticipate changes of information requirement, and it is required to design input faster using hightechnology instrument
