scholarly journals Duration Of Ventilation Support Usage And Development Of Ventilator-Associated Pneumonia: When Is The Most Time At Risk?

Author(s):  
Ricky Indra Alfaray ◽  
Muhammad Iqbal Mahfud ◽  
Rafiqy Sa'adiy Faizun

Introduction: Ventilator-Associated pneumonia (VAP) is pneumonia that occurs in patients who have been mechanically ventilated for a duration of more than 48 hours. The duration of ventilator use was identified as a risk factor which is a trigger of VAP. Objective: This study aimed to determine the association between the duration of ventilator use and the incidence of VAP in patients in the Intensive Care Unit of Dr. Mohammad Hoesin General Hospital, Palembang. Method and Material: This study was an observational analytic study using a cross-sectional design. The samples were all patients who use a ventilator for more than 48 hours at the ICU room period of July 1, 2014, to June 30, 2015. Data were obtained from the patient’s medical records of a total of 146 patients, but the number of patients who comply with the criteria was 106 patients. Result and Discussion: Out of the 106 samples, 41 patients (38.7%) developed VAP and 65 patients (61.3%) did not develop VAP. The analysis using Chi-Square test showed that patients who used ventilator for >5 days had an OR = 3.273 compared to patients using ventilator 2-5 days (p-value = 0.016; 95% CI = 1.223 to 8.754). Conclusion: There is a significant association between the duration of ventilator use and the incidence of VAP in patients at the ICU of Dr. Mohammad Hoesin General Hospital, Palembang. Patients using ventilators for more than 5 days 3,386 times more at risk of developing VAP compared to patients using ventilators 2-5 days. The riskiest time for the patient using ventilator was more than 5 days of usage. And, the mortality rate of VAP patients was 63.4% from 41 patients while the mortality rate of whole ICU patients was 50.9%.

e-CliniC ◽  
2019 ◽  
Vol 7 (2) ◽  
Author(s):  
Stivani S. Pantow ◽  
Grace D. Kandou ◽  
Paul A. T. Kawatu

Abstract: Basically, productivity is influenced by three factors namely workload, work capacity, and additional burden due to work environment. Workload is usually associated with physical, mental, and social burdens. General Hospital Bethesda GMIM Tomohon provides services to patients with 123 nurses divided into several rooms. This study was aimed to determine the relationship between workload and work fatigue and work productivity of nurses in the Inpatient Room of the General Hospital Bethesda GMIM Tomohon. This was an observational analytical study using a cross sectional design. The sampling technique used Slovin formula and obtained 56 nurses as respondents. Data were analyzed by using the chi square test. The results showed that the relationship between workload and work productivity obtained a p-value of 0.001 (α=0.05), meanwhile the relationship between work fatigue and work productivity had a p-value of 0.001 (α=0.05). In conclusion, there was a significant relationship between workload and work productivity as well as between work fatigue and work productivity among the nurses of the Inpatient Room of Bethesda General Hospital, GMIM Tomohon.Keywords: work productivity, work fatigue, workload Abstrak: Pada dasarnya produktivitas dipengaruhi oleh tiga faktor yaitu beban kerja, kapasitas kerja, dan beban tambahan akibat lingkungan kerja. Beban kerja biasanya berhubungan dengan beban fisik, mental maupun sosial yang memengaruhi tenaga kerja. RSU Bethesda GMIM Tomohon memberikan pelayanan pada pasien dengan jumlah perawat 123 orang yang dibagi dalam beberapa ruangan. Penelitian ini bertujuan untuk mengetahui adanya hubungan antara beban kerja dan kelelahan kerja dengan produktivitas kerja pada perawat di Ruang Rawat Inap RSU Bethesda GMIM Tomohon. Jenis penelitian ialah observasional analitik dengan desain potong lintang. Dengan menggunakan rumus Slovin didapatkan sebanyak 56 perawat sebagai responden. Analisis data menggunakan uji chi square. Hasil pengujian terhadap hubungan antara beban kerja dengan produktivitas kerja mendapatkan nilai p=0,001 (α=0,05). Hasil pengujian terhadap hubungan antara kelelahan kerja dengan produk-tivitas kerja mendapatkan nilai p=0,001 (α=0,05). Simpulan penelitian ini ialah terdapat hubungan antara beban kerja dan kelelahan kerja dengan produktivitas kerja pada perawat di Ruang Rawat Inap RSU Bethesda GMIM Tomohon.Kata kunci: produktivitas kerja, kelelahan kerja, beban kerja


e-CliniC ◽  
2019 ◽  
Vol 7 (2) ◽  
Author(s):  
Stivani S. Pantow ◽  
Grace D. Kandou ◽  
Paul A. T. Kawatu

Abstract: Basically, productivity is influenced by three factors namely workload, work capacity, and additional burden due to work environment. Workload is usually associated with physical, mental, and social burdens. General Hospital Bethesda GMIM Tomohon provides services to patients with 123 nurses divided into several rooms. This study was aimed to determine the relationship between workload and work fatigue and work productivity of nurses in the Inpatient Room of the General Hospital Bethesda GMIM Tomohon. This was an observational analytical study using a cross sectional design. The sampling technique used Slovin formula and obtained 56 nurses as respondents. Data were analyzed by using the chi square test. The results showed that the relationship between workload and work productivity obtained a p-value of 0.001 (α=0.05), meanwhile the relationship between work fatigue and work productivity had a p-value of 0.001 (α=0.05). In conclusion, there was a significant relationship between workload and work productivity as well as between work fatigue and work productivity among the nurses of the Inpatient Room of Bethesda General Hospital, GMIM Tomohon.Keywords: work productivity, work fatigue, workload Abstrak: Pada dasarnya produktivitas dipengaruhi oleh tiga faktor yaitu beban kerja, kapasitas kerja, dan beban tambahan akibat lingkungan kerja. Beban kerja biasanya berhubungan dengan beban fisik, mental maupun sosial yang memengaruhi tenaga kerja. RSU Bethesda GMIM Tomohon memberikan pelayanan pada pasien dengan jumlah perawat 123 orang yang dibagi dalam beberapa ruangan. Penelitian ini bertujuan untuk mengetahui adanya hubungan antara beban kerja dan kelelahan kerja dengan produktivitas kerja pada perawat di Ruang Rawat Inap RSU Bethesda GMIM Tomohon. Jenis penelitian ialah observasional analitik dengan desain potong lintang. Dengan menggunakan rumus Slovin didapatkan sebanyak 56 perawat sebagai responden. Analisis data menggunakan uji chi square. Hasil pengujian terhadap hubungan antara beban kerja dengan produktivitas kerja mendapatkan nilai p=0,001 (α=0,05). Hasil pengujian terhadap hubungan antara kelelahan kerja dengan produk-tivitas kerja mendapatkan nilai p=0,001 (α=0,05). Simpulan penelitian ini ialah terdapat hubungan antara beban kerja dan kelelahan kerja dengan produktivitas kerja pada perawat di Ruang Rawat Inap RSU Bethesda GMIM Tomohon.Kata kunci: produktivitas kerja, kelelahan kerja, beban kerja


Author(s):  
Desti Widya Astuti Desti Widya Astuti

ABSTRAK   Berdasarkan data di RSUD Kota Prabumulih bahwa terdapat peningkatan jumlah kejadian perdarahan post partum, tahun 2014 sebanyak 178 orang, tahun 2015 sebanyak 246 orang dan tahun 2016 sebanyak 151 orang. Penelitian ini bertujuan untuk mengetahui hubungan umur ibu dan jarak kehamilan terhadap kejadian perdarahan post partum di RSUD Kota Prabumulih Tahun 2016. Penelitian ini merupakan penelitian analitik dengan rancangan cross sectional. Populasi yang digunakan adalah semua ibu bersalin di RSUD Kota Prabumulih, sebanyak 1.296 ibu bersalin dan 306 sampel. Pengambilan sampel dengan mengunakan random sampling, analisa data menggunakan analisa univariat dan bivariat dengan menggunakan uji statistik chi-square dengan derajat kemaknaan 0,05. Hasil penelitian ini menunjukan bahwa dari 288 ibu bersalin terdapat 151 yang mengalami perdarahan post partum sebagian besar adalah ibu dengan umur resiko tinggi sebanyak 43 orang  (40,9%) dan ibu dengan jarak kehamilan resiko tinggi sebanyak 21 orang (17,3%). Hasil uju chi-square umur didapatkan p.value 0,000 < α 0,05 dan uji chi-square untuk jarak kehamilan didapatkan p.value 0,000 < α 0,05. Maka ada hubungan umur ibu dan jarak kehamilan terhadap kejadian perdarahan post partum di RSUD Kota Prabumulih Tahun 2016. ABSTRACK   Based on the data at District General Hospital (RSUD) Prabumulih, there was increasing of post-partum bleeding, in 2014, there were 178 people. In 2015, there were 246 people. And in 2016, there were 151 people. The purpose of the study was to know relationship between maternal mother and the distance and old post-partum bleedingat District General Hospital (RSUD) Prabumulih in 2013. The study was analytic researchwith cross sectional design. Population thas was used in the study was all maternal mother ar District General Hospital (RSUD) Prabumulih. It was about 1.296 maternal mother and from 306. Random sampilng was done in the study, data analyses used univariate and bivariate analyses by using chi-square statistic test with significance level 0,05. The study result showed that from 306 maternal mother, there were 151 mother who experienced old post-partum bleeding, the large of that was high maternal mother 43 people  (40,9%) and mother age high distance 21 people (17,3%). The result of chi-square test was p value 0,000 < α 0,05 and chi-square test for age was p value 0,000 < α 0,05. It meant that there was relationship between maternal mother and the distance and of post-partum bleeding at District General Hospital (RSUD) Prabumulih in 2016.


2020 ◽  
Vol 4 (3) ◽  
pp. 100-111
Author(s):  
Vita Camelia ◽  

Stunting is a children growth problem that occurs a result of chronic malnutrition in the first 1000 days of life. The indicator of stunting is using the height measurement according to age HFA (Height for Age) under -2 SD based on the WHO growth standard curve according to sex. The impacts of stunting are the occurrence of growth disorders, barriers to development and the risk of metabolic disorders in adulthood. One of the risk factors for stunting is history of quality and quantity Antenatal Care (ANC). This study aimed to determine the relationship between quality and quantity history of ANC visits and stunting in toddlers aged 24-59 years in Pujon District Malang Regency. The method used in this research was observational analytic by using cross-sectional design. The population of this study was all mothers who have children aged 24-59 months that were conducted in January 2020. Ninety eight respondents taken by purposive sampling as the sample of the research. The data was obtained by filling out questionnaires and KIA books, then analyzed with chi-square test (α = 0.05). The results showed that there was a significant relationship in quality (p-value = 0.004) and quantity (p-value = 0.003) toward stunting.


2018 ◽  
Vol 1 (2) ◽  
pp. 111
Author(s):  
Bangun Dwi Hardika

Health is the most important thing in people life, physically and mentally. Besides body�s health in general teeth and mouth health also must get special attention, because teeth and mouth health affects body�s health. Dental caries is a pathological process that occurs because of the interaction of factors inside and outside factors such as behavioral factors, knowledge and attitudes toward maintenance of teeth and mouth. The research aimed to understand the relationship between knowledge and attitude of grade V students of 131 elementary school Palembang toward the teeth caries. The method used in this research is analitical method by using cross sectional design, taking samples technique by using total population way and the samples are 167 student of grade V. From The result of this study it was know that, 33.5% of children who have a low knowledge, 43.1% of children have negative attitudes and 59.3% of children experienced dental caries. From Chi square test results showed no relationship between knowledge of children with dental caries with p value of 0.036; there is a correlation between the attitudes of children with dental ceries with p value, 0.000. In order to decrease the number of teeth caries among students, it is hoped that school make a school teeth health unit (UKGS) and some mediators and teachers need to make a teeth health socialization so that the students can get more knowledge about teeth and mout health. Key word: Knowledge, Attitude, and Teeth Caries


2022 ◽  
Vol 7 (2) ◽  
pp. 150-160
Author(s):  
Putri Rahmadani ◽  
Besral Besral ◽  
Masrizal Masrizal

Background: The measles rubella (MR) immunization coverage rate in Padang City is only 30.82%, still far below Indonesia's national target of 95%. The coverage of measles rubella immunization at the Rawang Health Center is around 62.1%. This study aims to determine the role of health workers in the success of measles rubella immunization in the Rawang Public Health Center, Padang City. Methods: This study used a cross sectional design. The study was conducted in October 2018-July 2019. The research population is mothers who have children aged 12-59 months (toddlers) as many as 1807 respondents. The sampling method is proportional random sampling with a sample of 87 respondent. Data was collected by interview using a questionnaire. Results: The results showed that 37.9% of children under five had not been immunized against measles rubella and 44.8% of health workers had an unfavorable role. The results of the chi-square test showed a significant relationship  between  the role of officers in  the success of measles rubella immunization  (p-value=0.020). Recommendation: It is hoped that health workers can increase health promotion activities regarding the risks due to children not being immunized against measles rubella and intensify door-to-door programs in the implementation of measles rubella immunization


2017 ◽  
Vol 16 (1) ◽  
pp. 17 ◽  
Author(s):  
Aria Gusti

Judul : Faktor-Faktor Yang Berhubungan Dengan Gejala Neurotoksik Akibat Paparan Pestisida Pada Petani Sayuran Di Kenagarian Alahan Panjang Kabupaten SolokLatar belakang: Sekitar 60% petani penyempro sayur di Kanagarian Alahan Panjang mempunyai riwayat gejala neurotoksik.. Penelitian ini bertujuan untuk mengkaji faktor-faktor yang berhubungan dengan gejala gangguan syaraf pada petani penyemprot yang menggunakan pestisida di Kanagarian Alahan Panjang Kabupaten Solok.Metode: Penelitian ini merupakan penelitian observasional dengan rancangan cross-sectional. Subyek penelitian sebanyak 75 responden. Penarikan sampel dilakukan secara random. Variabel yang dikaji dalam penelitian ini meliputi jenis pestisida, komposisi pestisida, pemakaian alat pelindung diri, dan gejala neurotoksik. Instrument penelitian menggunakan kuesioner Q18 versi Jerman. Analisis data menggunakan uji Chi-square pada taraf signifikasi 5%.Hasil: Hasil penelitian menunjukkan sebanyak 62,7% petani penyemprot sayuran pernah mengalami gejala neurotoksik. Hasil analisis statistik menunjukkan ada hubungan signifikan antara jumlah dan komposisi pestisida yang digunakan dengan gangguan neurotoksik pada petani sayuran (p-value <0,05). Sedang kebiasaan pemakaian alat pelindung diri tidak berpengaruh terhadap kejadian gangguan neorotoksin.  Simpulan: Jumlah dan komposisis pestisida berhubungan dengan gangguan neurotoksik pada petani sayuran di Kanagarian Alahan Kabupaten Solok. Petani sayur disarankan untuk memperhatian komposis pestidian dan tidak menggunakan secara berlebihan dalam menyemprot sayuran. AbstractTitle: Factors related with neurotoxic symptoms on pesticides exposed vegetable farmer in Kanagarian Alahan Panjang, Solok DistrictBackground: Around 60% of vegetable farmer sprayer in Kenagarian Alahan Panjang have experienced of the neurotoxic symptoms. The purpose of this study was to determine factors associated with neurotoxic symptoms on vegetable farmer sprayer with pesticide in Kenagarian Alahan Panjang Solok District in 2016. Method: Type of this research was quantitative using cross-sectional design. The sample were 75 respondents. Sampling using simple random sampling technique. Processing data using univariate and bivariate analysis with chi-square test. Results: The result of this research showed (62,7%) vegetable farmer sprayer have experienced of the neurotoxic symptoms. Bivariate analysis showed there were significant relationship (p<0,05) between pesticide composition and amount of pesticide with neurotoxic symptoms. There was no significant relationship between use of personal protective equipment with neurotoxic symptoms. Conclusion: The number and compostion of pesticides were factors which had associated significantly with neurotoxic symptoms. It was suggested to vegetable farmers to change organofosfat pesticide which was not dangerous to health like faction of pyrethroids. Vegetable farmers were suggested to use appliance protector of X’self completely when activity of mixing and application of pesticide.


2017 ◽  
Vol 13 (1) ◽  
pp. 53
Author(s):  
Herwinda Husnawati ◽  
Syamsul Arifin ◽  
Ida Yuliana

Abstract: Based on data from Banjarmasin Department of Health in 2015, the highest diarrhea incident which is 1.056 cases, occurs at Puskesmas Kuin Raya Banjarmasin. There is an imbalance between diarrhea incident and visitation to sanitation clinic. Many factors are influencing someone’s behavior while knowledge is one of those. This research aimed to discover the correlation between education and sanitation clinic utilization on a mother of acute diarrhea toddlers at Puskesmas Kuin Raya Banjarmasin. This was an analytic observational study with cross sectional design. The samples were 50 mothers chosen by systematic random sampling method. The analysis was conducted by chi-square test. The result portrayed 12% of high education, 22% of fair education and 66% of low education. Meanwhile, there were 64% non-utilization and 36% utilization of sanitation clinic. The correlation p-value was 0,000 (p<0,05). In conclusion,  there is a correlation between education and sanitation clinic utilization on a mother of acute diarrhea toddlers at Puskesmas Kuin Raya Banjarmasin. Keywords: acute diarrhea, sanitation clinic utilization, education Abstrak: Data Dinas Kesehatan Kotamadya Banjarmasin tahun 2015 didapatkan angka kejadian diare tertinggi sebanyak 1,056 kasus di Puskesmas Kuin Raya Banjarmasin. Terdapat kesenjangan antara angka kejadian diare dengan jumlah kunjungan ke klinik sanitasi. Banyak faktor yang mempengaruhi pemanfaatan klinik sanitasi, salah satunya adalah pengetahuan. Tujuan penelitian ini untuk mengetahui hubungan pengetahuan dengan pemanfaatan klinik sanitasi pada ibu bayi dan balita penderita diare akut di Puskesmas Kuin Raya Banjarmasin. Metode penelitian ini adalah observasional analitik dengan pendekatan cross sectional. Sampel berjumlah 50 responden dengan teknik systematic random sampling. Analisis data menggunakan uji chi-square. Hasil penelitian adalah 12% mempunyai pengetahuan tinggi, 22% berpengetahuan cukup dan 66% berpengetahuan rendah. Sementara itu, untuk pemanfaatan klinik sanitasi didapatkan hasil tidak memanfaatkan klinik sanitasi 64% dan memanfaatkan 36%. Nilai korelasi p = 0,000 (p< 0,05). Kesimpulan penelitian ini terdapat hubungan pengetahuan dengan pemanfaatan klinik sanitasi pada ibu bayi dan balita penderita diare akut di Puskesmas Kuin Raya Banjarmasin. Kata-kata kunci: diare akut, pemanfaatan klinik sanitasi, pengetahuan


2020 ◽  
Vol 4 (2) ◽  
pp. 179-184
Author(s):  
Nur Herawati ◽  
Emma Rachmawati ◽  
Mouhamad Bigwanto

ABSTRACT Nurses in meeting spiritual service needs in patients are influenced by one of the factors namely spiritual intelligence. The purpose of the study was to determine the relationship between characteristics and nurse's spiritual intelligence by fulfilling the inpatient spiritual service needs in Banten Hospital in 2019. The study was conducted in Banten General Hospital in July-August 2019. This research was quantitative with a cross-sectional design by using a questionnaire as a primary data and using Chi-square test as the data analysis. The sample used all nurses in population with total sampling to 71 nurses. The results showed that respondents who fulfilled the needs of spiritual services were not as good as 37 respondents (52.1%). Bivariate results showed variables related to meeting spiritual service needs, namely the level of education (p value = 0.039), length of work (p value =0.042), and nurse spiritual intelligence (p value =0.022). Based on the results of this study it is suggested that there is a need for assistance or special mentors conducted by senior nurses to junior nurses (length of work ≤ 4 years). Because the results of this research prove that nurses who have a new length of work who have the opportunity to meet the needs of spiritual services are not good for patients. Keywords : Nurses, Spiritual Intelligence, Spiritual Service Needs.


2021 ◽  
Vol 2 (5) ◽  
pp. 16-25
Author(s):  
Putri Junita Sembiring ◽  
Aisyah Simanjorang ◽  
Nur Aini

The purpose of this research is to investigate the variables that affect the use of medical services. At the Putri Hijau Level II Hospital, you may get checked out. It was decided to employ a kuantitatif research design with a cross sectional design for this particular investigation. Patients who came in for a medical check-up at the Putri Hijau Level II Hospital were included in the research study. According to the results of the first survey, the total number of patients who had medical examinations in 2019 was 2135 individuals. We needed to look at 100 different individuals for our experiment. The chi square test and multiple linear regression were the statistical tests that were used. The results of the chi square test study revealed that the variable service quality (reliability p-value = 0,000, responsiveness p-value = 0,000, assurance p-value = 0,036, empathy p-value = 0,003, physical evidence p-value = 0,026) obtained a p-value less than 0.05, the variable facility p-value = 0.000, the variable rate / price p-value = 0.000, and the variable patient perception obtained a p-value Patient views of the use of Medical Check Up services are associated with service quality (reliability, responsiveness, assurance, empathy, physical evidence) as well as medical facilities, rates / pricing and patient perceptions of the usage of Medical Check Up services (p-value = 0.039 0.05). Using multivariate analysis, it was discovered that one of the variables in this research, the Facility variable, had the most influence on the outcome.


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