scholarly journals EFFECT OF EMPLOYEE LABOR EXPENSES ON THE RESPONSE TIME IN EMERGENCY DEPARTMENT OF SAMPANG HOSPITAL, INDONESIA

2021 ◽  
Vol 31 (2) ◽  
pp. 57
Author(s):  
Miftahul Khoirul Insan ◽  
Prananda Surya Airlangga ◽  
Lilik Djuari

Background: The Emergency Department (ED) has the main purpose of receiving, triageing, stabilizing, and providing acute health services to patients, including those who require resuscitation and emergency patients to some degree. An indicator of the success of medical treatment of emergency patients is the speed of providing adequate assistance both in daily routine situations or during disasters. Factors that influence nurses’ motivation to work, especially implementing triage at the Emergency Department include the characteristics of nurses such as age, sex, education, length of work and training. Objective: To analyze the effect of workload of the medical staff of the Emergency Department on the response time in the Emergency Department of Sampang Hospital, Indonesia. Materials and Methods: Observational analytic research with cross-sectional design. Sampling was performed with total sampling method to 24 people who met the criteria. Data collection was done by questionnaire and observation. Data were analyzed using the Chi-square correlation test and Fisher’s exact test. Results: There was a significant influence between workload and response time of triage P1 of Emergency Department staff at Sampang Hospital, Indonesia (p=0.015), whereas in triage P2 and P3 there was no effect of workload of staff on response time (p>0.05). Conclusion: In Emergency Department of Sampang Hospital, Indonesia, the response time in all categories of emergency (P1/red, P2/yellow, and P3/green) is fast. Workload correlates significantly with response time in P1/red category, while in P2/yellow and P3/green categories the workload has no effect on the response time.

2017 ◽  
Vol 1 (01) ◽  
pp. 23
Author(s):  
Umi Faza ◽  
Dyah Umiyarni Purnamasari ◽  
Saryono Yono

Abstract  The aim of this study was to determine factors associated with diminished appetite in CKD patients undergoing hemodialysis therapy. This study is an observational analytic research with cross sectional design. Population of this study was CKD outpatients undergoing hemodialysis therapy in July- August 2016 in Prof. Dr. Margono Soekarjo Hospitals. Amount of 58 subjects taken by consecutive sampling. Appetite, sex, age, length of hemodialysis, frequency of nausea/vomiting, and depression were measured using questionnaire. Subjects who diminished appetite were 58,6%. More than half subjects were male (56,9%). Amount of 84,5% subjects were adults (19-59 years), 63,8% undergoing hemodialysis >1year, 39,7% experienced nausea/ vomiting and 53,4% were depression. Based on Chi-Square Test/ Fisher Exact Test, diminished appetite significantly associated with length of hemodialysis (p=0,041), frequency of nausea/vomiting (p=0,014), and depression (p=0,002). Dominant factors affected diminished appetite were depression and length of hemodialysis. Diminished appetite in CKD patients undergoing hemodialysis therapy associated with length of hemodialysis, frequency of nausea/vomit, and depression. Keyword : appetite, chronic kidney disease, hemodialysi  Abstrak Penelitian ini bertujuan untuk mengetahui faktor- faktor yang berhubungan dengan penurunan nafsu makan pada pasien Gagal Ginjal Kronik (GGK) yang menjalani terapi hemodialisis. Penelitian ini merupakan penelitian analitik observasional dengan pendekatan cross sectional. Populasi dari penelitian ini adalah pasien GGK rawat jalan yang menjalani terapi hemodialisis pada bulan Juli- Agustus 2016 di RSUD Prof. Dr. Margono Soekarjo Purwokerto. Sebanyak 58 subjek diambil dengan cara consecutive sampling. Nafsu makan, jenis kelamin, usia, lama hemodialisis, frekuensi mual/muntah, dan depresi diukur menggunakan kuesioner. Responden yang mengalami penurunan nafsu makan sebanyak 58,6%. Lebih dari separuh responden (56,9%) berjenis kelamin laki- laki dan 84,5% responden berusia dewasa (19-59 tahun). Sebanyak 63,8% responden menjalani hemodialisis >1tahun. Responden yang mengalami mual/muntah berat sebanyak 39,7% dan 53,4% mengalami depresi. Berdasarkan analisis bivariat menggunakan Uji Chi- Square/ Fisher Exact diperoleh hasil bahwa nafsu makan berhubungan secara signifikan dengan lama hemodialisis (p=0,041), frekuensi mual/ muntah (p=0,014), dan depresi (p=0,002). Faktor dominan yang mempengaruhi penurunan nafsu makan adalah depresi dan lama hemodialisis. Penurunan nafsu makan pada pasien GGK yang menjalani terapi hemodialisis berhubungan dengan lama hemodialisis, frekuensi mual/muntah, dan depresi. Kata kunci : gagal ginjal, hemodialisa, nafsu makan  


2013 ◽  
Vol 29 (5) ◽  
pp. 1008-1018 ◽  
Author(s):  
Luciana Ramos de Moura ◽  
Joyce Romano Lamounier ◽  
Patrícia Regina Guimarães ◽  
Júlia Mesquita Duarte ◽  
Maria Tereza Cordeiro Beling ◽  
...  

The aim of this study was to investigate gaps between knowledge on HIV/AIDS and sexual behavior among teenagers. The study used a cross-sectional design with a representative random sample of 1,158 teenagers (14 to 19 years of age) enrolled in nine public secondary schools and who answered validated questionnaires. Data analysis included descriptive statistics and tests of hypotheses (chi-square, Mann-Whitney and Kruskal-Wallis, Kendall, and Fisher's exact test). The vast majority of the teenagers (98.7%) expressed doubt on at least one question. Condom use during first sexual intercourse was significantly associated with condom use in sexual relations in the previous six months. There was no statistical association between knowledge on HIV/AIDS and frequency of condom use or number of sexual partners. Health actions are needed that link schools to health services, in addition to not only elaborating appropriate information but also valorizing teenagers' individuality in the development of proposals


2021 ◽  
Vol 1 (1) ◽  
pp. 24-33
Author(s):  
Laksmita Chandra Dewi ◽  
Amir Fauzi ◽  
Tri Suciati

Association Between Flamm Geiger Score And The Success Of Vaginal Delivery. Vaginal Birth After Cesarean (VBAC) is vaginal delivery on woman with history of cesarean delivery. A statement by Cragin (1916),  “Once a cesarean, always a cesarean”, has been a growing paradigm in the community which makes VBAC not a common practice. Flamm Geiger Scoring System is used to predict the likelihood of success in VBAC. The purpose of this research was to find out the association between Flamm Geiger score and the success of vaginal delivery. This research was an analytic observational study with cross sectional design. The population of this research were all patients that underwent delivery in dr. Mohammad Hoesin General Hospital Palembang from January to December  2014 and  the sample were all delivering patient with history of cesarean delivery.The data were taken from patient’s medical record and analyzed using Chi Square test or its alternative test (Fisher’s Exact Test). From 92 samples, there were 25 patients (27,2%) succeeded in undergoing VBAC and 67 patients (72,8%) delivered with repeated cesarean. There was an increasing probability for a successful VBAC ranging from 0% in samples with a score of 0-2 to 100% in samples with a score of 8-10. The result showed that there was an association between Flamm Geiger score and the success of vaginal delivery (p=0,000). There is association between Flamm Geiger score and the success of vaginal delivery in dr. Mohammad Hoesin General Hospital Palembang from January to December  2014.


e-GIGI ◽  
2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Avita Aulia ◽  
Paulina N. Gunawan ◽  
Shirley E. S. Kawengian

Abstract: Caries is the presence of a cavity on the tooth caused by the activity of microorganism on fermented carbohydrate. Nutritional status is resulting from food consumption, which is one of the factors that influence the occurence of dental caries. This study was aimed to obtain the relationship between nutritional status and caries in permanent lower first molar among students of SDN 36 (elementary school) Manado. This was an analytical study using a cross sectional design. There were 48 students at SDN 36 Manado aged 6-8 years in this study obtained by using total sampling technique. We used the nutritional status based on length-for-age and BMI-for-age using the z-scores WHO anthropometrical standards for children aged 5-18 years and examined the oral cavity whether there was caries in permanent lower first molars. The results showed that caries in permanent lower first molars was found in 77.1% of subjects. Nutritional status based on length-for-age showed normal category (83.3%) and short stature/stunted (16.7%). The nutritional status based on BMI-for-age showed obese category (22.9%), overweight (8.3%), normal (60.5%), wasted (8.3%), and severely wasted (0.0%). The Fisher’s Exact test and the Chi-Square test showed that the relationship between length-for-age and the occurence of caries had a p-value of 1,000 meanwhile the relationship between nutritional status based on BMI-for-age and the occurence of caries had a p-value of 0.024. Conclusion: There was a significant relationship between nutritional status based on BMI-for-age and caries in the permanent lower first molars in children aged 6-8 years at SDN 36 Manado.Keywords: dental caries, permanent lower first molar, nutritional status Abstrak: Karies adalah adanya rongga pada yang disebabkan oleh aktivitas jasad renik terhadap karbohidrat yang dapat diragikan. Status gizi merupakan keadaan tubuh sebagai akibat konsumsi makanan, yang menjadi salah satu faktor yang dapat memengaruhi proses terjadinya karies gigi. Penelitian ini bertujuan untuk mengetahui hubungan antara status gizi dengan karies gigi molar pertama bawah permanen pada anak usia 6-8 tahun di SDN 36 Manado. Jenis penelitian ialah analitik dengan desain potong lintang. Pengambilan sampel menggunakan teknik total sampling terhadap seluruh siswa di SDN 36 Manado berusia 6-8 tahun pada tahun 2019 yang berjumlah 48 orang. Pada penelitian ini dilakukan pengukuran status gizi TB/U dan IMT/U berdasarkan SD dengan standar baku antropometri WHO untuk anak usia 5-18 tahun serta pemeriksaan rongga mulut untuk melihat ada tidaknya karies pada gigi molar pertama bawah permanen. Hasil pemeriksaan menunjukkan terdapatnya karies pada gigi molar pertama bawah permanen sebesar 77,1% subyek. Status gizi berdasarkan TB/U didapatkan subyek kategori normal (83,3%) dan pendek/stunted (16,7%). Status gizi berdasarkan IMT/U didapatkan kategori obesitas (22,9%), gemuk (8,3%), normal (60,5%), kurus (8,3%), serta sangat kurus (0,0%). Hasil uji Fisher’s Exact dan uji Chi-Square menunjukkan untuk TB/U nilai p=1,000 sedangkan untuk IMT/U nilai p=0,024. Simpulan: Terdapat hubungan bermakna antara status gizi berdasarkan IMT/U dengan karies gigi molar pertama bawah permanen pada anak usia 6-8 tahun di SDN 36 Manado.Kata kunci: karies gigi, molar pertama bawah permanen, status gizi


2019 ◽  
Vol 5 (2) ◽  
Author(s):  
Tiurmaida Simandalahi ◽  
Honesty Diana Morika ◽  
Weni Sartiwi ◽  
Ratna Indah Sari Dewi

Abstract : Response time is indicated as one indicator in the quality assessment of hospitals / health centers in the form of customer satisfaction. The purpose of this study is to determine the relationship between response time and the level of patient satisfaction in the Emergency Department. Type of research: descriptive analytic with cross sectional design carried out in July-August 2018. Population: patients who visited the emergency room Air Amo Health Center, taken by accidental sampling as many as 74 respondents. Instruments used: questionnaires and observation sheets, computerized, and univariate analysis: frequency distribution and bivariate: Chi-Square test with a 95% confidence level. The results obtained 56.8% of respondents were satisfied with nursing services, 70.3% stated response time in the response category. Bivariate analysis found there was a relationship between response time and the level of patient satisfaction (p value 0.039). It was concluded that response time was one of the factors related to patient satisfaction. Suggestions through Puskesmas leaders to always evaluate service management so that Puskesmas service quality is always maintained.Keywords : Patient Satisfaction, Response TimeAbstrak : Respons time diindikasikan sebagai salah satu indikator dalam penilaian mutu pelayanan Puskesmas melalui kepuasan pelanggan. Tujuan penelitian untuk mengetahui hubungan antara  respons time dengan Tingkat kepuasan pasien di Instalansi Gawat Darurat. Jenis penelitian: deskriptif analitik dengan desain cross sectional dilaksanakan pada Juli–Agustus 2018. Populasi: pasien yang berkunjung ke IGD Puskesmas Air Amo, diambil secara accidental sampling sebanyak 74 responden. Instrumen yang digunakan: kuesioner dan lembar observasi, diolah secara komputerisasi, dan di analisis secara univariat: distribusi frekuensi dan bivariat: uji Chi-Square dengan derajat kepercayaan 95%. Hasil didapatkan 56,8% responden puas dengan pelayanan keperawatan, 70,3% menyatakan response time pada kategori tanggap. Analisis Bivariat didapatkan ada hubungan antara response time dengan Tingkat Kepuasan Pasien (p value 0.039). Disimpulkan response time merupakan salah faktor yang berhubungan dengan kepuasan pasien. Saran melalui pimpinan puskesmas agar selalu mengevaluasi manajemen pelayanan agar mutu pelayanan Puskesmas selalu terjaga.Kata Kunci : Kepuasan Pasien, Response Time


Author(s):  
Ahmad Candra

ABSTRACTSafe behaviour in company could prevent Noise Induce Hearing Loss. Safe behaviour that could prevent hearing loss is  the compliance of wearing ear protector. It could be shaped by using the activator-behaviour-consequence (ABC) method that can be influenced by forming behaviour factors (knowledge, training, and supervision and positive reinforcement). The aim of this research was to analyze the association between forming behaviour factors with the compliance of wearing ear protector. This was an observational analytic study with cross sectional approach with 18 workers in maintenance section of PLTD Ampenan as sample. Data were collected through questionnaire, interview, and observation. Data were analyzed used pearson chi-square and fisher exact test to obtain the association between variables. The results showed that most of the workers (72.2%) in maintenance section of PLTD Ampenan had the compliance of wearing ear protector. There were significant correlation between knowledge, training, supervision, and positive reinforcement with the compliance of wearing ear protector. Supervision has a very strong correlation (coefficent 1,000). The more workers feel himself under supervision, the better their behaviour will be. It is recommended that the company can perform all forming behaviour factors especially improve the supervision method in order to make all workers have the compliance of wearing ear protector.Keywords: forming behaviour factor, safe behaviour, ABC method


2012 ◽  
Vol 8 (3) ◽  
pp. 135 ◽  
Author(s):  
Maria Martiani ◽  
Elisabeth Siti Herini ◽  
Martalena Purba

Background: The prevalence of autistic spectrum disorder (ASD) has increased in recent years. In 1993 the prevalence of ASD was 2-4 cases per 10.000 children. The number increased significantly to 152 cases per 10.000 children in 2003 (0.15-0.2%). In addition to diet, nutritional status can be influenced by parent’s knowledge and attitudess toward children with autism. Improving parent’s knowledge and attitudess about autism can be an effective way to manage children with autism.Objective: To examine the relationship between parent’s knowledge and attitudes toward autism with dietary pattern and nutritional status of autistic children in SLBN Semarang.Methods: This was an observational study with cross sectional design. The subjects were students with autism who attended SLBN Semarang and their parents. A questionaire was used to collect the information on parent’s knowledge and attitudes toward autism, Food Frequency Questionnaire (FFQ) was used to obtain the data on gluten and casein consumption, whereas the data on nutritional status were measured by weight and height of the children. Chi square and Fisher Exact test were used to analyze the data.Result: As many as 55.3% of parents have good knowledge and 65.8% have a possitive attitudes toward autism. Fifty percent of children presented with good consumption pattern of gluten, 65% exhibited good consumption pattern of casein and 55.3% of autistic children had good consumption pattern of both gluten and casein. Almost half (47.4%) of the children were undernourished. There were no association found between parent’s knowledge and gluten and casein consumption (p>0.05); parent’s knowledge and nutritional status (p>0.05); and parent’s attitudes and nutritional status (p>0.05). Only parent’s attitudes towards autism was found to be associated with casein and gluten consumption pattern (p<0.05).Conclusion: There was a significant association between parent’s attitudes and consumption of gluten and casein in children with autism. 


2018 ◽  
Vol 12 (1) ◽  
pp. 21
Author(s):  
Anisatun Azizah ◽  
Merryana Adriani

Chronic Energy Deficiency (CED) cases are still occur in Indonesia, mainly due the imbalance of nutrients intake and it can lead to the growth retardation, either physical or mental. The most important period of the gestational age is atthe first trimester because the formation of various vital organs of the fetus occurs. The purpose of this research was to analyze the relationship between energy and protein adequacy level with the occurance of CED in the first trimester of pregnant women. This research was an observational analytic study with cross sectional design. The number of sample taken was 22 people which randomly selected. The data was analyzed using chi square and fisher exact test (α = 0,05). The results showed that there were 50% of pregnant women having Chronic Energy Deficiency and 50% did not have Chronic Energy Deficiency. Based on cross-tabulation, pregnant women who have low protein adequacy level have a similar CED prevalence with good protein adequacy level. There was no relationship between carbohydrate (p = 1,000), protein (p = 1,000), and fat (p = 0,635) adequacy level with CED in pregnant women (p > 0,05).


2015 ◽  
Vol 4 (1) ◽  
Author(s):  
Nailatul Fadhilah ◽  
Wirsma Arif Harahap ◽  
Yuniar Lestari

AbstrakPenanganan kasus kecelakaan lalu lintas membutuhkan pelayanan yang cepat, tanggap, dan tepat. Salah satu indikator pelayanan tersebut adalah waktu tanggap pada pelayanan pasien di IGD. Penelitian ini dilakukan untuk mengetahui faktor-faktor yang berhubungan dengan waktu tanggap pada pelayanan kasus kecelakaan lalu lintas di IGD RSUP Dr. M. Djamil Padang. Penelitian ini dilaksanakan dari bulan Mei hingga Desember 2013 di IGD RSUP Dr. M. Djamil dengan desain penelitian studi cross-sectional. Pengambilan data menggunakan lembaran observasi dan diberikan kepada 60 orang pasien kecelakaan lalu lintas yang dipilih secara acak. Data dianalisis secara univariat dan bivariat menggunakan uji silang dengan tingkat kemaknaan p = 0,05. Hasil penelitian menunjukkan 70% memiliki waktu tanggap yang tepat, dimana rata-rata waktu tanggap adalah 6 menit 15 detik. Sebagian besar pasien kecelakaan lalu lintas berada dalam keadaan gawat tidak darurat atau triase kuning (80%). Pada sebagian besar kasus petugas berada di meja triase saat pasien datang (86,67%). Sebagian besar pasien dibawa ke triase dari pintu masuk IGD dengan brankar (86,67%). Tidak terdapat hubungan yang signifikan antara tingkat kegawatan pasien, keberadaan petugas yang bersiaga di triase, dan ketersediaan brankar dengan ketepatan waktu tanggap.Kata kunci: waktu tanggap, faktor-faktor yang berhubungan, kecelakaan lalu lintas, IGDAbstractTraffic accident cases management requires prompt, responsive, and precise service. Time response is one of several indicators of ER patient service. The aim of this study is to observe the factors that related to time response of traffic accident case management in Emergency Department of Dr. M. Djamil Hospital, Padang. This cross-sectional study was conducted between May and December 2013 by using observational sheet which is distributed to 60 randomly chosen from traffic accident patients in Dr. M. Djamil General Hospital. Crosstab analysis was used to determine the difference among variables. Chi-square test was used to determine the significance of categorical variables. Data were analyzed using univariate and bivariate cross test with a significance level of p = 0.05. Result showed that out of 60 cases, 70% cases had accurate response time. The average response time is 6 minutes 15 seconds. Most of traffic accident patients are in a yellow triage (80%). In most cases, 86,67% officers are at the triage desk. Most of the patients brought to the triage from the emergency department entrance by stretchers (86.67%). There was no significant relationship between the level of patient severity, payment method, the availability of stretchers when patients come and response time (p> 0,05). Analysis of the relationship between the presence of officers and response time cannot be performed. The presence of officers in triage when patient arrived tended to speed up the response time.Keywords: response time, related factors, traffic accident, emergency room


2021 ◽  
Vol 2 (1) ◽  
pp. 47
Author(s):  
Zulaikha Zulaikha ◽  
Ampera Miko

Background: Health services at the posyandu for the elderly include examining activities of daily living, weighing, measuring height, measuring blood pressure, health education, and simple laboratory examinations. The level of activity of the elderly in participating in Integrated Healthcare Center (IHC) activities or utilization is still low at 63%. Causative factors are various physical conditions that occur in the elderly, such as being sick, support from family members, the role of health workers and the absence of family members who deliver.Objectives: This study aims to determine the factors that influence the use of IHC for elderly people at the Geulumpang Tiga Public Health Center, Pidie District.Methods: This research was used a descriptive analytic approach, with a cross-sectional design. The method of taking was by standard random sampling with a number of 80 elderly spread across 14 villages. Data were collected by interview and observation. Data collection includes data on the identity of the elderly, data on family support, the role of health workers, the role of cadres and the utilization of the elderly of IHC. Statistical analysis using the Chi-square test with 95% CI.Results: The results showed that the active of IHC for the elderly was 57.7%, the role of the elderly was 60.2%, family support was 60.2% and the role of health workers was 61.4%. Statistically, it also shows that there is a significant relationship between the role of the elderly (p= 0.000), family support (p= 0.004), the role of cadres (p= 0.001) and the role of health workers (p= 0.000) with the utilization of the elderly of IHC in Geulumpang Tiga, Pidie.Conclusion: The factors related to the utilization of the IHC for the elderly are the role of the elderly, family support, the role of cadres and health workers. Suggestions, to health workers and cadres to be able to provide continuous counseling related to elderly of IHC.


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