scholarly journals Hubungan Kejadian Fibrilasi Atrium dengan Diameter Atrium Kiri pada Fibrilasi Atrium Valvular dan Fibrilasi Atrium Non-Valvular Di RSUD Arifin Achmad

2018 ◽  
Vol 11 (1) ◽  
pp. 31
Author(s):  
Sri Adeyana ◽  
Haryadi Haryadi ◽  
Chandra Wijaya

Atrial Fibrillationis a kind of arrhythmia which has the most incidence. Based on its Etiology, atrial fibrillationcouldbe divided in to two, valvular and nonvalvular atrial fibrillation. This study was aimed toknow the correlation ofatrial fibrillation incidence between valvular and nonvalvular with its left atrium diameter in Arifin Achmad ProvinsiRiau’s General Hospital. This study was analytical and done by cross sectional approach with 185 patient. The datawere processing with computerize to univariate analysis and chi-square for bivarite analysis. From this study it can beconcluded that the most occurrence of atrial fibrillation was non valvular atrial fibrillation which was 76,8% with theetiology mostly of hypertension which was 41,5%. Valvular atrial fibrillation was mostly caused by mitral stenosiswhich was 37,2% and there were no correlation between the diameter of left atrium to the occurrence of valvular andnon valvular atrial fibrillation (p=0,273.)

EP Europace ◽  
2020 ◽  
Vol 22 (Supplement_1) ◽  
Author(s):  
A Abud ◽  
M Santillan ◽  
L Perello ◽  
C Rosller ◽  
L Rossi ◽  
...  

Abstract Background Transesophageal echocardiography (TEE) showed the presence of thrombi in 12 to 26% of patients with atrial fibrillation (AF). Purpose To assess clinical and echocardiographic variables associated with thrombi in the left atrium (LA) prior to electrical cardioversion in patients with nonvalvular atrial fibrillation (AF). Methods Cross-sectional study including 188 patients. Clinical and echocardiographic variables were analyzed. Qualitative variables are expressed in percentages and quantitative variables in mean and standard deviations. Qualitative variables were analyzed by the Chi square method. A value of p <0.05 was considered statistically significant. Results Mean age was 60.7 ± 12.3 and 75.5% males. The mean CHA2DS2-VASc and HAS-BLED scores were 2.43 ± 1.6 and 1.06 ± 1. The percentage of paroxysmal AF was 49.7%, nonparoxysmal 23.2% and atrial flutter 27%. Mean ejection fraction (EF) was 52.2 ± 13%. The prevalence of thrombus was 12.3%. Female gender (p = 0.0275), heart failure (p = 0.0006), CHA2DS2-VASc score ≥2 (p = 0.0015), EF <50% (p = 0.0089), moderate/severe spontaneous echocardiographic contrast (p = 0.000042) and LA appendage emptying velocity ≤20 cm/sec (p = 0.0000001) are associated to the presence of thrombi in the LA. No thrombi were detected in patients with CHA2DS2-VASc score of 0. History of previous anticoagulation for over thirty days or creatinine clearance <56 ml/min were not predictors of LA thrombi. Conclusion Female gender, heart failure, EF <50% and CHA2DS2-VASc score ≥2, emptying velocity of less than 20 cm/sec and spontaneous echocardiographic contrast were univariate predictors of thrombi in the LA. CHA2DS2-VASc score of 0 is a strong predictor of absence of thrombi.


2022 ◽  
Author(s):  
Xin Xia ◽  
Lishuang Wang ◽  
Taiping Lin ◽  
Jirong Yue ◽  
Zhonghua Yang ◽  
...  

Abstract Background: To investigate the temporal trend of prevalence of anticoagulation treatment and explore the factors associated with under prescription of oral anti-coagulants (OACs) among inpatients aged ≥80 years with nonvalvular atrial fibrillation (NVAF). Methods: We retrospectively reviewed the medical records of inpatients with a discharge diagnosis of NVAF from a medical database. We used the Pearson chi-square or Fisher’s exact test to compare categorical variables between patients with and without OACs prescription. Logistic regression analysis was used to assess the association between risk factors and under prescription of OACs. Results: A total of 4375 patients aged ≥80 years with AF were assessed in the largest academic hospital in China from August 1, 2016, to July 31, 2020, 3165 NVAF patients were included. The prevalence of OACs use was 20.9% in 2017, 28.7% in 2018, 35.6% in 2019, and 43.9% in 2020. Of all participants with CHA2DS2-VASc≥2, 1,027 (32.4%) were prescribed OACs; 33.7% and 31.8% of patients with and without prior stroke received OACs, respectively. Age, clinical department where patients were discharged, use of antiplatelets, and history of stroke and dementia were significantly associated with not prescribing OACs. Conclusions: The prevalence of OACs use increased over the past several years. The rate of prescription of OACs was lower among NVAF patients who were older, prescribed antiplatelets, discharged from non-departmental cardiology, and suffered from comorbidities. This study found the iatrogenic factors affecting the use of OACs in the inpatients aged ≥80 years, providing clues and basis for the standardized use of OACs in the inpatients.


Author(s):  
Elisia, Tirta Anggraini Elisia, Tirta Anggraini

ABSTRACT   Number of patients with febrile seizures reach 2-4% of the population in America, and Western Europe and in Asia sufferers is higher around 20%. Incidence of febrile seizures is influenced by several factors such as age, socio-economic, high temperatures and rapid temperature increases and heredity factors. The purpose of this study to determine the relationship between socioeconomic and family history of disease with the incidence of febrile seizures in infants in the General Hospital Dr Center. Mohammad Hoesin Palembang in 2010. Analytic survey methods used by Cross Sectional approach. The study population was all infants who experience febrile seizures who had been treated at Children's Hospital Space Center Dr. Mohammad Hoesin Palembang in 2010, amounting to 86 people. The sample of this study is the whole population (total sampling). The data obtained were analyzed using univariate and bivariate analysis a = 0.05, using Chi-Square statistical test with significance level  From the results of univariate analysis the majority of respondents obtained low economy as much as 49 people (57%), had a history of family penyaki many as 64 people (74.4%). Based on Chi-quare test statistics obtained, there is no relationship between socioeconomic (X ² count = 0.35), there is a significant association between family history of disease (X ² count = 29.7) with the incidence of febrile seizures in infants at the General Hospital Center dr. Mohammad Hoesin Palembang in 2010. From the results of this study are expected to hand over the Hospital to seek health care and counseling on the incidence of febrile seizures in infants.     ABSTRAK   Jumlah penderita kejang demam mencapai 2 - 4% dari jumlah penduduk di Amerika, dan Eropa Barat dan di Asia penderitanya lebih tinggi sekitar 20%. Kejadian kejang demam dipengaruhi oleh beberapa faktor antara lain umur, sosial ekonomi, suhu tinggi serta cepatnya suhu meningkat dan faktor hereditas. Tujuan penelitian ini untuk mengetahui hubungan antara sosial ekonomi dan riwayat penyakit keluarga dengan kejadian kejang demam pada balita Di Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang Tahun 2010. Metode yang digunakan Survei Analitik dengan pendekatan Cross Sectional. Populasi penelitian ini adalah seluruh balita yang berumur 4 bulan – 4 tahun yang pernah dirawat di Ruang Anak Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang tahun 2010 yang berjumlah 3.052 orang. Sampel penelitian ini adalah sebagian dari populasi yang berjumlah 354 responden. Data yang diperoleh dianalisis menggunakan analisis univariat dan bivariat menggunakan uji statistik Chi-Square dengan tingkat kemaknaan a= 0,05. Dari hasil analisis univariat diperoleh responden yang mengalami kejang demam sebanyak 86 orang (24,3%), responden dengan ekonomi rendah  sebanyak 49 orang (57%), memiliki riwayat penyaki keluarga sebanyak 258 orang (72,9%), responden yang memiliki riwayat penyakit dalam keluarga sebanyak 82 orang (23,2%). Berdasarkan uji statistik Chi-quare didapatkan ada hubungan antara sosial ekonomi (X² hitung = 32,9), ada hubungan yang bermakna antara riwayat penyakit keluarga (X² hitung = 311,8) dengan kejadian kejang demam pada balita di Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang Tahun 2010. Dari hasil penelitian ini diharapkan agar pihak Rumah Sakit lebih meningkatkan pelayanan kesehatan dan konseling terhadap masyarakat terutama pada balita yang mengalami kejang demam.


Author(s):  
Yuni Kurniati, Intan Sari Yuni Kurniati, Intan Sari

ABSTRACT According to WHO, cancer Cervical cancer is the number one most women no less than 300,000 new cases with 280,000 deaths occur annually in patients worldwide. The factors studied maternal age and parity. The purpose of this study was to determine the relationship of age and maternal parity with the incidence of Ca. Cervix at the General Hospital Dr Center. Mohammad Hoesin Palembang in 2011. This study uses the analytical survey method with cross sectional approach, where the independent variable and dependent variable were collected simultaneously using the check list. Data analysis was performed univarat and bivariate. The results of univariate analysis found that 69.9% of mothers suffer from Ca. Cervix, 30.1% of mothers who do not suffer from Ca. Cervix. At the age variables that have a low risk for mothers who have a 80.6% 19.4% high risk, and mothers who had high parity for 59.1% while the mother who has a 40.9% lower parity. Chi-Square analysis showed no significant relationship with the incidence of age Ca. Cervix where p value = 0.004, whereas parity with Ca. Cervix where there is a significant association p value = 0.001. From these findings, researchers recommend that the General Hospital Dr Center. Mohammad Hoesin Palembang have an important role to minimize the risk of occurrence of Ca. Cervix, for it needs to be improved education and counseling about Ca. Cervix as well as the health service so that when the deviation is found that good management can be performed so as to suppress the patient morbidity and mortality Ca. cervical.   ABSTRAK Menurut WHO, kanker serviks merupakan kanker nomor satu terbanyak pada perempuan tak kurang dari 300.000 kasus baru dengan kematian 280.000 penderita terjadi tiap tahun di seluruh dunia. Adapun faktor-faktor yang diteliti umur dan paritas ibu. Tujuan penelitian ini adalah untuk mengetahui hubungan umur dan paritas ibu dengan kejadian Ca. Cerviks di Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang tahun 2011. Penelitian ini menggunakan metode survei analitik dengan pendekatan cross sectional, dimana variabel independen dan variabel dependen dikumpulkan secara bersamaan dengan menggunakan check list. Analisis data dilakukan secara univarat dan bivariat. Hasil analisis univariat didapatkan bahwa 69,9% ibu menderita Ca. Cerviks, 30,1% ibu yang tidak menderita Ca. Cerviks. Pada variabel umur yang mempunyai resiko rendah sebesar 80,6% ibu yang mempunyai resiko tinggi sebesar 19,4%, dan ibu yang mempunyai paritas tinggi sebesar 59,1% sedangkan ibu yang mempunyai paritas rendah 40,9%. Analisis Chi-Square menunjukkan ada hubungan bermakna umur dengan kejadian Ca. Cerviks dimana p value = 0,004, sedangkan paritas dengan Ca. Cerviks terdapat hubungan yang bermakna dimana p value = 0,001. Dari hasil penelitian tersebut, peneliti menyarankan Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang mempunyai peran penting untuk memperkecil resiko kejadian Ca. Cerviks, untuk itu perlu ditingkatkan penyuluhan dan konseling mengenai Ca. Cerviks serta pelayanan kesehatan sehingga bila ditemukan kelainan dapat dilakukan penatalaksanaan yang baik sehingga dapat menekan angka kesakitan dan kematian penderita Ca. Cerviks


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.


Author(s):  
Rubiyati Rubiyati

ABSTRACT Antenatal Care is the care given to pregnant woman to monitor, support maternal health and maternal detect, whether normal or troubled pregnant women. Aki in Indonesia amounted to 359 in 100.000 live births. The purpose of the study was to determine the relationship between age and education in the clinic Budi Mulia Medika 2014. This study used a survey method whit cross sectional analytic. This is the overall study population of women with gestational age ≥36 weeks who come to visit the clinic Budi Mulia Medika Palembang on February 10 to 18. The study sample was taken in non-random with the technique of “accidental smapling “ with respondents who happens to be there or variable. The obtained using univariate and bivariate analysis using Chi-Square test statistic. The results of the univariate analysis showed that 83,3% of respondents did according to the standard prenatal care, high risk age 40,0 %, 60,0% lower risk of age, higher education 70,0%, 30,0% low education. Bivariate analysis showed that there was no significant relationship betwee age and pregnancy tests wit p value= 0,622, and significant relationship between education and prenatal care with p value= 0,019. From the results of this study are expected to need to increase outreach activities to the community about the importance of examination of pregnancy according to gestational age in an effort to reduse maternal mortality.   ABSTRAK Antenatal Care merupakan pelayanan  yang di berikan pada ibu hamil untuk memonitor, mendukung kesehatan ibu dan mendeteksi ibu, apakah ibu hamil normal atau bermasalah. Di Indonesia AKI berjumlah 359 per 100.000 kelahiran hidup. Tujuan penelitian adalah untuk mengetahui hubungan antara usia dan pendidikan dengan pemeriksaan kehamilan di klinik budi mulia medika tahun 2014. Penelitian ini menggunakan metode survey analitik dengan pendekatan cross sectional. Populasi penelitian ini adalahseluruh ibu dengan usia kehamilan ≥ 36 minggu yang dating berkunjung ke Klinik Budi Mulia Medika pada tanggal 10-18 Februari. Sampel penelitian ini di ambil secara non random dengan tekhnik ‘’ Accidental Sampling’’ dengan responden yang kebetulan ada atau tersedia. Data yang di peroleh menggunakan analisis univariat dan bivariat menggunakan uji statistik Chi-Square. Hasil analisis univariat ini menunjukan bahwa 83,8% responden melakukan pemeriksaan kehamilan sesuai standar, 16,7% tidak melakukan pemeriksaan kehamilan sesuai standar, usia resiko tinggi 40,0%, usia resiko rendah 60,0%, pendidikan tinggi 70,0 %, pendidikan rendah 30,0 %. Analisis bivariat menunjukan bahwa tidak ada hubungan bermakna antara usia dengan pemeriksaan kehamilan dengan p value =0,622, ada hubunngan bermakana antara pendidikan dengan pemeriksaan kehamilan dengan p value = 0,019. Dari hasil penelitian ini di harapkan perlu meningkatkan kegiatan penyuluhan kepada masyarakat tentang pentingnya dilakukan pemeriksaan kehamilan sesuai dengan umur kehamilan sebagai upaya menurunkan angka kematian ibu.    


Author(s):  
Leny Leny

ABSTRACT Prenatal care is health care by health personnel to care the pregnant according to standards. Worlrd Health Organization (WHO) estimates more than 500.000 women die during pregnancy or childbirth. Maternal mortality in Indonesia is 307 per 100,000 live births. The quantity of pregnant women’s visit in Kabupaten Banyuasin in 2009 of 89.1%. The purpose of this study to determine the relationship between education and occupation with prenatal care at Puskesmas Mariana  Kecamatan Banyuasin I Kabupaten Banyuasin in 2011. This study uses analytic approach survey by Cross Sectional methods, the population are 1.946 pregnant women and the samples as many as 332 people. The results of univariate analysis study of pregnant women who are higher education as much as 45.2%, and  low maternal education as much as 54.8%. In pregnant women who work of 43.4%, and pregnant women who do not work for 56.6%. From the results of bivariate analysis and Chi-Square statistical tests found a significant association between education of pregnant women with prenatal care with P Value = 0.000, and there was a significant association between occupation of pregnant women with prenatal care with P Value = 0.000. Can be concluded that there is a relationship between education and occupation of pregnant women with prenatal care. Expected to health workers to provide counseling on the importance of prenatal care in pregnant women and expected future studies may explore again the factors associated with prenatal care with the different variables.   ABSTRAK Pemeriksaan kehamilan adalah pelayanan kesehatan oleh tenaga kesehatan untuk memeriksakan ibu hamil sesuai standar. World Health Organization (WHO) memperkirakan lebih dari 500.000 ibu pertahunnya meninggal saat hamil atau bersalin. AKI di Indonesia 307 per 100.000 kelahiran hidup. Jumlah kunjungan ibu hamil di Kabupaten Banyuasin tahun 2009 sebesar 89,1%. Tujuan penelitian ini untuk mengetahui hubungan antara pendidikan dan pekerjaan dengan pemeriksaan kehamilan di Puskesmas Mariana Kecamatan Banyuasin I Kabupaten Banyuasin tahun  2011. Penelitian ini menggunakan metode survey analitik dengan pendekatan Cross Sectional, populasi ibu hamil dengan jumlah 1.946 orang dan jumlah sampel sebanyak 332 orang. Hasil penelitian Analisa Univariat adalah ibu hamil yang pendidikan tinggi sebanyak 45,2%, dan pendidikan rendah ibu hamil sebanyak 54,8%. Pada variabel pekerjaan ibu hamil yang bekerja sebesar 43,4%, dan ibu hamil yang tidak bekerja sebesar 56,6%. Dari hasil analisa bivariat dan uji statistik Chi-Square  didapatkan hubungan yang bermakna antara pendidikan ibu hamil dengan pemeriksaan kehamilan dengan  P Value = 0,000, dan ada hubungan yang bermakna antara pekerjaan ibu hamil dengan pemeriksaan kehamilan dengan P Value = 0,000. Dapat disimpulkan bahwa ada hubungan antara pendidikan dan pekerjaan ibu hamil dengan pemeriksaan kehamilan. Diharapkan kepada petugas kesehatan agar dapat memberikan penyuluhan tentang pentingnya pemeriksaan pada ibu hamil dan diharapkan penelitian yang akan datang dapat menggali lagi faktor-faktor yang berhubungan dengan pemeriksaan kehamilan dengan variabel yang berbeda.


Author(s):  
Yuhemy Zurizah Yuhemy Zurizah ◽  
Rini Mayasari Rini Mayasari

ABSTRACT Low Birth Weight (LBW) was defined as infants born weighing less than 2.500 grams. WHO estimates that nearly all (98%) of the five million neonatal deaths in developing countries. According to City Health if Palembang Departement, infant mortality rate (IMR) in the year 2007 is 3 per 1000 live births, in 2008 four per 1000 live births, and in 2009 approximately 2 per 1000 live births. The cause of LBW is a disease, maternal age, social circumstances, maternal habits factors, fetal factors and environmental factors. LBW prognosis depending on the severity of the perinatal period such as stage of gestation (gestation getting younger or lower the baby's weight, the higher the mortality), asphyxia / ischemia brain, respiratory distress syndromesmetabolic disturbances. This study aims to determine the relationship between maternal age and educations mothers of pregnancy with the incidence of LBW in the General Hospital Dr Center. Mohammad Hoesin Palembang in 2010 This study uses the Analytical Ceoss Sectional Survey. The study population was all mothers who gave birth in public hospitals center Dr. Mohammad Hoesin Palembang in 2010 were 1.476 mothers gave birth with a large sample of 94 studies of maternal taken by systematic random sampling, ie research instument Check List. Data analysis was performed univariate and bivariate. The results of this study show from 94 mothers of LBW was found 45 people (47,9%) Which has a high risk age 26 LBW ( 27,7%) while the distance of low educations LBW (55,3%). From Chi-Square test statistic that compares the p value with significance level α = 0,05 showed a significant correlation between maternal age, where the p value = 0,002, of education mothers of pregnancy p value = 0,003 with LBW. In the general hospital center Dr. Mohammad Hoesin Palembang ini 2010. Expected to researches who will come to examine in more depth.   ABSTRAK Bayi Berat Lahir Rendah (BBLR) telah didefinisikan sebagai bayi lahir kurang dari 2.500 gram. WHO memperkirakan hampir semua (98%) dari 5 juta kematian neonatal di negara berkembang. Menurut Data Dinas Kesehatan Kota Palembang, Angka Kematian Bayi (AKB) pada tahun 2007 yaitu 3 per 1.000 kelahiran hidup, pada tahun 2008 4 per 1.000 kelahiran hidup, dan pada tahun 2009 sekitar 2 per 1.000 kelahiran hidup. Penyebab BBLR adalah penyakit, usia ibu, keadaan sosial, faktor kebiasaan ibu, dan faktor lingkungan. Prognosis BBLR tergantung dari berat ringannya masa perinatal misalnya masa gestasi (makin muda masa gestasi atau makin rendah berat bayi, makin tinggi angka kematian), asfiksia atau iskemia otak, sindrom gangguan pernafasan, gangguan metabolik. Penelitian ini bertujuan untuk mengetahui hubungan antara umur dan pendidikan ibu dengan kejadian BBLR di Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang Tahun 2010. Penelitian ini menggunakan survey analitik Cross sectional. Populasi penelitian ini adalah semua ibu yang melahirkan di Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang tahun 2010 sebanyak 1.476 ibu melahirkan dengan besar sampel penelitian 94 ibu melahirkan yang diambil dengan tehnik acak sistematik, instrumen penelitian yaitu check list. Analisis data dilakukan secara univariat dan bivariat. Hasil penelitian ini menunjukkan dari 94 ibu didapatkan kejadian BBLR 45 orang (47,9%) yang memiliki umur resiko tinggi 26 kejadian BBLR (27,7%) sedangkan yang pendidikan rendah 52 kejadian BBLR (55,3%). Dari statistik uji Chi-square yang membandingkan p value dengan tingkat kemaknaan α = 0,05 menunjukkan bahwa ada hubungan yang bermakna antara umur ibu p value (0,002) , pendidikan p value (0,003) dengan kejadian BBLR di Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang Tahun 2010. Diharapkan bagi peneliti yang akan datang untuk meneliti lebih mendalam.


2016 ◽  
Vol 1 (2) ◽  
pp. 48-60
Author(s):  
Oktafiana Manurung ◽  
Ermawaty Arisandi Siallagan

According to the World Health Organization (WHO) Indonesian women have According to the World Health Organization (WHO) Indonesian women have very bad criteria in terms of health, marriage, employment, education, equality with men. This condition is thought to lead to low maternal access to antenatal care. Goals : Antenatal care in accordance with antenatal care standards may decrease Maternal and Infant Mortality due to regular antenatal care can detect early problems that occur in the mother during pregnancy.Methods : The type of this research is analytical descriptive with cross sectional design which aims to analyze the influence of access and motivation of pregnant mother to mother behavior in doing antenatal visit. The research was conducted in Pancur Batu Puskesmas Working Area. The population is 181 people and the sample size is 61 people. Data analysis was performed using univariate analysis, bivariate analysis with Chi-Square test, and multivariate analysis with multiple logistic regression test.Result : The result of this research indicate that physical accessibility variable is the availability of unrelated officer (p = 0,461) to mother behavior in antenatal visit, social accessibility variable (p = 0,005) and attitude (p = 0,023), and for motivation variable is motive P = 0.005) and expectations (p = 0.019) had a significant effect on maternal behavior in antenatal visits.Conclution : Based on the results of research suggested Head of Pancur Batu Puskesmas to conduct training to officers especially midwives who provide services mainly about hospitality in providing services and to officers implementing services further improve the communication of information and education so that every pregnant women have a good understanding that can eventually cause attitude Positive, high motivation and expectation that can affect the mother in conducting standardized antenatal visits.


Author(s):  
Cokorda Istri Ariwidyastuti ◽  
P.P. Januraga ◽  
Dyah Pradnyaparamita Duarsa

Background and purpose: Patient satisfaction, including on radiography services, is an important component of health care provision. Surveys on patient satisfaction have been carried out particularly in government hospitals, but a more detailed study to determine the relationship between patient satisfaction with the responsiveness of service providers has yet to be carried out. This study aims to determine the relationship between the six domains of responsiveness of service providers and outpatient satisfaction at three conventional radiography facilities in Denpasar.Methods: Study was conducted by cross-sectional survey of 158 respondents selected consecutively in three conventional radiography services, namely a government hospital, a private hospital and a private radiology clinic. Data were collected through interviews using modified questionnaires on responsiveness from WHO. Data were analyzed by univariate, bivariate (chi-square test) and multivariate logistic regression method.Results: Univariate analysis indicated that patient satisfaction was 69% but still below the minimum service standards (>80,0%). Multivariate analysis showed that factors associated with satisfaction were the domain of attention (AOR= 3.77; 95%CI: 1.62-8.76), the quality of infrastructure (AOR=4.57; 95%CI: 1.61-12.93) and communication (AOR=6.30; 95%CI: 1.75-22.64).Conclusion: Patient satisfaction was generally still below the standard. Domains of responsiveness associated with patient satisfaction were the quality of infrastructure, level of attention and communication skills of service providers.


Sign in / Sign up

Export Citation Format

Share Document