HUBUNGAN ROTASI KERJA TERHADAP TINGKAT STRES PERAWAT

2019 ◽  
Vol 11 (1) ◽  
pp. 73-78
Author(s):  
Maria Ledy Tania ◽  
Eni Hidayati

Rotasi kerja erawat dilakukan berdasarkan kebutuhan tenaga perawat masing-masing instalasi. Di Instalasi Paviliun Garuda RSUP Dr. Kariadi sendiri, sudah dilakukan sebanyak 5 kali rotasi terhadap para perawat dalam satu tahun terakhir ini. Rotasi bisa memberikan dampak yang negatif pada perawat diantaranya menimbulkan gangguan cemas dan stress. Tujuan penelitian untuk menganalisis hubungan rotasi kerja terhadap tingkat stress pada perawat di Instalasi Paviliun Garuda RSUP Dr. Kariadi Semarang. Desain penelitian menggunakan rancangan korelasional. Proses penelitian dilaksanakan di Instalasi Paviliun Garuda RSUP Dr. Kariadi Semarang yang dilakukan terhadap 146 perawat dengan tehnik pengambilan sampel stratified sampling berdasarkan kriteria inklusi dan eksklusi. Instrumen penelitian menggunakan kuisioner DASS (Depression Anxiety Stress Scales) serta 5 pertanyaan terbuka untuk mengkaji tingkat stress perawat. Hasil penelitian menunjukkan nilai median umur responden 29 tahun, sebagian besar berjenis kelamin perempuan sebesar 84,2%, pendidikan responden sebagian besar D-3 Keperawatan sebanyak 60,3%, nilai tengah masa kerja adalah 5 tahun, sebagian besar jabatan perawat adalah perawat pelaksana (PA) sebanyak 84,9%, perawat yang dilakukan rotasi sebanyak 35,6%. Kategori stres berat dan sangat berat pada perawat masing-masing 2,1%. Hasil analisis bivariat menggunakan Pearson Chi-Square didapatkan nilai X2 sebesar 11,480 dengan nilai p sebesar 0,004 < α (0,05), artinya terdapat hubungan yang bermakna antara rotasi ruangan dengan tingkat stress pada perawat di Instalasi Paviliun Garuda RSUP Dr. Kariadi Semarang. Pihak rumah sakit diharapkan sebelum melakukan rotasi terlebih dahulu melakukan sosialisasi kepada para perawat dan untuk para perawat diharapkan dapat mempersiapkan diri jika sewaktu-waktu dilakukan rotasi ruangan.   Kata kunci: rotasi kerja, tingkat stres   THE CORRELATION BETWEEN WORKING ROTATION TOWARD NURSES’ STRESS LEVEL   ABSTRACT Work rotation among nurses is determined based on the need of each installation. At Garuda Pavilion Installation of RSUP Dr. Kariadi, the rotation has been carried five times within a year. The rotation may bring negative effect to the nurses in a form of anxiety and stress. Analyzing the correlation between working rotation toward nurses’ stress level at Garuda Pavilion Installation of RSUP Dr. Kariadi. The correlational design was used in the research. The research was conducted at Garuda Pavilion Installation of RSUP Dr. Kariadi involving 146 nurses using stratified sampling technique based inclusion and exclusion criteria. DASS (Depression Anxiety Stress Scale) was used as the instrument to collect the data added with 5 open questions to review the nurses’ stress level. The result showed that the median value of respondents’ age was 29 years old, with female majority at 84.2%, D-3 Nursing program qualified was 60.3%, median of the working period was 5 years, Nurse Executive majority with 84.9%, the nurse rotation was 35.6%. High stress level and very high stress level were 2.1% for each category. The bivariate analysis using Pearson Chi-square showed that X2 was 11.480 with p value 0.004 < α (0.05) which means that there was significant correlation between room rotation with the stress level of the nurses at Garuda Pavilion Installation of RSUP Dr. Kariadi. The hospital representative should conduct socialization for nurses before the rotation so that the nurses are able to prepare for the upcoming rotation.   Keywords : working rotation, stress level  

2021 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Eti Cahya Fitrianti ◽  
Sintha Fransiske Simanungkalit

High blood pressure is defined as systolic blood pressure that is equal to or above 140 mm Hg or diastolic blood pressure equal to or above 90 mm Hg (JNC VIII, 2013). In 2018, the prevalence of hypertension in Indonesia is based on the characteristics of the age 45-75 years and above with an average of 58.33% (Riskesdas, 2018). The aimed of this study was to determine of fiber intake, stress levels, and physical activity with blood pressure in pre elderly and elderly at RW 03 Lubang Buaya and RW 09 Kampung Tengah, East Jakarta. This research method is observational with cross sectional approach followed by 80 respondents with simple random sampling technique Data collection was taken, namely blood pressure measurement using a Sphygmomanometer, fiber intake using the Food Recall form 2 x 24 hours (Weekend and Weekday), stress levels with the DASS-14 questionnaire, and physical activity with the Baecke questionnaire. Data processing was analyzed by univariate and bivariate using Chi-Square test. The results of bivariate analysis with chi-square test showed a significant relationship between fiber intake (p value = 0.007), stress level (p value = 0,000), and physical activity (p value = 0.022) with blood pressure. There is a relationship between fiber intake, stress level, and physical activity with blood pressure in the elderly and elderly in Lubang Buaya and Kampung Tengah.


2018 ◽  
Vol 7 (1) ◽  
pp. 28-33
Author(s):  
Dheska Arthyka Palifiana ◽  
Ratih Kumorojati

Background: To have rest or to sleep is basic need that needed by everyone.  To have enough rest or sleep will make body functioned optimally. By sleeping people can restore or to rest the physical after whole day activities, it can reduce stress and anxiety. It also improve concentration and improve ability when doing daily activities. Factors that affect quality and quantity of sleep include ill, fatigue, environment, lifestyle, emotional stress, diet, smoking, stimulant, alcohol, and motivation. The stress level on assisted citizen of woman’s prisoner will be more severe than who are not in prison so as stress can be overcome then the quality of sleep becomes better. Objective:To know the correlation between stress levels and sleep quality on assisted people in woman Penitentiary class II A Yogyakarta. Methods: The research was conducted at women's prison class II A Yogyakarta.  Research population was 117 women prisoners. The sample was 50 women prisoners. Type of the research was descriptive analytic research with cross sectional design. Statistical analysis used chi square. The sampling technique used purposive sampling. Results: The stress level was mostly in high category as many as 17 respondents experienced stress (34%). Sleep quality of the respondents were mostly in bad category as many as 38 respondents (76%). There is a correlation between stress level and sleep quality on women prisoners in Penitentiary class II A Yogyakarta with p-value (0.033). Conclusion: There is a correlation between stress level and sleep quality on women prisoners in Penitentiary class II A Yogyakarta.   Keywords:Stress level, sleep quality, assisted people, penitentiary


Author(s):  
Desi Hariani

ABSTRAK Ketuban pecah dini adalah pecahnya selaput ketuban pada setiap saat sebelum permulaan persalinan tanpa memandang apakah pecahnya selaput ketuban terjadi pada kehamilan 24 minggu atau 44 minggu. Kadar hemoglobin adalah ukuran pigmen respiratorik dalam butiran-butiran darah merah. Kelainan letak janin merupakan malpresentasi janin atau kelainan letak janin yang dapat membuat ketuban bagian terendah langsung menerima tekanan intra uteri yang dominan. Tujuan penelitian ini adalah mengetahui hubungan kadar hemoglobin ibu dan letak janin dengan kejadian ketuban pecah dini di klinik alisa talang keramat kenten Palembang Tahun 2018. Desain penelitian ini menggunakan metode survey analitik dengan pendekatan crossectional. Sampel berjumlah 63 orang. Pengambilan menggunakan teknik total sampling. Pengumpulan data menggunakan lembar checklist.Hasil analisis univariat didapatkan jumlah ibu yang mengalami ketuban pecah dini (22,3%), HB tidak normal (41,3%) dan letak sungsang (6,3%).  Dari hasil analisis bivariat dengan uji statistik Chi – Square ada hubungan bermakna antara kadar hemoglobin ibu p value  = 0,001 < α 0,05 nilai OR = 0,049 dan letak janin p value = 0,001 < α 0,05 nilai OR = 0,032 dengan kejadian ketuban pecah dini secara statistik terbukti. Melalui penelitian ini, diharapkan dapat memberikan pelayanan kesehatan yang lebih baik lagi pada ibu hamil dan bersalin sehingga tidak terjadi komplikasi.   Kata Kunci : Ketuban Pecah Dini, Kadar Hemoglobin, Letak Janin ABSTRACT Premature rupture of membranes isthe  rupture of the membranes at any time before the onset of labor, regardless of whether the rupture of the membranes occurs at 24 weeks or 44 weeks' gestation. Hemoglobin levels are the size of respiratory pigments in red blood granules. Fetal abnormalities are malpresentations of fetuses or fetal abnormalities that can make the lowest part of the membrane directly accept the dominant intrauterine pressure. The aim of this study is to know the correlation between maternal hemoglobin level and fetal location toward the incidence of premature rupture of membranes at klinik alisa talang keramat kenten The study design using analytical survey method with crossectional approach. The sample numbered 63 people. Taking by using total sampling technique. Data collection using checklist sheet. The result of univariate analysis showed that the number of mothers who had membranes rupturedearly was (22.3%), HB was not normal  (41.3%) and breech position was (6.3%). From bivariate analysis with Chi-Square statistical test there was a significant correlation between maternal hemoglobin level p value = 0.001 <α 0.05 value OR = 0.049 and fetal location p value = 0.001 <α 0.05 value OR = 0.032 with incidence of premature rupture of membranes was statistically proven. Through this research, it is expected to provide better health services in pregnant and maternity women so thereis no complications occur. Key word  : Premature rupture of membranes, Hemoglobin levels, Fetal Location


Author(s):  
Suryono ◽  
Bambang Wiseno ◽  
Fannidya Hamdani Zeho

The ongoing COVID-19 pandemic has had a very significant impact on every area of ​​the organization, especially the health sector, especially hospitals. One of the impacts experienced is the work pressure felt by hospital employees. This study aims to analyze the work pressure experienced by hospital employees during the covid-19 pandemic which was obtained from the type of work and stressor factors that influenced it. This type of research was quantitative with a cross sectional approach. The sample of this study was 120 employees at Hospital "X" in Indonesia. The sampling technique is probability sampling with random sampling method. Univariate analysis test was used to see the distribution of frequency and percentage of each variable and bivariate analysis with chi-square test to determine the relationship between variables (p value <0.05). It was found that the type of employee's work was significantly related to the employee's work pressure. Then an analysis of the level of work pressure is carried out with the influencing work pressure stressor. Based on the Spearman Correlation Test, a correlation value of 0.589 with a sig value of 0.000 means that the sig value is smaller than 0.05 (0.000 <0.05) indicating that there is a significant effect between stressor and work pressure at Hospital "X". The cause of high work pressure from this type of work is the demands of the organization in relation to the high role of tasks, especially medical personnel, which increases during the pandemic. Then the stressor factors that influence are role overload, role conflict and role ambiguity caused by the demands of the duties and roles of employees, poor communication, and lack of direct guidance from the leadership on the tasks and regulations given.


2020 ◽  
Vol 20 (1) ◽  
pp. 329
Author(s):  
Dwi Yunita Rahmadhani

The safety of hospital patients is the hospital system to make patient care safer. Safe from the possibility of the risk of Patient Safety Incidents (IKP). One that can override the Model COPA patient safety is requesting more competent, safe practices, verified by examination performance. This study used a descriptive correlation design with cross sectional approach. The goal is to obtain COPA analysis model approach and the determinant factors of nurses with patient safety. The population is all nurses in inpatient hospital Abdul Manap city of Jambi. The number of samples in this study were 50 nurses using total sampling technique. In the bivariate analysis, obtained variables skills assessment and intervention, communication, critical thinking, human caring and relations of social, management, leadership, teaching and integration of science, gender, type of education, length of work, married status, employment status, accreditation campus, GPA, there is a significant association with patient safety with p-value <0.005. Meanwhile, to test each dependent variable and independent variables used chi square test. Multivariate analysis using logistic regression. For that to hospitals in hiring the necessary consideration in terms of the skill factor, for workforce training nurses for patient safety and hospital complements the SPO and equipment less.


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.


2020 ◽  
Vol 29 (4) ◽  
pp. 429-440
Author(s):  
Amar Abhishek ◽  
Nasreen Ghaji Ansari ◽  
Vishwajeet Singh ◽  
Rahul Janak Sinha ◽  
Prabhakar Mishra ◽  
...  

BACKGROUND: The etiology of prostate cancer (PCa) is multi-factorial including environmental and genetic factors. Present study evaluates the association between level of pesticides, stress level and CYP1A1 gene polymorphism with PCa patients. METHODS: A case control study was conducted with 102 PCa patients and age match symptomatic (n= 107) and asymptomatic benign prostatic hyperplasia (BPH, n= 70) patients. Pesticide level was characterized by Gas Chromatography. The oxidative stress and scavenging mechanisms were determined by biochemical method. Two polymorphisms of CYP1A1 gene, rs4646903 and rs1048943, were analyzed by polymerase chain reaction (PCR) followed by restriction fragment length polymorphism and allele specific PCR method. RESULTS: Higher level of pesticide namely beta-hexachlorocyclohexane (β-HCH), Malathion, Chlorpyrifos and Fenvalerate were found in PCa group (all p value: < 0.05). Kruskal Wallis H test depicted that level of β-HCH and Malathion significantly correlated with higher grade of PCa (all p< 0.05). The PCa Patients with simultaneously low antioxidant activity and high stress level tended to suffer worst clinical outcomes. Dominant model of rs4646903 and rs1048943 suggested that substitution is associated with a higher risk of PCa (OR: 2.2, CI: 1.6–3.8, p: 0.009 and OR: 1.95, CI: 1.1–3.4, p: 0.026; respectively) and this risk was also influenced by smoking and pesticide exposure. CONCLUSION: Environmental and genetic factors are reported to raise risk; person with high level of these pesticides especially in high risk genotype might be more susceptible to PCa.


2021 ◽  
Vol 4 (3) ◽  
pp. 200-206
Author(s):  
Supartiningsih Supartiningsih ◽  
RD.Siti Riski Ainun

ABSTRACT  The incidence of pulmonary tuberculosis is still very high and difficult to reduce due to the lack of compliance in taking anti-tuberculosis drugs. The lack of knowledge and family support are some of the factors that affect the level of patients’ compliancein taking anti-tuberculosis drugs. The purpose of this study is to have an overview of patients’ compliance and to see how the relationship between knowledge and family support can affect TB outpatients in taking anti- tuberculosis drugs at the Sindar Raya Community Health Center. This type of research is quantitative using a cross-sectional approach to 20 respondents who do outpatient treatment at the Sindar Raya Community Center. The sampling technique uses the total sampling technique. The data collecting is done by giving questionnaires to each respondent. The data analysis uses univariate analysis and Chi Square test on bivariate analysis. The results of the univariate research showed that there were 10 respondents (50.0%) with a good level of knowledge,8 respondents (40.0%) with moderate level knowledge, and2 respondents (10.0%) with the lack of knowledge. Good family support showed as many as 9 respondents (45.0%),5 respondents (25.0%) with moderate support, and6 respondents (30.0%) with lack of support. As many as 15 respondents (75.0%) showed a good level of compliance while 5 respondents (25.0%) showed the lack of compliance level. Based on bivariate analysis with the chi square test, there was a significant relationship between knowledge and compliance to taking anti-tuberculosis drugs (P value = 0.036), and there was also a significant relationship between family support and compliance to taking anti-tuberculosis drugs (P value = 0.017).    


2018 ◽  
Vol 5 (1) ◽  
pp. 78-87
Author(s):  
Nurul Faidah ◽  
Dewa Ayu Dwita Indriani ◽  
M. Fairuz Abadi

Pendahuluan : Stres merupakan perasaan tertekan, cemas dan tegang. Stres merupakan respon adaptif terhadap situasi yang dirasakan menantang atau mengancam kesehatan seseorang. Untuk menurunkan stres yang di alami oleh lansia berkaitan dengan harapan hidupnya maka terapi Reminiscence tepat untuk di jadikan intervensi sebagai memulihkan kembali perasaan yang menyenangkan atau mengingat kembali memori pada masa lalu seseorang. Tujuan penelitian ini untuk mengetahui pengaruh terapi reminiscence terhadap tingkat stress pada lanjut usia di Banjar Tangkas Wilayah Kerja Puskesmas Tegallalang 1. Metode : Metode penelitian ini menggunakan desain penelitian ini menggunakan jenis penelitian Pra-eksperiment dengan rancangan penelitian One-group pre-test post-test design. Teknik sampling yang digunakan non probability sampling dengan teknik purposive sampling didapatkan sampel sejumlah 20 orang. Instrument pengumpulan data menggunakan DASS 42 Psychometric Properties Of The Depression Anxiety Stress Scale. Hasil penelitian rata-rata tingkat stress pada lansia pre-test 59,20 dan post-test 41,20 di dapatkan nilai p value =0,000<α=0,05 menunjukkan ada Pengaruh Terapi Reminiscence terhadap tingkat stres pada lanjut usia yang berarti adanya pengaruh yang signifikan. Diskusi : Terapi Reminiscence berpengaruh secara signifikan menurunkan tingkat stres pada lanjut usia di Banjar Tangkas Wilayah Kerja Puskesmas Tegallalang 1. Di sarankan agar terapi reminiscence di jadikan metode alternatif tindakan keperawatan yang dapat dilaksanakan di keperawatan gerontik guna membantu lansia dalam menurunkan stres. Kata Kunci :Lanjut Usia, Stres, Terapi Reminiscence ABSTRACT Introduction : Stress is a feeling of depression, anxiety and tense. Stress is a form of adaptive response to situations that are felt as challenge or threaten someone's health. To lessen the stress that was experienced by the elderly with regards to their life expectancy, Reminiscence therapy is considered appropriate to be created as intervention for restoring back a pleasant feeling or recalling memory in someone's past. The purpose of this study is to determine the influence of Reminiscence therapy toward stress levels in elderly at Banjar Tangkas within healthcare coverage of Tegallalang community health center 1. Method: This research method is designed to use Pre-experimental research type with One-group pre-test post-test design. The sampling technique used is a non probability sampling with purposive sampling technique that produces sample of 20 people. Data collection instrument uses DASS 42 Psychometric Properties of the Depression Anxiety Stress Scale. Result: The result shows the average stress level of elderly in pre-test is 59,20 and in post-test is 41,20 which resulted p value = 0,000 <α=0,05 indicate that there is influence of Reminiscence therapy toward stress level in elderly which means that there issignificant influences. reminiscence therapy significantly influences lower stress level in elderly in Banjar Tangkas With in Health care Coverage of Tegallalang Community Health Center 1. It is recommended that Reminiscence therapy to be madeasan alternative method of nursing act that can be implemented in gerontic nursing to help elderly in reducing their stress. Keywords: Elderly, Stress, Reminiscence Therapy


2019 ◽  
Vol 2 (1) ◽  
pp. 138-146
Author(s):  
Eva Kartika Hasibuan ◽  
Masri Saragih

Effective leadership is required by the head of the room to create a good performance on nurses to achieve the purpose of the room is provide good and quality health serviceThis study aims to determine the effective leadership of head room with the performance of nurses in nursing care at RSU. Sari Mutiara Lubuk Pakam. Researchers used descriptive research method correlation with cross-sectional approach. The population in this study nurse who was on duty in the inpatient unit RSU. Sari Mutiara Lubuk Pakam totaling 55 people. The sample in this study used a total sampling technique with 55 respondents. The data collection technique using a questionnaire given to respondents. The results of this study are analyzed in univariate effective leadership of head room (81.8%) with sufficient performance of nurses (50.9%). After bivariate analysis with chi-square test showed that there is a relationship effective leadership of head room with the performance of nurses (p-value = 0.003). This study recommends that the head of the room more attention to implementation of the tasks of nursing care by nurses, as well as providing support in working order, the better the performance of nurses.   Kepemimpinan efektif diperlukan oleh kepala ruangan dalam menciptakan kinerja yang baik pada perawat pelaksana untuk mencapai tujuan ruangan yaitu memberikan pelayanan kesehatan yang baik dan berkualitas. Penelitian ini bertujuan untuk mengetahui kepemimpinan efektif kepala ruangan dengan kinerja perawat dalam melakukan asuhan keperawatan di RSU. Sari Mutiara Lubuk Pakam. Peneliti menggunakan metode penelitian deskriptif korelasi dengan pendekatan cross-sectional. Populasi dalam penelitian ini seluruh perawat pelaksana yang sedang bertugas RSU Sari Mutiara Lubuk Pakam berjumlah 55  responden. Sampel dalam penelitian ini menggunakan teknik total sampling dengan jumlah responden sebanyak 55. Teknik pengumpulan data menggunakan kuisioner yang  diberikan kepada responden. Uji statistik yang digunakan dalam penelitian ini adalah uji chi-square. Hasil penelitian ini dianalisis secara univariat yaitu kepemimpinan kepala ruangan efektif (81,8%) dengan kinerja perawat cukup (50,9%). Setelah dilakukan analisis bivariat dengan uji chi-square didapatkan hasil yaitu ada hubungan kepemimpinan efektif kepala ruangan dengan kinerja perawat (p-value=0,003). Penelitian ini merekomendasikan agar kepala ruangan lebih memperhatikan pelaksanaan tugas asuhan keperawatan oleh perawat, serta memberikan dukungan dalam bekerja agar kinerja perawat semakin baik.


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