scholarly journals HUBUNGAN ACCESS BLOCK DENGAN PERBURUKAN KONDISI PASIEN DI INSTALASI GAWAT DARURAT RSUD ULIN BANJARMASIN

2020 ◽  
Vol 11 (1) ◽  
pp. 110-119
Author(s):  
Julianto Julianto ◽  
Izma Daud ◽  
Sari Milyati

Abstrak  Latar Belakang :Access block adalah situasi dimana pasien yang mengalami lama rawat di IGD 6 karena kurangnya akses ke ruang rawat inap dan kepadatan jumlah pasien yang tidak terkendali, dampaknya ditemukan bahwa semakin lama access block  semakin tinggi pula perburukan pasien dalam 24 jam.Tujuan : ini bertujuan untuk mengetahui hubungan access block dengan perburukan kondisi pasien di Instalasi Gawat Darurat RSUD Ulin Banjarmasin.Metode :Penelitian menggunakan desain analitik dengan pendekatan cross sectional. Jumlah sampel yang diambil berjumlah 40 orang dengan teknik pengambilan accidental sampling. Analisis data melalui uji spearman rank.Hasil : Hasil uji dipapatkan nilai p hitung 0,000 (0,05) ada hubungan antara access block dengan perburukan kondisi pasien di instalasi gawat darurat RSUD Ulin Banjarmasi.Simpulan: Berdasarka hasil penelitian Ada hubungan antara access block dengan perburukan kondisi pasien di Instalasi Gawat Darurat RSUD Ulin Banjarmasin dengan nilai P= 0,000 nilai α = 0,05 dengan nilai koefisien korelasi 0,588 Kata kunci: Access Block, Perburukan Pasien. Abstract Background :Access block is a situation where patients who experience length of stay in the ED 6 due to lack of access to the inpatient room and uncontrolled density of patients, it is found that the longer the access block the higher the deterioration of patients in 24 hours.Purpose: This study aims to determine the relationship of access block with deteriorating condition of patients in Emergency Installation Ulin Hospital Banjarmasin.Method : The research method uses an analytical design with a cross sectional approach. The number of samples taken is 40 people using the accidental sampling technique. Data analysis through spearman rank test.Result: The test results obtained p value calculated 0,000 (0.05) there is a relationship between the access block and deterioration of the patient's condition at the Ulin Banjarmasin Hospital emergency department.Conclusion: Based on the results of the study, there is a relationship between the access block and the worsening of the patient's condition at the Emergency Department of RSUD Ulin Banjarmasin with a value of P = 0.000 value α = 0.05 with a correlation coefficient value of 0.588. Keywords: Access Block, Patient worsening 

2019 ◽  
Vol 14 (1) ◽  
pp. 1-8
Author(s):  
Asfri Sri Rahmadeni ◽  
Lela Fajar . ◽  
Nahrul Hayat .

Hypertension is a condition in which blood pressure increases persistently which is ranked number one cause of death each year. It is estimated that in 2025 there will be 1.5 billion people suffering from hypertension, this problem occurs in many developed and developing countries. The purpose of this study was to determine the relationship of stress with the incidence of hypertension at the Sei Pancur Health Center in Batam City in 2018. The research method used analytical design with a cross sectional design. The sampling technique of this study used non-probability sampling technique with purposive sampling totaling 61 samples. The results of this study found that the stress experienced was in very heavy stress the majority of 62.3% of respondents, the majority of 91.8% of respondents experienced hypertension. The results of the analysis there is a relationship between stress and the incidence of hypertension with a value of ρ = 0.001 <0.05. Based on this, it is recommended that health services improve health care problems, especially problems that cause hypertension.


2020 ◽  
Vol 1 (2) ◽  
pp. 68-75
Author(s):  
Restu Octasila ◽  
Mardi Yana ◽  
Muniswatin Muniswatin

Growth and development of children from birth to adulthood, so it needs to be done early detection of developmental deviations. The results of the survey conducted at Puskesmas Parung Panjang there are 52 (0.5%) toddlers who get help MP-ASI because weight is very thin. Exclusive breastfeeding nutrition program at UPT Parung Panjang in 2016 which target 90%, but only reached 35.77%. The research method used is analytical descriptive with a Cross-Sectional approach with sampling technique with accidental sampling. The population used were children aged 6-60 months in Posyandu Bakti Husada, Puskesmas Parung Panjang with a sample of 41 respondents. The tool used is KPSP to detect the development, and table/chart BB/U and TB/U to measure the growth of children under five. The result of research from 41 respondents got the univariate results of good growth status as much 87,8% and less good as much as 12.2%. The result of the bivariate test showed statistically there was a significant relationship (p-value <0.05) between breastfeeding and infant growth. Conclusions and suggestions of the relationship of exclusive breastfeeding to the growth of babies, for mothers are expected to provide exclusive breastfeeding to babies and stimulate development early on.


2018 ◽  
Vol 3 (3) ◽  
pp. 500
Author(s):  
Desmariyenti Desmariyenti ◽  
Nelfi Sarlis ◽  
Rima Fitriani

<p><em>Good weaning time is done at the age of the child reaches 2 years. Weaning at less</em><em> </em><em>than 2 years of age can cause problems in children such as incidence of infectious diseases, especially increased diarrhea, nutritional effects that lead to malnutrition in children and cause the relationship of children and mothers is reduced </em><em>closeness </em><em>because bounding attachment process is disrupted. This study aims to determine the relationship between knowledge  and  attitude  of  the  mother  with  the  decision  of  weaning  time  in</em><em> </em><em>Tangkerang Timur Work Area Puskesmas Tenayan Raya. This research was conducted in </em><em>Mei</em><em>-</em><em>J</em><em>uni 2017 and this research using research type is quantitative data with research design  using  cross  sectional.  Sampling  technique  using  Stratified  random  sampling, population in this study amounted to 368 people and samples 18</em><em>4</em><em> p</em><em>e</em><em>ople in East Tangkerang Village. The analysis used is univariate and bivariate. The result of this research is can be concluded that there is significant relation between knowledge with time weaning (p-value 0,000 &lt;0,05), there is significant relation between attitude with time weaning (p-value 0,000 &lt;0,05). Mothers exclusively breastfeed to their babies until 6 months of age and and continue with breastfeeding until 24 months of age.</em><em></em></p><p> </p><p>Waktu penyapihan yang baik dilakukan pada usia anak mencapai 2 tahun. Penyapihan yang dilakukan pada usia kurang dari 2 tahun dapat menyebabkan masalah pada anak seperti insiden penyakit infeksi terutama diare meningkat, pengaruh gizi yang mengakibatkan malnutrisi  pada  anak  dan  menyebabkan  hubungan  anak  dan  ibu  berkurang  keeratannya karena proses bounding attachment terganggu. Penelitian ini bertujuan untuk mengetahui hubungan antara pengetahuan dan sikap ibu dengan keputusan waktu penyapihan di Keluraan Tangkerang Timur Wilayah Kerja Puskesmas Tenayan Raya. Penelitian ini dilakukan pada bulan Mei-Juni tahum 2017 dan penelitian ini menggunakan jenis penelitian adalah data kuantitatif dengan  desain penelitian menggunakan  cross sectional. Teknik sampling menggunakan Stratified random sampling, Populasi dalam penelitian ini berjumlah 368 orang dan sampel 184 orang di Kelurahan Tangkerang Timur. Analisa yang diunakan adalah univariat dan bivariat. Hasil penelitian didapatkan bahwa ada hubungan bermakna antara pengetahuan dengan waktu penyapihan (p-value 0,000&lt; 0,05), ada   hubungan   bermakna   antara   sikap   dengan   waktu   penyapihan   (p-value   0,000   &lt;0,05). Diharapkan ibu memberikan ASI eksklusif pada bayinya sampai usia 6 bulan dan dan dilanjutkan dengan MPASI sampai usia 24 bulan.</p>


2016 ◽  
Vol 1 (1) ◽  
pp. 21-30
Author(s):  
Imelda Derang

Intelligence is the ability to apply the knowledge and experiences that have been gained into the effort tasks are challenging and flexible book. Behaviour is an action that involves aspects of affective, cognitive, and psychomotor. Goal: This study aims to determine the relationship between the behavior of student nurses intelligence level II STIKes Santa Elisabeth Medan. Method: This study uses correlation with cross sectional design. The study population was all students / i Ners Level II STIKes Santa Elisabeth Medan as 65. The samples used were 65 respondents, the sampling technique in this research is using purposive sampling. The instrument of this study using questionnaire and observation sheets by using product moment test person. Result: Intelligence students as many as 30 people (46.2%) classified as having an average level of intelligence. A total of 32 people (49.2%) classified as well-behaved students. Person product moment test results obtained p value = 0.172 where a significant level of p> 0.05 so that this value proves that the absence of a relationship between the behavior of student nurses intelligence level II STIKes Santa Elisabeth Medan. Conclusion: Recommended for institutions, motivating students in balancing the behavior and intelligence. 


Author(s):  
Ana Zakiyah ◽  
Duwi Basuki ◽  
Windu Santoso

Discharge planning is one of the activities in the provision of nursing care on patients in the hospital, it will have a shortening impact on patient care in the hospital and reduce the patient's recurrence rate, but the implementation is not appropriate. so far, implementation of Discharge planning is still to be done after the patient finished having treatment by making a summary of the recording of patients return. Various characteristic factors of nurses can influence the implementation of discharge planning in hospital. The research purpose was to know the relationship of factors that influence discharge planning with the implementation of discharge planning. The research design used was cross-sectional, the instrument used was the questionnaire about the characteristics of the nurses and the implementation of discharge planning. The population of research was nurses who served in the inpatient room RSI Sakinah Mojokerto number of 80 nurses and obtained the number of 67 samples with proportional random sampling technique. The result of analysis with pearson correlation for age, education, length of work and chi-square for marital status showed that the characteristics of nurses related to discharge planning implementation were educational factor with p-value 0,023. The higher the nurse education caused more critical, logical and systematic in thinking so as to improve the quality of its work and the greater the desire to utilize the knowledge and skills it possesses keywords        : discharge planning, nurses, education


2020 ◽  
Vol 3 (2) ◽  
pp. 51
Author(s):  
Ikawati Setyaningrum ◽  
Firman Hidayat ◽  
Ratna Widhiastuti

Preceptorship is one method of guidance with one to one relationship in the scope of nursing which is considered good enough to add skills in care, both soft skills, hard skills and attitude of the nursing profession. Many factors affect the implementation of preceptorsip in hospitals. This study aims to determine the relationship between clinical instructional motivation and the implementation of preseptorship at Dr. Soeselo Slawi. This research is a quantitative study and the type of descriptive correlation research design with cross sectional approach. The sampling technique used was a total sampling of 39 people. The research instrument uses a motivation questionnaire containing 26 statements, whereas for Preceptorship uses a questionnaire containing 10 statements. Chi square analysis results showed that the p value was 0.007 (<0.005), which means there was a significant relationship between CI motivation and the implementation of Preseptorship. The hospital is expected to be able to choose nurses who will become CIs according to certain competency and knowledge standards, as well as specializing CI assignments so that they do not overlap with patient service tasks.  Keywords: Motivation. Clinical instructure, preceptorship


2021 ◽  
Vol 7 (1) ◽  
pp. 41
Author(s):  
Khamid Arif ◽  
Etlidawati Etlidawati

Cases that often occur after the distinction in the recovery room one of them is hypothermy. One of the causes of postoperative hypothermy is the type of anaesthetic used. The purpose of the study was to find out the relationship of anaesthetic type to the incidence of hypothermic. Research design uses correlational with cross sectional approaches. The population of all postoperative patients in the Recovery Room of Banyumas Hospital over the past 3 months as many as 500 patients. A large sample of 83 patients using consecutive sampling techniques. The research instrument used is an observation sheet to record the type of anaesthetic and body temperature. Data analysis using the chi square test. Patients mostly respondents aged 36-46 years as many as 51 respondents (61.4%), men as many as 52 respondents (62.7%) and high school / vocational education as many as 39 respondents (47.0%). Respondents received general anaesthetics of 58 respondents (69.9%) and hypothermi as many as 60 respondents (72.3%). Statustic test results obtained a value of p = 0.000 which showed there was a relationship of anaesthetic type with the incidence of hypothermi in the Recovery Room of Banyumas Hospital. The type of anaesthetic used can determine the occurrence of changes in body temperature, namely hypothermy.  Keywords: anesthesia, hypothermia, recovery room


2021 ◽  
Vol 3 (2) ◽  
pp. 138
Author(s):  
Faqihati Husna ◽  
Muhammad Ilham Aldika Akbar ◽  
Rize Budi Amalia

AbstrakLatar Belakang: Menurut UNICEF, setiap lima kelahiran bayi terdapat satu bayi lahir dari ibu dengan usia dibawah 19 tahun. Kehamilan pada remaja usia 15-19 tahun di negara berkembang mencapai angka 21 juta. Kehamilan remaja merupkan masalah yang tersebar di seluruh dunia dan berdampak terhadap kesehatan ibu dan anak. (Mukhopadhyay, 2010), secara luas kematian yang disebabkan oleh kehamilan merupakan penyebab utama kematian anak perempuan usia 15-19 tahun (WHO, 2017). Remaja memiliki risiko komplikasi kehamilan yang tinggi, salah satunya adalah persalinan prematur,  IUGR dan pre-eklamsia. (Baker, 2007).Terjadi peningkatan risiko komplikasi sebesar 2 kali lipat pada kehamilan remaja dibandingkan kehamilan pada wanita usia 20-an (Utomo I. D., 2013), Penelitian ini bertujuan untuk mencari hubungan kehamilan remaja dengan komplikasi kehamilan dan persalinan. Metode: Penelitian ini menggunakan metode analitik observasional dengan pendekatan retrospektif cross sectional dengan jumlah sampel 40 dan diambil dengan teknik cosecutive sampling. Hasil: Komplikasi pada kehamilan remaja mencapai 60%. Hasil analisis hubungan kehamilan remaja dengan komplikasi kehamilan (p value= 0,0100 OR = 6), anemia ( p value 0,013 OR=7,364), defisiensi gizi p value=0,400), prekalmisa/eklamsia (p value =0,300), komplikasi persalinan (p value =1,000), persalinan SC (p value=1,000) dan KPD (p value =1,000). Kesimpulan: Pada penelitian ini kehamilan remaja berpengaruh pada komplikasi kehamilan dengan penyulit  dominan anemia dan tidak berpengaruh pada komplikasi persalinan.AbstractBackgrounds: According to UNICEF, every five babies born there is one baby born to a mother under the age of 19 years. Pregnancy in adolescents aged 15-19 years in developing countries reaches 21 million. Teenage pregnancy was a problem that spread throughout the world and had an impact on maternal and child health. (Mukhopadhyay, 2010), widely deaths caused by pregnancy are the main cause of death for girls aged 15-19 years (WHO, 2017). Adolescents had a high risk of pregnancy complications, one of which is premature labor, IUGR and pre-eclampsia. (Baker, 2007). There has been a 2-fold increase in the risk of complications in adolescent pregnancies versus pregnancies in women in their 20s (Utomo I. D., 2013). Methods: This study were observational analytic method with a retrospective cross sectional approach with 40 samples and was taken by cosecutive sampling technique. Results: Complications in adolescent pregnancy reach 60%. The results of the analysis of the relationship of adolescent pregnancies with complications of pregnancy showed (p value= 0,0100 OR = 6), anemia ( p value 0,013 OR=7,364), nutritional deficiency (p value=0,400), preeclampsia/eclampsia (p value =0,300), labor complications (p value =1,000), sectio caesaria (p value=1,000) dan premature rupture of membrane (p value =1,000)


Author(s):  
Kamariah Kamariah ◽  
Arifin Arifin ◽  
Gunung Setiadi

Low back pain is one of the musculoskeletal disorders resulting from the wrong ergonomics. Such conditions can occur in the informal work sector, such as clothes tailors at the Martapura Bauntung Batuah Market. The purpose of this study was to determine the relationship of work position with complaints of lower back pain in clothes tailors at the Bauntung Batuah Market Martapura. This study is an analytical study with a cross-sectional approach. The sampling technique uses total sampling with criteria for male sex so that the number of samples is 43 people. Data will be analyzed using the x2 test (Chi-square). The results of the statistical analysis obtained the value of the work position p-value of 0,000 meaning that there is a relationship between the work position and complaints of lower back pain in the clothes tailor at the Martapura Bauntung Batuah Market. For other researchers, further research needs to being done on other factors such as individual factors and physical environmental factors that can cause complaints of lower back pain.


2018 ◽  
Vol 1 (1) ◽  
pp. 37-43
Author(s):  
Yunita Syahputri Damanik ◽  
Efrata Efrata

Cervical cancer is a malignant tumor that grows the area of ​​the cervix (cervical) and is a disease caused by HPV or Human Papilloma Virus. One of the measures for early detection of cervical cancer is by screening IVA (Visual Inspection Acetic Acid). The purpose of this study was to determine the relationship of knowledge, attitude and characteristic mother of cervical cancer by doing IVA participation. The design of this study is to use a Cross Sectional. The number of samples in this study were as many as 95 people, with a sampling technique using purposive sampling. From the analysis it was found that there are six variables that have a relationship (<0.05), including p-value education by 0:01, the frequency is married with a p-value of 0:00, sexual activity with a p-value of 0:01, with a p-value knowledge 0:00 and the p-value 0:00 while variable that does not have a relationship (> 0.05) among age with p-value 0:21, work with a p-value 0.79, the frequency of pregnancy with a p-value 0:39 and smoking with a p-value of 0:07. From the results of multivariate analysis showed that sexual activity had a meaningful relationship with the participation of IVA examination with p-value OR 3081 0:04 and value. Expected to health professionals to provide information about the dangers of cervical cancer and the importance of conducting the examination IVA.


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