PENGARUH PEMBERIAN PELAYANAN INFORMASI OBAT DAN KONSELING TERHADAP TINGKAT KEPATUHAN MINUM OBAT PADA PASIEN DIABETES MELITUS DENGAN HIPERTENSI DI RUMAH SAKIT DAERAH IDAMAN BANJARBARU

2020 ◽  
Vol 5 (2) ◽  
pp. 240-249
Author(s):  
Satrio Wibowo Rahmatullah ◽  
◽  
Ika Maulida Nurrahma ◽  
Adnan Syahrizal

Compliance to achieve treatment success can be improved by providing drug information services (PIO) and counseling to improve understanding of treatment instructions. The general objective of this study was to determine the effect of drug information service and counseling on the level of medication adherence in patients with diabetes mellitus (DM) with hypertension in the Banjarbaru Regional Hospital. This study uses a quasi experimental method with a cross sectional approach and takes patient data prospectively. The results of this study indicate that the group given PIO and counseling showed a high level of adherence as many as 20 respondents (100%). Whereas in the group that was not given PIO and the counseling level of adherence was low, there were 4 respondents (20%). Based on the mann-whitney analysis p-value = 0,000 (<α = 0.05) so that there are differences in the group with PIO and counseling with groups without PIO and counseling, while the chi square analysis p-value = 0.004 (<α = 0 , 05) so that PIO and counseling have a significant effect on the level of adherence to taking medication in patients with DM with hypertension at the Banjarbaru Regional Hospital.

2019 ◽  
Vol 27 (2) ◽  
pp. 71
Author(s):  
Dian Irawati ◽  
Agustin Dwi Syalfina

Objectives: Maternal Mortality Rate (MMR) is closely related to maternal care. MMR in Indonesia based on the 2015 IDHS is 359 per 100,000 live births. By increasing the utilization of MCH handbooks, MMR would be decline. Therefore, this research investigated the relationship between of the utilization of MCH handbooks and attitudes pregnant women regarding pregnancy and childbirth complications.Materials and Methods: We conducted a cross sectional research with 54 pregnant women during March - June 2018 at the Sooko Health Center, Mojokerto. The independent variable was the utilization of MCH handbooks and the dependent variable was the attitude of pregnan women regarding pregnancy and childbirth complications. Data analysis included descriptive and bivariate analysis.Results: The results showed that 79.6% of respondents used the MCH handbook well. The results of the chi square analysis test showed a p value of 0.027 (<0.05).Conclusion: MCH handbook utilization effected the attitude of pregnant women regarding the complication of pregnancy and childbirth. Pregnant women who read and utilize MCH handbook would be have better alertness about the risk of complication so they would make the right decision for their pregnancy.


2021 ◽  
Vol 2 (2) ◽  
pp. 134-138
Author(s):  
Sheryl Putri Asri ◽  
Soetimah

It is estimated that 60% of maternal mortality resulting from gestation happened right after giving birth, and 50% of puerperium deaths happened in the first 24 hours. This research aims to know the relation between the amount of bleeding, remaining placenta, and the act of episiotomy to puerperal sepsis cases. This research uses analytical description methods with a cross-sectional approach. The population of this research was the postpartum mothers in puerperal sepsis cases in October – December 2017 at RSAB Harapan Kita Jakarta Barat counted 85 persons. The sampling method used in this research is an accidental sampling method with 32 respondents. The Instruments of this research are medical records and questionnaires with the chi-square analysis method. This research data analysis has the quality of univariate and bivariate, which means knowing about the relation between the amount of bleeding, remaining placenta, and the act of episiotomy to puerperal sepsis cases. This research shows a relation between the amount of bleeding with a p-value (0,035) and OR (7,200). There is a relation between remained placenta variable with a p-value (0,035) and OR (7,200). There is no relation in the act of episiotomy variable with p-value (0,142) and OR (3,500) to puerperal sepsis cases. The researcher suggests RSAB Harapan Kita increase the quality of their health services, mainly socialize information and give education for maternity women about various birth complications, such as bleeding and remaining placenta and sepsis puerperalis's risks.


2020 ◽  
Vol 20 (3) ◽  
Author(s):  
Cici Enjelia Nata ◽  
Safrizal Rahman ◽  
Sakdiah Sakdiah

Abstrak. Indeks Massa Tubuh (IMT) merupakan parameter yang digunakan untuk menilai komposisi tubuh dengan menggunakan klasifikasi Asia Pasifik. IMT menjadi salah satu faktor risiko terjadinya osteoartritis lutut. Osteoartritis lutut merupakan penyakit degeneratif yang terjadi pada sendi lutut. Berdasarkan RISKESDAS tahun 2018, Provinsi Aceh menduduki peringkat pertama sebagai provinsi dengan angka penyakit sendi terbanyak yang termasuk osteoartritis lutut yaitu 13.3%. Prevalensi indeks massa tubuh berlebih di Indonesia pada tahun 2018  meningkat dari 26.3% menjadi 34.4% sehingga kemungkinan terjadinya osteoartritis lutut juga meningkat. Penelitian ini menggunakan metode observasional analitik dengan desain cross-sectional dilakukan dengan cara mengukur berat badan dan tinggi badan responden yang memenuhi kriteria penelitian berdasarkan pedoman American College of Rheumatology (ACR). Sampel dikumpulkan berdasarkan rekam medis di Rumah Sakit Umum Zainoel Abidin kota Banda Aceh sejak september hingga oktober 2019 yang melibatkan tujuh puluh responden sebagai sampel penelitian yang dimana 51 responden (72.9%) memiliki indeks massa tubuh berlebih dan 43 responden (61.4%) didiagnosis dengan Osteoartritis lutut. Berdasarkan hasil analisis uji Chi Square, nilai p value yang diperoleh adalah 0.021 (p value ≤ 0,05). Dengan demikian, penelitian ini menunjukkan bahwa terdapat hubungan antara indeks massa tubuh dengan kejadian osteoartritis lutut di Rumah Sakit Umum Zainoel Abidin di kota Banda Aceh.Kata Kunci: Indeks massa tubuh; berat badan lebih, osteoartritis lutut;               Abstract. Body Mass Index (BMI) is a parameter to measure body composition which is classified into underweight, normal and overweight. Overweight has been known to potentially cause knee osteoarthritis. Knee osteoarthritis is a degenerative disease happening on the knee. Based on RISKESDAS 2018, Aceh led Indonesia as a province with the highest number of knee arthritis (13.3%). In the same year, the prevalence of overweight in Indonesia has also increased from 26.3% to 34.4% and is expected to rise annually. This research is an analytic observational using cross sectional design. The method used in this research is body weight and body length measurement of samples fulfilling the criteria based on American College of Rheumatology (ACR). Data were collected based on medicalr record at Zainoel Abidin General Hospital, Banda Aceh, from September to October 2019. We examined 70 respondents, 51 of them (72.9%) had overweight IMT and 43 of them (61.4%) were diagnosed with knee osteoarthritis. Chi Square analysis showed p value 0,021 (p value ≤ 0.05). We concluded that there is a correlation between body mass index with knee osteoarthritis in Zainoel Abidin General Hospital, Banda Aceh.Keyword: Body Mass Index; overweight; knee osteoarthritis;


e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Vicka V. A. Tartum ◽  
Theresia M. D. Kaunang ◽  
Christofel Elim ◽  
Neni Ekawardani

Abstract: Depression is a disturbance in the function of human nature associated with feelings of sadness and accompanying symptoms, including changes in sleep patterns and appetite, anhedonia, concentration, psychomotor, fatigue, despair and helplessness. Depression can be obtained by any person, including a person suffering from chronic diseases such as chronic renal disease requiring hemodialysis therapy for life. However, the impact of depression was not only felt by the patient, but also the patient's family, especially spouses of patients would be very easy to get depressed as a result of seeing a loved one suffer, so will affect the support and motivation given to patients, especially in patients undergoing hemodialysis should undergo dialysis for life, so a lot of depression in patients and their families, especially spouses of patients. This study aimed to determine the relationship of the length of hemodialysis with the level of depression in spouses of hemodialysis patients in Prof. Dr. R. D. Kandou Hospital Manado. This was an observational analystical study with a cross sectional design. This study used Hamilton Depression Rating Scale questionaire (HDRS). Data were processed by using SPSS 20.0. The chi-square analysis test showed a p value of 0.105 (p > 0.05). Conclusion: There was no correlation between the duration of hemodialysis with the degree of depression of chronic kidney failure patient’s live spouses.Keywords: depression, chronic kidney disease, hemodialysis, spouse.Abstrak: Depresi adalah terganggunya fungsi manusia yang berkaitan dengan alam perasaan yang sedih dan gejala penyertanya, termasuk perubahan pada pola tidur dan nafsu makan, anhedonia, konsentrasi, psikomotor, kelelahan rasa putus asa dan tidak berdaya. Depresi bisa didapatkan oleh setiap orang termasuk seseorang yang menderita penyakit kronik seperti penyakit ginjal kronik yang membutuhkan terapi hemodialisis seumur hidup. Dampak depresi pun tidak hanya dirasakan oleh pasien, keluarga pasien terutama pasangan hidup pasien akan sangat mudah mendapatkan depresi akibat melihat orang yang dicintai menderita, sehingga akan memengaruhi dukungan dan motivasi yang akan diberikan kepada pasien, terutama pada pasien yang menjalani hemodialisis yang harus menjalani proses cuci darah seumur hidup, sehingga banyak terjadi depresi pada pasien dan keluarganya terutama pasangan hidup pasien. Penelitian ini bertujuan untuk mengetahui hubungan lamanya hemodialisis dengan tingkat depresi pada pasangan hidup pasien hemodialisis di RSUP Prof. Dr. R. D. Kandou Manado. Metode penelitian yang digunakan ialah analitik observasional dengan pendekatan potong lintang. Penelitian ini menggunakan kuesioner Hamilton Depression Rating Scale (HDRS) dan data diolah menggunakan SPSS 20.0. Uji analisis chi-square mendapatkan nilai p sebesar 0,105 (p >0,05). Simpulan: Tidak terdapat hubungan antara lama hemodialisis dengan tingkat depresi pasangan hidup pasien penyakit ginjal kronik.Kata kunci: depresi, penyakit ginjal kronik, hemodialisis, pasangan hidup


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


2015 ◽  
Vol 4 (1) ◽  
Author(s):  
Nurmadya Nurmadya ◽  
Irvan Medison ◽  
Hafni Bachtiar

AbstrakTuberkulosis (TB) paru masih menjadi masalah utama kesehatan global di dunia. Pada tahun 2011, Indonesia berada di posisi keempat dengan jumlah penderita TB terbanyak di dunia. Dalam upaya penanggulangan TB, Indonesia telah mengadopsi strategi DOTS sejak tahun 1995. Berdasarkan laporan tahunan Dinas Kesehatan Kota Padang tahun 2011, angka keberhasilan pengobatan di Puskesmas Padang Pasir yaitu 71,43% dan angka ini belum mencapai target nasional. Penelitian ini bertujuan untuk mengetahui hubungan pelaksanaan strategi DOTS dengan hasil pengobatan TB paru di Puskesmas Padang Pasir Kota Padang. Jenis Penelitian ini adalah analitik dengan desain cross sectional study. Data dikumpulkan melalui wawancara kepada responden menggunakan kuisioner yang kemudian di analisis melalui uji Chi-Square. Hasil uji statistik Chi-Square menunjukkan adanya hubungan antara pelaksanaan komitmen oleh petugas kesehatan (p-value : 0,000), pelaksanaan pemeriksaan dahak (p-value: 0,005, ketersedian OAT (p-value : 0,002) dengan hasil pengobatan TB paru. Hasil uji statistik pada peranan PMO (p-value : 0,185) dan pencatatan pelaporan penderita TB paru (p-value 0,184) menunjukkan tidak terdapat hubungan dengan hasil pengobatan TB paru.Kata kunci: tuberkulosis paru, DOTS, hasil pengobatanAbstractTuberculosis (TB) remains a major problem pulmonary global health in the world. In 2011, Indonesia was in fourth position with the highest number of TB patients in the world. InTB controlefforts, Indonesia hasadopted theDOTS strategysince 1995.Based on the annual report of Padang City Health Department in 2011, the treatment success rate in Padang Pasir Health Center is 71.43% and this figure has not reached the national target. The study aims to determine the relationship implementation of the DOTS strategy with pulmonary TB treatment success in health centers Padang Padang Pasir.This type of study design was cross-sectional analytic study. Data were collected through interviews with respondents using a questionnaire which was then analyzed by chi-square test. The results of the chi -square statistical tests showed that the implementation of commitments by health workers (p - value: 0.000), the implementation of sputum examination (p - value : 0.005), availability of OAT (p - value : 0.002) have a correlation with the results of treatment of pulmonary tuberculosis . While results statistical tests on the role of the PMO (p - value : 0.185) reporting and recording of pulmonary TB patients (p– value : 0.184) showed there was no correlation with the results of treatment of pulmonary tuberculosis.Keywords: pulmonary tuberculosis, DOTS, treatment success


2021 ◽  
Vol 10 (1) ◽  
pp. 120
Author(s):  
Yulia M. Nur ◽  
Elnita Rahmi ◽  
Eliza Eliza

Neonatal jaundice is a common problem in the care of normal newborns. West Pasaman Regional Hospital data states that in 2018 there were 41 cases of neonatal jaundice out of 369 deliveries. The research objective was to determine the effect of exclusive breastfeeding and phototherapy on the incidence of neonatal jaundice. The research method is retrospective, namely conducting research on past events. The research was conducted at RSUD Pasaman Barat with a population of 20 people. Sampling was done by total sampling technique, so that the sample size is 20 people. Data collection was carried out by means of observation at the West Pasaman Regional Hospital. The approach used is cross sectional, namely independent and dependent data collection is done at the same time. The data that has been collected is then processed manually and analyzed by computerized univariate and bivariate analysis. This type of research is descriptive with a cross sectional design. The study population was all babies in West Pasaman Regional Hospital with a total of 41 people, the sample size was determined by the total sampling so that the sample was 41 people. The data was collected by means of a documentation study using a checklist. Data processing was carried out by univariate computerization. The results showed that as many as 13 respondents (31.7%) were breast-fed, 63.4% were carried out with phototherapy and 24.4% of respondents had neonatal jaundice. Based on the bivariate analysis obtained p value 0.049 (Breastfeeding) and 0.001 (Phototherapy). The results of the Chi Square test, it can be concluded that there is an effect of breastfeeding and phototherapy on the incidence of neonatal jaundice


2018 ◽  
Vol 37 (2) ◽  
Author(s):  
Lukmanulhakim Lukmanulhakim ◽  
Lenny Stia Pusporini

Abstract: Competence test is conducted to fulfil the graduates’ performance competence standards. Nurse competence is oriented to the performance quality in giving a comprehensive care. Study intends to identify factors influencing graduation achievement in UKNI of Nurse Profession Program students of STIKes Faletehan Serang. It is a quantitative study with analytical correlational design and cross sectional approach. Samples are 106 respondents who were selected by using total sampling technique. The statistical used are Chi Square and simple logistic regression prediction model. The Chi Square analysis result with α = 0.05 finds p value of the three variables are 0.804 (anxiety and family support), and 1.000 (peers support). Besides, the analysis result of other three variables obtains p value of 0.034 (GPA), p value of 0.000 (liveliness), and p value of 0.000 (try out result). The analysis result of simple logistic regression shows that Odds Ratio (OR) of liveliness variable is 156.734. The research results can be an evaluation material to increase graduation achievement in UKNI are the benchmark of improving the implementation of university quality assurance. Keywords: capaian kompetensi, kompetensi perawat, uji kompetensi Ners, progra profesi Ners ANALISIS FAKTOR YANG MEMPENGARUHI CAPAIAN KELULUSAN UJI KOMPETENSI NERS MAHASISWA PROGRAM PROFESI NERS  Abstrak: Uji kompetensi dilaksanakan untuk mencapai lulusan yang memenuhi standar kompetensi kinerja. Kompetensi perawat berorientasi terhadap kualitas kinerja dalam memberikan pelayanan keperawatan secara komprehensif.Penelitian bertujuan untuk mengetahaui faktor-faktor yang mempengaruhi capaian kelulusan UKNI mahasiswa Program Profesi Ners STIKes Faletehan Serang. Penelitian berjenis kuantitatif dengan rancangan korelasi analitik melalui pendekatan Cross Sectional.Sampel penelitian sebanyak 106 responden yang diambil dengan teknik total sampling. Data dikumpulkan lewat angket. Analisis data dilakukan dengan menggunakan Chi Square dan regresi logistik sederhana model prediksi.Hasil analisis uji Chi Square dengan α = 0.05, ketiga variabel diperoleh p value sebesar 0,804 (kecemasan dan dukungan keluarga), serta 1,00 (dukungan teman sebaya). Hasil analisis ketiga variabel lainnya diperoleh p value sebesar 0.034(IPK Akademik), 0.000 (keaktfikan), dan 0.000 (try out nasional). Hasil analisis regresi logistik, teridentifikasi Odds-Ratio (OR) dari variabel keaktifan adalah 156.734.Hasil ini dapat dijadikan evaluasi dalam peningkatan capaian kelulusan UKNI yang merupakan tolak ukur dalam penyelenggaraan penjaminan mutu perguruan tinggi. Kata kunci : capaian kompetensi, kompetensi perawat, uji kompetensi Ners, progra profesi Ners


2015 ◽  
Vol 11 (1) ◽  
pp. 53 ◽  
Author(s):  
Lenny Octavianty ◽  
Atikah Rahayu ◽  
Dian Rosadi ◽  
Fauzie Rahman

<p>Human Immunodeficiency Virus (HIV) merupakan penyebab penyakit Acquired Immunodeficiency Syndrome (AIDS) yang merusak kekebalan tubuh manusia. Tahun 2013 di Kalimantan Selatan terdapat 227 kasus HIV dan 134 kasus AIDS dengan kasus tertinggi di Kabupaten Tanah Bumbu yaitu kasus HIV 189 orang dan 30 kasus AIDS. Peningkatan kasus baru diproyeksikan terjadi pada populasi sopir karena termasuk mobile men with money and migrant. Tujuan penelitian untuk mengetahui hubungan pengetahuan dan sikap dengan upaya pencegahan HIV/AIDS pada ibu rumah tangga dengan suami pekerja sopir bus antar kota terhadap upaya pencegahan HIV/AIDS. Penelitian dilakukan pada tahun 2014 dengan rancangan penelitian secara cross sectional. Sampel ibu rumah tangga sebanyak 40 orang secara accidental. Analisis data dengan uji chi-square. Analisis univariat didapatkan hasil tingkat pengetahuan rendah dan tinggi seimbang sebanyak 50%, sikap kategori baik 92.5% dan upaya pencegahan rendah sebanyak 65%. Analisis bivariat didapatkan ada hubungan antara pengetahuan dengan upaya pencegahan (p=0,000, OR=35,2), dengan upaya pencegahan tidak ada hubungan (p=0,539).</p><p> </p><p><em>HIV is the cause of AIDS damage the human immune system. In South Kalimantan (2013) was as much as 227 HIV cases and 134 AIDS cases and the highest case in Tanah Bumbu with the number of HIV cases as many as 189 people and 30 cases of AIDS. The increase in new cases of HIV/AIDS is projected to occur in the population of driver because including as a mobile men worker with money and migrants. This research was especially against his wife to understand about the relationship between knowledge and attitudes towards the prevention of HIV/AIDS on the housewife who has husband as inter-city bus driver towards the prevention of HIV/AIDS in Tanah Bumbu in 2014. This study conducted at 2014 and used cross sectional design with a sample of housewives as many as 40 people were taken by accidental means. Analyzed using chi-square test. Univariate analysis showed that who had a husband as a driver has a low and a high level of knowledge in balance with each as much as 50%, good attitude category was 92.5% and prevention was low, as much as 65%, while for the bivariate analysis showed that there was a relationship between knowledge and prevention (p-value = 0.000: OR = 35.2), while for variables with prevention efforts there was no relation (p-value = 0.539).</em></p>


2021 ◽  
Vol 1 (1) ◽  
pp. 75-80
Author(s):  
Sitti Nurul Hikma Saleh ◽  
Asmiati Asmiati ◽  
Hairil Akbar

Asfiksia neonatorum adalah keadaan bayi baru lahir mengalami kegagalan bernafas spontan dan teratur. Asfiksia neonatorum merupakan urutan pertama penyebab kematian di negara berkembang yaitu sebesar 21,1%, salah satu penyebabnya dari faktor ibu yaitu preeklampsia dan eklampsia. Berdasarkan data di RSUD Kota Kotamobagu diperoleh data tahun 2018 kasus asfiksia sebanyak 23 kasus. Tahun 2019 asfiksia sebanyak 81 kasus. Tujuan penelitian ini untuk menganalisis hubungan hipertensi saat hamil dengan kejadian asfiksia neonatorum di RSUD Kota Kotamobagu. Jenis penelitian adalah observasional analitik dan rancangan penelitian cross sectional. Lokasi penelitian RSUD Kota Kotamobagu. Populasi yaitu seluruh bayi yang lahir di RSUD Kotamobagu tahun 2019-2020 sebanyak 987 bayi. Sampel penelitian sebanyak 100 bayi. Teknik pengambilan sampel simple random sampling. Analisis data menggunakan uji chi-square. Hasil penelitian ada hubungan hipertensi saat hamil berhubungan dengan kejadian asfiksia neonatorum di RSUD Kota Kotamobagu (p-value=0,025). Saran bagi ibu hamil untuk rutin melaksanakan kunjungan ANC untuk mendeteksi sedini mungkin apabila adanya kelahiran prematur dan post matur.


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