scholarly journals Pengaruh Faktor Predisposisi, Faktor Pendorong Dan Faktor Pendukung Terhadap Pencatatan Rekam Medis di RSUD Dr. RM Djoelham Binjai

2021 ◽  
Vol 6 (2) ◽  
pp. 161-173
Author(s):  
Giyatno ◽  
Megawati

Law of the Republic of Indonesia number: 29 of 2004 concerning Medical Practice, which includes the obligation of doctors and dentists to make medical records. The results of the evaluation of the completeness of medical records in RSUD Dr. RM Djoelham Binjai still found incomplete medical record files. This study aims to determine the effect of predisposing factors (knowledge, attitudes), driving factors (support from other officers) and supporting factors (facilities and facilities, regulations) on the behavior of doctors in recording medical records. The research design used in this study was a descriptive analytic survey with a cross sectional design, a sample of 29 doctors and quantitative data analysis with univariate, bivariate and multivariate analysis. Based on the results of the chi square test, it was obtained that Knowledge variable p = 0.001, Attitude power p = 0.002, other support staff p = 0.000, facilities and facilities p = 0.002 and settings p = 0.007 multivariate test showed that of the 5 variables tested multiple logistic regression showed variable which has a p-value > 0.05. Based on the results of the multiple logistic regression test, the significant value of the model together was obtained at 0.002 < 0.05, which means that the four variables used as models have a significant influence on Medical Record Recording, the factor that has the greatest influence on Medical Record Recording is the Support Personnel variable. Others are indicated by an OR value of 0.062. The conclusion in this study is that there is an influence, Knowledge, Attitude, Support of Other Personnel, Facilities and Facilities, and Regulations on the Completeness of Medical Record Recording. It is hoped that doctors do not delay in recording complete medical records.

2021 ◽  
Vol 2 (3) ◽  
pp. 85-91
Author(s):  
Yuningsih

One of the contributors to maternal and infant mortality is the incidence of preeclampsia that occurs during pregnancy. The cause of preeclampsia is still unknown, but it is suspected that age and parity are one of the triggers for this occurrence. Women of childbearing age who are nulliparous with extreme age under the age of less than 20 years and women with the age of more than 35 years are most commonly found to have preeclampsia. The design in this study is analytic with a cross sectional approach. The population of all mothers giving birth in the delivery room of RSD Balung Jember was 3594 in 2019. The number of samples taken using non-random sampling by purposive sampling was finally obtained by 97 respondents. In this study, the independent variables were maternal age and parity, while the dependent variable was the incidence of preeclampsia. The instrument used is medical records. The data is processed by editing, coding, processing and cleaning processes. Data were analyzed using multiple logistic regression. The results of the chi-square test for the age variable obtained that the Pearson chi-square value was 0.019 and the p value = 0.000 <0.05 from these results Ho was rejected, and the parity variable the Pearson chi- square value was 0.019 and the p value = 0.000 <0.05 from these results Ho is rejected. In conclusion, there is a relationship between age and preeclampsia, and there is a relationship between parity and preeclampsia.


Author(s):  
Wahyu Ida Muliana Wahyu Ida Muliana

ABSTRACT Hyperemesis Gravidarum marked excessive nausea and vomiting in pregnant women at a young age. WHO estimates that 536,000 women died from direct complications of pregnancy and childbirth. One complication of pregnancy is Hyperemesis Gravidarum. Hyperemesis Gravidarum in the world has been estimated to occur in 1-2% of pregnant. According to data from the Medical Record of Dr. Mohammad Hoesin Palembang Hospital, the incidence of Hyperemesis Gravidarum in 2011 there were 72 people of 661 pregnant women. The purpose of this reseach was to determine the relationship between maternal age and parity with Hyperemesis Gravidarum in Dr. Mohammad Hoesin Palembang Hospital 2011. The Design of this reseach used Cross Sectional by analytic approach survey. The population of this reseach are all of mother who gestational ≤ 16 weeks (four months) in the Installation of Obstetrics and Gynecology, Dr. Mohammad Hoesin Palembang Hospital in January to December of 2011 with the sample of 661 people which taken by systematic random sampling and the reseach was conducted from 17 April to 24 April 2012.  Each variable that was observed in tests using Chi-Square test with a (0.05).  The results of this study showed that 5.9% of mothers with hyperemesis gravidarum, 21.8% of mothers with high risk age, and 30.0% primigravida. Chi-Square test showed no significant relationship between age (p value = 0.000) and parity (p value = 0.000) with the incidence of hyperemesis gravidarum. Expected to the Hospital to be implemented properly instructed how to provide counseling to pregnant women about pregnancy and childbirth, as well as provide confidence that the nausea and vomiting is a symptom of physiology in pregnancy.   ABSTRAK Hiperemesis Gravidarum ditandai mual dan muntah yang berlebihan terjadi pada ibu hamil di usia muda. WHO memperkirakan 536.000 perempuan meninggal dunia akibat langsung dari komplikasi kehamilan dan persalinan. Salah satu komplikasi kehamilan adalah Hiperemesis Gravidarum. Insiden Hiperemesis Gravidarum di dunia telah diperkirakan terjadi pada 1-2% wanita hamil. Menurut data dari Medical Record Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang, angka kejadian Hiperemesis Gravidarum pada tahun 2011 terdapat 72 orang dari 661 ibu hamil. Tujuan penelitian ini adalah untuk mengetahui hubungan antara umur dan paritas ibu dengan kejadian Hiperemesis Gravidarum pada ibu di Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang tahun 2011. Desain Penelitian ini menggunakan survei analitik dengan pendekatan Cross Sectional. Populasi penelitian ini adalah dengan umur kehamilan ≤ 16 minggu (4 bulan) yang pernah dirawat inap di Instalasi Kebidanan dan Penyakit Kandungan Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang pada bulan Januari-Desember tahun 2011 dengan jumlah sample 661 orang yang diambil secara systematic Random Sampling (secara acak sistematis) dan penelitian ini dilakukan dari tanggal 17 April sampai dengan 24 April 2012. Masing-masing variabel yang diteliti di uji dengan menggunakan uji Chi-Square dengan a (0,05). Hasil penelitian ini menunjukkan bahwa 5,9% ibu mengalami hiperemesis gravidarum, 21,8% ibu dengan umur resiko tinggi, dan 30,0% ibu primigravida. Uji Chi-Square menunjukkan ada hubungan yang bermakna antara umur (p value = 0,000) dan paritas (p value = 0,000) dengan kejadian hiperemesis gravidarum. Diharapkan dapat menjadi masukan bagi pihak Rumah Sakit agar dilaksanakan penyuluhan dengan cara memberikan konseling terhadap ibu hamil tentang kehamilan dan persalinan, serta memberikan keyakinan bahwa mual muntah merupakan gejala fisiologi pada kehamilan.


2020 ◽  
Vol 7 (1) ◽  
pp. 10
Author(s):  
Ade Juniardi ◽  
Asrinawaty Asrinawaty ◽  
M. Bahrul Ilmi

ABSTRAK Pengelolaan sampah merupakan suatu upaya untuk melakukan pengurangan dan penanganan sampah. Kota Banjarmasin memiliki jumlah penduduk pada tahun 2017 sebanyak 692.793 jiwa dan mengalami pertambahan jumlah penduduk pada tahun 2018 menjadi 700.869 jiwa yang artinya sampah buangan yang dihasilkan akan semakin banyak. Penelitian ini bertujuan untuk mengetahui hubungan antara pengetahuan, sikap, sarana prasarana, dan peraturan daerah dengan perilaku ibu rumah tangga dalam pengelolaan sampah rumah tangga di Kampung Biru sesuai Perda Nomor 21 Tahun 2011. Penelitian ini menggunakan rancangan cross sectional. Populasi dalam penelitian ini mengacu pada jumlah kepala keluarga yang ada di Kampung Biru dengan jumlah 776 Kepala Keluarga dengan jumlah sampel sebanyak 89. Instrumen yang digunakan adalah kuisioner dan wawancara, data dianalisis dengan uji chi-square. Hasil penelitian ini menunjukkan bahwa perilaku pengelolaan sampah rumah tangga di Kampung Biru sebagian besar kategori buruk (52,8%). Hasil analisis terdapat hubungan pada variavel pengetahuan (p-value = 0,035), sarana prasarana (p-value = 0,0001),  dan peraturan daerah (p-value = 0,0001),  dalam pengelolaan sampah rumah tangga di Kampung Biru. Sedangkan variabel sikap tidak ada hubungan dalam pengelolaan sampah rumah tangga di Kampung Biru. Diharapkan instansi terkait dapat lebih aktif mengawasi dan memberikan sanksi tegas terhadap masyarakat yang melanggar sesuai peraturan daerah yang berlaku agar menimbulkan efek jera, sehingga tercapainya pengelolaan sampah yang baik sesuai Perda Nomor 21 Tahun 2011. Kata-kata kunci: Pengetahuan, sikap, sarana, prasarana, peraturan, sampah  ABSTRACT                              Waste management is an effort to reduce and handle waste. The city of Banjarmasin has a population of 2017 as many as 692,793 people and has increased the population in 2018 to 700,869 people which means that the amount of waste produced will be more and more. This study aims to determine the relationship between knowledge, attitudes, infrastructure, and regional regulations with the behavior of housewives in household waste management in Kampung Biru according to Regional Regulation No. 21 of 2011. This study uses a cross sectional design. The population in this study refers to the number of household heads in Kampung Biru with 776 households with a sample size of 89. The instruments used were questionnaire and interview, the data were analyzed by chi-square test. The results of this study indicate that the behavior of household waste management in Kampung Biru is mostly in the bad category (52.8%). The results of the analysis are related to the knowledge variable (p-value = 0.035), infrastructure (p-value = 0.0001), and local regulations (p-value = 0.0001), in the management of household waste in Kampung Biru. While the attitude variable has no relationship in household waste management in Kampung Biru. It is expected that the relevant agencies can be more active in supervising and giving strict sanctions against people who violate according to the prevailing regional regulations in order to create a deterrent effect, so that good waste management is achieved according to Regional Regulation No. 21 of 2011. Keywords: Knowledge, attitude, infrastructure, regulation, waste 


2021 ◽  
Vol 1 (1) ◽  
pp. 547-562
Author(s):  
Ernyasih Ernyasih ◽  
Isnie Nurajizah Wijayanti

The amount of waste in Indonesia in 2019 will reach 68 million tons and plastic waste is estimated to reach 9.52 million tons or 14 percent of the total existing waste. (Regional Representative Council of the Republic of Indonesia, 2017). In 2018 the total amount of waste in Bekasi Regency reached 152.3 tons per year. The composition of waste from plastic sources ranks first in the type of non-organic waste with a percentage of 9% (Bekasi Regency Environmental Service, 2018). Many impacts are caused by plastic bags on the environment, human health, and marine life. This study was conducted to determine the factors associated with reducing the use of plastic bags in the Bekasi Regency. The study design used was cross-sectional with primary data distributed through a questionnaire. A sample of 319 people, the retrieval is done by simple random sampling technique. Data analysis used chi square test (α = 0.05). Variables related to reducing the use of plastic bags are knowledge (p-value = 0.009 and OR = 0.465) and attitude (p-value = 0.038 and OR = 0.587). While the variables that were not related to the reduction in the use of plastic bags were age (p-value = 0.509), gender (p-value = 0.065), education (p-value = 0.667) and salary (p-value = 0.359). Factors that influence the reduction in the use of plastic bags in the Bekasi Regency are knowledge and attitudes. It is hoped that there will be an increase in the application of plastic bag costs in government policies regarding the plastic bag diet so that the use of plastic bags in the community can be minimized.


2021 ◽  
Vol 15 (6) ◽  
pp. 1511-1515
Author(s):  
Estiyani Wulandari ◽  
Lenna Maydianasari ◽  
Eva Yusnidhar

Aim: This research aims to identify the correlation between parity and premature rupture of membrane (PROM) incidence at KIA Sadewa Hospital in 2013. Methods: The research was observational analytic research with a cross-sectional design. The sampling employed total sampling. This research population was all women giving birth at KIA Sadewa Hospital from January to December 2013 who had complete data as many as 2,645 women. The samples used in this study were 2388 women with expected delivery and 257 women who experienced the PROM. The data were secondary data obtained from medical records and then analyzed in univariate and bivariate analysis using a chi-square test with p-value = 0.005. Results: Women giving birth at KIA Sadewa Hospital in 2013 were mostly multipara. The incidence of premature rupture of membrane at KIA Sadewa Hospital in 2013 indicated 9.7% of them experiencing the PROM and 90.3% not experiencing the PROM. Conclusion. There was a correlation between parity and the incidence of premature rupture of membrane at KIA Sadewa Hospital in 2013. There is a correlation between parity with the incidence of premature rupture of membrane at KIA Sadewa Hospital in 2013. Keywords: Parity, Premature Rupture of Membrane


2021 ◽  
Vol 3 (2) ◽  
pp. 207-212
Author(s):  
Felix Kasim ◽  
Beni Satria ◽  
Balqis Wasliati ◽  
Kuat Sitepu ◽  
Ika Nur Saputri ◽  
...  

The COVID-19 pandemic outbreak is increasingly deadly and is expanding beyond China. Batu Bara Regency is one of the districts that has experienced an increase in confirmed cases of COVID-19. The success of the COVID-19 health protocol practice is largely determined by the compliance of the community in carrying out the 3M movement, namely using masks, washing hands with soap, and maintaining physical distance. The purpose of this study was to determine the factors related to community compliance with the COVID-19 health protocol in Datuk Lima Puluh District, Batu Bara Regency. This study was an observational analytic study with a cross sectional design. The population in this study were all people in Datuk Lima Puluh District, Batu Bara Regency and the total sample was 393 people. Data collection was carried out with primary and secondary data. Data analysis was performed using the chi-square test and multiple logistic regression. The results of the chi-square test show that there is a relationship between knowledge and availability of facilities and community compliance with the COVID-19 health protocol in Datuk Lima Puluh District, Batu Bara Regency. The results of multiple logistic regression tests show that respondents who do not have the availability of facilities have 1,904 times the chance of not adhering to the COVID-19 health protocol. Suggestions for the health office and health services are expected to increase health socialization related to the prevention of COVID-19 so that people can comply with health protocols.


2018 ◽  
Vol 9 (2) ◽  
pp. 331
Author(s):  
Rahmalia Afriyani ◽  
Ika Savitri ◽  
Nur Sa'adah

<p>Breast milk is the best food for an infant. Toddlers are faster affected by the chronic diseases such as cancer, heart disease, hypertension, and diabetes when they grow up. The main causes are less quality of getting the exclusive breastfeeding. The percentage of exclusive breastfeeding in Maimunah’s midwifery lab work was only77,09% in 2016. The purpose of this study was to determine those factors that influenced exclusive breastfeeding in Maimunah’s midwifery lab work Palembang. This study was about a quantitative one with a cross-sectional approach and carried on 2nd-15th of August 2016. There were 94 qualified respondents and the data collection was done by using the questionnaire. The data were analyzed by frequency test, chi-square test, and logistic regression. The shown that 62.8% who gave the exclusive breastfeeding, 55,3% didn’t work,  47,9% were in an age of 20-30, 59,6% had high education, and 63,8% had children ≥2. Meanwhile, there was a significant relationship between exclusive breastfeeding with the occupation (p-value=0.000), age (p-value=0.025), education  (p-value=0,020), and parity (p-value=0.022). The result of multivariate analysis shown that influential factors of exclusive breastfeeding were occupational, age and parity. Furthermore, the most influential factor was an occupation with OR = 10.197.  It was suggested to improve the motivation of working mothers to have the exclusive breastfeeding by facilitating them with the corner of breastfeeding in their office.</p>


2018 ◽  
Vol 21 (3) ◽  
pp. 179-187
Author(s):  
Rustika Rustika ◽  
Esny Burase

Since 2014, the program to provide masks for Hajj pilgrims from Indonesia in Saudi Arabia as one of the efforts to prevent ISPA, continues to be increased in 2015 Ministry of Health Perform Movement Use Mask (GERMAS). Based on this case, this research focuses on the relationship of Knowledge and Attitude with Mask Usage Behavior among Prayer Hajj Indonesia in Saudi Arabia Year 2016 in preventing the incidence of Acute Respiratory Tract Infection. The design used is cross sectional with quantitative approach. The population in this study is all pilgrims who perform the pilgrimage, amounting to 168,800 people with a sample of 163 respondents. Data analysis techniques include univariate analysis, bivariate analysis with Chi-Square test, and multivariate analysis using multiple logistic regression test. The result of bivariate selection shows that the knowledge variable has no significant correlation with relationship p-value is 0.284 > 0.05. Where as attitude variable have relationship because p-value value 0.000 < 0.05. In multivariate analysis multiple logistic regression test showed that attitude variable which has the most dominant significance with the mask use on haj pilgrims with p-value 0.000 <0.05 and Odds Ratio 3.558. This means that attitude that does not support the use of masks has a 3 times chance of experiencing ISPA events. Abstrak Sejak tahun 2014 program pemberian masker bagi jemaah haji asal Indonesia di Arab Saudi sebagai salah satu upaya pencegahan ISPA, terus ditingkatkan pada tahun 2015 Kementerian Kesehatan melakukan Gerakan Memakai Masker (GERMAS). Tujuan penelitian ini untuk melihat hubungan pengetahuan, sikap dengan tindakan penggunaan masker pada jemaah haji Indonesia. Desain yang digunakan cross sectional, dengan pendekatan kuantitatif. Populasi dalam penelitian adalah seluruh jemaah haji yang melakukan ibadah haji sebanyak 168.800 jiwa, sampel adalah jemaah haji Indonesia yang berada di Mekkah dan Madinah sebanyak 163 responden. Teknik analisis data meliputi analisis univariat, analisis bivariat dengan uji Chi-Square, dan analisis multivariat dengan menggunakan uji regresi logistik berganda. Hasil seleksi bivariat menunjukkan bahwa variabel pengetahuan tidak memiliki hubungan yang signifikan dimana nilai p-value 0,284 > 0,05, sedangkan variabel sikap memiliki hubungan karena nilai p-value 0,000 < 0,05. Pada analisis multivariat uji regresi logistik berganda diperoleh bahwa variabel sikap yang memiliki signifikansi paling dominan dengan penggunaan masker pada jemaah haji atau nilai p-value 0,000 < 0,05 dan Odds Ratio 3,558, artinya sikap yang tidak mendukung penggunaan masker berpeluang sebesar 3 kali mengalami kejadian ISPA.


2021 ◽  
Vol 2 (2) ◽  
pp. 38-49
Author(s):  
Asriwati Amirah ◽  
Thomson P Nadapdap ◽  
Suryani Suryani

This study aims to determine the factors associated with neonatal mortality 0-28 days in Central Aceh District in 2020. This research is a quantitative study with a case control research design and uses a retrospective approach. The study population was all mothers giving birth whose babies died at the age of 0-28 days from January to December 2020. The sample in this study was 120 respondents consisting of 60 cases and 60 controls. The sampling technique used was total sampling. Data analysis using chi square test and multiple logistic regression test. The results of the bivariate analysis using the chi square test showed that there were 2 variables that were significantly related to neonatal mortality, namely the maternal age variable with p value = 0.012 and the pregnancy examination variable with p value = 0.047. The results of multivariate analysis with multiple logistic regression test showed that there were 3 variables that influenced neonatal mortality, namely the maternal age variable with a p value of 0.001, the birth spacing variable with a p value of 0.018 and the pregnancy examination variable with a p value of 0.018, while the most dominant variable affecting the incidence of death Neonatal age is the variable of maternal age with an OR value of 4.397.


2019 ◽  
Vol 2 (3) ◽  
pp. 180-188
Author(s):  
Zulham Andi Ritonga ◽  
Ida Yustina ◽  
Destanul Aulia

The quality of a good medical record must meet the indicators of completeness and accuracy of filling, timeliness in safety and provision of medical records that meet legal requirements. The purpose of this study was to analyze the influence of procedures and supervision on the quality medical records for inpatient. This research is survey research with explanatory research design. The research was conducted at Imelda Hospital. The research population was 238 people and the sample was 100 people. The sampling technique is stratified random sampling which divides the population into homogeneous groups (strata) proportionally: 21 doctors, 65 nurses, and 14 medical records officers, from each stratum a random sample is taken. Data analysis using univariate, bivariate with the chi-square test, and multivariate using multiple logistic regression tests. The results showed that the procedure factor had no effect on the quality of medical records at the Imelda Hospital, p-value 0.520> 0.05. The controlling factor influences the quality of medical records at Imelda Hospital, p-value 0.001 <0.05. The hospital implements routine surveillance with evaluations every week, every month, every six months, and every year so that medical records become of high quality, that is, medical records are complete, accurate, returned on time, and meet legal requirements. Keywords: medical record quality of Inpatient Care, Supervision, Procedure


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