HUBUNGAN PENDIDIKAN KESEHATAN TENTANG KPSP (KUESIONER PRA SKRINING PERKEMBANGAN) DENGAN PENGETAHUAN GURU KB TK TENTANG KPSP

The KPSP (Pre-Development Screening Questionnaire) examination which is carried out for early detection of growth and development of children aged 0-72 months is actually not only the task of health workers, but also people who often interact with children, one of which is Playgroup and Kindergarten teachers. But unfortunately, it’s very rare for these playgroup and kindergarten teachers to understand and carry out KPSP examinations for their students. This study aims to analyze the relationship of health education about KPSP with the knowledge of playgroup and kindergarten teachers about KPSP. It was pre-post test design, the sample werw taken randomly by simple random sampling on 33 playgroup and kindergarten teachers at Permata Hati Bangkalan and Taman Posyandu Eforbia Bangkalan. The data were analyzed using paired T-test with a significance of =0.05 using SPSS. The results showed that there was a relationship between health education about KPSP with the knowledge of Plygroup and Kindergarten teachers about KPSP (p value < 0.001). The average value of teachers knowledge about KPSP has increased before and after health education, from 49.39 to 62.88. It can be concluded that educational activities through health education are effective in increasing the knowledge of Playgroup and Kindergarten teachers about KPSP.

FAKTOR-FAKTOR YANG MEMPENGARUHI TERJADINYA DUPLIKASI DAN REKAM MEDIS GANDA DI PENDAFTARAN RAWAT JALAN KLINIK X

Sering terjadinya duplikasi dan nomor rekam medis ganda menjadi latar belakang peneliti dalam membuat jurnal. Yang mana peneliti melakukan analisis dengan tujuan mengetahui faktor faktor yang dapat mempengaruhi duplikasi dan rekam medis ganda di pendaftaran rawat jalan klinik. Peneliti menggunakan metode kualitatif pada subjek penelitian yang berpopulasi 3 orang yaitu petugas pendaftaran sekaligus rekam medis dengan menggunakan metode pengumpulan data berupa wawancara dan quisioner untuk mendapatkan sumber data primer berupa rekam suara dan lebar hasil checklist quisioner penelitian ini dilakukan dilokasi klinik dan dalam kurun waktu satu bulan. Dari hasil penelitian diperoleh tafsiran bahwa ada beberapa faktor yang berpengaruh pada kejadian duplikasi dan rekam medis ganda diantaranya faktor sumber daya manusia, sarana dan prasarana di klinik dan faktor psikologis petugas. Kesimpulan dan saran yang dapat diambilyaitu dimana pihak dari fasilitas kesehatan dan petugas kesehatan perlu membenahi dan meningkatkan managemen rekam medis agar tercipta ketersinambungan rekam medis dan terciptanya lingkup kerja yang nyaman sehingga pelayanan dapat berlangsung secara optimal.

PENGARUH KELENGKAPAN PENGISIAN FORMULIR TRANSFER PASIEN INTERNAL TERHADAP MUTU REKAM MEDIS

Internal patient transfer is the process of transferring patients from one room to another in a hospital while still being oriented towards quality and patient safety. The results of the observations showed that the filling of the internal patient transfer form was not optimal so that there were still incomplete forms due to the large number of patients and the weak coordination between health workers. To determine the effect of the completeness of filling out the internal patient transfer form on the quality of medical records. The research method used is quantitative with a descriptive approach. Data collection techniques used are observation, questionnaires and literature study. The sampling technique was simple random sampling technique so as to obtain a sample of 91 internal patient transfer forms. From the results of observations, 22% of the internal patient transfer forms were found that were not completely filled in, especially in the signature and clear name. The two variables have a strong relationship. The effect of the variable completeness of the internal patient transfer form on the medical record quality variable is 90.1% and the remaining 9.9% is influenced by other factors. Based on these studies, it can be concluded that the lack of accuracy and coordination of nurses, doctors and other officers in filling out internal patient transfer forms so that this affects the quality of medical records in the aspect of accuracy. Keyword : Completeness, Internal Patient Transfer Form, Medical Record Quality Abstrak Transfer pasien internal merupakan proses pemindahan pasien dari satu ruangan ke ruangan yang lain di dalam satu rumah sakit dengan tetap berorientasi pada mutu dan keselamatan pasien. Hasil observasi menunjukkan bahwa belum optimalnya pengisian formulir transfer pasien internal sehingga masih terdapat formulir yang tidak lengkap disebabkan oleh faktor dari banyaknya pasien dan lemahnya koordinasi antara tenaga kesehatan. Untuk mengetahui pengaruh kelengkapan pengisian formulir transfer pasien internal terhadap mutu rekam medis. Metode penelitian yang digunakan yaitu kuantitatif dengan pendekatan deskriptif. Teknik pengumpulan data yang digunakan adalah observasi, kuesioner dan studi pustaka. Teknik pengambilan sampel adalah teknik simple random sampling sehingga memperoleh sampel sebanyak 91 formulir transfer pasien internal. Dari hasil observasi ditemukannya formulir transfer pasien internal yang belum terisi lengkap sebanyak 22% terutama pada tandatangan dan nama jelas. Kedua variabel memiliki hubungan yang kuat. Pengaruh variabel kelengkapan formulir transfer pasien internal terhadap variabel mutu rekam medis sebesar 90,1% dan sisanya 9,9% dipengaruhi oleh faktor lain. Berdasarkan penelitian tersebut dapat disimpulkan bahwa kurangnya ketelitian dan koordinasi perawat, dokter dan petugas lain dalam pengisian formulir transfer pasien internal sehingga hal ini mempengaruhi mutu rekam medis pada aspek keakuratan. Kata kunci: Kelengkapan, Formulir Transfer Pasien Internal, Mutu Rekam Medis

PERBEDAAN KEPATUHAN PEMBATASAN CAIRAN PASIEN GAGAL GINJAL KRONIK (GGK) ANTARA PASIEN YANG DIBERIKAN EDUKASI MENGGUNAKAN MEDIA AUDIOVISUAL DENGAN LEAFLET DI RUANG HEMODIALISA RSUD DR. SAIFUL ANWAR MALANG

ABSTRACT One of the treatments to save the life of patients with chronic renal failure is hemodialysis therapy, accompanied by fluid intake restriction. This research aimed to figure out the effect of health education using audiovisual media on fluid restriction of Chronic Kidney Failure patients in the Hemodialysis Room of RSUD Dr. Saiful Anwar Malang. This research was a quantitative approach with a quasi-experimental design with a pretest-posttest approach with control group design. The sampling technique used in this research is purposive sampling. In the control group, the score of adherence to fluid restriction in CKD patients was significantly different (p=0.000). In the treatment group, the score of adherence to fluid restriction in CKD patients was significantly different (p=0.000). There was a difference in adherence scores after education between the control group and the experimental group (p=0.040). Education using audio-visual is very effective for increasing one's knowledge. So it is recommended that the next researchers to conduct health education research using the audio-visual method more than one meeting. Keyword: Health Education, Chronic Kidney Disease (CKD), Fluid Intake ABSTRAK Salah satu penanganan untuk menyelamatkan nyawa pasien Gagal Ginjal Kronik adalah terapi hemodialisis, disertai pembatasan asupan cairan. Tujuan dari penelitian ini untuk mengetahui pengaruh pendidikan kesehatan media audivisual terhadap pembatasan cairan pasien Gagal Ginjal Kronik di Ruang Hemodialisa RSUD Dr. Saiful Anwar Malang.Penelitian ini menggunakan pendekatan kuantitatif desain Quasi Eksperiment Teknik sampling yang digunakan purposive sampling. Pada kelompok kontrol, skor kepatuhan pembatasan cairan pada pasien GGK berbeda signifikan (p=0.000). Pada kelompok perlakuan, skor kepatuhan pembatasan cairan pada pasien GGK berbeda signifikan (p=0.000). Terdapat perbedaan skor kepatuhan sesudah edukasi antara kelompok kontrol dan kelompok eksperimen (p=0.040). Edukasi menggunakan audio visual sangat efektif untuk meningkatkan pengetahuan seseorang, sehingga disarankan kepada peneliti selanjutnya untuk melakukan penelitian pendidikan kesehatan menggunakan metode audio visual lebih dari satu kali pertemuan. Kata Kunci: Pendidikan kesehatan, Gagal Ginjal Kronik, Asupan Cairan

EFEKTIVITAS PENGGUNAAN ASAM TRANEKSAMAT ORAL PADA PASIEN MELASMA

This study aims to determine the effectiveness of using oral tranexamic acid in melasma patients, as well as to explain the definition of melasma, melasma epidemiology, melasma etiopathogenesis, and to explain the effectiveness of using oral tranexamic acid in melasma. The method used was to collect and analyze research articles on the effectiveness of the use of oral tranexamic acid topical drugs in Melasma patients. The articles are obtained through a search using Google Scholar, Pubmed. The term melasma comes from the Greek word "melas" which means black. Clinically melasma appears as macules or brown spots. Complaints of melasma usually occur symmetrically. The areas of melasma predilection are most commonly the cheeks, upper lip, chin and forehead, but can also be affected in other areas. (Debabrata, Handel et al., 2014). Research conducted for 6 months by Sufan et al ,. It is known that after therapy using Tranexamic Acid, there was a decrease in hyperpigmentation. After 6 months of treatment, the results were very good (10.8%, 8/74), good (54%, 40/74), moderate (31.1%, 23/74), and bad (4.1%). , 3/74). There were 4 patients (5.4%) who experienced mild gastrointestinal discomfort, 6 patients (8.1%) hypomenorrhea, subjects who rarely reported skin rash due to allergies as well as dizziness, alopecia, drowsiness and hyposexuality. From these results it is concluded that oral Tranexmatic Acid has good effectiveness in melasma therapy. (Sufan et al., 2012). From the results of this study it can be concluded that Tranexamic Acid has good effectiveness in the therapy of melasma. Where there are several risk factors that cause melasma, which can occur due to genetic factors, UV exposure, hormonal factors and inflammatory factors. Tranexamic acid will inhibit the action of tyrosinase activity by blocking the interaction of melanocytes and keratinocytes through inhibition of the plasminogen system. Keywords: Melasma, treatment for melasma, epidemiologi, etiologi, tranexamic acid,.

EFEKTIVITAS SENAM HAMIL MENURUT MANUABA TERHADAP NYERI PUNGGUNG IBU HAMIL TRIMESTER III

Back pain is one of the most common complaints experienced by pregnant women in their third trimester of pregnancy. Of the 172 pregnant women in the third trimester of pregnancy, 80% (137 people) experienced back pain. One way to deal with back pain is to do pregnancy exercises. There are various types of pregnancy exercises, this study uses pregnancy exercises according to Manuaba. The purpose of this study is to study the effect of pregnancy training according to Manuaba on back pain in pregnant women of the third trimester in Metro City. The design of this study is a pseudo-experimental research with a single group approach. The population in this study was all third trimester pregnant women at the Puskesmas in Metro City. The sampling technique was a temporary sample with a sample of pregnant women in the third trimester with back pain complaints. Data analysis in this study uses univariate analysis with frequency and bivariate percentage analysis with t-test. The results of this study show that there is a difference in back pain before and after pregnancy training, according to Manuaba, with a mean difference of 3.06. In conclusion, there are effects of exercise, according to Manuaba, on back pain in pregnant women. These results are expected to be a source of reference for health workers to perform pregnancy exercises according to Manuaba to pregnant women to reduce back pain in pregnant women.

EFEKTIVITAS PREEMTIF KETAMIN SUB DOSIS DALAM MENGURANGI KEBUTUHAN OPIOID INTRAOPERATIF DAN LAMA WAKTU EKSTUBASI

Surgical perioperative management undergoes updates to support postoperative patient outcomes. The concept of longer preoperative fasting times, cleansing ofthe gastrointestinal tract, and re-feeding after 3-5 days after surgery has begun to be abandoned which is then formulated into a new protocol called ERAS(Enhanced Recovery After Surgery) including preoperative counseling, optimization of nutrients, the use of standard anesthesia and analgesy drugs, as well asearly mobilization using the concept of preemptive analgesia. The use of low-dose ketamine for postoperative analgesia has evolved in part due to nmdaantagonistic properties that reduce central sensitization and opioid tolerance but are still controversial. This study aims to study the effects of low-dose ketamineas a preemptive and evaluate the total needs of opiods, as well as the length of time extubation with single blind experimental research. Patients with label A gotpreemptive therapy of subdose ketamine while label B got perioperative standard analgesia therapy. Analgesia in groups A and B is administered before surgery.Treatment control is done with single blind control that is the patient does not know the type of drug given. The comparison of the amount of fentanyl in the controlgroup and treatment in this study was significantly different (p=0.044). The old comparison of extubation in both groups obtained a significant p value (<0.0001).Preemptive administration of subdose ketamine effectively decreases the amount of fentanyl administration used during surgery and shortens the extucation time. Keywords: Preemptive; Ketamin subdose; Fentanil; Extucation Time.

FAKTOR-FAKTOR YANG MEMPENGARUHI PERILAKU PEKERJA TERHADAP PENCEGAHAN GANGGUAN PENDENGARAN AKIBAT BISING

Pajanan kebisingan dalam jangka waktu lama dan terus menerus dapat menyebabkan gangguan pendengaran akibat bising (GPAB). Di seluruh dunia kejadian GPAB diperkirakan sebesar 600 juta pekerja yang telah terpajan bising di tempat kerja. Lebih dari 5% dari populasi dunia memiliki gangguan pendengaran (328 juta orang dewasa dan 32 juta anak-anak). Tujuan dari penelitian ini adalah untuk mengetahui faktor-faktor yang mempengaruhi perilaku pekerja terhadap pencegahan GPAB di CV. Pakis Indah. Penelitian ini menggunakan desain penelitian observasional dengan pendekatan cross sectional. Sampel penelitian berjumlah 20 orang yang diambil berdasarkan kriteria inklusi dan ekslusi menggunakan teknik total sampling. Instrumen yang digunakan adalah kuesioner yang telah diuji validitas dan reliabilitas. Analisis yang digunakan yaitu analisis univariat dan analisis bivariat menggunakan uji Chi-square. Hasil penelitian menunjukkan bahwa kategori usia paling banyak pada usia ≤ 40 tahun sejumlah 13 orang (65%), jenis kelamin paling banyak pada jenis kelamin laki-laki sejumlah 15 orang (75%), tingkat pengetahuan responden paling banyak pada kategori kurang yaitu 13 orang (65%), dan tingkat Pendidikan paling banyak pada kategori SMP sejumlah 9 orang (45%). Dari hasil uji Chi-square didapatkan faktor yang berpengaruh terhadap perilaku pekerja dalam pencegahan GPAB adalah tingkat pengetahuan (p=0,000). Sehingga dapat disimpulkan bahwa terdapat pengaruh antara tingkat pengetahuan dengan perilaku pekerja terhadap pencegahan gangguan pendengaran akibat bising (GPAB) di CV. Pakis Indah.

HUBUNGAN TINGKAT STRES KERJA PERAWAT DENGAN PELAKSANAAN SURGICAL SAFETY CHECKLIST DI KAMAR OPERASI

Introduction: Nurse work stress is a condition where nurses are faced with work demands that can result in physiological, psychological & behavioral disorders and can affect performance. The purpose of this study was to determine the relationship of nurses work stress levels with the implementation of Surgical Safety Checklist in the operating room. Methods: This research method uses correlational with cross-sectional approach and 18 respondents with a sampling technique using the entire population. The independent variable in this study is the level of work stress nurses with the dependent variable implementation of the Surgical Safety Checklist. The research instrument used a questionnaire on nurses' work stress levels and the Surgical Safety Checklist observation sheet. Scatterplot analysis results obtained negative direction which means that the increase in the variable level of work stress nurses will be followed by a decrease in the implementation of the Surgical Safety Checklist. Result: The results of the correlation coefficient 0.637 with strong interpretation and t count 3.24 more than the results of t table 1.76 means that there is a linear relationship of. Conclussion: There are relationship of nurses work stress levels with the implementation of Surgical Safety Checklist in the operating room. Discussion for the results of research where the increasing level of work stress nurses, the implementation of the Surgical Safety Checklist decrease. The recommendation for further research is to conduct research into work stress factors for nurses with the impact that can result from work stress with a higher number of respondents

The Incomplete Filling in The Medical Resume Form of Inpatients at The Regional General Hospital

Preliminary: A medical resume is a summary of medical service activities provided by health workers, especially doctors during the treatment period until the patient is discharged either in good health or in death. Incomplete filling of medical resumes can be caused by negligence of officers or lack of understanding of the importance of completing patient data. This research is a descriptive research with a qualitative approach. In this study there were 4 medical recorder and 50 medical resume form. Method: The sampling technique used is the total sample. The data analysis used is descriptive data analysis. Results: Based on the results of the study, the incomplete medical resume form for inpatients in 2021 with a sample of 50 medical resume forms, the average percentage of medical resume completeness was 66.7%, while the incomplete medical resume was 33.3% of the 50 samples of medical resume forms. The highest percentage of incompleteness is the doctor's signature (52%). And the highest percentage of completeness is no medical record (76%). The problem that usually arises is that there are still many incomplete components of a medical resume. Conclusion: to overcome the problem usually requires more optimal socialization and collaboration between doctors and medical recorders, to further improve health services regarding the completeness of filling out medical record documents in order to improve the quality of health services, and the head of medical records needs to hold meetings or directives to the unit concerned so that the resume is filled out. can be carried out properly. Keywords: Incompleteness; inpatien; Medical Resume.