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All Journal PREPOTIF : Jurnal Kesehatan Masyarakat Journal Orthopaedi and Traumatology Surabaya (JOINTS) Indonesian Journal of Global Health research Jurnal Ilmu Kesehatan Indonesia (JIKSI) Indonesian Journal of Cancer
Silvia, Nelmi
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Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health

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ANALISIS SISTEM PENCEGAHAN DAN PENGENDALIAN KEJADIAN TERTUSUK JARUM SUNTIK PADA PERAWAT DI RSUP DR M DJAMIL PADANG TAHUN 2022 Rumaisha, Rumaisha; Semiarty, Rima; Astiena, Adila Kasni; Lestari, Yuniar; Silvia, Nelmi; Rasyid, Roslaili
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 7 No. 3 (2023): DESEMBER 2023
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v7i3.22319

Abstract

Salah satu dampak negatif yang ditimbulkan oleh proses pelayanan kesehatan yaitu tertusuk jarum suntik (needle stick injury) yang berdampak pada petugas rumah sakit berisiko terpapar darah dan cairan tubuh yang terinfeksi. Berdasarkan laporan komite Pencegahan dan Pengendalian Infeksi Rumah Sakit (PPIRS) RSUP Dr M Djamil Padang di tahun 2019, tahun 2020 dan tahun 2021, terlihat kenaikkan kasus kejadian tertusuk jarum suntik pada perawat, dimana pada tahun 2019 yaitu 22%, di tahun 2020 yaitu 41% dan di tahun 2021 yaitu 48%. Tujuan penelitian ini untuk mengetahui pelaksanaan pencegahan dan pengendalian kejadian tertusuk jarum suntik pada perawat di RSUP Dr M Djamil Padang. Penelitian ini menggunakan metode penelitian yang menggabungkan antara metode penelitian kuantitatif dan kualitatif (mixed methods) dengan desain model concurrent triangulation yaitu dengan cara mencampur kedua metode tersebut secara seimbang. Teknik pengambilan sampel penelitian ini secara proportionate startified random sampling yang berjumlah 90 orang responden. Pemilihan informan penelitian ini dengan purposive sampling yang berjumlah 5 orang informan. Berdasarkan hasil penelitian ini, sebagian besar perawat memiliki pengetahuan yang baik (93,3%) dan sikap positif (84,4%) mengenai pencegahan dan pengendalian kejadian tertusuk jarum suntik. Hasil penelitian menunjukkan bahwa sistem pencegahan dan pengendalian kejadian tertusuk jarum suntik pada perawat di RSUP Dr M Djamil Padang sudah berjalan dengan baik, namun memang ada hal-hal yang perlu menjadi perhatian sebagai penguat sistem sehingga risiko bisa dikendalikan dan berkurang atau tidak adanya kejadian tertusuk jarum suntik bekas pakai. Di sarankan perawat dalam bekerja sesuai standar dan fokus ,meningkatkan pengawasan terhadap penanganan jarum suntik bekas pakai ,meningkatkan monitoring dan evaluasi terhadap pengendalian risiko kejadian tertusuk jarum bekas pakai ,agar rumah sakit melakukan resosialisasi atau pelatihan yang dilakukan secara berkala terhadap penanganan tertusuk jarum suntik bekas pakai kepada perawat.
GAMBARAN GANGGUAN KESEHATAN AKIBAT KERJA DAN KECELAKAAN KERJA PADA NELAYAN DI INDONESIA Silvia, Nelmi
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 8 No. 3 (2024): DESEMBER 2024
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v8i3.37708

Abstract

Nelayan merupakan salah satu pekerjaan utama di Indonesia yang berperan penting dalam memenuhi kebutuhan protein masyarakat melalui hasil tangkapan ikan. Namun, pekerjaan ini juga memiliki risiko terhadap gangguan kesehatan dan kecelakaan kerja akibat paparan bahaya potensial di lingkungan kerja. Penelitian ini bertujuan untuk mengkaji gangguan kesehatan akibat kerja dan kecelakaan kerja yang dialami nelayan di Indonesia. Metode yang digunakan adalah tinjauan pustaka yang dimulai dengan pencarian artikel yang relevan melalui database Google Scholar dan ScienceDirect. Selanjutnya artikel yang terpilih dianalisis untuk mendapatkan hasil sesuai tujuan penelitian. Hasil kajian menunjukkan bahwa nelayan di Indonesia sering mengalami gangguan kesehatan akibat kerja, seperti nyeri punggung bawah yang terkait dengan postur kerja yang tidak ergonomis, dermatitis kontak iritan akibat paparan air laut yang berkepanjangan, serta gangguan pendengaran yang berkaitan dengan kebisingan dari perahu atau kapal. Pada nelayan penyelam, dilaporkan kejadian penyakit dekompresi akibat perubahan tekanan mendadak, yang memicu pembentukan gelembung gas dalam tubuh, serta barotrauma yang terjadi akibat ketidakseimbangan tekanan yang merusak jaringan tubuh. Sementara itu, kecelakaan kerja yang dialami nelayan di Indonesia beragam, mulai dari cedera ringan hingga fatal, mencakup luka ringan, luka sedang, luka berat, terkilir, patah tulang, luka bakar, dan kematian. Untuk meminimalkan risiko gangguan kesehatan akibat kerja dan kecelakaan kerja tersebut, penerapan langkah-langkah Keselamatan dan Kesehatan Kerja (K3) pada pekerjaan nelayan sangat diperlukan.
Profile of Lumbar Spinal Stenosis Patients at Dr. M. Djamil Central Public Hospital from 2018-2022 Akbar, Inasa Faiza; Sahputra, Roni Eka; Elfi, Eka Fithra; Rahmadian, Rizki; Rusjdi, Dina Arfiani; Silvia, Nelmi
Journal Orthopaedi and Traumatology Surabaya Vol. 13 No. 2 (2024): October 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/joints.v13i2.2024.52-60

Abstract

Background: Lumbar Spinal Stenosis (LSS) is a pathological condition characterized by narrowing of the spinal canal in the lower back. In Indonesia, comprehensive data on LSS is currently unavailable. This study aimed to determine the profile of LSS patients at Dr. M. Djamil Central Public Hospital. Methods: This descriptive cross-sectional study utilized medical record data from 122 LSS patients at Dr. M. Djamil Central Public Hospital between 2018 and 2022, selected via consecutive sampling. Inclusion criteria included age over 18 years and a confirmed LSS diagnosis. Exclusion criteria included incomplete medical records, lack of MRI results, and follow-up visits without treatment. Univariate analysis was performed using SPSS 25.0 to describe patient characteristics, causative factors, symptoms, location of stenosis, and management type. Results: In this study, 122 samples met the inclusion and exclusion criteria. LSS was mainly found in patients aged 60-69 years (33.6%) and in women (59%). Most LSS patients had obesity (BMI category I, 32%). Many LSS patients were housewives (42.62%) and reported light work activity (63.1%). The most common cause of LSS was degenerative factors (59%). The main symptom experienced by LSS patients was lower back pain (94.3%), frequently accompanied by radicular pain (79.5%). The most common location of stenosis was L4-L5 (43.4%). Most LSS patients in this study were managed both conservatively and operatively (70.5%). Conclusion: These findings contribute to a better understanding of LSS prevalence and distribution among patients. Further multicenter studies are needed to establish a comprehensive national LSS profile.
Correlation Between Heart Rate and Left Ventricular Ejection Fraction in Peripartum Cardiomyopathy Patients at RSUP Dr. M. Djamil Padang Sinai, Nadiva Kezia; Hamdani, Rita; Putra, Andani Eka; Elfi, Eka Fithra; Silvia, Nelmi; Sriyanti, Roza
Jurnal Ilmu Kesehatan Indonesia Vol. 6 No. 1 (2025): Maret 2025
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v6i1.1298

Abstract

Abstract Background: Peripartum cardiomyopathy (PPCM) is one of the highest preventable causes of death in pregnant women after delivery. Left ventricular ejection fraction (LVEF) describes the degree of damage to myocardial systolic function. Heart rate frequency might be used as one of the prognosis indicators of peripartum cardiomyopathy. Objective: This study aimed to determine the correlation between heart rate frequency at diagnosis and LVEF at diagnosis and after 6 months in patients with PPCM at Dr. M. Djamil Padang Hospital for the period 2017-2021. Methods: This is an observational retrospective analytic study. Samples came from secondary data obtained through the medical records of patients with PPCM at Dr. M. Djamil Padang Hospital for the period 2017-2021, collected using the total sampling technique, 17 samples met the inclusion criteria. Data analysis was performed using simple logistic regression method. Results: The results shows the median age of the patients was 32 years. The average body mass index was 26.32 kg/m2, with hypertension in pregnancy (58.8%), with multiparity (52.9%), delivery by cesarean section (88.2%), diagnosis made postpartum (70.6%), therapy with ACEi/ARB, beta blocker, spirinolactone (100%); LVEF category 20 – 35% (52.9%), delta LVEF more than 10% after 6 months (70.59%). There was no statistically significant relationship between heart rate frequency at diagnosis and LVEF at diagnosis (p > 0.1). There was a statistically significant association between heart rate frequency of 111 - 120 beats per minute at diagnosis and LVEF after 6 months (p < 0.1). Conclusion: There was no association between heart rate frequency and LVEF at diagnosis. There is an association between heart rate frequency of 111 - 120 beats per minute at diagnosis and LVEF after 6 months.
The Anxiety Level of Cancer Patients Undergoing Radiotherapy at Universitas Andalas Hospital Trisno, Assyifa Azzahra Dwi; Hanum, Fathiya Juwita; Hendriati, Hendriati; Silvia, Nelmi; Pertiwi, Dian; Sy, Elmatris
Indonesian Journal of Cancer Vol 19, No 2 (2025): June
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v19i2.1247

Abstract

Background: Radiotherapy is one of the most commonly used treatments for cancer. Radiotherapy works by using high-energy particles or waves, such as X-rays, gamma rays, electron beams, or protons, to destroy or damage cancer cells. Anxiety is an emotional response that arises when a person experiences stress. Patients diagnosed with cancer will experience anxiety, and the anxiety increases in patients undergoing radiotherapy. Anxiety in radiotherapy generally occurs due to a lack of information, side effects of treatment, and radiation procedures. This study aims to determine the description of the anxiety level of cancer patients undergoing radiotherapy at Universitas Andalas Hospital.Method: This study is a quantitative descriptive study with a cross-sectional approach that examines the description of the anxiety level of cancer patients undergoing radiotherapy at Universitas Andalas Hospital. Anxiety levels were measured using the State Trait Anxiety Inventory (STAI) questionnaire.Results: The sample in this study was 62 cancer patients undergoing radiotherapy. The results of the study were obtained in the A-State section, 64.5% experienced mild anxiety, 27.4% experienced moderate anxiety, and 8.1% experienced severe anxiety. The results of the A-Trait section 53.2% experienced mild anxiety, 43.6% experienced moderate anxiety, and 3.2% experienced severe anxiety. The trait section of anxiety tends to be more severe than the state section.Conclusion: The anxiety level of cancer patients undergoing radiotherapy at Andalas University Hospital, A-State, and A-Trait is mostly at a mild level. The results of the study can be used as a source of information to consider a psychological approach to patient treatment. However, further researchers can analyze the relationship between variables that influence the level of anxiety
Hubungan Karakteristik Ibu dan Dukungan Suami dengan Penggunaan MKJP di Puskesmas Lubuk Kilangan Efandra, Rizky; Masrul, Masrul; Aprilia, Dinda; Aladin, Aladin; Elmatris, Elmatris; Silvia, Nelmi
Jurnal Ilmu Kesehatan Indonesia Vol. 6 No. 3 (2025): September 2025
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v6i3.1367

Abstract

Latar Belakang: Metode kontrasepsi jangka panjang (MKJP) merupakan metode untuk mencegah kehamilan lebih dari tiga tahun. Prevalensi MKJP nasional tahun 2022 sebesar 22,41 % dari target RPJMN 28,39% pada tahun 2024. Penggunaan kontrasepsi masih didominasi oleh non-MKJP.  Penggunaan MKJP di Kecamatan Lubuk Kilangan tahun 2022 sebesar 15,3%. Objektif: Penelitian ini bertujuan untuk mengetahui hubungan karakteristik ibu dan dukungan suami dengan penggunaan MKJP pada akseptor KB di Puskesmas Lubuk Kilangan. Metode: Penelitian ini merupakan penelitian analitik dengan desain cross sectional. Penelitian ini dilakukan di Puskesmas Lubuk Kilangan dengan jumlah sampel 200 akseptor KB. Pengambilan sampel dengan consecutive sampling menggunakan kuesioner. Analisis data dilakukan menggunakan uji chi square dan multivariat regresi logistik. Hasil: Hasil penelitian menunjukkan lebih dari separuh ibu dengan usia tidak berisiko (51,0%) dan paritas tinggi (55,5%); sebagian besar ibu memiliki tingkat pendidikan tinggi (71,0%), pengetahuan baik (80,0%), dan mendapatkan dukungan suami (73,0%). Kesimpulan: Terdapat hubungan antara karakteristik ibu (usia, paritas, dan pengetahuan) dan dukungan suami dengan penggunaan MKJP di Puskesmas Lubuk Kilangan. Faktor paling dominan mempengaruhi penggunaan MKJP adalah dukungan suami.
Relationship Between Clean and Healthy Living Behavior and the Incidence of Stunting in Toddlers Saputri, Winda Dwi; Desmawati, Desmawati; Lestari, Yuniar; Lipoeto, Nur Indrawaty; Silvia, Nelmi; Afdal, Afdal
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6897

Abstract

Stunting is a condition of a short body based on the height-for-age index. Clean and healthy living behavior is an important behavior that can prevent stunting. The purpose of the study was to determine the relationship between clean and healthy living behavior and the incidence of stunting in toddlers at the Koto Panjang Ikua Koto Health Center. This study is an observational study with a cross sectional approach, he sampling technique used was proportional sampling with 82 respondents. Data were collected using a microtoise, the maternal and child health book and a questionnaire. The data were analyzed using chi-square and logistic regression test. The results showed a relationship between weighing toddlers and the incidence of stunting (p=0,003), exclusive breastfeeding is related to the incidence of stunting (p=0,009), the habit of washing hands with soap is related to the incidence of stunting (p=0,039), the use of healthy latrines is related to the incidence of stunting (p=0,017), eradication of mosquito larvae is related to the incidence of stunting (p=0,032). The results of the multivariate analysis showed that weighing toddlers had the most dominant relationship with the incidence of stunting (OR:6,376). Concluded that clean and healthy living behavior is significantly associated with the incidence of stunting.
Co-Authors Afdal Afdal, Afdal Akbar, Inasa Faiza ALADIN ALADIN Andani Eka Putra Aprilia, Dinda Astiena, Adila Kasni Desmawati Desmawati Dian Pertiwi Dina Arfiani Rusjdi Efandra, Rizky Eka Fithra Elfi, Eka Fithra Elmatris Sy Elmatris, Elmatris Hanum, Fathiya Juwita Hendriati, Hendriati Masrul Nur Indrawaty Lipoeto Rahmadian, Rizki Rima Semiarty Rita Hamdani Roslaili Rasyid Rumaisha, Rumaisha Sahputra, Roni Eka Saputri, Winda Dwi Sinai, Nadiva Kezia Sriyanti, Roza Trisno, Assyifa Azzahra Dwi Yuniar Lestari