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Faktor-faktor yang Mempengaruhi Perubahan Temperatur Terhadap Tubuh Bayi Sesudah 2 Jam Post Partum di Rumah Sakit Columbia Asia Medan Tahun 2021 Sari, Novita; Suroyo, Razia Begum; Harahap, Fatma Sylvana Dewi; Asriwati, Asriwati; Nasution, Ramadhani Syafitri
JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Vol 9, No 1 (2023): April 2023
Publisher : Universitas Ubudiyah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33143/jhtm.v9i1.2827

Abstract

Bayi Baru Lahir (BBL) harus menyesuaikan diri dari kehidupan intrauterin ke kehidupan ekstrauterin. Salah satu adaptasi BBL normal adalah mengatur suhu tubuh walaupun BBL sangat rentan untuk mengalami hipotermi, yanag menjadi penyebab yang sangat serius terhadap kesakitan dan kematian BBL. Tujuan penelitian untuk mengetahui Faktor-Faktor yang Mempengaruhi Perubahan Temperatur Tubuh Bayi Sesudah 2 jam Post Partum di Rumah Sakit Columbia Asia Medan tahun 2021. Desain penelitian yang digunakan dalam penelitian ini adalah survey analitik dengan rancangan cross sectional. Populasi pada penelitian ini adalah seluruh pasien bayi baru lahir di Rumah Sakit Columbia Asia Medan sebanyak 185 orang pada kurun waktu februari sampai dengan april 2021. Jumlah sampel yang akan di teliti adalah 65 orang. Analisa data dilakukan dengan analisis univariat, bivariat dan multivariat. Uji statistik yang digunakan adalah uji chi square dan regresi logistik. Hasil penelitian uji chi square menunjukkan bahwa variabel proses persalinan, suhu ruangan, lampu penghangat, metode skin to skin, mengeringkan bayi dengan seksama, selimut tubuh bayi dan tutup kepala bayi, menunda memandikan bayi 6 jam setelah lahir, bantalan penghangat, apgar score  nilai p-value = 0,000 < α 0,05, artinya ada pengaruh antara proses persalinan , terhadap perubahan temperature tubuh bayi sesudah 2 jam post pastum, dari hasil analisis multivariat didapatkan variabel yang paling berpengaruh dalam penelitian ini adalah variabel metode skin to skin. Kesimpulan ada pengaruh antara proses persalinan, suhu ruangan, lampu penghangat, metode skin to skin, mengeringkan bayi dengan seksama, selimut tubuh bayi dan tutup kepala bayi, menunda memandikan bayi 6 jam setelah lahir, bantalan penghangat, apgar score terhadap perubahan temperature tubuh bayi sesudah 2 jam post pastum. sedangkan analisa multivariat menunjukkan hasil bahwa faktor yang paling dominan adalah variabel metode skin to skin terhadap terhadap perubahan temperatur tubuh bayi sesudah 2 jam post pastum. Disarankan kepada pihak rumah sakit agar dapat meningkatkan kompetensi metode skin to skin kepada perawat atau bidan di Rumah Sakit Columbia Asia Medan dengan cara mengadakan pelatihan dan workshop baik internal maupun eksternal, juga Rumah sakit Columbia Asia medan harus mendukung metode skin to skin dari segi kelengkapan sarana dan prasarana yang menunjang pelayanan metode skin to skin.Kata Kunci : Bayi baru lahir, proses persalinan, metode skin to skinNewborns must adjust from intrauterine life to extrauterine life. One of the adaptations of normal newborns is to regulate body temperature even though they are very susceptible to hypothermia, which is a very serious cause of morbidity and mortality in newborn babies. The purpose of the study was to determine the Factors Affecting Changes in Infant Body Temperature After 2 hours Post Partum at Columbia Asia Hospital Medan in 2021. The research design used in this study was an analytic survey with a cross sectional design. The population in this study were all newborn patients at Columbia Asia Hospital Medan as many as 185 people from February to April 2021. The number of samples to be studied was 65 people. Data analysis was carried out by univariate, bivariate and multivariate analysis. The statistical test used is the chi square test and logistic regression. The results of the chi square test showed that the variables of the labor process, room temperature, heating lamp, skin to skin method, drying the baby thoroughly, baby blanket and baby headgear, delaying bathing the baby 6 hours after birth, heating pads, Apgar score p value -value = 0.000 < 0.05, meaning that there is an influence between the labor process and changes in the baby's body temperature after 2 hours post-pastum, from the results of multivariate analysis, the most influential variable in this study is the skin-to-skin method variable. The conclusion is that there is an influence between the delivery process, room temperature, heating lamp, skin to skin method, drying the baby thoroughly, baby blanket and baby headgear, delaying bathing the baby 6 hours after birth, heating pads, Apgar score on changes in the baby's body temperature after birth. 2 hours post pastum. while the multivariate analysis showed that the most dominant factor was the skin to skin method variable on changes in the baby's body temperature after 2 hours post-paste. It is recommended to the hospital to be able to improve the competence of the skin to skin method for nurses or midwives at Columbia Asia Hospital Medan by conducting training and workshops both internally and externally, also Columbia Asia Medan Hospital must support the skin to skin method in terms of completeness of facilities. and infrastructure that supports the service of the skin to skin method.Keywords : Newborn, delivery process, skin to skin method
Faktor - faktor yang Mempengaruhi Kesiapan Penerapan Sistem Pengembangan Manajemen Kinerja Klinis (SPMKK) di ruang Rawat Inap Rumah Sakit Haji Medan Alviani, Aisyah; Harahap, Juliandi; Asriwati, Asriwati
JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Vol 9, No 1 (2023): April 2023
Publisher : Universitas Ubudiyah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33143/jhtm.v9i1.2835

Abstract

Rumah Sakit merupakan sarana upaya kesehatan yang menyelenggarakan kegiatan pelayanan kesehatan dan merupakan institusi penyedia jasa. Pelayanan yang kompleks perlu dikelola secara profesional oleh sumber daya manusianya. Pelayanan kesehatan di Indonesia. Kesiapan Sistem pengembangan manajemen kinerja klinis (SPMKK) adalah suatu organisasi pelayanan kesehatan dan proses manajerial untuk meningkatkan kemampuan klinis perawat dan bidan di rumah sakit dan puskesmas. Model ini sudah diperkenalkan di beberapa kabupaten di Indonesia karena telah mendapat dukungan pimpinan institusi dimana SPMKK telah diterapkan. Tujuan penelitian ini  untuk mengetahui hubungan  kesiapan kinerja klinis perawat  terhadap kesiapan penerapan Sistem Pengembangan Manajemen Kinerja Klinis (SPMKK) di ruang rawat inap Rumah Sakit Haji Medan. Desain penelitian yang digunakan dalam penelitian ini adalah survei  analitik deskriptif dengan rancangan cross sectional. Populasi dalam penelitian ini  seluruh perawat di  ruang rawat inap di Rumah Sakit Umum Haji Medan Sumatera Utara sebanyak 91 orang dan sampel berjumlah 74 orang. Analisa data dilakukan  dengan analisis univariat, bivariat dengan uji chi square dan multivariat. Hasil penelitian menunjukkan bahwa variabel pengetahuan, motivasi, monitoring.dan sikap < 0,05. Berdasarkan hasil uji chi-square dengan faktor yang mempengaruhi adalah pengetahuan, motivasi, monitoring.dan sikap dan analisis multivariat diperoleh bahwa variabel monitoring paling berpengaruh terhadap kesiapan  penerapan Sistem Pengembangan Manajemen Kinerja Klinis (SPMKK) Di RS Haji Medan 2022. Kesimpulan dalam penelitian ini adalah ada pengaruh pengetahuan, motivasi, monitoring dan  sikap terhadap kesiapan Penerapan Sistem Pengembangan Manajemen Kinerja Klinis (SPMKK) dan variabel yang memiliki peluang lebih tinggi diurutkan yaitu: faktor Monitoring, Motivasi, Pengetahuan dan Sikap.Kata Kunci        : Kinerja klinis perawat, Kesiapan Penerapan Sistem Pengembangan Manajemen Kinerja Klinis (SPMKK)Hospital is a health effort facility that organizes health service activities and is a service provider institution. Complex services need to be managed professionally by human resources. Health services in Indonesia. Readiness The clinical performance management development system (SPMKK) is a health service organization and managerial process to improve the clinical skills of nurses and midwives in hospitals and health centers. This model has been introduced in several districts in Indonesia because it has received support from the leadership of the institution where the SPMKK has been implemented. The purpose of this study was to determine the relationship between nurses' clinical performance readiness and readiness for the application of the Clinical Performance Management Development System (SPMKK) in the inpatient ward of Medan Haji Hospital. The research design used in this study was a descriptive analytic survey with a cross sectional design. The population in this study were all nurses in the inpatient room at Haji General Hospital Medan, North Sumatra as many as 91 people and a sample of 74 people. Data analysis was carried out with univariate analysis, bivariate with chi square and multivariate tests. The results showed that the variables of knowledge, motivation, monitoring and attitude <0.05. Based on the results of the chi-square test with the influencing factors are knowledge, motivation, monitoring, and attitudes and multivariate analysis, it is found that the monitoring variable has the most influence on the readiness to implement the Clinical Performance Management Development System (SPMKK) at Haji Hospital Medan 2022. The conclusion in this study is that there is an influence of knowledge, motivation, monitoring and attitudes on the readiness to implement the Clinical Performance Management Development System (SPMKK) and the most influential variable is monitoring. Keywords     :Nurse's clinical performance, Readiness of Application of Clinical                     Performance Management Development System  (SPMKK)
ANALISIS PERILAKU YANG MEMENGARUHI PEMERIKSAAN ANC DI WILAYAH KERJA PUSKESMAS MAMAS KECAMATAN DARUL HASANAH KABUPATEN ACEH TENGGARA PROVINSI ACEH TAHUN 2022 Sakinah, Ridha; Asriwati, Asriwati; Wulan, Mayang
Jurnal Keperawatan Priority Vol. 6 No. 2 (2023)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v6i2.4063

Abstract

Antenatal care is the care of the mother and fetus during pregnancy. Currently, the proportion of maternal deaths is approximately 305 deaths per 100 thousand live births, where the largest deaths occur in hospitals, around 77% of mothers cannot be saved, one of which is because the mothers who are referred to the hospital have severe complications. This occurs because identification and examination during pregnancy are not maximized. This study aimed to analyze behavior that influences ANC examinations in pregnant women at Working Area of Mamas Health Center, Southeast Aceh Regency, Aceh Province. This is analytical descriptive quantitative research. The population in this study were all third trimester pregnant women with late gestational age in the working area of the Mamas Health Center, Darul Hasanah District, Southeast Aceh Regency, Aceh Province in 2022 totaling 211 people. There were 68 samples in this study which were taken by Nonprobability Sampling using the slovin formula. Quantitative data analysis used univariate, bivariate and multivariate analysis. The results of the chi-square test obtained for age p= 0.000, education p=0.000, parity p=0.000, distance p=0.000, occupation p=0.000, knowledge p=0.000, husband support p=0.000 and attitude p=0.000 which indicated that there were influencing factors. The conclusion shows that there is a relationship between age, education, parity, distance, occupation, knowledge, attitude and husband's support with ANC examinations at Mamas Health Center in 2022, and the husband's support factor is the most Dominantly affect ANC examinations in pregnant women with an Exp(B) value of 4.691. It is expected that health workers at the Health Center to be more routine and intense in conveying health education to the community, especially to pregnant women and their husbands, about the importance of having ANC examination at least 6 times during pregnancy. Keywords: Age, Education, Parity, Distance, Work, Knowledge, Attitude, Husband's Support AND ANC Examination
Analysis of Health Service Factors on Patient Satisfaction at The Dental Clinic Sabang, Novrizal; Asriwati, Asriwati; Fitriani, Arifah Devi
Jurnal Keperawatan Priority Vol. 7 No. 1 (2024)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v7i1.4750

Abstract

Puskesmas is a technical implementation unit of the District/City Health Office that is responsible for providing first-level health services in a comprehensive, integrated and sustainable manner. The main problem as a health service institution with many competitors is the service provided whether it is in accordance with the expectations of patients/ consumers or not. The purpose of the study was to determine the factors of health services on patient satisfaction. The research design used quantitative methods conducted by analytical surveys with a cross sectional study approach. The samples in this study were 74 patients, research conducted in Simpang Kanan Health Center, Simpang Kanan District, Aceh Singkil Regency. Where the sampling technique in this study used purposive sampling techniques with inclusion criteria are able to communicate well and have ever come for treatment. Exclusion criteria are new patients seek treatment and not able to communicate well. Based on the results of statistical tests, the p-value of all variables is <0.05 where there is an influence on waiting time, competence, financing system, facilities, and comfort. After a multivariate test, it is known that the facility variable is the most influential factor on patient satisfaction. It is recommended that the Simpang Kanan Health Center be able to improve discipline, competence, and public health service facilities in an effort to increase patient satisfaction.
ANALYSIS OF BPJS PATIENT SATISFACTION LEVEL TOWARDS COMMUNITY HEALTH CENTER HEALTH SERVICES Ndruru, Efranita Somasi Crownlina; Asriwati, Asriwati; Subaedah, Sitti
Jurnal Keperawatan Priority Vol. 7 No. 2 (2024)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v7i2.5546

Abstract

High patient satisfaction will indicate how well the health center is able to provide high-quality medical care. The Service Quality Approach (SERVQUAL) can be used to measure the level of patient satisfaction consisting of fitness, assurance, physical evidence, empathy, and responsiveness. This study examines how satisfied BPJS patients are with medical services. This study was conducted at the Bawomataluo Health Center in Fanayama District. Sampling was carried out using the Accidental Sampling method totaling 99 people. The results of the study showed the influence of reliability, assurance), real evidence, empathy, and no influence of responsiveness to health services. The conclusion of this study is that there is no influence when viewed from the five dimensions in terms of performance level, but there is an influence when viewed from the aspects of completeness, assurance, physical evidence, empathy, and responsibility on the level of BPJS patient satisfaction with health services. It is hoped that the Health Center can improve patient happiness, including attention from health workers who are very important in meeting patient needs to get special care.
Co-Authors Abrar Abrar Ade Irma Suryani Adelina, Rita Afriani, Rina Afrianty, Miskah Agustina, ria Alkautsar, Esar Alviani, Aisyah Anisah Lubis Anto Anto, Anto Astuti, Nia Atika Atika Badiran, Badiran Crystandi, Muhammad Desy, Rara Jaka Dewi, Yenni Sandra Doloksaribu, Purnama Ecia Meilonna Koka Efendi, Ismail Effendy, Ismail Eka Daryanto, Eka fatimah Fatimah Fitriani, Arifah Devi Fuqon, Ibnu Ginting, Ferawati Ginting, Indra Hadi, Anto J. Hadi, Anto J. Hajar, Hasnan Harahap, Fatma Sylvana Dewi Harahap, Juliandi Hendra, Ema Hutahaean, Nurmalina Ismail Efendy J. Hadi, Anto J. Hadi, Anto Jalilah Jalilah Januariana, Neni Ekowati Jelita, Nenny Kartika, Dwi Yoga Khairatunnisa Khairatunnisa Lismawanti , Lismawanti Lizawati Lizawati Lubis, Masnely Mappeaty Nyorong Marbun, Marida Marlina Marlina Marsaulina, Ivansri Maryanti, Endang Mayang Sari Muhammad Ridwan Nadapdap, Thomson P Nasution, Dheina Lianisa Nasution, Ramadhani Syafitri Ndruru, Efranita Somasi Crownlina Ningsih, Sri Wahyu Novita Sari Nur Aini Nuraini Nuraini Nuraini, Nuraini Nurjanah, Suci Nurrahmani, Nurrahmani Pakpahan, Suzan Fitriana Pandiangan, Marintan Putri, Intan Diana Rahmadhani, Putri Raja, Sarma Lumban Razie, Muhammad Rosdiana Rosdiana Sabang, Novrizal Sakinah, Ridha Sani, Hapiz Arlanda Sasmita, Maya Seprianti, Monica Eprita Sibero, Jitasari Tarigan Simanjuntak, Imran Siregar, Dian Maya Sari Siregar, Ratna Dewi Siti Aisyah Sitti Subaedah Siyen, Sim Subaedah, Sitti Suhena, Isabella Sumanti, Neni SUROYO, RAZIA BEGUM Syamsul, Darwin Tambunan, Gloria Nauli Tanjung, Faisah Utami, Tri Niswati Wardani Wardani Winda Agustina Wulan, Mayang Yati, Sari Yuniati Yuniati Zorasofia, Zorasofia