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AGE, SEX AND OBESITY HOSPITAL'S WORKERS IN BALIKPAPAN Agustina, Elvi; Adrianto, Ratno; Azmiardi, Akhmad; Wirapuspita Wisnuwardani, Ratih
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Obesity remains a global health issue and a significant contributing factor to Non Communicate Disease (NCDs), so efforts to reduce the prevalence of obesity are very important. The impact of obesity on workers are very broad and includes aspects of physical, mental and productivity helath. The problem of study was the prevalence of obesity in RSUD dr. Kanujoso Djatiwibowo workers and its relationship with age and gender. Objective : This study aimed to determine the prevalence of obesity among workers of dr. Kanujoso Djatiwibowo hospital Balikpapan and in relationship with age and gender. Research Methods/ Implementation Methods : This research was cross sectional study conducted at Medical Check Up RSUD dr. Kanujoso Djatiwibowo Balikpapan in February 2023. A total 838 participants were selected by total sampling technique. Age and gender data were collected by medical record document and obesity data was calculated by measuring BMI and interpreted using WHO BMI Classification for Asia Pacific. The data were analyzed by Chi Square using SPSS. Results : Prevalence of obesity for workers in hospital ‘X” was 50,5%. Most was woman (51,8%) and age 41-50 years old (58,4%). There was a significant relationship between age and obesity (p value = 0,001), meanwhile gender was not statistically significant with obesity (p value = 0,353) Conclusion/Lesson Learned : More than half workers of hospital were obesity and age is statistically significant with obesity.
Description of Patient Satisfaction Towards Dental and Oral Health Services During Bulan Kesehatan Gigi Nasional (BKGN) 2022 At The Dentistry Study Program of Mulawarman University Septimaulida, Firda; Adrianto, Ratno; Nurrachmawati, Annisa
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Patient satisfaction is the primary indicator of the standards of a healthcare facility and a measure of service quality. When patient expectations are met by high-quality healthcare services, it results in a high level of service quality. There are several factors that affect oral health, including genetics, environment, behavior, and services. Riskesdas (2018) reported that 61.5% of the population in East Kalimantan faced oral health issues, with only 13.8% seeking treatment from dental professionals. In response, the Dentistry Study Program at Mulawarman University organized free dental care services during BKGN 2022, aiming to promote oral health awareness. This threeday event, held from December 5 to 7, 2022, included oral health counseling, tooth extraction, tooth filling, tartar cleaning (scaling), topical fluoride application, and fissure sealant procedures. Objective : The aim of this study was to explore an overview of patient satisfaction with dental and oral health services in Bulan Kesehatan Gigi Nasional (BKGN) 2022. Research Methods/ Implementation Methods : This study was a quantitative descriptive study with cross-sectional research design with a sample size of 300 individuals (total sampling). In this study, patients who have completed their treatment were asked to fill out a quetionnaire. Results : Descriptive analysis of the data revealed that tartar cleaning (scaling) was the most frequently performed procedure, accounting for 41% of cases. In terms of gender, women (66%) sought dental care more frequently than men (34%). Regarding age groups, the highest frequency of oral care was observed among individuals aged 17-25 years, corresponding to the late adolescence stage. Overall, the distribution of respondents who stated that they were satisfied with the oral health services at BKGN 2022 was (55.3%) and patients who stated that they were very satisfied were (36%). Conclusion/Lesson Learned : Overall, the distribution of respondents who stated that they were satisfied with the oral health services at BKGN 2022 was (55.3%). The predominant type of oral care provided during BKGN 2022 was scaling, whereas fissure sealants were the least commonly administered treatment.
Feasibility Study: Potentcy of Service Development at Taman Husada Public Hospital, Bontang City- East Kalimantan Paramita, Tri Ratna; Adrianto, Ratno; Ramdan , Iwan M.
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : Health as a basic human right is an important thing in life. Legally, the government is responsible for ensuring that the health of citizens is fulfilled. The right of citizens to obtain health services can be seen from the provision of health facilities. Based on regulations, as a health service facility, hospitals are required to provide facilities and infrastructure according to the provisions. Taman Husada Hospital as a class B referral hospital needs to adjust facilities and infrastructure according to regulations and meet the needs of the community for service development through a feasibility study. Objective : This study was conducted to obtain an overview of the potential for service development at Taman Husada Hospital so that it could provide recommendation for hospital development planning policies Research Methods/ Implementation Methods : Primary data were collected with questionnaires, analyzed descriptively quantitatively and presented through tables and narratives Results : All of respondents were not satisfied with the inpatient facilities, where 85.2% of respondents had difficulty in getting an inpatient room, and 59.3% of respondents had problems with waiting time for an inpatient room Conclusion/Lesson Learned : The condition of inpatient care and supporting facilities have not met the needs of the community at this time and all respondents provided support for the construction of new buildings and the addition of supporting facilities. It is expected that the hospital can improve inpatient services by increasing the capacity and quality of inpatient facilities, managing patient flow and adding supporting facilities
Penerapan Metode Double Distribution Dalam Penetapan Tarif Pelayanan Poli Gigi Di RS LNG Badak Bontang Suhargiati, Atik; K, Iriyani; Ningsih, Riyan; Mualimin, Jaya; Adrianto, Ratno; Bakhtiar, Rahmat
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.48462

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Penetapan tarif layanan kesehatan yang tidak berbasis perhitungan biaya nyata dapat menyebabkan kerugian bagi rumah sakit atau membatasi akses masyarakat terhadap layanan. Di RS LNG Badak Bontang, tarif layanan Poli Gigi selama ini ditetapkan berdasarkan estimasi dan perbandingan dengan rumah sakit lain, bukan dari analisis biaya aktual. Penelitian ini bertujuan untuk menganalisis struktur biaya dan menghitung unit cost layanan Poli Gigi sebagai dasar penetapan tarif yang lebih rasional dan berkelanjutan. Metode yang digunakan metode deskriptif kuantitatif dengan pendekatan double distribution, menyesuaikan dengan keterbatasan data klinis yang tersedia. Hasil penelitian menunjukkan bahwa Total biaya operasional Poli Gigi mencapai Rp14,4 miliar, dengan 62,9% berupa biaya semi-variabel, didominasi gaji pegawai. Biaya tetap hanya 4,7%, dan variabel 32,5%, sebagian besar tercatat sebagai “operasional lainnya,” menunjukkan kelemahan pencatatan biaya rinci. Konsultasi dan asuhan keperawatan menyerap biaya besar karena volumenya tinggi, sementara tindakan seperti Pulp Capping memiliki unit cost tertinggi dan berisiko merugi. Hasil ini menunjukkan bahwa sebagian besar layanan masih menguntungkan dengan tarif internal (CRR >100%), namun berisiko rugi jika mengacu pada tarif lama sehingga RS memerlukan penyesuaian tarif berbasis biaya riil dan peningkatan efisiensi agar layanan berkelanjutan.
Analisis Mutu Pelayanan dengan Kepuasan Pasien Rawat Jalan di UPT Puskesmas Sangatta Utara (Studi : Potong Lintang) Noriah, Noriah; Adrianto, Ratno; Ramdan, Iwan Muhamad
Jurnal Epidemiologi Kesehatan Komunitas Vol 10, No 4: November 2025
Publisher : Master of Epidemiology, Faculty of Public Health, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v10i4.28333

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Background: Health service quality reflects how well services meet patient satisfaction as it affects patient trust and adherence while also demonstrating the accountability of primary health care facilities. This study aims to examine the impact of service quality on outpatient satisfaction at UPT Puskesmas Sangatta Utara.Methods: This study utilized an analytical survey with a cross-sectional design. The population included community members seeking care at the North Sangatta Health Centre. A total of 271 respondents were selected based on the Lemeshow formula, using purposive sampling as the sampling method. Data were collected through a structured questionnaire that included demographic characteristics and research variables. Data analysis was conducted using a combination of univariate, Chi-square, and multiple logistic regression methods to explore the relationships and effects among the variables.Result: The results showed that variables significantly associated with outpatient satisfaction were technical competence, facility accessibility, service effectiveness, continuity, safety, comfort, information, timeliness, and interpersonal relations (p < 0.05). Service efficiency was not significantly associated with patient satisfaction (p > 0.05). The most influential factor was interpersonal relations, with the highest odds ratio of 2.294 (95% CI: 1.381–3.809).Conclusion : This study demonstrated that outpatient satisfaction at the North Sangatta Health Centre was influenced by multiple service aspects, with interpersonal relations emerging as the most dominant factor. These findings emphasized the importance of improving healthcare workers’ communication and interaction with patients to enhance overall satisfaction.
Analysis of Risk Factors for Pulmonary Function Disorders among Workers at PT X Coal Division, East Kalimantan Septiana, Lisa; Pakki, Irfansyah Baharuddin; Azmiardi, Akhmad; Adrianto, Ratno; K., Iriyani; Lestari, Ida Ayu Indira Dwika
Indonesian Journal of Global Health Research Vol 7 No 3 (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.v7i3.6146

Abstract

Pulmonary function impairment remains a critical occupational health issue among coal industry workers due to prolonged exposure to airborne pollutants. Despite the implementation of occupational health regulations, respiratory disorders continue to be prevalent, leading to decreased work capacity and increased health risks. Identifying key risk factors is essential to developing targeted preventive measures. Objective: This study aims to analyze the relationship between occupational risk factors and pulmonary function impairment among workers at PT X Coal Division, East Kalimantan. A cross-sectional study was conducted on 183 coal division workers selected through cluster random sampling. Data were obtained through structured questionnaires, spirometry tests, and workplace dust level measurements. Multivariate logistic regression analysis was used to determine the most influential factors associated with pulmonary function impairment. The analysis identified significant associations between pulmonary function impairment and a history of other diseases (p = 0.001; OR = 11.709; 95% CI: 2.901–47.257), work tenure of ≥3 years (p = 0.032; OR = 3.319; 95% CI: 1.109–9.934), heavy physical workload (p = 0.036; OR = 2.807; 95% CI: 1.071–7.361), and inadequate personal protective equipment (PPE) usage (p = 0.015; OR = 2.566; 95% CI: 1.205–5.463). Other factors such as age, body mass index (BMI), work location, dust exposure, exercise habits, and smoking were not significantly associated with pulmonary function impairment. Work-related exposures and individual health conditions play a crucial role in pulmonary function impairment among coal workers. Strengthening workplace safety measures, enforcing PPE compliance, and implementing regular health screenings are necessary to mitigate respiratory risks. Ensuring a safer work environment through targeted preventive strategies is essential for protecting workers from long-term pulmonary complications while enhancing occupational health policies in the coal industry.
Analysis of the Relationship Between Knowledge, Perception, and Workload of Nurses on Patient Safety Culture Norsehan, Norsehan; Adrianto, Ratno; Bakhtiar, Rahmat; Pakki, Irfansyah Baharuddin; Hilda, Hilda
Indonesian Journal of Global Health Research Vol 7 No 4 (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.v7i4.6442

Abstract

Patient safety culture refers to a pattern of behavior of both individuals and organizations that consistently seek to reduce the risk of harm or injury to patients due to the services provided, based on shared beliefs and values. This study aims to analyze the relationship between knowledge, perceptions, and workload of nurses on patient safety culture at Beriman Hospital, Balikpapan City. The method used in this study is a quantitative approach with a cross-sectional design, involving all nurses working in the service unit of Beriman Hospital, Balikpapan City, totaling 129 respondents (total sampling). This study was conducted from February to March 2025, with data collection using a questionnaire that had been tested for validity and reliability. Univariate data analysis, chi-square test, and logistic regression. The results showed good knowledge 81.4%, good perception 51.2%, high workload 50.4% and patient safety culture value 58.9%. The results of the chi-square test sig value of knowledge: 0.600 and perception: 0.302, both (p> 0.05) indicating no relationship between knowledge and perception of nurses towards patient safety culture. However, the sig value for workload is 0.006 (p <0.05) indicating a relationship between workload and patient safety culture. The results of the logistic regression test show that nurses' workload has a significant effect on patient safety culture with a significance value (Sig) of 0.009. The Odds Ratio (OR) value of 2.712 indicates that nurses with a higher workload are 2.7 times more likely to influence patient safety culture compared to those with a low workload. The conclusion is that workload is the factor most related to patient safety culture.
An Analysis of Relationship Between Organization Climate, Work Culture, and Work Environment on Employee Job Satisfaction Nursakti, Nursakti; Adrianto, Ratno; Bakhtiar, Rahmat; Pakki, Irfansyah Baharuddin; Hilda, Hilda
Indonesian Journal of Global Health Research Vol 7 No 4 (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.v7i4.6575

Abstract

The background of this research was based on the importance of job satisfaction in improving the quality of services in the health sector, especially in community health centers. This study aimed to analyze the relationship between organizational climate, work culture, and work environment on job satisfaction of employees at Klandasan Ilir Public Health Center and Manggar Baru Public Health Center in Balikpapan City. The research method used a quantitative approach with a survey technique conducted on employees at both public health centers using a cross-sectional approach. The sampling technique was total sampling with a total of 111 respondents. Data were collected through a questionnaire that included indicators of organizational climate, work culture, work environment, and job satisfaction. Data analysis was conducted using univariate analysis with frequency distribution, bivariate analysis with the chi-square test, and multivariate analysis with logistic regression. The study found that 80.2% of respondents were female, with the majority working in the General Services Unit. Most had a diploma-level education and more than three years of work experience. Bivariate analysis showed significant relationships between job satisfaction and all three independent variables. Multivariate analysis indicated that work culture was the most significant factor influencing job satisfaction (p = 0.001; OR = 0.147). Work culture had the strongest relationship with job satisfaction among Puskesmas employees. Efforts to improve work culture can lead to higher satisfaction and better service quality.
Kondisi Kesehatan Masyarakat Berdasarkan Survei dan Observasi di Kelurahan Bukuan, Kota Samarinda Adrianto, Ratno; Susanti, Rahmi; Danu Putra, Muhammad Rangga; Eka Dewi Sitepu, Abira Ivanca; Fajri, Audya Nada; Wahyudi, Ayu Huwaidah; Hutauruk, Hutauruk; Nauli, Ruth Sekar; Jumliana, Jumliana; Ulfah, Meilida; Nur, Syalmitha Auralia; Khotimah, Vika Khusnul
Jurnal Kesehatan Masyarakat Mulawarman (JKMM) Vol.5 No.1 Juli (2023) : Jurnal Kesehatan Masyarakat Mulawarman (JKMM)
Publisher : Mulawarman University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/jkmm.v5i1.9692

Abstract

Stunting adalah gangguan pertumbuhan linier yang tidak sesuai dengan umur atau panjang lebih dari -2 SD median standar pertumbuhan anak dari WHO. Persentase balita stunting di Kalimantan Timur sebesar 27.6% atau telah berada di bawah rerata persentase nasional 37,2%. Tujuan penelitian ini adalah untuk mengetahui bagaimana kondisi kesehatan masyarakat dinilai dari survei dan observasi yang dapat mempengaruhi kejadian stunting.  Penelitian ini dilaksanakan di RT 01 dan RT 02 Kelurahan Bukuan, Kecamatan Palaran, Kota Samarinda, Provinsi Kalimatan Timur menggunakan metode deskriptif dengan pengambilan data secara sekunder dan primer melalui wawancara langsung yang dipandu kuesioner. Penelitian ini menggunakan metode purposive sampling. Jenis penelitian yang digunakan adalah penelitian deskriptif dengan pendekatan kuantitatif yang memberikan gambaran umum mengenai pengetahuan masyarakat sebelum dan sesudah dilakukan edukasi. Hasil penelitian menunjukkan secara epidemiologi terdapat 64% responden menderita ISPA dan 34% menderita Hipertensi. Dalam dunia kesehatan, ditemukan terdapat 14% responden sering mengonsumsi mie instan, secara kesehatan lingkungan terdapat 31% responden mengolah sampah dengan dibakar, berdasarkan tingkat pengetahuan dan sikap perilaku merokok terdapat 44.9% responden merokok di dalam rumah dan berdasarkan tingkat pengetahuan kesehatan reproduksi remaja terdapat 56.5% remaja tidak menerima informasi tentang kesehatan reproduksi remaja dari orang tua. Dapat disimpulkan bahwa terdapat 6 masalah yang berkaitan dengan penegtahuan dan perilaku hidup sehat sebagai faktor risiko yang mempengaruhi kejadian stunting. Sehingga diharapkan peran tenaga kesehatan dan kader dapat lebih menyebarluaskan informasi pencegahan stunting dengan pengembangan inovasi program pencegahan stunting terbaru.
The Role of Stress and Job Satisfaction Among Frontline Nurses in the National Health Insurance Era: The Mediating Role of Self-Efficacy Adrianto, Ratno; Sumarni, Sumarni; AR, Chaerunnisa
Poltekita : Jurnal Ilmu Kesehatan Vol. 17 No. 3 (2023): November
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v17i3.2849

Abstract

The study aimed to analyze the effect of role stress (role ambiguity and role conflict) on the self-efficacy and job satisfaction of nurses implementing the National Health Insurance (JKN) era at Panembahan Senopati Hospital, Bantul. The research design used was an analytic survey design using a cross-sectional study approach. The population of this study was all nurses at the Panembahan Senopati Hospital, Bantul, with a sample size of 105 executive nurses. Data analysis used Spearman correlation analysis to see the effect of the independent variables on the dependent variable with a significance limit (α) of 5%. The results indicated no effect of role ambiguity on nurses' self-efficacy in the JKN era at Panembahan Senopati Hospital, Bantul (p=0.236). Further, there was an effect of role conflict on the self-efficacy of nurses in the JKN era at Panembahan Senopati Hospital, Bantul (p=0.000). There is an effect of self-efficacy on the job satisfaction of nurses in the JKN era at Panembahan Senopati Hospital, Bantul (p=0.000). It can be concluded that there is a complex relationship between role ambiguity, role conflict, self-efficacy, and nurse job satisfaction. Although not all relationships have a significant effect, this study provides an initial understanding of the factors that influence the self-efficacy and job satisfaction of nurses at Panembahan Senopati Hospital, Bantul, in the JKN era.
Co-Authors 'Aina 'Uruba, Huurul Adiyatsa, Reza Jales Mahesa Agustina, Elvi Akhmad Azmiardi Alvie Magda Lesiwal Aminah Aminah Angelina, Grace Anggraeny, Ike Anggraeni G Annisa Nurrachmawati Annisa Nurracmawati AR, Chaerunnisa AR., Chaerunnisa Astuti, Ashri Budi Astuti, Ayu Sri Mega Astuti, Prima Yulia Atthoba, La Debi Auralia, Syalmita Auralia, Syalmitha Baharuddin Pakki, Irfansyah Baharudin, Irfansyah Bahtiar, Rahmat Bakhtiar, Rahmat Basri, Samsinar Blego Sedionoto, Blego Budi, Eko Prasetya Cahyana, Yudi Jaya Chaerunnisa AR Chaerunnisa, Chaerunnisa Dahlia Dahlia Danu Putra, Muhammad Rangga Dedi Priansyah Dias Pratama Eka Dewi Sitepu, Abira Ivanca Eka Putri Rahayu Elvira, Vivi Filia Fajri, Audya Nada Fatimatuzzahra, Siti Firnanda, Rivana G, Ike Anggraini Gloria Priska Britani Sumlang Hamri, Ahmad Ahsyar Hapsari, Palupi Setyo Hasibuan, Juliana Hilda Hilda Hutauruk, Hutauruk Huwaidah, Ayu Ike Anggraeni Imanuddin, Khairul Irfansyah Baharuddin Pakki Iriyani K Iriyani Kamaruddin, Iriyani Isnaniah, Enny Ivanca, Abira Iwan M. Ramdan Iwan Muhamad Ramdan Jami'an, Jami'an Jumliana, Jumliana K., Iriyani Kartikasari , Dina Khalisha, Nailah Khalishah az Zahra Kurniawan Khotimah, Vika Khusnul Khusnul, Vika Kurniawan, Khalishah az Zahra Lasari, Aramika Laura, Najoan Brigitta Lenik Gah, Regina Lestari, Ayu Indira Dwika Lestari, Ida Ayu Indira Dwika Listiyani, Dwi Mahardhika, Rizqa Mardiana, Desy Indah Marinda, Indri Masruroh1,2, Ah Yusuf3 , Nikmatur Rohmah4, Irfansyah Baharudin Pakki5 , Anita Dewi Prahastuti Prasojo6 , Qurnia Andayani1 , *Agung Dwi Laksono7 Maulana, Ady Mochamad Makin, Mochamad Mualimin, Jaya Muhammad Rangga Muhammad Sultan Muhammad Sultan, Muhammad Nada, Abira Ivanca Audya Nada, Audya Najla, Syarifah Amira Najoan Brigitta Laura Nauli, Ruth Sekar Noor, Zulhijrian Noors, Ilfa Pratiwi M Noriah, Noriah Norsehan, Norsehan Nur Asiyah Nur Rohmah Nur, Syalmitha Auralia Nurlinda, Fitria Nursakti Nursakti Nuryanto, Muhammad Khairul Pakki, Irfansyah Bahruddin Pamowa, Agustina Simanangi Paramita, Tri Ratna Pasha, Yuliana Payung, Boli Matius Tandi Pratama, Dias Pratiwi, Fierda Eka Purnama, Tasha Citra Rahayu, Eka Putri Rahmi Susanti Ramadhani, Dewi Endah Ramdam, Iwan Muhammad Ramdan , Iwan M. Rangga, M. Ratih Wirapuspita Wisnuwardani Reny Noviasty Risky Amelia Rhamadani Riyan Ningsih Sadaria, Sadaria Saputra, Rudi Septiana, Lisa Septimaulida, Firda Setianingtyas, Endah Dwi Setiawati, Ronny Setyo Nugroho Sinar, Sinar siti nurlela Subirman - Suhargiati, Atik SUMARNI Sumarni Sumarni Syauqi, Ferdhitya Rizky Syawalia, Zheditya Ayu Taqie, Sayyid Muhammad Tistania, Nurul Rizkiana Tricindra, Dzulhannisa Ulfah, Meilida Ulpah, Rini Wahidatul Utari, Ari W, Ratih Wirapuspita. Wahyudi, Ayu Huwaidah Wahyudianto, Yogik Wardani, Citra Rizki Wijayanti, Dwi Astuti Noor Wirapuspita W, Ratih Wirapuspita Wisnuwardani, Ratih Yadi, Yadi Yunus, Mudassir