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Hubungan Lama Berkerja Dan Pelatihan Mikroskopis Tuberkulosis (Tb) Dengan Penerapan Pemantapan Mutu Internal di Puskesmas Kota Samarinda Widiastuti, Hesti Prawita; Hilda, Hilda
Husada Mahakam Vol 1 No I (2017): Proceeding Book "Mensinergikan GERMAS dengan Penatalaksanaan PENYAKIT TIDAK MENU
Publisher : Politeknik Kesehatan Kemenkes Kalimantan Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (209.56 KB)

Abstract

Tuberkulosis masih menjadi masalah kesehatan di Indonesia. Masalah utama dalam penanggulangan programtuberkulosis adalah pengelolaan kualitas laboratorium yang belum optimal, sehingga dapat mempengaruhi hasildari pemeriksaan sputum. Pemantapan Mutu Internal (PMI) merupakan salah satu alat penting untuk menjaminkualitas hasil pemeriksaan mikroskopik. Tingkat kesalahan petugas dalam pembuatan slide BTA di PuskesmasKota Samarinda tahun 2015 adalah > 5%. Penelitian ini bertujuan untuk mengetahui hubungan karakteristikdengan penerapan PMI di Puskesmas kota Samarinda pada tahun 2017. Penelitian ini merupakan penelitiananalitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh petugas laboratoriumPuskesmas di Samarinda sebanyak 32 orang. Data diperoleh dengan menggunakan kuesioner dan dianalisisdengan chi quadrat (X2). Hasil penelitian menunjukkan bahwa petugas laboratorium di puskesmas 93,6%berpendidikan D3 Analis kesehatan, yang pernah mengikuti pelatihan mikroskopis TB (53,1%) dan 81,3%petugas laboratorium bekerja kurang dari 10 tahun. Tidak ada hubungan lama kerja (p=1,00), pendidikan(p=0,254) dan pelatihan (p=0,503) dengan penerapan pemantapan mutu internal di Puskesmas. Prosespembuatan sediaan sputum TB di laboratorium puskesmas belum mengikuti prosedur sesuai dengan mutuinternal. Disarankan agar penerapan mutu internal laboratorium di Puskesmas dilaksanakan dan dievaluasisecara terus menerus.
Tandem Walking Exercise For The Risk Of Falling and The Daily and Activities’ Independency Toward Elderly Preopleat UPT PSTW Nirwana Puri Samarinda Widiastuti, Hesti Prawita; Pamungkas, Leny; Arsyawina, Arsyawina; Hilda, Hilda
Journal Of Nursing Practice Vol. 5 No. 1 (2021): Journal Of Nursing Practice
Publisher : Institut Ilmu Kesehatan STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v5i1.166

Abstract

Background: Stability is the ability of maintaining static and dynamics equilibrium, which influenced the falling incident and the capability in doing everyday activities of elderliesPurpose: The purpose of this study is to analyze the effect of tandem walking exercise for the daily activities’ independency and the risk of falling towards elderly people.Methods: This research is quasi experiment with pre and post-test nonequivalent control group design. The samples are 22 people that distributed into control and treatment group who were given tandem walking exercise three times a week for two weeks. Assessment of the independence of daily activities through observation, interviews and using barthel index instruments while falling risk is assessed using Time Up and Go Test (TUGT).Results: The result of hypothesis tests with Wilcoxon obtained that there is an impact from tandem walking exercise for the daily activities’ independency (p value = 0,009) and the risk of falling (p value = 0,003). The deviation analysis on two groups acquired that the Group 1 with interventions of tandem walking exercise is having more impact on the improvement of daily activities’ independency with Mann-Whitney test (p value = 0,044) and the reduction on risk of falling with Independent T-Test (p value = 0,000) compared to Control Group.Conclusion: Tandem walking exercise could improve daily activities’ independency and lower the risk of falling towards elderly people
The Validity of the Abbey Pain Scale for Assessing Pain in Stroke Patient Arsyawina, Arsyawina; Parellangi, Parellangi; Widiastuti, Hesti Prawita; Hilda, Hilda
Journal Of Nursing Practice Vol. 5 No. 1 (2021): Journal Of Nursing Practice
Publisher : Institut Ilmu Kesehatan STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v5i1.167

Abstract

Background: Apasia and dementia are two of the post-symptoms of stroke disease that cause patients to experience verbal communication disorders, thus requiring nurses to be more sensitive in assessing pain that is felt.Objective: The purpose of this research is to test the validity of the Abbey Pain Scale in assessing pain in stroke patients who are unable to express pain verbally.Methods: This research is a quantitative study using analytic observational research methods. This study used a consecutive sampling technique with the calculation of sample size based on population proportions. Research on one subject was repeated three times at rest and during pain procedures using the Abbey Pain Scale. Data were analyzed using the Pearson and Spearman test.Results: There was a significant correlation (p = 0.001) with a positive and strong correlation coefficient between the Abbey score and the pulse rate (correlation r = 0.699). Then there was a significant correlation (p < 0.001) with a positive and strong correlation coefficient between Abbey scores and mean arterial pressure (correlation r = 0.911). In addition, the Abbey Pain Scale score showed a significant change between the Abbey score at rest and during the pain procedure, both in the morning, afternoon and evening team nurses (p < 0.05).Conclusion: The Abbey Pain Scale is a valid measurement tool in assessing pain in stroke patients.
Family Support and Quality of Life in Breast Cancer Patients Noorhidayah Noorhidayah; Hesti Prawita Widiastuti; Umi Kalsum
Health Notions Vol 4, No 3 (2020): March
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (102.575 KB) | DOI: 10.33846/hn40302

Abstract

Introduction: In these days, one of the terrifying cancers for women throughout the world is breast cancer. The treatment of cancer should be holistic. Patients need family support to create a good quality of life. The purpose of this study was to determine the relationship between family support and quality of life in breast cancer patients at the Chemotherapy Unit of Abdul Wahab Sjahranie Hospital Samarinda. Methods: Quantitative research with analytical study and cross-sectional design. Sampling was done with a total sample of 76 respondents. The instruments used in this research were family support standards and the Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30) for quality of life. The data were analyzed using the Chi-Square test. Results: The p-value was 0.003, OR = 4.090, indicating that there was a relationship between family support and quality of life in breast cancer patients. Conclusion: There is a relationship between family support and quality of life in breast cancer patients. It is expected that the hospital can proceed in providing health education and motivation to breast cancer patients and their families related to the importance of family support for the quality of life of breast cancer patients. Keywords: family support; breast cancer; quality of life
Pengaruh Komunikasi Perawat Dengan Pasien Terhadap Risiko Insiden Keselamatan Pasien di Ruang Rawat Inap Kelas III Tata Maulita; Hilda hilda; Hesti Prawita Widiastuti
Husada Mahakam Vol 10 No 1 (2020): Mei 2020
Publisher : Poltekkes Kemenkes Kalimantan Timur (URL: http://poltekkes-kaltim.ac.id/)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35963/hmjk.v10i1.210

Abstract

Pendahuluan : Komunikasi salah satu standar keselamatan pasien di Rumah Sakit, komunikasi memberikan pengaruh terhadap keselamatan pasien. Penggunaan komunikasi antara perawat dan pasien di ruang rawat inap kelas III RSUD A. W. Sjahranie Samarinda belum sepenuhnya dilakukan sehingga berisiko menyebabkan terjadinya insiden keselamatan pasien. Penelitian ini bertujuan untuk mengetahui pengaruh komunikasi perawat dengan pasien terhadap risiko insiden keselamatan pasien. Metode : Jenis penelitian kuantitatif dengan studi analitik dan desain cross sectional. Populasi berjumlah 292 orang terdiri dari 7 unit pelayanan. Sampel sebanyak 58 orang menggunakan teknik purposive sampling. Instrumen penelitian menggunakan kuesioner komunikasi dan kuesioner risiko insiden keselamatan pasien yang telah dilakukan uji validitas. Kemudian data dianalisis secara univariat dan bivariat dengan uji Chi Square. Hasil : Didapatkan nilai p = 0,003 yang menunjukan bahwa nilai ρ value < nilai α = 0,05 artinya Ho ditolak dan Ha diterima. Nilai OR sebesar 5,455 artinya komunikasi perawat dengan pasien yang kurang baik memiliki risiko 5,455 kali lebih besar terhadap insiden keselamatan pasien yang pernah terjadi. Kesimpulan : Ada pengaruh komunikasi perawat dengan pasien terhadap risiko insiden keselamatan pasien. Disarankan kepada pihak perawat di Rumah Sakit terus meningkatkan komunikasi dalam memberikan perawatan di ruang rawat inap agar terhindar dari insiden keselamatan pasien.
PERAN SUAMI DALAM GANGGUAN KECEMASAN DAN STRESS PADA IBU HAMIL SELAMA PANDEMI COVID-19 Dwi Hendriani; Hesti Prawita Widyastuti; Rosalin Ariefah Putri; Rezky Puspitaningsih
MMJ (Mahakam Midwifery Journal) Vol 6 No 1 (2021): Mahakam Midwifery Journal
Publisher : Politeknik Kesehatan Kementerian Kesehatan Kalimantan Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35963/mmj.v6i1.166

Abstract

Abstract The COVID-19 pandemic made significant changes to psychological conditions during pregnancy. In overcoming the occurrence of anxiety disorders and stress the role of husband is important in the situation of the COVID-19 Pandemic. The purpose of this study is to analyze husband support and family support for anxiety and stress. This research is descriptive analytics with a cross sectional approach. The sample was 100 pregnant women in Samarinda city. The data analysis used is Chi-Square. The results of the study of husband support did not have a meaningful relationship to anxiety and stress in pregnant women pvalue value of 0.359 < 0.05. Thus, sumai support is not a major factor during the COVID-19 pandemic which can be done as an effort to lower the level of anxiety and stress. Kata kunci : COVID-19, anxiety, Stress, Pregnant Mother Abstrak Pandemi COVID-19 membuat perubahan yang signifikan terhadap kondisi psikologi di masa kehamilan. Dalam mengatasi terjadinya gangguan kecemasan dan stress peran suami penting dalam situasi Pandemi COVID-19. Tujuan penelitian ini untuk menganalisa dukungan suami dan dukungan keluarga terhadap kecemasan dan stress. Penelitian ini deskriptif analitik dengan pendekatan cross sectional. Sampel merupakan ibu hamil sebanyak100 responden di kota Samarinda. Analisa data yang digunakan adalah Chi-Square. Hasil penelitian dukungan suami tidak memiliki hubungan bermakna terhadap kecemasan dan stress pada ibu hamil nilai pvalue sebesar 0,359 < 0,05. Sehingga, dukungan sumai bukanlah menjadi faktor utama selama pandemi COVID-19 yang dapat dilakukan sebagai upaya menurunkan tingkat kecemasan dan stress. Kata kunci : COVID-19, Kecemasan, Stress, Ibu Hamil
Perbandingan Penggunaan APACHE IV, SAPS 3 dan SOFA untuk Memprediksi Mortalitas pada Pasien Kritis Hesti Prawita W; Suharyo Hadisaputro; Supriyadi Supriyadi
Jurnal Riset Kesehatan Vol 4, No 1 (2015): Januari 2015
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (144.89 KB) | DOI: 10.31983/jrk.v4i1.348

Abstract

The objective of this study is to compare the validation scoring system of APACHE IV, SAPS 3 and SOFA to predict mortality in critically ill patients. The type and design of the study is an observational analytic with cross-sectional design with retrospective sampling conducted using the secondary data. The otal sample is 106 respondents who were treated in the ICU of A. Wahab Sjahranie Hospital Samarinda between January - October 2013. The results of bivariant analysis showed that there was a statistically significant relationship between the three scoring systems (APACHE IV, SAPS 3 and SOFA) with the outcomes of respondents with a value of p less than 0.05 (p = 0.004 APACHE IV; SAPS 3 p = 0.004 and SOFA p = 0.022). APACHE IV AUROC = 0.757; AUROC SAPS 3 = 0.717; AUROC SOFA = 0.69. Calibration of APACHE IV with a value of p = 0.20; SAPS 3 p = 0.086 and p = 0.60 SOFA.Conclusion: APACHE IV has better discrimination and calibration compared with the SAPS 3 and SOFA. Suggestion: APACHE IV should be using to predict mortality in critically ill patients.
Umur, Jenis kelamin, durasi dila arifin hidayat; Hesti Prawita Widiastuti; Dedy Setiawan; Frana Andrianur
Husada Mahakam Vol 12 No 1 (2022): Mei 2022
Publisher : Poltekkes Kemenkes Kalimantan Timur (URL: http://poltekkes-kaltim.ac.id/)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35963/hmjk.v12i1.296

Abstract

One of the most dangerous diseases in the world is cardiovascular disease. Cardiac arrest is one of the major causes of death in the heart. Cardiopulmonary Resuscitation (CPR) is the first help that can be given. The aim of the research is to determine out the factors influence CPR success. An analytical observational research design with a cross sectional method used in this study. All patients who suffered cardiac arrest and completed CPR in the emergency department were included in this study, with a total of 42 participants. The age component accounted for 66.7 percent of the 60-year-olds, with male sex accounting for 61.9 percent. Prearrest diagnostic was Non-cardiac at 64.3 percent, Initial was Unshockable (asystole/PEA) at 71.4 percent, and the greatest duration of CPR was 1 minute by 81 percent. The chi square and fisher's exact tests revealed that there was no correlation between age (0.578), gender (1,000), and CPR duration (0.151) and CPR success. At Abdul Wahab Sjahranie Hospital Samarinda, there is a correlation between pre-arrest diagnosis (0.003), initial cardiac rhythm (0.041), and reaction time (0.013) and CPR success. Factors related to the success of CPR are pre-arrest diagnosis (0.003), initial heart rhythm (0.041), and response time (0.013).
Pemberdayaan Masyarakat dalam Meningkatkan Keselamatan Pasien yang Menjalani Isolasi Mandiri di Kelurahan Sempaja Timur, Kota Samarinda Hilda Hilda; Hesti Prawita Widiastuti; Arsyawina Arsyawina; Supriadi Supriadi
Poltekita: Jurnal Pengabdian Masyarakat Vol. 3 No. 4 (2022): Oktober - Desember
Publisher : Pusat Penelitian & Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (790.271 KB) | DOI: 10.33860/pjpm.v3i4.1273

Abstract

Not a few Covid-19 patients have died while undergoing self-isolation (isoman) at home. According to data obtained from the Sempaja Timur Village, there were 533 patients who underwent isomanism and 15 of them died. Lack of assistance while undergoing isoman causes the patient's condition to worsen and end in death. This community service aims to increase the knowledge of isoman patient companion volunteers with the hope that the safety of isoman patients in Sempaja Timur Village can be improved. This activity was attended by 20 volunteers who were chosen by the head of the RT in Sempaja Timur Village. The method used consists of four stages, namely the stage of situation analysis, planning, preparation and implementation. The assessment instrument uses a questionnaire. The training materials include information about Covid-19 including case tracking, volunteer protocol and isoman protocol. The results of the evaluation showed the average value of pretest knowledge was 67 (SD 10,848) and the average posttest score was 79,20 (SD 7,797). Thus there is an increase in volunteer knowledge after training by 12.20. Suggestion: Volunteer training needs to be carried out on an ongoing basis including post-covid handling so that symptoms that arise after recovering from covid can be detected and treated immediately.   ABSTRAK Tidak sedikit pasien Covid-19 meninggal dunia saat menjalani isolasi mandiri (isoman) di rumah. Menurut data yang diperoleh dari Kelurahan Sempaja Timur terdapat 533 pasien yang menjalani isoman dan 15 orang diantaranya meninggal dunia. Kurangnya pendampingan saat menjalani isoman menyebabkan kondisi pasien yang semakin memburuk dan berakhir dengan kematian. Pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan relawan pendamping pasien isoman dengan harapan keselamatan pasien isoman di Kelurahan Sempaja Timur dapat di tingkatkan. Kegiatan ini diikuti oleh 20 orang relawan yang dipilih oleh ketua RT di Kelurahan Sempaja Timur. Metode yang digunakan terdiri dari empat tahap yaitu tahap analisis situasi, perencanaan, persiapan dan pelaksanaan. Instrument penilaian menggunakan kuesioner. Materi pelatihan meliputi informasi tentang Covid-19 termasuk pelacakan kasus, protokol relawan dan protokol isoman. Hasil evaluasi menunjukkan   nilai rata-rata pengetahuan pretest adalah 67 (SD 10,848) dan rata-rata nilai posttest adalah 79,20 (SD 7,797). Dengan demikian terdapat peningkatan pengetahuan relawan relawan setelah pelatihan sebesar 12,20. Saran: Pelatihan relawan perlu dilakukan secara berkesinambungan termasuk penanganan pasca covid agar gejala-gejala yang timbul setelah sembuh dari covid dapat segera terdeteksi dan dapat segera ditangani.  
PENGARUH KONSELING ALAT BANTU PENGAMBILAN KEPUTUSAN DENGAN BOOKLET TERHADAP PENGGUNAAN KB PADA IBU NIFAS DI PMB RULIYAH EMI SARI DEWI,S.ST Agustina Enang; Meity Albertina; Hesti Prawita Widiastuti
Jurnal Ilmu Kebidanan dan Kesehatan (Journal of Midwifery Science and Health) Vol. 14 No. 1 (2023): Jurnal Ilmu Kebidanan dan Kesehatan (Journal of Midwifery Science and Health)
Publisher : Sekolah Tinggi Ilmu Kesehatan Bakti Utama Pati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52299/jks.v14i1.151

Abstract

Pendahuluan: Mengingat besarnya jumlah kelahiran per tahun maka diperlukan upaya untuk mengendalikan kelahiran melalui perencanaan keluarga dengan menggunakan kontrasepsi terutama setelah melahirkan dengan menggunakan konseling ABPK. Penggunaan media yang tepat dapat membantu pengambilan keputusan menggunakan KB pasca salin salah satunya melalui booklet. Tujuan: mengetahui pengaruh konseling alat bantu pengambilan keputusan (APBK) terhadap penggunaan KB pascasalin. Metode: Jenis penelitian adalah quasi eksperimen dengan rancangan Post-test Design with Control Group. Populasi seluruh seluruh ibu Nifas yang melahirkan di PMB Ruliyah Emi Sari Dewi, S.ST dengan teknik sampel consecutive sampling sebanyak 36 orang dimana 18 orang kelompok eksperimen dan 18 orang kelompok kontrol. Alat ukur SOP dan wawancara. Analisa datauji Chi Square.Hasil: Penggunaan KB pasca salin pada kelompok yang diberikan Alat Bantu Pengambilan Keputusan (ABPK) dengan Booklet sebagian besar menggunakan kontrasepsi pasca salin sebanyak 15 orang (83,3%). Penggunaan KB pasca salin pada kelompok yang diberikan Alat Bantu Pengambilan Keputusan (ABPK) tanpa Booklet sebagian besar tidak menggunakan kontrasepsi pasca salin sebanyak 11 orang (61,1%). Ada pengaruh konseling dengan Alat Bantu Pengambilan Keputusan (ABPK) dengan Booklet terhadap penggunaan KB pasca salin pada ibu nifas di PMB Ruliyah Emi Sari Dewi, S.ST Pasir Belengkong Tahun 2022 dengan nilai p value 0,017. Kesimpulan: konseling APBK menggunakan booklet dapat membantu ibu nifas mengambil keputusan menggunakan KB pasca salin.