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Burnout Perawat: Dampak Beban Kerja Dan Kurangnya Penghargaan Di Rsu Jenderal Ahmad Yani Zain Syafira, Jihan; Aprina, Aprina; Sunarsih, Sunarsih
Jurnal Kesehatan Vol. 17 No. 2 (2024): Jurnal Kesehatan
Publisher : UPPM Poltekkes Kemenkes Ternate

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32763/w6npsk24

Abstract

Kasus burnout yang ditemukan pada 37,5% petugas kesehatan.Prevalensi burnout pada perawat 33,5%,. Prevalensi burnout padatenaga kesehatan paling banyak terjadi di Pulau Jawa (38,4%) dantenaga kesehatan yang bekerja di rumah sakit (28,6%). Berdasarkandimensi burnout, 48,2% petugas kesehatan mengalami kelelahanemosional sedang hingga tinggi, 51,8% depersonalisasi sedanghingga tinggi, dan pencapaian pribadi tinggi 96,9%. Faktor burnoutmeliputi beban kerja, lack of control, penghargaan, breakdown incommunity, treated fairly, dan stress kerja. Tujuan penelitianmengetahui hubungan beban kerja dan penghargaan terhadapburnout perawat di ruang instalasi bedah sentral dan ruang rawatinap bedah di RSUD Jenderal Ahmad Yani Kota Metro ProvinsiLampung Tahun 2024. Jenis penelitian kuantitatif, metode analitikdengan pendekatan cross sectiona. Jumlah sample yaitu 39responden. Menggunakan kuesioner Maslach Burnout Inventory,kuesioner beban kerja, kuesioner penghargaan. Waktu penelitianfebruari 2024. Uji univariat didapatkan 21 responden (53,8%)mengalami burnout berat, 17 responden (43,6%) mempunyai bebankerja besar, 27 responden (69,2%) memiliki penghargaan rendah,dan uji statistik menggunakan uji chi-square. Hasil penelitian inimenunjukkan adanya hubungan beban kerja terhadap burnoutperawat dengan nilai (p-value sebesar 0,007 (α < 0,05) dengan OR8.500 dan pengharagaan terhadap burnout perawat dengan nilai (p-value = 0,001< α (0,05) dengan OR 31.429. Saran kepada rumahsakit untuk memberi perhatian terhadap beban kerja dan jugapenghargaan perawat. Beban kerja perlu dikelola dengan baik agartidak berlebihan dan tidak memberi tekanan kepada perawat.Penghargaan perlu diberikan secara wajar proporsional kepadaperawat atas kinerja mereka. Demikian diharapkan tingkat burnoutpada perawat dapat diminimalisir.
PENGARUH LEVERAGE, UKURAN PERUSAHAAN DAN PROFITABILITAS TERHADAP NILAI PERUSAHAAN PERBANKAN YANG TERDAFTAR DI BURSA EFEK INDONESIA Yasin, Mohamad; Wahab, Abd; Akhmad, Akhmad; Kadir, Abdul; Nurapiah, Nurapiah; Djalamang, Zulfikar Jakaputera; Sangkota, Megawati; Aprina, Aprina
Jurnal Ekonomi Trend Vol 12 No 2 (2024)
Publisher : Fakultas Ekonomi Universitas Alkhairaat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31970/trend.v12i2.483

Abstract

Penelitian ini bertujuan untuk mengetahui pengaruh ileverage, iukuran iperusahaan idan iprofitabilitas iterhadap inilai iperusahaan iperbankan iyang iterdaftar idi iBursa iEfek iIndonesia. Data yang digunakan dalam penelitian ini adalah data kuantitatif. Populasi dalam penelitian ini sebanyak 30 perusahaan, dan sampel yang digunakan dalam penelitian ini adalah 20 perusahaan. Periode pengamatan yang dilakukan selama 3 tahun yaitu dimulai dari 2018-2022. Data yang digunakan adalah data sekunder yaitu data yang diperoleh langsung berupa laporan keuangan pada situs www.idx.co.id. Teknik analisis data yang digunakan mengunakan analisis statistik yaitu: uji asumsi klasik, analisis regresi data panel, uji hipotesis serta diolah menggunakan Program Microsoft Excel dan Eviews Versi 10. Hasil penelitian leverage, iukuran iperusahaan idan iprofitabilitas isecara isimultan itidak iberpengaruh iterhadap iNilai iPerusahaan ipada iPerusahaan iPerbankan iPeriode i2020-2022. Kemudian hasil penilitian secara parsial leverage, iukuran iperusahaan idan iprofitabilitas tidak bepengaruh signifikan terhadap nilai perusahaan.
Prototype Box Breathing Innovation Overcoming the Risk of High Blood Pressure for Pregnant Women Aprina, Aprina; Astuti, Titi; Anita, Anita
Buletin Penelitian Kesehatan Vol. 52 No. 1 (2024)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/bpk.v52i1.3931

Abstract

Introduction: Hypertension during pregnancy is a common complication that increases the risk of preeclampsia, leading to maternal and fetal morbidity and mortality. Box breathing techniques have shown promise in lowering blood pressure and stress, but their effectiveness in pregnant women at risk of hypertension and preeclampsia has not been widely studied. This study aims to evaluate the efficacy of a prototype box breathing intervention in reducing blood pressure and symptoms in pregnant women at risk of these conditions. Methods: A quantitative, experimental study with a pretest-posttest design was conducted at four hospitals in Indonesia. A sample of 198 pregnant women in their 1st-3rd trimesters was selected using purposive sampling. The intervention involved the use of a prototype box breathing device, and data were collected on blood pressure and symptoms before and after the intervention. Data analysis was performed using the Wilcoxon test. Results: After the prototype box breathing intervention, there was a significant decrease in systolic blood pressure from 147.83 mmHg to 132.36 mmHg and diastolic blood pressure from 94.76 mmHg to 86.16 mmHg (p-value 0.000). The average symptom score also decreased from 5.93 to 1.25 following the intervention. Conclusion: The use of the prototype box breathing device is effective in lowering blood pressure and reducing symptoms associated with preeclampsia risk in pregnant women. This non-pharmacological intervention offers a promising approach for managing hypertension during pregnancy and preventing the progression to preeclampsia. Further research is needed to validate these findings and optimize the implementation of box breathing techniques in prenatal care.
The Relationship of Working Period and Awards with The Caring Behavior of Nurses Yunita, Siti Dwi; Aprina, Aprina; Sunarsih, Sunarsih
Jurnal Kesehatan Vol 16 No 1 (2025): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v16i1.4921

Abstract

Caring behavior involves actions rooted in concern, compassion, skill, empathy, responsibility, sensitivity, and support. Previous studies have indicated that many nurses do not exhibit caring behavior, which is influenced by various factors. Research at RSUD Abdul Moeloek revealed that care was primarily focused on physical ailments, with limited nurse presence and inadequate psychological support for patients. Among the 10 respondents, 75% noted that nurses did not display caring behaviors, such as presence, touch, listening, and understanding, while 25% did. This study aims to examine the relationship between work experience and awards with the caring behavior of nurses in the Internal Medicine ward at RSUD Dr. H. Abdul Moeloek, Lampung. Conducted from March to April 2024, this quantitative research used a descriptive-analytic design with a cross-sectional approach. A total of 33 respondents were selected through total sampling. Data were collected using questionnaires completed by respondents and researchers. The relationship between independent and dependent variables was tested using the Chi-square test, with univariate and bivariate analysis. Results showed a significant relationship between work experience (p-value=0.007, OR=19.429) and awards (p-value=0.003, OR=13.750) and nurses' caring behavior. It is recommended that the hospital enhance service quality, especially through training, to improve nurses' caring and friendliness towards patients.
Pengaruh Senam Kegel terhadap Penyembuhan Luka pada Ibu Post Partum Fitri, Eka Yulia; Aprina, Aprina; Setiawati, Setiawati
Jurnal Ilmiah Keperawatan Sai Betik Vol. 17 No. 1 (2021): Jurnal Ilmiah Keperawatan Sai Betik
Publisher : Departement of Nursing, Poltekkes Kemenkes Tanjung Karang, Bandar Lampung, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (357.875 KB) | DOI: 10.26630/jkep.v15i2.1844

Abstract

Risiko tinggi/komplikasi adalah keadaan penyimpangan dari normal, yang secara langsung menyebabkan kesakitan dan kematian ibu maupun bayi. Tujuan Penelitian : diketahui pengaruh senam kegel terhadap penyembuhan luka pada ibu post partum. Jenis  penelitian kuantitatif, desain penelitian metode quasi eksperimen dengan pendekatan Post test with control group design, objek penelitian adalah pengaruh senam kegel dengan ruptur perineum. Populasi dalam penelitian ini adalah seluruh ibu bersalin. Populasi penelitian ini adalah seluruh ibu bersalin primi dengan jumlah sampel adalah 60 responden. Analisis data menggunakan uji t independen. Hasil Penelitian: Rata-rata penyembuhan luka pada kelompok eksperimen sebelum senam kegel adalah 10,73 dan setelah senam kegel 4.40. Rata-rata penyembuhan luka pada kelompok kontrol pada pengukuran pertama adalah 10.53 dan pengukuran kedua 5.20. Ada penyembuhan luka pada ibu post partum (p-value 0,015) dengan nilai beda mean 0,800 dan t-test 2,592. Kepada perawat diharapkan selalu mengajarkan senam kegel pada ibu hamil dan terutama pada ibu-ibu primigravida. 
Efektivitas Edukasi Gizi Komunitas untuk Meningkatkan Pengetahuan Ibu dan Kader dalam Pencegahan Tuberkulosis Anak Aprina, Aprina; Bustami, Anita; Astuti, Titi
SEGANTANG LADA : JURNAL PENGABDIAN KESEHATAN Vol. 3 No. 1 (2025): SEGANTANG LADA : JURNAL PENGABDIAN KESEHATAN
Publisher : Poltekes Kemenkes Tanjungpinang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53579/segantang.v3i1.253

Abstract

Childhood Pulmonary Tuberculosis (TB) remains a critical public health challenge in Indonesia, particularly in Sidodadi Village, Pringsewu Regency, Lampung. Community members and health cadres often lack sufficient understanding of  balanced nutrition as a preventive strategy against TB. This community engagement program aimed to improve the knowledge of mothers with toddlers and health cadres regarding child nutrition for TB prevention. The intervention included an initial survey, development of educational modules, interactive sessions for 20 families, targeted training for 20 health cadres, mentoring, and evaluation using pre-tests, post-tests, questionnaires, and observation. Results indicated a significant improvement in knowledge: from 50% to 82% in the mothers’ group,  and from 62% to 90% among health cadres. These improvements were attributed to interactive learning methods and the pivotal role of health cadres as agents of behavioral change, aligning with Social Cognitive Learning Theory. The program effectively enhanced knowledge capacity and has the potential to influence family nutrition practices and reduce the incidence of childhood TB. Recommendations include sustained mentoring, long-term impact evaluation, and development of advanced training modules for health cadres.
The Influence of Self-Management Techniques on The Learning Discipline of Class VIII Students at Frater Don Bosco Middle School, Tarakan Aprina, Aprina; Padmi, Ni Made Diah; Rahmi, Siti
Journal of Social Science and Economics (JOSSE) Volume 2, Issue 2, August 2025
Publisher : Asha Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70188/f5qtvw78

Abstract

This study aims to determine the effect of self-management techniques on the learning discipline of eighth-grade students at Frater Don Bosco Middle School, Tarakan. Learning discipline remains a significant obstacle in the school environment. Self-management techniques were chosen as an intervention because they can train students to manage their time, behavior, and learning responsibilities independently. This study used a quantitative approach with a quasi-experimental design of the nonequivalent control group type. The sample consisted of two classes, namely the experimental class and the control class, which were selected using a purposive sampling technique. The instrument used was a learning discipline questionnaire. The results showed a significant increase in student learning discipline after being given self-management treatment, compared to the control class. This finding indicates that self-management techniques have a positive effect on improving student learning discipline. The implication of this study is the importance of implementing self-management strategies in the learning process to support optimal student academic achievement.
The Influence of Pre-Marriage Class on Knowledge of Bride and Groom in Prevention of Stunting Toddlers Sumardilah, Dewi Sri; Astuti, Retno Puji; Aprina, Aprina
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 1: March, 2022
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (164.429 KB) | DOI: 10.30604/jika.v7i1.920

Abstract

The direct causes of stunting under five are inadequate food consumption and infectious diseases. The two direct causal factors are closely related to the quality of parenting. Efforts to handle stunting toddlers must be carried out as early as possible, not only since the mother is pregnant but must be carried out since the mother is still a prospective bride. In this context, it is necessary to find a model for the development of training for prospective brides that is in accordance with the needs in preventing stunting under five and seeing its effectiveness. This study will use a combination of descriptive observational design and quasi-experimental design. The research population is prospective brides in Kemiling District, and the sample is determined by accident, namely prospective brides who have registered at KUA Kemiling District until July 2021. Data collection for the development of pre-wedding classes is carried out by means of FGD and interviews, while to assess the effect of class pre-marriage used a quasi-experimental design with pre and post-test approaches. The analysis was carried out descriptively (frequency distribution) to determine the pre-marital class and bivariate analysis (dependent and independent test) to determine the effect of pre-marital class on the knowledge of the prospective bride and groom in preventing stunting under five. The results showed that the standard competencies needed by prospective brides to prevent stunting under five were exclusive breastfeeding, complementary feeding, balanced nutrition, monitoring of toddler growth, infectious diseases in children, pregnancy, and reproductive health. In the case group that was given treatment in the form of leaflets and premarital classes, there was an increase in knowledge scores between 78.9% to 125.6%, while in the control group which was only given leaflets the increase in knowledge scores only rose by 25.9% to 91.6 %. The results of the dependent test showed that there was a significant difference in knowledge scores between before and after treatment. Meanwhile, the results of the independent test showed that there was a significant difference in knowledge scores on exclusive breastfeeding (p=0.000), complementary feeding (p=0.019), child growth monitoring (p=0.002), pregnancy (p=0.001), and reproductive health (p=0.001). = 0.020) between the two groups.
Breast Cancer Risk Prevention Model (RICANDRA) to Determine the Risk Factors Associated with the Incidence of Breast Cancer in Women of Childbearing Age in Lampung Province Aprina, Aprina; Astuti, Titi
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 1: March, 2022
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (754.761 KB) | DOI: 10.30604/jika.v7i1.1252

Abstract

Breast cancer in Indonesia is at the top of the list that occurs in women. Most breast cancer conditions are known to be in an advanced stage. Detection at this advanced stage has a very poor prognosis because cancer cells have spread more widely and faster than when cells were detected in an early stage. There was an increase in the number of breast cancer sufferers, both hospitalized and outpatient in RSUDAM. The objectives of this study are to determine the risk factors associated with the incidence of breast cancer in women of childbearing age in Lampung Province and to develop a breast cancer risk prevention model (RICANDRA). This type of research is quantitative with a cross-sectional design. This research was conducted from March to December 2019 in Lampung Province. The target of this study was all women of childbearing age, a sample of 458 women of childbearing age with purposive sampling. The objects taken are advanced age, the first child born at the age of more than 30 years, close family ties/hereditary, history of breast tumor, previous diagnosis, early menstruation, late menopause, use of hormones for menopausal symptoms, exposure to radiation, history of cancer, use of contraceptives hormones, obesity and stress. Collecting data using checklist sheets and questionnaires. Data analysis was univariate, bivariate (chi-square) and multivariate. Research Results: 150 (32.8%) respondents were in the high-risk category and as many as 308 (67.2%) respondents were in the alert category. The results showed that the risk factors that influence breast cancer based on bivariate analysis were advanced age (OR = 5.869; 95% CI: 3.831-8.991; p = 0.000), the first child was born at the age of more than 30 years, close family ties/hereditary, history of breast tumors, Prior diagnosis, Early menstruation, Menopause, Hormone use in menopausal symptoms, Exposure to radiation, had a history of cancer, used hormonal contraception, obesity, stress, smoking, breastfeeding, and alcohol consumption. The most dominant variable affecting the risk factors for breast cancer is the variable exposure to radiation. The magnitude of the risk of breast cancer based on the probability of the logistic function is obtained by the magnitude of the risk of 98.5% WUS experiencing breast cancer and if the risk can be avoided then only 1.5% will experience breast cancer. The Ministry of Health can facilitate regulation on efforts to accelerate efforts to reduce the incidence of breast cancer by making referral designs by strengthening human resources, infrastructure, procedures, or operational methods that can be easily applied to all health workers at the primary level. For women of childbearing age, they must increase their knowledge by participating in activities that can increase knowledge such as mother class activities, and reading or viewing pictures in books, so that WUS knows the risks that may occur in women of childbearing age.
MANAGEMENT OF RISK FACTORS FOR PRE-ECLAMPSIA Anita, Anita; Aprina, Aprina; Astuti, Titi
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 4: Desember 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v8i4.2395

Abstract

Globally, preeclampsia is still a problem, 10% of pregnant women throughout the world experience preeclampsia, and it is the cause of 76,000 maternal deaths and 500,000 infant deaths every year. Lampung Province is a province where the number of maternal deaths is still quite high, the latest IDHS data in 2018 shows The highest MMR was 818 people (87.99/100,000 KH) in Tanggamus Regency with a total of 16 deaths out of 10,000 births. The exact cause of pre-eclampsia is still not known for certain, so preeclampsia is called "the disease of theories”. The aim of this research is to determine the description of the risk factors for pre-eclampsia in Tanggamus Regency, Lampung. The research method in this first year used a quantitative research design with a cross sectional approach. The population in this study was pregnant women in Tanggamus district, Lampung. The instruments used in this study were questionnaires and anthropometric examination tools (BMI), data analysis in this study was the Univariate test, Bivariate uses the Chi square test and Multivariate uses the logistic regression test. The results of the research show that there is a relationship between age, parity, BMI, obesity, history of chronic disease, physical activity, nutritional status and attitude towards the incidence of pre-eclampsia with a p-value 0.05, while there is no relationship between the variables education, work, distance. pregnancy, eating patterns, smoking habits, ANC visits, family support, knowledge and economic status with the incidence of pre-eclampsia with a p-value 0.05. And the most dominant variable related to Cervical Cancer is History of Chronic Disease with a p-value of 0.000 and OR: 70.636. Pregnant women should diligently control for early detection so that therapy is given quickly and appropriately to prevent pregnancy complications even during delivery.