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All Journal Jurnal Informasi Kesehatan Indonesia (JIKI) Jurnal Kesehatan Jaringan Laboratorium Medis Abdimas Galuh : Jurnal Pengabdian Kepada Masyarakat Journal SAGO Gizi dan Kesehatan Borneo Community Health Sevice Journal
Duri, Iin Desmiany
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Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Dentistry Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Physics Public Health

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ANALISIS BED TURN OVER DI RUANG MINA RUMAH SAKIT HARAPAN DAN DOA KOTA BENGKULU Heltiani, Nofri; Duri, Iin Desmiany; Lestari, Endah Dwi
Jurnal Informasi Kesehatan Indonesia (JIKI) Vol 7 No 1 (2021): Jurnal Informasi Kesehatan Indonesia (JIKI)
Publisher : Politeknik Kesehatan Kemenkes Malang (State Health Polytechnic of Malang)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jiki.v7i1.2261

Abstract

Bed Turn Over (BTO) is the average number of patients who use each bed in a certain period. The ideal BTO value is 40-50 times/year. Inpatient indicators related to BTO are very important to pay attention to in efforts to improve service quality. The high BTO has the potential to disrupt the balance of clinical aspects such as hospital nosocomial infections. Based on the initial survey, the BTO value for the last three years at the Bengkulu City Hope and Prayer Hospital has increased, namely in 2016 (58.23 times/year), 2017 (64-65 times year) and 2018 (65 times/year) . This shows that the change of patient beds is very fast so that the use of the bed exceeds the provisions, namely 40-50 times/year, meaning that 1 bed is used by more than 50 patients a year which can cause nosocomial infections. The purpose of this study was to determine the value of BTO in the Mina Room of Harapan Hospital and Prayer in Bengkulu City for the 2019 period. The type of research used in this study was quantitative descriptive with a cross sectional approach. The population and sample were 2,060 inpatients in the Mina Room for the period 2019 with the sampling technique being the total population. The data used is secondary data which is processed by collecting, editing, classification and tabulating and analyzed using the BTO formula. The results of data analysis, the number of patients treated in the 2019 period in the Mina Room were 2,060 patients, with length of care (LD) of 7,435 days/year and an average of 3-4 days/year and the number of patients discharged (living or dead) in the Mina Room. 2,045 patients came out alive and 15 patients died, so that the BTO value in the Mina Room reached 93.58 times/year. The high BTO value in the Mina Room in the 2019 period resulted in a fairly high nosocomial infection of 12%. It is hoped that the hospital will add more beds in the Mina Room to prevent or reduce the occurrence of nosocomial infections.
Peningkatan Derajad Kesehatan Ibu Hamil dengan Pemantauan Kadar Hemoglobin dan Edukasi Pada Ibu Hamil Untuk Mencegah Stunting Setyowatiningsih, Lilik; Surati, Surati; Maulanah, Mochamad Rizal; Duri, Iin Desmiany
Borneo Community Health Service Journal VOLUME 4 NOMOR 1 TAHUN 2024
Publisher : Fakultas Ilmu Kesehatan Universitas Borneo Tarakan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35334/neotyce.v4i1.4988

Abstract

Maternal Mortality Rate (MMR), both during pregnancy, childbirth and postpartum, is an important thing that must be considered, as an effort to increase the health status of mothers and the life expectancy of babies born. Maternal death cases describe the mother's health status, nutritional status, environmental health conditions and the level of availability of health services and health personnel for the mother. Based on 2019 Central Java Health Office data, the maternal mortality rate was 331 cases and Sukoharjo district recorded 5 cases of maternal death. This community service activity aims to improve the level of health of pregnant women by monitoring hemoglobin levels and increasing knowledge by providing education about anemia in pregnant women and the impact of stunting. This activity was carried out in 2 stages and 3 ways, namely by providing pre, material and post. The material is delivered directly and using leaflets. The number of participants in this activity was 50 people. The results show that the average knowledge of pregnant women increased after education was provided by providing materials and leaflets.
Edukasi Masyarakat sebagai Pengawas Menelan Obat (PMO) untuk Meningkatkan Kepatuhan Pengobatan Tuberkulosis Putri, Adita Puspitasari Swastya; Duri, Iin Desmiany; Kuncara, Rachmad Bayu; Auliya, Qurrotu A’yuni
Abdimas Galuh Vol 6, No 2 (2024): September 2024
Publisher : Universitas Galuh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25157/ag.v6i2.14905

Abstract

Tuberkulosis merupakan penyakit menular penyebab kematian terbanyak, termasuk di Indonesia. Jawa Tengah menempati posisi tertinggi kedua dengan jumlah kasus terbanyak. Penyakit tuberkulosis dapat disembuhkan dengan melakukan pengobatan secara rutin dan teratur. Keberhasilan pengobatan tuberkulosis didukung oleh adanya peran Pengawas Menelan Obat (PMO) yang memantau dan mengingatkan penderita tuberkulosis untuk meminum obat secara rutin dan teratur hingga tuntas. Tujuan kegiatan ini adalah meningkatkan pengetahuan masyarakat melalui edukasi masyarakat sebagai PMO untuk meningkatkan kepatuhan pengobatan tuberkulosis di Kelurahan Penggaron Kidul Kecamatan Pedurungan Kota Semarang. Kegiatan yang dilakukan adalah edukasi kesehatan berupa penyuluhan dengan metode ceramah, tanya jawab, dan diskusi. Peserta diberikan leaflet tentang PMO sebagai media promosi kesehatan. Kegiatan di awali dengan pengerjaan soal pretest dan di akhiri dengan posttest untuk mengukur tingkat pemahaman peserta. Berdasarkan hasil kegiatan diketahui bahwa ada perbedaan antara tingkat pengetahuan peserta sebelum dan sesudah dilakukan edukasi. Terjadi peningkatan pemahaman warga masyarakat RT.06 RW.03 di Kelurahan Penggaron Kidul Kecamatan Pedurungan Kota Semarang yang cukup signifikan terhadap rata-rata nilai peserta. Peserta dapat menyebarkan seluruh informasi tentang PMO kepada keluarga dan masyarakat lain disekitarnya dengan menggunakan leaflet sebagai media promosi kesehatan.
Gambaran Stabilitas Pooled plasma CPDA Sebagai Bahan Kontrol Kualitas Pemeriksaan Asam Urat Pada Uji Presisi Within run dan Between day Setyaji, Yoki; Duri, Iin Desmiany; Setyowatiningsih, Lilik
Jaringan Laboratorium Medis Vol 6, No 2 (2024): November 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jlm.v6i2.10933

Abstract

The quality of laboratory test results is ensured by implementing quality control measures, which usually require control materials. The high cost of commercial control materials poses a challenge for laboratory quality control. Commonly, laboratory control materials are commercial control serums derived from animal serum that undergoes lyophilization during manufacturing. This study aims to assess the stability of CPDA pooled plasma that has been frozen for 60 days, using precision tests both within-run and between-day. Methods: This experimental research utilized CPDA pooled plasma samples from hematology laboratory waste at Poltekkes Kemenkes Semarang. The samples were frozen at -20℃ for 60 days. Quality control (QC) analysis was conducted using within-run and between-day precision tests without replication, to determine the standard deviation (SD) and coefficient of variation (CV). The results were then statistically analyzed using a one-way ANOVA to assess the difference in CPDA pooled plasma stability between the within-run and between-day precision tests. The QC results for within-day and between-day precision were as follows: the average for within-day was 4.066 and for between-day 3.2785; SD for within-day was 0.20 and for between-day 0.09; CV for within-day was 4.9% and for between-day 2.9%. The one-way ANOVA test showed a significance value of 0.316, indicating no significant difference between the within-day and between-day QC methods in terms of precision testing. Conclusion: CPDA pooled plasma remains stable in maintaining the precision of QC results for uric acid using the enzymatic colorimetric method (end-point) after 60-80 days of storage and can be used as an alternative to commercial control materials in uric acid QC testing.
Analisis faktor risiko yang berhubungan dengan nilai neutrophil lymphocyte ratio pada penderita tuberkulosis paru di Kota Semarang Putri, Adita Puspitasari Swastya; Duri, Iin Desmiany; Afrianti, Dina; Negoro, Muhamad Syamsul Arif Setiyo
Jurnal SAGO Gizi dan Kesehatan Vol 6, No 2 (2025): Agustus
Publisher : Poltekkes Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/gikes.v6i2.2370

Abstract

Background: The neutrophil-to-lymphocyte ratio (NLR) tends to increase in patients with tuberculosis (TB). The increase in NLR can also result from other risk factors, such as medical history, smoking status, treatment history, and treatment stage.Objectives: To determine the risk factors associated with the Neutrophil-to-Lymphocyte Ratio (NLR) in pulmonary tuberculosis patients in Semarang.Methods: This study used an analytical observational design with a cross-sectional approach. It was conducted at the Semarang Community Health Center from July 1, 2024, to August 31, 2024. The research sample consisted of pulmonary tuberculosis patients from five Puskesmas in the city, selected through cluster random sampling. Data were collected via laboratory test results and structured interviews. Descriptive analysis was used to evaluate frequency distributions, while bivariate analysis was used to assess relationships between variables.Results: Among 70 respondents, a significant relationship was found between treatment stage and the NLR in pulmonary tuberculosis patients at Kota Semarang (p=0,012). However, no significant relationship was found between comorbidities, smoking status, or treatment history and the NLR (p=0,525;0,790, and 0,525)Conclusion: The Neutrophil-to-Lymphocyte Ratio (NLR) decreased after patients progressed to the advanced treatment stage. Tuberculosis patients are encouraged to complete all stages of treatment and to stop smoking to enhance treatment outcomes.
Analysis of NLR and MLR Values in Patients with Pulmonary Tuberculosis and Pulmonary Tuberculosis with Diabetes Mellitus Kuncara, Rachmad Bayu; Sasangka, Parisade Galih; Sugihantono, Anung; Duri, Iin Desmiany; Qomariyah, Nurul; Kasiyati, Menik; Azahra, Sresta; Sulistyasmi, Wiwit
Jurnal Kesehatan Vol 16 No 2 (2025): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v16i2.5149

Abstract

Tuberculosis (TB) infection can cause changes in hematological parameters such as neutrophils, monocytes, and lymphocytes. The neutrophil-to-lymphocyte ratio (NLR) and monocyte-to-lymphocyte ratio (MLR) are used as indicators of inflammation and immune response in infectious diseases, including TB. Diabetes mellitus (DM) as a comorbidity can exacerbate inflammation, potentially affecting NLR and MLR values in TB patients. This study aimed to determine the NLR and MLR values in patients with pulmonary TB and pulmonary TB with DM. This research used a quantitative observational design with a cross-sectional approach, involving 72 respondents from several primary health centers (Puskesmas) in Semarang City, divided into two groups of 36 individuals each. The sampling technique used was purposive sampling. The results showed that the mean NLR value in pulmonary TB patients was 2.20, and in pulmonary TB with DM patients was 2.89, with a significant difference (p=0.002). Meanwhile, the mean MLR value in pulmonary TB patients was 0.34 and in pulmonary TB with DM patients was 0.33, with no significant difference (p=0.752). These findings indicate that NLR is more sensitive than MLR in reflecting the inflammatory status and DM complications in TB patients. NLR can be used as an additional marker in the clinical monitoring of TB patients, especially those with DM comorbidity.
Gambaran Stabilitas Pooled plasma CPDA Sebagai Bahan Kontrol Kualitas Pemeriksaan Asam Urat Pada Uji Presisi Within run dan Between day Setyaji, Yoki; Duri, Iin Desmiany; Setyowatiningsih, Lilik
Jaringan Laboratorium Medis Vol. 6 No. 2 (2024): November 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jlm.v6i2.10933

Abstract

The quality of laboratory test results is ensured by implementing quality control measures, which usually require control materials. The high cost of commercial control materials poses a challenge for laboratory quality control. Commonly, laboratory control materials are commercial control serums derived from animal serum that undergoes lyophilization during manufacturing. This study aims to assess the stability of CPDA pooled plasma that has been frozen for 60 days, using precision tests both within-run and between-day. Methods: This experimental research utilized CPDA pooled plasma samples from hematology laboratory waste at Poltekkes Kemenkes Semarang. The samples were frozen at -20℃ for 60 days. Quality control (QC) analysis was conducted using within-run and between-day precision tests without replication, to determine the standard deviation (SD) and coefficient of variation (CV). The results were then statistically analyzed using a one-way ANOVA to assess the difference in CPDA pooled plasma stability between the within-run and between-day precision tests. The QC results for within-day and between-day precision were as follows: the average for within-day was 4.066 and for between-day 3.2785; SD for within-day was 0.20 and for between-day 0.09; CV for within-day was 4.9% and for between-day 2.9%. The one-way ANOVA test showed a significance value of 0.316, indicating no significant difference between the within-day and between-day QC methods in terms of precision testing. Conclusion: CPDA pooled plasma remains stable in maintaining the precision of QC results for uric acid using the enzymatic colorimetric method (end-point) after 60-80 days of storage and can be used as an alternative to commercial control materials in uric acid QC testing.
Co-Authors Anung Sugihantono Auliya, Qurrotu A’yuni Azahra, Sresta Dina Afrianti1 Heltiani, Nofri Kasiyati, Menik Kuncara, Rachmad Bayu Lestari, Endah Dwi Maulana, Mochamad Rizal Negoro, Muhamad Syamsul Arif Setiyo Nurul Qomariyah Putri, Adita Puspitasari Swastya Sasangka, Parisade Galih Setyaji, Yoki Setyowatiningsih, Lilik Surati Surati Wiwit Sulistyasmi