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All Journal Jurnal Penelitian dan Pengembangan Kesehatan Masyarakat Indonesia (JPPKMI) Journal for Research in Public Health
Siswoyo, Cipto
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Health Professions Nursing Public Health

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Analisis Faktor yang Berpengaruh terhadap Peningkatan Biaya Perawatan Pasca Operasi di Instalasi Bedah Sentral RSUD Kabupaten Jombang Siswoyo, Cipto; S, Sentot Imam; Siyoto, Sandu
Jurnal Penelitian dan Pengembangan Kesehatan Masyarakat Indonesia Vol 1 No 1 (2020): JPPKMI: Juni 2020
Publisher : Asosiasi Institusi Pendidikan Tinggi Kesehatan Masyarakat Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/jppkmi.v1i1.41432

Abstract

Keterampilan dalam perawatan pasien pasca operasi sangat dibutuhkan untuk mencegah komplikasi yang memperlama perawatan dirumah sakit atau membahayakan diri pasien. Persiapan sebelum operasi perlu perhatian khusus karena beberapa komplikasi dapat terjadi setelah operasi yang menyebabkan terjadinya peningkatan biaya perawatan baik terhadap pasien maupun terhadap pihak rumah sakit. Tujuan penelitian yaitu untuk menganalisis faktor yang mempengaruhi peningkatan biaya perawatan pasca operasi Di Instalasi Bedah Sentral RSUD Kabupaten Jombang. Desain penelitian yaitu observasional analitik dengan p endekatan kuantitatif. Variabel penelitian yaitu factor penyebab terjadinya hipotermi, indeks massa tubuh, jenis anestesi, lama operasi, dan lama perawatan di recovery room sebagai variabel independen, peningkatan biaya sebagai variabel dependen. Populasi penelitian ini seluruh pasien pasca operasi di Instalasi Bedah Sentral RSUD Kabupaten Jombang dengan rata-rata jumlah pasien per bulan sebanyak 326 pasien. Sampel diambil dengan teknik simple random sampling sebanyak 180 responden. Data dikumpulkan dengan instrumen ceklist dan diolah secara editing, coding, scoring dan tabulating serta diuji dengan uji regresi dummy. Hasil regresi dummy menunjukkan bahwa variabel yang berpengaruh secara langsung adalah lama perawatan di ruang recovery room dan kejadian hipotermi karena nilai p value < 0,05. Sedangkan variabel indeks massa tubuh, jenis anastesi, dan lama operasi tidak berpengaruh secara langsung terhadap peningkatan biaya perawatan di ruang recovery room Adanya penurunan suhu tubuh pasien memerlukan penanganan yang lebih intensif daripada pasien dalam keadaan suhu tubuh normal, dan juga pasien hipotermi membutuhkan tambahan peralatan, oksigen dan penghangat untuk dapat mengembalikan suhu tubuh pasien dalam kondisi normal, sehingga mempengaruhi peningkatan biaya perawatan di ruang pulih sadar.
Analysis of the Factor that’s Influence an Increase of Cost of Post-Operative Care on the Central Surgical Installation at Jombang General Hospitals Siswoyo, Cipto; Suprapto, Sentot Imam; Siyoto, Sandu
Journal for Research in Public Health Vol. 1 No. 2 (2020): January
Publisher : Master of Public Health Program Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Post-operative treatment and recovery anestesia desperately need professional nursing skills. Skills in the post-operative care of patients is urgently needed to prevent complications that lengthening the home care pain or harm themselves. The old days of post-operative patient care need great attention because of some complications can occur after surgery if not handled properly, can make long day care be long that can eventually lead to the occurrence of the increase in the cost of treatment to the patients as well as the hospital. The purpose of the research is to analyze the cost of post-operative care enhancement due to hypothermia on the Central Surgical Installation At Jombang General Hospitals. The research design was analytic observational with a quantitative approach. Research variables i.e. factor causes the occurrence of hypothermia as the independent variable, the dependent variable costs increase. This research population throughout the patient's post-operative at Central Surgical Installation At Jombang General Hospitals with the average number of patients per month as much as 326 patients. Samples taken with the technique of simple random sampling as much as 180 respondents. Data is collected with instruments ceklist and processed in coding, editing, tabulating and scoring as well as tested with dummy regression test. The regression results show that the dummy variables that influence directly are in long treatment in recovery room and hipotermi events because the value of a p value < 0.05. While variable, the type of anaesthetic, BMI and long operations have no effect directly against the increase in the cost of treatment in the recovery room space. The existence of a decrease in body temperature of the patient requires more intensive than the handling of patients in a State of normal body temperature, and also requires additional equipment hipotermi patients, oxygen and heating to be able to restore the patient's body temperature in normal conditions, thus affecting an increase in treatment costs in the recovered unconscious
Co-Authors S, Sentot Imam Sandu Siyoto, Sandu Suprapto, Sentot Imam