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PENGARUH CASE MANAGER TERHADAP MUTU PELAYANAN KEPERAWATAN DI RUMAH SAKIT UMUM DAERAH PANDANARANG BOYOLALI Anggraeni, Titik; Pujiyanto, Tri Ismu; Sunarno, Rita Dewi
Jurnal Kebidanan VOLUME 17, NO.01 JUNI 2025
Publisher : Sekolah Tinggi Ilmu Kesehatan Estu Utomo Boyolali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35872/jurkeb.v17i01.876

Abstract

ABSTRAK : Pengambilan kebijakan rumah sakit semakin dipengaruhi oleh tuntutan terhadap pelayanan kesehatan yang bermutu. Salah satu model pelayanan kesehatan yang bisa digunakan untuk mempertahankan mutu dan menjamin kontinuitas pelayanan adalah case management system yang dilakukan oleh profesional di rumah sakit. Penelitian ini bertujuan untuk mengetahui pengaruh case manager terhadap mutu pelayanan keperawatan di Rumah Sakit Umum Daerah (RSUD) Pandan Arang Boyolali. Desain penelitian quasi eksperimen dengan menggunakan post test design with control group. Sampel penelitian ini adalah pasien rawat inap di RSUD Pandan Arang Boyolali yang ditentukan dengan tehnik purposive sampling, berjumlah 30 responden kelompok kontrol dan 30 responden kelompok intervensi. dengan kriteria sampel: pasien rawat inap, sadar dan bisa berkomunikasi dengan baik. Intervensi yang dilakukan adalah refreshing materi case manager. Analisis data menggunakan uji Independent t-test. Analisis data menunjukan ada pengaruh case manager terhadap mutu Pelayanan Keperawatan (p= 0,001). Kelompok intervensi mayoritas memberikan nilai mutu pelayanan keperawatan dengan kategori baik sebesar 60% (18 orang). Kelompok kontrol mayoritas memberikan nilai mutu pelayanan keperawatan dengan kategori cukup sebesar 73,3% (22 orang). Simpulan penelitian ini adalah ada pengaruh case manager terhadap mutu pelayanan keperawatan. Kata Kunci : Mutu Keperawatan; Case Manager
The Impact of Long-Term Particulate Matter with Diameter Micrometers ≤2.5 Exposure on Type 2 Diabetes Risk: A Meta-Analysis Anggraeni, Titik
Journal of Epidemiology and Public Health Vol. 10 No. 3 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.03.10

Abstract

Background: The rising global prevalence of type 2 diabetes (T2D) has prompted investigations into environmental risk factors beyond traditional lifestyle causes. Air pollution, particularly fine particulate matter (PM₂.₅) has emerged as a potential contributor to diabetes. This systematic review synthesizes evidence from large scale cohort studies to evaluate the association between long term air pollution exposure and T2D risk. Subjects and Method: We analyzed prospective cohort studies (2020–2025) assessing air pollution and incident T2D, sourced from PubMed, Web of Science and EMBASE using the search terms: ("air pollution" OR "PM2.5") AND ("type 2 diabetes" OR "T2D") AND ("cohort" OR "longitudinal"). We using PECO framework (Populatio= adults population; Exposure=High Exposure of PM2.5; Comparison=Low Exposure of PM2.5; Outcomes=T2D). The independent variable was Exposure of PM2.5 and dependent variable was T2D. Primary studies included were cohort manuscript published in english with year of publication between 2020 until 2025, reported adjusted hazard ratios (aHR), and the subjects was adults without diabetes at baseline. Studies were evaluated using the CASP Scale, and data were analyzed using RevMan 13. Results: This study includes 9 papers, using Cohort study designs, from China, United Kingdom, South Korea and United States. PM₂.₅ exposure consistently increased T2D risk with stronger effects at lower exposure levels (aHR = 1.24; 95% Cl = 1.07 to 1.42; p=0.004). Conclusion: Long-term PM₂.₅ exposure significantly increases T2D risk and progression