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The Utilization of Voluntary Counseling and Testing Through Support and Family Health Care Functions Ni Putu Wiwik Oktaviani; Ni Luh Putu Devhy; I Made Sudarma Adiputra; Ni Wayan Trisnadewi
Jurnal Berkala Epidemiologi Vol. 9 No. 3 (2021): Jurnal Berkala Epidemiologi (PERIODIC EPIDEMIOLOGY JOURNAL)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V9I32021.275-283

Abstract

Background: The transmission of the Human Immunodeficiency Virus (HIV) from mother to baby is now increasing along with the growing number of HIV-infected women. Approximately 15% of pregnant women living with HIV have accessed antiretroviral (ARV) medicine to prevent transmission of the virus to their babies. Purpose: This study aimed to identify the support and healthcare functions available to pregnant women in using the voluntary counseling test (VCT). Methods: This research was conducted in the working area of Gianyar District health center. The independent variables in this study are family support and family healthcare functions. The dependent variable is the utilization of VCT health service facilities. This study employed a cross-sectional research design. The samples were 108 respondents recruited using a probability sampling technique, namely multi-stage sampling. Bivariate and multivariate analysis were conducted using the chi-square test and logistic regression test. Results: The research variable related to the use of VCT health services with family support showed an odds ratio (OR) = 122, while family healthcare function had an OR = 465. Conclusion: Pregnant women with good family support, good healthcare function, increased maternal age, and early gestational age were more likely to use VCT than when they were in opposite situations.
Tinjauan Literatur: Studi Ketidaklengkapan Pengisian Rekam Medis Rawat Inap Kasus Interna Ni Made Periani; I Made Sudarma Adiputra; Ni Nyoman Meryadi
Jurnal Rekam Medis dan Informasi Kesehatan Vol 3, No 2 (2020): OKTOBER 2020
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (40.198 KB) | DOI: 10.31983/jrmik.v3i2.5928

Abstract

Completeness of medical records is very important because it affects the patient's treatment process and insurance claims. In fact, there are still many incomplete medical records. The purpose of this study was to determine the results of the completeness of filling in inpatient medical records for internal cases. The method used is a literature review method. Strategies in searching for Indonesian language studies relevant to the topic are carried out using Google Scholar. The keywords used were the study of completeness of filling in inpatient medical records for internal cases, analysis of completeness of medical records. In the search phase, journal articles are limited to publications from 2015-2020. Identification review on entry and exit summary form and anesthesia report was 99%. Review important reports on the return summary form 88.89%. Authentication Review is 60%. Documenting that is not correct on the disease course sheet 36.11%. The results of journal analysis show that the completeness of medical records has not reached 100% and there are still many incomplete items. Suggestions for doctors and nurses to better understand the importance of completeness of medical records, especially the completeness of the medical resume form. ABSTRAKKelengkapan rekam medis sangat penting karena berpengaruh terhadap proses pengobatan pasien dan klaim asuransi. Kenyataan masih banyak rekam medis yang belum terisi lengkap. Tujuan dari penelitian ini adalah untuk mengetahui hasil kelengkapan pengisian rekam medis Rawat inap kasus interna. Metode yang digunakan adalah metode telaah literature review. Strategi dalam pencarian studi berbahasa Indonesia yang relevan dengan topik dilakukan dengan menggunakan Google Scholar. Kata kunci yang digunakan adalah studi kelengkapan pengisian rekam medis rawat inap kasus interna, analisis kelengkapan rekam medis. Pada tahap pencarian artikel jurnal dibatasi terbitan dari tahun 2015-2020. Hasil review identifikasi pada formulir ringkasan masuk dan keluar serta laporan anastesi yaitu 99%. Hasil review laporan penting pada formulir ringkasan pulang 88,89%. Hasil review Autentifikasi yaitu 60%. Pendokumentasian yang tidak benar pada lembar perjalanan penyakit 36,11%. Hasil analisis jurnal menunjukkan bahwa Kelengkapan rekam medis belum mencapi 100% dan masih banyak terdapat item yang tidak lengkap. Saran bagi dokter dan perawat agar lebih memahami petingnya kelengkapan rekam medis terutama kelengkapan pada formulir resume medis.
Community Behavior in Rural Areas: Washing Hands and Wearing Masks During the Covid Ni Putu Wiwik Oktaviani; I Komang Suastika; Ni Wayan Trisnadewi; I Made Sudarma Adiputra
Indonesian Journal of Global Health Research Vol 3 No 2 (2021): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (361.943 KB) | DOI: 10.37287/ijghr.v3i2.415

Abstract

The spread of the Covid-19 virus is currently still increasing even though the Covid-19 vaccine has started to be given to the public. The development of Covid -19 cases as of April 20, 2021, totaling 1,614,849 positive cases. The increase in the spread of the virus requires the application of health protocols through hand washing and the wearing of strict masks during the Covid 19 pandemic. Objective:This study aims to determine the description of hand washing behavior and a description of the wear of masks in the Banjar Dinas Muntigunung community, West Tianyar Village, Kubu District, Karangasem Regency in the Covid-19 Pandemic Era. The type of research used in this research is quantitative research with a descriptive exploratory research design. The population of this research is the whole society Banjar Dinas Muntigunung. The sampling technique used in this study is non-probability sampling with simple random sampling technique of 360 people, the available population is made a lottery number then randomized until 360 samples are collected. Data collection is done online. Data analysis was carried out by univariate namely the frequency distribution. The results showed that the average age of respondents was 33 years with the majority of respondents being female, 58.9%, having a history of high school education of 57.8%. The results showed that the majority of respondents had good hand washing behavior, as many as 360 people (100%) and in the use of masks in the good category, 273 people (75.8%). The community is expected to be able to implement and improve hygiene and healthy living habits, especially the behavior of washing hands with soap in running water and using masks when leaving the house or interacting with other people. The results showed that the average age of respondents was 33 years with the majority of respondents being female, 58.9%, having a history of high school education of 57.8%. The results showed that the majority of respondents had good hand washing behavior, as many as 360 people (100%) and in the use of masks in the good category, as many as 273 people (75.8%). The community has good behavior in washing hands and wearing masks during the Covid 19 pandemic.
Strategies of Health Workers in Tackling Stunting in Rural Areas during the Covid-19 Pandemic Ni Putu Wiwik Oktaviani; Ni Wayan Trisnadewi; I Made Sudarma Adiputra
Indonesian Journal of Global Health Research Vol 4 No 1 (2022): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (474.967 KB) | DOI: 10.37287/ijghr.v4i1.802

Abstract

The current Covid-19 vaccination has reached most people throughout Indonesia. The main focus of this spectrum is on handling the Covid-19 pandemic through the provision of vaccines in Indonesia. The pandemic's impact is indisputably clear, especially in the Stunting Management Programs, which are likely not optimal and require a viable strategy in handling it. Objective: This study aims to identify the strategy of health workers in tackling stunting in rural areas during the Covid-19 Pandemic. Method: This study employs a quantitative descriptive design where the population involved are health workers holding nutrition programs from health centres in rural areas in the province of Bali. The sampling technique in this study utilizes a non-probability sampling technique, namely purposive sampling of 34 respondents. Afterwards, data collection was done online, with the inclusion criteria for health workers working as nutrition program holders and community health centres in rural areas. This study indicates that 55.90% of health workers are not well-performing at dealing with stunting during the pandemic, while 44.10% of them show positive performance. Therefore, prevention of stunting by health workers during a pandemic is one of the indicators of whether stunting is in a high or low incidence.
Pengaruh Senam Bugar Terhadap Tekanan Darah Lansia dengan Hipertensi : Studi Quasi Eksperimental I Made Sudarma Adiputra; Ni Luh Gede Ita Sunariati; Ni Wayan Trisnadewi; Ni Putu Wiwik Oktaviani
Jurnal Kesehatan Vokasional Vol 6, No 4 (2021): November
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.66441

Abstract

Latar Belakang: Hipertensi pada lansia merupakan peningkatan tekanan darah yang terjadi pada lanjut usia. Senam bugar merupakan aktivitas fisik dengan gerakan yang ringan dan sangat tepat bila dilakukan pada lansia hipertensi.Tujuan: Mengetahui pengaruh senam bugar lansia terhadap tekanan darah lansia dengan hipertensi.Metode: Jenis penelitian ini adalah Quasi Experiment dengan rancangan Non-Equivalent Control Group Design. Jumlah responden yang berpartisipasi sebanyak 36 orang. Penelitian ini dibagi menjadi dua kelompok yaitu kelompok intervensi dan kelompok kontrol, pemilihan sampel diambil dengan teknik Purposive Sampling. Data dianalisis  menggunakan Wilcoxon dan Mann-Whitney.Hasil: Hasil penelitian ini menunjukkan pada kelompok perlakuan nilai rata-rata tekanan darah sistole saat pre-test 168,1 mmHg dan post-test 153,4 mmHg sedangkan diastole pre-test 95,56 mmHg dan post-test 82,67 mmHg, pada kelompok perlakuan secara statistik mengalami penurunan tekanan darah setelah senam bugar lansia dengan p-value <0.001 uji beda dua kelompok didapatkan hasil p-value <0.001, dari hasil ini terlihat ada perbedaan tekanan darah antara kelompok perlakuan dan kontrol.Kesimpulan: Hal ini menunjukkan ada pengaruh yang signifikan senam bugar lansia terhadap tekanan darah lansia dengan hipertensi. Diharapkan lansia berperan aktif dalam mengikuti kegiatan senam dari posyandu lansia secara rutin untuk membantu menurunkan serta mengontrol tekanan darah tinggi.
Gambaran Ketepatan Kode ICD-10 Kasus Obstetri Triwulan 1 Pada Pasien Rawat Inap Di RSUD Sanjiwani Gianyar I Made Sudarma Adiputra; Ni Luh Putu Devhy; Kadek Intan Puspita Sari
Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) Vol 8, No 2 (2020)
Publisher : Asosiasi Perguruan Tinggi Rekam Medis dan Informasi Kesehatan Indonesia- APTIRMIKI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33560/jmiki.v8i2.283

Abstract

Rekam medis merupakan aspek yang sangat penting bagi rumah sakit, dimana salah satu aspek dari rekam medis adalah kode diagnosis Ketepatan kode diagnosis dapat berpengaruh terhadap analisis pembiayaan pelayanan kesehatan khususnya dalam kelancaran proses pengkliman, pelaporan nasional morbiditas dan mortalitas, tabulasi data pelayanan kesehatan. Tujuan dari penelitian ini adalah untuk mengetahui gambaran ketepatan kode ICD-10 kasus obstetri triwulan 1 pada pasien rawat inap di RSUD Sanjiwani Gianyar. Metode penelitian yang digunakan adalah deskritif kuantitatif dengan jumlah sampel sebanyak 87 dengan menggunakan metode simple random sampling, alat pengumpulan data menggunakan ceklist dan menggunakan analisis univariat. Hasil penelitian menunjukan bahwa ketepatan kode Complication of delivery dapat dilihat bahwa seluruh frekuensi sampel menunjukan hasil yang tepat sesuai kode ICD-10 dengan persentase 100%, ketepatan kode Metode of delivery dari 87 rekam medis diketahui bahwa kode yang tepat sebanyak 77 (88,51%), ketepatan kode Outcome of delivery 87 rekam medis, diketahui bahwa kode yang tepat sebanyak 40 (45,98%). Kesimpulan : Sebagian besar kode diagnosis kasus obstetri tidak tepat, maka sebaiknya petugas koding memperhatikan tanda baca, aturan dan tata cara pengkodingan berdasarkan ICD-10
HUBUNGAN ANKLE BRACHIAL INDEX (ABI) DENGAN SENSITIVITAS KAKI PADA PENDERITA DIABETES TIPE II I Made Sudarma Adiputra; I Made Dwi Arianta; Ni Wayan Trisnadewi; Ni Putu Wiwik Oktaviani
Jurnal Keperawatan Vol 16 No 1 (2020): Jurnal Ilmiah Keperawatan Sai Betik
Publisher : Jurusan Keperawatan Politeknik Kesehatan Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkep.v16i1.1891

Abstract

Hiperglikemi kronis dapat menyebabkan sel endotel pembuluh darah dan sel saraf menjadi hiperglisolia. Kondisi ini mengakibatkan perubahan berbagai jalur biokimia, salah satunya protein kinase C (PKC) yang menyebabkan penebalan pembuluh darah sehingga terjadi penurunan nilai ABI. Penurunan nilai ABI akan mengganggu metabolisme sel Schwann sehingga hantaran saraf perifer mengalami gangguan. Terganggunya hantaran saraf perifer akan menyebabkan penurunan sensitivitas kaki. Penelitian ini bertujuan untuk mengetahui hubungan ankle brachial index (ABI) dengan sensitivitas kaki pada penderita diabetes tipe II. Penelitian ini menggunakan metode cross sectional. Jumlah sampel penelitian ini sebanyak 86 orang diambil dengan teknik purposive sampling. Pengumpulan data menggunakan spygmonanometer digital dan monofilament 10 g. Hasil  uji Chi square di dapatkan p=0,000 menunjukan bahwa ada hubungan ABI dengan sensitivitas kaki pada penderita diabetes mellitus tipe II. Penurunan nilai ABI akan diikuti dengan penurunan sensitivitas kaki, jika hal ini tidak dicegah akan berisiko menimbulkan kaki diabetik pada penderita diabetes melitus tipe II
Warm Water Administration Before Nebulization Improves Airway Clearance In Asthma I Made Sudarma Adiputra; Kadek Mahendra Novita Rahayu
Bali Medika Jurnal Vol 4 No 2 (2017): Bali Medika Jurnal Vol 4 No 2 Desember 2017
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v4i2.3

Abstract

Nowadays, population of asthma symptoms increased according to the life style of modern people. Giving warm water was self action therapy non-pharmacologically its benefit is to open the airway for asthma’s patient. The purpose of this study was gain more knowledge about the effect by giving warm water before nebulizer action toward to the smoothness asthma’s patient airway. This study took place at RSUD Bangli on June-July 2017. Method: Quasi Experimental Design With Two Groups Research Using Pretest-Posttest Design. About twenty samples taken using Non-Probability With Consecutive Sampling. In this research using two hypothesis such as Wilcoxon Signed Rank Test and Mann-Whitney U-Test. Result And Analysis: The Wilcoxon Signed Rank Test hypothesis results got about 0,002 p value. Than Mann-Whitney U-Test got about 0,029 p value. Mean that there were difference effects by giving warm water before nebulizer action toward to the airway smoothness of asthma patient. Discussion: By giving warm water resulting two effects, hydrostatic and hydrodynamic therefore the airway become permanent. 
PEMBERDAYAAN KADER KESEHATAN MENDETEKSI DINI STUNTING PADA BALITA Ni Putu Wiwik Oktaviani; Ni Luh Gede Puspita Yanti; Nurul Faidah; Ni Kadek Muliawati; I Made Sudarma Adiputra
J-ABDI: Jurnal Pengabdian kepada Masyarakat Vol. 1 No. 10: Maret 2022
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/jabdi.v1i10.1618

Abstract

Penyakit Covid-19 sampai saat ini masih mengancam dan menjadi masalah kesehatan yang harus ditangani dengan serius. Kondisi kesehatan dunia dan ekonomi semakin buruk karena dipengaruhi oleh penyakit Covd-19 yang sangat menular. Salah satu dampak dari Covid-19 adalah kasus kekurangan gizi atau stunting yang masih belum bisa tertangani dengan baik dan membutuhkan strategi yang tepat dalam penanganan stunting. Pemerintah Indonesia memberikan perhatian yang sangat besar pada stunting, yang menargetkan penurunan stunting sebanyak 19% pada tahun 2024. Intervensi 1000 hari pertama dari program pemerintah yang bertujuan untuk menurunkan angka kejadian stunting ini sudah mampu menurunkan angka kejadian stunting dengan perlahan. Pos Pelayanan Terpadu (Posyandu) balita merupakan akses primer masyarakat khususnya ibu dengan balita untuk melakukan pemantauan terhadap tumbuh kembang balita. Tahapan pertama dalam pengabdian masyarakat melakukan pretest untuk mengetahui pengetahuan kader kesehatan mengenai stunting, tahap kedua memberikan pengetahuan mendeteksi dini stunting dan simulasi penggunaan kalkulator stunting, tahap ketiga melakukan posttest untuk melihat perubahan pengetahuan setelah diberikan pengetahuan. Hasil pengabdian masyarakat ini memberikan manfaat kepada kader dalam melakukan deteksi dini stunting terhadap balita menggunakan kalkulator gizi.
Risk Factors of Attention Deficit Hyperactivity Disorder (ADHD) among Children in Denpasar I Made Sudarma Adiputra; I Made Sutarga; Gede Ngurah Indraguna Pinatih
Public Health and Preventive Medicine Archive Vol. 3 No. 1 (2015)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2015.v3.i1.p07

Abstract

Background and purpose: Attention Deficit Hyperactivity Disorder (ADHD) is a developmental disorder that often occurs in children characterized by low concentration and hyperactivity. Comprehensive efforts required to prevent and to understand risk factor of ADHD. Aim of this study was to understand risk factors that may increase the occurrence of ADHD among children in Denpasar. Methods: The study design was a matched case-control. Number of samples was 38 cases and 38 controls, who were matched by age, sex and residence. Cases was obtained from the Service Center of Psychology and Children with Special Needs Pradnyagama Denpasar. Controls were selected from the residence close to cases. Data analysis was performed with the McNemar test and conditional (fixed-effects) logistic regression. Results: The study found that there were two factors significantly increase risk of ADHD namely low birth weight (adjusted OR=220.9; 95%CI: 6.9-6991,3) and genetic (adjusted OR=45.5; 95% CI: 3.3-620.9). Conclusions: Low birth weight and genetic were found as risk factorsof ADHD.