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PERBANDINGAN BIAYA PELAYANAN RAWAT JALAN POLIKLINIK JANTUNG DENGAN REALISASI KLAIM BPJS KumalaSari, Intan; Lestari, Yuniar; Astiena, Adila Kasni
Jurnal Kesehatan Medika Saintika Vol 15, No 1 (2024): Juni 2024
Publisher : Stikes Syedza Saintika Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30633/jkms.v15i1.2590

Abstract

 Latar Belakang : RSI Ibnu Sina Simpang Empat merupakan salah satu rumah sakit swasta tipe C. Pada instalasi rawat jalan RSI Ibnu Sina Simpang Empat, jumlah kunjungan pasien penyakit jantung selama tahun 2019 adalah 14% dari semua kunjungan di Poliklinik, dimana 97% merupakan pasien BPJS. Penyakit jantung mengeluarkan biaya terbanyak dalam pengobatanya yakni sebesar Rp 667.983.229 pada triwulan pertama awal tahun 2019 dan masih terdapat selisih minus sebesar -Rp 340.246.429 setelah klaim dibayarkan. Kondisi ini dapat menyebabkan kerugian yang dapat berdampak pada pendapatan rumah sakit. Metoda : Jenis penelitian ini merupakan penelitian campuran yang berbentuk Sekuensial eksplanatori.  Sampel digunakan  secara perfosif pada tiga diagnosis utama pada Poliklinik Jantung selama tahun 2019-2020. Hasil : Selisih biaya negatif yang sangat besar terjadi pada diagnosis Congestive Heart Failure  dengan disertai Atherosclerotic heart disease (I.50.0;I25.1) di tahun 2019 yakni -125%, diikuti diagnosis Atherosclerotic heart disease (I25.1) sebesar -17% dan Congestive Heart Failure (I50.0) sebesar -19%.  Dengan adanya kebijakan manajemen menyebabkan terjadi keuntungan di tahun 2020 pada diagnosis tersebut secara berturut-turut sebesar 26%, 23%, dan 34 % dimana proses pelayanan yang mengeluarkan biaya terbesar berasal dari pembiayaan obat. Kesimpulan : Kebijakan pelayanan pengajuan klaim BPJS di RSI Ibnu Sina Simpang Empat dapat menekan kerugian yang terjadi  di Poliklinik Jantung tahun 2019 menjadi keuntungan di tahun 2020.
Factors Associated with The Incidence of Chronic Energy Deficiency (CED) n Third Trimester Pregnant Women In The Working Area of The Lubuk Begalung Health Center, Padang City Agustianov, Indah; Lestari, Yuniar; Lisa, Ulfa Farrah; Rita, Rauza Sukma; Hudzaifah, Hindun Mila
Women, Midwives and Midwifery Vol. 4 No. 3 (2024): Women, Midwives and Midwifery journal
Publisher : Asosiasi Pendidikan Kebidanan Indonesia (AIPKIND)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36749/wmm.4.3.93-106.2024

Abstract

Background: The World Health Organization (WHO) reports a global prevalence of Chronic Energy Deficiency (CED) in pregnancy ranging from 35-75%. In Padang City’s Lubuk Begalung Region, the 2022 health profile indicated a 12.9% incidence of CED among 1,268 pregnant women. Several factors influence CED incidence, including age, economic status, education, pregnancy spacing, parity, employment, and antenatal care (ANC) visits. Purpose: To identify factors associated with CED among third-trimester pregnant women in the Lubuk Begalung Health Center Working Area. Methods: This cross-sectional analytical study involved 57 respondents selected through simple random sampling. Inclusion criteria were third-trimester pregnant women aged 24-40 weeks who could communicate effectively, excluding those who could not be contacted after three attempts. Data collection involved interviews using a structured questionnaire, and analyses were performed using chi-square and logistic regression with a 95% confidence interval. Results: CED was observed in 21 respondents (36.8%). Key factors included age <20 or >35 years (59.3%), low economic status (55.0%), low education level (53.8%), unemployment (51.5%), and ?3 ANC visits (56.5%). Age was the dominant factor (p = 0.005, b = 6.623). Conclusion: Age, education, occupation, and ANC visits were significantly associated with CED, while economic status, pregnancy spacing, and parity were not. Future studies should explore additional factors influencing CED.
Energy Consumption and Efficiency Optimization in Freeze Drying of Fruits and Vegetables: A Review Zudana, Kirana; Wahyuni, Fitri; Putri, Sheila; Lestari, Yuniar
Journal of Clean Technology Vol. 2 No. 1 (2025): February 2025
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/joct.v2i1.28102

Abstract

Fruits and vegetables are essential for global nutrition and economic growth, yet they are among the most perishable food commodities, contributing to major postharvest losses worldwide. Freeze drying is widely recognized as a superior preservation method that maintains the structural integrity, nutritional value, and sensory quality of fresh produce. Despite its advantages, freeze drying is energy-intensive, posing challenges for cost-effectiveness and sustainability in large-scale applications. This review explores the freeze drying process in detail, highlighting the critical operational parameters such as freezing rate, chamber pressure, shelf temperature, and sample thickness, that influence both product quality and energy consumption. Additionally, the role of cryoprotectants in preserving bioactive compounds during drying is discussed. By identifying optimization strategies for these parameters, this study aims to support the development of more energy-efficient and economically viable freeze drying systems for the fruit and vegetable processing industry.
HUBUNGAN AKTIVITAS FISIK DENGAN KADAR ASAM URAT DARAH PADA ORANG LANJUT USIA DI PUSKESMAS PADANG KANDIS KABUPATEN LIMA PULUH KOTA Salsabilla, Ainna Fajra; Irramah, Miftah; Lestari, Yuniar
EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan Vol. 2 No. 4 (2025): EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan, Desember 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/empiris.v2i4.1964

Abstract

Uric acid is a crystalline acid, the end product of purine metabolism. Normal uric acid levels depend on age and gender, exceeding the normal limit indicates an increase in uric acid levels. One contributing factor to elevated uric acid is increased physical activity. This study aims to determine the Relationship between Physical Activity and Uric Acid Levels in elderly people at the Padang Kandis Health Center, Lima Puluh Kota Regency. This observational analytic study, with a cross sectional research design and includes 30 elderly participants meeting inclusion and exclusion criteria, assessed through the Global Physical Activity Questionare (GPAQ). Uric acid levels were measured using Autocheck digital instruments and test strips. Data analysis utilized the Chi-Square Test. Results revealed an equal ratio of normal and high uric acid levels in the elderly (50%), and the highest level of physical activity was light physical activity (46,6%). High uric acid levels were found more in the elderly with low physical activity levels (46,3%). The Chi-Square Test yielded  p=0,208 (>0,05).This study found no significant relationship between physical activity and uric acid levels in elderly people at the Padang Kandis Health Center, Lima Puluh Kota Regency.
Hubungan Employee Engagement, Quality of Work Life dan Komitmen Organisasi Dengan Turnover Intention Perawat Dari RS Unand Padang Tahun 2023 Engga Lift Irwanto; Rizanda Machmud; Yuniar Lestari
Jurnal Ners Vol. 9 No. 1 (2025): JANUARI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i1.29003

Abstract

Penganalisaan hubungan pelaksanaan employee engagement, quality of work life dan komitmen organisasi terhadap perawat di Rumah Sakit Unand pada Tahun 2023. Penggunakan metode mix methods dilakukan dengan maksud agar mengetahui frekuensi distribusi hubungan variabel employee engagement, quality of work life dan komitmen organisasi terhadap turnover intention perawat di Rumah Sakit Unand. Hasil penelitian menunjukkan adanya hubungan yang berpengaruh negatif antara employee engagement perawat di RS Unand maka semakin rendah tingkat turnover intention perawat di RS Unand, quality of work-life perawat berpengaruh negatif dan signifikan terhadap turnover intention perawat di RS Unand dan komitmen organisasi berpengaruh negatif dan signifikan terhadap turnover intention perawat di RS Unand, Sehingga hal ini menunjukkan jika pelaksanaan employee engagement, quality of work life dan komitmen organisasi semakin di tingkatkan maka tingkat turnover intention yang terjadi semakin menurun, hal ini juga diungkapkan oleh perawat yang menyatakan rendahnya tingkat turnover intention mereka selama bekerja di Rumah Sakit Unand dikarenakan kenyamanan kerja, kompak dengan rekan kerja dan peluang jenjang karir dan studi yang lebih besar di Rumah Sakit Unand. Sehingga diharapkan Rumah Sakit Unand menjaga kualitas dan kuantitas SDM-nya melalui peningkatan employee engagement, quality of work life dan komitmen organisasi agar berdampak dengan kualitas pelaksanaan pelayanan kepada masyarakat publik
Efektifivitas Intervensi Perubahan Perilaku Petani dalam Penggunaan Pestisida Berbasis Pendekatan Transtheoretical Model Friska Eka Fitria; Nur Afrainin Syah; Jamsari Jamsari; Yuniar Lestari
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.52921

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Penggunaan pestisida yang tidak aman dan sehat masih menjadi persoalan serius di sektor pertanian dan meningkatkan risiko kesehatan petani. Penelitian ini bertujuan mengevaluasi efektivitas intervensi berbasis Transtheoretical Model (TTM) dalam mendorong perubahan perilaku penggunaan pestisida yang aman dan sehat pada petani hortikultura di Kabupaten Solok. Penelitian menggunakan desain one group pretest–posttest dengan 36 responden yang dipilih menggunakan quota sampling. Instrumen berupa kuesioner TTM yang memetakan lima tahap perilaku: pra-kontemplasi, kontemplasi, persiapan, tindakan, dan pemeliharaan. Intervensi diberikan satu kali melalui penyuluhan menggunakan media berupa video edukasi, diskusi kelompok dan konseling individu, dan pelatihan penggunaan APD dan praktik dosis serta pencampuran pestisida yang tepat. Hasil menunjukkan pergeseran signifikan tahap perilaku, dengan mayoritas petani bergerak dari kontemplasi ke persiapan dan tindakan. Uji Wilcoxon menghasilkan p=0,000 (p≤0,05), menandakan adanya perbedaan bermakna antara pretest dan posttest. Sebanyak 72,2% petani mengalami perubahan perilaku ke arah positif. Temuan ini menegaskan bahwa intervensi yang disesuaikan dengan tahapan kesiapan individu lebih efektif dalam mendorong perubahan perilaku, serta berpotensi menjadi dasar penyusunan strategi peningkatan kesehatan kerja petani yang berkelanjutan.
IMPLEMENTASI PENGELOLAAN LIMBAH MEDIS PADAT B3 PADA MASA PANDEMI COVID-19 Susanti, Yenila; Lestari, Yuniar; Yetti, Husna
Jurnal Kesehatan - STIKes Prima Nusantara Vol 12 No 3 (2021): JURNAL KESEHATAN
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v12i3.498

Abstract

Latar Belakang: Limbah medis padat Bahan Berbahaya dan Beracun (B3) rumah sakit terjadi peningkatan hingga 30% dimasa pandemi covid-19. Pengelolaan limbah medis B3 di Fasyankes diatur dalam Peraturan Menteri Lingkungah Hidup dan Kehutanan RI nomor 56 Tahun 2015.Tujuan: Penelitian ini bertujuan menganalisis implementasi pengelolaan limbah medis padat B3 pada masa pandemi covid-19 di RSUD Arosuka Kabupaten Solok Tahun 2021.Metode: Penelitian bersifat deskriptif menggunakan metode kualitatif melalui wawancara mendalam, FGD, observasi dan telaah dokumen. Komponen yang diteliti meliputi aspek input (kebijakan, SDM, dana, sarana prasarana), proses (pengurangan dan pemilahan, penyimpanan, pengangkutan), output (implementasi pengelolan limbah B3 sesuai dengan aturan yang ada) serta pengawasan oleh DLH Kab. Solok sedangkan pengolahan data dengan triangulasi sumber.Hasil: Hasil penelitian menunjukkan rumah sakit belum memiliki SOP, cold storage, merek dan label TPS, rak penyimpanan limbah, AC, jalur khusus pengangkutan limbah, tidak ada desinfeksi limbah covid-19, belum dilaksanakannya pengawasan berkala oleh DLH Kab. Solok, output pengelolaan limbah medis B3 pada masa pandemi covid-19 belum memenuhi persyaratan.Kesimpulan: implementasi pengelolaan limbah medis B3 di RSUD Arosuka Kab. Solok belum sesuai PermenLHK RI No 56 Tahun 2015. Disarankan agar dibuat kebijakan internal, SOP, penambahan dan peningkatan SDM, perbaikan dan kelengkapan sarana prasarana TPS B3, dilaksanakannya pengawasan dan pembinaan secara berkala oleh DLH terhadap pengelolaan limbah medis B3.
ANALISIS PENGENDALIAN PAPARAN PESTISIDA PADA PETANI Juniwati, Juniwati; Lestari, Yuniar; Yetti, Husna
Jurnal Kesehatan - STIKes Prima Nusantara Vol 8 No 1 (2017)
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v13i0.608

Abstract

LatarBelakang: Tingginya jumlah pekerja dibidang pertanian, berbanding lurus dengan tingginya penggunaan pestisida. Penggunaan pestisida dalam jumlah besar dan dilakukan secara terus menerus dapat menimbulkan dampak negatif bagi kesehatan dan lingkungan.Tujuan : Penelitian ini bertujuan untuk memberikan deskripsi tentang peran puskesmas dalam pengendalian paparan pestisida pada petani melalui aspek input, proses, dan output.Metode:Penelitian ini merupakan penelitian kualitatif dengan teknik pengambilan sampel purposive sampling. Teknik penelitian dilakukan dengan wawancara mendalam, Focus Group Discussion (FGD), observasi dan telaah dokumen.Hasil: Hasil penelitian menunjukkan upaya pengendalian paparan pestisida diwilayah kerja Puskesmas Sungai Tutung belum terlaksana. Hal ini dipengaruhi oleh beberapa faktor seperti belum ada kebijakan dari pemerintah daerah, SDM yang belum memadai, tidak ada alokasi dana kegiatan, tidak ada sosialisasi terkait upaya pengendalian paparan pestisida serta pengetahuan petani yang masih rendah dalam menggunakan pestisida sesuai aturan.Kesimpulan: Diharapkan kepada Dinas Kesehatan dan SKPD terkait untuk dapat membuat kebijakan sesuai dengan kebutuhan dalam upaya pengendalian paparan pestisida, menyediakan anggaran kegiatan, melakukan sosialisasi, menambah jumlah pos UKK dan mengaktifkan kembali kader Pos UKK serta melakukan pembinaan terhadap petani dalam menggunakan pestisida.
The Effect of Pesticide Exposure on Women Farmers of Reproductive Age on Growth and Development Disorders of Children Born: A Systematic Literature Review Friska Eka Fitria; Nur Afrainin Syah; Jamsari Jamsari; Yuniar Lestari
Jurnal Penelitian Pendidikan IPA Vol 9 No 9 (2023): September
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v9i9.5042

Abstract

The large number of children suffering from ADHD and autism today is a result of the increasing use of pesticides in agriculture. This applies to women farmers of childbearing age who work in agricultural settings or women whose work is related to the use of pesticides. Pesticides are a mixture of several chemicals used to control pests and protect plants. With the use of pesticides, yields obtained increased significantly. This study aims to examine the effect of exposure to pesticides on female farmers of childbearing age on growth and development disorders of children born. The review was conducted according to state-of-the-art methods using selected reporting item guidelines for reviews and meta-analyses (PRISMA). We reviewed the literature from several publications and analyzed the effect of exposure to pesticides on female farmers of childbearing age on developmental disorders of the children they were born with. The results of this study are the effect of exposure to pesticides on female farmers of childbearing age on birth defects. The use of pesticides causes pesticide poisoning. Accumulation of pesticides at a certain threshold has a negative impact on the body, namely brain disorders, tumors, cancer, even in pregnant women can cause birth defects. Apart from adults, pesticides also have a negative impact on children
Room Layout and Design Predispose Patient Safety Fitri Yuni; Husna Yetti; Yuniar Lestari; Hardisman Hardisman; Firdawati Firdawati; Yevri Zulfikar
Journal La Medihealtico Vol. 7 No. 1 (2026): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v7i1.3049

Abstract

Patient Safety Incidents (IKP) can impact the quality of hospital services. Both globally and nationally, patient safety incidents remain a significant concern. At Prof. HB Saanin Mental Hospital in Padang, the number of patient safety incidents increased from 2022 to 2023. Patient safety incidents should be zero, or there should be no accidents, based on the Decree of the Minister of Health of the Republic of Indonesia number 129/Menkes/II/2008 concerning Minimum Hospital Service Standards. Objective: Analyze the influence of room layout and design on patient safety incidents at Prof. HB Saanin Mental Hospital, Padang. Method: This study used a mixed-methods cross-sectional study of 25 officers involved in patient safety incidents. Bivariate analysis using the Chi-square test was employed to assess the relationship between room layout and design and patient safety incidents, which was further explored through qualitative interviews. Results: The most common type of patient safety incident at Prof. HB Saanin Mental Hospital is unwanted events, accounting for 64% of total incidents and 52% of incidents with high impact. Inappropriate room design was identified in 52% of cases, and inappropriate furniture layout was identified in 84%. Conclusion: Equipment layout and room design influence the occurrence of patient safety incidents in the Prof. HB Saanin Mental Hospital, Padang. Redesigning rooms is a key factor in reducing patient safety incidents at this hospital.
Co-Authors Abdi Setya Putra Abdiana Abdiana, Abdiana Ade Asyari Ade Nurhasanah Amir Adiiba Turfha Zahira Adila Kasni Astiena Adrial Adrial Adrial Adrial, Adrial Afdal, Afdal Afriwardi Afriwardi Afrizal Afrizal Agustianov, Indah Ahmad Adi Trianto Amel Yanis Amir, Arni Anak Agung Gede Sugianthara Anggrainy, Fenty Anita Yulistiani Annisa Rusdi Anung Respati Ariadi Ariadi Ariesko Gunanda Rangkuti Arni Amir Asterina Asterina Astiena, Adila Kasni Aswad, Fitria Asyari, Dian Paramitha Audrey Faiza Rosa Aurelia Agantha Salim Bobby Indra Utama Christina Desbella B. Putriani Dasman, Hardisman Dedy Almasdy Delmi Sulastri Desia, Maya Desmawati Desmawati Despariyenita, Despariyenita Dessy Arisanty Desy Nofita Sari Dharma, Fitri Yeni Dita Maharani Dolly Irfandy Dolly Irvandy Donal Ortega Dyanti Oktalina Dyanti Oktalina Edison Edison Edison Edison Edison, Edison Eka Nofita Elly Usman Elmatris Sy Enda Gusnita Endang Suriani Engga Lift Irwanto Erlinengsih Erlinengsih Ernawati, CH. Tuti Erwani Erwani Eryati Darwin Etriyel Etriyel Fadrian, Fadrian Fathiyyatul Khaira Fathiyyatul Khaira, Fathiyyatul Fathma Mardhotilla Feni Andriani Fenty Anggrainy Feny Wartisa Fika Tri Anggraini Finny Fitry Yani finy marsyah Firdawati Firdawati Fitri Wahyuni Fitri Yanti Fitri Yuni Fitria Susanti Fitria, Henni Fitrianti Adnan Fortuna, Fory Friska Eka Fitria Furqan, Muhammad Afif Gusyaliza, Rini Hafni Bachtiar Hanum, Fathiya Juwita Hardisman Hasmiwati Hindun Mila Hudzaifah Husna Yetti Husni Husni Huvaid, Sevilla Ukhtil Ice Yolanda Puri Ida Rahma Burhan Ida Rahmah Burhan Ida Rahmah Burhan Iffah, Uliy Ihsan, Indra Ilmiawati, Ilmiawati Indra Ihsan Ismed, Gabila Heira Muthia Jamsari Jamsari Juniwati Juniwati Juniwati Juniwati Juniwati Juniwati Kamal Kasra Kelsy Qoridisa Kumalasari, Intan Laila Isrona Lili Irawati Lisma Evareny Liza Andriani Masrul Basyar Menkher Manjas MERISA RISKI Miftah Irramah Mira Eka Putri Muhammad Afif Furqan Muhammad Raihan Muthia Afdhelia Putri Anbiar Narulita, Jaesica Salsabila Dwi Nelmi Silvia Nengcy, Silvia Netti Suharti Netti Suharti, Netti Nizwardi Azkha Nora Harminarti Nora Harminati Nur Afrainin Syah Nur Indrawaty Lipoeto Nurdin, Aguswan Nurhayati, Nurhayati Nursyirwan Effendi, Nursyirwan Nurul Fitri Nuzulia Irawati Oktalina, Dyanti Oktavenra, Ari Putra, Syandrea Prima Putri, Azhara Dhiya Yosse Putri, Sheila Raden Mohamad Herdian Bhakti Rahmadini Faricha Hakim Rahmi Hafianti Ramayanti Ramayanti Rauza Sukma Rita Reno Afriza Neri Restu Susanti Rezi Fatrima Surya Rima Semiarty Rinang Mariko Rizanda Machmud Rosa Juliasari Santioso Rosfita Rasyid Roslaili Rasyid Roza Silvia Rudy Afriant Rumaisha, Rumaisha Sabani . Salsabilla, Ainna Fajra Selfi Renita Rusjdi Selvia Emilya Semiarty, Rima Yunita Shabrina, Ranny Surika Martalina Susanti, Yenila Suspenti Dewi Syahnur, Citra Septiyenri Syaiful Indra Taufik Akbar Trianto, Ahmad Adi Ulfa Farrah Lisa, Ulfa Farrah Ulvi Mariati Ulya Uti Fasrini Utami Mayfa Rahmania Vicky Warian Triwibowo Virna Zufti Pratiwi Vivi Triana Wanra, Fadhlan Agusma Wati, Westi Permata Widya Handayani Winda Dwi Saputri Wirsma Arif Harahap Yanasta Moendanoe Yani Anggina Yenila Susanti Yessi Pertiwi Yessy Susanty Sabri Yevri Zulfikar Yolanda Syahdia Yulistini, Yulistini Yulitasari, Yulitasari Yunita Chairani Yusrawati Yusrawati Yusri, Elfira Yusti Siana Yusticia Katar Yusticia Katar, Yusticia Zahira, Adiiba Turfha Zairil Zairil Zudana, Kirana Zurayya Fadila Zurayya Fadilla