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HUBUNGAN STRES KERJA DENGAN TIMBULNYA KECENDERUNGAN GANGGUAN MENTAL EMOSIONAL PADA PERAWAT YANG TERLIBAT LANGSUNG DENGAN PENDERITA GANGGUAN JIWA DI SEBUAH RUMAH SAKIT JIWA DI JAKARTA Novianty, Angela Sagita; Budiningsih, Setyawati; Hidayat, Sjarif
Majalah Kedokteran Indonesia Vol 68 No 1 (2018): Journal of the Indonesian Medical Association Majalah Kedokteran Indonesia Volum
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

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Pendahuluan: Penelitian tentang stres dan akibat yang ditimbulkannya lebih sering berfokus pada perawat pada umumnya, dan sedikit perhatian kepada perawat yang bekerja di Unit psikiatri/Rumah Sakit Jiwa. Tujuan penelitian ini untuk mengetahui pengaruh tingkat stresor kerja dan faktor risiko lainnya dengan timbulnya kecenderungan gangguan mental emosional pada perawat di rumah sakit jiwa. Metode: Penelitian ini menggunakan desain potong lintang. Kuesioner yang digunakan adalah Survey Diagnostik Stres, Symptom Check List (SCL-90), dan Skala Holmes Rahe pada 79 perawat yang terlibat langsung dengan penderita gangguan jiwa. Hasil: Prevalensi kecenderungan gangguan mental emosional didapat sebesar 26,6%. Status belum menikah meningkatkan risiko untuk mendapatkan kecenderungan gangguan mental emosional sebesar 12,92 kali(p=0,003, OR suaian=12,92 , 95% IK=2,40-69,50). Bagian tempat kerja bangsal akut, kerja gilir dan stresor ketaksaan peran dengan tingkat stres sedang-berat juga memiliki hubungan yang bermakna dengan timbulnya kecenderungan gangguan mental emosional. Kesimpulan: Status belum menikah adalah stresor yang paling dominan terhadap timbulnya kecenderungan gangguan mental emosional. Rumah sakit disarankan untuk mengadakan pusat konseling khusus bagi perawat yang belum menikah, kegiatan bulanan khusus bagi karyawan yang belum menikah, penyuluhan, team building, rotasi kerja gilir perawat, dan penetapan deskripsi kerja yang jelas.

Correlation between Obesity and Seroma Following Modified Radical Mastectomy Kurnia, Ahmad; Suhandi, Andri; Budiningsih, Setyawati
The New Ropanasuri Journal of Surgery
Publisher : UI Scholars Hub

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Introduction. Obesity becomes one of concern for surgeon asit provides additional morbidity in breast cancer. It influencesthe healing process negatively, and increase the complications following mastectomy. The most often found complication is seroma. Its incidence in obese is found higher than non–obese patient. Studies evaluating the correlation between obesity and seroma showed controversy. Hence, we run a study aimed to find out such a correlation in our characteristics. Method.We conducted cross sectional study. All patients treated with modified radical mastectomy (MRM) during period of 2013 to 2014 were included. Subject characteristics were recorded, including age, body mass index (BMI). Bilateral breast malignancy, diabetes mellitus and hypertension were excluded.Drain production and infection, and length of staywas recorded. Kolmogorov Smirnov test is used to find out normal distribution. In normal distribution, Pearson test or Spearman’s is used to find out correlation. Results. Out of 72 samples underwent MRM and drainage, there were 67 enrolled. The mean age was found of 48.5±8.5 years, and mean BMI of 25.43 kg/m2 ± 4.08.Length of stay ranged of 3–8 days andmean total seroma production was found of 502.3mL ± 207.8. We foundmoderate positive linear correlation between obesity and seroma (r = 0.581; p <0.01; r2 = 0.338) rolled of 33.8% and strong positive linear correlation between seroma and length of stay (r = 0.581; p <0.01;r2 = 0.542)rolled of 52.4%. Conclusion. We found positive linear correlation between seroma and obesity, and positive linear correlation between seroma and length of stay

Triple Diagnostic Accuracy on Early Stage Breast Cancer at dr. Cipto Mangunkusumo and Persahabatan General Hospital Kartini, Diani; Megatia, Ika; Darmiati, Sawitri; Rustamadji, Primariadewi; Budiningsih, Setyawati
The New Ropanasuri Journal of Surgery
Publisher : UI Scholars Hub

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Introduction. Breast cancer is the most common cancer in Indonesia with incidence rate 40.3 per 100.000 women and mortality rate 16.6 per 100.000women. On early stage, the decision for operative procedure (i.e. mastectomy) requires intraoperative frozen section to assess malignancy; which is mostly unavailable in secondary hospitals. The triple diagnostic (TD) test consists of physical examination, breast ultrasonography and fine needle aspiration biopsy is an accurate and simple preoperative diagnostic method that may solve the problem. The study aimed to find out conformance of the triple diagnostic to histopathology findings in those with breast lump where the malignancy was suspected. Method. A study of diagnostic accuracy conducted enrolling subjects with suspected malignant breast lump managed in dr Cipto Mangunkusumo General Hospital (RSCM) and Persahabatan Hospital (RSP) in period of February 2016 to August 2017 who met the criteria: those underwent preoperative triple diagnostic, intraoperative frozen section and histopathology examination. The conformance of TD and frozen section were compared to histopathology findings. Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and accuracy were the focuses of the study. Results. There were 33 subjects enrolled (prevalence of 4.3%), mean age of 49.6 years ± 10.9, were above 40 years (78.8%). Tumor size of 2–5 cm found in 63.6% subjects, and the most histopathology finding was invasive carcinoma (84.8%). Frozen section showed sensitivity of 96.8%, specificity of 100%, PPV of 100%, NPV of 66.7% and accuracy of 97.0%. TD showed sensitivity of 77.4%, specificity of 100%, PPV of 100%), NPV of 22.2% and accuracy of 78.8% (p = 0.016). Conclusion. Triple diagnostic reaches up to 78% accuracy on early stage breast cancer may be used secondary hospital in Indonesia whenever frozen section is unavailable.

Comparative Analysis of Post Rubber Band Ligation and Stapled Hemorrhoidopexy Complications of Grade 2 and 3 Internal Hemorrhoids Mazni, Yarman; Basir, Ibrahim; Sumanto, Sumanto; Budiningsih, Setyawati
The New Ropanasuri Journal of Surgery
Publisher : UI Scholars Hub

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Introduction. The management of second–and third–degree internal hemorrhoid consists of non–surgical and surgical treatments. If non–surgical treatment does not succeed, then the recommended therapy is minimal invasive or surgery, depends on the clinical condition. Along with the development of science and technology, a technique known as rubber band ligation (RBL) and stapled hemorrhoidopexy emerges. In Indonesia, there is no data that can describe the distribution of postoperative complication rate. Method. A comparative cross–sectional study was conducted by gathering short term outcomes data from the subjects' medical records that underwent RBL or SH between 2011 to 2014 in three different hospitals in Jakarta. A univariate analysis was conducted to assess postoperative complications of RBL and SH subjects of second–and third–degree internal hemorrhoids. We use chi square test to assess the factors that influence the complications of categorical variables, and Fisher test if the chi square condition is not met. Results. Among 183 subjects, 49.2% underwent RBL and 50.8% SH. Second degree internal hemorrhoids were 40% and third degree were 60%. Postoperative complications consist of pain (RBL 4.4%, SH 8.8%), hemorrhage (RBL 2.3%, SH 4.9%), urinary retention (RBL 0, SH 2.7%), infection (RBL 0.5%, SH 1.6%) and stenosis (RBL 0, SH 0.5%). Postoperative complications on second degree internal hemorrhoidal was 8.2% and third degree 13.1% (p = 0.71). Complication of subject with third degree internal hemorrhoids after RBL 2.8%, SH 19.4% (p = 0.03). Conclusion. Complications of second– and third–degree internal hemorrhoids post RBL are no different with SH while for third degree internal hemorrhoid, complications after RBL ware significantly lower than SH.

Analysis of Preoperative and Intraoperative Risk Factors Of Surgical Site Infection In Gastrointestinal Surgeries Syafitri, Annisa; Mazni, Yarman; Budiningsih, Setyawati
The New Ropanasuri Journal of Surgery
Publisher : UI Scholars Hub

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Introduction. Surgical site infection (SSI) after gastrointestinal surgery can affect the mortality and morbidity of the patients. Risk factors are needed to prevent and decrease the number of SSI. This study investigated the incidence of SSI, the preoperative and intraoperative risk factors of gastrointestinal surgeries.. Method. A retrospective audit analysis of age, nutritional status, preoperative length of stay, length of surgery, type of surgery, degree of contamination in adult gastrointestinal surgery patients at dr. Cipto Mangunkusumo General Hospital from 2012 to 2016. Outcomes consisted of incidence, and potential univariate risk factors were determined to investigate the independently associated factors using multivariate logistic regression. Results. In four years, the incidence of SSI is 3.4% among 4,357 gastrointestinal surgeries, with 86.4% of surgical site infections appears in contaminated wound operations. Our study included 116 subjects. From univariate analysis between SSI as dependent factors and the risk factors, age (p = 0.2), preoperative length of stay (p=0,06), length of surgery (p = 0.1), and degree of contamination (p = 0.003) have correlative association with SSI. The risk factor with surgical site infection is surgical wound contamination (OR = 1.233, p = 0.011) and independent from other risk factors.. Conclusion: Four factors correlate with SSI; there are age, preoperative length of stay, length of surgery, and degree of contamination. The degree of contamination is a significant risk factor for SSI.

Hubungan Stres Kerja dengan Timbulnya Kecenderungan Gangguan Mental Emosional pada Perawat yang Terlibat Langsung dengan Penderita Gangguan Jiwa di Sebuah Rumah Sakit Jiwa di Jakarta Novianty, Angela Sagita; Budiningsih, Setyawati; Hidayat, Sjarif
Majalah Kedokteran Indonesia Vol 68 No 1 (2018): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.68.1-2018-94

Pendahuluan: Penelitian tentang stres dan akibat yang ditimbulkannya lebih sering berfokus pada perawat pada umumnya, dan sedikit perhatian kepada perawat yang bekerja di Unit psikiatri/Rumah Sakit Jiwa. Tujuan penelitian ini untuk mengetahui pengaruh tingkat stresor kerja dan faktor risiko lainnya dengan timbulnya kecenderungan gangguan mental emosional pada perawat di rumah sakit jiwa. Metode: Penelitian ini menggunakan desain potong lintang. Kuesioner yang digunakan adalah Survey Diagnostik Stres, Symptom Check List (SCL-90), dan Skala Holmes Rahe pada 79 perawat yang terlibat langsung dengan penderita gangguan jiwa. Hasil: Prevalensi kecenderungan gangguan mental emosional didapat sebesar 26,6%. Status belum menikah meningkatkan risiko untuk mendapatkan kecenderungan gangguan mental emosional sebesar 12,92 kali(p=0,003, OR suaian=12,92 , 95% IK=2,40-69,50). Bagian tempat kerja bangsal akut, kerja gilir dan stresor ketaksaan peran dengan tingkat stres sedang-berat juga memiliki hubungan yang bermakna dengan timbulnya kecenderungan gangguan mental emosional. Kesimpulan: Status belum menikah adalah stresor yang paling dominan terhadap timbulnya kecenderungan gangguan mental emosional. Rumah sakit disarankan untuk mengadakan pusat konseling khusus bagi perawat yang belum menikah, kegiatan bulanan khusus bagi karyawan yang belum menikah, penyuluhan, team building, rotasi kerja gilir perawat, dan penetapan deskripsi kerja yang jelas.

Pengaruh Pemberian Makanan Selingan terhadap Lama Pengerjaan pada Pekerja Helper di Perusahaan Peti Kemas Maria, Nove; Budiningsih, Setyawati; Kusumadewi, Dian; Werdhani, Retno Asti; Adriani, Ance
Majalah Kedokteran Indonesia Vol 68 No 12 (2018): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, V
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.68.12-2018-205

Introduction: Good nutrition in the workforce can affect work productivity, but many workers have not paid attention to their nutritional balance, including helper workers in container company. Based on data from the International Labor Office (ILO) in 2005, unbalanced diet on labor can reduce productivity by up to 20%. The purpose of this study was to find out the effect of snack intervention toward working duration among helper workers in container company.Method: This study used pre-experimental design which was conducted for four weeks. Eighteen respondents who were helper workers were given 300 kcal snack once a day for four weeks. The respondent’s food intake was recorded with food record every week (two working days and one day off) and analyzed by Nutrisurvey application and manual calculation. Result: There was significant mean difference in total working duration (reduced two hours and eight minutes) before and after intervention (p less than 0.001). Conclusion: Once a day snack intervention for four weeks can shorten the working duration of helper workers.

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