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Andi Nurlinda
Fakultas Kesehatan Masyarakat, Universitas Muslim Indonesia
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PENGARUH KONSUMSI BUAH NAGA TERHADAP PERUBAHAN TRIGLISERIDA DAN HDL PADA GURU SEKOLAH MENENGAH DI MAKASSAR Ihsan, Nur Fitri; Jafar, Nurhaedar; Nurlinda, Andi
Diagnosis Jurnal Ilmiah Kesehatan Vol. 14 No. 2 (2019): Diagnosis: Jurnal Ilmiah Kesehatan
Publisher : STIKES Nani Hasanuddin Makassar

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Abstract

Peningkatan kolesterol dan lipid darah yang tidak normal meningkatkan risiko serangan jantung dan stroke. Tujuan penelitian ini untuk mengetahui pengaruh konsumsi buah naga terhadap perubahan trigliserida dan HDL pada guru sekolahmemngah di Makassar. Penelitian ini merupakan jenis penelitian quasi eksperimen dengan rancangan pertest dan posttest control grup “Two group pretest-posttest, jumlah sampel sebanyak 13 orang yang di bagi 2 kelompok. Instrumen yang digunakan adalah buah naga, timbangan buah, pemeriksaan trigliserida dan HDL oleh Lab Prodia, lembar kuesioner dan Foof recall. Buah naga yang diberikan untuk dikonsumsi 150-250gram dan dikonsumsi 1 kali perhari. Data dianalisis menggunakan program SPSS dengan uji stastistik Wilcoxon Signed Ranks Test, uji Independent test dan uji mann whitney tingkat kemaknaan ρ Value < 0,05. Berdasarkan hasil analisis perubahan HDL pada laki-laki sebelum dan sesudah konsumsi buah naga diperoleh nilai ρ= 0,255 sedangkan HDL perempuan ρ= 1,00 tidak ada perubahan signifikan antara HDL laki-laki dan perempuan sebelum dan setelah perlakuan. Perubahan pada variable Trigliserida nilai p= 0,717 berarti tidak ada perbedaan yang signifikan sebelum dan setelah perlakuan. Sedangkan pada uji perbandingan variable HDL pretest kelompok intervensi dan control diperoleh nilai ρ= 0,088 dan posttest diperoleh nilai ρ= 0,077 tidak ada perbedaan yang signifikan antara kelompok intervensi dan control. Sedangkan pada variable Trigliserida pretest diperoleh nilai ρ= 0,965 dan post test diperoleh nilai ρ= 0,689 berarti tidak ada perbedaan yang signifikan kelompok intervensi dan control. Kesimpulan dalam penelitian ini adalah tidak ada perubahan yang signifikan terhadap HDL dan Trigliserida pada kelompok intervensi sebelum dan sesudah konsumsi buah naga.
PENGARUH BEBAN KERJA DAN STRESS KERJA MELALUI KELELAHAN KERJA TERHADAP KINERJA PERAWAT DI RUANG RAWAT INAP RUMAH SAKIT ISLAM FAISAL MAKASSAR Malawat, Ratna; Abdullah, Rasyidin; Nurlinda, Andi
Diagnosis Jurnal Ilmiah Kesehatan Vol. 14 No. 3 (2019): Diagnosis: Jurnal Ilmiah Kesehatan
Publisher : STIKES Nani Hasanuddin Makassar

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Abstract

Masalah beban kerja, stress kerja dan kelelahan kerja yang tinggi sangat berhubungan dengan kesehatan kerja dan produktivitas kerja pada perawat. Pembenahan rasio perawat dan pengkajian ulang masalah beban kerja perawat merupakan suatu strategi bagi Rumah Sakit sebagai organisasi kesehatan untuk mengatur tentang tugas pokok utama perawat secara jelas agar mengurangi beban kerja yang tinggi dan efek kelelahan pada perawat serta meningkatkan keselamatan pasien dan perawat, dikarenakan kinerja perawat berhubungan dengan mutu pelayanan keperawatan yang berpengaruh terhadap kepuasan pasien. Penelitian ini bertujuan untuk mengetahui pengaruh beban kerja dan stress kerja melalui kelelahan kerja terhadap kinerja perawat di Ruang Rawat Inap Rumah Sakit Islam Faisal Makassar. Jenis penelitian ini adalah penelitian kuantitatif dengan menggunakan metode analisis jalur (path analysis). Sampelnya adalah 76 responden responden. Pengumpulan data dilakukan dengan wawancara melalui kuesioner. Hasil penelitian menyimpulkan ada pengaruh yang signifikan antara beban kerja terhadap kelelahan kerja dengan nilai p = 0,019 <0,05, stress kerja terhadap kelelahan kerja dengan nilai p = 0,000 < 0,05, kelelahan kerja terhadap kinerja dengan nilai p = 0,000 < 0,05, beban kerja terhadap kinerja perawat dengan nilai p = 0,001 < 0,05, ada pengaruh yang signifikan antara beban kerja terhadap kinerja perawat melalui kelelahan kerja dengan nilai signifikansi beban kerja sebesar p = 0,001 dan tidak ada pengaruh yang signifikan antara stress kerja terhadap kinerja dengan nilai p = 0,185 > 0,0. Pihak manajemen Rumah Sakit Islam Faisal perlu memperhatikan dan mengatur kembali faktor – faktor seperti beban kerja, stress kerja dan kelelahan kerja dengan baik serta faktor lingkungan dan sarana prasarana Rumah Sakit yang membuat para perawat merasa nyaman saat bekerja.
The Influence of Elderly Posyandu Management on Health and Quality of Life at the Sinoa Community Health Center in Bantaeng Samsualam; Andi Tenri Agung; Muh. Multazam; Haeruddin; Nurlinda, Andi; Yuliaty; Amir, Haeril
Journal Of Nursing Practice Vol. 7 No. 1 (2023): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v7i1.382

Abstract

Background: The Elderly Posyandu (integrated healthcare center) at the Sinoa Community Health Center in Bantaeng has an important role in maintaining the quality of life of the elderly in the community. Apart from providing health services, this smallest service unit will also facilitate various non-medical activities so that the elderly have a place to work and be active. Purpose: This is the researchers' idea to examine whether there is an influence of the Elderly Posyandu program on the quality of life of the elderly in the Sinoa sub-district, Bantaeng. Methods: This study used a quantitative method with a cross-sectional design. The population of this study was 210 elderly with a total sample of 136 elderly selected by means of proportional stratified random sampling. Data collection was carried out by means of interviews using a questionnaire. The collected data were analyzed using the path analysis test. Results: Results of path analysis, where the independent variable (predictor) is the Elderly Posyandu variable include extension (X1) and elderly gymnastics (X2), the mediation variable is the elderly health (Y), and the dependent variable (response) is the quality of life of the elderly (Z), show that periodic medical check-up (X3) through the elderly health variable (Y) has the greatest indirect influence on the quality of life of the elderly in the Sinoa sub-district, Bantaeng. Conclusion: Posyandu management for the elderly is very important because it will affect the quality of life of the elderly. The management in question includes the elderly Posyandu program.
Problem Focus Coping Pada Narapidana Seumur Hidup Di Lembaga Pemasyarakatan Kelas I Makassar Santi, Arniati; Asrina, Andi; Nurlinda, Andi
Journal of Aafiyah Health Research (JAHR) Vol. 1 No. 1 (2020): JANUARY- JUNE
Publisher : Postgraduate Program in Public Health, Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (473.171 KB) | DOI: 10.52103/jahr.v1i1.102

Abstract

Latar belakang: Penelitian ini dilakukan dengan bertujuan untuk menganalisis dan mengkaji secara mendalam strategi koping stress pada narapidana seumur hidup yang sudah menjalani hukumannya dibawah 8 tahun, dan secara khusus (1) untuk menggali informasi secara mendalam problem-focused coping (2) untuk menggali informasi secara mendalam emotional-focused coping pada narapidana seumur hidup di Lembaga Pemasyarakatan Kelas I Makassar. Metode: jenis penelitian ini adalah kualitatif dengan pendekatan Quasi kualitatif pada subjek dengan masa hukuman yang sudah dijalani 8 tahun kebawah dan mampu berkomunikasi dengan baik dengan menggunakan data primer sebanyak 8 informan utama. Pengumpulan data yang dipakai adalah wawancara, observasi dan dokumentasi. Sumber data dipilih secara Purposive sampling. Analisis data yang digunakan adalah analisis Toksonomi. Uji keabsahan data dalam penelitian ini dengan menggunakan Triangulasi yaitu Triangulasi sumber, teknik dan waktu. Hasil: penelitian menunjukan bahwa narapidana seumur hidup menggunakan strategi koping Problem focused coping yaitu Active coping, planning, using instrumental support dan behavioral disengagement. Sedangkan Emotional focused coping yaitu Using emotional support, positive reframing, self-distraction, denial, acceptance, religion dan substance use. Kesimpulan : strategi koping yang dilakukan oleh narapidana seumur yang ada di Lembaga Pemasyarakatan Kelas I Makassar berbeda-beda sehingga untuk mengurangi gangguan kesehatan secara psikis diharapkan adanya konseling secara rutin dari pihal Lapas.
The Effect of Supplementary Feeding on Body Weight of Pregnant Women Who Have Chronic Energy Deficiency in Indonesia Hasnaini Rahmah; Andi Nurlinda; Een Kurnaesih
Journal of Aafiyah Health Research (JAHR) Vol. 3 No. 1 (2022): JANUARY-JUNE
Publisher : Postgraduate Program in Public Health, Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52103/jahr.v3i1.947

Abstract

Backgrounds: The high rate of infant and maternal mortality, as well as infants with low birth weight (LBW), is essentially also determined by the nutritional status of pregnant women. The purpose of this study was to determine the effect of supplementary feeding on the bodyweight of pregnant women who experience chronic energy deficiency (KEK) in the working area of ​​the Tanasitolo Health Center. Methods: This research was conducted using a Quasi-Experimental method with a Pretest-Posttest Control Group Design. The population in this study were all mothers who experienced chronic energy deficiency in the working area of ​​the Tanasitolo Health Center with a total sample of 32 mothers using consecutive sampling. The statistical test used in this study is the Paired Sample t-Test, with SPSS 20.0 Results: There was a difference in body weight (p=0.000) in KEK pregnant women before and after supplementary feeding. Conclusion: In this study, there were differences in body weight, upper arm circumference, blood pressure, and hemoglobin levels in chronic energy deficient pregnant women before and after supplementary feeding in the working area of ​​the Tanasitolo Health Center. It is hoped that the puskesmas will provide counseling about nutritional intake related to the content contained in ebi cassava crackers as a snack to optimize body weight, upper arm circumference, blood pressure, and hemoglobin levels during pregnancy.
The Effect of Supplementary Feeding on Blood Pressure and Uric Acid in the Elderly in the Working Area of the Teppo Health Center, Pinrang Regency Suriani, Suriani; Andi Nurlinda; Patimah, Sitti
Journal of Aafiyah Health Research (JAHR) Vol. 3 No. 2 (2022): JULY-DECEMBER
Publisher : Postgraduate Program in Public Health, Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52103/jahr.v3i2.1452

Abstract

Background:Hypertension is estimated to be the cause of death for around 7.1 million people worldwide. Aim: The purpose of this study was to analyze differences in blood pressure in the elderly before and after supplementary feeding (SF), to analyze differences in uric acid levels in the elderly before and after giving SF, to analyze the effect of SF on blood pressure in the elderly, to analyze the effect of giving SF to uric acid levels in the elderly. Method:This study uses a Quasi-Experimental method with a Two Group Pretest – Posttest design. The sample consisted of 30 experimental groups and 30 control groups. The results showed that in the intervention group the average pre-test systolic blood pressure was 165.33, SD 14.077, and post-test 141.67 SD 11.472. Meanwhile, in the control group, the average systolic blood pressure before SF was 158.33, SD was 7,466, while in the posttest, it was 158.33, SD was 9,499. Results:In the examination of women's uric acid levels, the pretest showed that the intervention group had an average uric acid level of the elderly before SF which was 6.936, and SD was 0.411. The significance value is 0.000 0.05 meaning that there is an effect, while the post-test is 6359, SD is 0.418. While in the control group the average uric acid level of the elderly before supplementary feeding was 6688, SD 0.298, while in the post-test it was 6759, SD 0.355. The significance value is 0.035 0.05, which means that there is no effect. In men, the pretest of the intervention group showed the average uric acid level of the elderly before SF was 7.225, SD was 0.433, while in the posttest it was 6550, SD was 0.578. Meanwhile, in the control group, the average uric acid level before supplementary feeding was 7.215, SD 0.443. Conclusions:There are differences in blood pressure and uric acid in the elderly before and after SF and there is a significant effect of giving SF on blood pressure and uric acid in the elderly.
Efektifitas Program Sistem Rujukan Terintegrasi (SISRUTE) Momentum Private Healthcare Delivery (MPHD) dalam Menurunkan Angka Kematian Ibu di RSIA Ananda dan RSIA Masyita Kota Makassar: Effectiveness of the Momentum Private Healthcare Delivery (MPHD) Integrated Referral System (SISRUTE) Program in Reducing Maternal Mortality Rates at RSIA Ananda and RSIA Masyita, Makassar City Anzar, Reski Ayu; Ikhtiar, Muhammad; Nurlinda, Andi
Journal of Aafiyah Health Research (JAHR) Vol. 5 No. 1 (2024): JANUARY-JUNE
Publisher : Postgraduate Program in Public Health, Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52103/jahr.v5i1.1566

Abstract

ABSTRAK Latar Belakang: Angka Kematian Ibu (AKI) merupakan indikator pembangunan kesehatan dan indikator pemenuhan hak reproduksi serta kualitas dalam pemanfaatan kesehatan secara umum. Isu kematian ibu nampaknya menjadi perhatian khusus di Indonesia dimana dapat dilihat penanganan angka kematian ibu dan anak merupkan salah satu program nasional. Tujuan: Penelitian ini bertujuan untuk mengetahui efektifitas sistem rujukan terintegrasi (SISRUTE) momentum private healthcare delivery (MPHD) sebagai langkah terbaru pemerintah dalam menurunkan angka kematian ibu di Rumah Sakit Ibu dan Anak Ananda dan Rumah Sakit Ibu dan Anak Masyita kota Makassar. Metode: Penelitian ini menggunakan pendekatan kualitatif dengan jumlah 12 informan. Validasi data dengan metode triangulasi sumber. Hasil: Dari variable sumber daya mengatakan bahwa informan di RSIA Ananda dan RSIA Masyita telah menggunakan SISRUTE dengan aktif ketika ada pasien yang membutuhkan penanganan rujukan dan beberapa informan juga telah mengikuti pelatihan sebelum penggunaan SISRUTE, berdasarkan variable waktu didapatkan bahwa respon awal dari rujukan melalui aplikasi SISRUTE adalah >45 menit bila kasus tersebut tidak membutuhkan life saving lebih cepat namun bila membutuhkan respon tersebut berkisar <5 menit, berdasar variable teknis didapatkan bahwa dukungan teknis dalam menggunakan SISRUTE sudah cukup memadai dan berdasar dari variable tujuan atau sasaran didapatkan bahwa SISRUTE dapat mempercepat proses rujukan pasien, serta telah tepat sasaran, tepat guna dan tepat waktu dan SISRUTE juga dianggap dapat berkontribusi dalam menurunkan angka kematian ibu kedepannya. Kesimpulan: SISRUTE efektif atau berpengaruh dalam menurunkan angka kematian ibu per1000 kelahiran berdasar dari data informan di Rumah Sakit Ibu dan Anak Ananda dan Rumah Sakit Ibu Masyita di Kota Makassar, SISRUTE ditinjau dari segi penggunaannya dianggap efektif dalam proses penanganan rujukan terhadap pasien baik dari segi kemudahan dalam menggunakan layanan aplikasi yang lengkap serta dianggap telah tapat sasaran, tepat guna dan tepat waktu. ABSTRACT Background: The Maternal Mortality Rate (MMR) is an indicator of health development and an indicator of the fulfillment of reproductive rights and the quality of health utilization in general. The issue of maternal mortality seems to be of particular concern in Indonesia where it can be seen that handling maternal and child mortality is one of the national programs. Objective: This research aims to determine the effectiveness of the integrated referral system (SISRUTE) momentum private healthcare delivery (MPHD) as the government's latest step in reducing maternal mortality at the Ananda Mother and Child Hospital and the Masyita Mother and Child Hospital, Makassar city. Method: This research used a qualitative approach with a total of 12 informants. Data validation using source triangulation method. Results: the resource variable show that informants at RSIA Ananda and RSIA Masyita have used SISRUTE actively when there are patients who need referral treatment and several informants have also attended training before using SISRUTE. Based on the time variable, it was found that the initial response from referrals via the SISRUTE application is >45 minutes if the case does not require life saving more quickly and if it requires <5 minutes, based on technical variables it is found that technical support in using SISRUTE is quite adequate and based on the goal or target variables it is found that SISRUTE can speed up the patient referral process, and has been right on target, effective and timely and SISRUTE is also considered to be able to contribute to reducing maternal mortality rates in the future. Conclusion: SISRUTE is effective or influential in reducing the maternal mortality rate per 1000 births based on informant data at the Ananda Mother and Child Hospital and Ibu Masyita Hospital in Makassar City. In terms of its use, SISRUTE is considered effective in the process of handling patient referrals both from in terms of ease of using complete application services and are considered to be on target, effective and timely.
Pengaruh Pengunaan Medsos Terhadap Perilaku Penyimpangan Seksual Remaja SMA Al-Ihsan Lekopancing Maros : The Effect of Social Media Use on Sexual Deviant Behavior of Adolescents of Al-Ihsan Lekopancing Maros High School Pratiwi, Desi Arisma; Adam, Arlin; Nurlinda, Andi
Journal of Aafiyah Health Research (JAHR) Vol. 5 No. 2 (2024): JULY-DECEMBER
Publisher : Postgraduate Program in Public Health, Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52103/jahr.v5i2.1611

Abstract

ABSTRAK Latar Belakang: Data kasus SMA Swasta Al- Ihsan Lekopancing Maros terkait penyimpangan seksual menemukan sering kali orang tua menolak melakukan edukasi terkait permasalahan tersebut sehingga remaja kemudian mencari alternatif sumber informasi lain seperti media sosial padahal hal tersebut membuat remaja rentan disuguhi video pornografi. Tujuan: Penelitian ini bertujuan untuk menganalisis pengaruh Penggunaan Media Sosial Terhadap Perilaku Penyimpangan Seksual pada Remaja. Metode: Jenis penelitian yang digunakan adalah kuantitatif dengan pendekatan case control study yang terdiri dari 140 sampel dengan Teknik pengambilan sampel yaitu total sampling Hasil: Tidak ada pengaruh penggunaan sosial media sosial (ρ =1,000) dimana penggunaan sosial media bukan sebagai faktor risiko perilaku penyimpangan seksual (exp B=0,239 < 1,000); Ada pengaruh frekuensi penggunaan sosial media (ρ=0,000) dimana risiko kemungkinan frekuensi sering adalah 8,902 kali lebih tinggi perilaku penyimpangan seksualnya dibandingkan dengan yang frekuensi jarang (exp B= 8,902 > 1,000); Ada pengaruh paparan pornografi (ρ=1,000) terhadap perilaku penyimpangan seksual dimana risiko kemungkinan kategori terpapar untuk melakukan penyimpangan seksual adalah 31,606 kali lebih tinggi dibandingkan dengan yang kategori tidak terpapar pornografi (exp B= 31,606 > 1,000)  pada remaja di SMA Swasta Al- Ihsan Lekopancing Kabupaten Maros Sulawesi Selatan Kesimpulan: Pihak sekolah perlu melakukan kolaborasi dengan orang tua atau pihak keluarga dalam melalukan pengawasan terhadap remaja setiap kali ingin mengakses kebutuhan internet/sosial media secara wajar   ABSTRACT Background: Case data from Al-Ihsan Lekopancing Maros Private High School related to sexual deviance found that often parents refuse to educate about the problem so that adolescents then look for alternative sources of information such as social media even though it makes adolescents vulnerable to being treated to pornographic videos. The purpose of this study was to analyze the effect of Social Media Use on Sexual Deviant Behavior in Adolescents. Method: The type of research used is quantitative with a case control study approach consistingof 140 samples with a sampling technique, namely total sampling. Results: The results found no  influence of social media use (ρ= 1,000) where social media use was not a risk factor for sexual deviant behavior (exp B = 0.239 < 1,000); There was an effect on the frequency of social media use (ρ= 0.000) where the risk of possible frequency often was 8.902 times higher sexual deviant behavior compared to the frequency of infrequent (exp B = 8.902 > 1.000); There is an effect of  exposure to pornography (ρ= 1,000) on sexual deviant behavior where ρ the risk of possible categories of exposure to sexual deviance is 31,606 times higher than those in the category of not exposed to pornography (exp B = 31,606 > 1,000)  in adolescents at Al-Ihsan Lekopancing Private High School, Maros Regency, South Sulawesi. Conclusion: The school needs to collaborate with parents or families in supervising adolescents every time they want to access internet/social media needs reasonably.
Pengaruh Pemilihan Situasi Terhadap Kecemasan Pada Anak di Lembaga Pembinaan Khusus Anak Kelas II Maros: The Effect of Situation Selection on Anxiety in Children in the Special Development Institution for Children Class II Maros Rino, Rino; Asrina, Andi; Nurlinda, Andi
Journal of Aafiyah Health Research (JAHR) Vol. 5 No. 2 (2024): JULY-DECEMBER
Publisher : Postgraduate Program in Public Health, Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52103/jahr.v5i2.1662

Abstract

ABSTRAK Latar Belakang: Masa remaja merupakan periode terjadinya pertumbuhan dan perkembangan yang pesat baik secara fisik, psikologis, maupun intelektual. Remaja adalah penduduk dalam rentang usia 10-19 tahun. Tujuan: Penelitian ini bertujuan penelitian ini untuk menganalisis pengaruh pemilihan ituasi terhadap strategi regulasi emosi dan tingkat kecemasan pada anak di Lembaga Pembinaan Khusus Anak (LPKA) Kelas II Maros tahun 2024. Metode: Penelitian ini merupakan jenis penelitian kuantitatif dengan memakai desain potong lintang (cross sectional study), penelitian ini dilakukan di Lembaga Pembinaan Khusus Anak Kelas II Maros pada bulan desember 2023-januari 2024 dengan jumlah sampel sebanyak 62 anak. Adapun teknik analisis data yang dipakai ialah univariate dan bivariate. Hasil: Adanya Pengaruh pemilihan situasi terhadap tingkat kecemasan dapat di lihat pada hasil uji t antara pemilihan situasi dengan tingkat kecemasan menunjukkan nilai p value 0,032 < 0,05 yang berarti terdapat pengararuh yang signifikan antar pemilihan situasi terhadap tingkat kecemasan (Ho ditolak dan Ha diterima). Hal tersebut menandakan bahwa mereka suah mampu meregulasi diri mereka dengan baik agar tiadak mengalami kecemasan yang berlebihan. Kesimpulan: Edukasi merupakan hal penting dilakukan agar apa yang menjadi kebutuhan baik dalam aspek sosial maupun dalam aspek kesehatan bagi anak yang mengalami keterbatasan dalam lembaga. ABSTRACT Background: Adolescence is a period of rapid growth and development both physically, psychologically and intellectually. Teenagers are residents in the age range 10-19 years. Objective: This study aims to analyze the effect of situation selection on emotion regulation strategies and anxiety levels in children at the Class II Maros Special Development Institute (LPKA) in 2024. Method: This research is a type of quantitative research using a cross-sectional design (cross sectional study), this research was conducted at the Maros Class II Special Development Institute for Children in December 2023-January 2024 with a sample size of 62 children. The data analysis techniques used are univariate and bivariate. Results: The influence of situation selection on anxiety levels can be seen in the results of the t test between situation selection and anxiety level showing a p value of 0.032 < 0.05, which means there is a significant influence between situation selection on anxiety levels (Ho is rejected and Ha is accepted). This indicates that they have been able to regulate themselves well so that they do not experience excessive anxiety. Conclusion: Education is an important thing to do so that what is needed both in the social aspect and in the health aspect for children who experience limitations in institutions.
Analisis Tindakan Indikator Rujukan Rawat Jalan Non Spesialistik dan Peserta Prolanis Terkendali pada Kapitasi Berbasis Kinerja di Klinik Pratama Makmur Jaya: Analysis of Non-Specialistic Outpatient Referral Indicator Measures and Controlled Prolanis Participants on Performance-Based Capitation at the Makmur Jaya Pratama Clinic Multazam, Andi Muhammad; Nurlinda, Andi; Irfan, Ahmad Azmul Asmar
Journal of Aafiyah Health Research (JAHR) Vol. 5 No. 1 (2024): JANUARY-JUNE
Publisher : Postgraduate Program in Public Health, Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52103/jahr.v5i1.1676

Abstract

ABSTRAK Latar Belakang: Kapitasi Berbasis  Kinerja (KBK) merupakan penyesuaian besaran tarif kapitasi berdasarkan hasil penilaian pencapaian indikator pelayanan kesehatan perseorangan yang disepakati berupa komitmen pelayanan Fasilitas Kesehatan Tingkat Pertama dalam rangka peningkatan mutu pelayanan.  Terdapat 3 indikator yaitu Angka Kontak (AK, target >150 permil), Rasio Rawat Jalan Kasus Non Spesialistik (RRNS, target <2%), dan Rasio Peserta Prolanis Terkendali (RPPT, target >5%). Tujuan: Penelitian ini bertujuan mengkaji tindakan pencapaian RRNS dan RPPT pada KBK di Klinik pratama Makmur Jaya, karena belum terpenuhinya kedua indikator tersebut. Metode: Penelitian ini menggunakan metode kuasi kualitatif. Terdapat 6 informan pada penelitian ini, yaitu 1 informan kunci, 3 informan utama, dan 2 informan tambahan. Analisis data menggunakan model analisis interaktif yang terdiri dari reduksi data, sajian data, verifikasi. Hasil: Hasil penelitian ini didapatkan   terdapat kendala pencapaian pada (1) input  (man) yaitu petugas Klinik Makmur Jaya tidak megetahui secara spesifik bahwa RRNS dan RPPT termasuk dalam program KBK, kedisiplinan pada entry data, (machine) terdapat alat pemeriksaan penunjang yang belum tersedia dan (method) belum adanya pedoman khusus yang dimiliki Klinik Makmur Jaya.  (2) Pada process  terdapat kendala untuk mencapai RNNS seperti pasien belum sembuh setelah diberikan penangana awal di klinik sehingga perlu dirujuk, masih banyak pasien yang langsung meminta untuk dirujuk, rujukan kebanyakan dilakukan oleh dokter pengganti.  Kendala pada proses RPPT diantaranya peserta prolanis tidak aktif mengikuti kegiatan prolanis karena alasan pribadi, masih banyak pasien yang menyangkal kondisi DM atau hipertensi sehingga tidak mau diperiksa, masih banyak yang mengira reminder melalui Whatsapp sebagai pesan tubian (spam) atau bahkan penipuan. ABSTRACT Background: First Level Health Facilities may adjust their capitation rates in an effort to improve service quality, in accordance with performance-based capitation (KBK). This adjustment is predicated on the fulfillment of service commitments that represent agreed-upon individual health service indicators. Contact Rate (AK, target >150 per mil), Outpatient Ratio for Non-Specialized Cases (RRNS, target <2%), and Controlled Prolanis Participant Ratio (RPPT, target >5%) are the three indicators set forth. The objective of this research was to assess the performance of controlled prosthetic patients in performance-based capitation and the outpatient ratio for non-specialized cases at the Pratama Makmur Jaya Clinic. Objective: These two metrics had not been fulfilled thus far, and the purpose of this study was to determine their adherence. Method: This study employs a quasi qualitative methodology. The study included a total of 6 informants, comprising 1 key informant, 3 main informants, and 2 other informants. Data analysis employs an interactive approach that includes data reduction, data presentation, and verification. Results: The study revealed several hindrances to obtaining optimal input. Firstly, the employees did not know the specifics that RRNS and RPPT are included in the KBK program. Moreover, there was a lack of discipline in data entry by the individuals involved. Secondly, there was a dearth of available inspection tools to support the process. Lastly, the Makmur Jaya Clinic lacked particular recommendations to facilitate the input procedure.  Another finding is that during the process, there were challenges in obtaining RRNS. Some patients did not recover after receiving initial treatment at the clinic and needed to be referred. Additionally, there were many patients who directly requested to be referred. The majority of referrals were made by substitute doctors.  Challenges in the RPPT process involved Prolanis participants who were not actively engaging in Prolanis activities due to personal reasons. Additionally, there were numerous patients who refused to acknowledge their condition of Diabetes Mellitus or hypertension and consequently declined to undergo examination. Furthermore, many patients mistakenly regarded reminders sent via WhatsApp as spam messages or even fraudulent.
Co-Authors A. Tensiani A.AS A.A. Ketut Agung Cahyawan W A.AS, A.Tensiani Abd. Rasyid Syamsuri Abdullah, Yaumil Ardha Ahri, Reza Aril Alfatah, Ratih Alfina Baharuddin Alwi, Muhammad Khidri Amir, Haeril Amri, Ismawarni Ananda, Alivia Andi Amin Nur Andi Asrina Andi Asrina Andi Asrina Andi Chaerul Andi Surahman Batara Andi Tenri Agung Andi Tenri Pada Anzar, Reski Ayu Arfiani Arlin Adam Arlin Adam, Arlin Arman Arman Arman Arman Arman Arni Rizqiani Rusydi astiani Astiani Sri Ayulestari Chaeruddin Hasan Desy Trismayanti Een Kurnaesih eryvia, nelfi Fardeana Tri Chandra Armon Fatmah Afrianty Gobel Gaffar, Nur Afifah Gibran Muhti TapiTapi Haeruddin Haeruddin Haeruddin Hamzah, Wardiah Hartamin Hasnaini Rahmah Hernianti Hernianti Hernianti Hidayah, Muftihatul Hidayat Husaidah, Siti Idhar Darlis Idris, Fairus Prihatin Ihsan, Nur Fitri Ikhram Hardi S Ikhtiar, Muh. Indah Puspita Sari Iradhah Azzahrah Irfan, Ahmad Azmul Asmar Irwan, Andi Ayesha Ananda Jumini Jumini Jumini Jumini Kasim, Nurbaeti Khairiyah, Winni Lailatul Mala, Tria Fatmala Malawat, Ratna Mansur Sididi Masdalis Merlyani Basir Mia Riani Muh. Khidri Alwi Muh. Khidri Alwi Muh. Multazam Muhammad Ikhtiar Muhammad Khidri Muhammad Khidri Alwi Muhammad Kidri Alwi Muhammad Multazam Muhsanah Fadil, Farihah Mukmin, Ainul Muthemainnah Mursyidah Halim Baha Muthi’ah Sahra Fadillah Patangke Mutmainna, Andi Nurul N Nukman Nelfi Eryvia Risana Nisa Musfirah Nisrina Nahdah S Nisrina Nahdah S. Novi Awalyah Ruslan Novitasari, Kesna Nathasya Novitasari, Kesna Nathasya Nunung Aryanti Arsyad Nunung Nur Musdahliani M Nur Amaliyah Riyadh Nur Annisa Nur Azizah Nur Fadhillah Nur Sri Widyastuti Nur Ulmy Mahmud Nurgahayu Nurgahayu, Nurgahayu Nurhaedar Djafar Nurhaedar Jafar Nurhaedar Jafar Nurnaningsih Yunus Nursafitri, Nadia Nursyamsi Nursyamsi Nurul Annisa Nurul Azizah Rafiuddin Nurul, Nadila Nurwahyu Saputri H.S Nurwahyuni Nurwahyuni Pratiwi, Desi Arisma R, Rahmaniyah Rahim, Ramlawati Rahman Rahmatia Rahmatia Ramadani, Fitrah Ramadani, Fitrah Ramli, Rahmawati Rasyidin Abdullah Rasyidin Abdullah Relawati Relawati Reza Aril Ahri Reza Aril Ahri Rezky Aulia Yusuf Rino Rino Riska, Riska Nur Afifah Rizki Amalia Arula Rizqi Alvian Fabanyo Rosmiati Ruslan, Novi Awalyah S Sulfiani S. , Ikhram Hardi Samsualam, Samsualam Santi, Arniati Septiyanti Sitaba, Tika Fausa Nur Sitti Patimah Sri Rahayu Lestari Sudirman Suharni A. Fachrin Suharni A. Fachrin Suharni A. Fachrin Suhikma Sofyan Sumiaty Sumiaty Sumiaty Sumiaty Suriani Suriani Syahrani, Vadiah Syamsiar, Syamsiar Syarif, Nisrina Tapitapi, Gibran Muhti Tenri Abeng Tika Fausa Nur Sitaba Trismayanti, Desy Ulfa Nasari Wahyuni Widowaty William Tasidjawa William Tasidjawa Yaumil Ardha Abdullah Yuli Rahayu YULIATI Yuliati - Yuliati Yuliati Yuliaty Yusriani Yusriani Yusriani, Yusriani Zulkifli