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Hubungan Peran Anggota Keluarga Dengan Kepatuhan Minum Obat Pasien Tuberkulosis di Wilayah Kerja Puskesmas Kecamatan Denpasar Selatan Provinsi Bali Tahun 2022 Ni Made Elina Sukma Astuti; Atik Kridawati; Lili Indrawati
Jurnal Untuk Masyarakat Sehat (JUKMAS) Vol 6, No 2 (2022): Jurnal Untuk Masyarakat Sehat (JUKMAS)
Publisher : LPPM Universitas Respati Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/jukmas.v6i2.2417

Abstract

Latar belakang: Peran keluarga dalam pencegahan tuberkulosis sangat penting, karena tugas dari anggota keluarga adalah melakukan perawatan dan pemantauan minum obat. Empat aspek dari peran keluarga, yaitu emosional, instrumental, informatif dan penghargaan. Kepatuhan dalam berobat dapat meningkat ketika adanya peran serta dari keluarga. Besarnya kejadian ketidapatuhan dalam pengobatan menyebabkan besarnya angka kegagalan berobat pasien tuberkulosis dan juga makin banyak didapatkan pasien tuberkulosis yang resisten terhadap pengobatan standar. Tujuan: memahami korelasi diantara peranan keluarga terhadap rasa patuh meminum obat penderita tuberkulosis di wilayah kerja Puskesmas Kecamatan Denpasar Selatan. Metode: Studi ini menggunakan desain analitik cross-sectional, menggunakan analisis regresi logistik binary. Sampel penelitian, yaitu pasien tuberkulosis aktif di Puskesmas Kecamatan Denpasar Selatan yang berjumlah 53 responden. Pengumpulan data melalui pengisian kuesioner secara online melalui link google form. Data dianalisa secara univariat, bivariat dan multivariat. Hasil: Dalam analisis memaparkan pada variabel kepatuhan minum obat sebanyak 54,7% responden patuh dalam menjalankan pengobatan. Variabel peran keluarga mempunyai korelasi signifikan terhadap rasa patuh meminum obat (p<0,05). Pada analisis regresi logistik binary variabel tingkat pendidikan dan peran emosional terbukti memiliki hubungan yang bermakna terhadap rasa patuh meminum obat, makin besar tingkatan pendidikan dan semakin baik peran emosional membuat kepatuhan makin besar pula didalam menjalani pengobatan. Kesimpulan: Pendidikan terakhir mempunyai korelasi yang signifikan terhadap rasa patuh meminum obat. Empat aspek peran keluarga juga memiliki hubungan yang signifikan dengan peran keluarga.  Saran: Diharapkan keluarga pasien mampu memberikan perhatian kepada pasien dalam bentuk kebutuhan, dapat meluangkan waktu berinteraksi dan berkomunikasi. Dinas Kesehatan dapat membantu membentuk program untuk monitoring kader obat dalam darah.
Peningkatan Pengetahuan, Keterampilan dan Sikap Warga Antar Generasi di Kota Sukabumi Tentang Demensia Tahun 2022 Arini Sri Wahyuni; Tri Suratmi; Atik Kridawati
JURNAL BIDANG ILMU KESEHATAN Vol 13, No 1 (2023): Jurnal Bidang Ilmu Kesehatan
Publisher : Universitas Respati Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/jbik.v13i1.2414

Abstract

Demensia merupakan gangguan penurunan fisik otak yang berpengaruh pada emosi, daya ingat, fungsi kognitif, dan pengambilan keputusan. Demensia merupakan salah satu penyebab utama kecacatan dan ketergantungan lansia seluruh dunia. Hal ini mempengaruhi penderita demensia, dan keluarganya. Kurangnya kesadaran dan pemahaman tentang demensia menciptakan prasangka dan hambatan untuk diagnosis dan pengobatan, sehingga dibutuhkan adanya edukasi yang tepat tentang demensia. Tujuan penelitian ini untuk meningkatkan pengetahuan, keterampilan dan sikap warga antar generasi Kota Sukabumi tentang demensia melalui kegiatan edukasi. Penelitian ini menggunakan pendekatan kuantitatif, dengan rancangan quasi experiment dengan One Group Pretest Postes. Edukasi dilakukan melalui pemberian penyuluhan menggunakan leaflet, vidio pembelajaran dan presentasi terhadap 60 responden yang diperoleh menggunakan purposive sampling. Instrumen penelitian adalah kuesioner. Teknik analisis data menggunakan uji statistik nonparametrik Wilcoxon Signed Rank Test.  Hasil penelitian menunjukkan terdapat peningkatan pengetahuan dengan selisih peningkatan 3,65 (p = 0,0000), sikap dengan selisih peningkatan 3,36 (p = 0,0000) dan keterampilan dengan selisih peningkatannya 1,43 (p = 0,0000). Edukasi yang dilakukan efektif meningkatkan pengetahuan, keterampilan dan sikap warga antar generasi tentang demensia. Dan peningkatan pengetahuan lebih banyak pada usia remaja, sedangkan keterampilan dan sikap paling banyak meningkat pada usia dewasa.
Correlation Between The Nutrient Status And The Toddler Growth Of 3 And 4 Years Old In Rau Primary Health Center, Serang City In 2019 Nurlela Nurlela; Atik Kridawati; Laila Ulfa
Journal of Ageing And Family Vol 2, No 1 (2022): Journal Of Ageing And Family
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LPPM Universitas Respati Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/joaf.v2i1.2169

Abstract

Background: In the prevalence of Under-nutrition (Underweigth) the improvement occurred successively from 2013 amounted to 19.6%, up to 17.7% 2018. Despite the decline, the decline recorded was judged to be still insignificant. The World Health Organization (WHO) sets a prevalence limit of 20 percent for malnutrition. In fact, 'closing down' cases of malnutrition has been recorded as one of the targets of the Sustainable Development Goals (SDGs) second point 'zero hunger' in 2030. Indonesia along with other United Nations countries are committed to ending all forms of malnutrition, including reaching the world target by 2025. In the age of 3 and 4 years old, the optimal of nutrition status and children growth is the result of growth and development which has passed the critical period well and vice versa. Since the first thousand days of life, Children with the fulfilled or unfulfilled of provided nutrition can be assessed for their possible impacts on their development in 3 and 4 years old. Methodology: This type of research is quantitative research, with a non-experimental design using the study approach of cross sectional. The samples of this research were the majority of toddlers of 3 and 4 years old who were selected 64 toddlers be the samples. The inclusion criteria are toddlers aged 3 and 4 years in the Rau Puskesmas and at the time of data distribution. Then, Analysis data used the logistic regression test. Results: Through Univariate analysis found that the majority of respondents had poor nutritional status (57.8%), had low education (67.2%), with low income (56.3%) and lack of food consumption (54.7%). So that most of the development of the toddler is distorted (62.5%). Bivariate analysis, it has been found that all variables have the correlation each one, the toddler nutrition status (p-value 0.000), the level of parent education (p-value 0.000), the parent income (p-value 0.000), and the food consumption (p-value 0.004) towards the toddler development in 3 and 4 years old. Whereas for multivariate analysis, it has been found that the income variable is the dominant variable in the toddler growth in 3 and 4 years old, with the largest OR at 23.401. Conclusion: The majority of respondents have the low nutrition status, the low level of education, the equal of low and high rate of incomes, and the less of nutritious food consumption. Thereby, the most of toddler development is distorted. There is the significant correlation among the toddler nutrition status, the level of parent education, the parent income, and the food consumption against the toddler development in 3 and 4 years old. The most dominant variable of toddler growth in 3 and 4 years old is toddler nutrition status.Suggestion: In the future, may Rau Primary Health Centre in Serang city can often provide counselling to every parent regarding of the nutrition and health programs and more concern to promote the health about the growth and development of toddlers.  Keywords: Toddler growth in 3 and 4 years old, toddler nutrition status, parent education level, parent income level, and food consumption
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PERILAKU SEKSUAL SISWA SMA NEGERI DAN SWASTA DI KOTA SALATIGA Kiki Natassia; Herman Sudirman; Atik Kridawati
The Shine Cahaya Dunia S-1 Keperawatan Vol 2, No 2 (2017): THE SHINE CAHAYA S-1 KEPERAWATAN
Publisher : Universitas An Nuur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35720/tscs1kep.v2i2.35

Abstract

Latar Belakang: Di dunia remaja usia 15-24 tahun yang melakukan hubungan seksual sebanyak 66,5% dan 32,0% remaja dari tiga kota besar di Indonesia telah melakukan hubungan seksual di luar nikah. Perilaku seksual cukup mengkhawatirkan ini dapat memicu terjadinya kehamilan tidak diinginkan dan penyakit menular. Penelitian ini bertujuan untuk mempelajari faktor-faktor yang berhubungan dengan perilaku seksual siswa SMA Negeri dan Swasta di Kota Salatiga Tahun 2015Metode: penelitian ini merupakan penelitian kuantitatif dengan desain penelitian cross sectional study. Jumlah sampel 382 siswa SMA Negeri dan Swasta di KotaSalatiga. Pengambilan sampel dengan cara systematic random sampling. Pengambilan data dengan angket menggunakan kuesioner terstrukur yang telah diuji oba. Analisis data dilakukan secara univariat, bivariat dengan uji chi-square, multivariat dengan uji regresi logistik ganda.Hasil: variabel yang berhubungan dengan perilaku seksual yaitu pengaruh teman sebaya, pengawasan orang tua, efikasi diri, gaya hidup, pacar dan jumlah orang tua dengan p value <0,05. Variabel yang paling berhubungan dengan perilaku seksual adalah teman sebaya.Kesimpulan: perilaku seksual berhubungan dengan pengaruh teman sebaya. dikontrol oleh pengawasan orang tua, efikasi diri, gaya hidup, pacar, jumlah orang tua dan mitos tentang seks, intensitas cinta sebagai variabel confounding. Kata kunci: perilaku seksual, siswa, teman sebaya, SMA, perkotaan
Pengaruh Pendidikan Kesehatan terhadap Sikap Remaja tentang Kesehatan Reproduksi Desy Setiawati; Laila Ulfa; Atik Kridawati
Jurnal Ilmu Kesehatan Masyarakat Vol 11 No 04 (2022): Jurnal Ilmu Kesehatan Masyarakat
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jikm.v11i04.1453

Abstract

Kehidupan remaja menentukan kehidupan mereka selanjutnya. Permasalahan yang kompleks dapat terjadi pada masa remaja, diantaranya pola hidup yang tidak sehat dan ketidakstabilan emosi. Selain itu, remaja juga memiliki resiko dalam kesehatan reproduksi, diantaranya kehamilan yang tidak diinginkan, aborsi, penyakit menular seksual, kekerasan seksual dan terbatasnya remaja terhadap layanan informasi kesehatan. Penelitian ini bertujuan untuk mengetahui pengaruh pendidikan kesehatan terhadap sikap remaja tentang kesehatan reproduksi. Populasi dalam penelitian ini berjumlah 216 siswa dan siswi SMK Mutiara Bangsa dengan jumlah sampel sebanyak 97 responden. Desain penelitian adalah one-group pre-post test design. Cara pengambilan sampel dengan simple random sampling. Analisis data menggunakan perangkat lunak komputer. Uji hipotesis menggunakan uji non-parametris dengan Wilcoxon Signed Rank Test. Hasil penelitian menunjukkan terdapat perubahan nilai rata-rata sikap antara sebelum (68,73) dan sesudah diberikan pendidikan kesehatan (87,10). Hasil uji Wilcoxon Signed Rank Test menunjukkan ada pengaruh pendidikan kesehatan terhadap sikap remaja tentang kesehatan reproduksi (Pv = 0,000). Diharapkan Puskesmas dan Sekolah bekerja sama untuk lebih giat dan aktif dalam memberikan KIE dilingkungan sekolah secara berkala dan berkelanjutan sesuai dengan kebutuhan.
Determinan Gangguan Fungsi Kognitif Penderita Diabetes Melitus Tipe 2 di Wilayah Kerja Puskesmas Ciracas Vinna Fazrihardani Adlis; Tri Budi Wahyuni Rahardjo; Atik Kridawati
Jurnal Untuk Masyarakat Sehat (JUKMAS) Vol 10, No 1 (2026): Jurnal Untuk Masyarakat Sehat (JUKMAS)
Publisher : LPPM Universitas Respati Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/jukmas.v10i1.6919

Abstract

Cognitive impairment among patients with Type 2 Diabetes Mellitus (T2DM) poses a growing public health challenge, especially amidst increasing life expectancy and diabetes prevalence. This condition can impact patients' quality of life and adherence to disease management. This study aims to analyze the determinants of cognitive impairment in T2DM patients at the Ciracas Primary Health Center. This is a quantitative study with a cross-sectional design. A total of 295 respondents were selected using Non-Random Sampling with the Accidental-Quota Sampling technique. Cognitive function was assessed using the MMSE, and data were analyzed using chi-square tests for bivariate analysis and logistic regression for multivariate analysis. The study found that age (p=0.04), education level (p=0.000), HbA1c level (p=0.008), and history of hypertension (p=0.002) were significantly associated with cognitive impairment in T2DM patients. In contrast, gender, duration of diabetes, and cholesterol levels showed no significant relationship. The most strongly associated statistically was a history of hypertension.Most patients with cognitive impairment were elderly and low-educated, had uncontrolled HbA1c levels, and had a history of hypertension. It is recommended that cognitive assessments be integrated into primary healthcare programs like PROLANIS for more comprehensive T2DM management
Bhayangkara Lemdiklat Polri Hospital Strategy in Implementing The Standard Inpatient Class of the National Health Insurance (Kris JKN) Siti Masithoh; Alih Germas Kodyat; Atik Kridawati
Eduvest - Journal of Universal Studies Vol. 5 No. 10 (2025): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v5i10.52250

Abstract

The Government Regulation No. 59 of 2024, has mandated the implementation of the Standard Inpatient Class (KRIS) policy as a major reform within the National Health Insurance (JKN) system. This policy aims to eliminate disparities in inpatient healthcare services by ensuring equal access and quality of care for all BPJS participants, regardless of their premium contribution levels. This study analyzes the readiness of Bhayangkara Lemdiklat POLRI Hospital to implement the KRIS policy and formulates suitable strategies based on SWOT analysis. A qualitative research design was employed, utilizing observation, document review, and regulatory analysis as data collection techniques. The results show that the hospital has reached a high level of preparedness, with 98.61% of its patients being JKN participants, predominantly elderly and female. The hospital has met the majority of requirements across the four main KRIS implementation pillars: work planning, infrastructure readiness, asset management, and operational execution. However, two physical indicators—ventilation (97.65%) and room temperature (98.07%)—have yet to meet full compliance. The IFE and EFE scores of 3.06 and 3.00, respectively, place the hospital in Quadrant I of the IE Matrix, indicating a strategic position for aggressive growth. Accordingly, a Strength–Opportunity (SO) strategy is recommended, leveraging the hospital's internal strengths to capitalize on external opportunities and ensure that the implementation of KRIS is carried out effectively, efficiently, and sustainably.
The Effect of Lean Six Sigma Implementation, Information Technology Utilization, and Bed Capacity on Length of Inpatient Stay at Karya Medika Hospital, Bantar Gebang, Bekasi, in 2025 Astri Gunardi; Atik Kridawati; Herawati Herawati; Thika Marliana
Journal of Ageing And Family Vol 4, No 2 (2024): Journal of Ageing And Family
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LPPM Universitas Respati Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/joaf.v4i2.7229

Abstract

The Length of stay is a crucial indicator in hospital service systems. This study aims to analyze the influence of Lean Six Sigma implementation, the use of information technology, and bed capacity on the length of stay at RS Karya Medika Bantar Gebang. The research method used is a quantitative approach with a descriptive analytical design. Data were collected through questionnaires and analyzed using univariate, bivariate, and multivariate tests. The univariate analysis results show that the majority of respondents are aged 20-35 years (59.00%), female (64.10%), and work as nurses (56.40%). Bivariate analysis using Pearson correlation test shows that Lean Six Sigma implementation has a strong relationship with length of stay (r = 0.855, p = 0.000), the use of information technology has a very strong relationship (r = 0.906, p = 0.000), and bed capacity also has a strong relationship (r = 0.838, p = 0.000). Multivariate analysis results using multiple linear regression indicate that Lean Six Sigma implementation (β = 1.583, p = 0.000) and the use of information technology (β = 0.954, p = 0.043) significantly affect the length of stay, while bed capacity (β = 0.505, p = 0.243) does not have a significant effect. The regression model used has an R value of 0.944 and an R Square value of 0.892, indicating that 89.2% of variations in length of stay can be explained by the three independent variables. The conclusion of this study is that Lean Six Sigma implementation and the use of information technology significantly contribute to reducing the length of stay, while bed capacity does not have a direct impact. Therefore, hospitals are advised to further optimize the implementation of Lean Six Sigma and information technology to improve service efficiency.
The Relationship Between Patient Safety Culture and Patient Safety Goals in the Internal Medicine Inpatient Ward at Wira Bhakti Army Hospital, Mataram Sahat Ericson Tampubolon; Atik Kridawati; Dedy Nugroho; Ignatius Erik Sapta Yanuar
Journal of Ageing And Family Vol 4, No 2 (2024): Journal of Ageing And Family
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LPPM Universitas Respati Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/joaf.v4i2.7235

Abstract

Patient safety has been a universal reference in modern hospital practices. In Indonesia, efforts to prevent Patient Safety Incidents—such as Near Misses, Incidents, Adverse Events, and Unsafe Conditions—have been a priority in hospital safety systems. In Nusa Tenggara Barat (NTB), the incidence rate of Patient Safety Incidents is 4.8%. Army Hospital Wira Bhakti Mataram, a military hospital in NTB, plays a significant role in providing healthcare services. The hospital conducts patient safety surveys every six months to monitor and improve safety standards. This study aims to analyze the relationship between patient safety culture and patient safety incidents in the Internal Medicine Unit of Army Hospital Wira Bhakti Mataram. A quantitative analysis method with a cross-sectional approach was used. The study involved a total sample of 82 nurses, collected through in-depth interviews. The results indicate a significant relationship between patient safety culture and patient safety incidents, with a p-value of 0.003. These findings highlight the importance of fostering a strong patient safety culture to reduce incidents and improve overall healthcare quality.
Evaluasi Implementasi Sistem Informasi Manajemen Gizi (Sim Gizi) Di Rumah Sakit Restu Kasih: Tantangan Dan Strategi Optimalisasi Chandra Chandra; Atik Kridawati; Grace Rumengan
Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI) Vol 10, No 2 (2026): Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI)
Publisher : LPPM Universitas Respati Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/marsi.v10i2.8474

Abstract

AbstrakPelayanan gizi merupakan bagian integral dari mutu pelayanan rumah sakit karena berperan langsung dalam proses penyembuhan dan keselamatan pasien. Penerapan Sistem Informasi Manajemen Gizi (SIM Gizi) sebagai bagian dari SIMRS diharapkan mampu meningkatkan efisiensi, akurasi, dan koordinasi layanan gizi. Namun, pemanfaatan SIM Gizi tidak selalu berjalan optimal, terutama pada rumah sakit swasta dengan keterbatasan sumber daya. Penelitian ini bertujuan mengevaluasi implementasi SIM Gizi di Rumah Sakit Restu Kasih menggunakan model Human–Organization–Technology Fit (HOT-Fit) serta mengidentifikasi tantangan dan strategi optimalisasi pemanfaatannya. Penelitian ini menggunakan desain evaluatif–eksplanatif dengan pendekatan mixed-methods tipe sequential explanatory. Data kuantitatif dikumpulkan melalui kuesioner kepada pengguna SIM Gizi dan dianalisis menggunakan kerangka HOT-Fit, sedangkan data kualitatif diperoleh melalui wawancara mendalam dan FGD untuk memperdalam pemahaman terhadap temuan kuantitatif. Hasil penelitian menunjukkan bahwa kualitas sistem, kualitas informasi, dan kualitas layanan SIM Gizi berada pada kategori “cukup”. Sistem dinilai stabil dan terintegrasi dengan rekam medis elektronik, namun masih menghadapi kendala pada responsivitas dan pemanfaatan fitur. Faktor organisasi muncul sebagai determinan kunci keberhasilan implementasi. Keselarasan antara dimensi manusia, organisasi, dan teknologi berada pada tingkat moderat dan menghasilkan manfaat bersih yang nyata, tetapi belum optimal. Penelitian ini menyimpulkan bahwa implementasi SIM Gizi di RS Restu Kasih telah berjalan secara fungsional, namun memerlukan penguatan terpadu pada aspek teknologi, sumber daya manusia, dan tata kelola organisasi. Disarankan agar rumah sakit meningkatkan tata kelola SIMRS, pengembangan kompetensi pengguna, serta optimalisasi sistem secara berkelanjutan untuk meningkatkan mutu pelayanan gizi dan efisiensi kerja. Kata kunci: Evaluasi implementasi, Sistem Informasi Manajemen Gizi (SIM Gizi), Rumah sakit, HOT-FitAbstractNutrition services are an integral component of hospital service quality, as they directly contribute to patient recovery, safety, and clinical outcomes. The implementation of a Nutrition Management Information System (SIM Gizi) as part of the Hospital Management Information System (HMIS) is expected to improve efficiency, accuracy, and coordination of nutrition services. However, the utilization of SIM Gizi has not always been optimal, particularly in private hospitals with limited resources. This study aims to evaluate the implementation of SIM Gizi at Restu Kasih Hospital using the Human–Organization–Technology Fit (HOT-Fit) model and to identify the challenges and optimization strategies for its utilization.This study employed an evaluative–explanatory design with a mixed-methods approach using a sequential explanatory strategy. Quantitative data were collected through questionnaires administered to SIM Gizi users and analyzed based on the HOT-Fit framework, while qualitative data were obtained through in-depth interviews and focus group discussions to further explain the quantitative findings.The results indicate that system quality, information quality, and service quality of SIM Gizi are at a “moderate” level. The system is perceived as stable and integrated with electronic medical records; however, challenges remain in system responsiveness and feature utilization. Organizational factors emerged as a key determinant of implementation success. The alignment among human, organizational, and technological dimensions was found to be moderate, resulting in tangible net benefits that have not yet been fully optimized.This study concludes that the implementation of SIM Gizi at Restu Kasih Hospital is functionally adequate but requires integrated improvements in technology, human resources, and organizational governance. It is recommended that hospitals strengthen HMIS governance, enhance user competencies, and continuously optimize the system to improve nutrition service quality and work efficiency. Keywords: Implementation evaluation, Nutrition Management Information System (SIM Gizi), Hospital, HOT-Fit