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IDENTIFIKASI SIKAP KERJA DAN KELUHAN GEJALA CUMULATIVE TRAUMA DISORDER (CTD) PADA PEKERJA PEMECAH BATU DI KECAMATAN PATIKRAJA KABUPATEN BANYUMAS Ngadiman Ngadiman; Saudin Yuniarno; Siti Harwanti
Kesmas Indonesia Vol 1 No 2 (2008): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Works as stone breaker is more work worked in posture of body that is not experienced causing can generate un-comfort to work and the end generates fatigue and sigh of feeling pain. The sigh indicates that the workers to experince damage symptom cumulative trauma (Cumulative Trauma Disorder/CTD), as recuring trauma effect during old causing feeling pain. The symptoms usually emerges at kind of work which monotone, position of job that is not natural, usage or conscription of muscle exceeding is ability. Effort for best prevention must be based on result of identification of posture of work and symptoms incidence experienced. Therefore, research need to be done to identify posture of job and case of CTD at stone crusher worker in subdistrict of Patikraja Banyumas regency. This kind of research is descriptive research with approach of observasional and sampletaken 60 respondens. The result of research is known by posture of job, the stone crusher workers works by using pallet to sit which is not ergonomic (100%), position sits not natural (85%), knee dint bends (85%), without synchronized of self protective decive (95%), and work environment that is not balmy (90%). While specific symptom of Cummulative Trauma Disorder (CTD) at stone crusher worker subdistrict of Patikraja Banyumas regency is feel back ache sigh (95%), ill at leg (91%), and sigh of symptomp Carpal Tunnel Sindrome/CTS (90%). Therefor required levying of supporting facilities for job which ergonomic to prevent incidence the symptom.

HUBUNGAN SIKAP ANGKAT DAN FREKUENSI ANGKUT DENGAN KELUHAN NYERI PINGGANG PADA TENAGA KERJA PENGANGKUT BERAS DI GUDANG BULOG 402 SOKARAJA KABUPATEN BANYUMAS Dwi Bayu Retnaningtyas; Siti Harwanti; Nur Ulfah
Kesmas Indonesia Vol 6 No 2 (2013): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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ABSTRACTCarrier rice laborer is an informal sector worker who works to transfer the rice sacks from the truck load to the rice storehouse, they carried it with their waist or back. Transferring goods manually will build the lifting posture and hauling frequencies. Unnatural lifting postures will potentially be led to low back pain that marked by pain complaints. Low back pain is a pain on the lumbosacral and sacroiliac area that followed by the pain spreading from the leg to the foot. A mechanical factor is one of the main causes of low back pain from the heavy and repetitive activities. The pain characteristics were preceded by the hefty goods lifting history and the unnatural bending position while lifting the weighty goods. The purposed of this research was to understand the correlation of lifting postures and hauling frequencies that could cause low back pain. The type of this research was an observational analytic research with a crossectional technique. There were a total of 40 samples that had taken with the Total Population Technique from the Bulog 402 Storehouse Sokaraja. The data collected with the Skala Analogue scale (SAV) for low back pain. Data that had been collected were analyzed with the Rank Spearman correlation test. The Rank Spearman test results showed, that there was a correlation between lifting postures with low back pain, (p =0.016): (α=<0.05) and Correction Correlation (CC) = 0.380*. Meanwhile, there was no correlation between the hauling frequencies with low back pain. We recommended that the Bulog 402 storehouse management should conduct a regular supervision on their laborer work posture during their work time, and for the laborer it selves, a correct working posture and lifting goods with the suitable weight can reduce low back pain incidents. Keyword : Postures, Frequencies, Low Back Pain Kesmasindo Volume 6, (2)Juli 2013, Hal 143-149

HUBUNGAN POSISI KERJA, POSISI KEPALA DAN JARAK JANGKAUAN DENGAN KELELAHAN FISIK PEKERJA BATIK DI DESA KAUMAN SOKARAJA Siti Harwanti; Budi Aji; Nur Ulfah
Kesmas Indonesia Vol 8 No 2 (2016): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Handmade batik worker is a job used sit position. Indecent sit position will cause workers feel fatigue faster. The objective of this research is to know correlation work sit position with physical fatigue at handmade batik workers. This research used analytic observational with crossectional approachment. Sample are 41 female handmade batik workers with total sampling as sample election technique. The data analyze used chi square test with 5% level error or α = 0,05. Bivariate analyze at back position variable obtain p-value = 0,001 (< 0,05). Head and neck position variable obtain p-value = 0,108 (> 0,05). Hand range variable obtain p-value = 0,000 (< 0,05). Work sit position obtain p-value = 0,001 (< 0,05). Back position variable, hand range variable and work sit position have correlation with physical fatigue.

PENGARUH USIA DAN STATUS GIZI TERHADAP KETAJAMAN PENGLIHATAN Nur Ulfah; Siti Harwanti; Ngadiman Ngadiman
Kesmas Indonesia Vol 6 No 1 (2013): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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ABSTRACT One aspect that should be a concern for employers is the comfort of working labor when carrying out their work. Convenience is meant here is comfort working position, temperature comfort, visual comfort, and convenience of audio. If the comfort of the visual can be obtained on a building, then the object to be viewed or in the field of lighting is known as a visual task, you will see clearly without eye has to work hard, so that workers can carry out visual tasks well during their work time (Atmodipoero, 2000). The general objective of this research is to investigate the relationship between age, nutritional status with visual acuity. The results showed that the age had relationship with visual aquity and no relationship between nutritional status with visual aquity. Suggestion for the company is necessary to add lighting to meet minimum standards in the workplace section Knitting, necessity of providing health insurance for health care of eyes, especially the elderly for the efficiency of his eyesight did not continue to decline should be occur rotation system of labor have which has been decreased visual acuity of the knitting to another section. Key words: acuity of vision, labor, knitting Kesmasindo, Volume 6, Nomor 1 Januari 2013, Hal. 75-84

PENINGKATAN PRODUKTIFITAS DAN PENCEGAHAN KEKAMBUHAN GANGGUAN JIWA DENGAN PENDEKATAN PELATIHAN EMOTIONAL FREEDOM TECHNIQUE (EFT) DAN HOME CARE DI RSUD. BANYUMAS Suryanto Suryanto; Siti Harwanti; Wahyu Ekowati
Kesmas Indonesia Vol 5 No 2 (2012): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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ABSTRACT Productivity is influenced by the physical and mental health status. Mental disorders in individuals of reproductive age who are either light or heavy will impact on the decline in labor productivity (patients) who suffer. One of the psychological therapies that can reduce stress in patients with psychiatric disorders is the Emotional Freedom Technique (EFT). The purpose of research is to apply EFT training to improve the condition of our emotions, thoughts and behaviors so as to prevent the recurrence of mental illness.The study was conducted with the survey and participant observation. The data source is the patient, family, hospital health care team. Banyumas. Conducted a prospective approach with instruments such as questionnaires and observation sheets. Sampling technique using purposive sampling with the number 20. Respondents were given a training intervention EFT and home care later in the evaluation of pre-posttest. After discharge from the hospital respondents made observations in the home. The analysis was done descriptively. Results of the 20 respondents, primary and secondary education respectively 8 people (40%) and high school graduates there are 4 people (20%). Sex female respondents, there were 12 people (60%) and men there are 8 people (40%). pre-and posttest used before and after training EFT rise of scores by an average of 20%, on the training of how to socialize with other people increases the pre and posttest scores from an average of 35% and the increase in training on personal hygiene of the pre and posttest scores an average of 45 %. Conclusion are need socialize EFT training, home care and personnel hygiene can be a provision for mental patients before discharge and to prevent recurrence. Respondents can be more confident in life and want to work as usual. Keywords :Productivity,training, observation Kesmasindo. Volume 5( 2) Juli 2012, hlm. 180- 190

FAKTOR-FAKTOR YANG BERPENGARUH TERHADAP LOW BACK PAIN (LBP) PADA PEKERJA DI HOME INDUSTRI BATIK SOKARAJA KABUPATEN BANYUMAS siti harwanti; Nur Ulfah; Panuwun Joko Nurcahyo
Kesmas Indonesia Vol 10 No 2 (2018): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

INTISARI Low back pain (LBP) adalah nyeri yang dirasakan pada daerah punggung bawah, rasa nyeri ini terasa diantara sudut iga terbawah sampai di daerah lumbal. Low back pain berhubungan dengan posisi kerja duduk yang lama. LBP banyak terjadi pada tenaga kerja yang bekerja dalam posisi duduk dalam jangka waktu lama seperti home industri batik. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang berpengaruh terhadap low back pain (LBP) pada pekerja di home industri batik Sokaraja Kabupaten Banyumas. Metode penelitian yang digunakan adalah analitik observasi dengan pendekatan Cross sectional. Populasi dalam penelitian ini sebanyak 60 tenaga kerja, pengambilan sampel dengan mengunakan total sampling. Hasil Penelitian menunjukkan bahwa faktor yang terbukti berpengarug terhadap LBP adalah umur dengan p value 0,046, kebiasan olah raga dengan p value 0,000 dan masa kerja dengan p value 0,000. Saran dalam penelitian ini adalah agar tenaga kerja melakukan olah raga minimal 3 kali dan maksinal 5 kali dalam satu minggu, dalam setiap latihan minimal 30 menit. Kata kunci : Low Back Pain, Pekerja batik, Sokaraja

HUBUNGAN KELELAHAN KERJA, MASA KERJA, INTENSITAS PENCAHAYAAN, DENGAN KETAJAMAN PENGLIHATAN TENAGA KERJA OUT SOURCING PT. HYUP SUNG PURBALINGGA Ngadiman Ngadiman; Siti Harwanti; Budi Aji; Nur Ulfah
Kesmas Indonesia Vol 2 No 2 (2009): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Decreasing of global economy affected the whole industrial sector, specially exporting industries. Employers (corporation) with those condition, will make efficiency and focusing to the efforts to handle capital, management and marketing. Occupational Health and Safety is a high cost effort for corporations with capital problem. Out sourcing workers employees is on alternative choosen by a corporation for more flexible, well know working environment and cheaper less cost. PT. Hyup Sung is corporation working on eye lash. The aim of this research was to find the relationship between work fatigue, working duration, light intensity with sight-sharpness among the out sourcing workers. The research was using cross sectional survey with 65 respondent. Bivareat analysis shown that the work fatigue significantly related with right sight-sharpness (p= 0,007; r= 0,332), but doesn’t related with the left (p= 0,825; r= 0,628). Working duration doesn’t related with the right sight-sharpness (p= 0,614; r= 0,064) nor the left (p= 0,186; r= 0,136). The light intensity doesn’t related with sight-sharpness (p= 0,972; r= 0,004) nor the left (p= 0,833; r= 0,027). Based on the results, work fatigue significantly related with right sight-sharpness for that, suggested to do the continous preventif and promotif effort in order a prevent decreasing of sight-sharpness, it could be done by providing the standard working facilities, education about the importance of health for workers , also periodic health monitoring.

ANALISA ERGONOMI PADA TUNGKU MASAK GULA MERAH MASYARAKAT CILONGOK KABUPATEN BANYUMAS Ngadiman ngadiman; Siti Harwanti; Nur Ulfah
Kesmas Indonesia Vol 4 No 2 (2011): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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ABSTRACT Employment in the informal sector has a major role in the developing countries including Indonesia. One group of informal workers in Banyumas is a community producer of palm sugar or brown sugar in Cilongok. In the process of making brown sugar, the furnace is one of the main facilities. Based on field observations used furnace is still a simple form and have not considered the aspect of ergonomics. The purpose of this research is to redesign the furnace to cook brown sugar-anthropometry ergonomics approach. Research using observational approaches. Anthropometric data obtained by direct measurement, while the interviews conducted to determine musculoskeletal complaints with a structured questionnaire from the Nordic Body Map. The results showed that 1) all respondents (100%) felt pains in the lower back and waist, 2) anthropometric measures of workers who made reference to the determination of height is a measure of furnace design standing elbow height of 95.03 cm with a value of 90.97 percentil 5th cm, and 3) recommendations for an ergonomic cooking furnace size is the height of the furnace 80 cm, 60 cm diameter furnace, the fire hole diameter of 20 cm. Kata kunci : ergonomic, red sugar cookingKesmasindo. Volume 4(2) Juli 2011, hlm. 94-104

EFFECT OF BACK EXERCISE TO DECREASE LOW BACK PAIN OF BATIK ARTISANTS IN KAUMAN VILLAGE, SOKARAJA siti harwanti; Budi Aji; Nur Ulfah
Kesmas Indonesia Vol 11 No 1 (2019): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

low back pain (LBP) adalah gangguan muskuloskeletal yang terjadi di punggung bawah yang dapat disebabkan oleh berbagai penyakit dan aktivitas tubuh yang kurang baik. Salah satu upaya untuk mengatasi LBP adalah kembali latihan. Tujuan penelitian ini adalah untuk mengetahui pengaruh terapi latihan kembali yang menjadi perhatian menurunkan keluhan nyeri artisants batik di desa Kauman Sokaraja subsdistrict. Penelitian ini menggunakan teknik Experiment Quasi fenomenologis desain kelompok kontrol ekuivalen non (uji -post pra). Pengambilan sampel adalah menggunakan teknik purposive sampling. Analisis data menggunakan eksperimen Friedman untuk kelompok perlakuan dan berulang percobaan Annova untuk kelompok kontrol. analisis percobaan yang berbeda antara kelompok perlakuan dan kelompok kontrol dengan menggunakan Mann Whitney percobaan. Hasil penelitian Friedman pada kelompok perlakuan menunjukkan bahwa p-value = 0,000 (p <0,05), artinya terapi yang diberikan adalah efektif untuk menurunkan keluhan menyakitkan. Hasil penelitian Annova berulang di kelompok kontrol menunjukkan bahwa p-value = 0.234 (p> 0,05), artinya keluhan menyakitkan tampaknya tidak berbeda dalam kelompok kontrol. Hasil percobaan Mann Whitney menunjukkan bahwa p-value = 0,000 (p <0,05) artinya ada perbedaan antara keluhan nyeri pada kelompok perlakuan dan kelompok kontrol setelah melakukan kembali latihan. Ada efek dengan memberikan kembali terapi latihan yang perhatian menurunkan keluhan nyeri pinggang untuk artisants batik di Desa Kauman Kecamatan Sokaraja.

HUBUNGAN SIKAP KERJA DENGAN KELELAHAN KERJA PADA PEKERJA LAUNDRY DI KECAMATAN PURWOKERTO UTARA KABUPATEN BANYUMAS Gandung Kartika Tri Nugroho; Nur Ulfah; Siti Harwanti
Kesmas Indonesia Vol 7 No 3 (2015): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Fatigue could significantly degrade performance and increase the error rate of employment. Moreover, fatigue contributed significantly to the occurrence of occupational accidents. Fatigue is characterized by weakening employment of labor in doing the work or activities. Fatigue was influenced by several factors, both internal and external factors. Working attitude was one of the internal factors. The purpose of this study was to determine the relationship of working attitude to the occurrence of working fatigue of workers at Laundry on North Purwokerto district in Banyumas. The study was conducted using observational approach by cross sectional research design with the study sample amounted to 150 respondents consisted of 30 samples in 5 section laundry. Analyses of data used are univariate and bivariate analysis(chi square). Based on five section working attitude studied are weighing, washing, drying, ironing and packaging, factor associated with work exhausted is the ironing section. The factor that are not associated with work exhausted is weighing, washing, drying and packaging. As a suggestion to reduce the occurrence of fatigue, giving education of ergonomic attitude on laundry workers and more resting time, and giving ergonomic design means working as an ergonomic desk chair for ironing section.

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