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All Journal Jurnal Ners Indonesian Journal of Global Health research Jurnal Keselamatan Kesehatan Kerja dan Lingkungan Jurnal Masyarakat Madani Indonesia
Iwan Muhamad Ramdan
Universitas Mulawarman
Humanities Computer Science & IT Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences

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Mencegah Keluhan Musculoskeletal Disorders Pada Pengrajin Amplang Di Kota Samarinda Muhammad Sultan; Iwan Muhamad Ramdan
Jurnal Masyarakat Madani Indonesia Vol. 1 No. 2 (2022): Agustus
Publisher : Alesha Media Digital

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (647.47 KB) | DOI: 10.59025/js.v1i2.2

Abstract

Pekerja pengolahan amplang merupakan salah satu kelompok pekerja sektor informal yang berisiko mengalami keluhan nyeri otot atau MSDs (Musculoskeletal Disorders) karena masih kurang memahami dan mempraktikkan prinsip ergonomis dalam bekerja. Pekerja pengolahan amplang di lokasi pengabdian masyarakat masih seringkali mengalami keluhan MSDs terutama pada bahu dan lengan atas. Keluhan tersebut dirasakan pada semua tahapan pengolahan amplang mulai dari proses pengadonan, pencetakan dan penggorengan hingga proses pengemasan. Jika keluhan ini berlangsung secara terus-menerus, maka akan berpengaruh buruk terhadap produktivitas kerja. Berdasarkan hal tersebut, maka dilakukan kegiatan pengabdian kepada pekerja amplang yang bertujuan untuk mencegah para pekerja agar tidak mudah mengalami keluhan MSDs. Kegiatan pengabdian masyarakat ini dilakukan dalam bentuk sosialisasi dan pelatihan dengan melibatkan mahasiswa sebagai wujud penerapan program Merdeka Belajar Kampus Merdeka (MBKM). Kegiatan ini dilaksanakan di RT 16 Kelurahan Teluk Lerong Ulu Kota Samarinda pada tanggal 10 November 2021 yang dihadiri sebanyak 20 pekerja amplang. Pelaksanaan kegiatan pengabdian kepada masyarakat ini berjalan dengan baik dengan tingkat partisipasi kehadiran peserta mencapai 100%. Kegiatan ini dinilai berhasil karena adanya peningkatan pengetahuan dan keterampilan sebesar 90 dan 80 pada pekerja amplang sesudah dilakukan sosialisasi serta pelatihan penerapan postur kerja yang ergonomis.
Faktor-faktor yang Berhubungan Dengan Kinerja Pegawai Puskesmas dalam Meningkatkan Pelayanan Kesehatan di Puskesmas X Samarinda Nurul Rizkiana Tistania; Iwan Muhamad Ramdan; Blego Sedionoto; Nur Rohmah; Riyan Ningsih; Ratno Adrianto
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.v10i1.51316

Abstract

Kinerja pegawai di Puskesmas X merupakan elemen strategis dalam menjamin mutu layanan kesehatan primer, sehingga perlu ditingkatkan melalui pendekatan sistematis terhadap faktor-faktor internal pegawai. Penelitian ini bertujuan untuk menganalisis faktor-faktor apa saja yang berhubungan dengan kinerja. pegawai dalam meningkatkan pelayanan kesehatan di Puskesmas X Samarinda pada tahun 2025. Penelitian ini merupakan penelitian metode kuantitatif dengan pendekatan cross-sectional dengan teknik pengambilan sample yaitu Total Sampling dan jumlah 54 responden, penelitian dilakukan di Puskesmas X dengan pengumpulan data primer melalui kuesioner. Analisis data menggunakan uji Chi-Square sedangkan analisis multivariat menggunakan Analisis Regresi Logistik Hasil penelitian menunjukkan hubungan signifikan antara tekanan kerja (p=0,016), kepuasan kerja (p = 0,034) , dan loyalitas ( p = 0,007) terhadap kinerja pegawai Puskesmas X. Namun, tidak ditemukan hubungan antara kemampuan (p= (0,651) dan rekan kerja (0,313) dengan kinerja pegawai. Variabel yang paling dominan berpengaruh terhadap kinerja pegawai adalah loyalitas (Exp (B) = 4,714 yang mengindikasikan bahwa pegawai dengan loyalitas yang cukup memiliki peluang 4,7 kali lebih besar untuk menunjukkan kinerja yang baik dibandingkan dengan pegawai yang loyalitas nya kurang mendukung. Disarankan Puskesmas mengadakan pelatihan dan pengembangan kompetensi secara berkala menciptakan lingkungan kerja yang kondusif dengan menanamkan nilai-nilai budaya organisasi yang positif agar tercipta kinerja yang baik.
Faktor-Faktor yang Berhubungan dengan Gangguan Pendengaran pada Pekerja Operator PT. X di Kota Bontang Tsabita Radhiya Dzakira; Muhammad Sultan; Ida Ayu Indira Dwika Lestari; Iwan Muhamad Ramdan; Dewi Novita Hardianti
Jurnal Keselamatan Kesehatan Kerja dan Lingkungan Vol. 7 No. 1 (2026): Januari - April 2026
Publisher : Fakultas Kesehatan Masyarakat Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jk3l.7.1.52-59.2026

Abstract

Noise in the workplace is a major risk factor that can cause hearing loss, especially in the oil and gas industry, which has high noise exposure. Long-term exposure to noise above the Threshold Limit Value (TLV) can cause permanent Noise-Induced Hearing Loss (NIHL). Based on observations at PT. X, Bontang City, several areas showed noise levels above 85 dBA, potentially causing hearing impairment among workers. This study aims to determine the relationship between noise levels, length of service, use of hearing protection devices (HPDs), and noisy hobbies or activities with hearing loss among operators at PT. X in Bontang City. The study used a cross-sectional design with a quantitative approach. Data were obtained through noise measurements, questionnaires, and audiometric examination results. Analysis was performed using Spearman's Rank Correlation test to assess the relationship between variables. The results of the study show a significant relationship between noise levels (p=0.000, r=0.951), the use of hearing protection devices (p=0.000, r=- 0.645), and noisy hobbies or activities (p=0.006, r=0.398) with hearing impairment (p<0.05). However, the variable of length of service did not show a significant relationship (p=0.055, r=0.282). It can be concluded that noise levels, the use of hearing protection devices (HPDs), and noisy hobbies or activities are associated with hearing loss, while length of service is not. It is recommended that companies conduct regular audiometric examinations at least twice a year, create Noise Contour Maps on a routine basis, and update noise warning signs in the workplace. The selection of comfortable EPP and education regarding the use of high-risk earphones are also necessary to prevent hearing loss and increase workers' awareness of the dangers of noise.
Analysis of Risk Factors for Chronic Kidney Failure Nunuk Sudarmiyati; Irfansyah Baharuddin Pakki; Iwan Muhamad Ramdan
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6649

Abstract

The background of this study focused on the increasing incidence of chronic renal failure at Kudungga Sangatta Hospital, East Kutai Regency, which is a serious concern in an effort to improve the quality of public health services. The general objective was to analyze the risk factors of chronic renal failure in Kudungga Sangatta Hospital, East Kutai Regency. This type of research is an analytic observational research with case control design or case control study. The non-random sampling method is purposive sampling as many as 140 people, as for data collection techniques, namely, the preparation stage (preparing a research permit, and conducting a preliminary study), after that there is an implementation stage (collecting respondent data, sorting samples according to sample criteria in two sample groups, filling out questionnaire data, and collecting research instruments). The data analysis techniques in the study were editing, coding, shorting, data entry, and data cleaning. Age was significantly associated with the incidence of acute renal failure (P < 0.001). Family history of hypertension is significantly associated with the incidence of acute renal failure (P < 0.001, OR = 69.750). Family history of diabetes mellitus was not significantly associated with the incidence of acute renal failure (P = 0.806). Taking Analgesic and NSAID drugs were not significantly associated with the incidence of acute renal failure (P > 0.05). The conclusion is that there is a relationship between age and family history of hypertension with the incidence of chronic renal failure and there is no relationship between family history of diabetes mellitus, and using analgesic drugs and NSAIDs is not significantly related to the incidence of acute renal failure at Kudungga Sangatta Hospital, East Kutai Regency.
Analysis of Factors Associated with the Incidence of Dengue Hemorrhagic Fever (DBD) Astuti Astuti; Irfansyah Baharuddin Pakki; Iwan Muhamad Ramdan
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6650

Abstract

Dengue fever is still a public health problem worldwide, especially in tropical and subtropical regions. Data from around the world shows that Asia ranks first in the number of Dengue Fever sufferers each year. The purpose of this study was to determine the factors that affect the incidence of Dengue Fever (DHF) in the work area of BLUD Puskesmas Sangatta Utara, Kecamatan Sangatta Utara, Kabupaten Kutai Timur. This study used a case-control design, with 115 positive cases of DHF and 115 control cases in the work area of BLUD Puskesmas Sangatta Utara, East Kutai Regency, making a total of 230 samples. The data collection techniques included a preparation stage (obtaining research permits and conducting a preliminary study), followed by an implementation stage (collecting respondent data, sorting samples according to criteria into two groups, filling out questionnaires, and collecting research instruments). This study found a significant association with the incidence of DHF in the following variables: knowledge (p < 0.001) OR 0.061, daytime activity (p < 0.001) OR 2.878, mosquito nest eradication efforts (p < 0.001) OR 0.118, and the habit of hanging used clothes in the house (p < 0.001) OR 8.576. It can be concluded that the habit of hanging used clothes in the house is the most dominant variable associated with the incidence of DHF in the work area of BLUD Puskesmas Sangatta Utara (Odds Ratio Exp(β) = 89.297).
Calculation Rational Rates Based on Unit Costs Compared to Kudungga Hospital Surgical Instalation Rates Endah Dwi Setianingtyas; Ratno Adrianto; Iwan Muhamad Ramdan; Irfansyah Baharuddin Pakki; Iriyani Kamaruddin; Rahmat Bahtiar
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6872

Abstract

Hospitals that have carried out unit cost calculations can find out how much they are spending, so that the hospital can know if waste occurs. This is because the costs incurred by one hospital will be different from those incurred by another hospital, even though the hospital is in the same type of hospital. Apart from that, the results of unit cost calculations can also be used as a basis for decision making to improve hospital quality and quality. The aim of this research is to calculate rational rates for types of surgery using the multiple distribution method, then compare them with hospital rates for general surgery rates at the Central Surgical Installation of Kudungga Sangatta Regional Hospital. This study is a comparative descriptive quantitative analytical study to compare the rational rates of types of operations (special, special, major, major, and medium cito operations) in the general surgery group during the period of 2023 with the rates of general surgery operations at the Central Surgery Installation of Kudungga Sangatta Regional Hospital with a sample population of all 340 patients using BPJS insurance who received general surgery operations. The results of the research show that the rational rates obtained for special CITO operations are IDR 14,094,633, special operations IDR 12,383,431, large CITO operations IDR 5,262,904, large operations IDR 6,775,203, and medium operations IDR 3,858,857. Rational rates are higher than hospital rates, except for major CITO surgery rates. Therefore, when determining hospital rates, it is necessary to consider unit cost analysis so that hospital operational costs can be efficiently spent.
Co-Authors Adrianto, Ratno Astuti Astuti Blego Sedionoto Dewi Novita Hardianti Endah Dwi Setianingtyas Ida Ayu Indira Dwika Lestari Iriyani K Masruroh1,2, Ah Yusuf3 , Nikmatur Rohmah4, Irfansyah Baharudin Pakki5 , Anita Dewi Prahastuti Prasojo6 , Qurnia Andayani1 , *Agung Dwi Laksono7 Muhammad Sultan Nunuk Sudarmiyati Nur Rohmah Nurul Rizkiana Tistania Rahmat Bahtiar Riyan Ningsih Tsabita Radhiya Dzakira