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All Journal SRIWIJAYA JOURNAL OF MEDICINE JIMF (JURNAL ILMIAH MANAJEMEN FORKAMMA) Journal of Nursing Management Innovations
Dian Natalia
English Department, Faculty of Letters, Petra Christian University, Surabaya, Indonesia
Humanities Economics, Econometrics & Finance Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Hubungan Laju Filtrasi Glomerulus dengan Derajat Anemia pada Penderita Penyakit Ginjal Kronik Natalia, Dian; Susilawati, Susilawati; Safyudin, Safyudin
Sriwijaya Journal of Medicine Vol. 2 No. 3 (2019): Sriwijaya Journal of Medicine
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1066.32 KB)

Abstract

Penyakit ginjal kronik (PGK) adalah proses patologis yang mengakibatkan penurunan progresif fungsi ginjal yang ditandai dengan penurunan laju filtrasi glomerulus. Penyakit ginjal kronik dapat mengakibatkan terjadinya anemia dan osteodistrofi renal. Anemia merupakan komplikasi penyakit ginjal kronik yang paling sering terjadi. Penelitian ini dilakukan untuk mengetahui hubungan laju filtrasi glomerulus dengan derajat anemia penderita PGK di RSUP Dr. Mohammad Hoesin Palembang. Penelitian ini merupakan penelitian analitik observasional dengan pendekatan cross sectional. Sampel penelitian ini adalah pasien yang didiagnosis penyakit ginjal kronik di RSUP Dr. Mohammad Hoesin Palembang dan tercatat di rekam medik tahun 2017 yang memenuhi kriteria inklusi dan eksklusi. Dari 214 pasien, didapatkan 55,1% penderita PGK adalah laki-laki dan 35% berumur 50-59 tahun. Berdasarkan derajat PGK didapatkan 79,4% penderita PGK memiliki derajat 5 dan berdasarkan derajat anemia didapatkan 94,9% penderita PGK mengalami anemia derajat sedang dan berat. Nilai cutoff LFG dan kadar Hb pada seluruh sampel didapatkan nilai < 8,56 mL/min/1,73m2, pada laki-laki < 8,1 mL/min/1,73m2, dan pada perempuan < 9,43mL/min/1,73m2. Hasil analisis menggunakan uji Chi-square menunjukkan bahwa LFG memiliki hubungan yang signifikan dengan derajat anemia (p=0,000). Terdapat hubungan yang signifikan antara laju filtrasi glomerulus dan derajat anemia pada penderita penyakit ginjal kronik di RSUP Dr. Mohammad Hoesin Palembang maka laju filtrasi glomerulus merupakan faktor risiko dari derajat anemia.
Analisis Kualitas Pelayanan Maternal di Rumah Sakit: Pendekatan Literatur Naratif Natalia, Dian; Ayuningytas, Dumilah
JIMF (Jurnal Ilmiah Manajemen Forkamma) Vol. 8 No. 3 (2025): JIMF (Jurnal Ilmiah Manajemen Forkamma)
Publisher : Universitas Pamulang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32493/frkm.v8i3.49940

Abstract

Maternal mortality in Indonesia remains relatively high compared to other ASEAN countries, even though there has been a gradual decline over the past two decades. Various efforts have been made to improve the quality of maternal health services, particularly in hospitals that serve as primary referral centers. This study aims to examine the factors that influence the effectiveness of maternal care in hospitals and to explore intervention strategies that have contributed to reducing maternal mortality. A narrative literature review was conducted, analyzing 16 national and international journal articles published between 2020 and 2025. The findings show that service effectiveness is shaped by both clinical and non-clinical factors, including geographic access, socioeconomic disparities, human resource capacity, information system integration, and the strength of referral systems. In addition, context-sensitive health policies and multisectoral approaches play a critical role in supporting sustainable and impactful interventions for reducing maternal mortality.
The Role of Workload in Increasing the Risk of Burnout Syndrome Among Nurses at Aisyiyah Siti Fatimah Tulangan Hospital, Sidoarjo Rohmah, Eliya; Sari, Ika Puspita; Rakhmawati, Fitria; Natalia, Dian; Zubaidah, Risna
Journal of Nursing Management Innovations Vol. 1 No. 1 (2025): Journal of Nursing Management Innovations
Publisher : CV Media Inti Teknologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58723/jnmi.v1i1.8

Abstract

Background of Study: Nurses frequently experience high levels of occupational stress due to demanding workload conditions, leading to Burnout Syndrome (BOS). Burnout is characterized by emotional exhaustion, depersonalization, and reduced personal accomplishment, significantly impacting nurse well-being and healthcare service quality.Aims and Scope of Paper: This study examines the relationship between workload and burnout syndrome among nurses at Aisyiyah Siti Fatimah Tulangan Hospital, Sidoarjo, aiming to identify the prevalence of burnout and its association with workload levels.Methods: This study used a cross-sectional quantitative analytical design, involving 40 nurses from inpatient and outpatient units selected through total sampling. Data were collected using a structured workload questionnaire and the Maslach Burnout Inventory (MBI), which measures three dimensions of burnout: Emotional Exhaustion, Depersonalization, and Decreased Personal Accomplishment. Statistical analysis used the Chi-Square test with SPSS software to determine the significance of the relationship (p < 0.05).Result: The majority of nurses (75%) reported moderate workload, while 25% experienced low workload; there were no cases of high workload. Despite this, the prevalence of burnout was very high, with 82.5% of nurses experiencing moderate burnout and 7.5% experiencing high burnout symptoms. Chi-square analysis confirmed a significant relationship (p < 0.05) between workload and burnout syndrome. Nurses with moderate workload were more likely to experience moderate to high burnout (93.3%). Emotional exhaustion emerged as the most affected component of burnout.Conclusion: This study highlights that even moderate levels of workload can significantly contribute to burnout in nurses. These findings challenge the traditional view that only high workloads cause burnout, suggesting that psychological distress plays a crucial role. These results emphasize the need for effective workload management strategies, mental health support, and institutional interventions
Co-Authors Ayuningytas, Dumilah Ika Puspita Sari Jenny M. Djundjung Rakhmawati, Fitria Rohmah, Eliya Safyudin Susilawati, Susilawati Zubaidah, Risna