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Faktor yang berhubungan dengan Catatan Keperawatan Dokumen Rekam Medis Rawat Inap di Rumah Sakit H. Adam Malik Medan Achmad Sobari; Mappeaty Nyorong; Nuraini Nuraini
JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan) Vol 7, No 4 (2022)
Publisher : Prodi Kesehatan Masyarakat Fakultas Kesehatan Masyarakat UIN Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/jumantik.v7i4.12628

Abstract

Nursing records are one of the most important aspects of the role of health care providers because they are evidence of the implementation of nursing care. Nursing documentation confirms that the legal and ethical responsibilities of nurses to patients have been fulfilled, and patients receive quality nursing care. Quality medical records are related to the completeness of medical record entries, accuracy, accuracy of medical record records, timeliness and fulfillment of legal aspects. The purpose of this study was to determine factors related to nursing records of inpatient medical records at H. Adam Malik Hospital Medan This study uses an analytical survey method with a cross sectional approach. The population in this study were all 50 inpatient nurses and 50 samples were taken using a total sampling technique. Data analysis used univariate, bivariate and multivariate analysis with data analysis using logistic regression test. The results of the chi-square test analysis show that the p-value of each variable includes workload, p-value = 0.022, performance p-value = 0.018 and supervision p-value = 0.046. The conclusion of this study is that there is a relationship between workload, performance and supervision with inpatient medical records. It is expected to carry out regular and periodic supervision of each implementing nurse in the inpatient room, in this case the head of the room needs to plan direct and indirect supervision activities on a regular basis and is also involved in the implementation of nursing records
Persepsi Perawat Terhadap Implementasi Budaya Keselamatan Pasien Di Ruang Rawat Inap Terpadu Rumah Sakit H.Adam Malik Medan Betty Sinaga; Mappeaty Nyorong; Nuraini Nuraini
JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan) Vol 8, No 1 (2023)
Publisher : Prodi Kesehatan Masyarakat Fakultas Kesehatan Masyarakat UIN Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/jumantik.v8i1.12627

Abstract

Patient safety is a hospital service system that provides safer patient care. WHO (World Health Organization) publications report patient safety incidents that medical errors occur in 8% to 12% of inpatient rooms at H.Adam Malik Hospital Medan. Patient safety incidents that occur include nosocomial infections, patient falls, and medication errors. Each of these incidents exceeded the established standards. The purpose of this study was to evaluate nurses' perceptions of the implementation of patient safety culture at H.Adam Malik Hospital MedanThe research design used was qualitative research. The characteristics of the key informants are the head of the nursing field, the head of the room, the head of pharmacy, the nursing committee and the head of the Quality Improvement and Patient Safety (PMKP) section, while the main informants are nurses. Qualitative data collection techniques using the Triangulation method. Data analysis using qualitative descriptive with data source triangulation stagesThe results showed that patient identification, effective communication, drug safety and risk of infection had gone well, while site marking and the risk of falling patients had not gone well.The conclusion of this study is that patient identification, effective communication, drug safety and risk of infection have gone well, while site marking and the risk of patients falling have not gone well. It is hoped that this can be an illustration of the application of patient safety to improve the quality of health services through the achievement of hospital achievements so that it can be used as the basis for taking a further policy and increasing the satisfaction of each patient who comes.
Faktor yang Berhubungan dengan Kepatuhan Pengobatan Pasien Hemodialisa di Rumah Sakit H. Adam Malik Medan Nurhayati Syihab; Mappeaty Nyorong; Nuraini Nuraini
JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan) Vol 8, No 2 (2023)
Publisher : Prodi Kesehatan Masyarakat Fakultas Kesehatan Masyarakat UIN Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/jumantik.v8i2.15102

Abstract

Hemodialysis is a treatment that is carried out for patients with chronic kidney failure in order to survive, however, this action has side effects on the patient's physical and psychological condition, hemodialysis is a replacement treatment for patients with terminal stage chronic kidney failure, so that kidney function is replaced with a tool called dyalizer, in this dyalizer the process of transferring dissolved substances in the blood into the dialysis fluid and vice versa. The research method is an analytical survey with a cross sectional approach. The sample used is total sampling where the entire population is the research sample, namely all patients with pulmonary tuberculosis. The statistical test used is the chi-square test and multiple logistic regression. The results showed that the factors related to adherence to treatment for hemodialysis patients were knowledge (p= 0.000 < 0.005), access to health facilities (p = 0.031 < 0.05), family support (p = 0.001 <0.05), and support from health workers (p = 0.011). <0.05). Multivariate analysis showed that the factors that influenced adherence to treatment were knowledge (p = 0.002 < 0.05) and family support (p = 0.005 < 0.05). And the most dominant factor influencing is the influence of family support factors (p = 0.016 < 0.005) with an Exp (B) value of 13,761. Bad public health behavior can occur due to a lack of public knowledge and understanding of the disease and its risks so that the community does not know how to act so that the disease is not more at risk. To improve adherence to treatment for hemodialysis patients, it is necessary to increase knowledge and good support from the family, by intervening through education related to hemodialysis and approaches with the patient's family.
Faktor yang Berhubungan dengan Penyediaan Dokumen Rekam Medis Rawat Jalan di RSUP H. Adam Malik Medan Berliana Berliana; Mappeaty Nyorong; Nuraini Nuraini
JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan) Vol 8, No 2 (2023)
Publisher : Prodi Kesehatan Masyarakat Fakultas Kesehatan Masyarakat UIN Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/jumantik.v8i2.15158

Abstract

According to Permenkes 269/2008 concerning medical records in Article paragraph 1, medical records are files containing notes and documents about patient identity, examination, treatment, action, and other services that have been provided to patients. Several things that can support the distribution of outpatient medical record files can be carried out properly are the ability of medical record officers, medical record management systems and adequate storage locations. The purpose of this study was to determine the factors related to the time of providing outpatient medical record files at RSUP H. Adam Malik Medan.The study used an analytic survey method with a cross sectional approach. The population of this study was outpatient medical record officers in as many as 75 officers with a sample using a total sample technique of 75 officers. Data analysis used univariate analysis and bivariate analysis with chi-square test statistics.The results of the chi-square test analysis showed that the p-value of each variable, including knowledge, obtained p-value = 0.026, human resources obtained p-value = 0.013 and infrastructure obtained p-value = 0.005.The conclusion of this study is that there is an influence of knowledge, human resources and infrastructure with the time of providing outpatient medical record files. It is hoped that it can increase the knowledge of medical record officers in hospitals through the provision of medical record training as well as improve the function of the quality committee in hospitals related to the implementation and provision of medical record documents, increase the number of human resources in the field of medical records in each unit and improve monitoring and evaluation functions for staff officers who do not work according to the standard of providing medical records, increasing the number of file storage racks, and providing the use of different lifts so that the distribution of RM documents is carried out faster
Promosi Kesehatan Memengaruhi Pola Perilaku Hidup Bersih dan Sehat (PHBS) padaTatanan Rumah Tangga di Desa Bonan Dolok Kecamatan Batang Onang Kabupaten Padang Lawas Utara Herawati Harahap; Mappeaty Nyorong; Ismail Efendy; Indah Anggraini
Journal of Educational Innovation and Public Health Vol. 1 No. 1 (2023): Januari : Journal of Educational Innovation and Public Health
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1318.431 KB) | DOI: 10.55606/innovation.v1i1.860

Abstract

: Perilaku hidup bersih dan sehat hakikatnya adalah dasar pencegahan manusia dari berbagai penyakit. Survey awal di Desa Bonan Dolok Kecamatan Batang Onang terkait indikator PBHS menunjukkan bahwa masih banyak masyarakat di Desa Bonan Dolok yang belum menerapkan PHBS. Penelitian ini bertujuan untuk menganalisis Promosi Kesehatan Memengaruhi Pola Perilaku Hidup Bersih Dan Sehat (PHBS) Pada Tatanan Rumah Tangga di Desa Bonan Dolok Kecamatan Batang Onang Kabupaten padang Lawas Utara.Jenis penelitian yang digunakan adalah survei analitik dengan pendekatan Cross Sectional Study. Populasi seluruh Kepala Keluarga di Desa Bonan Dolok Kecamatan Batang Onang: 146 orang KK dengan jumlah sampel adalah 59 orang KK. Analisa Data dengan regresi berganda. Instrumen yang digunakan adalah lembar observasi yang dibagikan kepada 59 orang responden.Berdasarkan hasil uji regresi berganda secara parsial variabel Pemberdayaan, bina suasana, advokasi dan kemitraan berpengaruh terhadap pola PHBS dengan korelasi positif. Variabel yang memiliki pengaruh paling dominan terhadap pola PHBS adalah Pemberdayaan dengan nilai beta tertinggi yaitu 0,499 sementara itu variabel yang memiliki pengaruh paling rendah yaitu kemitraan dengan koefisien beta sebesar 0,385.Kesimpulan dari penelitian ini adalah ada pengaruh strategi promosi kesehatan (pemberdayaan, bina suasana, advokasi dan kemitraan) terhadap pola PHBS. Disarankan agar tenaga kesehatan maupun penyelenggara promosi kesehatan lainnya dalam meningkatkan pola PHBS pada tatanan rumah tangga dan dapat melakukan intervensi kembali yang bertujuan lebih meningkatkan kebersihan agar terhindar dari berbagai penyakit.
Determinan Partisipasi Ibu Membawa Balita ke Posyandu di Wilayah Kerja Puskesmas Sakti kecamatan Sakti Kabupaten Pidie Ainul Mahfud; Mappeaty Nyorong; Razia Begum Suroyo; Nur Aini; Indah Anggraini
DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan Vol. 2 No. 3 (2024): Agustus : Jurnal Ilmu Kesehatan dan Keperawatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59581/diagnosa-widyakarya.v2i3.3881

Abstract

Posyandu is a basic health activity organized by, by and for the community assisted by health workers in a Puskesmas work area. The aim of this research was to determine the determinants of mothers' participation in bringing toddlers to posyandu in the Sakti Community Health Center Working Area, Sakti District, Pidie Regency. The research design uses a mixed method with an explanatory approach. Quantitative designs use cross sectional, qualitative designs use a narrative approach. The population in this study was 459 mothers who had toddlers aged 12-59 months in the Sakti Community Health Center Working Area, Sakti District, Pidie Regency, with a quantitative sample of 82 mothers, for the qualitative sample 3 mothers who had toddlers, 1 midwife, 1 religious figure/ or ustad. Quantitative data analysis uses univariate, bivariate and multivariate analysis, qualitative analysis uses familiarization analysis, Identifying athematic framework, indexing, charting, imapping and interpretation. The results of this study show that there is an influence on the variables of the role of health workers (p=0.025), religion (p=0.000), infrastructure (p=0.000), culture (p=0.002), AEFI (p=0.004). Multivariate research results show that there is an influence of religion (p=0.002), culture (0.011), AEFI (0.005). The results of mixed method research show that the most influential factor is religion. The conclusion of this research is that there is no determining influence on the role of health workers, infrastructure, and there is an influence of religion, culture, KIPI on the participation of mothers in bringing toddlers to posyandu in the Sakti Community Health Center Working Area, Sakti District, Pidie Regency. It is recommended to the sub-district head of Pidie sub-district to send an outstanding midwife to school in each village in order to meet the needs of midwives who live in the village..
HUBUNGAN ANTARA KEPUASAN PASIEN DENGAN KEGIATAN EDUKASI KESEHATAN DAN PELAYANAN DI RUMAH SAKIT ISLAM IBNU SINA PEKANBARU Agustiawan; Fitriani, Arifah Devi; Nyorong, Mappeaty
Majalah Kesehatan Vol. 11 No. 2 (2024): Majalah Kesehatan
Publisher : Faculty of Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/majalahkesehatan.2024.011.02.4

Abstract

Promosi kesehatan di rumah sakit (RS) diyakini semakin penting karena adanya peningkatan kejadian penyakit kronis di seluruh dunia yang membutuhkan kepatuhan terhadap pengobatan. Penelitian sebelumnya  menunjukkan bahwa kepuasan pasien dapat meningkat melalui penerapan edukasi kesehatan yang dapat memenuhi harapan pasien. Melihat pentingnya kegiatan promosi kesehatan di RS maka ingin diketahui hubungan antara kepuasan pasien terhadap kegiatan edukasi kesehatan dengan kepuasan pasien terhadap pelayanan RS. Penelitian potong lintang telah dilakukan di Instalasi Rawat Jalan Rumah Sakit Islam Ibnu Sina Pekanbaru pada bulan Juni sampai Agustus 2022. Sebanyak 98 responden dilibatkan dalam penelitian ini. Analisis data menggunakan uji Chi square, dengan p < 0,05 dianggap signifikan berdasarkan uji statistik. Penelitian ini diikuti oleh 98 pasien. Rerata nilai kepuasan berdasarkan kuesioner adalah 23,29±4,25, dengan  sebanyak 64,3% pasien puas terhadap pelayanan RS. Rerata skor kepuasan pasien terhadap kegiatan edukasi kesehatan dalam penelitian ini adalah 22,62±4,58. Hal ini menunjukkan bahwa kegiatan edukasi kesehatan di RSI Ibnu Sina Pekanbaru sesuai dengan yang pasien harapkan. Sebanyak 51,0% dalam penelitian ini menilai bahwa kegiatan edukasi kesehatan di RSI Ibnu Sina sesuai harapan. Hubungan antara kepuasan pasien terhadap pelayanan secara umum berbanding lurus dengan harapan pasien terhadap kegiatan edukasi kesehatan, di mana hubungan signifikan berdasarkan uji statistik (p = 0,000). Kesimpulan penelitian adalah terdapat hubungan antara kepuasan pasien terhadap kegiatan edukasi kesehatan dengan kepuasan pasien terhadap pelayanan di RSI Ibnu Sina Pekanbaru.
Analisis Pengaruh Strategi Pemberdayaan Masyarakat Dengan Rekayasa Lingkungan Terhadap Pencegahan Penyakit Diare Di Wilayah Kerja Puskesmas Lubuk Pakam Gema Mauloni; Mappeaty Nyorong; Asriwati Asriwati
Jurnal Ilmiah Kedokteran dan Kesehatan Vol 2 No 3 (2023): September : Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v2i3.1874

Abstract

Various types of diseases, diarrhea is still dominant in the city of Medan. Based on data from the Central Bureau of Statistics for North Sumatra Province 2017, cases of diarrhea were found to be higher with 10,225 cases compared to other diseases. 5 Of the approximately 2,229,408 total residents of Medan City, it is estimated that 26,025 of them have suffered from diarrhea, this estimate is calculated based on the number national diarrhea morbidity (illness) in 2016, namely 270/1000 population. The estimated number of cases can be used as a target for coverage of cases of diarrhea. The goal to be achieved in this study is to determine the effect of community empowerment strategies in environmental engineering on the prevention of diarrheal diseases in the Lubuk Pakam Health Center area in 2023. The research design used was an analytic survey with a cross-sectional design. The population in this study was 2235 people. This population sample was taken by non-probability sampling or purposive sampling. The number of samples to be studied was 100 people. Data analysis was performed using univariate, bivariate and multivariate analysis. The results of the research on the Advocacy variable obtained p-value = 0.000, Teamwork = 0.001, Communication = 0.002, and Assistance = 0.000 <0.05 meaning that there is an influence between Advocacy, teamwork, communication and assistance on diarrhea prevention. The results of the multivariate analysis were obtained the variable that has the most influence in this study is the mentoring variable with an OR value of 35,174. There is an influence between advocacy, teamwork, communication and assistance on diarrhea prevention. The multivariate analysis results show that the most dominant factor is the assistance variable. It is hoped that the Lubuk Pakam Health Center will further enhance community empowerment in each village in environmental engineering efforts to prevent diarrhea and improve public health status, especially residents who experience diarrhea outbreaks.
Faktor Risiko Yang Berhubungan Dengan Kejadian Hipertensi Pada Wanita Dewasa Di Wilayah Kerja Puskesmas Sitinjak Kecamatan Angkola Barat Kabupaten Tapanuli Selatan Dinda Putri Aditya; Thomson P Nadapdap; Mappeaty Nyorong
Jurnal Anestesi Vol. 1 No. 4 (2023): Oktober : Jurnal Anestesi
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/anestesi.v1i4.508

Abstract

Hypertension is a condition with blood pressure that exceeds normal limits. If hypertension is not controlled properly, it can cause damage to blood vessels and can even lead to the risk of death. According to the 2018 Riskesdas, it shows that the prevalence of people with high blood pressure is 34.11%. The prevalence of high blood pressure in women is 36.85% higher than that of men, 31.34%. Data obtained from the Sitinjak Health Center, Angkola Barat District, South Tapanuli Regency, the number of hypertension sufferers has increased from 2019-2021. This study aims to determine the risk factors (hereditary, obesity, smoking habits, eating habits, and physical activity) associated with the incidence in adult women in the Working Area of ??the Sitinjak Health Center, Angkola Barat District, South Tapanuli Regency. The type of research used was an analytical design. cross sectional. The population in this study was adult women aged 30-49 years in the Working Area of ??the Sitinjak Health Center, Angkola Barat District, South Tapanuli Regency, as many as 105 people. The sample in this study amounted to 51 people, the sampling technique was this study using a non-probability sampling technique, namely accidental sampling. Data were obtained from the Community Health Center and through interviews using a questionnaire. Methods of data analysis were analyzed univariately, bivariately using Chi-Square test at 95% confidence level (P<0.05) and multivariate test with multiple regression tests. The results showed that hereditary variables, obesity, eating habits were related to the incidence of hypertension. The most dominant variable is eating habits. It is suggested to respondents to change their bad living habits for the better to prevent hypertension and for health workers to conduct health education to the public about how to prevent hypertension, for example by reducing consumption of foods that trigger hypertension.
ANALISIS KINERJA PETUGAS REKAM MEDIS DI RUMAH SAKIT UMUM HAJI MEDAN Riyanto, Diki; Nyorong, Mappeaty; Syamsul, Darwin
Indonesian Journal of Hospital Administration Vol 5, No 1 (2022)
Publisher : Universitas Alma Ata

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijhaa.2022.5(1).27-35

Abstract

Rekam medis merupakan salah satu bagian penting dalam membantu pelaksanaan pemberian pelayanan kepada pasien di rumah sakit. Hal ini berkaitan dengan isi rekam medis yang mencerminkan segala informasi menyangkut pasien sebagai dasar dalam menentukan tindakan lebih lanjut dalam upaya pelayanan maupun tindakan medis lain Penelitian bertujuan Untuk mengetahui penyebab Kesalahan  pendistribusian  rekam  medis dan kinerja petugas rekam medis di Rumah Sakit Umum  Haji Medan .Penelitian ini kualitatif dengan teknik pengumpulan data melalui wawancara. Informan penelitian ini terdiri dari 8 informan , informan utama 6 orang dan informan Triangulasi 2 orang. Pengolahan dan analisis data menggunakan metode Content Analysis.Hasil Penelitian Adalah pada 5 faktor kinerja petugas yaitu kualitas kerja, kuantitas, supervisor , kehadiran dan  kemandirian di nilai cukup baik , mengingat keseluruhan informan selalu berkonsentrasi dalam bekerja, mengikuti SOP dalam bekerja serta selalu berinisiatif dalam melakukan pekerjaan Kesimpulan penelitian yaitu masih ada petugas rekam medis yang memiliki latar belakang pendidikan bukan rekam medis, dapat di simpulkan kinerja petugas medis di RSU Haji Medan sudah Baik , Saran Perlu adanya pengkajian kembali terkait SDM petugas rekam medis yang masih sangat sedikit berlatar belakang pendidikan rekan medis, di sarankan kepada pemimpin untuk selalu mengawasi anggota dalam bekerja