Ike Pujiriani
Departemen Keselamatan dan Kesehatan Kerja Fakultas Kesehatan Masyarakat Universitas Indonesia

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Pengendalian Risiko Ergonomi Kasus Low Back Pain pada Perawat di Rumah Sakit Kurniawidjaja, L. Meily; Purnomo, Edy; Maretti, Nadia; Pujiriani, Ike
Majalah Kedokteran Bandung Vol 46, No 4 (2014)
Publisher : Faculty of Medicine, Universitas Padjadjaran

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Abstract

Perawat berisiko tinggi nyeri pinggang bawah. Tujuan penelitian ini menilai faktor risiko akivitas fisik dan sarana kerja yang dominan dapat menimbulkan low back pain (LBP) pada perawat di ruang Rawat Inap dan Unit Gawat Darurat Rumah Sakit di Jakarta serta memberikan rekomendasi pengendalian risiko LBP. Observasi dilakukan untuk mengidentifikasi aktivitas berisiko tinggi LBP, metode rapid entirebody assessment (REBA) menilai tingkat risiko ergonomi, kuesioner dan Nordic body map menilai faktor risiko lainnya serta keluhan LBP, desain potong lintang untuk analisis asosiasi, pengukuran dan analisis untuk menilai alat kerja. Hasil penelitian mendapatkan prevalensi LBP cukup tinggi pada perawat UGD di RSUD Tarakan tahun 2013 (61,1%) dan perawat rawat inap di RS Bhayangkara tahun 2012 (31,8%), namun rendah pada perawat UGD di RSS bila dibandingkan dengan hasil survei global (43,1–87%); aktivitas yang dominan menimbulkan LBP adalah membungkuk dan angkat angkut pasien. Didapatkan hubungan yang bermakna postur membungkuk (p=0,031; OR=1,18–133,89), sudut lengkung punggung (p=0,024; OR=1,65-196,31), dan transfer pasien (p=0,011; OR=5,22–176,83) dengan tingkat risiko LBP. Simpulan, aktivitas fisik perawat dan sarana kerjanya dapat menyebabkan LBP sehingga disarankan menyediakan sarana kerja yang adjustable serta ‘meja’ dinding di toilet untuk pengukuran urin, memenuhi rasio perawat-pasien minimal, SOP, mendidik perawat agar mampu melakukan pengendalian.. Kata kunci: Ergonomi, low back pain, perawatErgonomic Risk Control on Low Back Pain among Hospitals' NursesAbstract Nurses are at high risk of low back pain (LBP). This study aimed to assess physical activities and working facilities as the risk factors that can lead to LBP in nurses in the wards and the emergency units of several hospitals in Jakarta  to provide recommendations for controlling the risk of LBP. Observations were performed to identify high-risk activities and the rapid entire body assessment (REBA) method was used to assess the ergonomic risk. Questionnaires and Nordic body map were also used to assess the other risk factors and LBP-related complaints. In addition, the cross-sectional design for association analysis, measurement and analysis to assess the working tools were also applied. The results showed that the prevalence of LBP among nurses was higher in the RSUD Tarakan emergency unit in 2013 (61.1%) and RS Bhayangkara wards in 2012 (31.8%). In the private hospital  emergency unit, the LBP is lower compared to the results of a global survey (43.1–87%). The dominant causes of LBP were bending and patient-lifting. A significant association was evident between the risk level of LBP and bending posture (p=0.031, OR=1.18–133.89), curved spine angle (p=0.024, OR=1.65–196.31), and patients transfer (p=0.011, OR=5.22–176.83). In conclusion, nurse physical activities and their work facilities can induce LBP. Therefore, it is suggested to provide adjustable facilities and wall-mounted tables in the toilets for urine measurements. Meeting the the minimum nurse: patient ratio, providing SOPs, and educating the nurses to control the risks of LBP are also needed.Key words: Ergonomic, low back pain, nurse DOI: 10.15395/mkb.v46n4.342
Hubungan Postur Kerja Pengguna Komputer Dengan Keluhan Muskuloskeletal Pada Staf Logistik Jakarta Timur Chairunisa, Ratu; Susilowati, Indri Hapsari; Pujiriani, Ike
Jurnal Kesehatan Holistic Vol. 8 No. 1 (2024): Jurnal Kesehatan Holistic Volume 8/ Nomor 1/ Juli 2024
Publisher : Sekolah Tinggi Ilmu Kesehatan RS Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33377/jkh.v8i1.193

Abstract

Background: Working using computer or also known as video display terminal (VDT) is a work which have a high risk of musculoskeletal disorder. The posture of body during work is one of the factors which may have effect on musculoskeletal disorder. Objective: The research was to discover the correlation of the working posture of computer user two towards musculoskeletal disorder on the Staffs of X Logistics East Jakarta. Methods: The research used cross sectional while the sampling was conducted using purposive sampling technique. The amount of sample for quantitative research is 79 respondents, while the amount of sample for qualitative research is 8 respondents. Respondents were analyzed using Rapid Office Strain Assessment (ROSA), Nordic Body Map (NBM), Global Physical Activity Questionnaire (GPAQ) version 2 and Copenhagen Psychosocial Questionnaire III (CopSoq III). Results: The result of research showed that, from 79 respondents, there were (45.6%) low category musculoskeletal disorder and (54.4%) moderate category musculoskeletal disorder. Statistical test analysis with Chi Square test (CI=95% and = 5%) showed the results of correlation between individual factors and musculoskeletal disorder, namely age (p=0.002), gender (p=0.000), physical activity (p=0.017) , duration of work (p=0.000), and unrelated factors, namely smoking habits (p=0.288), and work posture (p=0.641), chairs (p=1), desks (p=0.464), psychosocial (p=0.286), work demands (p=0.805), organizational characteristics and work content (p=1), interpersonal relationships at work and leadership (p=0.540). Conclusion: Based on the analysis, the factors which influenced musculoskeletal disorder on Staffs of X Logistics in East Jakarta are age, gender, physical activity, and duration of work.
Hubungan Postur Kerja Pengguna Komputer Dengan Keluhan Muskuloskeletal Pada Staf Logistik Jakarta Timur Chairunisa, Ratu; Susilowati, Indri Hapsari; Pujiriani, Ike
Jurnal Kesehatan Holistic Vol. 8 No. 1 (2024): Jurnal Kesehatan Holistic Volume 8/ Nomor 1/ Juli 2024
Publisher : Sekolah Tinggi Ilmu Kesehatan RS Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33377/jkh.v8i1.193

Abstract

Background: Working using computer or also known as video display terminal (VDT) is a work which have a high risk of musculoskeletal disorder. The posture of body during work is one of the factors which may have effect on musculoskeletal disorder. Objective: The research was to discover the correlation of the working posture of computer user two towards musculoskeletal disorder on the Staffs of X Logistics East Jakarta. Methods: The research used cross sectional while the sampling was conducted using purposive sampling technique. The amount of sample for quantitative research is 79 respondents, while the amount of sample for qualitative research is 8 respondents. Respondents were analyzed using Rapid Office Strain Assessment (ROSA), Nordic Body Map (NBM), Global Physical Activity Questionnaire (GPAQ) version 2 and Copenhagen Psychosocial Questionnaire III (CopSoq III). Results: The result of research showed that, from 79 respondents, there were (45.6%) low category musculoskeletal disorder and (54.4%) moderate category musculoskeletal disorder. Statistical test analysis with Chi Square test (CI=95% and = 5%) showed the results of correlation between individual factors and musculoskeletal disorder, namely age (p=0.002), gender (p=0.000), physical activity (p=0.017) , duration of work (p=0.000), and unrelated factors, namely smoking habits (p=0.288), and work posture (p=0.641), chairs (p=1), desks (p=0.464), psychosocial (p=0.286), work demands (p=0.805), organizational characteristics and work content (p=1), interpersonal relationships at work and leadership (p=0.540). Conclusion: Based on the analysis, the factors which influenced musculoskeletal disorder on Staffs of X Logistics in East Jakarta are age, gender, physical activity, and duration of work.
Promosi Pengetahuan, Sikap, dan Keterampilan Berpola Hidup Sehat pada Kelompok Senam Kurniawidjaja, L. Meily; Erwandi, Dadan; Pujiriani, Ike
Kesmas Vol. 7, No. 9
Publisher : UI Scholars Hub

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Abstract

Pendirian grup senam masyarakat perkotaan sering dipicu oleh ancaman penyakit jantung koroner dan stroke (penyakit kardiovaskular). Banyak diantara mereka masih berisiko tinggi penyakit kardiovaskular antara lain berat badan lebih dan kadar kolesterol tinggi serta faktor umur dan genetik, tetapi faktor risiko penyakit kardiovaskular dapat diturunkan dengan pola hidup sehat. Tujuan penelitian ini adalah menilai pengaruh metode promosi kesehatan dengan pendekatan siklus rekognisi, analisis, perencanaan, komunikasi, persiapan, implementasi, evaluasi, dan kelanjutan dapat meningkatkan pengetahuan, sikap dan praktik ibu-ibu pesenam tentang pola hidup sehat. Penelitian ini menggunakan pretest and posttest design untuk menilai hasil intervensi pada 60 orang berusia rata-rata 58,26 tahun dan hampir semua (93,33%) adalah perempuan pada dua kelompok senam di Kelurahan Pulogadung selama 10 bulan. Hasil penelitian memperlihatkan peningkatan nilai posttest (58%) pengetahuan peserta, peningkatan sikap dengan mau berbagi menu sehat dan mengisi alat pantau diri, serta peningkatan keterampilan berpola hidup sehat berupa menyusun menu sehat, bersenam minimal empat kali seminggu, tidur 7-8 jam perhari dan cukup istirahat. Selain itu, kelompok ini berhasil menyusun buku Masak Makanan Sehat. Disarankan kegiatan ini dapat diteruskan dengan penyajian dan diskusi makanan bijak secara berkala sekali dalam dua bulan dengan menggunakan dana yang terkumpul dari iuran sukarela. Urban exercise groups are often triggered by the perception of the severity and threat of coronary heart diseases and stroke (cardiovascular disease). But many of them are still high in cardiovascular disease risk i.e.overweight and high cholesterol. Cardiovascular disease risk factors can be reduced by healthy lifestyle. This study aimed to assess the effectiveness of recognition, analysis, planning, communication, preparation, implementation, evaluation and continuity health promotion strategy in enhancing the knowledge, attitude and practice of healthy lifestyle among the exercise group members. Pretest and posttest design was used to assess the effectiveness of 10 months intervention among 60 participants aged 58,26 (27-93) year old, most of them (93,33%) were ladies from two exercise groups in Kelurahan Pulogadung. The intervention improved the score of pre-posttest (58%), the willingness to share the healthy menu and to fill the healthy lifestyle self-monitoring form, and to practice healthy lifestyle e.g. cooking the prudent food, minimum 4 times a week exercise, 7-8 hours sleeping and enough leisure time. Additionally, this groups had successfully produced The Multiethnic Healthy Food Cooking book. It was concluded these health promotion model could enhance the healthy lifestyle of the exercise group members.