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ANALISIS KEWASPADAAN STANDAR DALAM PENCEGAHAN INFEKSI DI KAMAR BEDAH RUMAH SAKIT UMUM DAERAH DOLOKSANGGUL PARDAMEAN LUBIS; Juliandi Harahap; Deli Theo
Jurnal Kesehatan Tambusai Vol. 2 No. 3 (2021): September 2021
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v2i3.2109

Abstract

Kewaspadaan standar dalam pencegahan infeksi sangat penting diterapkan di kamar bedah, mengingat pembedahan memiliki resiko yang besar terjadinya infeksi nasokomial sehingga dapat meningkatkan morbilitas dan mortalitas serta meningkatkan biaya kesehatan. Kejadian Infeksi Daerah Operasi (IDO) di RSUD Doloksanggul pada Tahun 2019 yaitu kasus bedah umum sebesar 10%, kasus bedah mata sebesar 10%, kasus kebidanan sebesar 2% dan kasus bedah mulut sebesar 0,5%. Penelitian ini bertujuan untuk menganalisis kewaspadaan standar dalam pencegahan infeksi di Kamar Bedah RSUD Doloksanggul. Jenis penelitian yang digunakan adalah metode penelitian kualitatif dengan pendekatan fenomenologi. Penelitian dilaksanakan di RSUD Doloksanggul. Informan dalam penelitian ini berjumlah 8 orang Pengumpulan data dengan wawancara mendalam dan observasi lapangan dan analisa data dengan mereduksi data, penyajian data dan penarikan kesimpulan. Hasil penelitian menunjukkan bahwa kebersihan tangan yang dilakukan oleh petugas kesehatan di kamar bedah Rumah Sakit Umum Daerah Doloksanggul kurang baik, pemakian alat pelindung diri (APD) kurang baik, dekontaminasi peralatan perawatan pasien sudah baik, pengendalian lingkungan kurang baik, pengelolaan limbah sudah baik, pengelolaan linen sudah baik, perlindungan kesehatan petugas kurang baik, Penempatan pasien kurang baik, Praktik menyuntik sudah baik, Praktik lumbal fungsi sudah baik. Disarankan kepada RSUD Doloksanggul untuk meningkatkan peran dan fungsi tim pencegahan dan pengendalian infeksi, melakukan pelatihan berkelanjutan bagi petugas kamar bedah tentang pencegahan dan pengendalian infeksi.
Faktor Kepatuhan Perawat dalam Penerapan Hand Hygiene di Instalasi Rawat Inap RSUD Gunungsitoli Ivan Agus yanto Gea; Arifah Devi Fitriani; Deli Theo
Jurnal Kesehatan Global Vol 1, No 3 (2018): Edisi September
Publisher : Program Studi Magister Kesehatan Masyarakat Institut Kesehatah Helvetia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (570.84 KB) | DOI: 10.33085/jkg.v1i3.3951

Abstract

Rumah sakit sebagai instansi pelayanan kesehatan yang berhubungan langsung dengan pasien harus mengutamakan pelayanan kesehatan yang aman, bermutu, anti diskriminasi dan efektif dengan mengutamakan kepentingan pasien sesuai dengan standar pelayanan rumah sakit. Penelitian ini bertujuan untuk menganalisis faktor kepatuhan perawat dalam penerapan Hand Hygine. Desain penelitian menggunakan metode survei alitik dengan pendekatan cross sectional. Penelitian dilakukan di instalasi rawat inap RSUD Gunungsitoli Kab. Nias. Populasi dalam penelitian ini adalah sebanyak 165 orang dan sampel ditetapkan sebanyak 117 responden. Data analisis secara univariat, bivariat dan multivariat dengan menggunakan uji Chi Square pada taraf kepercayaan 95 % (P0,05) dan regresi logistik. Penelitian menunjukkan ada hubungan pengetahuan dengan nilaip-value 0.042 dan motivasi dengan nilaip-value 0.028 secara signifikan terhadap kepatuhan perawat dalam melakukan hand hygiene. Hasil analisis menunjukkan bahwa variabel yang paling dominan memengaruhi kepatuhan perawat dalam melakukan hand hygiene adalah motivasi odds rasioExp(B) 2,487. Dharapkan kepada pihak rumahsakit agar dapat memberikan dukungan dan reward bagi perawat yang melaksanakan kepatuhan hand hygiene dengan baik sehingga lebih patuh dalam melakukan hand hygiene.
Factors Affecting Breast Milk Output in Post Sectio Caesarea Mothers at RSUD Sultan Sulaiman Kab. Serdang Bedagai Year 2023 Sukmawati Pasaribu; Deli Theo; Ramadhani Syafitri Nasution
PROMOTOR Vol. 7 No. 2 (2024): APRIL
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v7i2.606

Abstract

Breastfeeding brings joy to new mothers and provides the best start for children. However, this process is always easy, especially for mothers after cesarean delivery (SC). This research explores the factors that influence the release of breast milk (ASI) in post-SC mothers at Sultan Sulaiman Hospital, North Sumatra. In planning a cross-sectional survey, variables such as breastfeeding frequency, breast care, nursing care, diet, and gestational age were evaluated to understand overall breast milk production. The results show that regular breastfeeding frequency and good breast care are associated with smooth breast milk production. However, hospitalisation did not show a significant correlation with breast milk production in mothers after CS.
The Effect of Outpatient Health Services on the Satisfaction of BPJS Health Participants at DKT Hospital (Army Health Office) Gubeng Corner Surabaya in 2023 Ina Sukma Kasih; Deli Theo; Ramadan Syafitri Nasution
PROMOTOR Vol. 7 No. 2 (2024): APRIL
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v7i2.611

Abstract

This study evaluates the impact of outpatient services on BPJS participant satisfaction at DKT Gubeng Pojok Hospital, Surabaya. Conducted using a cross-sectional quantitative method on 95 BPJS participants from January to June 2023. The majority of respondents showed dissatisfaction with services. Analysis of variables such as responsiveness, reliability, assurance, caring, and physical evidence highlights aspects related to patient satisfaction. Logistic regression results show that responsiveness and caring have a significant relationship with patient satisfaction. The study emphasizes the need to increase the response and concern of health workers towards patients to increase BPJS participant satisfaction.
Determinasi Risiko Prenatal terhadap Stunting Neonatal: (Studi di RSUD Dr. Soedarso Pontianak) Pinda Hutajulu; Deli Theo; Ramadhani Syafitri Nasution
Jurnal Kesehatan Amanah Vol. 9 No. 1 (2025): Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v9i1.834

Abstract

Neonatal stunting is a form of growth failure that begins in the womb, marked by birth length below the 10th percentile, reflecting maternal nutritional and health status during pregnancy. This study aimed to analyze the influence of prenatal risk factors on neonatal stunting at Dr. Soedarso General Hospital, Pontianak. Using an institution-based cross-sectional design with a quantitative approach, the study utilized secondary data from maternal and newborn medical records collected from June to September 2024. A total of 485 mother–infant pairs were selected using purposive sampling based on inclusion and exclusion criteria. Independent variables included maternal age, height, anemia, hypertension during pregnancy, and parental education levels, while the dependent variable was neonatal stunting. Data were analyzed using Chi-square tests and logistic regression. The results showed a neonatal stunting prevalence of 23.9%, with maternal age under 20 years as the only significant risk factor (AOR = 2.54; p = 0.035). Other variables such as anemia, hypertension, maternal height, and parental education were not significantly associated with stunting. These findings indicate that teenage pregnancy is a critical factor in neonatal stunting prevention. Strengthening reproductive health education and antenatal care services for adolescent girls is essential to reduce the prevalence of stunting from the prenatal stage.
Analisis Pengaruh Mutu Pelayanan Kesehatan terhadap Kepuasan Pasien di Ruang Rawat Inap Renggali UPTD RSUD Datu Beru Takengon Sri Hayati; Deli Theo; Asriwati Asriwati; Nur Aini; Juliandi Harahap
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 2 No. 1 (2024): Januari : Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v2i1.2837

Abstract

Hospitals are a comprehensive part of social and media organizations whose function is to provide complete health services to the community, both curative and rehabilitative, where hospital services extend to family and environmental services. The aim of the research is to find out and analyze the influence of health service quality on patient satisfaction in the inpatient room. UPTD Datu Beru Takengon Regional Hospital in 2023. The research design used in this research is an analytical survey with a cross sectional design. The population in this study was all 167 patients in the UPTD Inpatient Room at Datu Beru Takengon Regional Hospital. The number of samples that will be studied throughout the population is 62 people. Data analysis was carried out using univariate, bivariate and multivariate analysis. The statistical tests used are the chi square test and logistic regression. The results of the chi square test research show that there is an influence of 8 variables, namely technical competence, human relations, effectiveness, efficiency, continuity, security, human relations and comfort, which have a p-value <α 0.05, meaning that technical competence, human relations, effectiveness, efficiency, continuity, safety, human relations and comfort influence patient satisfaction in the UPTD inpatient room at Datu Beru Takengon Regional Hospital, and in the multivariate test there are 8 variables influencing technical competence, human relations, effectiveness, efficiency, continuity, security, interrelationships. human and comfort with the results of the multiple logistic regression test showing that the comfort variable is the most dominant with an odds ratio (OR) of 18.455, meaning that it influences patient satisfaction 18 times. The conclusion was that the dominant variable had the most influence on patient satisfaction in the UPTD Inpatient Room at Datu Beru Takengon Regional Hospital. It is recommended for hospitals to adopt policies to increase patient comfort in treatment rooms in order to produce optimal satisfaction for patients.
Analisis Faktor Yang Memengaruhi Kejadian Hipertensi Pada Lansia Di Puskesmas Rasau Kab. Labuhanbatu Selatan Febri Gustianda Ginanti Siregar; Deli Theo; Ramadhani Syafitri; Arifah Devi Fitriani; Yuniati Yuniati
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 2 No. 1 (2024): Januari : Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v2i1.2864

Abstract

According to the American Heart Association or AHA, Hypertension is a Silent Killer, with symptoms that can vary for each individual and are almost the same as the symptoms of other diseases. Blood pressure tends to increase with age i.e. people over 60 years old and this increase in blood pressure occurs naturally. Hypertension is a risk factor for various cardiovascular diseases and stroke. According to the AHA, hypertension is a disease that occurs due to an increase in systolic blood pressure > 140 mmHg or diastolic blood pressure > 90 mmHg.the purpose to be achived in this study is to determine and analyze the factors that influences the incident of hypertension in the elderly in puskesmas rasau south labuhanbatu district. This type of research uses a descriptive analytical survey with a cross sectional design. The population in this study were all elderly (≥60 years) sufferers of hypertension at the Rasau District Health Center. South Labuhanbatu as many as 148 people, while the sample was 108 people using slovin technique. The sampling technique was carried out using purposive sampling Data analysis was carried out using univariate, bivariate and multivariate analysis. Based on the results of the chi-square test, it is known that the incidence of hypertension has an influence of family history, smoking, obesity, diet and lack of physical activity on the incidence of hypertension p <0.05, meaning that there is an influence of family history, smoking, obesity, diet and lack of physical activity on the incidence of hypertension. . From the results of the multivariate analysis, it is known that the most influential variable in this study is the smoking variable with an OR value of 62,850. This means that respondents who smoke have a 62 times chance of influencing the incidence of hypertension at the Rasau District Health Center. South Labuhanbatu 2023. The conclusion in this study is that smoking is the most dominant factor influencing the incidence of hypertension at the Rasau District Health Center. South Labuhan Batu. In order to reduce the prevalence of hypertension, it is hoped that patients at the Rasau District Health Center. South Labuhanbatu must implement hypertension management with a healthy lifestyle, especially not smoking, so that hypertension sufferers can have controlled blood pressure levels.