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All Journal International Journal of Public Health Science (IJPHS) Holistik Jurnal Kesehatan Jurnal Kreativitas PKM Manuju : Malahayati Nursing Journal Jurnal JKFT Jurnal Aisyah : Jurnal Ilmu Kesehatan Jurnal Kesehatan Pasak Bumi Kalimantan Indian Journal of Forensic Medicine & Toxicology Jurnal Ilmu Keperawatan Indonesia (JIKPI) MAHESA : Malahayati Health Student Journal Journal of Public Health Concerns JOURNAL OF Qualitative Health Research & Case Studies Reports

M. Arifki Zainaro

Universtas Malahayati

Author-ID : 4093303

Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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HUBUNGAN MOTIVASI DAN SIKAP DENGAN KEPATUHAN PERAWAT DALAM PELAKSANAAN HAND HYGIENE DI RUANG RAWAT INAP RSUD DR. A. DADI TJOKRODIPO KOTA BANDAR LAMPUNG Susi Anisia Laila; M. Arifki Zainaro
Malahayati Nursing Journal Volume 2 Nomor 1 Tahun 2020
Publisher : Universitas Malahayati Lampung

THE CORRELATIONS OF MOTIVATION AND ATTITUDE TO OBEDIENCE OF NURSE IN HAND HYGIENE IMPLEMENTATION IN WARDS OF DR. A. DADI TJOKRODIPO PUBLIC HOSPITAL IN BANDAR LAMPUNG IN 2019 Introduction: the hand hygiene behavior is one factor that has a big influence for preventing healthcare associated infection (HAIS) case in hospitals. The observation result to 10 nurses showed that 7 nurses (70%) did not wash their hands before doing treatments to patients, and 3 nurses (30%) did washing hands before doing treatments to patients. A pre-survey questionnaire result of motivation and attitude to 10 nurses showed that 7 nurses (70%) had low motivation and 3 nurses (30%) had moderate motivation. 6 nurses (60%) had good attitude to hand hygiene implementation and 4 nurses (40%) did not have good attitude to hand hygiene implementation.Objective: the objective of this research was to find out thecorrelations of motivation and attitude to obedience of nurse in hand hygiene implementation in wards of dr. A. Dadi Tjokrodipo public hospital in Bandar Lampung in 2019.Method: this was a quantitative research by using cross sectional approach. Subjects were 46 nurses in E1, E2, E3, E4 wards. This research was conducted in June 2019. Research variables were obedience of nurse, motivation, and attitude. Data were collected with questionnaires and analyzed by using univariate and bivariate analyses with chi square test.Result: the result showed that 23 respondents (0.0%) had low motivation for hand hygiene implementation, 24 respondents (52.2%) had good attitude to hand hygiene implementation, and 27 respondents (58.7%) were obedient to hand hygiene implementation. Chi square test derived p-value 0.017 <α 0.05 for motivation variable, 0.000 < 0.05 for attitude variable.Conclusion: there were correlations of motivation and attitude to obedience of nurse in hand hygiene implementation in wards of dr. A. Dadi Tjokrodipo public hospital in Bandar Lampung in 2019. The researcher expects motivation to be given for the nurses to improve their obedience in hand hygiene in wards of dr. A. Dadi Tjokrodipo public hospital in Bandar Lampung. Keywords : Hand Hygiene, Motivation, Attitude, Obedience, Nurse INTISARI: HUBUNGAN MOTIVASI DAN SIKAP DENGAN KEPATUHAN PERAWAT DALAM PELAKSANAAN HAND HYGIENE DI RUANG RAWAT INAP RSUD DR. A. DADI TJOKRODIPO KOTA BANDAR LAMPUNG TAHUN 2019 Pendahuluan: Perilaku hand hygiene merupakan salah satu faktor yang mempunyai pengaruh besar terhadap pencegahan terjadinya Healthcare Associated Infection (HAIS)di rumah sakit.Hasil observasi pada 10 orang perawat, sebanyak 7 (70%) perawat tidak melakukan cuci tangan sebelum melakukan tindakan kepada pasien , sebanyak 3 perawat (30%) melakukan cuci tangan sebelum melakukan tindakan kepada pasien. Sedangkan hasil prasurvey dengan memberikan kuisioner motivasi dan sikap terhadap 10 perawat yang sedang dinas, 7 orang (70%) dengan motivasi rendah dan 3 orang perawat (30%) dengan motivasi sedang, dengan pada kuisioner sikap didapat 6 orang (60%) memiliki sikap yang baik terhadap pelaksanaan hand hygiene, dan 4 orang (40%) memiliki sikap kurang baik dalam pelaksanaan hand hygiene.Tujuan:Diketahui hubungan motivasi dan sikap dengan kepatuhan perawat dalam pelaksanaan hand hygiene Di Ruang Rawat Inap RSUD Dr. A. Dadi Tjokrodipo Kota Bandar Lampung Tahun 2019.Metode: Jenis penelitian kuantitatif dengan pendekatan Crossecional. Sasaran dalam penelitian seluruh perawat di ruang rawat inap E1, E2, E3, E4 sebanyak 46 responden. Waktu penelitian akan dilaksanakan setelah proposal di setujui. Variabel penelitian yaitu kepatuhan perawat dalam pelaksanaan hand hygiene, motivasi, sikap. Pengumpulan data menggunakan kuesioner. Analisis data secara univariat dan bivariat (Chi square).Hasil: Sebagian besar responden memiliki motivasi hand hygiene lemah 23 responden (50,0%), sikap perawat dalam hand hygiene baik sebanyak 24 responden (52,2%), kepatuhan perawat dalam hand hygiene patuh sebanyak 27 responden (58,7%). Hasil analisa data menggunakan uji chi square didapat nilai p-value = 0.004 (<0,05) variabel motivasi dengan kepatuhan perawat, nilai p-value = 0.000 (<0,05) variabel sikap dengan kepatuhan perawatKesimpulan: Terdapat hubungan motivasi dengan kepatuhan perawat, dan terdapat artinya adahubungan sikap dengan kepatuhan perawat dalam pelaksanaan hand hygiene di ruang rawat inap Rumah Sakit Umum Daerah Dr. A. Dadi Tjokrodipo Kota Bandar Lampung Tahun 2019. Saran diharapkan memberikan motivasi dengan meningkatkan kepatuhan mencuci tangan dalam hand hygiene five moment di ruang rawat inap RSUD Dr. A. Dadi Tjokrodipo Bandar Lampung. Kata Kunci : Hand Hygiene, Motivasi, Sikap, Kepatuhan, Perawat

HUBUNGAN MOTIVASI PERAWAT DAN GAYA KEPEMIMPINAN DENGAN PERILAKU PERAWAT DALAM PEMBUANGAN SAMPAH MEDIS BENDA TAJAM DI RSUD DR.A.DADI TJOKRODIPO KOTA BANDAR LAMPUNG Rike Saputra; M. Arifki Zainaro; M. Ricko Gunawan
Malahayati Nursing Journal Volume 2 Nomor 2 Tahun 2020
Publisher : Universitas Malahayati Lampung

Introduction: sharp medical waste is not only able to cause scratch and stab wounds but also to infect wounds when they are contaminated by pathogen. A pre-survey result done by the researcher in wards of dr. A. Dadi Tjokrodipo at 20 January 2019 to 10 nurses concerning activities of nursing care and medicla waste management including needle, syringe, and bandage that were disposed without sorting.Objective: the objective of this research was to find out the correlations of nurse’s motivation and leadership style to nurse’s behavior in sharp medical waste disposal in dr. A. Dadi Tjokrodipo public hospital in Bandar Lampung. Method: this was a quantitative analytic survey research by using cross sectional approach and it was conducted in dr. A. Dadi Tjokrodipo public hospital from March to April 2019. Population was all nurses and samples were of total sampling. Data were collected by using questionnaires and analyzed by using univariate (frequency distribution) and bivariate (chi square test) analyses.Result: there were 31 respondents (54.4%) with poor medical waste littering behavior, 34 respondents (59.6%) with low motivation, and 29 respondents (50.9%) with bad leadership style. There were correlations of nurse’s behavior (p-value 0.000; OR 11.70) and leadership style (p-value 0.012: OR 4.725) to sharp medical waste disposal in dr. A. Dadi Tjokrodipo public hospital in Bandar Lampung in 2019. Conclusion: there were correlations of nurse’s motivation and leadership style to nurse’s behavior in littering sharp medical waste in dr. A. Dadi Tjokrodipo public hospital in Bandar Lampung in 2019. The researcher expects nurse’s motivation improvement concerning medical waste disposal by joining training about effects of improper sharp medical waste disposal.Introduction: sharp medical waste is not only able to cause scratch and stab wounds but also to infect wounds when they are contaminated by pathogen. A pre-survey result done by the researcher in wards of dr. A. Dadi Tjokrodipo at 20 January 2019 to 10 nurses concerning activities of nursing care and medicla waste management including needle, syringe, and bandage that were disposed without sorting.Objective: the objective of this research was to find out the correlations of nurse’s motivation and leadership style to nurse’s behavior in sharp medical waste disposal in dr. A. Dadi Tjokrodipo public hospital in Bandar Lampung. Method: this was a quantitative analytic survey research by using cross sectional approach and it was conducted in dr. A. Dadi Tjokrodipo public hospital from March to April 2019. Population was all nurses and samples were of total sampling. Data were collected by using questionnaires and analyzed by using univariate (frequency distribution) and bivariate (chi square test) analyses.Result: there were 31 respondents (54.4%) with poor medical waste littering behavior, 34 respondents (59.6%) with low motivation, and 29 respondents (50.9%) with bad leadership style. There were correlations of nurse’s behavior (p-value 0.000; OR 11.70) and leadership style (p-value 0.012: OR 4.725) to sharp medical waste disposal in dr. A. Dadi Tjokrodipo public hospital in Bandar Lampung in 2019. Conclusion: there were correlations of nurse’s motivation and leadership style to nurse’s behavior in littering sharp medical waste in dr. A. Dadi Tjokrodipo public hospital in Bandar Lampung in 2019. The researcher expects nurse’s motivation improvement concerning medical waste disposal by joining training about effects of improper sharp medical waste disposal.

Hubungan Motivasi Dan Supervisi Terhadap Pencegahan Healthcare Associated Infection (HAIS) Di Masa Pandem (Covid-19) Di Rumah Sakit Pertamina Bintang Amin Kota Bandar Lampung Mutia Ade Dea; M. Arifki Zainaro; Dewi Kusumaningsih
Malahayati Nursing Journal Vol 4, No 5 (2022): Volume 4 Nomor 5 2022
Publisher : Universitas Malahayati Lampung

ABSTRACT Infections that occur in health facilities or are currently better known as Healthcare-Associated Infections (HAIs) are a serious problem that must be handled. This is due to the large number of infections, which occur after coming to health care facilities. The incidence of HAIs in Lampung Province in 2017 reached 37%, and in 2018 it increased to 42%, RSPBA as one of the private hospitals in Bandar Lampung in 2020 it is known that the incidence of phlebitis reached 0,18, Urinary tract infection (UTI) reached 1.14 and Ventilator-associated pneumonia (VAP) reached 2.18. Internal Medicine Room 3.65% and Surgery Room 5.38%. The purpose of the study was to determine the relationship between motivation and supervision issues in the prevention of Healthcare-Associated Infections (Hais) during the Covid-19 pandemic at Hospital Hospital Pertamina Bintang Amini Kota Bandari Lampung. This type of research is quantitative with a cross-sectional design. The population of this study were all 69 nurses at Pertamina Bintang Amin Hospital, Bandar Lampung City. The sample is 69 respondents. Data collection used in this study was a questionnaire. The statistical test used is the chi-square test with the help of a computer. The frequency distribution of respondents stated that supervision was not good, namely 34 respondents (52.2%), high motivation was as many as 30 respondents (56.5%), the prevention of Healthcare-Associated Infections (HAIS) during the Covid 19 pandemic was good, namely 40 respondents (58.7%), there is an influence of supervision with the prevention efforts of Healthcare-Associated Infections (HAIS) (p-value 0.041. OR 4.3), There is a relationship between motivation and issues of supervision on efforts to Prevent Healthcare-Associated Infections (Hais) during the Covid-19 pandemic Hospitalize Pertamina Bintang Amin Kota Bandar Lampung. Keywords: Motivation, Supervision, Prevention Of Healthcare-Associated Infection (Hais)ABSTRAK Infeksi yang terjadi di fasilitas kesehatan atau yang saat ini lebih dikenal dengan Healthcare Associated Infections (HAIs) adalah masalah serius yang harus ditangani. Hal ini disebabkan karena banyaknya angka kejadian infeksi, yang terjadi setelah datang ke fasilitas layanan.kesehatan. RSPBA sebagai salah satu RS Swasta di Bandar Lampung pada tahun 2020 diketahui angka kejadian Plebitis mencapai 0,18, Infeksi saluran kemih (ISK) mencapai 1,14 dan Ventilator-associated pneumonia (VAP) mencapai 2,18. Ruang Penyakit Dalam 3,65% dan Ruang Bedah 5,38%. Tujuan penelitian adalah untuk mengetahui hubungan motivasi dan supervisi terhadap upaya pencegahan Healthcare Associated Infection (Hais) padai masai pandemii Covidi 19 di Rumah Sakit Pertamina Bintang Amin Kota Bandar Lampung. Penelitian yang digunakan yaitu kuantitatif sedangkan ini yaitu cross sectional. Populasi di penelitian ini semua perawat di RS Pertamina Bintang Amin Kota Bandar Lampung sebanyak 69 orang. Pengumpulan data yang digunakan dalam penelitian ini kuesioner. Statistik yang adalah uji chi square dengan bantuan komputer. Distribusi frekuensi responden menyatakan supervisi tidak baik yaitu sebanyak 34 responden (52,2%), motivasi tinggi yaitu sebanyak 30 responden (56,5%), 40 responden (58,7%), Ada pengaruh supervisi dengan upaya pencegahan Healthcare Associated Infections (HAIS), Ada hubungan motivasi dan supervisi terhadap upaya pencegahan Healthcare Associated Infectioni(Hais) pada masa pandemi Covid 19 di Rumah Sakit Pertamina Bintang Amin Kota Bandar Lampung. Kata Kunci: Motivasi, Supervise, Pencegahan Healthcare Associated Infection (HAIs)

Hubungan Paparan Asap Rokok Dengan Kejadian Ispa Pada Balita Di Wilayah Kerja Puskesmas Bandar Agung Kecamatan Terusan Nunyai Kabupaten Lampung Tengah Muhamad Kurniawan; Wahid Tri Wahyudi; M. Arifki Zainaro
Malahayati Nursing Journal Volume 3 Nomor 1 Tahun 2021
Publisher : Universitas Malahayati Lampung

INTISARI : HUBUNGAN PAPARAN ASAP ROKOK DENGAN KEJADIAN ISPA PADA BALITA DI WILAYAH KERJA PUSKESMAS BANDAR AGUNG KECAMATAN TERUSAN NUNYAI KABUPATEN LAMPUNG TENGAH TAHUN 2019 Pendahuluan :ISPA atau pneumonia merupakan penyakit yang paling sering diderita oleh balita yaitu sebanyak 78% balita datang berkunjung ke pelayanan kesehatan dengan kejadian ISPA. Berdasarkan hasil Riskesdas 2018 diketahui bahwa prevalensi ISPA menurut diagnosa Nakes mencapai 4,4%.Puskesmas Bandar agung merupakan wilayah kerja Puskesmas dengan kasus ISPA tertinggi di Kabupaten Lampung Tengah yaitu sebanyak 2.141 kasus. Kebiasaan merokok orang tua di dalam rumah menjadikan balita sebagai perokok pasif yang selalu terpapar asap rokok. Rumah yang orang tuanya mempunyai kebiasaan merokok berpeluang meningkatkan kejadian ISPA.Tujuan: Untuk mengetahui hubungan paparan asap rokok dengan kejadian ISPA pada balita di Wilayah Kerja Puskesmas Bandar Agung Kecamatan Terusan Nunyai Kabupaten Lampung Tengah Tahun 2019.Metode: Jenis penelitian kuantitatif, menggunakan pendekatan cross sectional. Populasi pada penelitian ini adalah seluruh ibu yang memiliki balita dan berkunjung ke Puskesmas Bandar Agung Kecamatan Terusan Nunyai Kabupaten Lampung Tengah berjumlah 135 orang. Sampel 101 responden. Tehnik pengumpulan data dilakukan dengan menggunakan kuesioner. Uji statistik yang digunakan adalah uji Chi Square.Hasil: Ada hubungan paparan asap rokok dengan kejadian ISPA pada balita di Wilayah Kerja Puskesmas Bandar Agung Kecamatan Terusan Nunyai Kabupaten Lampung Tengah Tahun 2019 (p value 0,001. OR 4,2).Kesimpulan: Ada hubungan paparan asap rokok dengan kejadian ISPA pada balita(p value 0,001. OR 4,2). Diharapkan kepada pihak Puskesmas Bandar Agung untuk melakukan promosi kesehatan pada masyarakat khususnya promosi tentang bahaya rokok, kandungan-kandungan yang terdapat pada rokok yang dapat membahayakan kesehatan, efek yang ditimbulkan oleh asap rokok, bahaya rokok bagi perokok aktif maupun pasi, dalam hal ini yang lebih dirugikan adalah perokok pasif teruatama balita. Sebab, balita dengan anggota keluarga perokok mempunyai frekuensi terserang ISPA lebih besar Kata Kunci :Paparan Asap Rokok,Kejadian ISPA ABSTRAK : THE CORRELATION OF CIGARETTE SMOKE EXPOSURE WITH URI CASE ON TODDLERS AT THE WORKING AREA OF BANDAR AGUNG HEALTH CENTRE TERUSAN NUNYAI SUBDISTRICT CENTRAL LAMPUNG REGENCY YEAR OF 2019 Introduction: URI or pneumonia is the disease most often suffered by toddlers, as many as 78% of toddlers come to visit health services with URI. Based on basic health research in 2018 it is known that the prevalence of URI according to Nakes diagnosis reaches 4.4%. Bandar Agung health centre is the working area of health centres with the highest URI cases in central Lampung regency as many as 2141 cases. Smoking habits of parents in the house make toddlers as passive smokers who are always exposed to cigarette smoke. Homes where parents have the habit of smoking are likely to increase the incidence of URI.Purpose: to know the correlation of cigarette smoke exposure with URI case on toddlers at the working area of Bandar Agung health centre Terusan Nunyai subdistrict Central Lampung regency year of 2019.Method: Quantitative research type, by using cross sectional approach. The population in this research was all mothers who had toddlers and visited to Bandar Agung Health Centre Terusan Nunyai subdistrict Central Lampung regency as many 135 people. 101 sample respondents. Collecting data technique was by using questionnaire. Statistical test was by using chi square.Result: There was the correlation of cigarette smoke exposure with URI case on toddlers at the working area of Bandar Agung health centre Terusan Nunyai subdistrict Central Lampung regency year of 2019 (p value 0,001. OR 4.2)Conclusion: There was the correlation of cigarette smoke exposure with URI case on toddlers. It is expected that the Bandar Agung Health Center to conduct health promotion to the community, especially the promotion of the dangers of cigarettes, the contents contained in cigarettes that can endanger health, the effects caused by cigarette smoke, the dangers of cigarettes for active and passive smokers, in this case more disadvantaged are passive smokers especially toddlers. Because toddlers with smoker family members have a greater frequency of ARI Keywords : cigarette smoke exposure, URI incident.

Hubungan Kepatuhan Cuci Tangan dan Penggunaan APD Perawat dengan Resiko Kejadian Healthcare Associated Infections (HAIS) pada Masa Pandemi Covid-19 di RSUD Mayjend. H.M. Ryacudu Lampung Utara Eka Novita Sari; M Ricko Gunawan; M Arifki Zainaro
Malahayati Nursing Journal Vol 4, No 1 (2022): Volume 4 Nomor 1 2022
Publisher : Universitas Malahayati Lampung

ABSTRACT: RELATIONSHIP OF HANDWASHING COMPLIANCE AND NURSE PPE USE WITH RISK OF HEALTHCARE ASSOCIATED INFECTIONS (HAIS) DURING THE COVID-19 PANDEMIC AT RSUD MAYJEN H.M. RYACUDU NORTH LAMPUNG Introduction: Infection is the invasion of the body by a pathogen or microorganism, which can cause disease or tissue damage. A hospital infection or hospital-acquired infection (HOIS) or healthcare-associated infection (HAIS) is an infection acquired during a patient's hospital stay, provided that the incubation period of the disease has not occurred at the time of admission. Objective: It is known that there is a relationship between handwashing compliance and the use of PPE for nurses with the risk of healthcare-associated infections (HAIS) during the COVID-19 pandemic at the Mayjend. H.M Ryacudu Hospital, North Lampung in 2021. Methods : The type of research used in this study is related to the descriptive nature with a cross sectional research design. The subjects of this study were all obstetrical, pediatric (perinatal and NICU) nurses, operating rooms and internal medicine at Mayjend.H.M Ryacudu Hospital, North Lampung. The number of samples used as many as 60 respondents.Results: The statistical test of nurses' compliance with the chi-square in handwashing obtained a p-value of 0.033 where the p-value < (0.033 < 0.05) then Ha, and the Odds Ration value was accepted at 0.314. By using the chi-square statistical test for nurses who use PPE, the p-value is 0.241, so the p-value < (0.241 > 0.05) and Ho is rejected, and the Odds ration value is 0.519.Conclusion: There is a relationship between handwashing compliance with the risk of health-related infections (HAIS), and there is no relationship between the use of PPE by nurses and the risk of healthcare-associated infections (HAIS) at the Mayjend H.M Ryacudu Hospital, North Lampung. Keywords: Compliance with handwashing, use of APD, HAIS INTISARI : HUBUNGAN KEPATUHAN CUCI TANGAN DAN PENGGUNAAN APD PERAWAT DENGAN RESIKO KEJADIAN HEALTHCARE ASSOCIATED INFECTIONS (HAIS) PADA MASA PANDEMI COVID-19 DI RSUD MAYJEND. H.M. RYACUDU LAMPUNG UTARA Pendahuluan : Infeksi adalah invasi tubuh oleh patogen atau mikroorganisme, yang dapat menyebabkan penyakit atau kerusakan jaringan. Infeksi rumah sakit atau infeksi yang didapat di rumah sakit (HOIS) atau infeksi terkait perawatan kesehatan (HAIS) adalah infeksi yang diperoleh selama pasien dirawat di rumah sakit, asalkan masa inkubasi penyakit belum berlangsung pada saat masuk. Tujuan : Diketahui hubungan kepatuhan cuci tangan dan penggunaan APD perawat dengan resiko kejadian healthcare associated infections (HAIS) pada masa pandemi covid-19 di RSUD Mayjend.H.M Ryacudu Lampung Utara.Metode : Jenis penelitian yang digunakan dalam penelitian ini berkaitan dengan sifat deskriptif dengan desain penelitian cross sectional. Subyek penelitian ini adalah seluruh perawat obstetri, anak (perinatal dan NICU), kamar operasi dan penyakit dalam di RSUD Mayjend.H.M Ryacudu Lampung Utara. Jumlah sample yang dipakai sebanyak 60 responden.Hasil : Uji statistik kepatuhan perawat terhadap chi-square dalam cuci tangan diperoleh nilai p sebesar 0,033 dimana nilai p < α (0,033 < 0,05) kemudian Ha, dan nilai Oods Ration diterima sebesar 0,314. Dengan menggunakan uji statistik chi-square perawat yang menggunakan APD didapatkan nilai p-value 0,241, sehingga nilai p-value < α (0,241 > 0,05) dan Ho ditolak, serta nilai Oods ration sebesar 0,519.Kesimpulan : Memiliki hubungan antara kepatuhan cuci tangan dengan risiko infeksi terkait kesehatan (HAIS), serta tidak ada hubungan antara penggunaan APD oleh perawat dengan risiko healthcare associated infections (HAIS) pada RSUD mayjend H.M Ryacudu Lampung Utara. Kata Kunci : Kepatuhan cuci tangan, penggunaan APD, HAIS

Kualitas pelayanan kesehatan rawat jalan dengan tingkat kepatuhan minum obat penderita tuberkulosis paru Ahmad Gunawan; Muhammad Arifki Zainaro
Holistik Jurnal Kesehatan Vol 13, No 4 (2019)
Publisher : Program Studi Ilmu Keperawata Fakultas Ilmu Kesehatan Universitas Malahayati

Adherence to anti-tuberculosis treatment and quality of outpatient health servicesBackground: The were 23 lung tuberculosis patients registered at Sragi Health Center. Actually, the Case Detection Rate of Tuberculosis in Lampung Selatan Regency was 60%, below the 70% national target. How ever, specifically in some health centers in the regency, there were some health centers which Case Detection Rate (CDR) is higher than national achievement like Bakauheni Health Center (116%) while the lowest CDR found at Bumidaya Health Center. In this study, Sragi Health Center obtained 41% placing the fourth lowest achievement. On the following year, 2017, Sragi Health Center’s lung tuberculosis patients increased into 38 resulting the second lowest CDR achieve in Lampung Selatan regency.Purpose: To identify the correlation between empathy of health practitioner and the adherence to anti-tuberculosis treatment.Methods: A quantitative study with cross sectional research approach, by total sampling and population was 49 patients with lung tuberculosis. Study was done on 23 March to 25 July 2019 at Sragi Health Center (Puskesmas). The variables are quality of outpatient health services in domain an empathy and the adherence to anti-tuberculosis treatment.Result: Finding that there were of 29 patients (59,2%) acknowledging the health practitioners having good empathy while the other twenty (40,8%) stating the health practitioners exhibiting poor empathy. There was a correlation between empathy of health practitioners and the adherence of taking medicine on lung tuberculosis patients (p value = 0,009 and OR 6,545).Conclusion: There was a correlation between empathy of health practitioners and the adherence to anti-tuberculosis treatment. The health practitioners especially the nurses should show their empathy to the patients in order to build trust to healthcare.Keywords: Adherence; Anti-Tuberculosis Treatment; Quality; Outpatient Health Services; Empathy Pendahuluan: Puskesmas Sragi sebanyak 23 penderita. CDR (Case Detection Rate) Kabupaten Lampung Selatan tahun 2016 sebesar 60% masih dibawah target nasional sebesar 70%, tetapi bila ditilik terdapat beberapa Puskesmas yang mempunyai capaian nilai CDR diatas nasional seperti Puskesmas RI Bakauheni (116%), sedangkan Puskesmas dengan CDR terendah adalah RI Bumidaya (30%) dan Puskesmas Sragi sebesar 41% merupakan urutan yang ke empat terendah. Tahun 2017 Puskesmas Sragi kembali mengalami peningkatan penderita TB paru menjadi sebanyak 38 orang dengan CDR urutan kedua terendah di Kabupaten Lampung Selatan. Tujuan: Diketahui empati petugas kesehatan dengan kepatuhan minum obat penderita tuberculosis paru. Metode: Penelitian kuantitatif, jenis penelitian crossectional. Populasi penelitian seluruh penderita TB paru, jumlah sampel 49 orang, pengambilan sampel secara total sampling dilakukan di UPT Puskesmas Rawat Inap Sragi Kabupaten Lampung Selatan, tanggal 23 Maret – 25 Juli 2019. Variabel penelitian empatidan kepatuhan minum obat penderita tuberculosis paru. Analisis data secara univariat dan bivariat (chi square).Hasil: Diketahui sebanyak 29 (59,2%) memiliki empati baik dan sebanyak 20 (40,8%) memiliki rasa empati yang buruk. Ada hubungan antara empati petugas kesehatan terhadap kepatuhan minum obat tuberculosis paru(p-value=0,009 dan OR 6,545).Simpulan: Ada hubungan antara empati petugas kesehatan terhadap kepatuhan minum obat tuberculosis paru. Saran: Perawat dan petugas kesehatan supaya bersikap empati agar pasien lebih nyaman dan merasa dilindungi dan dibantu sehingga dapat menciptakan kondisi yang terapeutik. Pasien akan selalu kontrol dan patuh dalam minum obat tuberculosis paru hingga dosisnya sesuai anjuran yang ditetapkan.

Pengaruh kinerja petugas kesehatan pada tingkat kepuasan pasien Muhammad Nurhidayat; M. Arifki Zainaro
Holistik Jurnal Kesehatan Vol 14, No 2 (2020)
Publisher : Program Studi Ilmu Keperawata Fakultas Ilmu Kesehatan Universitas Malahayati

The performance of health workers and patient satisfaction Background: Patient satisfaction related to the quality of health services by knowing the level of patient satisfaction, puskesmas can improve service quality. The percentage of patients who expressed satisfaction with the service based on the results of the survey with standard instruments. HR performance is a term derived from the word Job Performance or Actual Performance (work performance or actual achievement achieved by someone)Purpose: To determine the effect of the performance of health workers on patient satisfaction in Public health centers.Method: A quantitative with the design correlative. The population were patients who were inpatient at 7 Public Health Centers in West Lampung District, with a total sample of 130 respondents. Sampling in this study using the Cluster Sampling method (Sample Area)Results: Most respondents rated the performance of health workers in the poor category of 78 respondents (60.0%) and the majority of respondents were dissatisfied numbered 69 respondents (53.1%). Based on the results of statistical tests, p-value 0.034 or p-value <α (0.05) is obtained, which means there is a relationship between health worker performance and patient satisfaction.Conclusion: The results of this study are expected that the Public health centre management can improve the performance of nurses and can develop or update the best quality of service for patients, by providing facilities, facilities and infrastructure to support health services, improve all quality service procedures and improve performance related programs, and by improving health status, so that patient satisfaction can be improved.Keywords: The performance; Health workers; Patient satisfaction Pendahuluan : Kepuasan pasien yang berhubungan dengan mutu pelayanan kesehatan dengan mengetahui tingkat kepuasan pasien, puskesmas dapat meningkatkan mutu pelayanan. Persentasi pasien yang menyatakan puas terhadap pelayanan berdasarkan hasil survey dengan instrument yang baku. Kinerja SDM merupakan istilah yang berasal dari kata Job Performance atau Actual Performance (prestasi kerja atau prestasi sesungguhnya yang dicapai seseorang)Tujuan : Diketahui pengaruh kinerja petugas kesehatan terhadap kepuasan pasien Di Puskesmas Se-Kabupaten Lampung Barat Tahun 2019.Metode : Kuantitatif dengan desain yang digunakan dalam penelitian ini adalah korelatif. Populasi dalam penelitian ini adalah pasien yang datang berobat/dirawat pada Puskesmas Se-Kabupaten Lampung Barat, dengan jumlah sampel di 7 Puskesmas berjumlah 130 responden. Pengambilan sampel dalam penelitian ini menggunakan metode Cluster Sampling (Area Sampel)Hasil : Sebagian besar responden menilai kinerja petugas kesehatan dalam kategori buruk berjumlah 78 responden (60,0%) dan sebagian besar responden merasa tidak puas berjumlah 69 responden (53,1%). Berdasarkan hasil uji statistik, didapatkan p-value 0,034 atau p-value < nilai α (0,05) yang artinya terdapat hubungan antara kinerja petugas kesehatan dengan kepuasan pasien.Simpulan: Hasil penelitian ini diharapkan agar pihak Puskesmas dapat meningkatkan kinerja perawat dan dapat mengembangkan atau memperbaharui kualitas pelayanan yang terbaik untuk pasien, dengan cara menyediakan fasilitas, sarana dan prasarana dalam menunjang pelayanan kesehatan, memperbaiki semua tatacara pelayanan yang bermutu serta meningkatkan program kinerja yang berhubungan dengan peningkatan status kesehatan, sehingga kepuasan pasien dapat ditingkatkan.

Efektifitas Teknik Brady Daroff Terhadap Pasien Vertigo Di Ruang Unit Gawat Darurat Rumah Sakit Pertamina Bintang Amin Bandar Lampung A Muammar Khoddafi; M. Arifki Zainaro; Andoko Andoko
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 5, No 7 (2022): Volume 5 No 7 Juli 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v5i7.4767

ABSTRAK Angka kejadian vertigo di Indonesia pada tahun 2009 sangat tinggi yaitu sekitar 50% pada orang tua yang berusia 75 tahun, dan pada tahun 2010 terjadi 50% kasus dari usia 40-50 tahun dan merupakan keluhan ketiga paling sering dikeluhkan oleh pasien yang datang ke praktek umum. Umumnya vertigo ditemukan sebesar 4-7% dari keseluruhan populasi dan hanya 15% yang diperiksakan ke dokter (Sumarliyah & Saputro, 2015). Tujuan pemberian latihan Brandt Daroff untuk mengetahui efektivitas sebelum dan sesudah dilakukan teknik brandt daroff pada pasien Vertigo Di Ruang Unit Gawat Darurat Rumah Sakit Pertamina Bintang Amin Bandar Lampung apakah mengalami penurunan atau tidak. Rancangan studi kasus (case study) menggunakan 2 pasien yang ada di Ruang Unit Gawat Darurat Rumah Sakit Pertamina Bintang Amin Bandar Lampung. Analisa data dilakukan menggunakan Tindakan implemntasi dengan Teknik Brady Darrof. Kegiatan ini dilakukan 4 hari selama 30 menit dengan menggunakan teknik brandt daroff apakah dapat menunjukkan adanya perbedaan antara sebelum dan sesudah diberikan teknik brandt daroff seperti jika sebelum dilakukan teknik brandt daroff skala nyeri 7 dan setelah dilakukan teknik brandt daroff skala nyeri menjadi 4. Latihan brandt daroff akan melatih sistem saraf dan keseimbangan seseorang dan mampu menurunkan nyeri pada vertigo yang dialami, karena dengan melakukan latihan kurang lebih 3 kali sehari selama 4 hari mampu melancarkan peredaran darah, mempercepat pemulihan atau penurunan gangguan keseimbangan pada pasien vertigo. Kata Kunci: Vertigo, Nyeri, Gangguan Keseimbangan ABSTRACT The incidence of vertigo in Indonesia in 2009 was very high, which was around 50% in elderly people aged 75 years, and in 2010 there were 50% of cases from 40-50 years of age and was the third most frequent complaint by patients who came to general practice. . Generally, vertigo is found in 4-7% of the total population and only 15% are examined by a doctor (Sumarliyah & Saputro, 2015). The purpose of givingtraining is Brandt Daroff to determine the effectiveness before and after the Brandt Daroff technique is carried out on Vertigo patients in the Emergency Unit at Pertamina Bintang Amin Hospital Bandar Lampung whether it has decreased or not. Thecase studydesign uses 2 patients who are in the Emergency Unit of Pertamina Bintang Amin Hospital Bandar Lampung. Data analysis was carried out using implementation actions with the Brandt Daroff technique. This activity was carried out 4 days for 30 minutes using the Brandt Daroff technique whether it could show any difference between before and after being given the Brandt Daroff technique as if before the Brandt Daroff technique the pain scale was 7 and after the Brandt Daroff technique the pain scale became 4.exercise Brandt Daroff trains the nervous system and the balance of a person and to reduce the pain experienced vertigo, because by doing exercise at least 3 times a day for 4 days can promote blood circulation, accelerate recovery or reduction of balance disorders in vertigo patients. Keywords: Vertigo, Pain, Balance Disorders

Efektifitas Terapi Rendam Kaki Air Hangat Dannmassage Pada Klien Hipertensiidengan Masalah Keperawatan Gangguan Rasa Nyaman Nyeri M Kelvin Alvaredo; Triyoso Triyoso; M Arifki Zainaro
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 5, No 6 (2022): Volume 5 No 6 Juni 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v5i6.4734

ABSTRAK Hipertensi dapat memicu berkembangnya penyakit lain, termasuk penyakit fatal seperti stroke. Menurut WHO, menyebutkan penderita hipertensi akan terus meningkat seiring dengan jumlah penduduk pada tahun 2025 mendatang diperkirakan sekitar 29% warga dunia terkena hipertensi. Tujuan pemberian terapi untuk mengetahui efektivitas sebelum dan setelah dilakukan rendam kaki air hangat dan massage pada pasien hipertensi. Metode asuhan keperawatan ini adalah mendeskripsikan dalam bentuk review kasus yang menganalisis suatu masalah asuhan keperawatan pada pasien yang mengalami hipertensi. Lokasi penelitian pasien (Ny.I) dilakukan di kotabumi. Hasil review kasus terhadap pasien ditemukannya keluhan Nyeri Kepala bagianbelakang. Pada penegakan diagnose Gangguan rasa nyaman: nyeri berhubungan dengan Peningkatan tekanan vaskuler serebral, Evaluasi kasus diagnose tersebut yaitu masalah gangguan rasa nyaman nyeri teratasi. Terapi non farmakologi rendam kaki air hangat dan massage terbukti dapat mengurangi 80% hipertensi serta mengatasi masalah keperawatan gangguan rasa nyaman nyeri. Diharapkan dapat menerapkan rendam kaki air hangat dan massage kaki kepada penderita hipertensi dan sebagai pengobatan alternative untuk menjaga nyeri. Kata Kunci: Rendam Kaki Air Hangat, Hipertensi, MassageABSTRACT Hypertension can trigger the occurrence of other diseases, including deadly diseases such as stroke. According to the World Health Organization (WHO), people with hypertension will continue to increase along with the population in 2025, it is estimated that around 29% of the world's citizens are affected by hypertension. To be able to perform comprehensive” The Effectiveness Of Warm Feet Soap And Massage Therapy On Hypertension Clients With Nursing Problems Comfort Disorder: Pain In Kotabumi, 2021. This nursing care method is described in the form of a case review that analyzes a nursing care problem in patients with hypertension. The location of the patient's study (Mrs. I) was conducted in Kotabumi. The results of the case review on the patient found complaints of back pain. In establishing the diagnosis of Impaired sense of comfort: pain associated with increased cerebral vascular pressure, The evaluation of the diagnostic case is that the problem is resolved. Non-pharmacological therapy, foot soak in warm water, and massage have been shown to reduce hypertension and overcome nursing problems with discomfort and pain. It is hoped that they can apply warm water foot soaks and foot massages to people with hypertension as an alternative treatment to keep the pain away. Keywords: Warm Water Foot Soak, Hypertension, Massage

Efektivitas Terapi Relaksasi Benson Untuk Menurunkan Tekanan Darah Pada Pasien Hipertensi Di Desa Margorejo Lampung Selatan M. Arifki Zainaro; Dessy Hermawan; Joko Martono
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 5, No 5 (2022): Volume 5 No 5 Mei 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v5i5.4720

ABSTRAK Hipertensi setidaknya membunuh 9,4 juta warga dunia setiap tahunnya, dan WHO juga memperkirakan jumlah penderita hipertensi akan terus meningkat sebanyak 29% pada tahun 2025 nanti (WHO, 2013). Data mengenai hipertensi yang didapatkan dari “hasil Riset Kesehatan Dasar (Riskesdas) Balitbangkes tahun 2018 menyatakan bahwa prevalensi hipertensi mencapai 34.1% di Indonesia. Tujuan pemberian terapi untuk mengetahui efektivitas sebelum dan setelah dilakukan relaksasi benson pada klien yang memiliki darah tinggi. Rancangan studi kasus (case study) menggunakan 2 subjek yang berdomisili di Margorejo Lampung Selatan Tahun 2021. Analisa data dilakukan menggunakan analisis deskriptif dan asuhan keperawatan. Hasil studi kasus menunjukkan bahwa setelah dilakukan penerapan relaksasi benson terjadi penurunan tekanan darah pada pasien hipertensi grade II, yaitu sebelum dilakukan terapi relaksasi benson tekanan darah pasien 170/100 mmHg dan turun menjadi 165/90 mmHg setelah dilakukan terapi relaksasi benson. Terapi benson terus dilakukan dan diingatkan, meskipun terlihat sangat mudah namun para pasien yang termasuk lansia harus tetap dituntun dan juga diingatkan supaya bisa sedikit membantu mengontrol tekanan darah selain melalui obat-obatan. Kata Kunci: Efektivitas, Hipertensi, Relaksasi Benson ABSTRACTHypertension kills at least 9.4 million people in the world every year, and WHO also estimates that the number of people with hypertension will continue to increase by 29% by 2025 (WHO, 2013). Data on hypertension obtained from the "Health Research (Riskesdas) Balitbangkes 2018 states that the prevalence of hypertension reached 34.1% in Indonesia. The purpose of therapy is to determine the effectiveness before and after Benson relaxation in clients who have high blood pressure. The case study design uses 2 subjects who are domiciled in Margorejo, South Lampung in 2021. Data analysis is carried out using descriptive analysis and nursing care. The results of the case study showed that after the application of Benson relaxation there was a decrease in blood pressure in grade II hypertensive patients, namely before Benson relaxation therapy the patient's blood pressure was 170/100 mmHg and decreased to 165/90 mmHg after Benson relaxation therapy. Benson therapy continues to be carried out and reminded, although it looks very easy, patients including the elderly must still be guided and reminded so that they can help control blood pressure a little other than through drugs. Keywords: Effectiveness, Hypertension, Benson Relaxation

Co-Authors A Muammar Khoddafi Ade Gunawati Sandi Adelta, Yosi Agustina, Respa Ahmad Gunawan Aisyah Aisyah Alberta Rika Pratiwi Albet Maydiyantoro Alfabet Oktristyan Fakuriza Andoko Andoko Andoko Andoko Andoko Andoko, Andoko Aniharyati, Aniharyati Apriansah, Rafel Apriyadi Apriyadi Aria Winara Perkasa Aryanti Wardiyah Asisifa, Mukayin Ayesha Norabela Azis, Jhon Bahren Nortajulu Berly, Indah Rohmafresha Chrisanto, Eka Yudha Deny Eka Liasari Devy Annieza Zahra Dewanti, Meisya Adelina Dewi Kusumaningsih Dewi Kusumaningsih Dewi Kusumaningsih Dewi Lutfianawati, Dewi Dherlirona Dherlirona Dita Resi Andrianti Djamaludin, Djunizar Djunizar Djamaludin Djunizar Djamaludin Donna Caesarani Ananda Dwi Nopriyanto Dwiky Dermawan Santari Eka Novita Sari Eka Sartika, Eka Eka Trismiyana Elliya, Rahma Elpi Ulandari Erlina Wati Erna Listyaningsih Esti Handayani Fadlurahmi, Fadlurahmi Fara Millinia Suwares fatimah Fatimah Ferisca, Fidela Ferlanda Alam, Rama Rajasa Furqoni, Prima Dian Giri Widakdo Gunawan, M. Ricko Hafiffah Handayani Harkina, Prida Hartati, Eka Yuli Heki Febrianto Hermawan, Dessy Ibrahim, Idris Idawati Kn Indriana, Nova Ismanto Nasim Isnainy, Usastiawaty Cik Ayu Saadiah Joko Martono Julhana, Julhana Karyanto Karyanto Keswara, Umi Romayati Kiramah Wati Kusumanignsih, Dewi Lensi, Yufia Liasari, Deny Eka Lidya Ariyanti Lilis Marlia Linawati Novikasari M Kelvin Alvaredo Mardani Mardani Martiningsih Martiningsih, Martiningsih Melia Novita Mentari Permatasari Mufidah, Ghina Aliya Muhamad Kurniawan Muhammad Nurhidayat Muhtar Muhtar Mutia Ade Dea Naryati, Naryati Naziah Naziah Naziah Naziah Novikasari, Linawati Nuraenah, Nuraenah Nuraini Nuraini Nuraini Nuraini Oktaviyani, Dwi Parid Khoirudin Perkasa, Aria Winara Prima Dian Furqoni Putri, Afdilah Mianda Putri, Asri Mutiara Putri, Qori Anisa Rahma, Reka Putri Rahmawati, Reka Putri Reka Putri Rahma Reka Putri Rahmawati Respa Agustina Rian Maylina Sari Rias Tusianah Ridwan Ridwan Ridwan Ridwan Rifaie, Mahda Rizka Faer Rike Saputra Riska Wandini, Riska Riyanto, Eko Rizwan, Al Khairul Ryalita, Novindri Sadaukur Br Barus Sandi Esa Prayoga Sari, Eva Aprilia Sekardhyta Ayuning Tias Setia, Larasati Eka Setiawati, Octa Reni Suhartini Suhartini Sumo, Ni Luh Susanto Susanto Susi Anisia Laila Susmarini, Neta Teguh Pribadi Trismiyana, Eka Triyoso Triyoso Triyoso, Triyoso Tubagus Ali Rachman Puja Kesuma, Tubagus Ali Rachman Puja Usastiawaty C.A.S Isnainy Utomo, Budi Setia Wahid Tri Wahyudi Wahyuninsih, Indah Wijaya, I Gusti Ngurah Satria Yeni Novita Yosi Adelta Yufia Lensi Yulendasari, Rika Yuliawati Zonet Dwi Lembayung

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