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Evaluasi Penerapan Clinical Pathway Sectio Caesarea pada Rumah Sakit Swasta di Bandar Lampung, Indonesia Wardani, Ika Novianna; Kurniawan, Betta; Pramesona, Bayu Anggileo
Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Vol 10, No 2 (2024): JMK Yayasan RS.Dr.Soetomo, Oktober 2024
Publisher : STIKES Yayasan RS.Dr.Soetomo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29241/jmk.v10i2.1941

Abstract

Clinical pathway (CP) merupakan salah satu syarat utama dalam pengendalian mutu, keselamatan pasien serta kendali biaya, salah satunya pada tindakan sectio caesarea (SC). Penelitian ini bertujuan untuk menganalisis tingkat kepatuhan penerapan CP SC dan kejadian infeksi luka operasi (ILO), serta menganalisis perbedaan length of stay (LOS) pada pasien umum dan asuransi yang telah melakukan SC. Penelitian cross-sectional ini dilakukan pada 78 responden dari dokumen rekam medis secara total sampling di salah satu rumah sakit swasta di Bandar Lampung, Indonesia pada bulan Maret 2024. Kepatuhan penerapan CP SC dinilai menggunakan CP milik rumah sakit (RS), sedangkan kuisioner The Integrated Care Pathway Appraisal Tools (ICPAT) digunakan untuk mengevaluasi konten dan mutu pada format CP SC. Penelitian ini menggunakan analisis distribusi frekuensi, persentase dan uji Man-Whitney. Seluruh (100%) tenaga kesehatan tidak patuh dalam menerapkan CP SC. Selain itu, tidak terdapat perbedaan LOS pada pasien SC dengan jaminan umum dan asuransi (p value = 0,979) serta terjadinya ILO sebesar 4,2% pada pasien asuransi. Manajemen RS disarankan mengadakan sosialisasi, monitoring dan evaluasi, serta kolaborasi antar profesi secara terus-menerus dan berkelanjutan untuk meningkatkan kepatuhan tenaga medis dan tenaga kesehatan dalam melaksanakan CP SC.
Hubungan Antara Tingkat Stres dengan Status Gizi pada Mahasiswa Akhir Fakultas Kedokteran Universitas Lampung Zefanya Angie; Reni Zuraida; Ramadhana Komala; Bayu Anggileo Pramesona
Jurnal Ilmu Kesehatan dan Gizi Vol. 3 No. 1 (2025): Jurnal Imu Kesehatan dan Gizi
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jig.v3i1.3529

Abstract

Stress is a psychological condition that can affect nutritional status through changes in eating patterns and body metabolism. This study aimed to analyze the relationship between stress levels and nutritional status among final-year medical students at the Faculty of Medicine, University of Lampung. The study was conducted from November 2024 to January 2025 using a cross-sectional approach. The population consisted of final-year medical students in the 2024 academic year. A total of 141 students were selected using a simple random sampling technique. Data analysis was performed using the gamma correlation test. Stress levels were assessed using the Medical Student Stressor Questionnaire (MSSQ), while nutritional status was measured through anthropometric assessments. The results showed that 34.8% of respondents had an overweight or obese nutritional status, and 44.7% experienced moderate stress levels. Bivariate analysis revealed a significant relationship between stress levels and nutritional status (p = 0.033, p < 0.05) with a weak positive correlation (r = 0.260). This positive correlation indicates that higher stress levels are associated with an increased risk of being overweight or obese. In conclusion, this study demonstrates a significant relationship between stress levels and nutritional status among final-year medical students. These findings highlight the importance of effective stress management to prevent the risk of excessive weight gain and its potential contribution to degenerative diseases.
Faktor-faktor yang Berhubungan dengan Keberadaan Escherichia Coli (E. Coli) pada Makanan dan Minuman Sihaloho, San Maulina; Tugiyono, Tugiyono; Suharmanto, Suharmanto; Apriliana, Ety; Pramesona, Bayu Anggileo
Journal of Language and Health Vol 6 No 1 (2025): Journal of Language and Health
Publisher : CV. Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jlh.v6i1.5736

Abstract

Bakteri Escherichia coli (E. coli) merupakan salah satu indikator untuk menilai penerapan sanitasi pangan. Infeksi bakteri E. coli meningkat setiap tahunnya. Tujuan literature review ini adalah untuk mengetahui faktor-faktor yang berhubungan dengan keberadaan E. coli pada makanan dan minuman. Literature review ini dilakukan dengan menelusuri artikel menggunakan search engine seperti Google Scholar dan PubMed. Artikel yang digunakan adalah artikel 10 tahun terakhir dari tahun 2015-2025. Kata kunci yang digunakan adalah keberadaan bakteri E. coli, makanan dan minuman dan penjamah makanan. Peneliti mendapatkan 300 artikel, dan 8 artikel yang memenuhi syarat untuk dilakukan analisis. Peneliti melakukan analisis hasil dan melakukan interpretasi hasil penelitian. Hasil penelitian mendapatkan bahwa adanya bakteri E.coli dalam makanan dapat disebabkan banyak faktor antara lain, air bersih yang mengandung E.coli, penjamah makanan yang kurang higienis, alat yang digunakan, bahan makanan, atau cara pengolahan makanan. Faktor yang berhubungan dengan keberadaan bakteri E. coli meliputi jarak sumber pencemar, kondisi dan konstruksi sumur yang tidak memenuhi syarat, serta higiene penjamah makanan. Ketidakberhasilan dalam menjaga kebersihan dapat menyebabkan kontaminasi, sehingga E. coli menjadi indikator adanya pencemaran, terutama dalam air minum dan makanan.
Rasio Platelet dan Sel Darah Putih: Implikasinya dalam Patofisiologi Stroke Azhar, Hafidz Sirojudhin; Kurniati, Intanri; Pramesona, Bayu Anggileo; Utama, Winda Trijayanthi
Medula Vol 14 No 9 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i9.1454

Abstract

Acute ischemic stroke is a leading cause of morbidity and mortality worldwide, significantly impacting patients' quality of life and healthcare systems. Understanding prognostic factors that predict clinical outcomes in acute ischemic stroke patients is crucial, especially with the rising prevalence of risk factors such as hypertension, diabetes, and dyslipidemia. Recent studies have focused on hematological biomarkers, particularly the platelet-to-white blood cell ratio (PWR), which reflects the interaction between immune system components and hemostasis. This literature review examines the prognostic value of PWR in acute ischemic stroke, correlating higher PWR with better clinical outcomes measured by the National Institute of Health Stroke Scale (NIHSS). Lower PWR values have been associated with increased mortality risk within 90 days post-stroke. The dynamics of PWR provide insights into the body's response to ischemia and inflammation, highlighting its potential as a valuable prognostic marker. While PWR shows promise as a prognostic tool, limitations such as individual variability in inflammatory response, timing of measurement, and lack of standardization must be considered. Further research is needed to explore PWR's potential across diverse populations and address existing limitations to enhance its clinical application in managing acute ischemic stroke.
INTERVENSI EDUKASI PENGGUNAAN MASKER DALAM UPAYA PENCEGAHAN PENYAKIT PERNAPASAN PADA PEKERJA DI HOME INDUSTRY PENGOLAHAN KOPI BUBUK DI BANDAR LAMPUNG Pramesona, Bayu Anggileo; Hafizh, Ahmad Fauzan; Putra, Pandya Fisatama; Fatwa, Zahra Ramadhani
JCOMENT (Journal of Community Empowerment) Vol. 6 No. 2 (2025): Community Empowerment
Publisher : The Journal Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55314/jcoment.v6i2.936

Abstract

Paparan asap dari proses pengolahan kopi dapat menyebabkan gangguan kesehatan pernapasan pada pekerja, seperti iritasi saluran napas hingga penyakit paru kronis. Penggunaan alat pelindung diri seperti masker menjadi langkah preventif penting, namun pemahaman pekerja terhadap pentingnya penggunaan masker masih terbatas. Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan pekerja mengenai penggunaan masker sebagai upaya pencegahan penyakit akibat kerja. Metode yang digunakan adalah edukasi langsung yang dilengkapi dengan pre-test dan post-test untuk mengukur perubahan pengetahuan. Kegiatan dilakukan pada 22 Mei 2025 di home industry pengolahan kopi bubuk Cap Jempol Supri, Bandar Lampung, dengan melibatkan enam pekerja. Hasil menunjukkan adanya peningkatan skor pengetahuan pasca edukasi, terutama pada peserta dengan tingkat pengetahuan awal yang rendah. Rata-rata skor post-test meningkat dibandingkan pre-test, menandakan efektivitas intervensi edukatif ini. Edukasi penggunaan masker mampu meningkatkan kesadaran dan pengetahuan pekerja dalam upaya pencegahan risiko gangguan pernapasan di lingkungan kerja.
PENCEGAHAN DIABETES MELLITUS TIPE 2 PADA MASYARAKAT PERKOTAAN DENGAN PROMOSI KESEHATAN DI WILAYAH KERJA PUSKESMAS KEDATON, BANDAR LAMPUNG Pramesona, Bayu Anggileo; Kurniawan, Betta; Iqbal, Muhammad; Triyandi, Ramadhan; Agustine Sesunan, Dyah Surya; Puspitasari, Lia; Budyantara, Ronalda
JCOMENT (Journal of Community Empowerment) Vol. 6 No. 3 (2025): Community Empowerment
Publisher : The Journal Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55314/jcoment.v6i3.1034

Abstract

Prevalensi diabetes Mellitus (DM) pada penduduk ³15 tahun mayoritas berdomisili di perkotaan dengan latar belakang pendidikan rendah. Provinsi Lampung berada pada urutan ke-7 kasus DM tertinggi dari seluruh provinsi di Indonesia untuk kategori semua umur. Kota Bandar Lampung memiliki jumlah penderita DM terbanyak ke-5 se-provinsi Lampung. Sedangkan Puskesmas Kedaton, Bandar Lampung berada pada peringkat ke-3 puskesmas se-Bandar Lampung dengan jumlah pasien DM terbanyak dan cenderung bertambah. Perlu adanya upaya preventif agar prevalensi DM tidak terus meningkat. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pengetahuan dan pemahaman masyarakat perkotaan khususnya kelompok Prolanis DM dalam upaya mencegah terjadinya penyakit DM serta mencegah komplikasi yang diakibatkan oleh penyakit DM. Kegiatan ini dilaksanakan pada 8 Agustus 2025 di Puskesmas Kedaton, Bandar Lampung melibatkan 60 lansia prolanis. Promosi kesehatan dilakukan dengan media promosi kesehatan berupa presentasi PowerPoint, dan buku saku DM. Pre-test dan post-test dilakukan sebelum dan setelah kegiatan untuk mengukur skor pengetahuan peserta. Hasil menunjukkan peningkatan rata-rata skor pengetahuan dari 77,5 menjadi 93,5 (20,6%), dan analisis statistik dengan uji t berpasangan menunjukkan adanya perbedaan signifikan skor sebelum dan setelah diberikan promosi kesehatan (p<0,001). Selain peningkatan kuantitatif skor, kegiatan juga melibatkan partisipasi aktif peserta selama sesi diskusi. Temuan ini mengindikasikan bahwa promosi kesehatan pada layanan primer efektif meningkatkan pengetahuan pencegahan diabetes mellitus pada lansia khususnya di perkotaan dan berpotensi mendorong adopsi perilaku preventif, sehingga direkomendasikan replikasi dan penguatan jejaring rujukan untuk tindak lanjut individu berisiko.
Description of SARS-CoV-2 Transmission Risk in Indonesian Nurses Due to COVID-19 Exposure Dayu Laras Wening; Maria Ulfa; Bayu Anggileo Pramesona; Ahmad Veda Yudanto; Momoyo Azuma
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No S1 (2022): Suplement 1
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (723.421 KB) | DOI: 10.30604/jika.v7iS1.1124

Abstract

Coronavirus disease-2019 is a disease caused by a novel coronavirus called (SARS-CoV-2). In November 10, 2020, confirmed cases of COVID-19 were more than 49 million people recorded by WHO. Indonesian National Nurses Association data on November 12, 2020, showed that 113 Indonesian nurses died from COVID-19. This study aims to describe the handwashing activities, PPE use, work duration, psychological and comorbidities of nurses in Indonesia. It used quantitative methods, purposive sampling and percentage descriptive for statistical analysis. The design was a descriptive survey and online form. There were 112 respondents. The determination of criteria was based on the normal curve. There were 89 people (79.50%) in the low category for the comorbid variable. For work duration, there were 64.30% included in the good category. Using the PPE variable had a high category which is 91 people (81.25%). Respondents who constantly washed their hands were 109 people (97.32%) including in the high class. COVID-19 symptoms found that there were low category 112 people (100%). Most respondents were in the low category of comorbidities. Besides, they had sufficient work duration, they were good in the frequency of using PPE and applying it to handwash. They also had a low category in COVID-19 symptoms. Abstrak: COVID-19 adalah penyakit yang disebabkan oleh novel coronavirus yang disebut (SARS-CoV-2). Pada 10 November 2020, kasus terkonfirmasi COVID-19 tercatat lebih dari 49 juta orang oleh WHO. Data Persatuan Perawat Nasional Indonesia pada 12 November 2020, menunjukkan 113 perawat Indonesia meninggal karena COVID-19. Penelitian ini bertujuan untuk mendeskripsikan aktivitas cuci tangan, penggunaan APD, lama kerja, psikologis dan penyakit penyerta perawat di Indonesia. Metode yang digunakan adalah metode kuantitatif, purposive sampling dan deskriptif persentase untuk analisis statistik. Desainnya adalah survei deskriptif dan formulir online. Ada 112 responden. Penentuan kriteria didasarkan pada kurva normal. Ada 89 orang (79,50%) dalam kategori rendah untuk variabel komorbiditas. Untuk lama kerja terdapat 64,30% termasuk dalam kategori baik. Penggunaan variabel APD memiliki kategori tinggi yaitu 91 orang (81,25%). Responden yang selalu mencuci tangan sebanyak 109 orang (97,32%) termasuk dalam golongan tinggi. Gejala COVID-19 ditemukan kategori rendah sebanyak 112 orang (100%). Sebagian besar responden berada dalam kategori komorbiditas rendah. Selain itu, mereka memiliki durasi kerja yang cukup baik dalam frekuensi penggunaan APD dan penerapannya pada cuci tangan. Mereka juga memiliki kategori rendah dalam gejala COVID-19.
Electronic Medical Records in Primary Health Care Facilities Nurrahma, Alya Nabila; Larasati, TA; Kurniati, Intanri; Pramesona, Bayu Anggileo
Review of Primary Care Practice and Education Vol 6, No 2 (2023): July
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.79085

Abstract

Background: Medical records are an important element in the process of health care in health facilities. Several primary health facilities have used electronic-based medical records to improve service quality. Electronic medical records are patient medical records in electronic form that include health information of an individual that can be accessed using a computer from a network to provide effective, efficient, and integrated health services. The purpose of the study was to determine the development of the use of electronic medical records in primary healthcare facilities in Indonesia with a systematic review before the mandatory use of electronic medical records in Indonesia. Methods: This research is a systematic literature review of the use of electronic medical records in primary health facilities. Researchers searched the literature on google scholar with the keyword electronic medical records and obtained a total of 60 articles, 4 of which were inaccessible, 40 articles were not conducted in primary health facilities, and 3 articles do not contain the aspect we look for so only 13 articles were used in literature studies. Results: The implementation of medical records is carried out by all health workers who provide services from registration, triage, clinical examination, treatment, and drug prescribing. Medical record data is distributed automatically by computer. Health workers have different electronic medical record display menus according to their duties. Conclusions: The implementation of electronic medical records in primary health facilities can be carried out by medical recorders and non-medical health workers who are trained and has a different electronic medical record display menu in each service flow.
Gambaran Budaya Keselamatan Pasien di Rumah Sakit: Tinjauan Pustaka Amallia, Rizka Dina; Pramesona, Bayu Anggileo; Setiawan, Gigih; Saftarina, Fitria
Medula Vol 14 No 10 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i10.1389

Abstract

Patient safety culture is the key to providing high-quality and safe healthcare services. All healthcare providers, especially nurses, must be committed to creating and maintaining a strong patient safety culture. This research aims to gain a deep understanding of patient safety culture. The method used is a literature study taken from PubMed and Google Scholar databases published within the last 5 years and relevant to the topic. The selected articles are those that are fully available, focus on hospitals as the research site, and are written in Indonesian or English. The research shows that a good patient safety culture, characterized by leadership support, teamwork, open communication, and an effective incident reporting system, can improve the quality of healthcare and reduce risk of medical errors. However, many hospitals have not fully implemented a patient safety culture optimally. Some common challenges include low incident reporting rates, lack of leadership support, and a lack of a learning culture from mistakes. To address this problem, continuous efforts are needed to build a strong patient safety culture, such as increasing staff awareness, providing training, and creating safe environment for reporting errors.
Hubungan Antara Jenis Kelamin dengan Tingkat Kecemasan pada Mahasiswa Kedokteran: Tinjauan Pustaka Firdausy, Daniatul; Wardani, Dyah Wulan Sumekar Rengganis; Larasati, Ratri Mauluti; Pramesona, Bayu Anggileo
Medula Vol 14 No 12 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i12.1413

Abstract

Anxiety is one of the mental disorders often experienced by medical students due to high academic pressure. Factors that influence anxiety include biological, psychological, and social aspects. This study aims to determine the relationship between gender and anxiety levels in medical students. The method used is a literature review with a total sampling technique, in which four selected journals from the period 2015–2025 were analyzed. The results showed that female students have higher levels of anxiety compared to male students. This is due to several factors, such as hormonal differences, where estrogen plays a role in the regulation of serotonin which affects anxiety, and differences in emotional responses, where women are more likely to use emotion-based coping strategies. In addition, greater social pressure on women also contributes to their high levels of anxiety. The impact of high anxiety on students can affect academic achievement, concentration, and overall mental health. Therefore, it is important for educational institutions to provide psychological support and effective stress management programs to help students, especially women, manage anxiety. With the right intervention, it is hoped that medical students can be better prepared to face academic and professional challenges without experiencing significant psychological disorders.
Co-Authors AA Sudharmawan, AA Abda Abda Abdurrouf, Muhammad Adiputra, I Made Sudarma Agusta Saraswati Agustine Sesunan, Dyah Surya Ahmad Farizan Radhitya Ahmad Veda Yudanto Aila Karyus Akbar, Muhamad Farhan Akbar, Muhammad Farhan Alvika Zahra Amalia Tirzaningrum Amallia, Rizka Dina Ananda Fitriliani Andhini, Friska Arina Dima Fasya Asep Sukohar Asep Sukohar Azhar, Hafidz Sirojudhin Baehaqi Betta Kurniawan betta kurniawan Betta Kurniawan Betta Kurniawan, Betta Cantika, Diana Helen Catur Ariwibowo Clara Sylvia Agustin Dayu Laras Wening Defri, Carisa Nabila Dewi Nur Fiana Dian Isti Angraini Dian Isti Angraini Diana Helen Cantika Dwita Nurmumpuni Dwita Nurmumpuni Dyah Wulan Sumekar Rengganis Wardani Dyah Wulan Sumekar Rengganis Wardani Dyah Wulan Sumekar Rengganis Wardani Dyah Wulan Sumekar Rengganis Wardani Eka Nur Sejati Eka Putri Rahmadhani Elsye Maria Rosa Endro Prasetyo Wahono Ety Apriliana Evi Kurniawaty Evryna Sipahutar Exsa Hadibrata Faras Raditia Maulana Farid Kahar Fatwa, Zahra Ramadhani Firdausy, Daniatul Fitria Saftarina Galih Prayogo Ginting, Sadar Hadibrata, Exsa Hafizh, Ahmad Fauzan Hasmal, Aditia Leo Heru Santosa I Nyoman Asdiwinata I Wayan Dika Aditia Darma Ihsan Fajar Indriansyah Valian Indirawati, Sri Malem Intanri Kurniati Irma Lusi Nugraheni Issroviatiningrum, Retno Jhons Fatriyadi Suwandi Joko Apriyono Kevina Khaironi Fitriany Khairun Nisa Larasati, Ratri Mauluti Lariza Serafina Tobroni Larrassati, Vanesya Naya Leni Ervina Liestya Risnawati Lintang Lestari Cahya Sawitri M Anugrah Arbi M. Fauzan Abdillah Rasyid M. Ridho Ulya Maria Ulfa Maya Dwi Yustini Maya Ganda Ratna Mela Liberti Octoriani Simaremare Momoyo Azuma Muhamad Arif Rianto Muhammad Iqbal Murni Kurniawati Najwa Zaskia Suryadi Nasution, Rizqiani Astrid Niam Musadad Nopryan Ekadinata Nurmaini Nurmaini Nurrahma, Alya Nabila Nurwijayanti Oktadoni Saputra Oktadoni Saputra, Oktadoni Oktoba, Zulpakor Otta Nur Kirana Puspitasari, Dyah Wiji Putra, Pandya Fisatama Putu Karis Ayu Kirana Rahayu, Anis Dwi Rahayu, Anisa Dwi Ramadhan Triyandi Ramadhana Komala Ramdini, Dwi Aulia Rasmi Zakiah Oktarlina Ratna Dewi Puspita Sari Rebecca A F Saragih Reni Zuraida Rika Lisiswanti Risal Wintoko Risal Wintoko Risti Graharti Rizki Pratama Ronalda Budyantara Salsabila Nurislami Salsabila Nurislami Salwa Alina Faza Sari, Dewi Keumala selvi rahmawati Septia Eva Lusina Setiawan, Gigih Shaffa Aulia Shabrina Shinta Nareswari Sihaloho, San Maulina Sinta Nurmalasari Siti Husna Siti Zahara Nasution, Siti Zahara Sofyan Musyabiq Wijaya Sormin, Merris Hartati Suharmanto Suharmanto Suharmanto Susianti Susianti Sutarto Sutarto Sutarto Sutarto Sutarto Sutarto Sutyarso TA Larasati Tamara Adela Taneepanichskul, Surasak Theresia Anita Pramesti Tri Umiana Soleha Triyandi, Ramadhan Tugiyono Tugiyono Wardani, Dyah Wulan Wardani, Ika Novianna Wido Gamani Wijaya Kesuma Winda Trijayanthi Utama, Winda Trijayanthi Wiwi Febriani Yulizar Yulizar Yunianto, Andi Eka Yuviana, Yuviana Zakiah Zakiah Zefanya Angie Zulfikar