Akhmadi Akhmadi
Departemen Keperawatan Jiwa Dan Komunitas Fakultas Kedokteran Universitas Gadjah Mada

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PENDIDIKAN SEKSUAL DAN PERILAKU PEMENUHAN KEBUTUHAN SEKSUAL PASANGAN MASA KEHAMILAN Purwati, Yuni; Rachman, Irwan Taufiqur; Akhmadi, Akhmadi
Jurnal Kesehatan Masyarakat Vol 10, No 2 (2015): JURNAL KESEHATAN MASYARAKAT (KEMAS) JANUARY 2015
Publisher : Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v10i2.3379

Abstract

Sebanyak 30–50% pasangan khawatir hubungan seksual akan membahayakan janinnya. Tujuan penelitian ini untuk mengetahui pengaruh pendidikan seksual terhadap perilaku pemenuhan kebutuhan seksual pasangan masa kehamilan di Puskesmas Kasihan II  Bantul. Penelitian menggunakan rancangan quasi-eksperimental metode non-equivalent control group design. Sampel terdiri 26 subyek kelompok eksperimen dan 26 subyek kelompok kontrol, dengan metode purposive sampling. Instrumen berupa kuesioner yang telah diuji validitas korelasi product moment dan uji reliabilitas alpha cronbach. Analisis data menggunakan paired samples t-test dan independent samples t-test. Hasil uji normalitas data menggunakan kolmogorov-sminorv p>α=0,05, sehingga data terdistribusi normal. Hasil analisis paired t-test kelompok eksperimen adalah p<0,05, hasil kelompok kontrol p>0,05 dan hasil independent samples t-test kelompok eksperimen dan kelompok kontrol yaitu p<0,05. Disimpulkan terdapat pengaruh signifikan pemberian pendidikan seksual terhadap perilaku pemenuhan kebutuhan seksual masa kehamilan di Puskesmas Kasihan II Bantul.  Both physical and psychological changes during pregnancy could influence sexuality 30-50% of couples concerned that intercourse will injure the fetus. The purpose of the study was to determine the effect of sexuality education on sexual behavior among couples during pregnancy at Puskesmas Kasihan II Bantul Yogyakarta. The quasi-experimental method with a non-equivalent control group was used in this study. The sample consisted of 26 subjects as an experimental group and as control of 26 subjects group with sampling technique using purposive sampling. Data collection instrument was a questionnaire that tested the validity of using the product moment correlation and cronbach alpha reliability test. Pretest and posttest control group performed at the same time as the experimental group. Statistical analysis of paired t-test and independent samples t-test. There was no significant differences in background characteristic between intervention and control group. Results of statistical analysis of paired t-tests on the sexual behavior experimental group p <0.05, resulting in the control group p> 0.05. The results of independent samples t-test in the experimental group and the control group p <0.05. Conclusions there was significant difference sexuality education using group discussions on sexual behavior among couples during pregnancy at Puskesmas Kasihan II Bantul Yogyakarta.
Pelaksanaan Sistem Penyimpanan Rekam Medis Family Folder di Puskesmas Bayan Lombok Utara Eka Mardyawati; Akhmadi Akhmadi
Jurnal Kesehatan Vokasional Vol 1, No 1 (2016): Oktober
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.27474

Abstract

Latar Belakang: Ketersediaan berkas secara cepat dan tepat pada saat dibutuhkan akan sangat membantu mutu pelayanan kesehatan yang diberikan kepada pasien. Pelaksanaan pengambilan berkas rekam medis pasien di Puskesmas Bayan Lombok Utara tidak menggunakan tracer mengakibatkan berkas rekam medis sulit ditemukan serta berkas rekam medis disimpan tidak rapi sehingga sering terjadi berkas yang tidak ditemukan (missfile).Tujuan: Mengetahui bagaimana pelaksanaan sistem penyimpanan rekam medis family folder di Puskesmas Bayan Lombok Utara.Metode: Jenis penelitian yang digunakan adalah penelitian deskriptif dengan pendekatan kualitataif dan rancangan fenomenologis. Pengambilan data dengan wawancara, observasi dan studi dokumentasi. Subyek penelitian yang digunakan pada penelitian ini adalah seluruh petugas rekam medis di Puskesmas Bayan Lombok Utara.Hasil: Pengambilan dan pengembalian rekam medis tidak menggunakan tracer, lokasi penyimpanan rekam medis tersentralisasi dengan sistem penyimpanan family folder. Belum terdapat prosedut tetap yang mengatur pelaksanaan sistem penyimpanan. Terdapat lima orang petugas penyimpanan rekam medis dan belum pernah mengikuti pelatihan serta bukan termasuk lulusan rekam medis. Map belum terdapat kolom untuk tempat menuliskan tahun kunjungan terakhir pasien melakukan pemeriksaan atau berobat. Map juga mudah sobek dan bentuk map tidak mempermudah petugas dalam pencarian berkas rekam medis. Rak penyimpanan berkas rekam medis di Puskesmas Bayan Lombok Utara berbentuk seperti rak sortir, sehingga dalam hal ini tidak sesuai dengan bentuk rak penyimpanan rekam medis pada umumnya. Hambatan yang ditemukan diantaranya pencarian berkas rekam medis lama, nomor rekam medis ganda, berkas rekam medis tidak ditemukan, dan kurangnya rak penyimpanan.
RELATIONSHIP OF ADHERENCE, SELF EFFICACY, SOCIAL SUPPORT, QUALITY OF HEALTH CARE, AND PSYCHOLOGICAL RESPONSE OF PARENS TOWARDS QUALITY OF LIFE OF CHILDREN WITH TUBERCULOSIS IN YOGYAKARTA, INDONESIA Lely Lusmilasari; Akhmadi Akhmadi; Rochma Dwi Rahayu; Jeki Rahmawati; Ardhy Khartika; Sefti Rukmana
Belitung Nursing Journal Vol. 3 No. 1 (2017): January - February
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (254.576 KB) | DOI: 10.33546/bnj.51

Abstract

Background: Quality of life includes the aspects of physical, emotional, social function, welfare and perceptions about life. Quality of life of children with tuberculosis is considered lower than the quality of life of healthy children. Little is known about the factors related to the quality of life of children with tuberculosis, especially in Yogyakarta, Indonesia. Objective: This study aims to examine the relationships of adherence, social support, quality of healthcare, self-efficacy, and psychological response of parents towards quality of life of children with tuberculosis in Yogyakarta, Indonesia. Methods: This study employed a cross-sectional correlation design, which was conducted from April to November 2016, and involved 41 caregivers and children with tuberculosis according to research criteria. A consecutive sampling was applied to determine sample size. Data were analyzed by bivariate and multivariate analysis using SPSS with significant level p=0.05 and confidence interval = 95%. Results: Findings showed significant relationships between social support, psychosocial response, mainly anxiety and stress (p<0.05) with quality of life. While adherence, self-efficacy, and quality of healthcare did not have significant relationship (p>0.05) with quality of life. The results of multivariate analysis showed significant relationships between social support with r =0.305 (CI95%:0.134-0.188; p=0.026), psychosocial response of caregiver, mainly level of stress with r= 0.425 (CI95%:-1.369-0.126; p=0.007) and anxiety with r= 0.378 (CI95%: -0.107-1.692; p=0.03) and quality of children life (R square=0.278). The strongest variable related to quality of children life was psychosocial response (anxiety) of parents (r=0.425). Conclusions: Quality of life in children with tuberculosis is related to social support and psychosocial response of parents. The dominant factor is psychosocial responses of anxiety.
Pengaruh pendidikan kesehatan kombinasi metode simulasi dan media audiovisual terhadap pengetahuan dan sikap ibu terkait tatalaksana diare di rumah pada balita Aprilia Choirun Nisa; Akhmadi Akhmadi; Mohammad Juffrie
Berita Kedokteran Masyarakat (BKM) Vol 32, No 3 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (82.012 KB) | DOI: 10.22146/bkm.7419

Abstract

PurposeThis research aimed to determine the effect of health education related to the management of diarrhea at home in toddler. MethodsThis research was a quasi-experimental study using a pre and post test approach with control group. The sample population was all mothers who attended  Toddler Posyandu in Tiripan village and Ngepeh village, Nganjuk. Sampling technique used simple random sampling totalling 42 mothers in the intervention group and 49 mothers in the control group. Each group was given health education using audio-visual media while the intervention group was given a simulation after watching video. Simulation content included how to create, mix, and giving oralit, sign of dehydration in toddler, and also how to create, dissolve, and giving zinc tablet or syrup. The measurement instrument of mothers knowledge and attitude was made by the researcher  modified from Kapti which had been tested for validity and reliability. Post tests performed 1 week after the health education was given. ResultsIn both groups knowledge and attitude increased significantly after intervention with p=0.001. Changes of mothers knowledge and attitude in control and intervention were p=0.062 and p= 0.658, respectively. This result showed no significant difference in scores of knowledge and attitude of mothers in both groups. ConclusionThere were no significant differences in health education between using combination of simulation method and audiovisual media with increased knowledge and attitude in mothers.
Factors associated with the quality of caregivers interaction with children under 5 years old in Yogyakarta Mungkasip Mungkasip; Fitri Haryanti; Akhmadi Akhmadi
Berita Kedokteran Masyarakat (BKM) Vol 33, No 9 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (405.294 KB) | DOI: 10.22146/bkm.23250

Abstract

The quality of caregiver and children under five interaction in YogyakartaPurposeThe purpose of this study was to determine factors related to the quality of caregiver interactions with children under five in Yogyakarta. MethodsThis study used a cross sectional design. Research subjects were all caregivers who have children aged 1.5 years to 4.5 years who have received cadre assistance in the work area of Mantrijeron Puskesmas Yogyakarta. Research subjects were recruited using total sampling techniques. The instrument used was questionnaire and PICCOLO observation sheet. Data analysis was done by Chi-Square test.ResultsThere was a significant correlation between knowledge factor and quality of domain interaction. There was no significant correlation between age factor, occupation, mental status, and income with interaction quality. ConclusionCaregivers are expected to improve the quality of interaction and communication with children, have sensitivity and responsiveness in practicing specific care, such as feeding, sensitivity to sick children, and able to develop each other's cognitive language.
SCOPING REVIEW: PENGARUH MOTIVASI TERHADAP KINERJA PEREKAM MEDIS DI LINGKUNGAN KERJA Ika Putri Salsabila; Hanifah Shofiarini; Sukma Nurfadilah; Ridha Nur Alviani; Sri Setiyarini; Akhmadi Akhmadi
MEDICORDHIF Jurnal Rekam Medis Vol 8 (2022): MEDICORDHIF Jurnal Rekam Medis
Publisher : APIKES Bhumi Husada Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (11.033 KB) | DOI: 10.59300/mjrm.v8i1.69

Abstract

Motivasi yang menyebabkan seseorang melakukan tindakan untuk mencapai tujuan yang diinginkannya. Motivasi dapat tumbuh dan menimbulkan pengaruh dimana saja, salah satunya lingkungan kerja, fasilitas pelayanan kesehatan yang ada di dalamnya ada banyak jenis karyawan Perekam Medis dan Informasi Kesehatan (PMIK). Kinerja seorang karyawan dapat meningkat dan menurun yang dipengaruhi oleh banyak faktor, salah satunya motivasi berdasarkan para ahli. Namun, masih ada pengaruh signifikan terhadap kinerja karyawan apabila hanya dipengaruhi oleh motivasi. Tinjauan Untuk mengetahui pengaruh terhadap kinerja PMIK menggunakan metode PRISMA-ScR melalui Google Scholar dengan ketentuan publikasi antara 2016 – 2021, berbahasa Indonesia, dan sesuai dengan kata kunci yang telah ditentukan, ditemukan total 9 artikel dari 8.080 yang memenuhi kriteria dengan 6 artikel yang dapat diakses secara lengkap. Keenam artikel penelitian ini menyatakan, bahwa motivasi terdiri dari faktor intrinsik dan ekstrinsik yang mempengaruhi kinerja PMIK secara signifikan pada satu artikel dan sedikit berpengaruh pada artikel lain pada fasilitas pelayanan kesehatan yang berbeda-beda. Motivasi tidak berpengaruh signifikan terhadap kinerja PMIK dan subjektif pada setiap karyawan, tetapi tidak berpengaruh sedikit terhadap kinerja.