Garuda - Garba Rujukan Digital

Public Health Center Emergency Referral Quality Analysis: Based on National Standard Sasmito, Priyo; Prasetya, Fika Indah; Yektiningtyastuti, Yektiningtyastuti; Rasmita, Dina; Amsyah, Ummul Khairi; Ahmadi, Ahmadi; Aljufri, Salim; Librianty, Nurfanida
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 2 (2024): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i2.757

The referral quality will affect the outcome of referred patients. The quality of emergency referrals from the Public Health Center (PHC) in Banten Province has not been examined. This study aims to analyze the quality of emergency referrals from PHC and the factors that influence it. Observational analytics with a retrospective approach to a PHC in Banten Province, Indonesia. The reference data for March-May 2023 is taken consecutively. Data on the demographics of referrers and referral cases are recorded. The quality of referrals is analyzed using national personal referral standards. A total of 52 referral cases were involved in the study. Referrals were made by nurses with an average age of 28.2 years with a range of 23-43 years, men (38/73.1%), and with diploma education (30/57.7%). Most of the referring nurses have a valid Basic Life Support (BLS) certificate (46/88.5), are non-civil servants, and work for an average of 3.3 years. Most of the referred cases are surgical (28/53.8) and urgency cases (32/61.5). Forty-four referral cases (84.6%) did not meet national referral standards. The referring nurse's educational background and the urgency of the case had a significant relationship with the quality of referrals with p values < α values of 0.05 (0.000 and 0.000 respectively). There was no significant relationship between referral quality and patient/family satisfaction. Conclusion: Most PHC's emergency referrals to hospital emergency departments (ED) have not complied with national standards. There was a significant relationship between the education of the referring nurse and the level of urgency of the case with the quality of PHC referrals. There is no relationship between referral quality and patient/family satisfaction. National technical guidelines for individual referrals for emergency cases are needed.

Hubungan Tingkat Pengetahuan dan Sikap Ibu tentang Responsive Feeding Bayi dengan Status Gizi Anak Balita Setiari, Tika Vibi; Yektiningtyastuti, Yektiningtyastuti
Faletehan Health Journal Vol 12 No 01 (2025): Faletehan Health Journal, Maret 2025
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar

During the age of under five, nutritional issues such as malnutrition are prone to occur. Thus, mothers’ role in providing meals through responsive feeding is important. This research was to investigate the correlation between the level of maternal knowledge and attitude towards responsive feeding with the nutritional status of children under five. It was a correlational study with a cross-sectional approach. The population consisted of mothers with children under five attending the Posyandu (Integrated Health Service) in Arcawinangun Village, East Purwokerto District, totaling 211 individuals. The sampling technique used was cluster sampling. The instruments were questionnaires related to knowledge and attitudes towards responsive feeding. Data analysis used the Spearman rank correlation test. The results showed that most of maternal knowledge was good (77%); the maternal attitude was good (67.1%); and the nutritional status of children under five was normal (78.9%). The results of data analysis showed there was a significant relationship between the level of maternal knowledge and the attitude of responsive feeding with the nutritional status of children under five (p value = 0.000). Education about responsive feeding to mothers who have less knowledge and attitudes was needed to improve the nutritional status of children under five.

Penyebab Pengembalian Klaim BPJS Rawat Inap Triwulan 1 Tahun 2024 di RSI Sultan Agung Semarang Rizki, Julia Nur; Sari, Arum Astika; Yektiningtyastuti, Yektiningtyastuti; Suprihatin, Eni
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 6 No 2 (2025): March
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v6i2.5853

The process of submitting BPJS Kesehatan reimbursement claims in hospitals often encounters issues related to administration, regulatory discrepancies, and delays, affecting patient services and satisfaction. This study aimed to analyze the factors causing the return of BPJS inpatient claims during the first quarter of 2024 and strategies to reduce claim disputes. Utilizing a descriptive research design, the study examined 282 claim files returned by BPJS Kesehatan to Sultan Agung Islamic Hospital Semarang in the first quarter of 2024. The predominant reasons for claim returns were medical aspects (242 cases), coding issues (25 cases), and administrative factors (15 cases). Coding issues included inaccurate diagnosis codes due to files containing dual diagnoses and errors by BPJS Kesehatan verifiers in reviewing submission data. Medical and administrative returns were primarily due to incomplete supporting documents, as some results were not available at the time of submission, leading to their exclusion. Submissions were still made to avoid rejection due to predetermined deadlines. Improving the claims process is essential to stabilize hospital finances and enhance service quality.

Identification of Determining Factors of Stunting Prevalence Karmadani, Era Milania; Yektiningtyastuti, Yektiningtyastuti
Jurnal Kesehatan Vol 16 No 1 (2025): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v16i1.4954

Stunting is a chronic nutritional problem characterized by a toddler's height being below the standard for their age. This condition has long-term impacts on a child’s physical and cognitive development, as well as future productivity. This study was conducted to identify the determinant factors of stunting prevalence in Gunung Lurah Village, Cilongok Subdistrict, Central Java Province, Indonesia. The study employed a case-control design with a descriptive-analytic approach. The instruments used included the Kesehatan Ibu dan Anak book and questionnaires. The population in this study consisted of all mothers with toddlers in Gunung Lurah Village, totaling 648 individuals. The sample included mothers with stunted toddlers, totaling 43 (case group), and mothers with non-stunted toddlers, also totaling 43 (control group), with a 1:1 matching ratio, meaning the number of samples in the control group was equal to that in the case group. Bivariate analysis was conducted using the Chi-Square test, while multivariate analysis employed multiple logistic regression. The Chi-Square test results indicated that five out of nine factors studied had a significant association with stunting (p<0.05), namely parental knowledge (p=0.014), parenting style (p=0.004), exclusive breastfeeding (p=0.030), low birth weight (p=0.012), and socio-economic factors (p=0.001). The multiple logistic regression analysis revealed that socio-economic factors were the most significant determinant of stunting (p=0.001). This study concludes that socio-economic status is the main factor influencing the incidence of stunting. These findings are expected to serve as a basis for designing more effective programs to prevent stunting at the village level.

Hubungan Persepsi dan Sikap dengan Motivasi Kader Posyandu untuk Melakukan Vaksinasi HPV di Desa Pasinggangan Kecamatan Banyumas Mulyandari, Gesti Augina; Yektiningtyastuti, Yektiningtyastuti
MAHESA : Malahayati Health Student Journal Vol 5, No 6 (2025): Volume 5 Nomor 6 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i6.20085

ABSTRACT Cervical cancer is a health problem that is the main cause of death from cancer in women. One of the interventions recommended as an effort to prevent cervical cancer is HPV vaccination. This research aimed to determine the relationship between perception and attitude with the motivation of Posyandu cadres to carry out HPV vaccination in Pasinggangan Village, Banyumas District. The research method used a correlational descriptive design. Research data collection was carried out randomly and cross-sectionally. Technique sampling used a technique total sampling, with respondents totaling 70 Posyandu cadres in Pasinggangan Village, Banyumas District. Research data collection used a questionnaire instrument. Data analysis consists of univariate analysis and bivariate analysis. Bivariate analysis used the Chi-Square test. The research results found that the X² of perception = 13,701, with p-value = 0,008, and X² of attitude = 9,959 with p-value = 0,041. Perception and attitude were related to the motivation of Posyandu cadres to carry out HPV vaccination in Pasinggangan Village, Banyumas District. Keywords: Perception, Attitude, Motivation, HPV Vaccination. ABSTRAK Kanker serviks merupakan salah satu masalah kesehatan yang menjadi penyebab utama kematian akibat kanker pada wanita. Salah satu intervensi yang direkomendasikan sebagai upaya pencegahan kanker serviks yaitu dengan melakukan vaksinasi HPV. Tujuan penelitian ini adalah untuk mengetahui hubungan persepsi dan sikap dengan motivasi kader Posyandu untuk melakukan vaksinasi HPV di Desa Pasinggangan Kecamatan Banyumas. Metode penelitian yang digunakan yaitu desain deskriptif korelasional. Pengambilan data penelitian dilakukan secara cross-sectional. Teknik sampling yang digunakan adalah teknik total sampling, dengan responden sejumlah 70 kader Posyandu di Desa Pasinggangan Kecamatan Banyumas. Pengumpulan data penelitian menggunakan instrumen kuesioner. Analisis data terdiri atas analisis univariat dan analisis bivariat. Analisis bivariat menggunakan uji Chi-Square. Hasil penelitian menunjukkan bahwa nilai X² untuk persepsi = 13,701, dengan p-value = 0,008 dan X² untuk sikap = 9,959 dengan p-value = 0,041. Persepsi dan sikap berhubungan dengan motivasi kader Posyandu untuk melakukan vaksinasi HPV di Desa Pasinggangan Kecamatan Banyumas. Kata Kunci: Persepsi, Sikap, Motivasi, Vaksinasi HPV

Pengaruh Konsumsi Mixed–Juice (Tomat, Wortel, dan Apel Hijau) terhadap Penurunan Kadar Kolesterol Darah pada Lansia Rosadi, Rahmat; Yektiningtyastuti, Yektiningtyastuti
MAHESA : Malahayati Health Student Journal Vol 5, No 7 (2025): Volume 5 Nomor 7 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i7.20144

ABSTRACT Cholesterol is a complex fat compound that is 80% produced by the liver from within the body and the remaining 20% is caused by food substances that are often consumed. High cholesterol levels cause serious health complications. The non-pharmacological preventive measures that can reduce cholesterol levels are consuming fruits, especially tomatoes, carrots and green apples. These fruits contain high fiber concentrations of antioxidants, such as carotenoids, flavonoids, licopens, vitamins, and minerals as an effort to stabilize blood cholesterol levels. This study aims to determine the effect of mixed-juice (tomatoes, carrots and green apples) on a decrease in blood cholesterol levels in the elderly. This study used a quasi experiment design with a Pretest-Posttest with Control Group Design. The population of this study was the elderly in Posbindu Desa Sukasari, Banjarsari District, Ciamis Regency as many as 325 elderly, with a number of samples of 60 people taken using total sampling techniques for the treatment group and cluster random sampling for the control group. The results showed that: 1) There was no significant difference between the cholesterol levels of the treatment and control group before the treatment group was given mixed-juice intervention (p-value = 0.890); 2) There was a significant difference between cholesterol levels of treatment and control groups after the treatment group was given mixed-juice intervention (p-value = 0,000); 3) There was a significant difference in the cholesterol levels of the treatment group, before and after being given mixed-juice intervention (p-value = 0,000); (4) There was no significant difference in the cholesterol levels of the control group, before and after the treatment group was given mixed-juice (p-value = 0,630). Non-pharmacological treatment using mixed-juice (tomatoes, carrots and green apples) can reduce blood cholesterol levels in the elderly. Keywords: Carrot, Cholesterol, Green Apple, Mixed-Juice, Tomato ABSTRAK Kolesterol adalah senyawa lemak kompleks yang 80% dihasilkan oleh hati dari dalam tubuh dan 20% sisanya disebabkan dari zat makanan yang sering dikonsumsi. Kadar kolesterol yang tinggi menyebabkan komplikasi kesehatan yang serius. Tindakan preventif non farmakologi yang dapat menurunkan kadar kolesterol antara lain adalah mengkonsumsi buah-buahan terutama tomat, wortel dan apel hijau. Buah-buahan tersebut mengandung konsentrasi serat tinggi antioksidan, seperti karotenoid, flavonoid, likopen, vitamin, serta mineral sebagai upaya menstabilkan kadar kolesterol dalam darah. Penelitian ini bertujuan untuk mengetahui pengaruh mixed–juice (tomat, wortel dan apel hijau) terhadap penurunan kadar kolesterol darah pada lansia. Penelitian ini menggunakan desain quasi eksperimen dengan rancangan penelitian pretest-posttest with control group design. Populasi penelitian ini adalah lansia di Posbindu Desa Sukasari, Kecamatan Banjarsari, Kabupaten Ciamis sebanyak 325 lansia, dengan jumlah sampel sebanyak 60 orang yang diambil menggunakan teknik total sampling untuk kelompok perlakuan dan cluster random sampling untuk kelompok kontrol. Hasil penelitian menunjukkan bahwa: 1) Tidak terdapat perbedaan antara kadar kolesterol kelompok perlakuan dan kontrol sebelum kelompok perlakuan diberikan intervensi mixed–juice (p-value = 0,89); 2) Terdapat perbedaan antara kadar kolesterol kelompok perlakuan dan kontrol setelah kelompok perlakuan diberikan intervensi mixed – juice (p-value = 0,000); 3) Terdapat perbedaan pada kadar kolesterol kelompok perlakuan sebelum dan setelah diberikan intervensi mixed–juice (p-value = 0,000); dan 4) Tidak terdapat perbedaan pada kadar kolesterol kelompok kontrol sebelum dan setelah kelompok perlakuan diberikan mixed-juice (p-value = 0,63). Pengobatan non farmakologi menggunakan mixed–juice (tomat, wortel dan apel hijau) dapat menurunkan kadar kolesterol darah pada lansia. Kata Kunci: Apel Hijau, Kolesterol, Mixed-Juice, Tomat, Wortel

Pengembangan Healthy Nata De’melon Untuk Penurunan Tekanan Darah Pada Lansia Penderita Hipertensi Febrianti, Marni; Yektiningtyastuti, Yektiningtyastuti
MAHESA : Malahayati Health Student Journal Vol 5, No 7 (2025): Volume 5 Nomor 7 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i7.20145

ABSTRACT Hypertension is defined as having a systolic blood pressure of 140 mmHg or higer and a diastolic pressure of 90 mmHg or higher. Treatment of hypertension includes both pharmacological and non-pharmagocological approaches. The recommended non-pharmacological treatment is to increase the consumption of foods containing diuretics (potassium). Melon fruit is known as a fresh fruit that contains a lot of water and is high in potassium. Develop nata from melons (Healthy Nata De'Melon) to lower high blood pressure. This study used the Research and Development method. The product trial was carried out by giving Healthy Nata De'Melon 250 ml to hypertensive elderly who were not taking antihypertensive drugs 2 times a day (morning and evening) for 7 days. After identifying the problem and collecting data, researchers developed the Healthy Nata De'Melon product. Validation of Healthy Nata De'Melon products is carried out through expert tests (3 nutritionists), and laboratory tests. The results of product validation from expert tests by hospital and health center nutritionists obtained a score of 39 (feasible), and from culinary experts a score of 34 (feasible). The results of laboratory tests obtained potassium content = 1,669 ppm (mg/L). The results of the product trial on 6 elderly respondents obtained the average systolic blood pressure before consuming Healthy Nata De'Melon = 158.3 mmHg, after the trial = 137.5 mmHg. Average diastolic blood pressure before consuming Healthy Nata De'Melon = 90.1 mmHg, after the trial = 80.6 mmHg. There was an average decrease in systolic blood pressure of 20.8 mmHg and a decrease in diastolic blood pressure of 9.5 mmHg after consuming Healthy Nata De'Melon. Healthy Nata De'Melon can used to decrease blood pressure in the elderly with hypertension. Keywords: Blood Pressure, Elderly, Healthy Nata De’Melon, Hypertension ABSTRAK Hipertensi adalah keadaan denyut nadi siastolik 140 mmHg atau lebih dan diastolik mencapai 90 mmHg atau lebih. Pengobatan hipertensi dibagi menjadi dua, yaitu farmakologi dan non farmakologi. Pengobatan non farmakologi dapat dilakukan dengan memperbanyak konsumsi makanan yang mengandung zat diuretika (potassium). Buah melon dikenal sebagai buah segar yang mengandung banyak air dan tinggi potassium. Mengembangkan nata dari buah melon (Healthy Nata De’Melon) untuk menurunkan tekanan darah tinggi. Penelitian ini menggunakan metode Research and Development. Uji coba produk dilakukan dengan memberikan Healthy Nata De’Melon 250 ml pada lansia hipertensi yang sedang tidak mengonsumsi obat antihipertensi 2 kali sehari (pagi dan sore) selama 7 hari. Setelah mengidentifikasi masalah dan mengumpulkan data, peneliti mengembangkan produk Healthy Nata De’Melon. Validasi produk Healthy Nata De’Melon dilakukan melalui uji expert (3 orang ahli gizi), dan uji laboratorium. Hasil validasi produk dari uji expert oleh ahli gizi rumah sakit dan puskesmas diperoleh skor 39 (layak), dan dari ahli tata boga diperoleh skor 34 (layak). Hasil uji laboratorium diperoleh kandungan potassium = 1.669 ppm (mg/L). Hasil uji coba produk pada 6 responden lansia diperoleh rata-rata tekanan darah sistolik sebelum mengonsumsi Healthy Nata De’Melon (pre-test) = 158,3 mmHg, setelah uji coba (post-test) = 137,5 mmHg. Rata-rata tekanan darah diastolik sebelum mengonsumsi Healthy Nata De’Melon (pre-test) = 90,1 mmHg, setelah uji coba (post-test) = 80,6 mmHg. Terdapat penurunan rata-rata tekanan darah sistolik 20,8 mmHg dan penurunan tekanan darah diastolik 9,5 mmHg setelah mengonsumsi Healthy Nata De’Melon. Healthy Nata De’Melon dapat digunakan untuk menurunkan tekanan darah pada lansia dengan hipertensi. Kata Kunci: Healthy Nata De’Melon, Hipertensi, Lansia, Tekanan Darah

Analisis Penyebab dan Kendala Pengajuan Klaim BPJS Kesehatan Pasien Rawat Inap di RSUD Majenang Tahun 2023 Putri, Chaesya Isnaeni; Yektiningtyastuti, Yektiningtyastuti; Hakim, Agya Osadawedya; Gunawan, Gunawan
Health Information : Jurnal Penelitian Vol 17 No 1 (2025): Januari-April
Publisher : Poltekkes Kemenkes Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36990/hijp.v17i1.1677

Ringkasan : Latar belakang: Pengajuan klaim BPJS Kesehatan mengalami pengembalian tinggi di RSUD Majenang dengan 1.328 berkas dikembalikan tahun 2023, menimbulkan dampak negatif pada operasional dan keuangan rumah sakit. Tujuan: Menganalisis penyebab dan kendala pengajuan klaim BPJS Kesehatan rawat inap untuk meningkatkan efisiensi dan efektivitas proses klaim. Metode: Desain deskriptif kuantitatif-kualitatif menggunakan data primer (wawancara terstruktur verifikator internal, kepala rekam medis, koder) dan sekunder (laporan pengembalian klaim 2023). Populasi 1.328 berkas, sampel 308 berkas systematic random sampling, analisis 5M (Man, Material, Method, Machine, Money). Hasil: Pengembalian klaim didominasi aspek medis (59,09%) karena ketiadaan tatalaksana dan penunjang, aspek koding (31,17%) karena konfirmasi kode diagnosis, dan administrasi (9,74%) karena konfirmasi readmisi dan episode SEP. Kendala meliputi ketelitian petugas, persepsi DPJP, kelengkapan berkas, ketiadaan SPO khusus, dan keterbatasan teknologi bridging system. Simpulan: Faktor manajemen 5M berkontribusi signifikan terhadap pengembalian klaim, dengan aspek medis sebagai penyebab utama dan perlu perbaikan sistematis. Saran: Evaluasi berkala, penyusunan SPO sistematis, penguatan koordinasi antar unit, optimalisasi teknologi informasi bridging system, dan peningkatan kompetensi SDM melalui pelatihan rutin.

Mekanisme koping sebagai kunci resiliensi pada perempuan dewasa muda dengan kanker ginekologi Syahda, Tiara Maulina; Aniarti, Reni Purwo; Yektiningtyastuti, Yektiningtyastuti; Elsanti, Devita
Holistik Jurnal Kesehatan Vol. 19 No. 7 (2025): Volume 19 Nomor 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i7.1509

Background: The reproductive health of young adult women is vulnerable to disorders, one of which is gynecological cancer, which is the leading cause of death of women in the world and Indonesia. Early detection of cancer, such as through IVA, is still low, including in Central Java. Gynecologic cancer causes physical and psychological distress, so that coping mechanisms and resilience are very important to support patient adaptation. Purpose: To knowing the relationship between coping mechanisms and resilience in young adult women who experience gynecological cancer. Method: This quantitative study used a cross-sectional approach. The sample consisted of 94 respondents aged 20-40 years, using a consecutive sampling method. Data were collected using a questionnaire and analyzed using statistical tests. Data analysis used the chi-square test. Results: The chi square test analysis show that there is a relationship between coping mechanisms and resilience in young adult women who experience gynecological cancer with a p-value of 0.001. Conclusion: There is a relationship between coping mechanisms and resilience in young adult women who experience gynecological cancer. Keywords: Coping Mechanism; Gynecological Cancer; Resilience. Pendahuluan: Kesehatan reproduksi wanita dewasa muda rentan terhadap gangguan, salah satunya kanker ginekologi, yang menjadi penyebab utama kematian wanita di dunia dan Indonesia. Deteksi dini kanker, seperti melalui IVA, masih rendah, termasuk di Jawa Tengah. Kanker ginekologi menimbulkan tekanan fisik dan psikologis, sehingga mekanisme koping dan resiliensi sangat penting untuk mendukung adaptasi. Tujuan: Untuk mengetahui hubungan mekanisme koping dengan resiliensi pada wanita usia dewasa muda yang mengalami kanker ginekologi. Metode: Kuantitatif dengan pendekatan cross sectional. Sampel terdiri dari 94 responden yang berusia 20-40 tahun dengan menggunakan metode consecutive sampling. Data dikumpulkan menggunakan kuesioner dan dianalisis menggunakan uji statistik. Analisis data menggunakan uji chi-square. Hasil: Analisis uji chi square menunjukan bahwa terdapat hubungan antara mekanisme koping dengan resiliensi pada wanita usia dewasa muda yang mengalami kanker ginekologi dengan hasil p-value 0,001. Simpulan: Terdapat hubungan antara mekanisme koping dengan resiliensi pada wanita usia dewasa muda yang mengalami kanker ginekologi. Kata Kunci: Kanker Ginekologi; Mekanisme Koping; Resiliensi.

Title

Found 9 Documents
Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title Search

Found 9 Documents Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title

Found 9 Documents
Search