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Journal : Jurnal Kedokteran Brawijaya

Efektifitas Modifikasi Ovitrap Model Kepanjen untuk Menurunkan Angka Kepadatan Larva Aedes aegypti di Malang Zuhriyah, Lilik; Satoto, Tri Baskoro Tunggul; Kusnanto, Hari
Jurnal Kedokteran Brawijaya Vol 29, No. 2 (2016)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2016.029.02.10

Abstract

Ovitrap merupakan alat perangkap telur nyamuk yang sukses diaplikasikan di beberapa negara. Penyederhanaan model ovitrap telah dilakukan dan diaplikasikan di Kepanjen, Kabupaten Malang namun sampai saat ini kontribusinya dalam menurunkan kepadatan larva belum pernah dievaluasi. Penelitian ini bertujuan untuk membandingkan House Index, Container Index, Breteau Index, dan Density Index antara daerah perlakuan dan daerah kontrol serta sebelum dan sesudah intervensi, mengetahui trend jumlah telur nyamuk per ovitrap, serta mengidentifikasi jenis larva yang ditetaskan dari telur yang didapat dari ovitrap. Penelitian Eksperimen Kuasi dilakukan di 4 Rukun Warga (RW) dari kelurahan yang berbeda di Kotamadya Malang pada September 2013-Februari 2014 yang memiliki Incidence Rate (per 10.000 penduduk) DBD tertinggi dalam empat bulan pertama 2013 yaitu 11,89 untuk Jatimulyo; 10,52 untuk Merjosari; 31,57 untuk Sumbersari; dan 25,21 untuk Bandulan. Hasilnya menunjukkan bahwa angka kepadatan larva (HI, BI, CI, dan DI) dua RW perlakuan lebih rendah secara signifikan (p<0,05) dibandingkan dua RW kontrol dengan Uji Mann Whitney. Kepadatan larva dan rata-rata jumlah telur dari ovitrap sesudah aplikasi ovitrap lebih rendah dibandingkan sebelumnya. Sebagian besar telur yang terperangkap merupakan telur Aedes aegypti. Disimpulkan bahwa aplikasi ovitrap di 4 RW dari kelurahan di Malang efektif untuk menurunkan kepadatan larva dan dapat diterapkan sebagai salah satu cara pengendalian nyamuk Ae. aegypti.Kata Kunci: Aedes aegypti, angka kepadatan jentik, ovitrap, jumlah telur
Faktor-Faktor yang Berhubungan dengan Kesejahteraan Subjektif Caregiver Orang dengan Skizofrenia di Bantur Malang Frasia, Yhummei Veronia; Zuhriyah, Lilik; Kapti, Rinik Eko
Jurnal Kedokteran Brawijaya Vol 30, No 2 (2018)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2018.030.02.12

Abstract

Skizofrenia merupakan gangguan jiwa berat yang memerlukan caregiver. Perawatan orang dengan skizofrenia di rumah dapat menjadi beban bagi caregiver seperti kesulitan dalam menangani perilaku orang dengan skizofrenia, cemas hingga stres. Beban perawatan orang dengan skizofrenia dapat membuat caregiver kurang memiliki waktu untuk istirahat dan kesejahteraan semakin rendah. Penelitian ini dilakukan untuk mengetahui faktor-faktor yang berhubungan dengan kesejahteraan subjektif pada caregiver yang merawat orang dengan skizofrenia di Wilayah Kerja Puskesmas Bantur Kabupaten Malang. Penelitian ini merupakan penelitian observasional dengan pendekatan cross-sectional. Sampel penelitian yaitu caregiver yang merawat orang dengan skizofrenia selama 24 jam. Caregiver yang merawat orang dengan skizofrenia diperoleh dengan purposive sampling sebanyak 102 orang. Analisis data dilakukan dengan uji korelasi Rank Spearman untuk analisis bivariat dan regresi logistik berganda untuk mengetahui faktor yang paling dominan berhubungan dengan kesejahteraan subjektif pada caregiver orang dengan skizofrenia. Hasil analisis bivariat menunjukkan bahwa variabel yang berhubungan positif dan signifikan dengan kesejahteraan subjektif secara berturut-turut yaitu hubungan sosial (r=0,538, ρ=0,000), sikap optimis (r=0,356, ρ=0,000), kontrol diri (r=0,306, ρ=0,002) dan harga diri (r=0,279, ρ=0,005). Hasil regresi logistik berganda menunjukkan bahwa hubungan sosial memiliki odds ratio (OR) paling besar yaitu 16,061 artinya hubungan sosial yang baik akan meningkatkan kesejahteraan subjektif 16 kali lebih tinggi dibandingkan dengan caregiver orang dengan skizofrenia yang tidak menjalin hubungan sosial yang baik dengan orang lain. Hubungan sosial merupakan faktor yang paling dominan berhubungan dengan kesejahteraan subjektif pada caregiver orang dengan skizofrenia. Caregiver orang dengan skizofrenia yang menjalin hubungan sosial yang baik dengan orang lain akan mengalami kebahagiaan dan kepuasan hidup sehingga dapat meningkatkan kesejahteraan subjektif.
GAMBARAN BAKTERIOLOGIS TANGAN PERAWAT Zuhriyah, Lilik
Jurnal Kedokteran Brawijaya Vol 20, No 1 (2004)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (106.96 KB) | DOI: 10.21776/ub.jkb.2004.020.01.10

Abstract

Hand hygiene of health-care workers become an important thing since hands of health-care personnel arethe most frequent vehicles for nosocomial ifections. However, adherence of hand washing has been poor. This study was to obtain bacteriological descriptions of nurses’s hand. The study was conducted in Surgical  and Medical Intensive Care Services using A Cross Sectional Survey. Populationwere all of nurses in ICU and CVC room. Purposive Sampling was carried to obtain samples of  20 nurses. Measurement was carried on January 2004. Bacteriological descriptions of nurses’s hand was measured by swabbing ofright side after hand washing. Examination by hand swab with positive result were found in 20% of nurses. Species of bacteria which were found from nurses’s hand were Staphilococcus epidermidis and Enterobacter aerogenes. It can be concluded that species of bacteria found from had swabbing are non pathogenic bacteria. Efforts to improve of all health workers for hand hygiene appropriate with procedures are still needed. Focusing on had washing practice among nurses and others health workers are needed for the following research. Keywords: bacteriological, nurses’s hand
Staphylococcus aureus pada Komunitas Lebih Resisten terhadap Ampisilin dibandingkan Isolat Rumah Sakit Santosaningsih, Dewi; Zuhriyah, Lilik; P, Martha Nurani
Jurnal Kedokteran Brawijaya Vol 26, No 4 (2011)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (524.687 KB) | DOI: 10.21776/ub.jkb.2011.026.04.4

Abstract

Staphylococcus aureus (S.aureus) merupakan penyebab penting infeksi serius di rumah sakit maupun komunitas di seluruh dunia. Pengobatan infeksi S.aureus menjadi semakin kompleks karena munculnya strain methicillin-resistant S.aureus (MRSA) strain. Meskipun begitu, ampisilin masih direkomendasikan sebagai antibiotik pada terapi infeksi S.aureus di rumah sakit Malang. Sementara itu ampisilin dapat dikonsumsi secara bebas di masyarakat. Penelitian ini dilakukan untuk menguji efektifitas ampisilin terhadap isolat S. aureus dari rumah sakit dan komunitas. Tes sensitivitas dilakukan dengan tube dilution method untuk mengukur kadar hambat minimum (KHM) pada setiap isolat dengan berbagai konsentrasi yaitu 0 µg/ml, 1,25 µg/ml, 2,5 µg/ml, 5 µg/ml, 10 µg/ml, 20 µg/ml, dan 40 µg/ml. Hasil menunjukkan bahwa KHM pada isolat rumah sakit lebih rendah (≥2,5 µg/ml) dibandingkan isolate komunitas (≥20 µg/ml). Hasil uji regresi linier menunjukkan hubungan yang lemah antara peningkatan dosis ampisilin dan pertumbuhan koloni S. aureus baik pada isolat rumah sakit (r=-0,651, p<0,05) maupun komunitas (r=-0,489, p<0,05). Dapat disimpulkan bahwa S.aureus di rumah sakit dan komunitas resisten dengan ampisilin, dengan tingkat resistensi lebih tinggi pada komunitas.Kata Kunci: Ampisilin, antibiotic sensitivity test, Staphylococcus aureus
Non-compliance of Hospital X Employee in Implementing Standard Operational Procedures of Instrument Decontamination and Chest X-Ray Services Prahadiani, Saesar Revita; Kuncoro, Wahyudi; Hariyanti, Tita; Zuhriyah, Lilik; Sarwiyata, Tri Wahyu; Pradina, Fifin
Jurnal Kedokteran Brawijaya Vol. 33 Supplement 1 (2024)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2024.033.01.6s

Abstract

Good hospital management is important to maintain the safety of patients, staff and hospital visitors. Each hospital employee responsible for patient safety by carrying out work according Standard Operating Procedure (SOP) guidelines agreed by organization. This study aims to identify the casues factors and the solution for hospital employees to not comply with the SOP. This study uses a qualitative descriptive approach. Methods of data collection by conducting direct observation and interviews. Subjects in the study were determined based on purposive sampling, as many as 8 respondents consisting of the inpatient room's head, nurses and radiology officers. It is important to apply a system approach in the management of an organization. The elements included in the systems approach are planning, organizing, actuating and controlling. From those elements, there are things that not properly carried in the hospital. The existing procedures were not followed by the employees, for example, procedures regarding instrument decontamination in the inpatient room and photo reading at the radiology service. Non-compliance with this procedure is influenced by several factors, namely the staff lack of discipline and responsibility, inappropriate procedures, facilities that are not available, and there is no socialization of the procedure to hospital employees. The non-compliance of employees at X hospital was caused by procedural factors, decontamination and radiology officer's performance factors and hospital's facilities. For this reason, it is necessary to conduct periodic outreach, monitoring and evaluation of the SOP and hospital employees to improve the quality of hospital services and customer satisfaction.
Optimization of Online Pharmacy System to Lower the Late Billing for Chronic Disease Drugs Herwendanasari, Deltania; Andarini, Sri; Zuhriyah, Lilik
Jurnal Kedokteran Brawijaya Vol. 32 Supplement 1 (2022)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2022.032.01.13s

Abstract

One of the biggest cost control problems among hospitals in the National Health Insurance is chronic disease drug services. Billing fee delays or unpaid billing fees often occur due to patient failure to revisit the doctor according to the requirement of 30 (thirty) days from the last visit. It resulted in the hospital's inability to collect the financing for chronic disease drugs from Social Security Administrative Agency (BPJS). This study aimed to discover the root cause of the pending billing of chronic disease drug costs and executable solutions in hospitals. This research was conducted at X Hospital Malang. This research used mix-method of qualitative and quantitative. The qualitative method were observations of the service flow for chronic disease patients, interviews with all unit coordinators, and focus group discussion with the Pharmacy Unit and Casemix Unit coordinators. The quantitative method was done using CARL scoring to determine the priority of the problem solution. The root of the problem was the lack of adequate systems and resources in chronic disease drug services. The possible solution is to modify the flow in the outpatient pharmacy. It is necessary to apply patient screening through the Online Pharmacy Application at the outpatient pharmacy to prevent patients who visit for less than 30 days. The results of the solution implementation are expected to reduce the amount of money from pending billing for chronic disease drug costs, thereby minimizing hospital financial losses.
Emergency Room Medical Record Modification to Optimize Patient Education at X Hospital Hariyanto, Engelbert; Prastowo, Wening; Zuhriyah, Lilik
Jurnal Kedokteran Brawijaya Vol. 32 Supplement 1 (2022)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2022.032.01.6s

Abstract

Regularly delivering information to patients and their families becomes a challenge for medical personnel in the Emergency Room (ER). Patients, or their families, often do not remember that education about their illness has been delivered. It can also happen because family members who took the patients into the emergency room differed from those who received the education. This situation can lead to misunderstandings, especially if there are legal problems in the future. This study aimed to find the priority problem in the hospital, the root of the problem, and solutions to optimize patient education in the ER. The methods used in the problem-finding were interviews, Focus Group Discussions (FGD), and USG (Urgency, Seriousness, and Growth) scoring. The solution selection method used FGD, fishbone analysis, 5-whys table, and CARL (Capability, Accessible, Readiness, and Leverage) scoring. The problem found was the lack of optimal patient education in the ER. The priority of the root of the problem found was no written documentation in the patient's medical record regarding providing education to patients or families. The chosen solution was to modify the ER medical record by including a checklist of educational points and a column for patients or families to sign. Further research is needed to prove the effectiveness of this medical record modification in optimizing education in the ER.
Non-compliance of Hospital X Employee in Implementing Standard Operational Procedures of Instrument Decontamination and Chest X-Ray Services Prahadiani, Saesar Revita; Kuncoro, Wahyudi; Hariyanti, Tita; Zuhriyah, Lilik; Sarwiyata, Tri Wahyu; Pradina, Fifin
Jurnal Kedokteran Brawijaya Vol. 33 Supplement 1 (2024)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2024.033.01.6s

Abstract

Good hospital management is important to maintain the safety of patients, staff and hospital visitors. Each hospital employee responsible for patient safety by carrying out work according Standard Operating Procedure (SOP) guidelines agreed by organization. This study aims to identify the casues factors and the solution for hospital employees to not comply with the SOP. This study uses a qualitative descriptive approach. Methods of data collection by conducting direct observation and interviews. Subjects in the study were determined based on purposive sampling, as many as 8 respondents consisting of the inpatient room's head, nurses and radiology officers. It is important to apply a system approach in the management of an organization. The elements included in the systems approach are planning, organizing, actuating and controlling. From those elements, there are things that not properly carried in the hospital. The existing procedures were not followed by the employees, for example, procedures regarding instrument decontamination in the inpatient room and photo reading at the radiology service. Non-compliance with this procedure is influenced by several factors, namely the staff lack of discipline and responsibility, inappropriate procedures, facilities that are not available, and there is no socialization of the procedure to hospital employees. The non-compliance of employees at X hospital was caused by procedural factors, decontamination and radiology officer's performance factors and hospital's facilities. For this reason, it is necessary to conduct periodic outreach, monitoring and evaluation of the SOP and hospital employees to improve the quality of hospital services and customer satisfaction.
Co-Authors AA Sudharmawan, AA Adeliza Firzarosany Afiatur Rohimah Agung Indrawan, I Wayan Agung Prasetia Ahmad Ikbal P Ahmad Yunus Ainun Ganisia Aldila Putri Rahayu Alfryan Janardhana Aliesya Patricia Wulandari Andi Arahmadani Arasy Anggun Setyaningrum Arasy, Andi Arahmadani Ardy mahendra Ariani Ariani Arum Sulistyarini Asrini Kaninta Asti Melani Astari Aswin Djoko Baskoro Azzahra, Shabrina Laila Bambang Rahardjo Cahyani, Dinar Yuni Awalia Anilam Candra Novi Dermawan Cicin Ulfinah Cornelia Fransiska Sandehang Denny Ahmad Fauzi DEWI ARIANI Dewi Santosaningsih Dian Handayani Dian Pitaloka Priasmoro, Dian Pitaloka Dina Dewi Sartika Lestari Ismail Dinar Yuni Awalia Anilam Cahyani Dradjat, Respati S. Dwi Wahyudi Ekkel Aisyiyah Eleonora Sucahyo Fariza Kusuma W Fiella Rachmatika Flavianus Riantiarno Frasia, Yhummei Veronia Frits Hendrik Kaiya Hari Kusnanto Haripradiantoi, Tito Hariyanto, Engelbert Harun Al Rasyid Harun Al Rasyid Harun Al Rasyid Helen Lioni Herwendanasari, Deltania I Wayan Agung Indrawan Ifit Bagus Apriantono Indriani Ningrum Ineke Permatasari Iris Juita Kastianti Isnadiyah Juhdi Jihan Arabikum Juhdi, Isnadiyah Kartika, Annisa Wuri Ken Diah Mangar Nastiti Kristianingrum, Niko Dima Kristina Haloho, Sri Dewi Kumboyono Kumboyono Kumoro Asto Lenggono Kuncoro, Wahyudi Kuswantoro Rusca Putra Lilik Supriati Linda Prasetyorini Loeki Enggar Fitri Marji Marji Martha Nurani P Mira Fatmawati Mujahidin Mujahidin Mukhamad Fathoni Nadya Karlina Megananda Nafisa Naaz Nanik Setijowati Nastiti, Ken Diah Mangar Natalia Damaiyanti Putri Raden Natasha Halim, Angie Ni Made Sintha Pratiwi Nikma Fitriasari Ninik Djajati Nugroho Nurponco Priyanto Nur Hidayati Azhar, Nur Hidayati Panjaitan, Damaris Gabrielle Valentine Pedro gonzales Pradina, Fifin Prahadiani, Saesar Revita Proscilla Maiselina Putri Fitri Alfiantya Rahayu, Aldila Putri Rahmad Rahmad Rahmah Dara Lufira Rahmawati Aminingrum Rakhmani, Alidha Nur Respati Suryanto Dradjat Rifqi Rinanto Rinik Eko Kapti, Rinik Eko Rivo Yudhinata Brian Nugraha Rochelle siem Safrina Dewi Ratnaningrum, Safrina Dewi Sakinah Annura Satwika Desantina Muktiningsih Satwika Desantina Muktiningsih Satwika Desantina Muktiningsih Satwika Desantina Muktiningsih, Satwika Desantina Sirat, Noorhamdani A. Sitawati Sitawati Siti Dwi Astuti Sri Andarini Sri Andarini Sri Andarini Sri Hayati, Yati Sutrisno . Thalia Suharli Tita Hariyanti Tri Baskoro Tunggul Satoto Tri Wahyu Sarwiyata Udjianto, Udjianto Ulina Sagala, Hotma Wandira Lalitya Wardani, Diajeng Setya Wening Prastowo Wicaksana, Anang Panca Windarwati, Heni Dwi Wurjatmiko, Adi Try Yahya Irwanto Yati Sri Hayati Yulia Dwi Setia Yulianto, Wahyu YUNI ASRI, YUNI Zahra Zahra Zainal Arifin Zainal Ulu Zaroan Supriadi