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Yuniar Lestari
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Faktor-faktor yang Berhubungan dengan Waktu Tanggap pada Pelayanan Kasus Kecelakaan Lalu Lintas di Instalasi Gawat Darurat Rumah Sakit Umum Pusat Dr. M. Djamil Padang Tahun 2013 Nailatul Fadhilah; Wirsma Arif Harahap; Yuniar Lestari
Jurnal Kesehatan Andalas Vol 4, No 1 (2015)
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v4i1.221

Abstract

AbstrakPenanganan kasus kecelakaan lalu lintas membutuhkan pelayanan yang cepat, tanggap, dan tepat. Salah satu indikator pelayanan tersebut adalah waktu tanggap pada pelayanan pasien di IGD. Penelitian ini dilakukan untuk mengetahui faktor-faktor yang berhubungan dengan waktu tanggap pada pelayanan kasus kecelakaan lalu lintas di IGD RSUP Dr. M. Djamil Padang. Penelitian ini dilaksanakan dari bulan Mei hingga Desember 2013 di IGD RSUP Dr. M. Djamil dengan desain penelitian studi cross-sectional. Pengambilan data menggunakan lembaran observasi dan diberikan kepada 60 orang pasien kecelakaan lalu lintas yang dipilih secara acak. Data dianalisis secara univariat dan bivariat menggunakan uji silang dengan tingkat kemaknaan p = 0,05. Hasil penelitian menunjukkan 70% memiliki waktu tanggap yang tepat, dimana rata-rata waktu tanggap adalah 6 menit 15 detik. Sebagian besar pasien kecelakaan lalu lintas berada dalam keadaan gawat tidak darurat atau triase kuning (80%). Pada sebagian besar kasus petugas berada di meja triase saat pasien datang (86,67%). Sebagian besar pasien dibawa ke triase dari pintu masuk IGD dengan brankar (86,67%). Tidak terdapat hubungan yang signifikan antara tingkat kegawatan pasien, keberadaan petugas yang bersiaga di triase, dan ketersediaan brankar dengan ketepatan waktu tanggap.Kata kunci: waktu tanggap, faktor-faktor yang berhubungan, kecelakaan lalu lintas, IGDAbstractTraffic accident cases management requires prompt, responsive, and precise service. Time response is one of several indicators of ER patient service. The aim of this study is to observe the factors that related to time response of traffic accident case management in Emergency Department of Dr. M. Djamil Hospital, Padang. This cross-sectional study was conducted between May and December 2013 by using observational sheet which is distributed to 60 randomly chosen from traffic accident patients in Dr. M. Djamil General Hospital. Crosstab analysis was used to determine the difference among variables. Chi-square test was used to determine the significance of categorical variables. Data were analyzed using univariate and bivariate cross test with a significance level of p = 0.05. Result showed that out of 60 cases, 70% cases had accurate response time. The average response time is 6 minutes 15 seconds. Most of traffic accident patients are in a yellow triage (80%). In most cases, 86,67% officers are at the triage desk. Most of the patients brought to the triage from the emergency department entrance by stretchers (86.67%). There was no significant relationship between the level of patient severity, payment method, the availability of stretchers when patients come and response time (p> 0,05). Analysis of the relationship between the presence of officers and response time cannot be performed. The presence of officers in triage when patient arrived tended to speed up the response time.Keywords: response time, related factors, traffic accident, emergency room
Perbedaan Asupan Natrium Dan Kalium Pada Penderita Hipertensi Dan Normotensi Masyarakat Etnik Minangkabau di Kota Padang Mifthahul Jannah; Delmi Sulastri; Yuniar Lestari
Jurnal Kesehatan Andalas Vol 2, No 3 (2013)
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v2i3.148

Abstract

AbstrakHipertensi adalah peningkatan tekanan darah sistolik ≥140 mmHg atau tekanan darah diastolik ≥90 mmHg. Penyakit ini disebut juga the silent killer karena tidak menunjukkan gejala. Salah satu faktor penyebab hipertensi adalah tingginya asupan natrium dan rendahnya asupan kalium. Rasio Na:K yang dianjurkan adalah 1:1. Penelitian ini bertujuan untuk mengetahui perbedaan asupan natrium dan kalium pada penderita hipertensi dan normotensi masyararakat Etnik Minangkabau di Kota Padang. Desain penelitian study comparative dengan pendekatan cross sectional. Populasi adalah masyarakat etnik Minangkabau usia 35-65 tahun di 4 kecamatan terpilih di Kota Padang. Jumlah sampel sebanyak 254 orang yang diambil secara multi stage random sampling. Data responden dikumpulkan dengan kuisioner, tekanan darah dengan sphygmomanometer, asupan natrium dan kalium dengan food frequency questionnaire (FFQ). Data dianalisis dengan uji Chi-Square pada p-value< 0,05 dan uji beda rata-rata dengan metode Independent sample t-test. Hasil penelitian didapatkan rerata sistolik pada normotensi 118,87 mmHg dan diastolik pada normotensi 76,74 mmHg. Rerata sistolik pada hipertensi 154,50 mmHg dan diastolik pada hipertensi 90,59 mmHg. Tidak ditemukan adanya hubungan antara asupan natrium, asupan kalium dan rasio asupan Na:K dengan tekanan darah. Kesimpulan penelitian ini ialah tidak ada hubungan antara asupan natrium, asupan kalium dan rasio asupan Na:K dengan tekanan darah.Kata kunci: natrium, kalium, rasio Na:K, tekanan darah, normotensi, hipertensiAbstractHypertension is the blood pressure escalation of systolic ≥140 mmHg or diastolic ≥90 mmHg. This is also called the silent killer because it does not show any symptoms. One of the factors causes hypertension is high sodium and low potassium intakes. The ratio of Na:K that is suggested is 1:1. The objective of this study is to know the differences sodium and potassium intake in patients hypertension and normotension on Minangkabau Ethnic society in Padang. The design of this research was comparative study with the cross sectional approach. The population were taken from Minangkabau ethnic age 35-65 years old in four selected districts in Padang. The total sample of 254 people were taken by multi-stage random sampling. The data were collected by questionnaire of respondents, sphygmomanometer blood pressure, sodium and potassium intakes with a Food Frequency Questionnaire (FFQ). The data was analyzed by Chi-Square test at p-value <0.05 and an average of different test methods Independent sample t-test. The result showed that average systolic of normotensive was 118.87 mmHg and diastolic of normotensive was 76.74 mmHg. The average sistolic of hypertension was 154.50 mmHg and diastolic of hypertension was 90.59 mmHg. The conclusion of this study is that there is no significant correlation between the sodium intake, potassium intake and the ratio of Na: K with the blood pressure.Keywords: sodium, potassium, ratio of Na:K, blood pressure, normotension, hypertension
Hubungan Merokok dengan Kejadian Hipertensi pada Laki-Laki Usia 35-65 Tahun di Kota Padang Yashinta Octavian Gita Setyanda; Delmi Sulastri; Yuniar Lestari
Jurnal Kesehatan Andalas Vol 4, No 2 (2015)
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v4i2.268

Abstract

AbstrakHipertensi merupakan salah satu penyebab kematian tertinggi pada masyarakat di dunia. Penyakit ini disebut juga the silent killer. Prevalensi hipertensi telah mencapai angka 31,7% dari semua penduduk. Peningkatan ini diakibatkan perubahan gaya hidup yang salah satunya merokok. Tujuan penelitian ini untuk mengetahui hubungan antara kebiasaan merokok termasuk lama merokok, jumlah rokok dan jenis rokok dengan hipertensi. Desain penelitian berupa cross-sectional study. Populasi adalah laki-laki yang berusia 35-65 tahun di empat kecamatan terpilih di kota Padang. Jumlah subjek sebanyak 92 orang yang diambil secara multi stage random sampling. Instrumen dalam penelitian ini ialah kuesioner untuk data responden dan karakteristik kebiasaan merokok, serta sphygmomanometer untuk mengukur tekanan darah. Data dianalisis dengan uji chi-square dengan p < 0,05 untuk signifikansi. Hasil penelitian didapatkan ada hubungan antara kebiasaan merokok dengan hipertensi (p=0,003) yaitu dipengaruhi oleh lama merokok (p=0,017) dan jenis rokok (p=0,017), tetapi tidak terdapat hubungan antara jumlah rokok dengan kejadian hipertensi (p=0,412). Oleh karena kebiasaan merokok meningkatkan risiko hipertensi, penyuluhan kesehatan tentang risiko peningkatan tekanan darah terhadap penderita hipertensi yang memiliki kebiasaan merokok harus dilakukan. Hal ini diperlukan agar terjadi penurunan angka kejadian hipertensi.Kata Kunci: hipertensi, kebiasaan merokok, lama merokok, jumlah rokok, jenis rokok AbstractHypertension is one of the major causes of death in the world. This disease is called silent killer. The prevalence of hypertension has reached 31.7% of the population. It increases because of lifestyle changes, one of them is smoking. The objective of this study was to determine the association between smoking habits including duration of smoking, number of cigarettes, and type of cigarettes with hypertension. The research design was cross-sectional study. The population was 35-65 years old men in four selected districts in Padang. There were 92 subjects who were taken by multi-stage random sampling. The instruments of this research were questionnaire for data of respondents and smoking habit characteristics, also sphygmomanometer for blood pressure measurements. Data were analyzed by chi-square test with p value < 0.05 for significance. The result of this study showed that there is association between smoking habit and hypertension (p=0.003) which is influenced by duration of smoking (p=0.017) and type of smoking (p=0.017), but there is no association between number of cigarettes with the incidence of hypertension (p=0.412). As smoking habits increase the risk of hypertension, health promotion about the risk of blood pressure increasing in the patient who has a smoking habit should be done. It is important in order to decrease the incidence of hypertension.Keywords: hypertension, duration of smoking, number of cigarettes, type of cigarettes
PERAN SERTA KADER DALAM PENDETEKSIAN DAN PENCEGAHAN INFEKSI CACING USUS DI KELURAHAN KORONG GADANG, KECAMATAN KURANJI, PADANG Nora Harminarti; Nuzulia Irawati Hasmiwati; Adrial Adrial; Nurhayati Nurhayati; Selfi Renita Rusjdi; Eka Nofita; Yuniar Lestari; Rosfita Rasyid; Firdawati Firdawati; Ida Rahma Burhan; Abdiana Abdiana; Husna Yetti
Jurnal Hilirisasi IPTEKS Vol 2 No 4.a (2019)
Publisher : LPPM Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (223.774 KB) | DOI: 10.25077/jhi.v2i4.a.305

Abstract

Penyakit kecacingan masih menjadi masalah kesehatan dengan prevalensi yang tinggi ditemukan terutama di negara-negara non industri (negara yang sedang berkembang), seperti Indonesia. Prevalensi dan intensitas tertinggi didapatkan di kalangan anak usia sekolah dasar. Anak-anak merupakan sumber daya manusia yang sangat penting untuk pembangunan bangsa Indonesia di masa yang akan datang. Kelurahan Korong Gadang sebagai pemenang desa Kelurahan Berprestasi Peringkat II dipilih untuk melihat masih ter dapatkah infeksi cacing usus pada anak dengan kriteria daerah seperti ini. Penelitian ini menggunakan metode cross sectional study terhadap semua kader yang berada di wilayah Kelurahan Korong Gadang berupa pengumpulan tinja anak usia sekolah dasar oleh kader, pemeriksaan cacing usus terhadap tinja yang dikumpulkan di bagian Laboratorium Parasitologi Fakultas Kedokteran Universitas andalas Padang. Hasil dari penelitian ini menunjukkan bahwa kader berperan aktif dalam program pengendalian infeksi cacing usus. Pemeriksaan semua tinja yang dikumpulkan adalah tidak ditemukan adanya cacing usus. Kesimpulan pengabdian ini berupa hasil penilaian terhadap peran dari kader dalam masalah pencegahan penyakit cacing usus adalah baik. Semua kader yang dipilih melakukan pengumpulan tinja dan melakukan proses pre analitik dengan baik.
EVALUASI KEBERHASILAN IMPLEMENTASI SISTEM INFORMASI KARANTINA KESEHATAN DI KANTOR KESEHATAN PELABUHAN KELAS II PADANG TAHUN 2020 Roery Yohanes; Yuniar Lestari; Husna Yetti
Menara Ilmu Vol 15, No 1 (2021): VOL. XV NO. 1 OKTOBER 2021
Publisher : LPPM Universitas Muhammadiyah Sumatera Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31869/mi.v15i1.2888

Abstract

Sistem informasi karantina kesehatan (SINKARKES) adalah merupakan media pencatatan dan pelaporan berbasis teknologi informasi yang membantu kegiatan kekarantinaan dan pelayanan kesehatan di kantor kesehatan pelabuhan dan saling terkoneksi antar kantor kesehatan pelabuhan di seluruh Indonesia. Tujuan penelitian adalah untuk melakukan evaluasi terhadap keberhasilan implementasi SINKARKES dengan pendekatan HOT(Human, Organization, Technology) Fit Models di KKP Kelas II Padang. Jenis penelitian survey analitik dengan desain cross sectional dengan obyek SINKARKES. Waktu penelitian bulan Juni sampai Desember 2020 di KKP Kelas II Padang. Subyek penelitian adalah karyawan KKP pengguna SINKARKES dengan jumlah responden sebanyak 49 orang. Analisis data yang dilakukan analisis bivariat dan multivariat. Karakteristik pengguna Sinkarkes lebih dari separuh berjenis kelamin perempuan, pendidikan sarjana (S1/D4), jabatan fungsional umum dan hampir separuhnya pada usia 30-39 tahun, memiliki masa kerja dari 1 – 9 tahun. Pada komponen HOT sebagian besar pengguna menyatakan penggunaan sistem mudah dan puas terhadap SINKARKES, struktur organisasi, lingkungan organisasi, kualitas sistem, kualitas informasi baik dan kualitas layanan baik dalam mendukung implementasi SINKARKES. Sebagian besar pengguna menyatakan Net Benefit SINKARKES bermanfaat. Ada hubungan kepuasan pengguna, lingkungan organisasi, kualitas sistem, kualitas informasi dan kualitas layanan dengan Net Benefit(manfaat) dan faktor yang paling dominan dalam keberhasilan implementasi SINKARKES di KKP Kelas II Padang adalah kualitas informasi. Secara umum semua faktor yang diteliti mendukung keberhasilan implementasi SINKARKES di KKP Kelas II Padang. Faktor yang tidak berhubungan dengan manfaat dari SINKARKES karena fungsi salah satu dari SINKARKES adalah untuk membantu kegiatan pelayanan dan pengguna harus menggunakan sistem informasi itu dalam kegiatan pelayanan kekarantinaan kesehatan dan kesehatan pelabuhan walau kurang ada dukungan dari struktur organisasi. Implementasi SINKARKES di KKP Kelas II Padang sudah berhasil dengan baik.Kata Kunci: HOT Fit Model, KKP, SINKARKES
ANALISIS PENYEBAB INSIDEN PASIEN JATUH DI RAWAT INAP RS. Y DI KOTA PADANG Dwi Novilolita; Yuniar Lestari; Hardisman Hardisman
JIM UPB (Jurnal Ilmiah Manajemen Universitas Putera Batam) Vol 8 No 1 (2019): JIM UPB Volume 8 No.1 2019
Publisher : Universitas Putera Batam

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (779.024 KB) | DOI: 10.33884/jimupb.v8i1.1590

Abstract

Patient falls incident are unplanned incident with or without injuries in the inpatient unit. Based on minimum service standards, the fall incident which is part of patient safety is expected as 0%. Based on preliminary data from the Quality and Risk Management Committee in "Y" Hospital Padang there were 53 patient safety incidents where the most incidents were falls with 11 incidents. Inpatient is the most fallen location that is 5 incidents then followed by emergency room and outpatient. Therefore "Y" Hospital in Padang did not reach the standards of the Accreditation Commission that is zero accident. The purpose of this study was to analyze the causes and components that play a role in the incidence of falls in "Y" hospital in Padang. This study uses qualitative research by conducting semi-structured interviews, document review, and observation. Interviews were conducted with 21 informants. The components studied are individual characteristics (education, work experience, competence, age), nature of work (complexity of treatment, cooperation in units, disturbances/interruptions), physical environment (facilities), organizational and social environment (Standard Operating Procedure / SOP), and management factors (organizational structure, safety culture). The results showed that the minimum standard of education was sufficient but the percentage was not up to standard, the number of nurses needed was still lacking. The complexity of the treatment that consist of the type of diagnosis and the treatment has a high risk of falling, disruption in units is visiting hours that is not appropriate. Facilities that are still incomplete. The implementation of SOP is not optimal yet. The conclusion of the implementation of injury prevention due to falling patients is not optimal.
Analysis of Achievements and Factors Playing a Role in Achieving Complete Basic Immunization During the Adaptation Period to the COVID-19 (Coronavirus Disease) Pandemic in Padang, Indonesia Kartika, Putri Sri; Hardisman; Yuniar Lestari
Community Medicine and Education Journal Vol. 5 No. 2 (2024): Community Medicine and Education Journal
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/cmej.v5i2.532

Abstract

The immunization program is a global program to prevent child deaths and provide immunity against infectious diseases. In Padang City, complete basic immunization coverage (IDL) in 2021 is still low (76.5%) compared to the target of 95%. This research aims to analyze the achievements of the IDL program in Padang City during the adaptation period to the COVID-19 pandemic. This research method is mixed methods research with a stratified random sampling technique. The results showed that the age frequency distribution of the baby's mothers was mostly 26-40 years old (83.2%), with a high level of education (78.4%) and more people working (52%). The frequency distribution of IDL status in Padang City shows an incomplete category of 67.2%. There is a significant relationship between the level of education, level of knowledge, attitudes and roles of health workers, and IDL status. The most dominant factor is the level of knowledge. IDL coverage is still low due to mothers' lack of understanding about the immunization schedule due to mothers' busy lives, family restrictions, and socio-cultural factors.
The Relationship of Employee Engagement, Quality of Work Life and Organizational Commitment with Turnover Intention Nurse from Unand Padang Hospital in 2023 Engga Lift Irwanto; Rizanda Machmud; Yuniar Lestari
International Journal of Health and Medicine Vol. 1 No. 3 (2024): July : International Journal of Health and Medicine
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhm.v1i3.35

Abstract

This research was conducted with the aim of analyzing the relationship between the implementation of employee engagement, quality of work life and organizational commitment to nurses at Unand Hospital in 2023. This research was carried out at Unand Hospital throughout 2024 using a mix methods research method . This method was used. This was carried out with the aim of knowing the frequency distribution of the relationship between employee engagement, quality of work life and organizational commitment to the turnover intention of nurses at Unand Hospital and being able to explain this further through informant interviews. The research results then showed that there was a negative relationship between the employee engagement of nurses at Unand Hospital, the lower the level of turnover intention of nurses at Unand Hospital, the quality of work-life of nurses had a negative and significant effect on the turnover intention of nurses at Unand Hospital and organizational commitment had a negative and significant effect on the turnover intention of nurses at Unand Hospital. significant impact on the turnover intention of nurses at Unand Hospital. So this shows that if the implementation of employee engagement , quality of work life and organizational commitment is increasingly improved, the level of turnover intention that occurs will decrease. This was also expressed by nurses who stated their low level of turnover intention. while working at Unand Hospital due to the comfort of work, harmony with co-workers and greater career and study opportunities at Unand Hospital. So it is hoped that Unand Hospital will maintain the quality and quantity of its human resources by increasing employee engagement, quality of work life and organizational commitment so that it has an impact on the quality of service delivery to the public.
PERAN TEMAN SEBAYA TERHADAP PERILAKU SEKSUAL PRA NIKAH SISWA SLTA KOTA BUKITTINGGI Darmayanti Darmayanti; Yuniar Lestari; Mery Ramadani
Jurnal Kesehatan Masyarakat Andalas Vol 6 No 1 (2011): Jurnal Kesehatan Masyarakat Andalas
Publisher : Faculty of Public Health, Andalas University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24893/jkma.v6i1.84

Abstract

Penelitian yang dilakukan oleh Persatuan Keluarga Berencana Indonesia daerah Sumatera Barat menunjukkan Kota Bukittinggi memiliki remaja seksual aktif tertinggi (21%). Pergaulan teman sebaya dapat mempengaruhi perilaku seksual pranikah. Pengaruh tersebut dapat berupa pengaruh positif dan negatif. Tujuan penelitian ini untuk mengetahui peran teman sebaya positif terhadap perilaku seksual pranikah siswa SLTA Kota Bukittinggi tahun 2011. Jenis penelitian adalah survey analitik dengan pendekatan cross sectional. Data primer dikumpulkan melalui angket. Populasi adalah seluruh siswa SLTA kelas XI dan XII dan sampel didapatkan sampel sebanyak 276 orang. Analisis data menggunakan uji chi square dan regresi logistik. Hasil penelitian menunjukkan lebih separuh (54,3%) peran teman sebaya aktif dalam memberikan informasi mengenai kesehatan reproduksi. Ada hubungan antara peran teman sebaya positif dengan perilaku seksual pranikah, dimana responden dengan teman sebaya pasif berpeluang 2,6 kali berprilaku seksual pranikah dibanding responden dengan teman sebaya aktif. Peran teman sebaya terhadap perilaku seksual tidak dipengaruhi variabel konfonding (pengetahuan, sikap, peran orangtua, dan paparan media masa). Diharapkan kepada Pemerintah Kota Bukittinggi agar memperkuat peran teman sebaya positif dengan meningkatkan kegiatan ekstrakurikuler dan menambahjumlah pelatihan konselor sebaya.
Co-Authors Abdiana Abdiana Adrial Adrial Afdol Rahmadi Bobby Indra Lipoeto Darmayanti Darmayanti Defrin Defrin Delmi Sulastri Dwi Novilolita Endrinaldi Engga Lift Irwanto Evi Kristina Fathina Friyandini Finny Fitry Yani Firdawati Firdawati Hardisman Husna Yetti Ida Rahma Burhan Iskandar Syarif Kartika, Putri Sri Mahmudah Mahmudah Mifthahul Jannah Nailatul Fadhilah Netty Suharti Nola Eriza Nora Harminarti Nurhayati Nurhayati Nuzulia Irawati Osharinanda Monita Ramadani, Mery Rido Wandrivel Rizanda Machmud Roery Yohanes Rona Firmana Putri Rosfita Rasyid Selfi Renita Rusjdi Suci Aulia Yude Wirsma Arif Harahap Yashinta Octavian Gita Setyanda Yaslinda Yaunin Yenita .