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Faktor Faktor Penyebab Penundaan Operasi Elektif Di Instalasi Bedah Sentral Rsud Banyumas Nasrulloh, Amin; Asiandi, Asiandi; Elsanti, Devita; H, Dyah Yulistika
Barongko: Jurnal Ilmu Kesehatan Vol. 2 No. 2 (2024): Barongko : Jurnal Ilmu Kesehatan (Maret)
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/bajik.v2i2.344

Abstract

Background: Data shows that there were 655 (22.53%) operational delays out of 2907 operations during June – December 2022. The percentage of operational delays is still much higher than the target recommended by KARS on the National Quality Indicator of postponement of elective surgery, namely no more of 5%. There are several main factors that cause delays in operations including patient factors, staff factors, facility factors, and administrative factors. This fact is very concerning considering the quality of hospital services plays an important role in the level of patient satisfaction in the midst of increasingly fierce hospital competition. Objective: To find out the factors causing delays in elective surgery at the Central Surgical Installation of Banyumas Hospital. Methods: This study used a retrospective observational analytic method with a cross-sectional approach. The sampling technique used was cluster sampling which was taken randomly from June to December with a total sample of 248 ERM. The analysis used is Logistic Regression. Results: There is a significant relationship between patient factors (p 0.045; OR 0.036) and staff factors (p 0.037; OR 0.038). Conclusion: The staff factor is the most dominant factor affecting delays in operations at the Central Surgical Installation of Banyumas Hospital.
Aktivitas Fisik Lansia untuk Mengontrol Hemodinamik melalui Kombinasi Senam Tera dan Senam Pernapasan (SETAPA) pada Lansia dengan Hipertensi Isnaeni, Isnaeni; Ikmawati, Isna; Asiandi, Asiandi; Riyaningrum, Wahyu
Jurnal Riset Kesehatan Masyarakat Vol 3, No 3 (2023): Juli 2023
Publisher : Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jrkm.2023.20343

Abstract

Background: The prevalence of hypertension increases with age. Hypertension in the elderly is caused by a disturbance in the cardiovascular system. Hypertension is a degenerative disease that can cause death. Reducing hypertension can be done with non-pharmacological handlers. One of the non-pharmacological treatments is by doing physical activity, one of which is combining therapeutic exercises and breathing exercises. Objective: To determine the effect of a combination of tera and breathing exercises (SETAPA) on hemodynamics in the elderly with hypertension. Methods: The study used a pre-experimental design, with a one-group pre-test and post-test approach. Sampling used purposive sampling, inclusion criteria aged 60-75 years, with a total sample of 56 respondents using a categorical descriptive sample formula. Results: The results showed that the average age of most respondents was 60-64 years old. Most of the respondents were female, namely 54 people (96.4%), and male, namely 2 people (3.6%). The average systolic blood pressure before the intervention was 148.21 mmHg and after the intervention was 133.66 mmHg. And the average diastolic blood pressure before the intervention was 90.36 mmHg and after the intervention was 82.86 mmHg. The results of the Wilcoxon test analysis showed that there was a difference in the average blood pressure before and after the intervention with a systolic blood pressure p = 0.001, a diastolic pressure p = 0.001 with a large effect size (Large effect) on systolic blood pressure of -0.82 and diastolic blood pressure of, -0.57. Conclusion: There is a combination effect of tera exercise and breathing exercise (SETAPA) on reducing blood pressure in the elderly with hypertension. 
The Effect of Combination Therapy of Brain Gymnastics and Elderly Gymnastics on Improving Cognitive Function in the Elderly Amanah, Hanni’ Ma’rifatul; Hikmawati, Isna; Asiandi, Asiandi; Riyaningrum, Wahyu
PROSIDING SEMINAR KESEHATAN MASYARAKAT Vol 2 No October (2024): Proceeding of The 1st International Seminar on Public Health and Sports (IS
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/prosidingfkm.v2iOctober.634

Abstract

Background: The increasing prevalence of elderly individuals experiencing a decline in cognitive function impacts their daily activities and increases their dependency on others. The study aimed to determine the effect of combined brain exercise and elderly exercise therapy on improving cognitive function in older people at Sudagaran Banyumas Social Service Home for the Elderly. Method: This quantitative study utilized a Quasi-Experimental design with a pretest-posttest control group approach. The sample consisted of 30 elderly individuals, selected using total sampling techniques. The instrument used was the Mini-Mental State Examination (MMSE). Data analysis was conducted using the Mann-Whitney test. Result: The results revealed that most respondents were female, with 11 women (73.3%) in the intervention group and eight women (53.3%) in the control group. The average age of respondents was between 60-69 years, with ten individuals (66.7%) in the intervention group and six individuals (40.0%) in the control group. Most respondents were in elementary school education, with seven individuals (46.7%) in the intervention group and six individuals (40.0%) in the control group having no formal education. The MMSE scores of older people who received the intervention revealed a significant increase, from an average score of 18.67 to 20.73. Conclusion: Indicating a substantial effect of combined brain exercise and elderly exercise therapy on improving cognitive function in older people. Older people are expected to regularly engage in activities to enhance cognitive function further
Dukungan Keluarga dan Gangguan Pemenuhan ADL dengan Respon Emosional pada Pasien Pasca Stroke Iskemik Mahardika, Norma Yulianti; Susilo, Rakhmat; Asiandi, Asiandi; Supriyadi, Supriyadi
Journal of Telenursing (JOTING) Vol 7 No 1 (2025): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v7i1.13670

Abstract

This study aims to analyze the relationship between family support and impaired fulfillment of ADL with emotional responses in post-ischemic stroke patients at the Neurology Clinic of Prof. Dr. Margono Soekarjo Hospital, Purwokerto. The method used is quantitative with a cross-sectional approach. The results of the study showed that 60 respondents had characteristic results in the gender category, the most in the male gender, as many as 35 respondents (58.3%) and the most age category at the age of >50 years, as many as 47 respondents (78.3%), post-stroke patients suffered the most extended stroke at a time of >6 months as many as 44 respondents (73.3%). The statistical test results showed (p-value 0.001 = <0.05) ischemic. In conclusion, there is a relationship between family support and impaired fulfillment of ADL with emotional responses in post-ischemic stroke patients at the Neurology Clinic of Prof. Dr. Margono Soekarjo Hospital, Purwokerto. Keywords: Family Support, Impaired Fulfillment of ADL, Emotional Response, Ischemic Stroke
Analisis Faktor - Faktor Volume Residu Lambung Pada Pasien Penyakit Kritis Dengan Pemberian Nutrisi Enteral Ramadhan, Faramona Primidyas; Suparti, Sri; Asiandi, Asiandi; Fitriana, Nurul Fatwati
Jurnal Ilmu Kedokteran dan Kesehatan Vol 12, No 7 (2025): Volume 12 Nomor 7
Publisher : Prodi Kedokteran Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jikk.v12i7.19970

Abstract

Tingginya volume residu lambung terjadi karena ketidaktepatan dalam pemberian nutrisi enteral. Hal ini berdampak pada aspirasi, lamanya proses penyembuhan dan bertambahnya hari rawat. Ada banyak faktor-faktor volume residu lambung, diantaranya yaitu penyakit penyerta atau komorbid, terapi obat, penggunaan ventilator, osmolalitas, posisi pasien, dan volume pemberian nutrisi. Penelitian ini untuk mengetahui faktor-faktor volume residu lambung dengan pemberian nutrisi enteral pada pasien penyakit kritis. Penelitian ini menggunakan desain penelitian kuantitatif dengan metode deskriptif korelatif, pendekatan cross sectional. Penelitian ini melibatkan 50 responden menggunakan purposive sampling sesuai kriteria inklusi dan eksklusi. Variabel dalam penelitian ini adalah faktor-faktor yang berhubungan dengan volume residu lambung. Penelitian ini menggunakan lembar observasional yang didesain oleh peneliti. Penelitian ini menggunakan analisis univariat, uji chi square, dan analisis binary logistik. Dilakukan uji chi square dengan hasil terdapat hubungan antara faktor faktor dengan volume residu lambung. Pada analisis binary logistik ada pengaruh yang signifikan antara osmolalitas, posisi pasien, volume pemberian nutrisi, komorbid, dan ventilator sebesar 78%. Faktor yang berhubungan dengan volume residu lambung pada pasien penyakit kritis dengan pemberian nutrisi enteral di ICU dan HCU RSUD Dr. Margono Soekarjo Purwokerto yaitu osmolalitas, posisi pasien, total pemberian nutrisi, dan osmolalitas.