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All Journal Jurnal Ners Jurnal Kesmas Untika Luwuk: Public Health Journal Indonesian Journal of Global Health research Jurnal Keselamatan Kesehatan Kerja dan Lingkungan Health Safety Environment Journal Indonesian Journal of Global Health Research
Ida Ayu Indira Dwika Lestari
Fakultas Kesehatan Masyarakat, Universitas Mulawarman, Samarinda, Indonesia
Education Environmental Science Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health

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Analysis of Risk Factors for Pulmonary Function Disorders among Workers at PT X Coal Division, East Kalimantan Lisa Septiana; Irfansyah Baharuddin Pakki; Akhmad Azmiardi; Ratno Adrianto; Iriyani K.; Ida Ayu Indira Dwika Lestari
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.6146

Abstract

Pulmonary function impairment remains a critical occupational health issue among coal industry workers due to prolonged exposure to airborne pollutants. Despite the implementation of occupational health regulations, respiratory disorders continue to be prevalent, leading to decreased work capacity and increased health risks. Identifying key risk factors is essential to developing targeted preventive measures. Objective: This study aims to analyze the relationship between occupational risk factors and pulmonary function impairment among workers at PT X Coal Division, East Kalimantan. A cross-sectional study was conducted on 183 coal division workers selected through cluster random sampling. Data were obtained through structured questionnaires, spirometry tests, and workplace dust level measurements. Multivariate logistic regression analysis was used to determine the most influential factors associated with pulmonary function impairment. The analysis identified significant associations between pulmonary function impairment and a history of other diseases (p = 0.001; OR = 11.709; 95% CI: 2.901–47.257), work tenure of ≥3 years (p = 0.032; OR = 3.319; 95% CI: 1.109–9.934), heavy physical workload (p = 0.036; OR = 2.807; 95% CI: 1.071–7.361), and inadequate personal protective equipment (PPE) usage (p = 0.015; OR = 2.566; 95% CI: 1.205–5.463). Other factors such as age, body mass index (BMI), work location, dust exposure, exercise habits, and smoking were not significantly associated with pulmonary function impairment. Work-related exposures and individual health conditions play a crucial role in pulmonary function impairment among coal workers. Strengthening workplace safety measures, enforcing PPE compliance, and implementing regular health screenings are necessary to mitigate respiratory risks. Ensuring a safer work environment through targeted preventive strategies is essential for protecting workers from long-term pulmonary complications while enhancing occupational health policies in the coal industry.
Analysis of Factors Related to the Incidence of Ventilator-Associated Pneumonia (VAP) in the Intensive Care Unit Yudi Jaya Cahyana; Irfansyah Baharuddin Pakki; Ida Ayu Indira Dwika Lestari; Ratno Adrianto; Yadi Yadi; Akhmad Azmiardi
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6628

Abstract

Ventilator-associated pneumonia (VAP) occurs in patients who have been on mechanical ventilation with an endotracheal tube (ETT) for at least 48 hours. This type of pneumonia typically arises as a result of nosocomial infections or Healthcare-Associated Infections (HAIs) and is commonly linked to the use of ventilators in hospital settings. This study was to identify the factors associated with the incidence of VAP among patients admitted to the Intensive Care Unit of Abdoel Wahab Sjahranie Hospital, Samarinda. Method: A cross-sectional study was conducted. The study population consisted of all patients who had undergone mechanical ventilation in the ICU without a prior history of pneumonia, totaling 118 respondents, using the HAIs bundle observation tool and direct observation. Chi-square and multiple logistic regression were used for statistical analysis, along with a predictive model. The results showed that the prevalence of VAP among respondents in the ICU was 5.9%. Factors significantly associated with the incidence of VAP included duration of ventilator use (p = 0.000), oral hygiene procedures (p = 0.000), head-of-bed elevation to 30–45° (p = 0.007), hand hygiene compliance (p = 0.015), and aseptic suctioning procedures (p = 0.043). The multivariate analysis identified duration of ventilator use ≥96 hours as the most dominant factor, with the highest Odds Ratio (OR = 13.975; 95% CI: 0.753–227.435). Duration of ventilator use was the most significant factor associated with an increased risk of VAP, with patients ventilated for ≥96 hours being 13 times more likely to develop VAP compared to those ventilated for <96 hours. Proper oral hygiene, appropriate head-of-bed elevation (30–45°), compliance with hand hygiene, and aseptic suctioning procedures were also found to be significantly associated with VAP incidence among ICU patients at Abdoel Wahab Sjahranie Hospital
Analysis of Factors Affecting Antiretroviral Adherence in HIV/AIDS Patients Mochamad Makin; Irfansyah Baharuddin Pakki; Akhmad Azmiardi; Ratno Adrianto; Yadi Yadi; Ida Ayu Indira Dwika Lestari
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6944

Abstract

Human Immunodeficiency Virus (HIV) remains a major global public health issue, with antiretroviral (ARV) therapy playing a critical role in its management. Adherence to ARV therapy is essential to suppress viral load, prevent drug resistance, and improve the quality of life of people living with HIV/AIDS (PLWHA). However, cases of non-adherence persist. At RSUD A. Wahab Sjahranie, a referral hospital in East Kalimantan, 16% of patients have been found to be non-adherent to their ARV medication. Ensuring adherence is vital to avoid complications and prevent HIV transmission. This study aims to identify and analyze the factors influencing ARV adherence among HIV/AIDS patients at the Anyelir Outpatient Clinic, RSUD A.W. Sjahranie, Samarinda. This study employed a quantitative analytical approach with a cross-sectional design. It involved 106 HIV/AIDS patients who were actively receiving antiretroviral therapy (ART). The independent variables included knowledge, self-efficacy, duration of therapy, side effects, family support, social support, and healthcare staff attitude. Data were collected using a structured questionnaire administered directly to respondents and supported by secondary data from medical records. A total sampling technique was applied, and data were analyzed using chi-square tests and logistic regression at a 95% significance level. A total of 85.8% of respondents were classified as adherent to ARV treatment. Bivariate analysis showed that knowledge (p = 0.019), family support (p = 0.018), social support (p = 0.011), healthcare staff attitude (p = 0.006), and self-efficacy (p = 0.002) were significantly associated with ARV adherence. Multivariate analysis identified family support (OR = 4.275), healthcare staff attitude (OR = 6.834), and self-efficacy (OR = 20.241) as the most influential factors. Knowledge, side effects, family support, social support, healthcare staff attitude, and self-efficacy are significant determinants of ARV adherence among PLWHA. Among these, self-efficacy emerged as the most dominant factor.
Pengaruh Kualitas Layanan Pendekatan Healthqual Terhadap Niat Kunjungan Ulang Pasien Melalui Kepuasan Pasien Sebagai Variabel Mediasi di BLUD Labkesda Kota Samarinda Eko Prasetya Budi; Ratno Adrianto; Ike Anggraeni; Ida Ayu Indira Dwika Lestari; Iriyani Iriyani; Rahmat Bakhtiar
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.60090

Abstract

Pelayanan laboratorium kesehatan yang berkualitas menjadi faktor penting dalam meningkatkan kepuasan pasien dan mempertahankan keberlanjutan penggunaan layanan, khususnya pada institusi pemerintah yang menerapkan sistem Badan Layanan Umum Daerah (BLUD). Penelitian ini bertujuan untuk menganalisis pengaruh kualitas pelayanan berdasarkan metode HEALTHQUAL terhadap niat kunjungan ulang melalui kepuasan pasien pada BLUD Laboratorium Kesehatan Daerah Kota Samarinda. Penelitian menggunakan desain observasional kuantitatif dengan pendekatan cross-sectional. Sampel penelitian terdiri dari 372 pasien mandiri yang dipilih menggunakan teknik purposive sampling. Data dikumpulkan menggunakan kuesioner berbasis skala Likert yang mengukur kualitas pelayanan, kepuasan pasien, dan niat kunjungan ulang. Analisis data dilakukan menggunakan Structural Equation Modeling Partial Least Square (SEM-PLS). Hasil penelitian menunjukkan bahwa kualitas pelayanan berpengaruh positif terhadap kepuasan pasien dengan nilai koefisien 0,796 dan kepuasan pasien berpengaruh positif terhadap niat kunjungan ulang dengan nilai koefisien 0,740. Kepuasan pasien juga terbukti memediasi hubungan kualitas pelayanan terhadap niat kunjungan ulang dengan nilai koefisien 0,589. Hasil ini menunjukkan bahwa pengalaman pelayanan yang baik akan meningkatkan kepuasan pasien sehingga mendorong keinginan menggunakan kembali layanan. Penelitian ini menyimpulkan bahwa peningkatan kualitas pelayanan berdasarkan dimensi HEALTHQUAL merupakan strategi penting untuk meningkatkan kepuasan dan mempertahankan kunjungan pasien pada layanan laboratorium kesehatan
HUBUNGAN WORK BURNOUT DAN MICROSLEEP DENGAN KECELAKAAN KERJA PADA OPERATOR DUMP TRUCK JUPITER MINING OPERATION DIVISION PT X Asti Dhea Alifiani; Iwan Muhamad Ramdan; Dewi Novita Hardianti; Muhammad Sultan; Ida Ayu Indira Dwika Lestari
Health Safety Environment Vol 5 No 1 (2026): Health Safety Environment Journal (Maret 2026)
Publisher : Universitas Pembangunan Nasional Veteran Jakarta

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Abstract

Background: The inadequate implementation of Occupational Health and Safety (OHS) generally results in 2 million workers experiencing workplace accidents. In Indonesia, there are 414 cases of workplace accidents occurring daily. Workplace accidents can be triggered by excessive work fatigue or burnout—whether physical, mental, or psychological—and microsleep. This study aims to determine the relationship between burnout and microsleep with workplace accidents among dump truck operators at the Jupiter Mining Operation Division of PT X. Methods: This was a quantitative study employing a cross-sectional design. The sample was selected using purposive sampling. Data were collected through direct questionnaires administered to 70 respondents. The data were analyzed using the Spearman Rank test. Results: The results of this study indicated that the relationship between burnout and workplace accidents yielded a p-value = 0.001, and the relationship between microsleep and workplace accidents yielded a p-value = 0.001. Conclusion: It can be concluded that there is a relationship between burnout and workplace accidents, and there is a relationship between microsleep and workplace accidents. The implications of this study suggest the need to optimize the management of burnout and microsleep to reduce workplace accident rates. It is recommended that the company conduct observations during critical hours for the occurrence of burnout and microsleep, implement light stretching programs, and improve health service management and worker awareness regarding good sleep hygiene for shift workers
HUBUNGAN BEBAN KERJA, DURASI KERJA DAN SHIFT KERJA DENGAN KELELAHAN KERJA PADA PEKERJA PRODUKSI PT X SAMARINDA Muhammad Rangga Danu Putra; Muhammad Sultan; Ida Ayu Indira Dwika Lestari; Iwan M Ramdan; Dewi Novita Hardianti
Health Safety Environment Vol 4 No 1 (2025): Health Safety Environment Journal (Maret 2025)
Publisher : Universitas Pembangunan Nasional Veteran Jakarta

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Abstract

Background: Workplace accidents caused by work fatigue remain relatively high and continue to increase annually. Work fatigue is often triggered by excessive workloads, with work duration and shifts also playing a significant role in contributing to fatigue in the workplace. This study aims to determine the relationship between workload, work duration, and work shifts with work fatigue among production workers at PT X Samarinda. Methods: This is a quantitative study with a cross-sectional design. The total sampling method was used, involving 60 respondents. Data were collected through direct questionnaires and analyzed using the Spearman Rank test. Results: The statistical analysis revealed a p-value of 0.081 for the relationship between workload and work fatigue, a p-value of 0.001 for the relationship between work duration and work fatigue, and a p-value of 0.001 for the relationship between work shifts and work fatigue. Conclusion: Work duration and work shifts have a more significant impact on work fatigue compared to workload. It is recommended that workers manage their break time effectively and increase their water intake during work, considering the hot working environment, to maintain productivity and prevent incidents.
The Effect of Brand Image and Service Quality on Outpatient Loyalty Mediated by Patient Satisfaction Dini Adriyanti; Iwan M. Ramdan; Riyan Ningsih; Ida Ayu Indira Dwika Lestari; Blego Sedionoto
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i4.2348

Abstract

Patient loyalty is a strategic indicator for hospitals, particularly in mental health services where continuity of care is essential. This study analyzed the effect of brand image and service quality on outpatient loyalty mediated by patient satisfaction at RSJD Atma Husada Mahakam, a type A psychiatric referral hospital in East Kalimantan, Indonesia. An explanatory quantitative survey with a cross-sectional design was conducted among 200 outpatients selected using purposive sampling. Data were collected using a structured Likert-scale questionnaire measuring brand image, service quality, patient satisfaction, and patient loyalty. Data were analyzed using descriptive statistics, Pearson correlation, and partial least squares structural equation modeling (PLS-SEM) with SmartPLS. The measurement model met validity and reliability criteria, with AVE values ranging from 0.546 to 0.649 and composite reliability values ranging from 0.902 to 0.924. The structural model showed that brand image positively affected patient satisfaction (beta = 0.318; t = 3.934; p < 0.001) and loyalty (beta = 0.210; t = 2.920; p = 0.004). Service quality positively affected satisfaction (beta = 0.515; t = 7.648; p < 0.001) and loyalty (beta = 0.273; t = 4.042; p < 0.001). Patient satisfaction also had a positive effect on loyalty (beta = 0.408; t = 4.794; p < 0.001). Indirect effect testing confirmed that satisfaction significantly mediated the influence of brand image (beta = 0.130; t = 2.715; p = 0.003) and service quality (beta = 0.210; t = 4.113; p < 0.001) on loyalty. The findings indicate that strengthening service quality, maintaining a positive hospital image, and systematically managing patient satisfaction are central strategies for building outpatient loyalty in psychiatric hospital services.
Performance Evaluation of Air Putih Community Health Center BLUD in Samarinda Using the Balanced Scorecard: A 2024 Descriptive Case Study Zheditya Ayu Syawalia; Ratno Adrianto; Akhmad Azmiardi; Ida Ayu Indira Dwika Lestari
Indonesian Journal of Global Health Research Vol. 8 No. 6 (2026): Indonesian Journal of Global Health Research: December 2026
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i6.2576

Abstract

Public healthcare reform in Indonesia has encouraged Puskesmas to adopt the Regional Public Service Agency (BLUD) financial management model, which provides greater financial flexibility while requiring stronger accountability and performance management. Evaluating BLUD performance through multiple dimensions is therefore important for identifying structural strengths and weaknesses that may not be reflected in financial indicators alone. This study aimed to evaluate the performance of BLUD Puskesmas Air Putih, Samarinda City, in 2024 using the four perspectives of the Balanced Scorecard. A descriptive quantitative approach with a single-case study design was employed. Secondary data were obtained from institutional documents, including the revised Business and Budget Plan, monthly financial realisation reports, Minimum Service Standards (SPM) records, the Application for Facilities, Infrastructure, and Medical Equipment (ASPAK), and workforce-needs data. Performance was analysed across the financial, customer, internal business process, and learning and growth perspectives. The financial perspective showed 97.08% effectiveness, 95.85% efficiency, and 25.35% independence. Five months experienced monthly deficits. The average SPM achievement was 61.4%, with strong maternal and child health performance but low non-communicable disease screening achievement, particularly hypertension at 11.31%. SPA completeness reached 83.96%, while only 1 of 193 mandatory-calibration medical devices had been calibrated. Workforce analysis showed that 66.3% of mapped positions were understaffed. BLUD Puskesmas Air Putih demonstrated uneven performance across the four Balanced Scorecard perspectives. Overall, the findings revealed financial dependence, service gaps, equipment quality risks, and workforce shortages across the four perspectives.
Co-Authors Adrianto, Ratno Agustina Simanangi Pamowa Akhmad Azmiardi Alwan Zakki Nozomi Asti Dhea Alifiani Blego Sedionoto Dewi Novita Hardianti Dewi Novita Hardiyanti Dian Ayu Fitriani Dini Adriyanti Eko Prasetya Budi Fahriza Nur Azzahra Ida Bagus Made Widiadnya Ika Wulan Sari Ike Anggraeni Iriani Iriani Iriyani Iriyani Iriyani K Iryani Kamaruddin Iwan M Ramdan Iwan M. Ramdan Iwan Muhamad Ramdan Jami’an Jami’an Jaya Mualimin Lisa Septiana Masruroh1,2, Ah Yusuf3 , Nikmatur Rohmah4, Irfansyah Baharudin Pakki5 , Anita Dewi Prahastuti Prasojo6 , Qurnia Andayani1 , *Agung Dwi Laksono7 Mochamad Makin Muhammad Rangga Danu Putra Muhammad Sultan Noor Hariyani Nunuk Kusuma Wardani Nur Rohmah Nurlianti Nurlianti Rahmad Bakhtiar Rahmat Bakhtiar Rahmat Bakhtiar Ratno Andrianto Riyan Ningsih Tsabita Radhiya Dzakira Yadi Yasir Yudi Jaya Cahyana Zheditya Ayu Syawalia