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Rights Of Disabilities To Education, Occupation, Health, Social Welfare, And Accessibility Yopi Harwinanda Ardesa; Prasetyo Catur Utomo; Etanaulia Marsim
Jurnal Keterapian Fisik Vol 5 No 1 (2020): JURNAL KETERAPIAN FISIK
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkf.v5i1.211

Abstract

Background: People with disabilities are those with physical or mental limitations in long term. People with disabilities have some rights they deserve such as rights to education, occupation, health, social welfare, and accessibility. Aims study is to describe Rights of Disabilities to Education, Occupation, Health, Social Welfare, and Accessibility. Methods: This research was conducted on December 2019, in Colomadu Sub District using questionnaire with cross-section design. The subject used consisted of 23 quadriplegic persons. Results: Out of 23 quadriplegic persons, the result of analysis showed significant score of 0.236 between people with disabilities and right to education, of 0.167 between people with disabilities and right to occupation, of 0.313 between people with disabilities and right to health, of 0.150 between people with disabilities and right to social welfare, and of 0.762 between people with disabilities and right to accessibility, with p > 0.05. Conclusion: The rights of people with disabilities (disability people) have not been fulfilled yet in Colomadu Sub District.
Associations between Unplanned Pregnancy, Low Social Support, Domestic Violence, and Intrapartum Complication, with Postpartum Depression: Meta Analysis Aranti, Wulan Adis; Indrawati, Devi; Mulyani, Sri; Murti, Bhisma; Marsim, Etanaulia
Journal of Maternal and Child Health Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2024.09.02.05

Abstract

Background: The postpartum period is a period where the risk of depression and other mental disorders generally increases due to the physiological and psychosocial changes that occur. The aim of this study was to measure the relationship using the meta-analysis method of unplanned pregnancy, poor social support, domestic violence, complications during childbirth with the incidence of postpartum depression.. Subjects and Method: This research is a systematic review and meta-analysis. Article searches were carried out using PICO. Population: Postpartum women. Interventions: unplanned pregnancy, poor social support, domestic violence, and complications during childbirth. Comparison: planned pregnancy, good social support, no domestic violence, and no complications during childbirth. Outcome: Postpartum depression. The keywords used in the article search were "postpartum depression" AND "unplanned pregnancy" AND "poor social support" AND "intimate partner violence" AND “delivery complications”. Articles were obtained from several databases including Google Scholar, Pubmed, Science Direct from 2015-2023. Data is processed using the Review Manager Application (RevMan 5.3) Results:  Meta-analysis of 11 cross-sectional studies showed that unplanned pregnancy increased the risk of postpartum depression (aOR= 2.69; 95% CI= 2.30 to 3.16; p= 0.001). Meta-analysis of 11 cross-sectional studies showed that low social support increased the risk of postpartum depression (aOR= 2.35; 95% CI= 1.46 - 3.79; p= 0.004). Meta-analysis of 7 cross-sectional studies showed that partner violence increased the risk of postpartum depression (aOR= 2.82; 95% CI= 1.81 - 4.40; p= 0.001). Meta-analysis of 6 cross-sectional studies showed that complications during delivery increased the risk of postpartum depression (aOR= 2.20; 95% CI= 1.75 to 2.77; p= 0.001). Conclusion: Unplanned pregnancies, poor social support, partner violence, and complications during childbirth increase the risk of postnatal depression.
Implementation of Social Security Agency on Health (BPJS) Policy in Hospitals: A Systematic Review Dwiyovita, Rizka; Etanaulia Marsim; Yessiana Luthfia Bahri
Jurnal Kesehatan Vol 17, No 3 (2024): Jurnal Kesehatan
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/jk.v17i3.6288

Abstract

Introduction: The Social Security Agency on Health (BPJS) is one of the health insurance providers that has been implemented in Indonesia, but so far the implementation of BPJS Health in Hospitals has still experienced obstacles in implementing the program. This study aims to analyze the implementation of BPJS Health policies in hospitals in more depth. The research aims to analyze the implementation of BPJS Health policies in hospitals in more depth. Method: This research is a systematic review. The article search using Google Scholar and PubMed databases used the keywords "Policy" AND " Social Security Agency on Health " AND "Hospital". Article searches were carried out from April to May 2024. Articles were selected using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Inclusion criteria are full-text articles, open access, using Indonesian health insurance policy variables, published from 2020 to 2024, using Indonesian and English. Results: Four articles were obtained which were by the research showing that the implementation of Indonesian health insurance policy in hospitals in terms of the number of human resources, financing, health facility infrastructure, and communication between policy implementers and the community had not been optimal, which had an impact on the health service process. At disposition, the policy implementer already commits to implementing the policy. The bureaucratic structure is running well, as is evident by the existence of Standard Operating Procedures (SOP) for implementing Indonesian health policies. Conclusion: The implementation of Indonesian health insurance policy in hospitals on the resource and communication variables has not been optimal, while on the disposition and bureaucratic structure variables, it has been optimal.   Pendahuluan: Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan merupakan salah satu penyelenggara jaminan kesehatan yang telah dilaksanakan di Indonesia, namun sejauh ini pelaksanaan BPJS Kesehatan di Rumah Sakit masih mengalami kendala dalam pelaksanaan programnya. Penelitian ini bertujuan untuk menganalisis pelaksanaan kebijakan BPJS Kesehatan di rumah sakit secara lebih mendalam. Penelitian ini bertujuan untuk menganalisis pelaksanaan kebijakan BPJS Kesehatan di rumah sakit secara lebih mendalam. Metode: Penelitian ini merupakan telaah sistematis. Pencarian artikel menggunakan basis data Google Scholar dan PubMed menggunakan kata kunci “Kebijakan” DAN “Badan Penyelenggara Jaminan Sosial Kesehatan” DAN “Rumah Sakit”. Pencarian artikel dilakukan pada bulan April sampai dengan Mei 2024. Artikel dipilih menggunakan Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Kriteria inklusi adalah artikel teks lengkap, akses terbuka, menggunakan variabel polis asuransi kesehatan Indonesia, diterbitkan tahun 2020 sampai dengan 2024, menggunakan bahasa Indonesia dan bahasa Inggris. Hasil: Diperoleh empat artikel yang merupakan hasil penelitian yang menunjukkan bahwa implementasi kebijakan jaminan kesehatan Indonesia di rumah sakit dari segi jumlah sumber daya manusia, pembiayaan, prasarana fasilitas kesehatan, dan komunikasi antara pelaksana kebijakan dengan masyarakat belum optimal yang berdampak pada proses pelayanan kesehatan. Pada disposisi, pelaksana kebijakan sudah berkomitmen untuk melaksanakan kebijakan. Struktur birokrasi sudah berjalan dengan baik, terbukti dengan adanya Standar Operasional Prosedur (SOP) pelaksanaan kebijakan kesehatan Indonesia. Kesimpulan: Implementasi kebijakan jaminan kesehatan Indonesia di rumah sakit pada variabel sumber daya dan komunikasi belum optimal, sedangkan pada variabel disposisi dan struktur birokrasi sudah optimal.
IMPLEMENTASI KEGIATAN RETENSI DAN PEMUSNAHAN REKAM MEDIS PASIEN DI RUMAH SAKIT BHAYANGKARA POLDA LAMPUNG TAHUN 2024 Marsim, Etanaulia; Novita Batubara, Sandra Lusi; Setiawan, Susilo; Timor , Putri Anastasya; Irawan, Yhuni
Jurnal Pengabdian Kolaborasi dan Inovasi IPTEKS Vol. 2 No. 2 (2024): April
Publisher : CV. Alina

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59407/jpki2.v2i2.604

Abstract

Pengelolaan arsip rekam medis pada pelaksanaan kegiatan administrasi rumah sakit harus merujuk pada pedoman dan ketentuan yang berlaku, dimulai dari tahap penciptaan hingga pemusnahan. Begitu pula dengan penyimpanan arsip yang dilakukan dalam rangka tertib administrasi harus diimbangi dengan proses penyusutan agar tidak mengakibatkan menumpuknya arsip yang pada akhirnya dapat mengganggu kelancaran proses kerja. Tujuan kegiatan pengabdian kepada Masyarakat ini adalah untuk melaksanakan tertib administrasi terkait peraturan tentang kurun waktu penyimpanan berkas rekam medis. Metode yang digunakan yaitu dengan cara membantu petugas rekam medis RS Bhayangkara Polda Lampung dalam melaksanakan kegiatan retensi dan pemusnahan. Pelaksanaan kegiatan pengabdian Masyarakat ini diikuti oleh petugas rekam medis. Pentingnya retensi dan pemusnahan berkas rekam medis sesuai dengan peraturan yang sudah dikeluarkan dapat membantu dalam penyusunan berkas rekam medis pasien yang teratur.
Meta Analysis: Factors Affecting Implementation of Self-Care Practice in Diabetes Mellitus Patients Khairiyyah, Alimah Ulfah; Nazalah, Rajba; Aditya, Stefanus; Murti, Bhisma; Marsim, Etanaulia
Indonesian Journal of Medicine Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2024.9.1.722

Abstract

Background: Diabetes mellitus is a chronic metabolic disorder characterized by high blood sugar levels. If not controlled properly, diabetes mellitus can cause serious complications. Self-care practices are a very important factor in controlling the disease. This study aims to estimate the factors that influence self-care practices in diabetes sufferers.Subjects and Method: This was a systematic review and meta-analysis using PICO format. Population: diabetes patients. Intervention: having diabetes knowledge, high social support, female gender and presence of comorbidities. Comparison: no diabetes knowledge, low social support, male gender and no comorbidities. Outcome: self-care practices. The articles used in this research came from 5 databases, namely Google Scholar and Science Direct. The keywords of the article are "Diabetes Knowledge" AND "Social Support" AND "gender" AND "comorbidities" AND "diabetes" AND "Self-care practice behavior". The articles included in this research are full paper articles, cross-sectional study, publication year range 20172023, and reporting the aORs. Articles were analyzed using the Review Manager 5.4.Results: Female patients (aOR=1.56; 95% CI= 1.04 to 2.34; p= 0.030), high knowledge (aOR= 2.10; 95% CI= 1.27 to 3.46; p= 0.004), strong social support (aOR=1.73; 95% CI= 1.07 to 2.78; p= 0.020), and the presence of comorbidities (aOR=1.20; 95% CI= 0.67 to 2.16; p= 0.540) improved implementation of self-care practices.Conclusion: Female patients, high knowledge, strong social support, and the presence of comorbidities improve implementation of self-care practices. Keywords: factors, diabetes self-care practices, diabetes mellitus
The impact of social isolation on cardiovascular disease in the elderly: a systematic review Marsim, Etanaulia; Salsabil, Husna Arwa; Dwiyovita, Rizka
JHeS (Journal of Health Studies) Vol. 9 No. 1 (2025): Maret
Publisher : Universitas 'Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhes.4018

Abstract

Social isolation can increase mortality and most likely have an impact on health. The impact of social isolation and loneliness on health and well-being is recognised globally as a public health problem. Social isolation can be experienced at any age, especially in the elderly. The purpose of this study was to determine the effect of social isolation on the occurrence of cardiovascular disease in the elderly. This study is a systematic review. Article searches are conducted through databases: PubMed, Science Direct, and Google Scholar with the keywords used in article searches are as follows "Social isolation" AND "cardiovascular disease" AND "elderly". Article selection is done using a PRISMA flow chart. Results: From the results of searching articles in databases obtained as many as 1460 articles that have a relationship with the research theme. Then the article's results were adjusted to the study system used and obtained 565 results that were included in the study system criteria. Then from the 565 articles were re-selected by considering the predetermined inclusion criteria and obtained the results of 10 articles. Conclusion: Social isolation has been shown to be associated with increased risk of cardiovascular disease in older adults. Despite limitations in study design and measurement, these findings underscore the importance of addressing social factors in maintaining the health of older adults.
Literature Review on the Materials, Advantages, and Disadvantages of Suturing Training Tools in Health Education Nur, Sulistia; Marsim, Etanaulia; Ukhtul Fitri, Riki; Prawibowo, Hartanto
INDOGENIUS Vol 4 No 3 (2025): INDOGENIUS
Publisher : Department of Publication of Inspirasi Elburhani Foundation Desa. Pamokolan, Kecamatan Cihaurbeuti, Kabupaten Ciamis, Provinsi Jawa Barat, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/igj.v4i3.661

Abstract

Background & Objective: Suturing skills are a fundamental competency in both nursing and medical education. To support the mastery of this skill, effective, realistic, and pedagogically appropriate training tools are essential. Various materials have been employed to create suture training models; however, no single material has emerged as universally ideal or standardized globally. Aims: This review aims to identify the types of materials used in suturing training tools, evaluate their strengths and limitations, and assess their contribution to the global development of simulation-based training devices. Method: This study is a literature review analyzing five recent and relevant scientific articles. The selection criteria included thematic relevance, publication year, and a focus on evaluating suture training tools or materials. Analysis was conducted using the JBI Critical Appraisal Checklist for Case Reports. This literature review highlights aspects such as material properties, advantages, disadvantages, and implications for educational practice. Result: The review identified five primary categories of materials used in suture training tools: (1) polydimethylsiloxane (PDMS) with silk fibers, (2) silicone pads and polyurethane foam, (3) porcine skin, sponges, and commercial pads, (4) improvised combinations such as citrus fruits and tea towels, and (5) synthetic polyurethane-based skin. Each material offers specific benefits, such as high realism, durability, or affordability. Nevertheless, all materials exhibit limitations, including ethical concerns, hygiene issues, and limited anatomical fidelity. Conclusion: This literature review indicates that no single material fully satisfies all requirements for suturing training. A combined and contextual approach considering learning objectives, cost, and local availability emerges as a pragmatic alternative. The contribution of this review lies in strengthening the global research direction toward the development of accessible, inclusive, and adaptable medical simulation tools tailored to diverse healthcare education settings worldwide.
Efisiensi Pengelolaan Tempat Tidur Rawat Inap Berdasarkan Grafik Barber Jhonson di RS X Lampung Marsim, Etanaulia; Setiawan, Susilo; Dwiyovita, Rizka; Bahri, Yessiana Luthfia; Latifah, Rif'at Mukhidatul; Annisa, Syifa
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 6 No 4 (2025): September
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v6i4.5908

Abstract

The imbalance in bed utilization across several inpatient units at Hospital X poses challenges to service efficiency, such as prolonged waiting times and an increased risk of nosocomial infections. This study aims to evaluate the efficiency of bed management at Hospital X in 2024 using the Barber Johnson Graph method. This research employed a quantitative descriptive design using secondary data obtained from daily inpatient census reports. The analyzed indicators included Bed Occupancy Rate (BOR), Average Length of Stay (AvLOS), Turn Over Interval (TOI), and Bed Turn Over (BTO). The results showed a BOR of 75.91%, an AvLOS of 2.91 days, a TOI of 0.92 days, and a BTO of 95.56 times per year. Based on the Barber Johnson Graph, only BOR and BTO met the efficiency standards, while AvLOS and TOI were below the standard. These findings indicate that although bed occupancy levels and usage frequency were optimal, the relatively short length of stay and rapid bed vacancy intervals require further evaluation. This study provides valuable insights for hospital management in formulating policies to sustainably optimize inpatient service efficiency.
Faktor-Faktor Yang Memengaruhi Kepuasan Pasien Terhadap Pelayanan Pendaftaran Di UPTD Puskesmas Karangrejo Cindy Nirmala Putri; Yessiana Luthfia Bahri; Sigit Andriyanto; Etanaulia Marsim
Health Research Journal of Indonesia Vol 4 No 5 (2026): Health Research Journal of Indonesia
Publisher : CV. Wadah Publikasi Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63004/hrji.v4i5.1119

Abstract

Latar Belakang: Pelayanan pendaftaran merupakan tahap awal dalam proses pelayanan kesehatan yang berperan penting dalam membentuk persepsi serta tingkat kepuasan pasien. Tujuan:Penelitian ini bertujuan untuk  mengetahui faktor-faktor yang memengaruhi kepuasan pasien terhadap pelayanan pendaftaran berdasarkan lima dimensi kualitas pelayanan (SERVQUAL), yaitu tangibles, reliability, responsiveness, assurance, dan empathy. Metode penelitian:Penelitian ini menggunakan desain kuantitatif dengan pendekatan survei analitik dan rancangan cross sectional. Populasi adalah seluruh pasien yang melakukan pendaftaran di UPTD Puskesmas Karangrejo dengan sampel sebanyak 93 responden yang dipilih menggunakan teknik simple random sampling. Pengumpulan data dilakukan melalui kuesioner dan dianalisis menggunakan uji Chi Square. Hasil:Penelitian menunjukkan bahwa dimensi  tangibles didapatkan nilai OR 5,17(CI 95% 2,12-12,61) p=0,001.Dimensi  reliability  didapatkan nilai OR 14,66(CI 95% 5,32-40.39).Dimensi  responsiveness  didapatkan nilai OR 13,66(CI 95% 4,99-37,41) p=0,001.Dimensi  Assurance  didapatkan nilai OR 18,00(CI 95% 6,28-51,52) p=0,001.Dimensi  Empathy  didapatkan nilai OR 6,59(CI 95% 1,97-22.09) p=0,001.Seluruh dimensi berpengaruh signifikan terhadap tingkat kepuasan pasien. Kesimpulan dan saran:Dimensi empathy dan responsiveness terbukti menjadi faktor yang paling dominan dalam memengaruhi kepuasan pasien. Hal ini mengindikasikan bahwa sikap ramah, perhatian, kesigapan, serta kemampuan petugas dalam merespons kebutuhan pasien secara cepat dan tepat merupakan aspek yang paling menentukan dalam membentuk kepuasan pasien. Oleh karena itu, peningkatan mutu pelayanan yang berfokus pada penguatan sikap empati dan daya tanggap petugas sangat diperlukan guna mencapai standar kepuasan pasien sesuai ketentuan nasional (>90%).
Validity and Reliability of A Wound Suturing Training Tool Perception Questionnaire in Nursing Education Sulistia Nur; Hartanto Prawibowo; Etanaulia Marsim; Riki Ukhtul Fitri
Indonesian Journal of Global Health Research Vol. 7 No. 6 (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.v7i6.286

Abstract

The use of simulation-based training tools such as suture pads is essential in improving clinical skills among nursing students and professionals. To evaluate their effectiveness, a valid and reliable assessment instrument is required. This study aimed to examine the validity and reliability of a questionnaire designed to assess nurses' perceptions of a wound suturing training tool (suture pad) that simulates human skin characteristics. A descriptive quantitative study was conducted involving 100 nurses, with 50 participants from RSUD Ahmad Yani Metro and 50 from RS Mutiara Hati Pringsewu. The questionnaire consisted of 16 items across four domains: physical and sensory aspects, ease and comfort of use, effectiveness and benefits, and general satisfaction. Validity was tested using Pearson Product-Moment correlation with a significance level of 5% (R table = 0.1946), while reliability was measured using Cronbach’s Alpha. The analysis results showed that 14 out of 16 questionnaire items had R calculated values greater than the R table and significance values less than 0.05, indicating that they were valid. Two items (numbers 14 and 15) were found to be invalid as they did not meet these criteria. The Cronbach’s Alpha value demonstrated a high level of internal consistency, indicating that the questionnaire had good reliability. The developed questionnaire is both valid and reliable for measuring perceptions of suture pad usage in clinical skill training. It can serve as an effective evaluation tool to support the development and refinement of simulation-based learning in nursing education.