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HUBUNGAN UMUR, BEBAN KERJA DAN POSISI DUDUK SAAT BEKERJA DENGAN KELUHAN NYERI PUNGGUNG PADA PENGEMUDI ANGKUTAN KOTA DI KABUPATEN WONOSOBO JAWA TENGAH Fitriningsih, .; Hariyono, Widodo
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 5, No 2 (2011): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/kesmas.v5i2.1076

Background: Wonosobo station lies in Wonosobo Regency, Central Java, Association of Driver of Wonosobo-Sawangan City Transportation (PERKASA) is an organization which serve the transportation needs of Wonosobo people. It has 80 buses with 60 drivers. Method: this study is an analytic observational study with a cross sectional design on drivers of city transportation in Wonosobo. The study aims to identifying the relationship between the age, working load, and sitting position when having a job and complain on back. The applied instrument is a checklist based on the adoption from Nilamsari?s study with 33 respondents who meet the inclusive criteria. Result: most the age of drivers in the risk category of positive backache, 17 people (51.5%). While the age of drivers without the risk of negative backache is 5 people (15.3%). The respondents? working load in the light category with negative backache is 14 people (42.4) and with positive backache are 17 people (51.5%. The sitting position of the respondent in the unsuitable category with the negative backache is 12 people (36%) and with the positive backache are 18 people (45.5%). While the sitting position of respondents is less suitable with negative backache is 3 people (9.1%) and nobody feel positive backache. Conclusion: There is a relationship in the year between age and sitting position when having a job with complain of backache in driver relationship city transportation in the year 2010. Keyword: age, working load, sitting position and load back.

ANALISIS KESIAPAN MENGHADAPI AKREDITASI PADA PELAYANAN ADMINISTRASI DAN MANAJEMEN DI RUMAH SAKIT UMUM RAJAWALI CITRA KABUPATEN BANTUL (TELAAH PEMBANDING PADA AKREDITASI RUMAH SAKIT BIDANG PELAYANAN K3B) Hariyono, Widodo
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 7, No 2 (2013): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

ABSTRAKÂ Â Â Â Â Â Â Â Â Â Â Akreditasi rumah sakit bidang pelayanan Keselamatan Kerja, Kebakaran, dan Kewaspadaan Bencana (K3B), dalam persiapannya lebih sulit, daripada bidang pelayanan yang lain, sebab aspek yang dikerjakan sangat kompleks. Di Indonesia, kesiapan sumberdaya manusia, fasilitas, dan dokumentasi yang dimiliki berbagai rumah sakit, belum memadai, sehingga menjadi beban kerja bagi para staf rumah sakit. Bardasarkan pengalaman sebagai pelatih dan konsultan Keselamatan dan Kesehatan Kerja (K3) rumah sakit, persiapan akreditasi pada beberapa rumah sakit di Indonesia tidak standar, baik pada âproses dan objektifitas hasilâ dalam akreditasi bidang pelayanan K3B. Kelulusan akreditasi K3B baru sebatas syarat formal bagi rumah sakit.Kata kunci: akreditasi rumah sakit, Keselamatan dan Kesehatan Kerja (K3), persiapan, Indonesia.Â ABSTRACTÂ Â Â Â Â Â Â Â Â Â Â Hospital accreditation at Occupational Safety, Burning, and Disaster Alertness (called K3B) field, in its preparation more difficult than another fields, because it have complex aspects. In Indonesia hospitals, preparation at human resources, facilities, and documentation were not adequate, so that became workload to hospital workers. Based to experiences as coach and consultant of hospital Occupational Safety and Health (OSH), accreditation preparation at many hospitals in Indonesia were not standard âin process and result objectivityâ for K3B field. The passing of K3B accreditation only limit of formally rules of hospital.Keywords: hospital accreditation, occupational safety and health, preparation, Indonesia.

HUBUNGAN SHIFT KERJA DENGAN STRES KERJA PADA KARYAWAN BAGIAN OPERATION PT. NEWMONT NUSA TENGGARA DI KABUPATEN SUMBAWA BARAT Firmana, Andri; Hariyono, Widodo
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 5, No 1 (2011): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: Work shift is one of major source of job stress for workers that affect the biological, psychological and social life. Stress can happen in a short notice, but also can happen in a long moment. The excessive stress to threaten a persons ability to cope with the environment. The objective of this study is to determine the relationship shifts with work stress on the operation of PT. Newmont Nusa Tenggara in West Sumbawa regency. Method: This was an observational research with cross sectional design. The population of this study consists of 250 employees of the operation crew A of PT. Newmont Nusa Tenggara. The research sample is some staff the operation crew of A PT. Newmont Nusa Tenggara. The sampling used is proportionate with stratified random sampling technique. The sample takes 71 people. Analysis of descriptive data using frequency distribution tables and analytically to determine the relationship between two variables with bivariate data analysis, chi-square test. Result: The results showed a significant relationship between work shift and work stress with chi square value of 5.329 compared with T-score tables 3, 841 on df = 1 at ? = 5 percent (0.05) and prevalence ratio (RP) = 2065 (95% CI = 1.093-3.89), so that Ho refused and Ha accepted. Conclusion: : Independent variables studied (work shift) has a significant relationship to job stress. Keywords: Work shift, Work stress

HUBUNGAN ANTARA DUKUNGAN KELUARGA DENGAN KEINGINAN UNTUK SEMBUH PADA PENYALAHGUNA NAPZA DI LEMBAGA PEMASYARAKATAN WIROGUNAN KOTA YOGYAKARTA Isnaini, Yulia; Hariyono, Widodo; Utami, Isti ken
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 5, No 2 (2011): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: The growth and developed hospital should be effectively and efficiency managed. This fact should be carried out in order to face strict competitions in the health world. The hospital can survive in facing the existing competitions by counting the previous hospital fee and using fee account model competitively. In PKU Muhammadiyah Unit I Yogyakarta, Set of Essential Services (SES) of caesarea operation fee, class III, and cost sharing between the hospital and the goverment are different. In this study, the researcher only counts caesarea operation fee for re-use in order to create low cost sharing. Up till now, the hospital party never counts those existing differences. This case will lead them to get a financial loss. By having this fact, the researcher was eager to know about cost sharing analysis of caesarea operation fee account, class III, in PKU Muhammadiyah Unit I Yogyakarta.Methode: This was qualitative descriptive research which analyses the exact fee by using real cost method to know the difference of patient?s fee toward the real fee in the hospital. Bisides that, interview method was applied to know the head of finance and Central Surgeon Installation (CSI) workers opinion.Resulth: The result of Set of Essential Services (SES) fee of health insurance? toward caesarea operation was Rp 1.230.429, caesarea operation fee by using real cost method was Rp 3.764.388, in fact, the exact fee from RS PKU Muhammadiyah Unit I Yogyakarta was Rp 4.705.388. In conclusion, the final results were the difference of Set of Essential Services (SES) fee of health insurance between real cost was Rp 2.533.959 and the difference of Set of Essential Services (SES) fee of health insurance? between the exact hospital costs was Rp 3.475.056.Conclusion: The researcher has concluded that set of costs which is based on unit cost was higher that hospital cost recently. The highest cost was given for buying medicines and temporary materials. The hospital party has to decide the best strategy to reduce those differences.Key words: cost sharing, real cost method, Set of Essential Services (SES) of caesarea operation fee, class III.

HUBUNGAN ANTARA BEBAN KERJA DENGAN KELELAHAN KERJA KARYAWAN LAUNDRY DI KELURAHAN WARUNGBOTO KECAMATAN UMBULHARJO KOTA YOGYAKARTA MZ, Murleni Wati; Hariyono, Widodo
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 5, No 3 (2011): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: A problem which related with ergonomy factor commonly caused by conformity between the worker with occupation circles completely include occupation tools and the energy need or the amount of calori which used by the worker. Light in weight occupation which must be done by a worker will depend on changes indication appear and can be measured by measuring human part of body such as the rapid artery beat. The kind of measuring done for knowing how big the physical load accepted by the worker so that cause weariness. This experiment as a purpose to know the relation between the occupation weariness of the laundry workers in Kelurahan Warungboto Kecamatan Umbulharjo Yogyakarta City.Method: The kind of this experiment is observational analytic with study program Cross Sectional. The data interpretation done by measuring of artery beat on wrist (radical artery) to see the respondent occupation load and measuring weariness by Reaction timer tool.Result: From the test result statistic, so respondent there are relation between occupation load with occupation weariness Laundry worker in Kelurahan Warungboto Kecamatan Umbulharjo Yogyakarta city statistically mean (Sig-2 tailed 0,0000). Ho which states is no relationship between load with occupation weariness of the laundry worker rejected Ha which states there is relationship between load with occupation weariness of the laundry worker accepted.Conclusion: There are relation that mean between occupation load with occupation weariness of the laundry worker in Kelurahan Warungboto Kecamatan Umbulharjo Yogyakarta city.Keyword: Occupation load, Artery beat, Occupation weariness and Reaction timer.

HUBUNGAN TINGKAT PENGETAHUAN PERAWAT DENGAN PENERAPAN UNIVERSAL PRECAUTION PADA PERAWAT DI BANGSAL RAWAT INAP RUMAH SAKIT PKU MUHAMMADIYAH YOGYAKARTA Yulianti, .; Rosyidah, .; Hariyono, Widodo
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 5, No 2 (2011): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: Universal Precaution is common caution which is nursing must be obeyed by nurse or medical labor in doing every nursing action towards the patient to protect from some of infection material. The nurses knowledge about the universal precaution is needed to be high on guard towards spreading disease. This research purposes to know the relation between nurses knowledge in application universal precaution in PKU Muhammadiyah Yogyakarta hospital. Method: This was an observational analytic with research using cross sectional approach. The population in this research is the nurse in patient II and III classes amounted to 34 nurses. The sample taken by total sampling technique is number of 34 nurses. The data of research is taken by observation and spreading question and processed by using the chi square test. Result: The degree of nurses knowledge in hospital categorize high amounted to be 26 nurses by percentage of 76,47 %. (1) the degree of nurses knowledge in application wash hand to the nurse categorize good amounted by percentage of 79,41%, gotten the score p= 0,019, it means that there is a significant relation between the degree of nurses knowledge with the application of wash hand to the nurse in hospitalized ward of PKU Muhammadiyah Yogyakarta hospital (2) the degree of nurses knowledge with application of antiseptic use and the disinfectant to the nurse categorize good amounted by percentage of 82,35%, gotten the score p= 0,006, it means that there is a significant relation between the degree of nurses knowledge with the application of antiseptic use and the disinfectant to the nurse in PKU Muhammadiyah Yogyakarta hospital. (3) The degree of nurses knowledge with the application the use of self protector to the nurse categorize good amounted by percentage of 85,29%, gotten the score p= 0,037, means that there is a significant relation between the degree of nurses knowledge with application of self protector use to the nurse in the PKU Muhammadiyah Yogyakarta hospital. (4) the degree of nurses knowledge with the application the discharge of medical rubbish to the nurse categorize good amounted by percentage of 85,29%, gotten the score p= 0,001, means there is a significant relation between the degree of nurses knowledge with the application of medical rubbish discharge to the nurse in PKU Muhammadiyah Yogyakarta hospital. Conclusion: There was a significant relationship between the degree of nurses knowledge with application universal precaution to the nurse in patient in PKU Muhammadiyah Yogyakarta hospital. Key word: the nurse, the degree of knowledge, nosocomial infection, universal precaution

KEBIJAKAN PENGISIAN DIAGNOSIS UTAMA DAN KEAKURATAN KODE DIAGNOSIS PADA REKAM MEDIS DI RUMAH SAKIT PKU MUHAMMADIYAH YOGYAKARTA Rohman, Hendra; Hariyono, Widodo; Rosyidah, .
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 5, No 2 (2011): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: Policy about manage medical record had managed the system for reach order administration and improvement health services to show quality of hospital. New policy from Permenkes No.269/MENKES/PER/III/2008 make influence in this hospital policy because some policy using old government policy. At previously research, implementation that policy had many problem with some factor problem to fill in the main diagnose and the accurate code diagnose. The purpose of research is to know the policy to fill in the main diagnose and the accurate diagnose code at medical record in PKU Muhammadiyah hospital Yogyakarta. Method: This was non experiment research, this is deskriptif kualitatif and kuantitatif data as supporting to explain. The subject of research was internis, head of medical record, coder and documents medical record patient treatment internal disease at November 2008. Technique sampling for doctor internal disease, head of medical record, and coder was purposive sampling. But Technique sampling for documents medical record was simple random sampling. Kualitatif data tested validity with triangulasi. While for kuantitatif data the accurate diagnose code check using ICD-10. Result: The result of triangulasi identificated some factor problem to fill in the main diagnose and the accurate code diagnose. There is completeness documents medical record, busy, forget, lazy, not discipline, over burden work, patient APS, new terminology, difference perception, tools not support. The other policy most supporting that activity policy. Percentace to fill diagnose in the main diagnose from analyze 161 documents medical record is 71 (43,48%) to fill in and 91 (56,52%) not fill in. While the accurate code diagnose, from analyze 161 documents medical record have 237 code diagnose and 192 (81,01%) is accurate and 44 (18,99%) is not accurate. Conclusion: The policy most important for manage activity and communication between staff most supporting to result of policy implementation. Some factor problem can be overcome if all staff aware that policy is important and put into effect. Key word: Policy, Diagnose, Diagnose Code, Medical Record

HUBUNGAN ANTARA TINGKAT PENGETAHUAN, STATUS EKONOMI DAN KEBIASAAN MEROKOK DENGAN KEJADIAN TUBERKULOSIS PARU PADA ORANG DEWASA DI WILAYAH KERJA PUSKESMAS TUAN-TUAN KABUPATEN KETAPANG KALIMANTAN BARAT Setiarni, Sri Marisya; Sutomo, Adi Heru; Hariyono, Widodo
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 5, No 3 (2011): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: Lung tuberculosis still be the health public problem at developing countries whole the world. Indonesia occupies sequence to 3 in world in the tuberculosis case after Chinese and India. Lung tuberculosis is also one of health public problem in Kabupaten Ketapang especially in Puskesmas Tuan-Tuan region. Problem causing of lung tuberculosis disease in this Puskesmas Tuan-Tuan hardly multi factor like still low public economics social level, the height of smoking habit level and the lack of knowledge about lung tuberculosis. The aim of this research find out the relationship between knowledge level, economic status and smoking habit with lung tuberculosis case at adult in Puskesmas Tuan-Tuan Kabupaten Ketapang Kalimantan Barat region. Method: This research was observational research using cross sectional design. There was 84 respondent. Data analysis conduct by frequency distribution, bivariate analysis applies Chi Square and multivariate analysis with logistics regression. Result: Result of this research indicates that from the variable knowledge level, economic status and smoking habit show there are relationship with lung tuberculosis case at adult in Puskesmas Tuan-Tuan Ketapang region which are knowledge level (p=0,026; RR=1,857; CI: 1,062-3,446) and smoking habit (p=0,011; RR=2,407; CI: 1,118-5,186). From the result of multivariate analysis variable that is most dominant related lung tuberculosis case at adult in Puskesmas Tuan-Tuan Ketapang region is smoking habit with significant value 0,012. Conclusion: Statistically, there was relationship between knowledge level and smoking habit with lung tuberculosis case at adult in Puskesmas Tuan-Tuan Ketapang region. There is no relationship between economic status with lung tuberculosis case at adult in Puskesmas Tuan-Tuan Ketapang region. The most dominant variable that is related to lung tuberculosis case at adult in Puskesmas Tuan-Tuan Ketapang region is smoking habit. Keyword: knowledge, economics status, smoking habit, lung tuberculosis at adult.

PENERAPAN KESELAMATAN DAN KESEHATAN KERJA PADA CV. CIPTA MANDIRI DI KABUPATEN KENDAL Setiawan, Muhammad Nanang; Hariyono, Widodo; Mulasari, Surahma Asti
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 5, No 2 (2011): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/kesmas.v5i2.1078

Background: the realization management health and occupational very important to a company. In the CV Cipta Mandiri still occured job accident that can damage employee although facilities that available. As long as CV Cipta Mandiri has perform management system safety and health occupational until necessary does evaluation of realization system. Method: this research constitute of descriptive research with planning cross sectional. The collect of data with does analysis direct on field and interview going deep to researce person. Result : the facilities of work is good, but it need completed wirh maintanance for good function. The company have comitment for does management system safety and job safety program for prevent occupational accident, such as training and counseling. Generally, realization of apply safety and system can run well. Conclusion: the management system of safety and healthy job includes having good facilities. Comitment of the company and the program of preventing accident in a job has been run well, but there must be luck in other aspect that must be improved. Keywords: health, occupational, safety, implementation

HUBUNGAN MASA KERJA DENGAN KAPASITAS VITAL PARU OPERATOR EMPAT STASIUN PENGISIAN BAHAN BAKAR UMUM (SPBU) KOTA YOGYAKARTA Setiawan, Irvan; Hariyono, Widodo
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 5, No 3 (2011): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: Motor vehicles contributed almost 100 percent plumbum, 70,5 percent of carbon monoxide, 8,89 percent oxide nitrogen, 18,34 percent hydro carbon and 1,33 percent particles. Many pollutants would cause bad effect especially to respiratory system. Air pollution in Yogyakarta city, were above norml threshold of air qualiy standards. One point area with with high air pollutionis in SPBU. The officers also had high risk to exposed danger chemicals especially plumbum by gaso-line and gas emissions of motor vehicle that waiting queue refueling or vehicle departing after refu-eling. The longer someone worked so the more he has exosed the danger that generated by work environment. The purpose of this study was to determine the relation between work period with lung vital capacity operator in four public refueling stations Yogyakarta city.Â Methods: this study was analytic observational with kuantitatif methods. Design used cross sctonl. The sample of this study were operator four public refueling stations amount 43 persons. The measurements of lung vital capacity used electric spirometer and themeasure of work period used questionnaire. Data analsys used univariate and bivariate.Â Result: there was a significant relation between work period with lung vital capacity operator in four public refueling Yogyakarta city with significancy value (p) amount 0,018 with p=0,018,<?=005, so Ho which states there is no relationship between work periods with lung vital capacity in four public refueling stations rejected. Ha which states there is relationship between work periods with lung vtal capacity I four public refueling stations acceptedÂ Conclusion: work periods had significant relation to lung vital capacity operator in four public sta-tions in yyogyakarta city. Keywords: work periode, lung vital capacity, public refueling station operator

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