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THE IMPLEMENTATION OF OCCUPATIONAL HEALTH AND SAFETY MANAGEMENT SYSTEM (SMK3) ON NURSES' PERFORMANCE IN THE OPERATING ROOM SIDOWARAS HOSPITAL MOJOKERTO Diana, Sulis; Hidayat, Arif
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol. 8 No. 3 (2024): VOLUME 8 ISSUE 3 DECEMBER 2024
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2024/Vol8/Iss3/645

Abstract

K3 maintains the safety of nurses in every health service facility to carry out their performance and maintain the safety of recipients or users of health services. Purpose of the study: to determine the effect of the implementation of SMK3 on the performance of nurses in the operating room of Sidowaras Hospital, Mojokerto Regency. This study uses a quantitative method using an analytical observational research design with a cross-sectional approach.. PopulationIn this study, all employees of the Sidwaras Hospital operating room, totaling 45 nurses, were involved and a sample of 35 respondents was obtained.Questionnaire data collection technique. Kthen tested using the Chi-Square Test and Logistic Regression Test. Results :The results of the study show that 0.005 <0.05 means that there is an influence between occupational health and performance. And 031 <0.05 means that there is an influence between occupational safety and performance. Occupational safety has a sig wald value of 0.955> 0.05 which means that occupational safety does not provide a significant partial influence on performance. Occupational health has a sig Wald value of 0.031> 0.05 which means that occupational health does not provide a significant partial influence on performance. Conclusion and suggestions:Hospitals are expected to continue to pay attention to and improve the implementation of the occupational safety management system. They need to provide facilities and infrastructure for occupational safety in each work unit, especially operating rooms, to reduce the risk of work accidents
Analysis Of Factors Affecting Stunting In Toddlers Iskhak, Muhamad; Diana, Sulis; Anggreni, Dhonna; Wari, Fitria Edni
JKM (Jurnal Kebidanan Malahayati) Vol 11, No 9 (2025): Volume 11 Nomor 9 September 2025
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v11i9.22176

Abstract

Latar Belakang: Stunting pada balita memerlukan perhatian khusus karena menghambat perkembangan fisik dan mental anak, yang secara tidak langsung terkait dengan risiko penyakit dan kematian.Tujuan: Tujuan penelitian ini adalah menganalisis faktor-faktor yang mempengaruhi insidensi stunting pada balita di wilayah kerja Puskesmas Klenang, Kabupaten Probolinggo.Metode: Studi ini menggunakan desain kasus-kontrol kuantitatif. Variabel independen meliputi faktor individu (Berat Badan Lahir Rendah (BBLR), riwayat ASI eksklusif, penyakit menular pada balita, status imunisasi), faktor ibu (status gizi ibu, usia ibu saat hamil, paritas, jarak kelahiran), dan faktor lingkungan (sumber air bersih, akses ke toilet). Variabel dependen dalam penelitian ini adalah insidensi stunting. Populasi penelitian meliputi 359 ibu dan balita di wilayah kerja Puskesmas Cakar, Kecamatan Banyuanyar, Kabupaten Probolinggo. Pengambilan sampel dilakukan dengan metode proportional random sampling, menggunakan kuesioner sebagai instrumen. Analisis menggunakan uji regresi logistik.Hasil: Sebagian besar balita dengan Berat Badan Lahir Rendah (BBLR) mengalami stunting, 44 (52,4%). 71 (84,5%) di antaranya diberikan ASI eksklusif. 83 (98,8%) balita stunting tidak menderita penyakit menular. 73 (86,9%) balita stunting telah mendapatkan imunisasi lengkap. Berat Badan Lahir Rendah (BBLR) (nilai P 0,000 < 0,05), pemberian ASI eksklusif (nilai P 0,017 < 0,05), dan status imunisasi (nilai P 0,046 < 0,05) secara signifikan mempengaruhi stunting. Status penyakit menular (P-value 0,556 < 0,05) tidak mempengaruhi stunting.Kesimpulan: Berat Badan Lahir Rendah (BBLR) merupakan faktor dominan yang mempengaruhi stunting akibat asupan nutrisi yang tidak memadai selama kehamilan dan riwayat berat badan lahir rendah.Saran: Tenaga kesehatan harus meningkatkan pendidikan dan konseling bagi ibu hamil, ibu balita, dan calon orang tua tentang stunting, gizi, pengasuhan anak, dan pencegahan penyakit menular, melalui posyandu terpadu, kader kesehatan, dan media digital. Kata kunci: Faktor ibu, faktor individu, faktor lingkungan, stunting ABSTRACT Background: Toddler stunting requires special attention because it inhibits the physical and mental development of children which will indirectly be related to the risk of illness and death.Objective: The purpose of the study: to analyze the factors that influence the incidence of stunting in toddlers in the working area of the Klenang Health Center, Probolinggo Regency.Method: This study used a quantitative case-control design. The independent variables were individual factors (LBW, history of exclusive breastfeeding, toddler infectious diseases, immunization status), maternal factors (maternal nutritional status, maternal age during pregnancy, parity, birth spacing), and environmental factors (source of clean water, access to toilets). The dependent variable in this study was the incidence of stunting. The population was all 359 mothers and toddlers in the Cakar Community Health Center work area, Banyuanyar District, Probolinggo Regency. Proportional random sampling was used, with a questionnaire as the instrument. Analysis used a logistic regression test.Results: The majority of toddlers with LBW experienced stunting, 44 (52.4%). 71 (84.5%) were exclusively breastfed. 83 (98.8%) of the stunted toddlers did not have infectious diseases. 73 (86.9%) of the stunted toddlers had complete immunizations. Low birth weight (LBW) (P-value 0.000 < 0.05), exclusive breastfeeding (P-value 0.017 < 0.05), and immunization status (P-value 0.046 < 0.05) significantly affected stunting. Infectious disease status (P-value 0.556 < 0.05) did not influence stunting.Conclusion: Low birth weight (LBW) is the most dominant factor influencing stunting due to inadequate nutritional intake during pregnancy and a history of low birth weight.Suggestion: Health workers should increase education and counseling for pregnant women, mothers of toddlers, and expectant parents about stunting, nutrition, parenting, and infectious disease prevention, through integrated health posts (Posyandu), health cadres, and digital media. Keywords: Environmental factors, individual factors, maternal factors, stunting
Factor-Factor What Influences Open Defecation Behavior Meutia, Reni; Diana, Sulis; Alamudi, Yusuf; Wari, Fitria Edni
JKM (Jurnal Kebidanan Malahayati) Vol 11, No 9 (2025): Volume 11 Nomor 9 September 2025
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v11i9.21794

Abstract

Latar Belakang: Buang Air Besar Sembarangan (BASS) merupakan masalah kesehatan lingkungan yang masih umum terjadi di Indonesia dan berdampak pada penyebaran penyakit menular, terutama diare.Tujuan: Studi ini bertujuan untuk menganalisis faktor-faktor yang mempengaruhi Perilaku Buang Air Besar Sembarangan di Desa Tegalrejo, Kecamatan Dringu, Kabupaten Probolinggo.Metode: Studi ini menggunakan desain analitis observasional dengan pendekatan cross-sectional, melibatkan 1.015 rumah tangga di Desa Tegalrejo, dengan 225 responden yang dipilih melalui sampling acak proporsional. Data dikumpulkan menggunakan kuesioner terstruktur dan dianalisis melalui uji univariat, bivariat (uji Chi-Square), dan multivariat (regresi logistik).Hasil: Hasil penelitian menunjukkan bahwa variabel yang secara signifikan terkait dengan perilaku Buang Air Besar di tempat terbuka meliputi tingkat pendidikan, pengetahuan, sikap, pekerjaan, usia, pendapatan, kepemilikan jamban, ketersediaan air bersih, peran tenaga kesehatan, dan dukungan dari pemimpin masyarakat. Faktor dominan yang mempengaruhi perilaku Buang Air Besar di tempat terbuka adalah kepemilikan jamban dan tingkat pengetahuan responden.Kesimpulan: Temuan ini menunjukkan pentingnya intervensi berbasis komunitas yang mencakup pendidikan kesehatan lingkungan, peningkatan akses ke sanitasi dasar, dan keterlibatan aktif pemimpin komunitas dan tenaga kesehatan dalam mendukung program Stop BABS menuju pencapaian desa bebas Buang Air Besar Sembarangan (BABS).Saran: Pemerintah daerah dan Dinas Kesehatan perlu meningkatkan intervensi promotif dan preventif dengan memperkuat program Sanitasi Total Berbasis Masyarakat (STBM), khususnya pilar pertama (Stop Buang Air Besar Sembarangan). Pendekatan berbasis komunitas dan keterlibatan lintas sektor perlu diperluas untuk meningkatkan akses ke toilet yang sehat. Kata kunci: Buang Air Besar Sembarangan (BABS), Kepemilikan Toilet, Pengetahuan, Perilaku, Sanitasi. ABSTRACT Background:Open Defecation is an environmental health problem that is still common in Indonesia and has an impact on the spread of infectious diseases, especially diarrhea.Objective:This study aims to analyze the factors that influence open defecation behavior in Tegalrejo Village, Dringu District, Probolinggo Regency.Method:This study employed an observational analytical design with a cross-sectional approach, involving 1,015 households in Tegalrejo Village, resulting in 225 respondents selected through proportional random sampling. Data were collected using a structured questionnaire and analyzed through univariate, bivariate (Chi-Square test), and multivariate (logistic regression) tests.Results:The results of the study showed that variables significantly associated with defecation behavior included education level, knowledge, attitude, occupation, age, income, latrine ownership, clean water availability, the role of health workers, and support from community leaders. The dominant factors influencing defecation behavior were latrine ownership and respondents' level of knowledge.Conclusion:These findings indicate the importance of community-based interventions that include environmental health education, increasing access to basic sanitation, and actively involving community leaders and health workers in supporting the Stop BABS program towards achieving Open Defecation Free (ODF) villages.Suggestion:Regional governments and the Health Department should increase promotive and preventive interventions by strengthening the STBM program, particularly the first pillar (Stop Open Defecation). Community-based approaches and cross-sectoral engagement need to be expanded to increase access to healthy latrines. Keywords: Behavior, Knowledge, Open Defecation, Sanitation, Toilet Ownership
PENGENALAN SAYUR DAN BUAH DALAM EDUKASI PERMAINAN PUZZLE SEBAGAI UPAYA PENCEGAHAN STUNTING DALAM MEMENUHI GIZI ANAK CITRA ADITYARINI SAFITRI; NURUN AYATI KHASANAH; FERILIA ADIESTI; SULIS DIANA
JURNAL PENGABDIAN MASYARAKAT KESEHATAN (ABDIMAKES) Vol 3 No 2 (2023): Jurnal Pengabdian Masyarakat Kesehatan (ABDIMAKES)
Publisher : Jurnal Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55316/amk.v3i2.963

Abstract

ABSTRAK: Stunting dapat terjadi karena kurangnya asupan gizi yang dikonsumsi dari sejak ibu hamil hingga 1000 hari pertama sejak bayi lahir. Karena masalah ini dapat menyebabkan gangguan ireversibel terhadap perkembangan fisik dan gangguan kapasitas kognitif pada anak. Selain itu, masalah stunting juga beresiko terkena penyakit jantung, tekanan darah tinggi dan obesitas. Masalah stunting terjadi karena kurang pahamnya ibu untuk memberikan keragaman menu pada anak. Keragaman pangan adalah salah satu indikator yang menentukan kualitas makanan. Semakin beraneka ragam konsumsi jenis pangan maka status gizi anak juga semakin baik. Metode dilakukan adalah berupa pengenalan buah dan sayur dengan permainan puzzle selanjutnya diputarkan video macam- macam buah dan macam- macam sayur. Kegiatan yang dilaksanakan selama 1 hari dapat meningkatkan pemahaman anak tentang macam buah dan sayur dan bisa dengan cepat menyebutkan macam- macam buah dan sayur. ABSTRACT: Stunting can occur due to a lack of nutritional intake consumed from the time the mother is pregnant until the first 1000 days after the baby is born. Because this problem can cause irreversible impairment of physical development and impaired cognitive capacity in children. In addition, the problem of stunting is also at risk of heart disease, high blood pressure and obesity. The stunting problem occurs because of the lack of understanding of mothers to provide menu diversity to children. Food diversity is one of the indicators that determine food quality. The more diverse the consumption of food types, the better the nutritional status of children. The method used was the introduction of fruits and vegetables with a puzzle game and then a video of various kinds of fruits and vegetables was played. Activities carried out for 1 day can increase children's understanding of the kinds of fruits and vegetables and can quickly mention the kinds of fruits and vegetables
Delay to Attendance for Elective Surgery: Analysis of Individual and Organizational Factors at Hospital Islam Sakinah Mojokerto Sulis Diana; Roisul Umam; Dhonna Anggreni; Fitria Edni Wari
Journal Of Nursing Practice Vol. 7 No. 2 (2024): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v7i2.461

Abstract

Background: Poor service quality will cause waste of time and resources, increase errors in service implementation and the risk of other. Purpose: The Purpose of this study was to examine the influence of individual and organizational factors  on the delay in the presence of doctors and nurses in elective surgery. Method: This research is quantitative, sample is 49 nurses and doctors. An instrument for obtaining data from questionnaires. The independent variables are individual factors and organizational factors, the dependent variable is late attendance. Place of research: Sakinah Islamic Hospital in Mojokerto, statistical test using logistic regression. Results: The results of the study obtained the results of individual factors, namely attitudes and personality that influenced the delay in the presence of doctors and nurses in elective surgery. The factors of understanding of instructions, quality of interaction, confidence, personal responsibility, and closeness of authority figures do not affect the delay in the presence of doctors and nurses in elective surgery. Organizational factors in the form of location status affect the delay in the presence of doctors and nurses in elective surgery while other factors, namely supervision, peer support, legitimacy of authority figures, and authority figure status do not affect the delay in the presence of doctors and nurses in elective surgery. Conclusion: Individual factors, namely attitudes, and personality, affect the delay in the presence of doctors and nurses in elective surgery. Organizational factors in the form of location status affect the delay in the presence of doctors and nurses in elective surgery.
Health Seeking Behavior Pengobatan Akupuntur Pasien Penyakit Degeneratif Berbasis Health Belief Model Theory Abdullah, Ikhwan; Diana, Sulis; Anggreni, Dhonna
MAHESA : Malahayati Health Student Journal Vol 5, No 5 (2025): Volume 5 Nomor 5 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i5.17435

Abstract

ABSTRACT Degenerative diseases are currently becoming a global problem, including in Indonesia. The results interviews at 5 patients with degenerative diseases that 3 people (60%) had positive health seeking behavior (HSB) by seeking treatment directly to health workers, combining non-pharmacological acupuncture; 2 people (40%) had HSB negative without seeking treatment to health provider, buying various types of drugs at pharmacies. To determine the HSB of Acupuncture Treatment for Patients with Degenerative Diseases Based on the Theory of the HBM. Observational with a cross sectional, the population were all degenerative patients who came to Balai Kesehatan Tradisional Sehat Harmoni Indonesia Malang City with an estimated 3-month of 145 people, sample were 107 people, consecutive sampling, questionnaire instruments, patient medical records, observation sheets, multiple logistic regression data analysis with SPSS. Socioeconomic, knowledge level have an indirect effect on the HSB pattern. through threat beliefs, benefit beliefs; the level of knowledge affects threat beliefs 4.131 times and socioeconomic 0.236 times; knowledge level affected 2,641 times of benefit beliefs, the benefit beliefs affected the compliance of the HSB pattern of acupuncture 8,118 times, and the self-efficacy 7,033 times. Cues to action in the form of professionalism of therapists, where health services have a good image 3,132 times the opportunity to influence HSB compliance with acupuncture treatment. Socioeconomic status and knowledge level only affects threat and benefit beliefs, and health seeking behavior patterns are only influenced by benefit beliefs, self-efficacy and cues to action. Keywords: Health Belief Model Theory, Health Seeking Behavior, Acupuncture, Degenerative Disease  ABSTRAK Penyakit degeneratif saat ini sedang menjadi permasalahan global termasuk di Indonesia. Hasil wawancara 5 orang pasien penderita penyakit degeneratif bahwa 3 orang (60%) memiliki health seeking behavior (HSB) positif dengan mencari pengobatan langsung ke petugas kesehatan, mengkombinasi non farmakologi akupunktur; 2 orang (40%) memiliki HSB  negatif tanpa melakukan tindakan pencarian pengobatan ke tenaga medis, membeli berbagai jenis obat di apotik.  Mengetahui Health Seeking Behavior Pengobatan Akupunktur Pasien Penyakit Degeneratif Berbasis Teori Health Belief Model. Observasional dengan pendekatan cross sectional, populasi seluruh pasien degeneratif yang datang ke Balai Kesehatan Tradisional Sehat Harmoni Indonesia Kota Malang dengan estimasi pasien 3 bulan yaitu 145 orang, sampel 107 orang, teknik consecutive sampling, instrument kuesioner, rekam medis pasien, lembar observasi, analisis data regresi logistik berganda dengan SPSS. Status sosial ekonomi dan tingkat pengetahuan berpengaruh secara tidak langsung terhadap pola HSB. melalui keyakinan ancaman dan keyakinan manfaat, Tingkat pengetahuan mempengaruhi keyakinan ancaman 4,131 kali dan status sosial ekonomi 0,236 kali; tingkat pengetahuan mempengaruhi 2,641 kali keyakinan manfaat, keyakinan manfaat responden mempengaruhi kepatuhan pola HSBakupuntur 8,118 kali, self efficacy sebesar 7,033 kali. Cues to action berupa professionalisme petugas terapis, tempat pelayanan kesehatan memiliki image yang baik dengan peluang sebanyak 3,132 kali mempengaruhi kepatuhan HSB pengobatan akupunktur pasien penyakit degeneratif. Status sosial ekonomi dan tingkat pengetahuan hanya mempengaruhi keyakinan ancaman dan manfaat, dan pola health seeking behavior hanya dipengaruhi oleh keyakinan manfaat, self efficacy dan cues to action. Kata Kunci: Health Belief Model Theory, Health Seeking Behavior, Akupuntur, Penyakit Degeneratif
EFEKTIFITAS MOBILISASI DINI TERHADAP PENYEMBUHAN LUKA PENYEMBUHAN LUKA PASCA OPERASI SECTIO CESAREA Citra Adityarini Safitri; Sulis Diana; Faradina; Widya Puspitasari
MEDICA MAJAPAHIT Vol 17 No 2 (2025): SEPTEMBER
Publisher : Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55316/mm.v17i2.1157

Abstract

Early mobilization is important for postpartum mothers after normal delivery or Sectio Cesarea. That is two hours after giving birth, at that time a mother must sleep on her back then tilt to the left or right then sit and stand. This study aims to determine the relationship between early mobilization and wound healing after cesarean section surgery at RSU Al Islam H.M Mawardi Krian. This research used a cross-sectional method, with a Systematic Random Sampling technique with a sample size of 70 respondents. Data collection was carried out by filling out a questionnaire created by the researcher and filled in by the respondent. The collected data was processed using statistical tests to be analyzed using the chi square test with (α) 0.05. The results of the study showed that almost all respondents carried out early mobilization which was carried out less than 6 hours after cesarean section surgery as many as 69 people (97.2%) and almost all respondents healed wounds after cesarean section surgery in good criteria as many as 68 people (95.8%). %). The results of the rho rank spearmen correlation analysis test show that the p value is 0.000, meaning there is a relationship between early mobilization and healing of SC Eracs surgical wounds at RSU Al Islam H.M Mawardi Krian. The correlation coefficient value obtained was 0.811, meaning that early mobilization and wound healing after SC surgery were very strong. Early mobilization is related to the healing of surgical wounds so it is hoped that health workers will always provide education and provide care to postpartum mothers after SC surgery to increase motivation in mobilizing after SC surgery.
Digital Family Empowerment through SIMAMIK to Enhance FamilySupport and Maternal Happiness in Disaster-Prone Areas Kartiningrum, Eka Diah; Ginka, Mochammad Ivan Abdillah Putra; Syurandhari, Dwi Helynarti; Dewi, Fany Rosita; Diana, Sulis; Suhartanti, Ika; Fernandes, Angelina da Costa; beastbeast, Thabita; Abdurrahman, Adam
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background : Maternal health in disaster-prone areas is crucial and requires support. The development of digital information systems for maternal health monitoring has been extensively pursued. However, those focused on maternal companions as primary supporters have been limited, particularly in disaster-prone areas. Therefore, it is deemed urgent to develop a digital program to empower families of pregnant and postpartum women through SIMAMIK Objective : This study aims to examine the influence of the SIMAMIK application by maternal companions on the family support felt by mothers, and the happiness of mothers during pregnancy and postpartum in disaster-prone areas Research Methods/ Implementation Methods : The research design used was a time series study, involving a population of all companions of pregnant and postpartum mothers and their companions located within the disaster zone of Mojokerto Regency, with a total population of 16,707. The companions used could be husbands or close family members who accompany the mothers daily. A sample of 108 people was taken using a cluster random sampling system. Data on family support, and maternal well-being were collected through observation and interviews using a questionnaire. The data were then analyzed using Generalized Estimating Equations (GEE) and Generalized Linear Mixed Model (GLMM). Results : The study’s results showed a significant change in family support following the use of SIMAMIK (p-value = 0.001). In the status of maternal happiness, there was a significant difference (p-value = 0.003). SIMAMIK proved to be the most influential in terms of family support. Conclusion/Lesson Learned : SIMAMIK is effective in increasing family attention to pregnant women, providing more regular health reports, and thus making mothers happier. Organized use of SIMAMIK should be a top priority for health facilitators to support maternal health and screen for pregnancy and postpartum complications, which can prevent maternal death
Analysis of Lead (Pb) Levels in Mojokerto, East Java Province Alamudi, Mohammad Yusuf; Sudianto, Henry; Anggraeni, Dhonna; Wardini, Sri; Lestari, Putri; Priyanti, Sari; Diana, Sulis; Mafticha, Elyana; Kartiningrum, Eka Diah; Fardiansyah, Arief
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background : Lead (Pb) is a heavy metal that is carcinogenic and takes a long time to decompose. Heavy metals in the environment can enter the human body through the food chain. Objective : The aim of this study is to analyze Lead (Pb) levels in the Mojokerto environment, East Java Province. Research Methods/ Implementation Methods : The method used was a literature study through a Google search engine search using the keywords lead (Pb) and Mojokerto, followed by analysis using Vosviewer Results : From the results of the research conducted, lead heavy metals were found in humans (hair and nails), aquatic plants, soil and fish. In addition, based on Vosviewer, it was found that the majority were carried out in 2022. Conclusion/Lesson Learned : Further research is needed to update data on lead levels in biotic and abiotic environments.