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All Journal Media Gizi Kesmas
Chatarina Umbul Wahyuni
Department of Epidemiology, Biostatistics, Population Studies, and Health Promotion, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia

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Analisis Alternatif Prioritas Pemecahan Masalah Pencegahan dan Pengendalian Infeksi di Hospital Nacional Guido Valadares Dili Timor-Leste Virgilio Soares; Chatarina Umbul Wahyuni
Media Gizi Kesmas Vol 13 No 2 (2024): MEDIA GIZI KESMAS (DECEMBER 2024)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v13i2.2024.595-607

Abstract

Introduction: Infection prevention and control in hospitals is a practical approach based on real evidence to prevent patients, families and visitors as well as health workers from the risk of infection. Purpose: Purpose of this study was to determine alternative priorities for solving infection prevention and control problems at Hospital Nacional Guido Valadares Dili, Timor Leste. Methods: The method used in this research is qualitative research using interviews and focus group discussions involving 3 key informants consisting of the Executive Director, Clinical Director and Director of nursing and midwifery and 16 informants consisting 1 head of the Quality Control department, 13 head of rooms and 2 educators. Data analysis through several stages, namely problem identification, problem prioritization with the non-scoring Delphi, root cause of the problem with the Fishbone diagram and determining alternative priority problem-solving using the Capability, Accessibility, readiness and leverage (CARL) method. Results: The results of the analysis show that the prevention and control of infections that are not running optimally have obstacles from the Human Aspects, Methods, Budget, Material and Machine or tools, based on the results of the analysis of alternative problem-solving priorities using the CARL method from the first and second rank are Conducting training for surveillance personnel, monitoring and evaluating infection prevention and control activities regularly. Conclusion: Based on the analysis of alternative priority problem solving using the CARL Method is to organize training for surveillance personnel, conduct regular monitoring and evaluation of prevention activities. Monitoring and evaluation should be carried out regularly to monitor the implementation of intervention activities and evaluate infection prevention and control activities, surveillance activities so as to ensure targeted achievements.
Hubungan Konsumsi Purin dan Hipertensi terhadap Serangan Berulang Atritis Gout pada Pasien di Puskesmas Kecamatan Krembangan pada Tahun 2022 Eucharistia Crisantika; Nely Sintia; Chatarina Umbul Wahyuni
Media Gizi Kesmas Vol 13 No 1 (2024): MEDIA GIZI KESMAS (JUNE 2024)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v13i1.2024.214-219

Abstract

Background: Gout arthritis is a systemic disease resulting from the deposition of monosodium urate (MSU) crystals. The prevalence of gouty arthritis in Indonesia is increasing. The general prevalence of gouty arthritis is 1-4% of the general population. In 2013 in East Java, the incidence of gouty arthritis reached 26.4%. Meanwhile in Surabaya, in 2011 the prevalence of gout arthritis touched 56.8%. Untreated gouty arthritis can result in repeated attacks on the sufferer. This can cause disruption of quality of life, disability, and even loss of work productivity. Objectives: The purpose of this study was to analyze the relationship between purine consumption and history of hypertension with repeated attacks of gouty arthritis in patients at the Puskesmas Kecamatan Krembangan. Methods: This research was an observational study used a case-control study design, namely comparing cases from the case group and the controlled group with a ratio of 1:2.  The population in this research was all sufferers of gouty arthritis who lived in the working area of the Krembangan District Public Health Center, Surabaya City, totaling 53 people.  Sampling was done by purposive sampling technique. Test data analysis used the spearman test to determine the relationship between the two variables. Results: The results of this study was shown by the p-valued in the variable purine consumption pattern which included a value of 0.026 with a r-value = 0.387 which meant there was a relationship between purine consumption patterns with repeated attacked with weak relationship strength. The p-value in the hypertension variable is 0.741 and the r-value = 0.06 which meant that there is almost no relationship between a history of hypertension and repeated attacked of gouty arthritis. Conclusions: The consumption pattern of purines has a relationship with recurrent attacks of gouty arthritis with a weak relationship strength, while a history of hypertension has no relationship with the occurrence of recurrent attacks of gouty arthritis.