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Ketidaktepatan Kode Sebab Dasar Kematian menjadi Penyebab Kerugian 600 Juta Dana di Unit ICCU RSUD dr Moh Saleh Probolinggo Novitasari Novitasari; Dewi Rokhmah; Isa Ma’rufi
Multidisciplinary Journal Vol 4 No 2 (2021): Desember 2021
Publisher : Pascasarjana Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/multijournal.v4i2.30493

Abstract

The coding of the diagnosis is important for patient care, hospital management and research. However, coding accuracy is a major problem in the diagnosis process and its impact on hospital income levels. This study impacts the inaccuracy of the basic cause of death coding on the level of hospital income. Methods: Analysis of the accuracy of the diagnosis according to the mortality coding rules compiled in the Intruction Coding Manual of the World Health Organization (WHO), after which the percentage of losses is carried out in the Diagnosis Based on Indonesian Case system. Results: as many as 176 files were studied, 114 files or 65% of the diagnosis codes of the cause of death were incorrect, 57 files or 32% were correct, and 5 files or 3% of files were not coded, 65% of these inaccuracies contributed to hospital losses 40-75 % loss with the total loss received by the hospital was IDR 597,849,006 or nearly 600 million rupiah. Conclusion: the absence of a diagnosis of death increases hospital losses by more than 40% to 75%.
Pengaruh Usia Dan Pendidikan Terhadap Implementasi nisiasi Menyusu Dini (IMD) Pada Pasien Post Sectio Caesarea Meylina Parela Ningsih; FX. Ady Soesetijo; Dewi Rokhmah
Multidisciplinary Journal Vol 4 No 1 (2021): Juli 2021
Publisher : Pascasarjana Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1027.07 KB) | DOI: 10.19184/multijournal.v4i1.27468

Abstract

Early initiation of breastfeeding (EIBF) in post sectio caesarea patients is the process of breastfeeding the baby to his mother immediately after birth by placing the baby on the mother's chest or abdomen so that skin-to-skin contact occurs and letting the baby find the mother's nipple and then breastfeed until satisfied. The benefits of IMD are very large for mothers and babies including accelerating the production of colostrum as a baby antibody so as to prevent infection, prevent hypothermia and hypoglycemia and prevent anemia due to bleeding after delivery. IMD becomes important to be carried out both for mothers with normal labor and with the act of sectio caesarea. This study aims to determine the effect of maternal age and education on the implementation of early initiation of breastfeeding (IMD) in post sectio caesarea patients. This type of research was analytic observational with cross sectional design. Data obtained from primary data 99 respondents by filling out a questionnaire and direct observation. The research site at Bina Sehat Jember Hospital in April 2021. Data obtained from the primary data of 99 respondents by filling out questionnaires and making direct observations. Data analysis used is bivariate analysis using SPSS statistical data processing tool. The results of the instrument test show that all variables were valid and reliable as a data collection tool. The results of data analysis showed that: 1) Age had no significant effect on the implementation of IMD in post sectio caesarea patients (p = 0.769) because the indication for delivery by sectio caesarea was not carried out in patients with high risk age, but also in productive age. 2) Education had no significant effect on the implementation of IMD in post sectio caesarea patients (p = 0.284) Because knowledge about the importance of early breastfeeding initiation and how to do it is not obtained during formal education but from non-formal education and other educational media, so that other educational media are needed in order to support the implementation of IMD, especially in post sectio cesarea patients. Keywords: Early Initiation Breastfeeding, Education, Sectio Caesarea, Age
Ketidaktepatan Kode Sebab Dasar Kematian menjadi Penyebab Kerugian 600 Juta Dana di Unit ICCU RSUD dr Moh Saleh Probolinggo Novita sari; Dewi Rokhmah; Isa Ma’rufi
Multidisciplinary Journal Vol 3 No 1 (2020): Juli 2020
Publisher : Pascasarjana Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1020.207 KB) | DOI: 10.19184/multijournal.v3i1.23683

Abstract

The coding of the diagnosis is important for patient care, hospital management and research. However, coding accuracy is a major problem in the diagnosis process and has impact on hospital income levels. This study is about the inaccuracy of the underlying cause of death coding toward the level of hospital income. The Methods employed is the Analysis of the accuracy of the diagnosis according to the mortality coding rules compiled in the Instruction Coding Manual of the World Health Organization (WHO). Afterwards, the percentage of losses is calculated using the system of INAcbg’s, in the Diagnosis Based on Indonesian Case system. The result shows that, out of 176 files were studied, 114 files or 65% of the diagnosis codes of the cause of death were incorrect, 57 files or 32% were correct and 5 files or 3% of files were not coded. Further, the study found out that 65% of these inaccuracies contributed to hospital losses which includes 40-75 % loss with the total loss received by the hospital as much as IDR 597,849,006 or nearly 600 million rupiah. The research concludes that the absence of a diagnosis of death increases hospital losses by more than 40% to 75%. Keywords: Accuracy, Code of Basic Cause of Death, ICD 10
Peran Senam Ergonomis Untuk Kesehatan Alfia Nurul Fatiha; Isa Ma'rufi; Dewi Rokhmah
Multidisciplinary Journal Vol 4 No 2 (2021): Desember 2021
Publisher : Pascasarjana Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/multijournal.v4i2.30494

Abstract

The higher life expectancy of a country leads to a high number of elderly people followed by high health problems in the elderly both physically and psychologically. One of the efforts to suppress all complaints to the elderly is to do ergonomic gymnastics that has been proven to provide many benefits, especially to the elderly. Ergonomic gymnastics is a gymnastics that can directly open, clean, and activate the entire body systems such as cardiovascular, urinary, reproductive systems. These movements also allow the body to be able to control, ward off some diseases and malfunctions so that the body remains healthy. Literature search from February 2019 to June 2019 using the keywords "Benefits of Ergonomic Gymnastics for The Elderly", "The Influence of Ergonomic Gymnastics for Elderly Health", "Efforts to Maintain Elderly Health", "Factors that affect Elderly Health". A total of 10 articles were selected because they meet the criteria for inclusion, namely titles and content relevant to the purpose, written in English or Indonesian, full text, published in the last 7 years. From the 10 articles selected for the review, information related to the benefits of ergonomic gymnastics for the elderly, including ergonomic gymnastics can lower anxiety levels, can improve sleep quality / insomnia, decrease chronic pain and muscle weakness, and can improve the quality of life in the elderly.
Pengaruh Indikator Perilaku Hidup Bersih dan Sehat (PHBS) Terhadap Gejala Pneumonia Pada Balita di Puskesmas Mojopanggung (perkotaan), Puskesmas Tapanrejo (pedesaan) dan Puskesmas Kedungrejo (pesisir) Banyuwangi Dyah Ayu; Sugeng Winarso; Dewi Rokhmah
Multidisciplinary Journal Vol 3 No 1 (2020): Juli 2020
Publisher : Pascasarjana Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1189.798 KB) | DOI: 10.19184/multijournal.v3i1.23658

Abstract

HCLB Program for the households is an attempt to provide knowledge for the family members to practice clean, health living behavior and to participate in the health of community environment. HCLB purpose is the health of the family members. The health level of individuals, family, community and environment is related HCLB. In the household level, there are 10 HCLB indicators to be practiced by the family members. HCLB should be started from the household since its health, considered as the asset of development, should be taken care of. This research aims to analyze the effect of HCLB program on pneumonia symptom in toddlers in Mojopanggung Community Health Centre (citiy), Tapanrejo Community Health Centre (village), Kedungrejo Community Health Centre (coastal area) of Banyuwangi. This research applies analytic descriptive using case control approach and ordinal regression data analysis with the population of 8,883 respondents. The sample includes simple random sampling of 104 respondents. The findings shows that there is an effect of HCLB Program on Penumonia symptoms on toddlers with significant value of 0,001 in Mojopanggung Community Health Centre, of 0,0026 in Tapanrejo Community Health Centre and of 0,0029.in Kedungrejo Community health centre. Keywords: Healthy and Clean Living Behaviour (HCLB), Pneumonia, Toddlers
Analisis Pelayanan Obstetri Neonatal Emergensi Dasar Berdasarkan Program QA di Puskesmas PONED X Kabupaten Bondowoso Asti Nuris; Al- Munawir; Dewi Rokhmah
Multidisciplinary Journal Vol 3 No 2 (2020): Desember 2020
Publisher : Pascasarjana Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (769.542 KB) | DOI: 10.19184/multijournal.v3i2.24048

Abstract

As health service provider, primary health care should provide qualified and satisfied service among patients. The PONED is government’s program to reduce the maternal mortality rate. On the other hand, QA is a program used to preserve the quality of primary health care. The aim of this study is to analyze basic emergency neonatal obstetric by using QA program. This is qualitative study, where there were four informants in this study, consist of key-, main-, and additional- informant. Furthermore, the data was collected by in-depth interview. This study found that the variable of input of QA has not fulfilled and supported the implementation of PONED. The variable of process has not performed in accordance with the procedure yet. On the other hand, the variable of output showed that the performance has not been optimal yet. Keyword: PONED, QA, Quality
Sosialisasi Partisipasi Masyarakat dalam Konservasi Lingkungan Ijen Geopark Wilayah Kabupaten Bondowoso Khoiron Khoiron; Dewi Rokhmah; Erdi Istiaji
Madaniya Vol. 3 No. 1 (2022)
Publisher : Pusat Studi Bahasa dan Publikasi Ilmiah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53696/27214834.149

Abstract

Ijen Geopark Wilayah Bondowoso menekankan pada konsep Pentahelix melalui Pengelola Geopark dan penerapan metode Sustainable Development Goals (SDGs) sebagai bagian tak terpisahkan. Sosialisasi terkait Ijen Geopark diharapkan dapat mengedukasi dan membuat masyarakat sadar akan potensi wisata serta melindungi kawasan secara keseluruhan. Kegiatan ini menggunakan metode ceramah, diskusi, dan evaluasi. Peserta sosialisasi adalah 20 orang perwakilan kelompok masyarakat di Wilayah Kecamatan Sumberwringin Kabupaten Bondowoso. sosialisasi Ijen Geopark Di The Raung dilaksanakan secara efektif dengan hasil presentase yang menunjukan hasil baik (cukup, baik, sangat baiki). Materi yang diberikan oleh para narasumber meliputi cakupan wilayah Ijen Geopark beserta situsnya (geosite, biosite, dan cultural site) yang berfugsi sebagai geowisata, manfaat Ijen Geopark untuk masyarakat, peran serta dalam pengelolaan dan konservasi lingkungan Ijen Geopark sangat menarik bagi peserta.
THE PARENTS COMMUNICATION PATTERNS OF PREMARITAL SEXUAL BEHAVIOR IN VOCATIONAL SCHOOL “X” Yuyun Triwahyuni; Dewi Rokhmah; Ristya Widi Endah Yani
Aloha International Journal of Health Advancement (AIJHA) Vol 2, No 11 (2019): November
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/aijha21101

Abstract

Premarital sexual behavior is one of the problems in adolescents. One of the factors causing premarital sexual behavior in adolescents is the role of parental communication patterns. This research was conducted at the Vocational School in September 2019. Researchers wanted to find out the influence of parental communication patterns on premarital sexual behavior in adolescents. The results showed that most students had good communication patterns with their parents by 47.2%, while as many as 56.5 % of students have good premarital behavior. Keywords * communication patterns, * premarital sexual behavior
The Quality Life of Matriarch and Program of Poverty Reduction in Jember Regency Ade Ananta Pratiwi; Al Munawir; Dewi Rokhmah
Aloha International Journal of Health Advancement (AIJHA) Vol 3, No 1 (2020): January
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/aijha30103

Abstract

Introduction: Poverty was regarded as a common problem existed in many countries, either in developed countries or developing countries, even, the poverty was still a priority problem in SDGs era. In 2018 East Java was positioned on the first rank of highest level of poverty in Java, particularly Jember Regency was ranked in the second. The government of East Java has observed this poverty phenomenon on female society, which was then called as poverty feminization. Therefore, the government of East Java established a program of poverty alleviation on women, it was known as a feminization program of poverty reduction. This program aimed to provide job or job, so the matriarch would have access to several sectors, as economic, education, or health. The easy access given to the matriarch was expected to realize more quality of life. Methods: This research was categorized into quantitative research and exerted cross sectional approach. The total population in this research was taken from all women who got help from the feminization program of poverty reduction in Jember, specifically the total were about 1227 respondents. The method of sampling was purposive sampling by employing representative of data sampling in each sub-regency. The total sample in this research were 302 respondents. Further, the data was collected through instrument of WHOQOL-BREF questionnaire, while the data was analyzed through Spearman correlation method. Results: According to the result of data analysis on factor of job to the life quality, it was obtained p-value of 0.000, which referred the correlation between job and life quality of matriarch. Moreover, the data analysis on factor of income to the life quality, it was obtained p-value of 0.000, which referred the relation between income and life quality of matriarch. Conclusion: There was a relation between job as well as income and the life quality of matriarch. Keywords: matriarch; feminization of poverty; job; income; life quality
Effects of Environment Sanitation on Early Neonatal Death (0-7 days) in Situbondo District Diana Diana Farhati; Ristya Widi Endah Yani; Dewi Rokhmah
Aloha International Journal of Health Advancement (AIJHA) Vol 2, No 12 (2019): December
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/aijha21201

Abstract

Environment sanitation was closely related to clean and health living behavior of society to keep cleanliness and health of surrounding environment. The failure of environment sanitation affected to incident of disaster and disease epidemic which was an indirect factor of neonatal death. This research aimed to analyze the effects of environment sanitation to the incident of early neonatal death (0-7 days) in Situbondo District. This research was categorized into descriptive analytic research which exerted case control approach. The population size was 206 respondents, while the sample size was 170 respondents, selected using simple random sampling. The sample was comprised of case group of 85 mothers whose babies died in the age (0-7 days) and the control group of 85 mothers whose babies alive in the age 0-28 days. Data were analyzed using logistic regression test. This research findings showed that it was found relationship between the waste water disposal and early neonatal death, with p-value of 0.091. Keywords: environment sanitation; early neonatal deat
Co-Authors -, Della Aprisa -, Prehatin Trirahayu Ningrum . Ari P Abdus Salam Abu Khoiri Ade Ananta Pratiwi Affierni, Siti Indriyanti Agdiansyah, Naufal Thaariq Akbar, Syarifil Hidayatul Al Adzim, Manarul Huday Al Munawir Alfaidah, Catryna Alfia Nurul Fatiha Ali Santosa Almukarromah, Khaerunnisa Amalia, Shofiya Ancah Caesarina Novi Marchianti Anggraini, Sephiana Diah Anita Dewi Moelyaningrum Anita Dewi Prahastuti Sujoso Annisa Grazelia Viyolina Antono, Shella Putri Permadani Hardi Aprilia Nurhayati Arfiani, Sinta Argyo Demartoto Arini, Zuwina Eka Puspita Asti Nuris Astikah Aulia, Anisatun A’yun, Annisa’ Kholifatu Qurrota Baskoro Setioputro Berliana Mulazamah, Nandini Candra Bumi Carri Noer Fida Yanik Christyana Sandra Dedek Sutinbuk Desy Iswari Amalia Dewa Putra Dewantika Santoso Putri, Aisyah Dewi Kholifatul Ummah Diana Diana Farhati Dwi Anggraini Puspitasari Dwi Wahyuni Dyah Ayu Eka Ayu Syahfitri, Regita Elen Nofita Elly Nurus Shakinah Ema Rahmawati Erdi Istiaji Erna Desi Faradinah Erwin Nur Rif'ah Erwin Nur Rif'ah Erwin Nur Rif’ah Eti Poncorini Pamungkasari Evi Riski Permatasari Fakhiroh, Lailah Izza Falih, Ahmad Farida Wahyu Ningtyias, Farida Wahyu Fatimatus Sahro, Fatimatus Firda Atika Awaliya Putri FX Ady Soesetijo, FX Ady Galuh Mega Kurnia Ghaniyu Putri Habsari Globila Nurika Hadi Prayitno Hanafi, Arif Ikhwan Hanatha Pasha, Yessinia Hesty Damayanti Saleh Hidayah, Barika Isti’anatil Husni Abdul Gani Husni Abdul Gani Husni Abdul Gani, Husni Abdul Huwaidah, Rizka Ida Srisurani Wiji Astuti Iken Nafikadini Imamah, Dina Yusrotul Ira Rahmawati Irma Prasetyowati Isa Ma'rufi Isa Marufi Isa Ma’rufi Isa Ma’rufi Islahul Fikriyah Istifada, Rizkiyani Isworo, Tirta Amerta Keliat , Budi Anna Khoiron Khoiron Khoiron, Faza Naila Khoirun, Khoirun Kholidah, Nabila Diana Khusnul Hidayati Kirana Kirana, Kirana Krish Naufal Anugrah Robby Lailatul Rochmah, Fani Leersia Yusi Ratnawati Lubis, Khofifah Annum Luh Putu Ratna Sundari M. Nur Khamid M. Nur Khamid M. Utsman Arif Fathah Maharani, Agnes Candrika Trisna Mahdyah, Nafisah Amira Mahmudah, Annisa Nur Marlita Primastuti, Amanda Maulida, Naila Faricha Medisa, Cahya Dhawiya Meylina Parela Ningsih Mubarok, Ibnu Muhammad Adilya Rahman Mury Ririanty Nabila Anisa Toyibah Nabila, Ichda Naila Nafis, Mirza Fairuz Nanda Prima Nihayati, Hanik Endang Niken Asih Laras Ati Nindy Shara Meiyana Ninna Rokhmawati Novia Luthviatin Novita sari Novitasari Novitasari Nur Astuti Nurhalisa, Siti Nurwidyansyah, Shinta Dwi Ode, Taufan Asrisyah Oktafiani, Lirista Dyah Ayu Permatasari, Marshanda Sofi Pratiwi, Farika Nadiya Pratiwi, Kurnia Nata Pratiwi, Ricta Huniana Puspitasari, Cindy Putra Salsabilla, Nendy Putri, Dhea Ninda Putriyani Putriyani Qurrota 'Aini, Tazqia Rachmad Gusti Irwansyah Rahayu Sri Pujiati Rahmah, Saila Dzirwati Rama Fatahillah Yulianto Ricko Pratama Ridzkyanto ricko pratama ridzkyanto, ricko pratama Rif'ah, Erwin Rif'ah, Erwin Nur Rifaqih, Rayen Rika Agustin Rini Safitri Rismawan Adi Yunanto Rista Dwi Hermilasari Ristya Widi Endah Yani Rizka Huwaidah Rizki Amelia Firdaus Rochmah, Fani Lailatul Rochmawati, Ajeng Humami Rokhmawati, Ninna Ruris Haristiani Safira Khoiratun Nissa' Safira, Tasya Cahya Saiful Bukhori Saiful, Brima Sahwa Sukma Saila Dzirwati Rahmah Salsabila, Sania Salsabilla Fitri Dwi Bawanti Septi Handayani Setyawati, Julianda Shary, Poutry Dhewy Roushita Sofiyatoen Hasanah Steven, Syahrul Sugeng Winarso Syahroni Bahtiar Syahvira Septyanarindri Syahvira Septyanarindri Tantut Susanto Toyibah, Nabila Anisa Wakhyudin, Muhammad Fahd Wantiyah Wantiyah Windarwati , Heni Dwi Yennike Tri Herawati Yumna Nurul Ismah, Adinda Yuyun Triwahyuni