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All Journal Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI) Andalas obstetrics and gynecology journal
Naldi, Efriza
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Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Health Professions Immunology & microbiology Nursing Public Health

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Pulmonary TB in Pregnancy Naldi, Efriza; Dewi, Nurmala Sari
Andalas Obstetrics And Gynecology Journal Vol. 6 No. 2 (2022)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.6.2.184-190.2022

Abstract

Objective : To report a case of pulmonary TB in pregnancyMethod : A case reportCase : Presented a case of cpulmonar TB in pregnancy on 33-year-old patient. This is fifth pregnancy with twice history of abortion, malnutrition and pulmonary TB (in treatment). The result of chest x-rays was pulmonary TB. The patient was on treatment for anti-tuberculosis drugs for second month. Patient had BMI was 16,88 kg/m2 which is underweight category. There were bronchovesicular and ronchi from both side of lung from auscultation examination. From laboratory findings there was decrease of albumin serum levels to 2,1 gr%. From ultrasound got impression 16-17 weeks of pregnancy. Patient got anti tuberculosis drugs treatment category I incentive phase (2HRZE). During hospitalization treatment, patient was given some nutrition consultation and high calories and high protein diet and also extra 3 egg whites per day. Total calories are 2250 kcal. Patient also got 1 infuse bottle of albumin and albumin supplementation.Discussion : . The incidence of TB in pregnancy was 1/10,000 pregnancies. .. Provision of an appropriate and adequate chemotherapy regimen will improve the quality of life of the mother, reduce the side effects of anti-tuberculosis drugs (OAT) on the fetus and prevent infection in newborns. Patient got anti tuberculosis drugs treatment category I incentive phase (2HRZE) which is no difference theraphy with no-pregnant patient. Patient was not given pyridoxine as adjuvant drugs along with the anti- tuberculosis drugs. Pyridoxine supplementation must be given with the dose  of 50 mg/day and is suggested for every pregnant woman who consumes isoniazid because the deficiency often happens in pregnancy than general population.Conclusion The diagnosis of this patient was correct based on anamnesis, physical examination, and supporting test . Active TB treatment in pregnancy doesn’t have any difference with non-pregnant. The management of this patient is not correct because the patient didn’t get pyridoxine supplementation, didn’t undergo sputum test in second month, and wasn’t done culture M. Tuberculosis as a gold standard. 
Pengaruh Gaya Kepemimpinan Dan Kompensasi Terhadap Kinerja Dengan Motivasi Karyawan Sebagai Variabel Intervening Di RSKIA Sukma Bunda Tahun 2025 Naldi, Efriza; Jak, Yanuar; Sumijatun, Sumijatun
Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI) Vol 10, No 1 (2026): Jurnal Manajemen dan Administrasi Rumah Sakit (MARSI)
Publisher : LPPM Universitas Respati Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/marsi.v10i1.7917

Abstract

ABSTRAK Keberhasilan pelayanan rumah sakit sangat bergantung pada kinerja karyawan yang optimal. Penelitian ini bertujuan untuk menganalisis pengaruh gaya kepemimpinan dan kompensasi terhadap kinerja karyawan, dengan motivasi sebagai variabel intervening. Penelitian ini menggunakan pendekatan kuantitatif dengan desain cross-sectional. Sampel berjumlah 78 karyawan RSKIA Sukma Bunda, dengan pengumpulan data melalui kuesioner dan analisis menggunakan path analysis. Berdasarkan pra-survei di RSKIA Sukma Bunda, ditemukan permasalahan terkait kurang terciptanya komunikasi antar karyawan, ketidakpuasan terhadap kompensasi, dan masih kurangnya promosi jabatan. Hasil analisis menunjukkan bahwa capaian skor ideal variabel gaya kepemimpinan adalah 75,89% (kategori baik), kompensasi 67,11% (kategori baik), motivasi kerja 81,90% (kategori sangat baik), dan kinerja karyawan 75,69% (kategori baik). Secara statistik, gaya kepemimpinan berpengaruh signifikan terhadap motivasi (β sama dengan 0,310 atau p sama dengan 0,009) dan kinerja (β sama dengan 0,216 atau p sama dengan 0,030). Kompensasi berpengaruh terhadap motivasi (β sama dengan 0,350 atau p sama dengan 0,003), namun tidak berpengaruh langsung terhadap kinerja (β sama dengan 0,063 atau p sama dengan 0,527). Motivasi berpengaruh signifikan terhadap kinerja (β sama dengan 0,58 atau p sama dengan 0,000), serta memediasi pengaruh gaya kepemimpinan dan kompensasi terhadap kinerja. Disarankan agar manajemen memperkuat gaya kepemimpinan transformasional dan demokratik, menyempurnakan sistem kompensasi yang adil, serta meningkatkan motivasi karyawan melalui penghargaan dan pengembangan karier. Kata Kunci: Gaya Kepemimpinan, Kompensasi, Motivasi, Kinerja.
Co-Authors Dewi, Nurmala Sari Jak, Yanuar Sumijatun Sumijatun, Sumijatun