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Jurnal Delima Harapan
Published by Akademi Kebidanan Harapan Mulya Ponorogo
ISSN : 23551399     EISSN : 26203871     DOI : -
Core Subject : Health,
Medicine & Pharmacology
FOCUS This journal is focused on the development of health science, especially obstetrics in order to help reduce maternal and infant mortality SCOPE This journal covers the health disciplines especially the study of midwifery.
Arjuna Subject : -
Articles 204 Documents
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TINJAUAN KELENGKAPAN FORMULIR RESUME MEDIS DENGAN REGULASI SNARS (STANDAR NASIONAL AKREDITASI RUMAH SAKIT) DI RSUD dr. SOEDONO MADIUN Reza Geta Pratiwi
Jurnal Delima Harapan Vol 7 No 2 (2020)
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v7i2.100

Abstract

Rekam Medis adalah bukti tertulis yang dapat dipertanggung jawabkan isinya, salah satunya yaitu resume medis. Tujuannya agar dapat memudahkan pihak rumah sakit jika terdapat tuntutan hukum di pengadilan. Tujuan penelitian ini untuk mengetahui isi resume medis secara kuantitatif dan SNARS. Mengetahui kelengkapan formulir resume medis dengan regulasi SNARS (Standar Nasional Akreditasi Rumah Sakit) di RSUD dr. Soedono Madiun. Jenis penelitian yang digunakan adalah penelitian kualitatif dengan menggunakan metode deskriptif dan pendekatan cross sectional. Teknik pengumpulan data dalam penelitian ini menggunakan teknik wawancara dan observasi dengan checklist. Hasil dari penelitian di RSUD dr. Soedono Madiun yaitu kelengkapan formulir resume medis sesuai dengan SNARS sebesar 60% dan tidak lengkap sebesar 40%. Upaya pengendalian ketidaklengkapan adalah dengan melakukan sosialisasi SPO (Standar Prosedur Operasional) tentang kelengkapan pengisian dokumen rekam medis dan membuat daftar ketidaklengkapan kemudian direkapitulasi jumlah ketidaklengkapannya dan dengan melakukan concurrent analysis.
HUBUNGAN PERAWATAN INFUS DENGAN KEJADIAN FLEBITIS PADA PASIEN RAWAT INAP DI RUANG MAWAR RSUD Dr. HARJONO KABUPATEN PONOROGO Detik Andriani
Jurnal Delima Harapan Vol 7 No 2 (2020)
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v7i2.101

Abstract

Pemasangan infus sebagai salah satu tindakan invasif memerlukan keterampilan yang cukup saat melakukan pemasangannya. Flebitis adalah peradangan pada dinding pembuluh darah balik atau vena. Tujuan penelitian ini untuk mengetahui hubungan perawatan infus dengan kejadian flebitis pada pasien rawat inap di ruang Mawar RSUD Dr. Harjono Kabupaten Ponorogo. Desain penelitian studi korelasional. Jenis penelitian ini kuantitatif dengan metode observasional dan wawancara. Sampel peneliatian 10 perawat yang ada di ruang Mawar RSUD Dr. Harjono Ponorogo dan 30 pasien yang ada di ruang Mawar. Teknik sampling menggunakan accidental sampling dengan Uji Chi Square p value=0,01 (p<0,05). Data hasil penelitian yaitu Pasien yang mengalami flebitis sebanyak 12 responden (40%) dan tidak mengalami flebitis 18 responden (60%) dikarenakan perawatan infus yang kurang sebesar 17 responden (57%), sebanyak 13 responden (43%) dalam kategori baik dan responden dengan kategori baik sekali sebanyak 0 responden (0%) di Ruang Mawar RSUD Dr. Harjono Ponorogo. Berdasarkan hasil penelitian ini dapat dijadikan bahan pertimbangan dalam menentukan kebijakan berupa pengadaan acuan atau pedoman perawatan infus RSUD Dr. Harjono Ponorogo
HUBUNGAN PERAN PERAWAT SEBAGAI EDUKATOR DENGAN TINGKAT STRES HOSPITALISASI ANAK PRA SEKOLAH DI RUANG DELIMA RSUD.Dr HARDJONO PONOROGO Putri Lestari
Jurnal Delima Harapan Vol 7 No 2 (2020)
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v7i2.102

Abstract

Hospitalisasi merupakan keadaan dimana anak di rawat di rumah sakit yang akan menimbulkan perasaan emosional seperti perasaan stres yang berlebihan dan tidak mampu berfikir dengan baik. Tujuan penelitian ini adalah untuk mengetahui hubungan peran perawat dengan tingkat stres hospitalisasi anak pra sekolah di ruang Delima RSUD Dr. Harjono Ponorogo Desain penelitian studi korelasional. Populasi penelitian Semua anak pra sekolah di ruang Delima RSUD Dr. Harjono Ponorogo. Sampel yang digunakan dalam penelitian ini adalah pasien anak pra sekolah usia 3-6 tahun di ruang Delima RSUD Dr. Harjono Ponorogo. Teknik pengambilan sampel adalah total sampling, jumlah sampel sebanyak 30 responden. Variabel Independent adalah Peran perawat, variabel dependent Tingkat Stres. Uji statistik Spearman Rank. Berdasarkan hasil penelitian di dapatkan hasil peran perawat kurang 8 responden (27%), cukup 7 responden (23%), baik 15 responden (50%) sedangkan tingkat stres pada anak di dapatkan hasil tidak stres 0 responden (0%), stres ringan 12 responden (40%) , stres sedang 15 responden (50%), stres berat 3 responden (10%). Hasil uji korelasi antara peran perawat dengan tingkat stres hospitalisasi anak pra sekolah dengan menggunakan uji korelasi Spearman Rankmenunjukkan bahwa nilai p value = 0,00 berarti < nilai signifikan 0,05, dengan tingkat korelasi diperoleh nilai -0,653 atau korelasi yang negatif, maka H0 ditolak yang artinya ada hubungan peran perawat dengan tingkat stres hospitalisasi anak pra sekolah di ruang Delima RSUD Dr. Harjono Ponorogo. Berdasarkan hasil penelitian yang telah dilakukan peran perawat/orang tua dapat meminimalkan tingkat stres hospitalisasi anak pra sekolah.
Hubungan Antara Asupan Nutrisi dengan Kelancaran Produksi Asi pada Ibu yang Menyusui Bayi Usia 0-6 Bulan Eny Pemilu Kusparlina
Jurnal Delima Harapan Vol 7 No 2 (2020)
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v7i2.103

Abstract

ABSTRACT Each nursing mothers hope to breastfeed as much and as long as possible, as many (60%) nursing mother complained her milk production is not smooth so that they add milk with infant formula. In this case the nutrients and nutrition plays an important role in terms of supporting the maximum milk production lactating mothers food guided by a balanced diet 4 healthy 5 perfect, and the number of calories as much as 2400 to 2700 calories a day. The purpose of this study was to determine the relationship between the intake of nutrients with lactation in breastfeeding mothers of infants aged 0-6 months in the village Manisrejo, Taman district Madiun City. This type of research Analytical observational using cross sectional design. population as much as 30 mothers of infants aged 0-6 months, the sampling method is simple random sampling 28 lactating mothers of infants aged 0-6 months. Independent variable is the intake of nutrients, while the dependent variable is the smoothness of milk production. Collecting data using questionnaires with a nominal scale. Data were analyzed using Fisher exact formula. The results showed that the intake of nutrients, there are 22 mothers breastfeeding mothers (78.5%) with enough categories and 6 mothers (21.5%) with less category. While lactation there are 23 (82%) of mothers with milk production smoothly and there are five mothers (18%) with less milk production category or not current. Based on the test results p = 0.0034 ≤ α 0,05 so Ho rejected. Conclusion there is a relationship between the intake of nutrient with lactation. Suggestion to provide education on nutrition to breastfeeding mothers. Keywords: Nutrition intake, milk production Smoothness
ANALISIS FAKTOR UTAMA KADAR TRIGLISERIDA ABNORMAL PADA PENDUDUK DEWASA DI INDONESIA Mukhlidah Hanun Siregar; Fatmah Fatmah; Ratu Sartika
Jurnal Delima Harapan Vol 7 No 2 (2020)
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v7i2.104

Abstract

Triglycerides is a compound consisting of three molecule fatty acid, synthesized from carbohydrates and deposited as animal fats in the body. Finding suggests that elevated levels of triglyceride were one of the risks of cardiovascular disease. Hypertriglyceridemia can lead to increased LDL cholesterol and lower HDL cholesterol, which became an indicator of cardiovascular disease. Previous finding found that age, sex, obesity, fatty food, coffee, and smoking associated with triglycerides. The aims of this study to identify the main factor associated with the levels of triglyceride in Indonesian adult (26-45 years). Data taken from secondary data Basic Health Reseach (RISKESDAS) with the specific criteria. The total respondents were 11421. Data analyzed with logistics multiple regression prediction model. The results showed 23.2% of respondents have abnormal levels of triglyceride (150 mg/dl). The main factors associated with the abnormal levels of triglyceride were sex [OR = 3,215 (2,745-3,765)], central obesity [OR= 2,664 (2,393-2,967)], and smoking [OR = 1,222 (1,048-1,426)]. Finding suggested keeping healthy lifestyle so not to be central obesity, especially men. In addition, leave cigarettes by reducing the number of cigarettes every day gradually, can decrease the abnormal levels of triglyceride. Keywords: Triglycerides, Sex, Central Obesity, Smoking, Adult Abstrak Trigliserida merupakan senyawa yang terdiri dari 3 molekul asam lemak, disintesis dari karbohidrat dan disimpan sebagai lemak hewani dalam tubuh. Temuan menegaskan bahwa peningkatan kadar trigliserida dalam darah merupakan salah satu faktor risiko dari penyakit kardiovaskular. Hipertrigliseridemia dapat menyebabkan peningkatan LDL Kolesterol dan penurunan HDL Kolesterol yang menjadi indikator penyakit kardiovaskular. Penelitian sebelumnya menemukan bahwa usia, jenis kelamin, kegemukan, makanan berlemak, kopi, dan merokok berhubungan dengan trigliserida. Studi ini bertujuan untuk mengidentifikasi faktor utama yang berhubungan dengan kadar trigliserida pada penduduk dewasa (26-45 tahun) di Indonesia. Data diambil dari data sekunder yang berasal dari Riset Kesehatan Dasar (RISKESDAS) dengan kriteria khusus. Total responden sebanyak 11421. Data dianalisis menggunakan uji Regresi Logistik Berganda model prediksi. Hasil penelitian menunjukkan 23,2% responden memiliki kadar trigliserida tidak normal (>150 mg/dl). Faktor utama yang berhubungan dengan kadar trigliserida tidak normal tersebut adalah jenis kelamin [OR = 3,215 (2,745-3,765)], obesitas sentral [OR= 2,664 (2,393-2,967)], dan merokok [OR = 1,222 (1,048-1,426)]. Hasil temuan ini menyarankan kepada penduduk dewasa untuk menjaga gaya hidup sehat agar tidak mengalami obesitas sentral, utamanya kelompok laki-laki. Selain itu, meninggalkan rokok dengan mengurangi jumlah rokok yang dikonsumsi setiap harinya secara bertahap sehingga terjadi penurunan kadar trigliserida yang tidak normal.
HUBUNGAN KUALITAS PELAYANAN DENGAN KEPUASAN PASIEN BPJS DI INSTALASI RAWAT JALAN RSUD LABUANG BAJI MAKASSAR TAHUN 2019 Andi Rizky Amaliah
Jurnal Delima Harapan Vol 8 No 1 (2021)
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v8i1.105

Abstract

Patient satisfaction is a function of the patient's assessment of the health services provided by the hospital in the hope that before the patient receives health services from the hospital as a provider, the patient will feel satisfied if the quality of hospital services is higher or at least the same as what the patient expects. This study aims to determine the relationship between physical evidence, reliability, responsiveness, assurance and empathy with BPJS patient satisfaction. The results showed that the quality of service physical evidence (Tangibles) p (0.76)> 0.05 which means there is no relationship, reliability (reliability) p (0.01) <0.05 which means there is a relationship, responsiveness (responsiveness). ) p (0.03) <0.05, which means there is a relationship, assurance p (0.00) <0.05 which means there is a relationship, empathy (empathy) p (1.00)> 0.05 which means no relationship. The conclusion in this study is that there is no relationship between physical evidence service quality and empathy with patient satisfaction, and there is a significant relationship between service quality reliability, responsiveness, and assurance with BPJS patient satisfaction. It is suggested to the hospital to further improve service quality, reliability, responsiveness, and assurance in order to increase BPJS patient satisfaction.
STUDI FENOMENOLOGI : DUKUNGAN TERHADAP KEPATUHAN MINUM OBAT PADA PENDERITA TUBERCULOSIS DENGAN MULTIDRUG-RESISTANT Murwanti Murwanti
Jurnal Delima Harapan Vol 8 No 1 (2021)
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v8i1.106

Abstract

Background: Tuberculosis is an infectious disease if the patient does not complete therapeutic treatment can cause multidrug-resistant tuberculosis (MDR-TB). The role of the environment is needed to support treatment.The study aims to explore more deeply the family's support for medication adherence in patients with multidrug-resistant tuberculosis (TBC-MDR). Method: This type of research is qualitative using a descriptive phenomenological approach, in-depth interviews of 5 participants based on purposive sampling technique. Results: The results of the study found the role of the family towards TB-MDR patients manifested in emotional, physical, instrumental, and spiritual support. emotional support consists of positive and negative emotional. Community involvement after counseling was supportive but there were some who could not accept even families of MDR-TB sufferers were also shunned. The role of health services is to convey information, prepare medicines, supervise, motivate treatment, remind check schedules, refer to more complete facilities when needed, visit homes and ensure patients take medication if unable to come to the public health service. Conclusion: This study found 3 main themes, namely the role of comprehensive family, community involvement and the role of health services in mentoring TB-MDR patients.
PERUBAHAN SIKAP AKSEPTOR SEBELUM DAN SESUDAH KONSELING TENTANG PEMERIKSAAN ULANG PASCA PEMASANGAN IUD Eny Pemilu Kusparlina
Jurnal Delima Harapan Vol 8 No 1 (2021)
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v8i1.107

Abstract

The results BKKBN Center (2018) found that the acceptor inspection afterinstallation of the IUD and some of them do not exercise control on the groundsthere was no suggestion from the officer, did not know and no complaints. Thereason is because the officer did not provide full counseling about the IUD andside effects that may arise after the installation, or due to lack of staff knowledgeabout these devices that cause they do not provide complete and correctinformation. One way to handle it is by counseling. Counseling is an attempt to help resolve conflicts, obstacles and difficulties in meeting our needs, as well as efforts to improve mental health. The purpose of this study was to identify changes in attitude acceptors before and aftercounseling on post-installation re -examination of the IUD. The design of this study was a one group pre test – post test, the population of IUD acceptors in the working area Banjarejo Health Center Madiun City some 54 people with a sample ofsome 47 people. The number of samples that do not meet the criteria of thesample as many as 7 people, so the number of samples that meet the criteria of the sample as many as 40 people. Data were collected with questionnairs measuringinstruments covered by using Likert scale before and after counseling. Results of research prior to counseling 18 acceptors (45%) had a positive attitudeand 22 acceptors (55%) having a negative attitude. After counseling obtained 25acceptors (62,5%) ang 15 acceptors (37,5%) having a negative attitude. Statistical test Wilcoxon Match Pairs Test = 5,513. Because the count Z > Z table(5,513>1,96), so that Ho refused. This means that there is a change in attitudeacceptors before and after counseling on post-installation re -examination of theIUD. Therefore, counseling should be done continuously to increase thepercentage of acceptors who perform post-installation re- visit the IUD.
PENGARUH PENDIDIKAN KESEHATAN REPRODUKSI TERHADAP PENGETAHUAN SEKS BEBAS REMAJA DI BPRSW YOGYAKARTA Chanif Kurnia Sari; Iis Dahlia
Jurnal Delima Harapan Vol 8 No 1 (2021)
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v8i1.108

Abstract

Free sex is sexual behavior by individuals before marriage which is common in adolescence. As a result of changes in adolescent sexual attitudes and behavior will increase adolescent sexual problems. The consequences that can occur from free sex are unprotected sexuality, venereal disease, mortality of young mothers and their babies, abortion and unwanted pregnancy. The incidence of childbirth as many as 219 occurred in Sleman in 2017 and there were 47 marriage dispensation agreements in 2018. Factors of knowledge about reproductive health are important factors that must be possessed by adolescents to prevent the occurrence of free sex. This study aims to determine the effect of reproductive health education on adolescent free sex knowledge. This study uses a type of pre experiment design with a one-group pretest-posttest design. The population in this study were teenagers in BPRSW as many as 30 people, with sampling using total sampling. Data collection techniques using the method of observation and questionnaires. Test validity in this study using product moment correlation and declared valid with the value of r count <r table (0.05). Reliability test using Cronbach's alpha obtained Cronbach's alpha value of 0.745 so it was declared reliable. Data analysis uses univariate and bivariate analysis. Bivariate analysis using paired T-test. The results of the study indicate that reproductive health education influences adolescent knowledge in BPRSW Yogyakarta, with a value of p = (0.048) <α (0.05). As many as 24 (80.0%) of respondents had good category knowledge after being given health education about free sex.
PENGARUH STRATEGI COPING TERHADAP TINGKAT STRES PADA CAREGIVER INFORMAL YANG MERAWAT PENDERITA SKIZOFRENIA DI POLI RAWAT JALAN RUMAH SAKIT JIWA DR. SOEHARTO HEERDJAN JAKARTA BARAT Citra Ayu Aprilia; Ria Maria Theresa; Rahmalia Dewi Fitriani
Jurnal Delima Harapan Vol 7 No 2 (2020)
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v7i2.111

Abstract

Limited psychiatric healthcare and being chronic, schizophrenia makes schizophrenia patient’s family hold important role as informal caregivers. Objective of this research was to know demography characteristic distribution and impact of coping strategy against schizophrenia informal caregiver’s stress level at Dr. Soeharto Heerdjan psychiatric hospital, out-patient unit. Coping stress vary depends on individual characteristics. This research was set to observational analytic with cross sectional design. Subjects of research were 32 caregivers, adapting research instrument CSI-SF 32 items and PSS-14 items. The result of research, majority of the caregivers is a woman and middle adulthood age. Most of caregivers goes to work and tend more than 4 years with nursing time more than 6 hours /day. There was impact of coping strategy against stress level of schizophrenia informal caregivers (p = 0,006). Most used coping strategy was adaptive coping with medium stress level. Long term could increase caregivers burden, so that it can trigger stress and could lower caregivers mental health status and could affect the treatment quality for schizophrenia patient. Writer recommended psychiatric healthcare to put psychological awareness and psycho-education intervention of stress management for caregivers.

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