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Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua Jalan Besar No. 77 Delitua, Kec. Delitua, Kab. Deli Serdang, Sumatera Utara 20355
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JURNAL PENELITIAN KESMASY
Published by INSTITUT KESEHATAN DELI HUSADA DELI TUA
ISSN : -     EISSN : 26550806     DOI : 10.36656/jpksy
Core Subject : Humanities, Health, Social,
Humanities Environmental Science Health Professions Public Health
Jurnal Penelitian Kesmasy (JPKSY ) is a scientific journal which is published original of public health articles. The editors welcome scientific relevant articles to National and International public health issues. The journal welcomes submissions who come from around the world including from Indonesia. The journal publishes twice times a year. Aims and Scope JPKSY: 1. Epidemiology 2. Health Education and Promotion 3. Environmental Health 4. Occupational Health and Safety 5. Health Administration and Policy 6. Biostatistics 7. Reproductive Health 8. Hospital Management 9. Nutrition Science 10. Health Information System 11. Medical Application Technology Beside that author can submit some articles on any issue relating to public health with editor consideration.
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 209 Documents
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ANALISIS TINGKAT KEPADATAN LALAT DI TEMPAT PENAMPUNGAN SEMENTARA (TPS) KECAMATAN PANDAN KABUPATEN TAPANULI TENGAH TAHUN 2023 Purba, Bahtera David
Jurnal Penelitian Kesmasy Vol 7 No 1 (2024): JURNAL PENELITIAN KESMASY
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpksy.v7i1.1994

Abstract

This research aimed to determine the difference in fly density levels in garbage shelters, Pandan Elok housing and Toholan Dewantara housing, Pandan District, Central Tapanuli Regency. Fly density is a very important public health problem, because flies can carry bacteria from trash cans and dirty places that they reach into food if the food is open, so flies can cause diarrheal diseases. This research method was quantitative research where techniques in data collection are carried out by analytical observation, and cross secsional methods. The location of this research was conducted at the Pandan Elok housing polling station and Toholan Dewantara housing polling station located in Pandan District, Central Tapanuli Regency, North Sumatra. This research was conducted for 1 month starting from April - May in 2023. With details of field survey 1 week, administration 1 week, data collection 1 week. The result of this research was the difference in the level of fly density in the afternoon and evening at the garbage dump of Pandan Elok Housing with a value of p-value = 0.000. There is a difference in the density of flies in the afternoon and evening at the garbage dump of Toholan Dewantara housing with a p-value = 0.000. There is no difference in the density of flies during the day at the garbage dump of Pandan Elok Housing with the garbage dump of Toholan Dewantara Housing with P- value = 0.306 where the average fly is lower during the day at the garbage dump of Pandan Elok Housing. There is a difference in the density of flies in the afternoon at the garbage dump of Pandan Elok Housing with the garbage dump of Toholan Dewantara Housing with p- value = 0.003 where the density of flies in the afternoon at the garbage dump of Pandan Elok Housing is lower on average. There is a difference in the number of fly density levels at the garbage dump of Pandan Elok Housing with the garbage dump of Toholan Dewantara Housing p-value = 0.008. With a difference = -22.06 which means that flies at the garbage dump of Pandan Elok Housing are smaller on average at 22.06 compared to flies at the garbage dump of Toholan Dewantara housing
HUBUNGAN TINGKAT PENGETAHUAN IBU DAN DUKUNGAN SUAMI DENGAN PEMILIHAN METODE KONTRASEPSI DI KLINIK PRATAMA NURUL UMMI TAHUN 2024 MARBUN, VIKTOR EDYWARD; Aritonang, Irma Wantri; Sembiring, Johannes
Jurnal Penelitian Kesmasy Vol 7 No 1 (2024): JURNAL PENELITIAN KESMASY
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpksy.v7i1.2004

Abstract

In the Pratama Nurul Ummi Clinic in 2024, what is the correlation between the husband's support of contraceptive techniques and the mother's degree of knowledge? At the Pratama Nurul Ummi Clinic in 2024, the goal is to ascertain the relationship between the husband's support and the mother's degree of understanding regarding the choice of contraceptive technique. The Total Sampling Method is used in this study, and the number of samples is equal to the population of each Childbearing Age Couple (PUS) who had an appointment at the Pratama Nurul Ummi Clinic. The sample method employs incidental sampling, which entails selecting thirty PUS population members the researcher encountered while working at the Pratama Nurul Ummi Clinic. The cross tabulation results showed that 16 Fertile Age Couples (PUS) in the Husband Support category 11 (36.7%) did not support using family planning, and 19 (63.3%) PUS did not use family planning. These findings are based on statistical tests with a p-value of 0.001 (0.05), which indicate that 3 (16.7%) of the 30 PUS in the Poor Knowledge category used family planning, and 17 (56.7%) PUS did not use family planning. With a p-value of 0.000 (0.05), the research results were derived from 12 PUS in the helpful spouse support category, 9 (75.0%) of whom utilized family planning and 3 (25.0%) of whom did notIt was determined that the majority of moms who participated in the study were not well-informed on the choice and application of contraceptive techniques, with 18 respondents (or 60%) falling into this category. The Pratama Nurul Ummi Clinic in 2024 found a significant correlation with a p-value of 0.001 between the choice of contraceptive technique and knowledge level.
FAKTOR RESIKO ERGONOMI PADA PEKERJA PEMANEN KELAPA SAWIT PADA PTPN IV UNIT USAHA ADOLINA DI BATANG TERAP KECAMATAN PERBAUNGAN Siregar, Ripai -; siddiq, muhraza; Ginting, Evfy Septriani; Prima, Armanda
Jurnal Penelitian Kesmasy Vol 7 No 1 (2024): JURNAL PENELITIAN KESMASY
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpksy.v7i1.2044

Abstract

Ergonomic hazards arise when the nature of the job, bodily posture, and working environment impose strain on the body. According to the findings of an initial survey conducted on 8 workers in the harvest area, it was observed that the workers experienced complaints. Specifically, 7 workers reported experiencing problems in various parts of their body, with the most significant complaints being in the back, arms, neck, and legs. The research design employed was quantitative, utilizing a cross-sectional method. This investigation was conducted in Batang Terap, Perbaungan Sub- District, Serdang Bedagai district. The population for this study consisted of 40 oil palm harvesting workers in afdiling 2, Perbaungan Sub-District, Serdang Bedagai Sub-District. The sample for this research was determined using a technique called complete sampling. The result of this study findings indicate that there was significant statistical correlation between work posture (p = 0.001), workload (p = 0.005), frequency (p = 0.032), and work duration (p = 0.012). Specifically, poor work posture has the potential to increase ergonomic risks by 15 times in the share of the palm oil harvest in PTPN IV Adolina Business Unit in 2024, as determined by the RP value (Preval_enceRatio). The PTPN IV Adolina Business Unit is anticipated to establish a safety briefing program that will be conducted each morning prior to commencing work. Employees of PTPN IV Adolina Business Unit are required to enhance their understanding of ergonomic hazards and develop strategies to mitigate these risks in order to prevent unforeseen incidents during work. Additionally, it is anticipated that the outcomes of this research will serve as a foundation for future researchers to delve into the topic of ergonomic risk control in greater detail, enabling the formulation of policies and the implementation of programs.
FAKTOR - FAKTOR YANG MEMPENGARUHI TERJADINYA KELUHAN CARPAL TUNNEL SYNDROMPADA PEKERJA PENJAHIT DI KELURAHAN DELI TUA TAHUN 2024 siddiq, muhraza; siregar, ripai; prima, armanda; septriani, evfy
Jurnal Penelitian Kesmasy Vol 7 No 1 (2024): JURNAL PENELITIAN KESMASY
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpksy.v7i1.2045

Abstract

Carpal Tunneil Syndromei (CTS) adalah kondisi yang diseibabkan oleih teikanan pada saraf meidianus di peirgeilangan tangan yang dapat meinyeibabkan geijala seipeirti keiseimutan, nyeiri yang meinjalar, keibas, keileimahan otot, keikakuan, dan keimungkinan peinyusutan otot. Deinpasar pada tahun 2021 diteimukan peikeirja meimiliki preivaleinsi carpal tunneil syndrom seibeisar 79,2%. Peineilitian ini beirtujuan untuk meingeitahui faktor-faktor yang meimpeingaruhi teirjadinya keiluhan Carpal Tunneil Syndrom pada peikeirja peinjahit di Keilurahan Deili Tua. Jeinis peineilitian adalah Kuantitatif deingan meitodei Obseirvasional deingan peindeikatan Cross-Seictional. Jumlah populasi seibanyak 40 orang peikeirja deingan sampeil seibanyak 40 reispondein. Hasil analisis meinunjukkan teirdapat hubungan antara geirakan reipeititif deingan teirjadinya keiluhan CTS pada peikeirja peinjahit di Keilurahan Deili Tua deingan nilai p = 0.005 (p < 0.05), teirdapat hubungan antara geitaran deingan teirjadinya keiluhan CTS deingan nilai p = 0.002 (p < 0.05) dan teirdapat hubungan antara masa keirja deingan keiluhan CTS deingan nilai p = 0.002 (p < 0.05). Saran bagi peikeirja meimbuat jadwal istirahat saat beikeirja dan leibih meimpeirhatikan keirumitan dalam peimbuatan pola seihingga dapat meingurangi geirakan reipeititif seihingga reisiko teirjadinya Carpal Tunneil Syndromei meinurun, meimanfaatkan waktu jam istirahat nya deingan tidak meinambah jam keirja nya dimalam hari, meilakukan peireigangan (seipeirti meingeindurkan otot punggung, leiheir, bahu, tangan, dan kaki seilama 5-10 meinit).
ANALISA BUDAYA KESELAMATAN PASIEN PADA IMPLEMENTASI PELAPORAN INSIDEN KESELAMATAN PASIEN DALAM UPAYA MENINGKATKAN MUTU PELAYANAN DI RAWAT INAP RUMAH SAKIT X Wardhana, Bagus Kusuma; Aziz, Abdul; Subardi, Arda Yunita; Dwinuarisha, Eggie
Jurnal Penelitian Kesmasy Vol 7 No 1 (2024): JURNAL PENELITIAN KESMASY
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpksy.v7i1.2046

Abstract

The incident reporting system in Indonesia in 2019 found around 12% of 2877 hospitals reporting patient safety incidents, with the number of patient safety incident reports as many as 7465, the number consisting of Near Miss Incidents 38%, Non-Injury Incidents 31% and Adverse Events 31% (Daud, 2020). The aim is to analyze the implementation of patient safety incident reporting in inpatient care at Hospital X so that priority problems are found and alternative solutions are obtained. The design processes the data obtained using a qualitative approach through in-depth interviews, observations, and comparisons with ideal conditions based on the latest regulations. This activity was carried out during the period from May to July 2024. The results of the examination during the research process found several problems, namely there was a fear of reporting patient incidents, not being used to carrying out the reporting process and not understanding the categories of patient incidents, limited human resources in the safety culture quality team, having a sense of burden such as getting additional tasks if reporting patient incidents, the safety culture quality team has several other important tasks / is not focused, and the implementer feels that complaints related to the cause of the incident are not followed up. Based on the priority assessment using the Urgency, Seriousness and Growth method, the highest point was 24, which came from the problem of the implementer feeling that complaints related to the cause of the incident were not followed up or the implementer's misperception of the follow-up to reporting patient safety incidents. Hospital X should develop a patient safety incident reporting system (SIPENKES) by showing the incident reporting follow-up process on the front page of the information system so that it is more transparent and the implementer is expected to understand that there is feedback and remain enthusiastic about cultivating the reporting of patient safety incidents.
IMPLEMENTASI REKAM MEDIS ELEKTRONIK PADA UNIT RAWAT JALAN DI RSUD X BEKASI Situmorang, Budi Asih; Aziz, Abdul; Subardi, Arda Yunita; Dwinuarisha, Eggie
Jurnal Penelitian Kesmasy Vol 7 No 1 (2024): JURNAL PENELITIAN KESMASY
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpksy.v7i1.2047

Abstract

Electronic medical records (EMRs) represent a significant technological transformation in Indonesia's national health system, but they still pose challenges. According to Minister of Health Regulation No. 24 of 2022, all health service facilities in Indonesia are mandated to implement EMRs. However, the adoption of EMRs across the country's healthcare facilities has not been uniform. RSUD X has been preparing for the digitization of health services since 2018 by using SIMRS Khanza, but after four years, it has yet to fully implement EMRs. In October 2022, RSUD X transitioned to a new system, SIMRS BJB Hope, and began rolling out EMRs for outpatient services in August 2023. After 10 months of implementation, this initiative was expanded to include inpatient services. The initial results show an improvement in performance indicators for outpatient services, with faster provision of medical record documents in 2023 compared to 2022. However, these improvements still fall short of the Minimum Service Standards outlined in Minister of Health Regulation No. 43 of 2016, indicating ongoing challenges in the effective implementation of EMRs in hospital services.
ANALISIS IMPLEMENTASI MANAJEMEN CASEMIX DALAM PENINGKATAN PENDAPATAN DI RSUD X Herdiani, Erni; Aziz, Abdul; Subardi, Arda Yunita; Dwinuarisha, Eggie
Jurnal Penelitian Kesmasy Vol 7 No 1 (2024): JURNAL PENELITIAN KESMASY
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpksy.v7i1.2048

Abstract

Hospitals are currently facing high VUCA (vulnerability, uncertainty, complexity & ambiguity) challenges. In order to remain able to compete in a healthy manner, to grow and develop successfully in accordance with its vision and mission, hospitals need to respond to these changes quickly and appropriately. One form of response to these changes is that hospital management understands the Casmix system and can implement it. Therefore, research was carried out at Hospital The research was carried out using a qualitative method with a descriptive analytical approach where this research carried out observations of the management casemix activity process, documented and interviewed and analyzed the research results. The results obtained are the implementation of casemix management at RSUD X in the Casemix unit. It can be concluded that Casemix management is less than optimal. The obstacles to less than optimal casemix management are the lack of optimal mapping of workload analysis and empowerment of casemix team personnel evenly and optimally and the lack of re-socialization of both coding and clinical pathway compliance for medical service teams. Apart from that, the work mechanism does not yet contain minimum time standards for each step of filing, coding and submission and there is no completeness checklist so that monitoring and eval__uation cannot be carried out optimally. Apart from that, RME is not yet optimal, especially in inpatient settings, it is not yet integrated and does not include interoperability. Optimization can be carried out, including by optimizing the casemix team by analyzing workloads and job descriptions whose performance indicators can be measured by updating existing SKs according to the analysis carried out, optimizing BPJS Claims SOPs, equipped with time limits for each step, making it easier to carry out monitoring and eval__uation. It is also necessary to prepare a checklist for completeness of files so that proper monitoring and eval__uation can be carried out, improving supporting facilities, namely RME, is very vital to be able to carry out Competency improvement can continue to be carried out periodically, especially in inpatient settings, periodically increasing competency for casemix teams and resocializing clinical pathways.
ANALISA INDIKATOR MUTU PPI (PENCEGAHAN DAN PENGENDALIAN INFEKSI) UNIT RAWAT INAP DI RS X Rosidin, Rona Qurrotul Aina; Aziz, Abdul; Subardi, Arda Yunita; Dwinuarisha, Eggie
Jurnal Penelitian Kesmasy Vol 7 No 1 (2024): JURNAL PENELITIAN KESMASY
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpksy.v7i1.2049

Abstract

The increasing incidence of HAIs has become an important problem in the world. The increased risk of HAIs infection is due to the lack of implementation of the IPC program, including implementing isolation precautions, implementing HAIs bundles and implementing surveillance. Nurses play an important role in preventing and controlling the transmission of infections through the implementation of standard precautions and maintenance of the Health care environment. The aim of this research is to carry out an analysis of quality indicators for Infection Prevention and Control so that priority problems can be found for which alternative solutions will be sought. The research design uses a qualitative approach through in-depth interviews, observations, and comparisons with ideal conditions based on the latest regulations. The research was conducted during the period May to July 2024. The results of examinations during the residency process found several problems, namely not optimal hand hygiene for officers (germs were found on the palms of the hands after Hand Hygiene), lack of compliance by officers in washing hands, lack of compliance with using PPE according to indications, lack of trained PPI team, found cases of HAIs Surgical Area Infection (SSI) and lack of reporting of cases of HAIs Phlebitis. Based on the priority assessment using the USG (Urgency, Seriousness and Growth) method, a priority problem was found, namely that the hand hygiene of staff was not optimal (germs were found on the palms of the hands after Hand Hygiene. Hospital in the treatment room.
THE INFLUENCE OF SERVICE QUALITY AND HOSPITAL IMAGE ON THE LEVEL OF PATIENT SATISFACTION IN THE EMERGENCY INSTALLATION UNIT (IGD) HELSA JATIRAHAYU HOSPITAL IN 2024 Aziz, Abdul; Ayu, Winda; Sanjaya, Titus; Dwinuarisha, Eggie
Jurnal Penelitian Kesmasy Vol 7 No 1 (2024): JURNAL PENELITIAN KESMASY
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpksy.v7i1.2050

Abstract

Introduction: When patients are dissatisfied with the health services they receive, they often choose to seek care at another hospital that offers better quality. Patient dissatisfaction can arise from various factors, including service quality and the hospital's reputation. Addressing these factors is essential for enhancing patient satisfaction. This research aims to assess how service quality and hospital image impact patient satisfaction in the Emergency Unit (IGD) of Helsa Jatirahayu Hospital in 2024. Research Method: The study employed a non-experimental, cross-sectional analytic design to eval__uate the influence of independent variables on the dependent variable. Data analysis was conducted using logistic regression software. The research involved a questionnaire distributed to Emergency Room patients at Helsa Jatirahayu Hospital. The target population consisted of 550 patients, from which a sample of 85 was selected. Data analysis was performed using SPSS Version 24.0. Results: The findings indicated that service quality significantly influenced patient satisfaction, with a p-value of 0.001 (p < 0.05) and an Odds Ratio (OR) of 5.161. This suggests that respondents who rated service quality poorly were 5.161 times more likely to be dissatisfied compared to those who rated it as good. Additionally, hospital image also affected patient satisfaction, with a p-value of 0.021 (p < 0.05) and an OR of 2.990, indicating that those perceiving a poor hospital image were 2.990 times more likely to report dissatisfaction than those who viewed the image positively. Overall, service quality and hospital image accounted for 75.8% of the variance in patient satisfaction, leaving 24.2% attributed to other unexamined factors.
ANALISIS MANAJEMEN PELAKSANAAN PROGRAM PROMOSI KESEHATAN DALAM PROGRAM PERILAKU HIDUP BERSIH DAN SEHAT (PHBS) TATANAN RUMAH TANGGA DI UPTD PUSKESMAS DTP BANDAR TAHUN 2023 Dewi, Mustika; Batubara, Saiful
Jurnal Penelitian Kesmasy Vol 7 No 1 (2024): JURNAL PENELITIAN KESMASY
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpksy.v7i1.2051

Abstract

Public Health Center is the main health care model that plays a to achieve the Sustainable Development Goals (SDGs), through Clean and Healthy Behavior in Indonesia. It is a promotion and prevention measure society to promote healthy lifestyles among people. This qualitative study describes Clean and healthy behavior program implemented at UPTD DTP Bandar. Depth interviews were conducted between 5 (five) informants consisting of the Head of the Health Resources and Community Empowerment Division at the Health Service, the Head of the UPTD DTP Bandar, responsible person Health Promotion, the village midwife and cadres at the UPTD DTP Bandar. The results of the study showed that there were systemic problems In the program of clean and healthy behavior Program which caused reduction in coverage compared to previous years. Two of the the most important is smoked behavior in home with breastfeeding between mothers. Also in the main role the Clean and Healthy Behavior Program is for cadres who are only trained once a year in October. In addition, that must also interact with community leaders to support programs in their area. Adding information, facilitating with advocating through coordination between the Board of Health, Community Health Centers, community to solve the problems managers and health cadres are needed. In addition, occupational health promotion officers are is also required carry out promotional and proactively actions that runs smoothly in the community.

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