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MAHESA : Malahayati Health Student Journal
Published by Universitas Malahayati
ISSN : 2746198X     EISSN : 27463486     DOI : 10.3324
Core Subject : Health,
Dentistry Health Professions Nursing Public Health
MAHESA : Malahayati Health Student Journal, dengan nomor ISSN 2746-198X (Cetak) dan ISSN 2746-3486 (Online) adalah jurnal ilmiah yang diterbitkan oleh DIII Keperawatan Universitas Malahayati Lampung. MAHESA : Malahayati Health Student Journal merupakan jurnal yang memiliki fokus utama pada hasil penelitian dan ilmu-ilmu di bidang kesehatan yang dikembangkan dengan pendekatan interdispliner dan multidisiplin. Proses penerimaan naskah selalu terbuka setiap waktu, naskah yang sudah disubmit oleh penulis akan direview oleh reviewer yang ahli dalam bidang keperawatan dan kesehatan. MAHESA : Malahayati Health Student Journal telah menggunakan Open Journal System dimana penulis, editor dan reviewer bisa memantau proses naskah secara online. Dalam satu tahun MAHESA : Malahayati Health Student Journal terbit sebanyak 4 kali yaitu pada bulan Maret, Juni, September, Desember.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 1,573 Documents
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Hambatan Dalam Deteksi dan Pengobatan Tuberkulosis Pada Anak: Sebuah Narrative Review Nahdriah, Nina; Rakhmawati, Windy; Rukmasari, Ema Arum
MAHESA : Malahayati Health Student Journal Vol 6, No 4 (2026): Volume 6 Nomor 4 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i4.18938

Abstract

ABSTRACT Tuberculosis (TB) in children is a significant global health issue, with numerous challenges in detection and treatment. The inability to obtain diagnostic samples, such as sputum, in children, along with the limited availability of diagnostic tests, exacerbates the problem of detection. Other barriers include a lack of knowledge among healthcare professionals and the community about TB in children. To explore various barriers in the detection and treatment of tuberculosis in children. This study employed a narrative review design, following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) procedure for article selection. Inclusion criteria encompassed articles discussing barriers in the detection and treatment of TB in children, published within the last ten years, and written in English. Data analysis was conducted by identifying key themes related to detection and treatment barriers. Analysis of the articles revealed seven studies discussing the barriers in detecting and treating tuberculosis in children. The primary barriers to TB detection in children include difficulties in obtaining adequate diagnostic samples, limited knowledge of healthcare professionals regarding TB diagnosis in children, and low community awareness of the disease’s symptoms. In treatment, barriers include patient non-adherence to treatment regimens, limited access to appropriate medications, and previously undetected side effects. A holistic approach is needed to enhance healthcare professional training, improve diagnostic technology, and strengthen community awareness to address these challenges and increase the effectiveness of TB treatment in children. Keywords: Detection, Barriers, Treatment, Tuberculosis.ABSTRAK Tuberkulosis (TB) pada anak merupakan masalah kesehatan global yang signifikan, dengan banyak tantangan dalam deteksi dan pengobatan. Ketidakmampuan untuk memperoleh sampel diagnostik, seperti sputum, pada anak-anak, serta keterbatasan tes diagnostik yang tersedia, memperburuk masalah deteksi. Hambatan lainnya mencakup kurangnya pengetahuan di kalangan tenaga medis dan masyarakat mengenai TB pada anak.  Untuk mengeksplorasi berbagai hambatan dalam deteksi dan pengobatan tuberkulosis pada anak. Penelitian ini menggunakan desain narrative review yang mengikuti prosedur PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) untuk seleksi artikel. Kriteria inklusi mencakup artikel yang membahas hambatan dalam deteksi dan pengobatan TB pada anak, dipublikasikan dalam sepuluh tahun terakhir, dan menggunakan bahasa inggris. Analisis data dilakukan dengan mengidentifikasi tema-tema utama terkait hambatan deteksi dan pengobatan. Hasil dari analisis artikel menunjukkan terdapat 7 artikel yang membahas tentang hambatan dalam deteksi dan pengobatan tuberkulosis pada anak. Hambatan utama dalam deteksi TB pada anak adalah kesulitan dalam memperoleh sampel diagnostik yang cukup, kurangnya pengetahuan tenaga medis tentang diagnosis TB pada anak, serta rendahnya kesadaran masyarakat mengenai gejala penyakit. Untuk pengobatan, hambatan meliputi masalah kepatuhan pasien terhadap regimen pengobatan, keterbatasan akses ke obat yang tepat, serta efek samping yang tidak terdeteksi sebelumnya. Perlunya pendekatan holistik untuk meningkatkan pelatihan tenaga medis, memperbaiki teknologi diagnostik, serta memperkuat kesadaran masyarakat untuk mengatasi tantangan ini dan meningkatkan efektivitas pengobatan TB pada anak. Diperlukan strategi yang menyeluruh, seperti peningkatan kapasitas tenaga kesehatan dalam diagnosis TB anak serta edukasi berkelanjutan kepada keluarga dan masyarakat untuk meningkatkan kepatuhan terhadap pengobatan dan mempercepat deteksi dini pada penyakit tuberkulosis. Kata Kunci: Deteksi, Hambatan, Pengobatan, Tuberculosis.
The Influence of Health Education on The Knowledge of Grade IX Female Adolescents about Sexual Violence at SMP X Bekasi Fajar, Rahel Agustin; Yuliani, Indah
MAHESA : Malahayati Health Student Journal Vol 6, No 4 (2026): Volume 6 Nomor 4 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i4.21980

Abstract

ABSTRACT Sexual violence against adolescent girls remains a critical public health issue with severe physical, mental, and social consequences. Indonesian Health Survey (2023) data reveals concerning prevalence rates among girls aged 14-17: 15% experienced verbal sexual harassment, 8.5% physical harassment, and 3.2% severe sexual violence. Bekasi City witnessed increased cases from 65 (2021) to 87 (2022). Previous research indicated 68.3% of female adolescents in Bekasi had inadequate knowledge about sexual violence, with 85.7% never receiving specific school-based health education on this topic. To analyze the effectiveness of health education intervention on ninth-grade female adolescents' knowledge regarding sexual violence at SMP X Bekasi. Methods: A quasi-experimental pre-post test design was employed with ninth-grade female students selected through purposive sampling. Knowledge levels were assessed using a validated questionnaire administered before and after health education intervention. Statistical analysis determined pre-post intervention knowledge differences. Normality testing revealed non-parametric distribution of pre-test and post-test data (p0.05), requiring non-parametric statistical analysis. Significant improvement in adolescent girls' knowledge about sexual violence was observed post-intervention, demonstrating enhanced understanding of definitions, forms, risk factors, and prevention strategies. Health education intervention effectively enhanced adolescent girls' knowledge about sexual violence. Implementation of comprehensive school-based health education programs is crucial for primary prevention of sexual violence against adolescent girls. Keywords: Health Education, Knowledge, Sexual Violence, Adolescent Girls, Prevention.
Implementation of Terminology Standards in Nursing Documentation Iin Healthcare: Scoping Review Sastrawati, Desak Kadek; Susanti, NLP. Dina; Wahyuningsih, Ni Luh Gde Nita Sri; Nuartini, Ni Nyoman
MAHESA : Malahayati Health Student Journal Vol 6, No 4 (2026): Volume 6 Nomor 4 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i4.22027

Abstract

ABSTRACT Nursing care documentation is a document that contains the patient's condition starting from bio-psycho-social-spiritual assessment, nursing plan, intervention in accordance with the plan that has been prepared and evaluation carried out by nurses on patients from the patient's arrival to the patient's discharge. This scoping review aims to determine the application of terminology standards in health services. This study uses a scoping review. The search strategy used databases namely PubMed, ScienceDirect and Researchgate. The articles obtained were selected based on publications published between 2015-2025, the search used MeSH terms and PCC format in the selection of articles. A total of 15 articles describing the application of terminology standards in nursing care documentation were found. The use of international standards in European, American and African countries in preparing documentation are NANDA-I, NIC NOC, INCP, FinCC. While in Indonesia using NANDA, NIC NOC and SDKI, SLKI SIKI standards. However, the application of documentation using the SDKI, SLKI SIKI standards is still not optimal and nurses do not understand the practical implementation of the three standards. So referring to this, further study is needed in the future. Keywords: Nursing, Documentation, Standardize Terminology.
Analisis Kesiapan dan Strategi Rumah Sakit Marinir Cilandak dalam Menerapkan Manajemen Bisnis Berbasis Lingkungan Wicaksono, Jarot; Fushen, Fushen; Noviarti, Noviarti; Marta, Rustono Farady
MAHESA : Malahayati Health Student Journal Vol 6, No 4 (2026): Volume 6 Nomor 4 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i4.21847

Abstract

ABSTRACT Green Hospital is an ideal concept proposed by the Indonesian Ministry of Health for all hospitals in Indonesia. However, to date, few hospitals have been able to implement it effectively. The concept of green business management serves as a starting point for hospitals to become proactive in Green Hospital practices. This study aims to analyze the readiness and strategy of the Cilandak Marine Hospital (RSMC) in implementing environmental-based business management as a form of support for the Green Hospital campaign launched by the Ministry of Health of the Republic of Indonesia. The method used is a qualitative approach with SWOT analysis to evaluate the strengths, weaknesses, opportunities, and threats faced by RSMC. The results of the study indicate that RSMC management has a strong commitment to integrating sustainability principles into the operation of health services in their institution, despite certain challenges to it. A diversification strategy is proposed as a proactive step to overcome existing challenges, including the development of environmentally friendly health service programs and partnerships with various parties. This study is expected to be a guide for RSMC in implementing environmental-based business management effectively and sustainably, while strengthening its position in the market and making a positive contribution to public health and environmental sustainability. Keywords: Green Hospital, Green Business Managenent, Cilandak Marine Hospital.  ABSTRAK Green Hospital merupakan konsep ideal yang dicanangkan Kemenkes RI bagi seluruh rumah sakit di Indonesia. Akan tetapi hingga saat ini masih sangat sedikit rumah sakit yang mampu melaksanakannya dengan ideal. Konsep manajemen bisnis berbasis lingkungan hadir sebagai pijakan awal rumah sakit untuk mulai pro aktif pada Green Hospital. Penelitian ini bertujuan untuk menganalisis kesiapan dan strategi Rumah Sakit Marinir Cilandak (RSMC) dalam menerapkan manajemen bisnis berbasis lingkungan sebagai bentuk dukungan terhadap kampanye Green Hospital yang dicanangkan oleh Kementerian Kesehatan Republik Indonesia. Metode yang digunakan adalah pendekatan kualitatif dengan analisis SWOT untuk mengevaluasi kekuatan, kelemahan, peluang, dan ancaman yang dihadapi RSMC. Hasil penelitian menunjukkan bahwa manajemen RSMC memiliki komitmen yang kuat untuk mengintegrasikan prinsip keberlanjutan dalam operasional layanan kesehatan di lembaga mereka, meskipun terdapat tantangan tertentu atasnya. Strategi diversifikasi diusulkan sebagai langkah proaktif untuk mengatasi tantangan yang ada, termasuk pengembangan program layanan kesehatan ramah lingkungan dan kemitraan dengan berbagai pihak. Penelitian ini diharapkan dapat menjadi panduan bagi RSMC dalam implementasi manajemen bisnis berbasis lingkungan secara efektif dan berkelanjutan, sekaligus memperkuat posisinya di pasar serta memberikan kontribusi positif terhadap kesehatan masyarakat dan keberlanjutan lingkungan. Kata Kunci: Green Hospital, Manajemen Bisnis Berbasis Lingkungan, Rumah Sakit Marinir Cilandak.
Transforming Medical Tourism: A Tri Hita Karana-Inspired Framework for Cultural and Holistic Wellness In Bali Laba, Made Ajiswara; Wibowo, I Putu Adi; Buntoro, Veronica Aurelie; Maheswari, Ayu Putu Githa; Utami, I Gusti Ayu Intan Pramesti; Putri, Laras Nazillah
MAHESA : Malahayati Health Student Journal Vol 6, No 4 (2026): Volume 6 Nomor 4 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i4.21503

Abstract

ABSTRACT Medical tourism has emerged as a global phenomenon, driven by cost-effective healthcare, advanced medical technologies, and the allure of exotic destinations. Bali, Indonesia, renowned for its cultural richness and natural beauty, is a burgeoning hub for medical tourism. However, existing models often prioritize economic benefits over cultural and holistic integration, limiting their sustainability. This study proposes a novel medical tourism model grounded in the Balinese philosophy of Tri Hita Karana, which emphasizes harmony with God (Parahyangan), humans (Pawongan), and nature (Palemahan). Using a systematic literature review based on the PRISMA methodology, we synthesized 45 peer-reviewed studies to develop a culturally sensitive and holistic framework. The findings reveal that integrating spiritual wellness, community-based care, and eco-friendly practices enhances patient satisfaction and aligns with global wellness trends. The proposed model offers a transformative approach to medical tourism by embedding Balinese cultural values into healthcare delivery. This study contributes to the literature by addressing the gap in culturally grounded medical tourism frameworks and provides practical recommendations for stakeholders to implement sustainable, holistic care in Bali. Future research should empirically validate the model’s effectiveness and explore its adaptability in other cultural contexts. This framework not only elevates Bali’s position in the global medical tourism market but also promotes cultural preservation and environmental sustainability. Keywords: Medical tourism, Tri Hita Karana, Holistic Health, Bali.
Hubungan Stres Kerja dengan Kinerja Perawat di Ruang Instalasi Gawat Darurat (IGD), Ruang Intensive Care Unit (ICU) dan Ruang Rawat Inap Anak Putri, Amanda; Tilawah, Koriah; Kadang, Yulta
MAHESA : Malahayati Health Student Journal Vol 6, No 4 (2026): Volume 6 Nomor 4 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i4.22156

Abstract

ABSTRACT Job stress is a factor that can have a significant impact on nurse performance, especially in high-stress environments such as emergency room, ICU, and pediatric ward. Because nurses have a crucial role in health services, their performance is very important to be studied in order to maintain and improve the quality of health services. This study aims to analyze the correlation between job stress and the performance of nurses who work in emergency rooms, ICUs, and pediatric wards. This study applies a correlational method through  a cross-sectional approach  which was carried out in December 2024. About 41 nurses working in these three units were selected as samples using purposive sampling techniques. Then the data was collected through a questionnaire on work stress and nurse performance, then analyzed with a Gamma test. The study showed that the majority of nurses experienced job stress in the mild category,with 22 respondents (53.7%). Meanwhile, the performance of nurses was mostly good, with 30 respondents (73.2%). Statistical analysis yielded a Gamma value of -0.649, indicating a moderate to strong relationship. In addition, a p-value of 0.030, lower than the significance level of 0.05, shows that the relationship is statistically significant.  Based on the results of the study, it can be concluded that job stress has a significant relationship with the performance of nurses in the emergency room, ICU, and pediatric ward. Keywords: Job Stress, Nurse Performance, Emergency Room (ER), Intensive Care Unit (ICU), Pediatric Ward.  ABSTRAK Stres kerja adalah sebuah faktor yang bisa sangat berdampak pada kinerja perawat, terutama di lingkungan dengan tingkat stres tinggi seperti IGD, ICU, dan ruang rawat inap anak. Karena perawat mempunyai peran krusial dalam pelayanan kesehatan, performa mereka menjadi sangat penting untuk dikaji guna menjaga hingga meningkatkan kualitas pelayanan kesehatan. Penelitian ini bertujuan menganalisis hubungan antara stres kerja dengan kinerja perawat yang bertugas di IGD, ICU, dan ruang rawat inap anak. Studi ini menerapkan metode korelasional melalui pendekatan cross-sectional yang dilaksanakan tanggal Desember 2024. Sekitar 41 perawat yang bekerja di ketiga unit ini dipilih sebagai sampel menggunakan teknik purposive sampling. Lalu data dikumpulkan melalui kuesioner stres kerja dan kinerja perawat, kemudian dianalisis dengan uji Gamma. Dari penelitian memperlihatkan bahwa mayoritas perawat mengalami stres kerja dalam kategori ringan, yakni sejumlah 22 responden (53,7%). Sedangkan, kinerja perawat sebagian besar tergolong baik, sejumlah 30 responden (73,2%). Analisis statistik menghasilkan nilai Gamma senilai -0,649, mengindikasikan hubungan sedang hingga kuat. Selain itu, nilai p-value senilai 0,030, lebih rendah dari tingkat signifikansi 0,05, memperlihatkan bahwa hubungan tersebut signifikan secara statistik.  Berdasarkan hasil penelitian, dapat disimpulkan bahwa stres kerja terdapat hubungan signifikan dengan kinerja perawat di IGD, ICU, dan ruang rawat inap anak. Kata Kunci: Stres Kerja, Kinerja Perawat, Instalasi Gawat Darurat (IGD), Intensive Care Unit (ICU), Ruang Rawat Inap Anak.
Manajemen Oral Care pada Pasien Dengan Mechanical Ventilation di Intensive Care Unit: a Scoping Review Palo, Daud; Prawesti, Ayu; Mirwanti, Ristina
MAHESA : Malahayati Health Student Journal Vol 6, No 4 (2026): Volume 6 Nomor 4 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i4.21469

Abstract

ABSTRACT The use of mechanical ventilation causes oral disorders in patients, such as xerostomia, increased dental plaque, mucociliary dysfunction, and changes in oral flora composition. These conditions have the potential to cause colonization of pathogenic bacteria that cause Ventilator-Associated Pneumonia (VAP). Oral care interventions have been implemented as a preventive strategy, but scientific evidence related to oral care management is still limited, requiring further exploration. To explore the available literature on oral care management in patients with mechanical ventilation in intensive care units. The scoping review framework from Arksey and O'Malley was used to guide the review process, and the PRISMA-ScR checklist was used to report this scoping review. The databases used were PubMed, Scopus, CINAHL, ScienceDirect, and Google Scholar, from January 2014 to December 2024. Thematic analysis was applied to identify key findings in the literature. Ten eligible articles were included. Three main themes were identified: oral care protocols (assessment and frequency of oral care, implementation of oral care, use of antiseptics, mechanical cleaning methods, and additional oral care methods), measurement tools used to evaluate oral care, and the implications of oral care on clinical outcomes. Recommended oral care management includes assessing oral health using the Beck Oral Assessment Scale (BOAS) to determine the frequency of oral care, brushing teeth with a soft toothbrush, using 2% chlorhexidine antiseptic, suction, and administering oral moisturizers. Additional interventions include maintaining ETT cuff pressure at 20-25 cmH₂O, positioning the head of the bed at 30°, and subglottic suction to avoid the risk of aspiration. BOAS is the most widely used measurement tool for assessing patients' oral health. Oral care management not only reduces the incidence of VAP, but also reduces the duration of MV, length of ICU stay, mortality rate, and improves physiological parameters.  Keywords: ICU, Oral Care, Mechanical Ventilation, Ventilator-Associated Pneumonia.  ABSTRAK Penggunaan ventilasi mekanik menyebabkan gangguan pada mulut pasien seperti xerotomia, peningkatan plak gigi, disfungsi mukosiliari, dan perubahan komposisi flora mulut. Hal tersebut berpotensi menyebabkan kolonisasi bakteri patogen penyebab Ventilator-Associated Pneumonia (VAP). Intervensi oral care telah diimplementasikan sebagai strategi pencegahan, namun bukti ilmiah terkait manajemen oral care masih terbatas sehingga memerlukan eksplorasi lebih lanjut.  Untuk mengeksplorasi literatur yang tersedia tentang manajemen oral care pada pasien dengan ventilasi mekanik di unit perawatan intensif. Kerangka kerja scoping review dari Arksey dan O'Malley digunakan untuk memandu proses tinjauan dan daftar periksa PRISMA-ScR digunakan untuk melaporkan tinjauan ruang lingkup ini. Basis data yang digunakan adalah PubMed, Scopus, CINAHL, ScienceDirect, dan Google Scholar, dari januari 2014 hingga Desember 2024. Analisis tematik diterapkan untuk mengidentifikasi temuan utama dalam literatur. Sepuluh artikel yang memenuhi syarat disertakan. Tiga tema utama teridentifikasi yaitu protokol oral care (penilaian dan frekuensi oral care, penerapan oral care, penggunaan antiseptik, metode pembersihan mekanis, dan metode tambahan oral care), alat ukur yang digunakan untuk mengevaluasi oral care, dan implikasi oral care terhadap hasil klinis.Manajemen oral care yang direkomendasikan meliputi penilaian kesehatan mulut menggunakan Beck Oral Assessment Scale (BOAS) untuk menentukan frekuensi oral care, penyikatan gigi dengan sikat gigi lembut, menggunakan antiseptik chlorhexidine 2%, suction, dan pemberian pelembab mulut. Intervensi tambahan dengan mempertahankan tekanan cuff ETT 20-25 cmH₂O, posisi Head of Bed 30°, dan suction subglotik untuk menghindari risiko aspirasi. BOAS merupakan alat ukur yang paling banyak digunakan untuk menilai kesehatan mulut pasien. Manajemen oral care tidak hanya menurunkan insiden VAP, tetapi juga mengurangi durasi MV, lama rawat ICU, angka mortalitas, serta memperbaiki parameter fisiologis.  Kata Kunci: ICU, Oral Care, Mechanical Ventilation, Ventilator-Associated Pneumonia.
Effectiviness of Red Ginger Nanoparticles on Primary Dysmenorrhea Pain in Adolescent Girls Ayuningsih, Yulia; Supriyadi, Supriyadi; Sumarni, Sri
MAHESA : Malahayati Health Student Journal Vol 6, No 4 (2026): Volume 6 Nomor 4 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i4.22023

Abstract

ABSTRACT Every month, adolescent girls experience painful menstruation (dysmenorrhea), which is caused by high levels of the hormone prostaglandin. High levels of prostaglandin cause uterine contractions during menstruation, resulting in pain. The prevalence of dysmenorrhea reaches 90%, with some experiencing severe pain that interferes with daily activities. Therefore, alternative treatments are needed to address the pain of dysmenorrhea. One such treatment is red ginger, as it contains gingerols, shogaols, and flavonoids, which can help relieve dysmenorrhea. Proving the effectiveness of red ginger nanoparticles in reducing the intensity of primary dysmenorrhea pain. This type of research is a true experiment with a pre-test and post-test with a control group design. The population in this study were adolescent girls experiencing primary dysmenorrhea and mild anemia in the Midwifery Department of Poltekkes Semarang. This study was conducted on two groups: the intervention group was given red ginger nanoparticles at a dose of 500 mg 3x2 daily for 14 days; and the intervention group was given red ginger nanoparticles at a dose of 500 mg 3x2 daily for 14 days. The results of the study showed that red ginger nanoparticles were significantly able to reduce the intensity of dysmenorrhea pain, with the results of the Mann Whitnay test statistical test obtaining a p value of 0.000. Red ginger nanoparticles are effective in reducing the intensity of primary dysmenorrhea pain and can be a complementary approach in obstetric practice to reduce dysmenorrhea symptoms. Keywords: Adolescent Girls, Primary Dysmenorrhea, Red Ginger Nanoparticles.
Analisis Faktor yang Mempengaruhi Kepatuhan Penggunaan Elektronik Rekam Medis (ERM) di Instalasi Rawat Jalan RSUD Provinsi NTB Sukriani, Sukriani; Menap, Menap; Karjono, M.
MAHESA : Malahayati Health Student Journal Vol 6, No 4 (2026): Volume 6 Nomor 4 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i4.24474

Abstract

ABSTRACT This research is motivated by the acceleration of digital healthcare transformation and the mandatory implementation of Electronic Medical Records (ERM). However, ERM compliance at the NTB Provincial Hospital has not yet reached the target. An internal evaluation in 2024 showed a 75% compliance rate of 24 hours. This lack of perfection has implications for the completeness and strictness of time documentation and has led to delays in claim verification due to incomplete data, which can reduce revenue and the provision of service facilities in various outpatient units. This study aims to analyze the influence of seven factors: individual, organizational, technological, performance expectations, ease of use expectations, social environment, and facility conditions on ERM compliance in the outpatient unit. The method used was a quantitative cross-sectional design in 2025, involving 145 respondents from a population of 227 ERM users. Data were collected through a HOT-FIT and UTAUT indicator-based questionnaire using a 5-point Likert scale. Data were then analyzed using univariate, bivariate (Chi-Square), and multivariate logistic regression (α0.05). Univariate results showed that the majority of respondents were consistently compliant (56.6%), with individual factors categorized as high at 51.0% and facility conditions as sufficiently available/available at 76.6%. Bivariate analysis revealed that all variables were significantly associated with compliance (p0.001). However, multivariate analysis revealed that only individual factors (p=0.006) and facility conditions (p0.001) had a partial effect, with facility conditions being the most dominant determinant. Keywords: Compliance, Electronic Medical Records, Outpatient Facilities.  ABSTRAK Penelitian ini dilatar belakangi oleh percepatan transformasi digital layanan kesehatan dan kewajiban penerapan Elektronik Rekam Medis (ERM), namun kepatuhan pengisian ERM di RSUD Provinsi NTB belum mencapai target. Evaluasi internal tahun 2024 menunjukkan kepatuhan pengisian 24 jam sebesar 75%. Kesenjangan tersebut berimplikasi pada kelengkapan dan ketepatan waktu dokumentasi, serta memicu tertundanya verifikasi klaim pembiayaan karena data tidak lengkap yang dapat menekan pendapatan dan pengadaan sarana pelayanan di berbagai unit rawat jalan. Penelitian ini bertujuan menganalisis pengaruh tujuh faktor seperti faktor individu, organisasi, teknologi, harapan kinerja, harapan kemudahan, lingkungan sosial dan kondisi fasilitas terhadap kepatuhan penggunaan ERM di Instalasi Rawat Jalan. Metode yang digunakan adalah kuantitatif dengan desain cross sectional pada tahun 2025, melibatkan 145 responden dari populasi 227 pengguna ERM, data dikumpulkan melalui kuesioner berbasis indikator HOT-FIT dan UTAUT menggunakan skala Likert 5 poin, kemudian dianalisis secara univariat, bivariat (Chi-Square) dan multivariat regresi logistik (α0,05). Hasil univariat menunjukkan mayoritas responden selalu patuh (56,6%), dengan proporsi faktor individu kategori tinggi 51,0% dan kondisi fasilitas cukup tersedia/tersedia 76,6%. Uji bivariat memperlihatkan seluruh variabel berhubungan signifikan dengan kepatuhan (p0,001). Namun, pada analisis multivariat hanya faktor individu (p=0,006) dan kondisi fasilitas (p0,001) yang berpengaruh secara parsial dengan kondisi fasilitas sebagai determinan paling dominan. Kata Kunci: Kepatuhan, Elektronik Rekam Medis, Instalasi Rawat Jalan.
Evaluasi Efektivitas Model U-Net untuk Segmentasi Citra Renal Scintigraphy pada Penilaian Fungsi Ginjal Gitawiarsa, I Putu Pande Wahyu; Guruh, Bambang; Dartini, Dartini; Mulyantoro, Donny Kristanto; Masrochah, Siti; Wibowo, Gatot Murti
MAHESA : Malahayati Health Student Journal Vol 6, No 4 (2026): Volume 6 Nomor 4 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i4.22074

Abstract

ABSTRACT Renal scintigraphy is a nuclear medicine procedure commonly used to quantitatively assess kidney function and monitor various clinical conditions. Image analysis requires segmentation of the kidney’s region of interest (ROI), which is typically performed manually by experienced operators. This manual approach is time-consuming and prone to inter-observer variability. This study develops and evaluates a Convolutional Neural Network (CNN) U-Net model to perform automated ROI segmentation of the kidneys in Tc-99m DTPA–based renal scintigraphy images. The image dataset underwent preprocessing, normalization, and data augmentation, and was then split into training, validation, and testing sets. Model performance was evaluated using the Dice Coefficient on both validation and testing datasets. The results showed an average Dice Coefficient of 0.900 on the validation set and 0.889 on thetesting set. Frame-by-frame analysis demonstrated stable model performance across all acquisition phases, with Dice Coefficient values ≥ 0.87. These findings demonstrate that the U-Net model can accurately and consistently segment kidney ROIs, and has the potential to be integrated into clinical decision-support systems to enhance the efficiency and consistency of renal scintigraphy interpretation. Keywords: U-Net, Medical Image Segmentation, Renal Scintigraphy, Nuclear Medicine, Deep Learning.  ABSTRAK Renal scintigraphy merupakan prosedur kedokteran nuklir yang umum digunakan untuk menilai fungsi ginjal secara kuantitatif dan memantau berbagai kondisi klinis. Proses analisis citra memerlukan segmentasi region of interest (ROI) ginjal, yang umumnya dilakukan secara manual oleh operator berpengalaman. Metode manual ini memakan waktu dan rentan terhadap variabilitas antar- pengamat. Penelitian ini mengembangkan dan mengevaluasi model Convolutional Neural Network (CNN) U-Net untuk melakukan segmentasi otomatis ROI ginjal pada citra renal scintigraphy berbasis radiofarmaka Tc-99m DTPA. Dataset citra yang digunakan melalui proses pra-pemrosesan, normalisasi, dan data augmentation, kemudian dibagi menjadi data latih, validasi, dan uji. Evaluasi kinerja model menggunakan metrik Dice Coefficient pada dataset validasi dan uji. Hasil menunjukkan nilai rata-rata Dice Coefficient sebesar 0,900 pada data validasi dan 0,889 pada data uji. Analisis per frame menunjukkan stabilitas performa model di seluruh faseperekaman, dengan Dice Coefficient ≥0,87. Temuan ini membuktikan bahwa model U-Net mampu melakukan segmentasi ROI ginjal secara akurat dan konsisten, serta berpotensi diintegrasikan dalam sistem pendukung keputusan klinis untuk meningkatkan efisiensi dan konsistensi interpretasi citra renal scintigraphy. Kata Kunci: U-Net, Segmentasi Citra Medis, Renal Scintigraphy, Kedokteran Nuklir, Deep Learning.

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