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Wal'afiat Hospital Journal
Published by Rumah Sakit Ibnu Sina Makassar
ISSN : -     EISSN : 27229017     DOI : https://doi.org/10.33096/whj.v2i1.51
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
Walafiat Hospital Journal menerima artikel penelitian yang original (original article / research paper) yang relevan dengan bidang kesehatan di Rumah Sakit Indonesia. Walafiat Hospital Journal juga menerima tinjauan pustaka, laporan kasus, ceramah ilmiah, book review, dan surat kepada redaksi dalam bahasa Indonesia atau Inggris, dengan syarat belum pernah dipublikasikan sebelumnya di tempat lain.
Arjuna Subject : Profesi Kesehatan - Menejmen Informasi Kesehatan
Articles 115 Documents
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Pengaruh Beban Kerja Dan Stres Kerja Terhadap Burnout Pegawai Di Rumah Sakit Bhayangkara Makassar Tahun 2024 Mangin, Mangindara; Windarti, Sriyani; Ekawaty, Dian; Hastuti, Hastuti; Hardiansyah, Rival
Wal'afiat Hospital Journal Vol. 6 No. 1 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/whj.v6i1.155

Abstract

Burnout Syndrome refers to a condition in which the body is completely exhausted, both physically and mentally. According to data from the International Labour Organization (ILO) in 2021, nearly 2 million workers die each year due to work-related accidents caused by fatigue. Of these, 71.43% of workers experienced mild fatigue before starting work. After work, 100% of workers experienced fatigue, with 11.43% reporting mild fatigue, 42.86% moderate fatigue, and 45.71% severe fatigue. It is noted that the number of contract employees at Bhayangkara Hospital Makassar is 448, with 7 employees having resigned, which accounts for 1.52%. The aim of this study is to determine the effect of workload and work stress on employee Burnout at Bhayangkara Hospital Makassar in the year 2024. This study used a quantitative research method with a cross-sectional study design. The total population in this study was 448 individuals, with a sample of 211 respondents. Data collection was conducted using questionnaires, and the analysis techniques included univariate, bivariate, and multivariate analysis. The results showed that workload had a significant effect on Burnout (p = 0.000), work stress had a significant effect on Burnout (p = 0.000), and there was a simultaneous effect of workload and work stress on Burnout, where the calculated F-value (7.363) was greater than the F-table value (3.04), with a significance value of 0.000 < 0.05.Conclusion: There is a simultaneous effect of workload and work stress on employee Burnout at Bhayangkara Hospital Makassar.
Faktor Yang Mempengaruhi Timbulnya Tuberculosis Limfadenitis di Rumah Sakit Umum Pusat Wahidin Sudirohusodo Pada Tahun 2021-2023 Cantika Carmelia, Andi Dila; Rijal, Syamsu; Muchtar, Amrizal; Wiriansya, Edward Pandu; Masdipa, Andi
Wal'afiat Hospital Journal Vol. 6 No. 1 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/whj.v6i1.158

Abstract

Tuberculosis is a contagious disease caused by the bacterium Mycobacterium tuberculosis. This bacterium primarily affects the lungs, but it can also spread to other organs. One of the most commonly found forms of extrapulmonary tuberculosis is Tuberculous Lymphadenitis, which is a TB infection that affects the lymph nodes, especially in the cervical (neck) region. There are many factors that can contribute to the development of this disease. This study aims to identify the factors that influence the occurrence of Tuberculous Lymphadenitis at Wahidin Sudirohusodo Central General Hospital in Makassar during the period of 2021 to 2023. This quantitative research uses a cross-sectional approach to determine the risk factors—age, gender, nutritional status, history of tuberculosis, history of contact, diabetes mellitus, HIV status, immunization status, and hypertension—associated with the occurrence of Tuberculous Lymphadenitis. Data collection began with identifying TB cases, followed by tracing the associated risk factors that may lead to Tuberculous Lymphadenitis. The study population included all patients diagnosed with Tuberculous Lymphadenitis at Wahidin Sudirohusodo Central General Hospital from January to December in the years 2021–2023. The sampling technique used was quota sampling, a non-probability method based on non-random selection of a specific number or proportion of participants. A total of 422 samples that met the inclusion criteria were included in the study.The results showed that age, gender, nutritional status, diabetes mellitus, hypertension, and BCG immunization had a significant relationship with the incidence of Tuberculous Lymphadenitis. In contrast, history of tuberculosis, HIV status, and history of contact did not show a significant association with the disease.
Analisis Interaksi Obat pada Pasien Hipertensi di Posyandu Lansia Lembaga Kartini Surya Khatulistiwa Tanjung Hilir Anggraeny, Raine Ardhita; Asseggaf, Syarifah NYRS; Nurmainah, Nurmainah
Wal'afiat Hospital Journal Vol. 6 No. 1 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/whj.v6i1.159

Abstract

Polypharmacy of drugs in elderly hypertensive patients cannot be avoided because the elderly have several diseases other than hypertension. Polypharmacy administration of drugs can increase the potential for drug interactions to occur at a major, moderate or minor level, as well as occur in the pharmacodynamic or pharmacokinetic phase. One way that can be done to reduce these risks is by administering the right medication and minimizing the administration of polypharmacy for hypertensive patients. The research to analyze interactions between drugs, classify antihypertensive drugs, describe the percentage of drug interactions, and the severity of drug interactions given to elderly hypertensive posyandu patients at the Kartini Surya Khatulistiwa Tanjung Hilir Society. Observational with a descriptive model of the cross-sectional study. The sample used in this study is 36 hypertensive patients at the Posyandu Lansia Lembaga Kartini Surya Khatulistiwa Tanjung 2019. This research was conducted from March-April 2021. Samples are selected using Consecutive Sampling (nonprobability sampling). 79 cases interaction drug of hypertension patients in Posyandu Lansia Lembaga Kartini Surya Khatulistiwa Tanjung Hilir Drug interactions that occurred moderate level were 47 cases (59%) and pharmacodynamic stage in 71 cases (90%).
Hubungan Paparan Rokok, Riwayat BCG, dan Riwayat Kontak TB dengan Insidens TB Paru pada Wanita Usia Subur Andani, Mery; Azis, Asrul Abdul; Widyaningrum, Widyaningrum; Mahfudz, Muhsin; Haruna, Nadyah
Wal'afiat Hospital Journal Vol. 6 No. 1 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/whj.v6i1.160

Abstract

Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis (Mtb), affecting people of all ages globally. In Indonesia, the TB incidence in 2021 was 354 per 100,000 population, with an estimated mortality rate of 52 per 100,000. In South Sulawesi, TB cases rose to 68.8% in 2022 from a 48.3% case detection rate in 2021. This study aimed to assess the association between smoking exposure, BCG vaccination history, and TB contact history with pulmonary TB incidence among women of reproductive age at BBKPM Makassar in 2023. Using a cross-sectional quantitative approach, 354 samples were selected from 3,063 TB cases through purposive sampling. Data were collected from medical records of women aged 15–45 years with new pulmonary TB diagnoses and complete documentation. Chi-square analysis showed significant associations for smoking (p = 0.037), BCG history (p = 0.034), and TB contact (p = 0.004). The study concludes that these factors are significantly related to pulmonary TB in reproductive-age women.
Analisis Biaya Berdasarkan Unit Cost pada Instalasi Rawat Inap Igusti, Nuryanggi; Amelia, A Rizki; Arman, Arman; Yusriani, Yusriani; Suharni, Suharni; Multazam, A M; Muchlis, Nurmiati
Wal'afiat Hospital Journal Vol. 6 No. 1 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/whj.v6i1.201

Abstract

Cost analysis serves as a critical tool for hospital management in evaluating the efficiency of resource utilization. One commonly employed method is unit cost analysis, which supports the assessment of service production processes, determination of break-even points, and formulation of strategic decisions related to service volume and cost control. This study aimed to analyze fixed costs, fixed operational (semi-variable) costs, variable operational costs, total costs, and unit costs in the Inpatient Unit of a Private Hospital in Makassar in 2023. This research adopted an operational research design with a descriptive quantitative approach. The population comprised all financial transactions at the hospital in 2023, with the sample including all transactions associated with inpatient services. The findings showed that the fixed cost amounted to IDR 5,216,229,922, fixed operational cost to IDR 2,811,580,099, and variable operational cost to IDR 3,727,281,560. Total costs, calculated using three different approaches, were IDR 2,915,361,139 (Total Cost I), IDR 1,136,844,781 (Total Cost II), and IDR 650,882,586 (Total Cost III). Unit costs based on the double distribution method were identified as follows: Super VIP – IDR 1,087,677; VIP – IDR 870,775; Class 1 – IDR 654,674; Class 2 – IDR 532,583; and Class 3 – IDR 330,577. The results indicated that unit costs exceeding service tariffs posed a risk of financial loss. Therefore, the study recommends the application of the Activity-Based Costing (ABC) method, the implementation of clinical pathways, and the development of superior service units. Hospitals are encouraged to conduct periodic unit cost analyses and to establish service tariffs rationally, grounded in the outcomes of cost calculations.
Efektivitas Teh Celup Daun Bidara Laut Kombinasi Bubuk Kayu Manis sebagai Antidiare pada Mencit Bakkareng, Hasma Hasma; Muin, Rahmatullah; Panaungi, Andi Nurpati; Usman, Yusnita
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/4288pz24

Abstract

Diarrhea is characterized by increased defecation frequency and altered stool consistency. Castor oil (Oleum ricini) induces diarrhea mainly through ricinoleic acid, which enhances intestinal secretion and motility. Sea bidara leaves (Ziziphus mauritiana) and cinnamon (Cinnamomum burmannii) contain tannins, flavonoids, and aromatic constituents (e.g., cinnamaldehyde) that may contribute to antidiarrheal activity. To evaluate the antidiarrheal effect of a combined sea bidara–cinnamon tea bag preparation in male Swiss Webster mice. An experimental study was conducted using 15 mice (n=3/group): negative control (castor oil + distilled water), positive control (loperamide), and three tea infusion groups—F1 (90%:10%), F2 (25%:75%), and F3 (50%:50%). Mice were fasted for 8 h, induced with castor oil (0.5 mL/20 g BW), and treated by oral gavage 30 min after induction. Observations were recorded at 30, 60, 90, and 120 min post-treatment. The primary Endpoint was total bowel movement (BM) frequency over 0–120 min. The secondary Endpoint was a standardized ordinal stool consistency score (0–3; 0=no BM, 1=formed, 2=soft, 3=watery/mucoid). Data were analyzed using Kruskal–Wallis with appropriate post-hoc testing (α=0.05) and effect size reporting. Significant between-group differences were observed in total BM frequency (H=10.24; p=0.0366; ε²=0.624) and stool consistency scores (H=11.74; p=0.0194; ε²=0.774). Descriptively, F3 showed the lowest total BM frequency, while F2 demonstrated faster cessation of BMs after 60 min. The combined sea bidara–cinnamon tea bag infusion exhibited antidiarrheal activity in the castor oil model; findings should be interpreted as preliminary due to the pilot sample size.
Tinjauan Literatur Strategis Tentang Isu-Isu Kesehatan Masyarakat di Indonesia Nur, A. Ainun Wulandari; Abdullah, Rezky Putri Indarwati; Akbari, Ananda Hikmal
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/9qrdq891

Abstract

Public health in Indonesia faces a dual burden of disease, persistent Stunting, service inequities, and emerging threats such as climate change, urbanization, and digital health transitions. A transparent literature synthesis is needed to identify critical issues, evidence gaps, and policy priorities. To map strategic public health issues in Indonesia and propose policy and research priorities based on thematic evidence synthesis. This study employed a scoping review of publications from 2019–2025 (with a focus on 2023–2025 while allowing foundational references for conceptual frameworks). Searches were conducted in academic databases and policy sources. Records were screened using predefined inclusion/exclusion criteria. Findings were synthesized thematically using an SDGs and social determinants of health lens. Evidence quality was categorized using a pragmatic appraisal by source type (peer-reviewed vs grey literature). A total of 32 sources were included (as listed in the reference list) and mapped into key themes: social determinants; environment and sanitation; nutrition/Stunting; communicable diseases and NCDs; health policy and systems; health behavior and education; maternal and child health; workforce and community cadres; and cross-cutting challenges (climate change–urbanization–digitalization). Key gaps include limited implementation/evaluation studies and inconsistent cross-region comparative evidence. The literature supports strengthening primary care, adopting evidence-informed policies grounded in social determinants, and prioritizing implementation research to evaluate community-based and system-level interventions.
Penerapan Manajemen Nyeri pada Pasien Perioperative dengan Hidronefrosis di RSUD Labuang Baji Kota Makassar Baso, Mohamad Fauzan; Asfar, Akbar; Alam, Rizky Iftitah; Tjahjaningrum, Sajekti
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/7ps68p64

Abstract

Hydronephrosis is a dilation of the renal pelvicalyceal system caused by urinary outflow obstruction, which may increase intrarenal pressure and trigger pain. This case report describes non-pharmacological pain management in a Perioperative hydronephrosis patient using deep breathing relaxation in the pre-operative phase and benson relaxation in the post-operative phase. The report followed the nursing process (assessment–diagnosis–intervention–implementation–evaluation). The primary Outcome was pain intensity using a 0–10 Numeric Rating Scale (NRS), complemented by physiological indicators (blood pressure, pulse, respiratory rate, temperature, oxygen saturation) and behavioral responses. In the pre-operative phase, pain decreased from NRS 4 to NRS 2 after deep breathing relaxation, along with improved vital signs. In the post-operative phase, pain decreased from baseline NRS 5 to NRS 3 after a 15-minute benson relaxation session and further to NRS 2 at the next follow-up (≈30 minutes), with a trend toward stabilized vital signs. Given the Perioperative setting, analgesics/anesthesia and the surgical procedure may confound pain Outcomes; therefore, findings are reported descriptively without attributing the changes solely to relaxation techniques. This case suggests that standardized relaxation techniques can be integrated into Perioperative nursing care to support comfort in hydronephrosis patients.
Penerapan Manajemen Asma pada Bersihan Jalan Napas pada Pasien Asma Bronchiale di IGD RS. TK. II Makassar Sari Askar, Nurlaela; Sudarman, Sudarman; Emin, Wan Sulastri; Maliga, Muhajirin
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/v0t25860

Abstract

Bronchial asthma is a chronic inflammatory airway disease that may present with acute exacerbations characterized by bronchospasm, mucus hypersecretion, and increased work of breathing. In emergency settings, nursing care should focus on airway patency and oxygenation. To describe tripod positioning and nebulizer therapy in an acute bronchial asthma patient with ineffective airway clearance in the Emergency Department (ED). A descriptive single-case report in May 2025 at the ED of RS Tk. II Pelamonia Makassar. The intervention included tripod positioning (10 minutes) and nebulizer therapy (15 minutes), with pre- and post-assessment of respiratory rate, oxygen saturation, breath sounds, cough effectiveness, and dyspnea severity, aligned with SDKI–SLKI–SIKI reasoning. Clinical improvement was observed in this case, including reduced respiratory rate (28 to 22 breaths/min), increased oxygen saturation (92% to 97%), resolution of wheezing, more effective cough, and reduced dyspnea severity. Tripod positioning and nebulizer therapy were followed by clinical improvement in this case, while causal inference is limited due to the single-case design and potential concomitant treatments.
Hubungan Sikap Ibu Hamil Terkait Perilaku Hidup Bersih dan Sehat dengan Kejadian Bakteriuria Asimptomatik Wahyu, Zahra Sabrina; Haruna, Nadyah; Palancoi, Najamuddin Palancoi; Fauziah, Henny
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/rh7dxq11

Abstract

Asymptomatic bacteriuria (ASB) during pregnancy may progress to urinary tract infection (UTI) and complications if undetected. Attitudes toward clean and healthy living behavior (PHBS) may be associated with ASB risk through genital hygiene, voiding habits, and hydration. To examine the association between PHBS attitudes and ASB among pregnant women at Jongaya Primary Health Center, Makassar. An analytical cross-sectional study (December 2023–January 2024) involving 56 pregnant women (accidental sampling). The independent variable was PHBS attitude (poor/moderate/good) measured using a PHBS attitude questionnaire. The dependent variable was operational ASB, determined by urine testing (dipstick leukocyte esterase/nitrite and/or urine sediment analysis) among participants without UTI symptoms based on a symptom-screening checklist interview. Chi-Square was used for association testing; due to small cell counts, a sensitivity analysis using category collapsing and exact testing was performed, with effect sizes (PR/OR) and 95% CIs reported. Poor PHBS attitude was found in 27 (48.2%), moderate in 11 (19.6%), and good in 18 (32.1%). Operational ASB was identified in 44 participants (78.6%). Chi-Square indicated a significant association (p=0.01). After collapsing categories (poor vs moderate/good), poor attitude showed higher ASB prevalence (PR=1.55; 95% CI: 1.16–2.08) and higher odds (OR=15.89; 95% CI: 1.88–134.18) with exact p=0.002. PHBS attitude was statistically associated with operational ASB in this setting. Causal inference cannot be made due to the cross-sectional design and potential confounding.

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