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Journal of Medical Science; Jurnal Ilmu Medis Rumah Sakit Umum Daerah dr. Zainoel Abidin, Banda Aceh

JMS
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Published by Rumah Sakit Umum Daerah Zainoel Abidin, Banda Aceh

ISSN : - EISSN : 27217884 DOI : https://doi.org/10.55572/

Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

Journal of Medical Science (JMS; Jurnal Ilmu Medis Rumah Sakit Umum Daerah Zainoel Abidin, Banda Aceh) ISSN 2721-7884 diterbitkan oleh Divisi LITBANG Rumah Sakit Umum Daerah Zainoel Abidin, Banda Aceh sejak bulan April 2020. Journal of Medical Science terbit dua kali dalam setahun yaitu pada Bulan April dan Bulan Oktober. JMS adalah jurnal open akses berbasis Open Journal System yang seluruh proses atau tahapan publikasi dilakukan secara online dengan melibatkan mitra bestari (peer-reviewed) dari berbagai topik ilmu bidang medis dan kesehatan. Naskah yang ingin dipublikasikan pada JMS harus merupakan naskah asli hasil penelitian dan juga naskah hasil studi literatur yang memiliki kontribusi dan aplikasi dengan bidang yang berkaitan dengan ilmu medis dan ilmu kesehatan dengan topik sebagai berikut: Ilmu Bedah Ilmu Penyakit Dalam Obstetri dan Ginekologi Ilmu Kesehatan Anak Ilmu Jantung dan Pembuluh Darah Pulmonologi dan Ilmu Kedokteran Respirasi Neurologi Ilmu Kesehatan THTKL Ilmu Kesehatan Mata Ilmu Kesehatan Kulit dan Kelamin Anestesiologi dan Terapi Intensif Ilmu Kedokteran Forensik dan Medikolegal Ilmu Kedokteran Fisik dan Rehabilitasi Radiologi Mikrobiologi Ilmu Kesehatan Gigi dan Mulut Patologi Klinik Patologi Anatomi Gizi Klinik Ilmu Kedokteran Jiwa

Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)

Articles 100 Documents

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Analisis Rasio Dokter dan Perawat Terhadap Gross Death Rate dan Net Death Rate Tahun 2013─2016 Di RSUD dr. Zainoel Abidin Banda Aceh Taufik Suryadi; Nasyaruddin Herry Taufik; Agustina Pasaribu; Sayuntri; Cut Naja Sovia
Journal of Medical Science Vol 2 No 1 (2021): Journal of Medical Science
Publisher : LITBANG RSUDZA

Kualitas pelayanan rumah sakit sangat tergantung pada tersedianya tenaga professional seperti dokter spesialis dan perawat. Keberhasilan rawatan dapat dinilai dari seberapa banyak pasien yang sembuh dan meninggal yang terekam dalam rekam medik. Rekam Medis dapat digunakan untuk berbagai kepentingan, seperti pengambilan keputusan pengobatan kepada pasien, bukti legal pelayanan yang telah diberikan, dan dapat juga sebagai bukti tentang kinerja sumber daya manusia di fasilitas pelayanan kesehatan. Penelitian ini dilakukan untuk mengetahui rasio tenaga dokter dan perawat terhadap angka kematian baik gross death rate (GDR) dan net death rate (NDR) di RSUD dr. Zainoel Abidin (RSUDZA) Banda Aceh tahun 2013–2016. Jenis penelitian ini adalah deskriptif yang dilakukan pada periode 15 Mei sampai 15 September 2017. Populasi dan sampelnya adalah hasil buku register rekam medik rawat inap di RSUDZA tahun 2013–2016, dan jumlah dokter dan perawat diambil dari Bagian Kepegawaian. Tercatat 245 dokter spesialis dan perawat pada saat penelitian yang dimasukkan dalam data penelitian, dengan proporsi 112 dokter dan 133 perawat. Berdasarkan hasil perhitungan menunjukkan bahwa GDR terendah adalah pada tahun 2014 dengan nilai 56.5‰, sedangkan tertinggi adalah pada tahun 2016 dengan nilai 62.3‰, dengan GDR rata-rata 60.8‰ per-tahun. Berdasarkan NDR pada tahun 2013–2016 dapat dideskripsikan bahwa NDR terendah pada tahun 2014 dengan nilai 42.9 ‰, sedangkan NDR tertinggi adalah pada tahun 2016 dengan nilai 50.5‰, dengan rata-rata NDR 47.4 ‰ per-tahun. Hasil tersebut di atas standar nasional yatu <45‰ untuk GDR dan <25‰ untuk NDR. Hasil perhitungan GDR dan NDR tahun 2013– 2016 didapatkan GDR RSUDZA Banda Aceh tiap-tiap tahunnya rata-rata >45‰ dan NDR >25‰, menunjukkan bahwa mutu pelayanan belum sesuai dengan standar nasional. Rasio jumlah dokter dan perawat dilihat dari GDR dan NDR menunjukkan masih kurangnya tenaga professional sehingga diperlukan penambahan jumlah tenaga dokter dan perawat walaupun kebutuhannya tidak sama untuk setiap kategori dokter di masing masing spesialisasi maupun perawat di masing-masing ruangan.

Analisis Waktu Respon Bencana Staf Rumah Sakit Umum Daerah dr. Zainoel Abidin Banda Aceh Sebagai Rumah Sakit Tangguh Bencana Safrizal Rahman; Meilya Silvalila; Rovy Pratama
Journal of Medical Science Vol 2 No 1 (2021): Journal of Medical Science
Publisher : LITBANG RSUDZA

Perencanaan penaggulangan bencana rumah sakit atau hospital disaster plan (HDP) adalah kegiatan perencanaan rumah sakit untuk menghadapi kejadian bencana, baik perencanaan untuk bencana yang terjadi di dalam atau di luar rumah sakit. Pemetaan terhadap potensi ancaman bencana dan kapasitas SDM rumah sakit untuk memberikan respon bencana merupakan hal mendasar dalam penyusunan HDP. Penelitian ini merupakan studi observasional dengan desain potong lintang. Subjek penelitian dipilih berdasarkan cluster random sampling terhadap seluruh staf dan peserta didik yang ada di Rumah Sakit Umum Daerah dr. Zainoel Abidin (RSUDZA). Subjek akan diwawancarai berkaitan dengan waktu respon, jarak rumah dan status kepegawaiannya menggunakan kuesioner. Analisis statistik chi square dilakukan menggunakan aplikasi komputer SPSS dengan tingkat kepercayaan 95%. Sebanyak 355 subjek terlibat dalam penelitian ini dengan distribusi laki-laki 29,3% dan perempuan 70,7%. Seratus delapan puluh enam orang subjek (55,5%) memiliki waktu respon terhadap bencana <3 jam dan 149 orang lainnya memiliki waktu respon >3 jam. Terdapat pengaruh yang bermakna antara jarak rumah dan waktu respon bencana (p=0,003), namun lama bekerja tidak berpengaruh terhadap waktu respon bencana (p=0,234). Pemberian pelayanan di rumah sakit sangat bergantung pada kualitas dan kuantitas SDM yang tersedia. Pemetaan terhadap SDM yang akan terlibat dalam memberikan respon terhadap kejadian bencana penting dilakukan untuk meningkatkan kualitas pelayanan dalan kondisi chaos serta menurunkan morbiditas dan mortalitas korban bencana. Rumah Sakit Umum Daerah dr. Zainoel Abidin memiliki potensi jumlah SDM sebanyak 55,5% dari total keseluruhan staf dan peserta didik untuk memberikan respon kurang dari 3 jam terhadap kondisi bencana. Waktu respon berkaitan dengan jarak rumah namun tidak dipengaruhi oleh waktu bekerja di rumah sakit.

Efektivitas Terapi Non-Farmakologis Terhadap Nyeri Tindakan Invasif Pada Neonatus Di Rumah Sakit Umum Daerah dr. Zainoel Abidin Sri Intan Rahayuningsih; Rosni; Ramlah; Nova Fajri
Journal of Medical Science Vol 2 No 1 (2021): Journal of Medical Science
Publisher : LITBANG RSUDZA

Prosedur tindakan invasif merupakan salah satu prosedur yang sering dilakukan di rumah sakit khususnya di ruang NICU dan menimbulkan nyeri pada neonatus. Beberapa manajemen nyeri non-farmakologi untuk menurunkan nyeri adalah dengan pemberian pacifier, ASI, dan bedung. Namun metode tersebut masih perlu diukur keefektifannya dalam manajemen menurunkan nyeri. Tujuan dari penelitian ini adalah untuk mengidentifikasi efektivitas terapi non-farmakologis terhadap nyeri tindakan invasif pada neonatus di Rumah Sakit Umum Daerah dr. Zainoel Abidin Banda (RSUDZA) Aceh. Penelitian ini menggunakan desain randomized control trial (RCT). Populasi dalam penelitian ini adalah seluruh neonatus risiko tinggi yang tidak mendapatkan obat sedasi di ruang NICU level IIA dan IIB RSUDZA. Jumlah sampel sebanyak 19 orang dan menggunakan teknik randomisasi alokasi yang terdiri dari empat kelompok yaitu kelompok kontrol, kelompok intervensi 1 (pemberian pacifier), kelompok intervensi 2 (pemberian pacifier dan bedung), dan kelompok intervensi 3 (pemberian ASI dan bedung). Skala nyeri pada sampel dinilai menggunakan intrumen neonatal infant pain scale (NIPS). Analisis statistik menggunakan uji normalitas, uji homogenitas, uji anova dan uji Post Hoc Bonferroni. Hasil penelitian ini menunjukkan bahwa data normal, homogen dan diperoleh p valu e0,364 yang berarti tidak ada perbedaan tingkat nyeri antar semua kelompok penelitian. Namun secara klinis, kelompok intervensi pemberian pacifier dan bedung memiliki skala nyeri terendah (2,25) dan memiliki perbedaan rerata 2,6 poin dengan kelompok kontrol. Diharapkan seluruh perawat di NICU dapat melakukan pengkajian nyeri pada neonatus terutama saat tindakan invasif agar dapat memberikan manajemen nyeri yang tepat.

Efek Edukasi Tatap Muka versus Media Dalam Inisiasi Insulin Terhadap Pengetahuan dan Kualitas Hidup Pasien DMT2 di Masa Pandemi Covid-19 Firdausa, Sarah; Irwansyah, Irwansyah; Ariani, Reva; Nadya, Ahsana
Journal of Medical Science Vol 2 No 2 (2021): Journal of Medical Science
Publisher : LITBANG RSUDZA

The Covid-19 pandemic is a threat for diabetic patients as they are prone to be worse once they got infected with the Sars-Cov-2 virus, especially in uncontrolled diabetes patients. Insulin is one of the modalities of diabetes treatment, especially in patients who have not reached the therapeutic target. Initiation of insulin is still often hampered due to lack of good education to patients. Providing face-to-face education during the Covid-19 pandemic poses a greater risk of virus transmission, therefore insulin initiation education needs to be carried out with effective communication methods. This study aims to implement interpersonal education in initiating insulin in type 2 diabetes patients using technology such as videos and educational booklets at the Hospital Dr. Zainoel Abidin, Banda Aceh. This study uses a quasi-experimental design with a pre and post-test approach. The sample collection technique was total sampling, namely all diabetic patients who received insulin initiation in July - October 2021. There were 38 respondents divided into 17 respondents for the control group and 21 respondents for the intervention group. Questionnaire data was collected before and before the intervention. Knowledge data is presented descriptively, data and quality of life before and before intervention were analyzed by t-test. The results showed that the knowledge of the respondents before and before education was good, there was no difference in knowledge before and before the intervention, both in the oral group, and in the video group. After the intervention, the mean quality of life scores improved significantly in both the oral and media groups. Conclusion: There is no significant difference between face-to-face education (oral) and education using media (videos and booklets). The effect of education orally or through the media on the knowledge and quality of life of diabetic patients is the same.

Pengetahuan, Sikap, Kesadaran dan Harapan Pegawai Terhadap Eksistensi Komite Etik dan Hukum di RSUD Dr.Zainoel Abidin Banda Aceh Suryadi, Taufik; Nurul A’la; Kulsum
Journal of Medical Science Vol 2 No 2 (2021): Journal of Medical Science
Publisher : LITBANG RSUDZA

The main purpose of hospital services is to provide quality, professional and acceptable services to the community. One of the efforts to achieve quality and professional health services in hospitals is to comply with the rules listed in the Hospital Code of Ethics. Hospital Ethics and Legal Committee (HELC) can be an effective means of seeking mutual understanding between the various parties involved such as doctors, nurses, other health workers, patients, patients' families and the community regarding various ethical, legal, and medical issues in hospitals. The success of the health care system depends on health workers who are equipped with good knowledge, positive attitudes, and full awareness of the existence of HELC. So that research is needed that can be input for improving the performance of HELC in the future. The priority problem that will be resolved is the improvement of the HELC service system by gathering information from selected employees who are willing to become respondents. The type of this research is observational analytic with cross sectional approach. This study aims to obtain information about the level of knowledge, attitudes, awareness and expectations of the employees of Zainoel Abidin Hospital (ZAH) Banda Aceh on the existence of the HELC. This research was conducted for 4 months, starting from May to October 2021 at ZAH starting from the preparation of proposals to seminars on research results. This study involved all employees of ZAH who were selected proportionally for each profession and type of work with 280 participants. A total of 273 people (97.5%) have very good/good knowledge related to HELC. A very positive attitude towards HELC performance was shown by 245 respondents (87.5%). A total of 118 respondents have a high awareness of the existence of HELC (42.1%), while respondents' opinions about the importance of the existence of HELC obtained 263 respondents stated that it is very important/important (93.9%). From the results of the Chi square statistical test, it was found that there was a significant relationship between knowledge and the existence of HELC with p value = 0.000, attitude and existence of HELC with p value = 0.000, but there was no relationship between awareness and existence of HELC with p value = 0.352. The conclusion in this study was that the employees of ZAH had very good knowledge, a very positive attitude, but were not aware of the existence of the HELC of ZAH. The expectations expressed by the respondents concentrated to the socialization of HELC activities, improving performance, increasing active roles in hospital services and being able to work in accordance with standard operating procedures.

Pengaruh daun kelor dan dislipidemia terhadap kuantitas sperma Dahril; Muhammad Puteh Mauny; Munandar, Rudi Haris
Journal of Medical Science Vol 2 No 2 (2021): Journal of Medical Science
Publisher : LITBANG RSUDZA

Infertility is a global health problem affecting 1 of 10 couples in the world and its related to dyslipidemia. Dyslipidemia, as metabolic syndrome, had become global epidemic. It is estimated 12-37% Asian population and 12-26% of European population had dyslipidemia. Dyslipidemia decreased sperm count by increasing free radical oxygen species (ROS) caused of lypotoxicity and lipid peroxidation. Antioxidant is treatment choice for this problem. Drum stick (Moringa oleifera L) is medical herb that contain antioxidant compound such as alkaloid, flavonoid, tannin, vitamin C, E, and steroid. So, Moringa oleifera L leaf could protect sperm cells from free radicals of dyslipidemia and become alternative treatment for infertility. It was a post-test only control group design. Sample consist of 30 rats devided into 6 groups. It began with atherogenic diet to induce dyslipidemia. Then, Ethanol extract of Moringa oleifera L leaf was given. Sperm count was calculated microscopically with Neubauer chamber. Data analysis was using one way analysis of variance (ANNOVA) test, then continued with post hoc Duncan test. There were significant differences of total cholesterol, triglyceride, high density protein, low density protein, and sperm count between groups based on one way ANNOVA test (p < 0,05). On post hoc Duncan test, Dyslipidemia induction decreased sperm count compared to other groups. Ethanol extract of 200 mg/body weight and 400 mg/body weight leaf had no difference effect compared to atorvastatin. Ethanol extract of 800 mg/body weight leaf increased sperm count significantly compared to other groups.

Model Matematika Sebagai Kecerdasan Buatan dalam Memprediksi Lama Rawatan Pasien Diabetes Melitus dengan Hipoglikemia Zufry, Hendra; Sucipto, Krishna Wardhana; ekadamayanti, agustia sukri
Journal of Medical Science Vol 2 No 2 (2021): Journal of Medical Science
Publisher : LITBANG RSUDZA

Background: Diabetes Mellitus (DM), a burden disease that has contributed to the health burden globally. The most common acute complication is hypoglycemia. Hypoglycemia in hospitalized diabetic patients is associated with increased length of stay (LOS), mortality, and costs. Patients with co-morbidities are often not in accordance with the clinical pathway, so a mathematical model is needed which estimates length of stay and the required resources can be estimated. Aim: To formulate a mathematical model predicting the LOS of hypoglycemic patients treated with various conditions Methode: This study is a retrospective cohort study using secondary data of DM patients who experienced hypoglycemia from January 1, 2011 to December 2020 which obtained from the medical records of Zainoel Abidin Hospital Banda Aceh, Indonesia. Data collected from May to November 2021. The data were analyzed using multivariate analysis with logistic regression test. using R software to obtain a mathematical modeling of length of stay. The variables that affect the length of stay using logistic regression test with p value <0.05. Result: There were 573 hypoglycemic patients, most of the patients who experienced hypoglycemia were male (51.3 %), the average age was 59.6 years. Most of the patients who experienced hypoglycemia were type 2 DM patients (96.4%), Infection was the main comorbid (46.6 %), Mild hypoglycemia was the highest (47.2%) and the average length of stay was 8.06 days. Based on mathematical modeling, it was found that for every additional unit of age, the length of treatment increased by 6.99 7 days. Then a logistic regression test was carried out to see the influential variables. Conclusion: Based on the mathematical modeling obtained, it is known that for each additional unit of age, the length of stay will increase by about 6.9≈7 days. Furthermore, the formulation of this mathematical model is expected to be able to predict the length of stay for various comorbidities, predict the number of consumable materials and as a basis for making artificial intelligence applications that is beneficial to efficiency.

Perbandingan Efektivitas Terapi Ekstrak Ikan Gabus Dengan Putih Telur Dan Human Albumin 20% Terhadap Peningkatan Kadar Albumin Pasien Hipoalbuminemia Di RSUD dr. Zainoel Abidin Ferry Erdani; Rita Novika; Ika Fitri Ramadhana
Journal of Medical Science Vol 2 No 2 (2021): Journal of Medical Science
Publisher : LITBANG RSUDZA

Hypoalbuminemia is a condition where blood albumin levels are less than 3.5 g/dL. In this condition, there will be disruption to the physiological processes in the body. There is a relationship between low albumin levels with an increased risk of infectious complications, a high mortality rate in hospitalized patients, both non-surgical and surgical patients. To restore the important function of albumin, intervention is needed to increase albumin levels in the blood. Human albumin infusion is the most common. However, because of the high price, many other alternatives have been investigated to increase plasma albumin levels. This study aims to determine the effectiveness of snakehead fish extract therapy, compared with egg white and 20% human albumin in increasing albumin levels in hypoalbuminemic patients so that it can save costs and can improve the quality of life of hypoalbuminemia. This research is a quantitative research with Randomized Control Trial design. Samples were collected from August to October 2021 in the surgical inpatient ward of RSUD dr Zainoel Abidin. Data were collected from 36 samples, then divided into 3 treatment groups, namely the egg white group, the snakehead fish extract group and the Human Albumin group. The study used a randomized, blinded clinical trial. The data taken is albumin levels. The data were tested for normality with the Kolmogrov-Sminrnov test, then continued with the ANOVA test. The results obtained 36 samples that meet the inclusion criteria. The average level of increase in the egg white group was -0.0792 (Sig. 0.51), the snakehead fish extract group was 0.1625 (sig. 0.429) and the Human Albumin group was 0.237 (sig. 0.431). From the results of these studies giving snakehead fish extract can be an alternative therapy to treat hypoalbuminemia conditions.Keywords: Hypoalbuminemia, Albumin, Egg white, Snakehead Fish Extract, Human Albumin

Pengaruh Latihan Jantung Paru Terstruktur Pada Tenaga Kesehatan Dengan Sindroma Pasca COVID – 19 Terhadap Peningkatan Kapasitas Fungsional Teuku Heriansyah; Muhammad Ridwan; Nina Widasari
Journal of Medical Science Vol 2 No 2 (2021): Journal of Medical Science
Publisher : LITBANG RSUDZA

COVID-19 is a multisystem disease, with various complications besides respiratory disorders that can affect various systems ranging from the heart, kidneys, gastrointestinal, nervous, endocrine, and musculoskeletal. Post COVID-19/Long Covid Syndrome is a condition where the symptoms of COVID-19 persist even though they have been declared cured. Health workers have a fairly large risk of being infected with COVID-19, as well as the risk of symptoms of Post COVID 19 Syndrome with the most complaining symptom being fatigue. The purpose of this study was to examine the effect of supervised cardiopulmonary exercise on increasing functional capacity in health workers with Post Covid-19 Syndrome. This study used an experimental research design with the sample divided into the control group and the treatment group. We provided supervised cardiopulmonary exercise with moderate and high intensity on 30 medical personnel for 12 times in Cardiac Rehabilitation Gymnasium. It was concluded that treatment group experienced an increase in functional capacity compared to the control group. The improvement in functional capacity between the moderate and high intensity exercise groups was not significantly different. Increased functional capacity will improve the quality of life in patients with Post Covid-19 Syndrome.

Hubungan Kualitas Hidup dengan Gambaran Ekokardiografi Tenaga Kesehatan dengan Long COVID Novita; Maha Fitra ND; Tjut Farahiya Hadi
Journal of Medical Science Vol 3 No 1 (2022): Journal of Medical Science
Publisher : LITBANG RSUDZA

Tenaga kesehatan merupakan salah satu populasi terbanyak yang terinfeksi COVID-19. Banyak tenaga kesehatan mengalami long COVID, yang paling banyak dirasakan adalah kelelahan dan nyeri otot. Hal ini sangat berdampak bagi kualitas hidup tenaga kesehatan sendiri dan pelayanan rumah sakit. COVID-19 selain menyerang sistem respirasi, juga menyerang sistem kardiovaskular. Ekokardiografi adalah pemeriksaan non invasif untuk menilai struktur dan fungsi jantung. Gambaran ekokardiografi berpengaruh dengan kualitas hidup. Tujuan penelitian ini adalah untuk mengetahui hubungan kualitas hidup dan gambaran ekokardiografi pada tenaga kesehatan dengan long COVID. Dilakukan ekokardiografi terhadap 31 tenaga kesehatan dengan long COVID, didapatkan hasil satu sampel dengan kualitas hidup buruk tetapi hasil ekokardiografi normal. Dua sampel dengan kualitas hidup buruk dan hasil ekokardiografi abnormal, dan 28 sampel dengan kualitas hidup baik dan ekokardiogradi normal. Dari hasil peneilitian dapat disimpulkan terdapat hubungan antara kualitas hidup dengan gambaran ekokardiografi tenaga kesehatan dengan long COVID.

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Raihan

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Rumah Sakit Umum Daerah dr. Zainoel Abdidin, Jl. Tgk. Daud Beureueh No. 108, Bandar Baru, Banda Aceh

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