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MEJORA
Published by Awatara Publisher
ISSN : -     EISSN : 30259584     DOI : https://doi.org/10.61434/mejora.v2i1
Core Subject : Health,
Dentistry Health Professions Nursing Public Health Veterinary
MEJORA Medical Journal Awatara adalah sebuah jurnal kesehatan yang berdedikasi untuk mendorong eksplorasi mendalam dalam berbagai aspek ilmu kesehatan dan dinamika masyarakat di era digital. Jurnal ini tidak hanya berfokus pada diseminasi informasi hasil penelitian klasikal tetapi juga mengambil peran sentral dalam memahami bagaimana perubahan teknologi digital mempengaruhi sektor kesehatan dan kesejahteraan masyarakat secara keseluruhan. Artikel-artikel di dalam MEJORA mencakup beragam topik, seperti telemedicine, aplikasi kesehatan digital, manajemen data kesehatan elektronik, pemberdayaan pasien dalam pengambilan keputusan kesehatan, implementasi alat wearable untuk pemantauan kesehatan, serta analisis big data dalam meramalkan tren penyakit. Jurnal ini juga menyoroti isu-isu etika terkait privasi data, keamanan informasi kesehatan, serta kesenjangan akses teknologi di berbagai lapisan masyarakat. MEJORA Medical Journal Awatara terbit secara berkala tiga kali dalam setahun, yaitu pada bulan Januari, April, Juli dan Oktober.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 40 Documents
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Analisis Kebutuhan Tenaga Kerja Berdasarkan Beban Kerja Dengan Metode Workload Indicator Of Staffing Need (WISN) Unit Rekam Medis Di Puskesmas “X” Wahuningtyas, Ananda Desinta; Pangestu, RB. Mochammad Tahta; Hariono, Rafky Prasetya; Falah, Fardhan; Prawiryanto, Ody Mustafa; Sutha, Diah Wijayanti
MEJORA Medical Journal Awatara Vol 2 No 1 (2024): JANUARY
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v2i1.142

Abstract

Sebagai ilustrasi tentang metode perhitungan beban kerja sesuai dengan PERMENKES No. 33 Tahun 2015 mengenai Panduan Penyusunan Perencanaan Kebutuhan Sumber Daya Manusia Kesehatan, dapat menggunakan pendekatan WISN. Pendekatan Workload Indicator Staff Need (WISN) merupakan suatu metode perhitungan kebutuhan tenaga kerja dalam bidang kesehatan. Tujuan dari penelitian ini adalah untuk mengestimasi waktu kerja yang tersedia dan standar kelonggaran petugas rekam medis di Puskesmas "X". Metode penelitian yang digunakan bersifat deskriptif kuantitatif dengan teknik pengumpulan data melalui wawancara, observasi, dan dokumentasi. Instrumen penelitian mencakup penggunaan alat tulis, buku catatan, dan stopwatch. Analisis data dilakukan dengan menggunakan metode Workload Indicator Staff Need (WISN). Berdasarkan hasil penelitian, didapatkan jumlah jam kerja sebesar 1.988 jam/tahun atau setara dengan 119.280 menit/tahun. Kegiatan utama di ruang rekam medis mencakup pencarian berkas rekam medis dan pengembalian berkas rekam medis ke rak penyimpanan. Standar beban kerja yang teridentifikasi adalah sebesar 318.500 menit, dengan standar kelonggaran sekitar 0,09 menit. Dari hasil perhitungan tersebut, diperoleh kebutuhan tenaga kerja sebanyak 1 orang. Sebagai rekomendasi untuk Puskesmas "X", disarankan untuk mengurangi dua orang tenaga kerja.
Kepatuhan konsumsi Terapi Kelasi Besi Dengan Kualitas Hidup Anak Pada Penderita Thalasemia Mayor di RSUD Majalengka Purbasari, Dwiyanti; Alfi Lail, Nur
MEJORA Medical Journal Awatara Vol 2 No 1 (2024): JANUARY
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v2i1.147

Abstract

Menurut World Bank menunjukan 7% dari populasi dunia merupakan pembawa sifat thalasemia. Di Indonesia bulan juni tahun 2021 sebanyak 10.973 kasus. Provinsi Jawa Barat memiliki jumlah penderita thalasemia terbanyak, pada akhir 2019 jumlahnya 4.000 kasus. Ketua POPTI menyampaikan terdapat 145 kasus thalasemia di Majalengka. Tahun 2023 pada bulan mei tercatat 115 penderita thalasemia yang melakukan rawat jalan di Klinik Thalasemia RSUD Majalengka. Tujuan penelitian ini adalah untuk mengetahui hubungan kepatuhan konsumsi terapi kelasi besi dengan kualitas hidup anak pada penderita thalasemia mayor di RSUD Majalengka. Jenis penelitian ini adalah kuantitatif deskriptif korelasi dengan pendekatan cross- sectional. Populasi dalam penelitian ini adalah anak penderita thalasemia mayor yang mengkonsumsi terapi kelasi besi dan berusia 6-18 tahun. Pengambilan sampel menggunakan teknik porpusive sampling berjumlah 53 responden. Instrumen yang digunakan berupa kuisioner MCQ versi melayu dan PedsQL. Analisa data menggunkan uji Spearman Rank. Tempat penelitian di RSUD Majalengka pada tanggal 15 Mei-10 Juni 2023. Hasil analisa bivariat menggunakan uji spearman rank p value < α dan r < 1,00 hubungan yang bermakna antara kepatuhan konsumsi terapi kealsi besi dengan fungsi fisik (0,00), fungsi emosional (0,00), fungsi sosial (0,00), dan fungsi sekolah/akademik (0,01) Dengan arah korelasi positif sedang hingga positif kuat yang menunjukan bahwa semakin tinggi kepatuhan konsumsi terapi kelasi besi maka semakin baik kualitas hidup anak thalasemia
Faktor-Faktor Yang Berhubungan Dengan Kejadian Anemia Pada Ibu Hamil di Puskesmas Kasokandel Kabupaten Majalengka Tsamrotul Zanah, Yulaisa; Nurhasanah
MEJORA Medical Journal Awatara Vol 2 No 2 (2024): APRIL
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v2i2.138

Abstract

Anemia merupakan salah satu masalah kesehatan di Dunia terutama bagi kelompok wanita usia reproduksi dan wanita hamil. faktor yang bisa mempengaruhi anemia pada ibu hamil, yaitu seperti faktor paritas, usia ibu hamil, dan status gizi, Tujuan Penelitian ini adalah untuk mengetahui faktor-faktor yang berhubungan dengan kejadian anemia pada ibu hamil di Puskesmas Kasokandel Kabupaten Majalengka. Metode Penelitian ini menggunakan metode penelitian kuantitatif dengan pendekatan Cross Sectional. Populasi dalam penelitian ini adalah seluruh ibu hamil trimester I sebanyak 62 orang. Pengambilan sampel pada penelitian ini menggunakan teknik total sampling. Analisis data meliputi analisis univariat menggunakan distribusi frekuensi frekuensi dan analisis bivariat menggunakan uji chi square. Hasil penelitian mayoritas ibu hamil mengalami anemia ringan sebanyak 30 orang (48,4%), berusia non resti sebanyak 48 orang (77,4%), paritas multipara sebanyak 38 orang (61,3%) ibu hamil paritas primipara, status gizi baik sebanyak 41 orang (66,1%). Kesimpulan penelitian ini adalah terdapat hubungan antara usia, paritas dan status gizi dengan kejadian anemia pada ibu hamil di Puskesmas Kasokandel Kabupaten Majalengka.
Tinjauan Kelengkapan Pengisian Surat Rujukan Fktp Pada Pasien Gigi Di Rumah Sakit Umum Universitas Muhammadiyah Cirebon Luxiarti, Riantina; Olivia Juhana, Alissa; Rosmawan , Hendri
MEJORA Medical Journal Awatara Vol 2 No 2 (2024): APRIL
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v2i2.141

Abstract

A referral system is mandatory for patients who are participants of social health insurance and health service providers. The purpose of this study was to find out the completeness of filling out the FLHF referral letter for dental patients when carrying out outpatient treatment at Muhammadiyah University General Hospital in Cirebon. This type of research used was descriptive method. The population used in this study were all FLHF referral letters for dental polyclinic patients in 2022 at Muhammadiyah University General Hospital in Cirebon, with a sample of 68 FLHF referral letters for dental patients.:The results of research conducted at this hospital, it can be concluded as follows that FLHF referral letters for dental patients were not 100% complete, out of 68 FKTP referral letters for dental patients, 78% dental patient referral letters were for complete category and 22% of dental patient referral letters in the incomplete category. Researcher suggest that hospitals should be able to provide education on the completeness of FLHF referral letters to Dental patients. Because this education can be used as a reference for applying referrals to optimize outpatient registration of Social Health Security Administrator for Dental Polyclinics patients
Riwayat Anemia Selama Kehamilan Dengan Kejadian Stunting Pada Balita di Kabupaten Cirebon Indra L, Pipit; Aslikah, Wijiatul
MEJORA Medical Journal Awatara Vol 2 No 1 (2024): JANUARY
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v2i1.150

Abstract

Dan total balita stunting adalah 459 orang di Puskesmas Ciledug Kabupaten Cirebon tahun 2018. Penelitian ini bertujuan untuk mengetahui hubungan riwayat anemia selama kehamilan dengan kejadian stunting pada balita di Puskesmas Ciledug Kabupaten Cirebon. Jenis penelitian penelitian kuantitatif dan design penelitian deskriptif korelasional dengan pendekatan cross sectional. Sampel penelitian ini berjumlah 83 responden dengan menggunakan random sampling. Instrumen penelitian menggunakan lembar observasi riwayat anemia selama kehamilan dan lembar observasi kejadian stunting pada balita diukur menggunakan Mikrotoach. Uji statistik dilakukan dengan spearman rank. Penelitian ini dilakukan di Puskesmas Ciledug Kabupaten Cirebon bulan Juli 2019. Hasil penelitian  Dari hasil uji statistik dengan menggunakan spearmen rank di peroleh P value 0,001 ᾳ > 0,01 r 0,352 berarti Ho ditolak maka ada hubungan yang lemah dan positif antara riwayat anemia selama kehamilan dengan kejadian stunting pada balita di Puskesmas Ciledug Kabupaten Cirebon. Ibu hamil yang menderita anemia memiliki resiko anaknya mengalami stunting dibandingkan dengan ibu yang tidak anemia.
Penggunaan Alat Pelindung Diri (Handscoon) Sebagai Upaya Dalam Pencegahan Infeksi Nosokomial Di Rumah Sakit Sumber Kasih Kota Cirebon Herlina; Syaripudin, Ahmad; Pujiyana; Rahayu Okta, Ira; Rahmatullah Hidayat, Lalu
MEJORA Medical Journal Awatara Vol 2 No 2 (2024): APRIL
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v2i2.153

Abstract

The hospital is a place for providing health services that have quality in accordance with predetermined standards, one of which is by carrying out infection prevention and control (PPI) efforts. The purpose of this study was to determine the prevention of nosocomial infections from the use of personal protective equipment (PPE). The method in this study uses a qualitative approach with case studies as the main method. Data collected through interviews, documentation, analysis. The results of the SWOT analysis of the availability of personal protective equipment in hospitals, nurse motivation are very influential in infection prevention, discipline and awareness of officers are influenced by the length of work. It can be concluded in this study, that the prevention of nosocomial infections is closely related to nurses' compliance in the use of personal protective equipment (PPE) as a form of compliance, discipline, and protection from infections in the hospital
Pemberian Oksigen Dan Posisi Semi Flower Dalam Mengatasi Gangguan Pola Napas Pada Pasien Nstemi Rsud Waled Kabupaten Cirebon Rahmatullah Hidayat, Lalu; Syaripudin, Ahmad; Pujiyana; Rahayu Okta, Ira; Herlina
MEJORA Medical Journal Awatara Vol 2 No 2 (2024): APRIL
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v2i2.154

Abstract

NSTEMI is a clinical syndrome resulting from blockage of coronary arteries, either intermittent or permanent due to rupture of atherosclerotic plaque. NSTEMI is usually caused by severe narrowing of the coronary arteries and blockage of the coronary arteries is characterized by chest pain and shortness of breath, thereby reducing oxygen saturation and increasing the respiratory rate. Data (World Health Organization, 2018) shows that the incidence of ST elevation Mycardial Infaction (STEMI) is decreasing, while the incidence of Non-ST Elevation Mycardial Infaction is increasing. Data shows that 5 million people experience STEMI, and 4 million people experience NSTEMI. Objective: This study is to determine the application of giving the semi-Fowler position and oxygen to NSTEMI patients at Waled Hospital, Cirebon. Method: The method used in this writing is a case study using a nursing process approach to 1 Non ST Elevation Myocardial Infarction (N-STEMI) patient. Results: The results of the application showed that before being given the semi-Fowler position and oxygen, the oxygen saturation was 94% and the respiratory rate was 25x/minute in the abnormal category. Meanwhile, after applying the semi-fowler's position and oxygen, the patient's respiratory rate decreased by 16-20x/minute and oxygen saturation was 97%-99% in the normal category. Conclusion: The results of the application after being given the semi-fowler's position and oxygen to the patient showed an increase in oxygen saturation and decreased respiratory rate
Asuhan Keperawatan Pada Tn.U Dengan Diagnosa Medis Congestive Heart Failure Dian Cahyawati, Rizki; Sari Purbaningsih, Endah; Sumarni; Sazilli, Dikha; Mahendra
MEJORA Medical Journal Awatara Vol 2 No 2 (2024): APRIL
Publisher : Awatara Publisher

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Abstract

The World Health Organization (WHO) in 2016 showed that in 2015 there were 23 million or around 54% of total deaths caused by Congestive Heart Failure (CHF). Based on a doctor's diagnosis, the prevalence of heart failure is around 1.5% or 29,550 people. Meanwhile, according to diagnosis or symptoms, the estimated number of heart failure sufferers is 0.4% or around 29,880 people. CHF, commonly known as congestive heart failure, is the heart's inability to pump adequate blood to meet the tissue's need for oxygen and sufficient nutrients, causing cardiac output that should be normal to decrease and causing chest pain. This study aims to determine nursing care for CHF patients in the ICCU room at Rsu Gunung Jati, Cirebon City. After applying nursing care to patient Mr. U using a case study method consisting of assessment, nursing diagnosis, intervention, implementation and evaluation which was carried out for 2 days. The results showed that the nursing diagnosis of decreased cardiac output was partially resolved, the problem of gas exchange disorders was resolved, and the final diagnosis, namely anxiety, was resolved on day 2 of treatment.
Asuhan Keperawatan Pada An’ A Dengan Gastroenteritis Akut Berhubungan Dengan Hipovolemia Sazilli, Dikha; Erna Marisa, Dewi; Dian Cahyawati, Rizki; Mahendra; Sumarni
MEJORA Medical Journal Awatara Vol 2 No 2 (2024): APRIL
Publisher : Awatara Publisher

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Abstract

One of the viral infections that often occurs in children is gastroenteritis or commonly known as Vomiting and Vomiting. Gastroenteritis is medically defined as diarrhea, in other words increased frequency of bowel movements with or without vomiting, fever and abdominal pain. Increased frequency of defecation is defined as ≥ 3 times with watery consistency in 24 hours or at least 200 g of stool/day. This research aims to determine the description of nursing care for pediatric patients with gastroenteritis at Waled Hospital, Cirebon Regency. After applying nursing care to patient A using a case study method consisting of assessment, nursing diagnosis, intervention, implementation and evaluation. The results showed that the diarrhea was resolved with the patient no longer complaining of pain, the pain scale was reduced from 5 – 1, and no issues were found with the patient
Pengaruh Pijat Oksitoksin, Untuk Melancarkan Asi Pada Ibu Post Partum P0A1 Dengan Partus Spontan Di Ruang Mawar RSUD Waled Sindia Devi, Nadia; Sari Purbaningsih, Endah; Mamay Maftuha, Indah; Khasanah, Uswatun; Rimawati Nurokhman, Neneng
MEJORA Medical Journal Awatara Vol 2 No 2 (2024): APRIL
Publisher : Awatara Publisher

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Abstract

Newborn babies need to receive optimal care from birth, one of which is ideal food. Breast milk (ASI) is the most recommended food for babies for at least the first 6 months of life. However, in reality, exclusive breastfeeding is not as easy as imagined. Various obstacles can arise in efforts to provide exclusive breastfeeding during the first six months of a baby's life. This research aims to provide the application of oxytocin massage in post-partum maternal care to overcome the problem of ineffective breastfeeding. The research design used in this research is a case study of a post partum mother P0A1 with spontaneous labor in the Mawar room at Waled Hospital, Cirebon Regency. This research was carried out at Waled Hospital, Cirebon Regency, precisely in the Mawar Room on January 5 2024. Breast milk production can be accelerated with non-pharmacological measures, namely through oxytocin massage which can be done by massaging the area around the back (pars thoracic vertebrae) to stimulate the release of breast milk. The mother will feel satisfied, happy, confident, because she can give breast milk to her baby. the problem of ineffective breastfeeding related to inadequate breast milk supply was resolved and a little milk came out and the patient said that after the oxytocin massage the patient felt comfortable and relaxed

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