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Search results for , issue "Vol 16, No 1 (2017): VisiKes" : 10 Documents clear

Perbedaan Sistem Pelayanan Medis Dokter dengan Standar INA-CBGs (Studi Kualitatif Pasien Ketuban Pecah Dini di RS X) Faik Agiwahyuanto
VISIKES: Jurnal Kesehatan Masyarakat Vol 16, No 1 (2017): VisiKes
Publisher : Dian Nuswantoro Semarang

BPJS (Social Insurance Administration Agency) Health will pay the irst-level health facilities with capitation. For advanced level referral health facilities, Health BPJS pay package system Indonesia Case Base Groups (INA-CBGs). INA-CBGs system is a classiication of patient care episode that designed to create classes that are relatively homogeneous in terms of resources used and contained patients with similar clinical characteristics. Hospitals will receive payments based on the average amount spent on a group diagnosis.This was qualitative study. The informants were 6, devided into 3 person as main informants and 3 triangulation informant, they were selected by snowball sampling techniques. The indepth interview data was transcripted in March 2016 then analyzed by the content analysis.Diferent diagnoses and medical procedures for standard medical services of doctors in hospitals with INA-CBGs standards, for example, premature infarction (KPD) should be performed by Sectio Caesarea (SC) up to 6 hours while INA-CBGs for early SC delivery within 24 hours. The hospital needs to increase the number of coding teams, hospital veriiers, and BPJS officer, and monitor and evaluate doctors, medical records, and hospital internal veriiers by clinical micro system under SIM-RS and coding units.Keywords: medical diagnosis, INA-CBGs, Premature rupture of membranes.

Manajemen Aktivitas Fisik dan Kepatuhan Minum Obat untuk Mencegah Terjadinya Hipertensi pada Penderita Diabetes Melitus Tipe II Gracilaria Puspa Sari; Marek Samekto; M. Sakundarno Adi
VISIKES: Jurnal Kesehatan Masyarakat Vol 16, No 1 (2017): VisiKes
Publisher : Dian Nuswantoro Semarang

Patients with type 2 DM are more at risk of developing hypertension. This study aims to explain the factors that afect the occurrence of hypertension in patients with type 2 diabetes in the work area of Pati Puskesmas during 2014. The study was conducted by observation using a case control study design in Puskesmas patients in Pati District. The case group was 57 patients with type 2 diabetes with hypertension while the control group was 57 patients with type 2 diabetes without hypertension. Data were obtained from observations of medical recordsand qualitative interviews. Chi-square test on bivariate analysis and multiple logistic regression on multivariate analysis. Factors afecting the occurrence of hypertension in patients with type 2 diabetes are less physical activity (OR = 6.4, 95% CI: 2.18 - 18.77, p = 0.001), long sufering DM â‰¥5 years (OR = 5, 4, 95% CI: 1,97 - 14,704; p = 0,001), and DM medication adherence (OR = 3,6; 95% CI: 1,32 - 9,83; p = 0,012). Factors that have no efect are: age â‰¥45 years,male gender, DM diet compliance, history of hypertension, smoking habits, salty eating habits, cofee drinking habits, and length of time to sleep. Type 2 diabetes mellitus patients> 5 years may reduce the risk of hypertension by performing physical activity management and medication adherence.Keywords: risk factor, hypertension, type 2 DM

Penerapan SMK3 Berdasarkan OHSAS 18001: 2007 di PT. APF Tbk Herry Koesyanto; Hadi Setyo Subiyono
VISIKES: Jurnal Kesehatan Masyarakat Vol 16, No 1 (2017): VisiKes
Publisher : Dian Nuswantoro Semarang

Based on data from Jamsostek, indicated that the number of occupational accidents that occurred in Indonesia was still very high, in 2013 had occurred as many as 103 285 cases of occupational accidents, based on the data is that the accident happened experienced an average increase of 1.76% annually. the accident number at PT. APF Tbk. Kendal in 2014 was 17 cases. The purpose of this research was to describe the application of SMK3 based on OHSAS 18001: 2007 in PT. Asia Paciic Fibers Tbk. Kendal. This research used descriptive research and design. Test the validity of the data using triangulation techniques. Results from this study PT. APF Tbk. has implemented the requirements 144 points of the overall 150 points SMK3 application based on OHSAS 18001: 2007, while the number of points that have not it as much as 5 points requirements and points requirements are not met by 1 pointKeywords: SMK3, OHSAS 18001, Management

Keterlambatan Pengobatan pada Penderita Leptospirosis di Kota Semarang Rizki Amalia; Widya Hary Cahyati
VISIKES: Jurnal Kesehatan Masyarakat Vol 16, No 1 (2017): VisiKes
Publisher : Dian Nuswantoro Semarang

Leptospirosis is an infectious disease that is endemic in the population of workers related to land. Rate fatality leptospirosis reached 5%, meaning that 5 of each case could die. Mortality in patients with leptospirosis is caused by several factors, including delays in treatment. Semarang city was the region with the highest leptospirosis cases in Central Java (75 cases in 2014 with 13 deaths). Based on preliminary studies, 8 of 15 patients who died of leptospirosishas been delayed treatment. This type of research was descriptive analysis with cross sectional approach. The number of samples was 53 respondents selected by simple random sampling technique. The independent variables consist of the level of knowledge, attitudes of patients, health seeking behavior, perception of treatment, and motivation for treatment, with the dependent variable in the form of delays in the treatment of patients with leptospirosis. The results showed that the variables associated with treatment delay of leptospirosis is the level of knowledge (p = 0.017) and health seeking behavior (p = 0.0001). Suggested their eforts to increase public knowledge to enhance the implementation of promotional and educational programs through counseling, mass media or electronic media.Keywords: Delay, Treatment, Leptospirosis

Efektivitas Penggunaan Kartu Menuju Sehat Lansia di Posyandu Lansia Wilayah Kerja Puskesmas Cepiring Kabupaten Kendal Sylvia Anjani
VISIKES: Jurnal Kesehatan Masyarakat Vol 16, No 1 (2017): VisiKes
Publisher : Dian Nuswantoro Semarang

The health services for Elderly-Integrated Health Post (IHP) include physical and emotional mental health checks that are recorded and monitored with Elderly-Growth Chart. This study aims to know the efectiveness of the use of Elderly-Growth Chart.This was qualitative research. Data collected by in-depth interviews, used interview guidelines, to the elderly-Growth Chart users, the main informants were elderly IHP health workers and triangulation informant were elderly ad elderly families.The results showed that the use of elderly-Growth Chart was not efective because since 2013 elderly-Growth Chart had not been used anymore because Elderly-Growth Chart were often lost and not taken during the elderly-IHP, tables in forms that were too small that cause diiculty to write and read and there was an additional workload on health workers to do the recording, because there were 3 reports that must be made.The recomendation is developing the recording system of health examination result of elderly IHP to help health workers, elderly and elderly families to monitor, and do early detection diseases and improve the elderly healthKeywords: elderly, elderly IHP, elderly growth chart

Faktor-Faktor yang Mempengaruhi Perilaku Minum Obat Tuberkulosis Deny Novani; Agus Suwandono; Djoko Trihadi; M. Sakundarno Adi; Ari Suwondo
VISIKES: Jurnal Kesehatan Masyarakat Vol 16, No 1 (2017): VisiKes
Publisher : Dian Nuswantoro Semarang

The Multi Drug Resistance Tuberculosis (MDR TB) is tuberculosis resistance to minimum of two very potent TB drugs, Isoniazid and Rifampicin. Non-adherence to TB treatment may result in development of MDR TB. The study objective is to assess the risk factors of non-adherence to TB-treatment among MDR TB patients.This was the case control study, while case were non-adhere patients (n=57), and control were patients who are adhere to treatment (n=91). Total samples were 148 patients, with 10% of those who have risk Data was analyzed using bivariate analysis with Chi Square test, Odds Ratio (OR) and multivariate with logistic regression. There are two variables found as risk factors of non-adherence to TB treatment among MDRTB patients; treatment history (p=0,014; OR:2,648; 95%CI:1,215-5,771), duration of treatment (p=0,008; OR:2,960; 95% CI:1,320-6,638). Probability of non-adherence when there are thesetwo factors is 52,99%. Treatment history and duration of treatment were found as risk factors of non-adherence to TB treatment among MDR-TB patients in this study.Keywords: Risk factors, non-adherence to treatment, development of MDR TB

Penyebab Kekerasan Dalam Rumah Tangga (KDRT) di Kecamatan Bantul Kabupaten Bantul Yogyakarta Maria Yeny Eskawati; Yulian Endarto
VISIKES: Jurnal Kesehatan Masyarakat Vol 16, No 1 (2017): VisiKes
Publisher : Dian Nuswantoro Semarang

Increasing Gender Equality and Womenâ€™s Empowerment is one of the Millennium Development Goals (MDGs) goals that is continued in Sustainable Development Goals (SDGs). However, domestic violence has increased signiicantly every year. The domestic violance in Indonesia, 2010 reached 295 836 cases and in Bantul District increased from 6 to 12. This study aims to determine factors that lead to domestic violence in Bantul Sub-District.This was descriptive qualitative study, with purposive sampling techniques. In the beginning of the study, there were about two dozen informants, but only four people who were willing to become informants. Data was collected through in-depth interviews, semi standard way and reseracher as a key instrument. The source triangulation was used for data validation.There were many factors that lead to domestic violences: the economic situations, harmony in intimate relationships, conidence, communication, stress, and the past experiences. The education was not a cause of domestic violence.Key words: domestic violence

FAKTOR RISIKO ERGONOMI PADA KARYAWAN DI PABRIK PEMBUATAN MINUMAN KEMASAN, INDONESIA Ratih Pramitasari; Wongsa Laohasiriwong
VISIKES: Jurnal Kesehatan Masyarakat Vol 16, No 1 (2017): VisiKes
Publisher : Dian Nuswantoro Semarang

Implementation of inappropriate ergonomics in worker can cause health problems. Musculoskeletal Disorders (MSDs) is one of the health problems that often occur due to improper application of ergonomics. Every step in this beverage factory mostly has the potential for ergonomic risk. This research is a quantitative research with cross sectional study design. Thetotal sample size of 309 has been systematic randomly selected from each department with proportional to size of the population. Data collection tools using BRIEFTM Survey and analyze the data with STATA. BRIEFTM igured the risk associated with posture, force, duration and incidence frequency of nine areas of the body. The results showed the prevalence of ergonomic risk occurring on the left and right sides of the elbows (73.14%). The prevalence of middleergonomic risk on the left side and wrist is 55.99% and right side 55.02% then the left side of the shoulder is 77.02% and the right side 63.11% after being behind is 55.02%. Suggestions for the company should perform particular program about the proper ergonomic position and working order in each department at the beverage factory.

Penerapan Aspek Keselamatan Perkeretaapian pada PT.KAI (Persero) Daop IV Semarang Tiarma Lubis; Evi Widowati
VISIKES: Jurnal Kesehatan Masyarakat Vol 16, No 1 (2017): VisiKes
Publisher : Dian Nuswantoro Semarang

Railways is everything related to facility, infrastructure, human resource and train supporting facility for the operation of railway transport. The production of passenger trains during the years 2010-2014 in the Java island has increased by 8.29% annually. The railway accidents frequency are inluenced by: human factors, infrastructure factors, facility factors, operational factors, and external factors. This research aims to know the description of the aspects of railwaysafety application at PT. KAI (Persero) DAOP IV Semarang. This was evaluative research.The result showed that of the 253 points of the aspects of railways safety, as much as 235 (93%) points were accordance to standard, 13 (5%) points were not accordance tostandard, and 5(2%) did not conform to standard.The recommendation are fulillments of the safety railway aspects such as: increase the crossing-guard offifcer who have a competency certiicate, provide training and education for certiication of compentence for pcrossing-guard oicer that have not been certiied, facilitating the station with ire protection system, awarding and recoloring of secure border from railways on the station platform, and marking the installation of portable ire extinguisher.Keywods : railway, safety

Self Efficacy dan Self Motivation Kader dalam Melakukan Active Case Finding untuk Menurunkan Epidemi Tuberculosis dalam Mewujudkan Target SDGs 2030 Lenci Aryani; Sri Handayani
VISIKES: Jurnal Kesehatan Masyarakat Vol 16, No 1 (2017): VisiKes
Publisher : Dian Nuswantoro Semarang

Active case inding maximize the role of cadres for the discovery of new TB cases. Semarang city emergency TB in 2016. Puskesmas Mijen one who has high TB patients with case notiication number of 53%. This research is observational research with cross sectional method. This study uses questionnaires as a tool in taking data. The ield samples were chosen by simple random. The sample size is 55 cadres in the working area of Mijen Semarang Public Health Center. The results of the good category of 36,4% self eicacy conident cadre performancein TB case inding in the community at least once a day. There are 38,2% self motivation of additional income knowledge of cadres including less in the case inding of Tb in the working environment of the Mijen Puskesmas. Self eicacy factors and self-motivation of cadre showed no signiicant relationship with cadre performance on the implementation process at family visit to get target of SDGS 2030. It is suggested to all health center cadres to always follow training on health especially related to TB to maximize the role of cadre for discovery New TB caseKeywords: Self eicay, self motivation, tuberculosis

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