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GAMBARAN KEJADIAN HIPERTENSI PADA NELAYAN DI DESA KEMOJAN, KARIMUN JAWA, JEPARA Pramitasari Ratih; Yoni Setyo Nugroho Bayu; Haikal - -
VISIKES: Jurnal Kesehatan Masyarakat Vol 19, No 01 (2020)
Publisher : Dian Nuswantoro Semarang

Latar belakang: Perkiraan jumlah kejadian hipertensi di Indonesia adalah 63.309.620 penduduk, dan angka kematian di Indonesia yang disebabkan oleh hipertensi sebanyak 427.218 kejadian. Data 20 besar penyakit dari kunjungan rawat jalan selama tahun 2019 di puskesmas Karimun Jawa, hipertensi menduduki urutan ketiga dengan jumlah 409 Pasien.Penelitian ini bertujuan untuk menganilisis kejadian Hipertensi pada Nelayan di Desa Kemojan, Karimun Jawa, Jepara.Metode: Jenis penelitian analisis deskriptif dengan jumlah sampel 21 nelayan yang bertempat tinggal di Desa Kemojan dengan instrument penelitian berupa tensimeter-digital yang sudah dikalibrasi dan kuesioner untuk mengetahui karakteristik responden. Pengolahan data menggunakan program SPSS dengan uji statistic yang dilakukan adalah uji normalitas data dan analisis univariate dan bivariate dengan uji fisher exact test.Hasil: Tekanan darah responden menunjukkan hasil tekanan sistole yang lebih dari normal atau lebih dari 121mmHg sebesar 81% dari total 21 responden dan 47,6% mengalami level diastole yang lebih dari keadaan normal. Kasus hipertensi pada nelayan di desa kemojan mencapai 17 dari 21 nelayan dengan prosentase 81% nelayan mengalami hipertensi.Kesimpulan: Sebagian besar Nelayan di desa kemojan mengalami hipertensi dengan prosentase 81% . Responden nelayan penyelam disarankan untuk bisa mengontrol konsumsi garam untuk mengurangi potensi resiko hipertensi dan memperbanyak konsumsi air mineral agar responden terhindar dari gangguan saluran ekskresi pada tubuh.Kata kunci: nelayan, karimun jawa, hipertensi

PETA DISTRIBUSI FREKUENSI KASUS TB PARU DI PUSKESMAS PURWOYOSO TAHUN 2017-2018 Ima Afisatulia Solikhah; Fitria Wulandari
VISIKES: Jurnal Kesehatan Masyarakat Vol 19, No 01 (2020)
Publisher : Dian Nuswantoro Semarang

Indonesia is still a high burden countries (HBC) based on 3 indicators, namely pulmonary TB / TB/HIV, and MDR-TB. The number of TB cases in Indonesia 2017 was 420,994 cases, 63 people died because of TB in Semarang, Purwoyoso Primary Healthcare is one of the healthcare center in Semarang that had not used GIS (Geographic Information Systems)-based reporting. This research is a descriptive study. The object of this study was the medical record of patients with pulmonary TB cases and pulmonary TB case reports in Purwoyoso Primary Healthcare. Mapping of pulmonary TB cases was made with MapInfo. The design of the Geographic Information System with the MapInfo application presents a report on pulmonary TB cases at Purwoyoso Primary Healthcare. Based on the comparison of the number of pulmonary TB cases in the Purwoyoso Primary Healthcare region between 2016-2017 and 2017-2018, the number of pulmonary TB cases decreased in Kelurahan Purwoyoso, Pulmonary TB cases in Kelurahan Purwoyoso decreased by 6%, from 53% cases in 2015 -2016 to 47% cases in 2017-2018, while cases of Pulmonary TB in Kelurahan Kalipancur increased from 25% cases in 2015-2016 to 75% cases in 2017-2018. Purwoyoso Primary Healthcare should use a geographic information system so that the reporting process can be more effective.Keywords: Pulmonary TB, Geographic Information System, Purwoyoso Primary Healthcare

GAMBARAN TATA CARA PENGELUARAN SPUTUM DAN KUALITAS SPUTUM PASIEN CURIGA TUBERCULOSIS DI PUSKESMAS GAJAH II KABUPATEN DEMAK Nani Eko Setiyoningsih; dr. M Sakundarno Adi, MSc. PhD
VISIKES: Jurnal Kesehatan Masyarakat Vol 19, No 01 (2020)
Publisher : Dian Nuswantoro Semarang

Although the Indonesian government has conducted various efforts to prevent and deal with Tuberculosis disease, new TB cases consistently appear from time to time in this country. Accurate steps and techniques are needed to diagnose tuberculosis as early as possible, thereby reducing transmissions and curing patients as early as possible. One method to conduct early diagnosis of tuberculosis is the microscopic screening of Mycobacteriu Tuberculosa.The purpose of this journal is to get an overview of sputum removal procedures and sputum quality of TB suspects at Gajah II Public Health Centre, Demak District. The first method is spontaneous expectoration, and the second method is warm steam inhalation before sputum removal.In this study, the sputum samples were taken from 32 TB suspect patients who visited Gajah II Public Health Centre for the first time during the period of September 2019. The examination results of sputum quality were recorded into three (3) categories or groups, namely: (1) purulent, (2) mucopurulent, and (3) saliva. The study indicated as follows: using the first method, 2 (two) patients (6.25%) produced purulent quality of sputum, 8 (eight) patients (25%) with mucopurulent quality, and 13 (thirteen) patients (40.62%) with salivary quality, while 9 (nine) patients (28.13%) failed to produce sputum. Using the second method, by which patients were asked to inhale warm steam before removing sputum, the study revealed the following: 3 (three) patients (9.37%) with purulent sputum quality, 13 (thirteen) patients (40.62%) with mucopurulent quality, and 11 (eleven) patients (34.37%) with salivary quality, while 5 (five) patients (15.62%) failed to produce sputum.From the above, using the spontaneus expectoration or first method, most patients produced poor quality of sputum while using the second method, by which patients were asked to inhale warm water vapor before removing sputum, the patients produced improved quality of sputum for smear examination.Keywords: Tuberculosis, sputum quality, Mycobacterium Tuberculosis screening.

STANDAR PENYUSUTAN DOKUMEN REKAM MEDIS DI PUSKESMAS KEDUNGMUNDU KOTA SEMARANG TAHUN 2019 Retno Astuti Setijaningsih; Jaka Prasetya
VISIKES: Jurnal Kesehatan Masyarakat Vol 18, No 2 (2020): VISIKES (SUPLEMENT)
Publisher : Dian Nuswantoro Semarang

Public Health Center (PHC) is a central development in the working area. Its orientation is the safety of the patient. For it takes depreciation medical record documents to reduce the burden of storage and workload file clerk. Therefore, medical record documents more easily and quickly traceable.It is associated with patient’s medical record documentstracking speed. Result for The PHC obtained their medical record documents missfile accident due to stacking file. The research desain is a case study. Cross sectional approaching with observation and interviews as the method of collecting data. Processing data using collecting, editing, and tabulating. Then the data were analyzed descriptively. Generally, numbering system with applied to the patient’s family health centers folder is Unit Numbering System (UNS). PHC, in general, already implementing Terminal Digit Filing (TDF) alignment system, but in Puskesmas Kedungmundu still apply Straight Numerical Filing (SNF). The retention system is decentralization. While Puskesmas Kedungmundu peciathas implemented centralized. Depreciation medical record documents has not been routinely performed and without documentation. Several PHC even do not perpetuate medical record documents as regulated on The Permenkes Nomor 269/Menkes/PER/III/2008. Medical record documents depreciation required the disease index, patient index, standard operating procedure, record retentions schedules and documentation. In addition, need to reform the medical record documents management to facilitate the implementation of depreciation. Keywords : medical record document, depreciation, public health center

THE INFLUENCE OF TRANSFORMATIONAL LEADERSHIP TOWARD SERVICE EXCELLENT OF NURSES IN HOSPITAL Alice Sutedjo Lisa; Sudiro - -; Farid Farid Agushybana
VISIKES: Jurnal Kesehatan Masyarakat Vol 19, No 01 (2020)
Publisher : Dian Nuswantoro Semarang

Background: Patient satisfaction was one of the indicators of hospital service quality. Service excellent concept in hospital aimed to fulfill the patient expectation of hospital services. One of the factors which affect service excellent is leadership style. Objective:This research aimed to analyzed the relationship of transformational leadership style of the inpatient room head and service excellent practice of nurses in inpatient unit of Telogorejo Hospital. Method: This was observational research with cross sectional approach. Data collected using questionnaires. Sample was chosen with random sampling method and divided proportionally for each inpatient room as much as 184 respondents. Results: Research showed that idealized influence (p-value: 0,029), inspirational motivation (p-value: 0,037), intellectual stimulation (p-value: 0,018), individual consideration (p-value: 0,049) dimension from transformational leadership had significant relationship with service excellent practice of nurses in inpatient unit in Telogorejo Semarang Hospital. Conclusion: There were significant relationship between idealized influence, inspirational motivation, intellectual stimulation individual consideration of inpatient room head and service excellent of nurses in inpatient unit.Keywords: Transformational leadership, service excellent, nurse, hospital, patient expectation

ANALISIS WAKTU TUNGGU PELAYANAN RADIOLOGI DI RUMAH SAKIT SYARIF HIDAYATULLAH TAHUN 2018 Putri Amanah; Mustakim - -
VISIKES: Jurnal Kesehatan Masyarakat Vol 19, No 01 (2020)
Publisher : Dian Nuswantoro Semarang

Radiology services as integrated parts of health services as a whole are part of the community's need for health services. Therefore, the radiology services should provide quality services. The study was a descriptive analytic research with qualitative and quantitative approaches or mix method that used data collection in the form of waiting time duration for radiology services, in-depth interviews, observation, and document review. Sampling using proposition estimation with random sampling technique with the number of 106 patients. The informants in primary data collection at the Radiology Installation at Syarif Hidayatullah Hospital were the head of the radiology installation, radiology specialist, head of the radiology and radiographers unit.The average waiting time duration for radiology services is 4 hours 59 minutes. The result has not met Kepmenkes Standard No.129/Menkes/SK/II/2008, which is ? 3 hours. The standard of waiting time duration for radiology service is not met the rule regarding to there is no doctor who is the standby or full timer while the radiology service to the patient is given for 24 hours.It is expected that Syarif Hidayatullah Hospital has teleradiology which can be used as a solution to meet the waiting time duration for radiology services, especially the reading of photos and expenditure of expedition results and can meet the quality of services that appropriate to the standards.Keywords: waiting time duration, radiology services

ANALISIS PENERAPAN PRINSIP 5R (RINGKAS, RAPI, RESIK, RAWAT, RAJIN) DI BENGKEL X, KECAMATAN MLATI, KABUPATEN SLEMAN, YOGYAKARTA Damairia Hayu Parmasari; Budi Sulistyo Nugroho
VISIKES: Jurnal Kesehatan Masyarakat Vol 19, No 01 (2020)
Publisher : Dian Nuswantoro Semarang

Background: 5R (Ringkas, Rapi, Resik, Rawat, dan Rajin) is a work culture that must be applied in all workplaces in both the formal and informal sectors. The application of the 5R aims to make workers feel comfortable and safe when working. Besides, the application of the 5R can make work more effective and efficient because it can eliminate time wasted because more time to search for goods, work areas that look full due to overload of equipment and goods that are not needed or dirty environment. Machine shop X in Mlati Subdistrict, Sleman, Yogyakarta is one of the informal sectors that has not implemented 5R. This can be seen from the condition of the work area which is full of unnecessary, messy, and dirty equipment and goods. Therefore researchers researched the analysis of the application of 5R in Machine shop X. Objectives: The purpose of the study was to find out the application of the 5R principle in Machine shop X. Methods: This research design qualitative design. The research was conducted by direct observation and using the 5R checklist. Research results: The results showed that the application of 5R in Machine shop X was still poor. This can be seen from the achievement of the overall 5R which is below 50%. Conclusion: The research concludes that the implementation of the 5R in Machine shop X is still poor so that training on 5R and internal audits is needed periodically.Keywords: Implementation, 5R, machine shop

Hubungan perilaku hidup sehat orang tua balita dengan literasi KMS (Kartu Menuju Sehat) sebagai sumber informasi tumbuh kembang balita Dyah Ernawati; Faik Agiwahyuanto
VISIKES: Jurnal Kesehatan Masyarakat Vol 18, No 2 (2020): VISIKES (SUPLEMENT)
Publisher : Dian Nuswantoro Semarang

Masa tumbuh kembang anak adalah suatu masa dimana anak tersebut mencapai tinggi badan, berat badan, dan perkembangan dari sisi motorik kasar serta halus secara optimal. Masa tumbuh kembang anak ada di usia 0-5 tahun, usia keemasan (the golden ages period). Hal ini penting, karena termasuk dalam 1000 hari kehidupan pertama. Dalam rangka pemenuhan gizi balita, maka dibentuklah Posyandu sebagai sarana untuk memantau tumbuh kembang anak serta tempat untuk memberikan pemberian makanan tambahan dan pemberian vitamin. Untuk itu maka penelitian ini bertujuan mengetahui hubungan literasi KMS dengan perilaku sehat orang tua balita.Jenis penelitian adalah penelitian kuantitatif yaitu menggunakan kuesioner untuk mengetahui budaya perilaku hidup sehat orang tua, dan literasi buku KMS. Selanjutnya dilakukan dilakukan pelatihan literasi buku KMS dan perilaku hidup sehat. Hasil kuesioner dianalisis secara kuantitatif.Hasil penelitian bahwa Sig literasi KMS pada perilaku hidup sehat orang tua = 0,000 < 0,05 dan Sig perilaku hidup sehat orang tua pada literasi KMS =0,000 < 0,05 sehingga Ho ditolak artinya Ada korelasi/ hubungan antara Literasi KMS dan Perilaku hidup sehat orang tua.Ibu dengan balita dianjurkan untuk memperbarui data di KMS setiap bulan dengan membawa balita ke posyandu untuk ditimbang. Dengan memantau pertumbuhan anak melalui KMS ini, dokter dapat menentukan apakah seorang anak tumbuh normal, atau mengalami gangguan pertumbuhan sehingga dapat didagnosis dan ditangani lebih dini. Kata Kunci: KMS, Perilaku Sehat Orang Tua, Balita, Posyandu

PERAN PENANGGUNG JAWAB REKAM MEDIS (PJRM) UNTUK PENINGKATAN KETEPATAN KLAIM BPJS PASIEN RAWAT INAP DI RSUD KRMT WONGSONEGORO (RSWN) KOTA SEMARANG Retno Astuti Setijaningsih; Suyoko - -; Nova Dhea Ammar N; Supriyatiningsih - -
VISIKES: Jurnal Kesehatan Masyarakat Vol 19, No 01 (2020)
Publisher : Dian Nuswantoro Semarang

Medical Record Document (MRD) guarantees patient safety. Besides, it related to claim accuracy to BPJS (Badan Penyelenggara Jaminan Sosial) as patient health insurance operator. In fact, from the survey conducted with 15 inpatients as the subjects, 10 MRD approved (approximately 66.67%) and the other 5 MRD or about 33.34% rejected. This happened as the consequences of whether supporting examination result which is not being submitted on 2 MRD (40%), 1 MRD or 20% hold incomplete BPJS document and other 40% caused by the inaccurate operation code in MRD. Hence, the aim of this study is to analyze the role of Person In Charge in Medical Record Department to improve MRD comprehensiveness to reach BPJS claim accuracy.The type of this study is qualitative with cross-sectional approach. Primary and secondary source observation and interview are used in collecting data. Purposive sampling with four interviewees from Person In Charge in Medical Record Department, and as the main interviewee is the head of Medical Record Department also one employee of BPJS Rumah Sakit Wongsonegoro as the triangulator.So, the main function of assembling employee is to ensure the quality of Medical Record Document (MRD), quantitatively and qualitatively. Whereas, RSWN already applied Person In Charge of Medical Record Department with concurrent analysis in controlling MRD comprehensiveness concept. According to observational result of 15 inpatients, found incomplete MRD, 13% occurs in identity section, also 13% each found both in recording and reporting. While, the authentication completes 100%. From consistency analyzing result discovered inconsistency recording about 13%. Main diagnose and inform consent recording reached 100% in consistency and 0% things that can cause loss.That is, the role of Person In Charge in Medical Record of inpatient unit needs yo be improved. The main and assembling function performs by PIC in Medical Record is both coding and indexing. Input standard, Standard Operational Procedures (SOP) and minimum services standard are already available and applied to control PIC in Medical Record performance quality. However, input, process and the output are not focus in controlling MRD comprehensiveness yet, especially in BPJS participant patient. So that, to control BPJS inpatient MRD quality, needs operational standard in methods and comprehensiveness control procedures, considered with PIC in Medical Record also performing ICD code and Medical Record Document quality requires coordination of all parties.The researchers suggest to add more points in controlling incomprehensiveness BPJS Medical Record Document procedures. Furthermore, enhance input in standard structure, operational job description in Standard Operational Procedure, also minimum services standard comprehensiveness which applied has to be reached 100% qualitatively and quantitatively.Keywords: PIC in Medical Record, BPJS claim, quantitative comprehensiveness, qualitative comprehensiveness

ANALISIS SPASIAL FAKTOR LINGKUNGAN LEPTOSPIROSIS DI KECAMATAN BONANG KABUPATEN DEMAK TAHUN 2018 Widya Hary Cahyati; Lia Diah Kumalasari
VISIKES: Jurnal Kesehatan Masyarakat Vol 19, No 01 (2020)
Publisher : Dian Nuswantoro Semarang

The number of leptospirosis cases in Demak district had a significant increase in 2018 which reached 92 cases with IR = 7.91% and the death of 24 people with CFR = 28.09%. Bonang Subdistrict is a sub-district with a case of the highest leptospirosis in Demak district. The aim of this research is to spatial analyze the environmental factors of leptospirosis in Kecamatan Bonang include flood/rob history, garbage storage, river, paddy field, fishpond, and population density. This type of research is quantitative descriptive with cross sectional design. The samples in this study numbered 24 people. This research was conducted in June 2019 in Bonang Sub-district of Demak Regency. The results showed that the pattern of the leptospirosis case in sub-district Bonang was scattered uneven. In this study can be concluded that the most influential risk factors in the distribution of leptospirosis cases in Bonang sub-district is a bad condition of individual garbage storage and the existence of paddy fields and rivers that are close to the house cases.Keywords: Spatial Analysis, GIS, Leptospirosis

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