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Digital communication in health promotion in handling tuberculosis sputum Makalew, Linda Augustien; Rambi, Elne Vieke; Makaminan, Muhammad Ali
Jurnal Teknologi Laboratorium Vol 10 No 1 (2021): inpress
Publisher : POLTEKKES KEMENKES YOGYAKARTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/teknolabjournal.v10i1.285

Abstract

The Covid-19 pandemic that has caught the attention of not only Indonesia but the rest of the world. The 3M movement, namely using masks, washing hands and keeping a distance to minimize the transmission of tuberculosis, is very useful for the eradication of TB tuberculosis. However, this is a challenge in itself for microscopic officers at the Microscopic Reference Center (MRC) in education and handling of sputum for tuberculosis patients who are currently being treated. The purpose of this study was to test VisKomLAM 1, 2, 3 and 4 in bridging communication between officers in sputum management education for tuberculosis sufferers at each examination during the Covid-19 pandemic. The research locations took MRC Tuminting, Wawonasa and Tikala Baru in Manado City and MRC Telaga in Gorontalo District. Analysis with paired t test showed a significance below 5%, which means that VisKomLAM 1, 2, 3 and 4 can bridge education from officers to tuberculosis sufferers in the Covid-19 pandemic era. It is recommended that health workers always strive to promote tuberculosis health in achieving tuberculosis elimination by 2050
Multi drugs resistance to Diabetes Mellitus patients with tuberculosis in Manado City Rambi, Elne Vieke; Sukandar, Dyan R; Makalew, Linda Augustien; Tomastola, Yohanis; Konoralma, Ketrina
Jurnal Teknologi Laboratorium Vol 10 No 1 (2021): inpress
Publisher : POLTEKKES KEMENKES YOGYAKARTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/teknolabjournal.v10i1.286

Abstract

Diabetes mellitus (DM) with pulmonary tuberculosis (TB) is an infectious disease if not educated regularly, there will be a high risk of drug resistance and even some anti-tuberculosis drugs. This study aims to identify anti-tuberculosis drug resistance in DM patients with TB in Manado City. The population in the study types 2 DM patients as amount 80 patients. Based on TCM/GenExpert examination from 47 respondents, there were 17 respondents positive multi drugs resistance rifampicin (RR). Sampling taking based on inclusion criteria, i.e., have had type DM for five years, had suffered TB MDR RR based on GenXpert examination as much as 17 respondents followed in the resistance test with Sputum TB culture and MGIT method. The result of the study showed that MDR DM-TB with MGIT method as followed is obtained from 17 samples, six samples (35.30%) resistance INH 0.4 mg and 1 sample (5.88%) MDR canamycin, and still sensitive INH 0.4 mg and camaycin is ten samples (58.82%). This study results could be used to program planning of prevention and controlling efforts TB-DM in this treatment obedience and regimen anti-tuberculosis medicine for MDR-TB patients.
Comparison between Milgram’s and Niven’s Obedience Theory on Nurses in Obedience using Personal Protective Equipment Andini, Fauziah Rizki; Rochmah, Thinni Nurul; Makalew, Linda Augustien; Dewi, Maya Sari; Bilqis, Nabilah
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 1: March 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (677.327 KB) | DOI: 10.30604/jika.v8i1.1373

Abstract

Personal protective equipment (PPE) is a protection tool from potential hazards in the workplace. Low nurse obedience to using PPE at hospitals can increase the occurrence of work accidents. Nurse obedience to using PPE can be seen from the external factors suggested in Milgram's theory and internal factors explained in Niven's theory. This study aimed to compare nurse obedience to using PPE through the analyses of Milgram’s and Niven's theories. This study was an observational study with a cross-sectional study design. The population of this study was 187 nurses in the inpatient installation of Dr. R. Sosodoro Djatikoesoemo Bojonegoro Hospital. A sample of 113 nurses were then selected to be the respondents. The influence test was performed using linear regression. Based on Milgram's theory, external factors were more dominant in controlling obedience to using PPE. The external factors that had a significant effect included location status, proximity to authority figures, and the legitimacy of authority figures. Meanwhile, Niven's theory showed only one internal factor, understanding instruction, significantly influenced nurse obedience to use PPE. Therefore, it is recommended to formulate regulations and a more binding system through rewards and punishment to increase nurse obedience to using PPE. Abstrak: Alat Pelindung Diri (APD) merupakan alat yang melindungi diri dari potensi bahaya di tempat kerja. Rendahnya kepatuhan perawat dalam menggunakan APD di rumah sakit dapat meningkatkan terjadinya kecelakaan kerja. Kepatuhan perawat dalam menggunakan APD dapat dilihat dari faktor eksternal yang dikemukakan dalam teori Milgram dan faktor internal yang dijelaskan dalam teori Niven. Penelitian ini bertujuan untuk membandingkan kepatuhan perawat dalam menggunakan APD melalui analisis teori Milgram dan Niven. Penelitian ini merupakan penelitian observasional dengan desain penelitian cross sectional. Populasi penelitian ini adalah 187 perawat di Instalasi Rawat Inap RSUD Dr. R. Sosodoro Djatikoesoemo Bojonegoro. Sampel sebanyak 113 perawat kemudian dipilih menjadi responden. Uji pengaruh dilakukan dengan menggunakan regresi linier. Berdasarkan teori Milgram, faktor eksternal lebih dominan dalam mengontrol kepatuhan penggunaan APD. Faktor eksternal yang berpengaruh signifikan antara lain status lokasi, kedekatan dengan figur otoritas, dan legitimasi figur otoritas. Sedangkan teori Niven hanya menunjukkan satu faktor internal yaitu pemahaman instruksi berpengaruh secara signifikan terhadap kepatuhan perawat dalam menggunakan APD. Oleh karena itu, direkomendasikan untuk merumuskan peraturan dan sistem yang lebih mengikat melalui reward and punishment untuk meningkatkan kepatuhan perawat dalam menggunakan APD.