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All Journal Media Kesehatan Masyarakat Indonesia Jurnal Kesehatan Masyarakat Andalas (Andalas Journal of Public Health) Jurnal Kesehatan Andalas Jurnal Kesehatan Jurnal Penelitian Kesehatan Jurnal Profesi Medika: Jurnal Kedokteran dan Kesehatan Jurnal Penelitian Pendidikan IPA (JPPIPA) Jurnal Kesehatan Medika Saintika JURNAL KESEHATAN PERINTIS Journal of Midwifery JIK- JURNAL ILMU KESEHATAN Majalah Kedokteran Andalas Contagion: Scientific Periodical Journal of Public Health and Coastal Health PREPOTIF : Jurnal Kesehatan Masyarakat Open Access DRIVERset Jurnal Ilmu Kesehatan Indonesia Jurnal Endurance: Kajian Ilmiah Problema Kesehatan BKM Public Health and Community Medicine

Yuniar Lestari

Universitas Andalas

Author-ID : 2434088

Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Education Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Other

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Analisis Waktu Tunggu Rawat Jalan di Rumah Sakit Umum Daerah Dr Achmad Darwis Suliki Tahun 2019 Suspenti Dewi; Rizanda Machmud; Yuniar Lestari
Jurnal Kesehatan Andalas Vol 8, No 4 (2019): Online December 2019
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v8i4.1137

AbstrakWaktu tunggu rawat jalan di RSUD dr. Acmad Darwis Suliki masih menjadi permasalahan, hasil survey awal didapatkan bahwa waktu tunggu rawat jalan masih melebihi SPM rawat jalan yang ada yaitu < 60 menit. Hal ini akan berdampak pada kepuasan pasien terhadap pelayanan yang diterima. Tujuan: Menganalisis waktu tunggu rawat jalan di RSUD dr. Achmad Darwis Suliki tahun 2019. Metode: Penelitian ini adalah studi kualitatif dengan melakukan wawancara semi terstruktur, Focus Group Discussion, observasi dan telaah dokumen. Pengumpulan data dilakukan dengan wawancara pada sembilan orang informan. Komponen yang diteliti yaitu komponen input (SDM, Standar Prosedur Operasional (SPO)/kebijakan dan sarana prasarana), komponen proses (pendaftaran, menyiapkan dokumen rekam medis, pemeriksaan) dan komponen output. Hasil: Jumlah SDM masih kurang dan kedisiplinan petugas khususnya tenaga medis juga masih kurang, SPO rekam medis belum terlaksana secara optimal karena kurangnya kedisiplinan petugas dalam melaksanakan SPO, sedangkan SPO untuk rawat jalan belum ada. Ketersediaan sarana prasarana masih belum mencukupi. Proses pendaftaran terkendala karena jumlah komputer yang kurang. Menyiapkan dokumen rekam medis belum sesuai dengan standar waktu yang telah ditetapkan karena kurangnya petugas dan SPO yang belum terlaksana dengan baik. Waktu tunggu rawat jalan masih belum sesuai standar karena masih melebihi waktu 60 menit. Simpulan: Waktu tunggu rawat jalan di RSUD dr. Achmad Darwis Suliki tahun 2019 belum sesuai standar. Disarankan agar pihak rumah sakit dapat meminimalisasi waktu tunggu rawat jalan dengan penambahan petugas, menyusun SPO, melakukan monitoring dan evaluasi, melengkapi sarana prasarana.

Analysis Factors Related to Implementation of Complete Basic Immunization in Work Area of Pengambiran Public Health Center in Padang 2017 Ade Nurhasanah Amir; Eryati Darwin; Yuniar Lestari
Journal of Midwifery Vol 3, No 1 (2018): Published on June 2018
Publisher : Universitas Andalas

The role of a mother in the immunization program is very important, so their understanding of immunization is necessary, the behavior of a person or society about health is determined by knowledge, attitude, belief, tradition, work etc. from the person or society concerned. In addition, the availability of health care facilities, attitudes, behavior of health workers on the provision of health information will also support and strengthen the formation of health behaviors, This study aims to determine the factors that affect the provision of complete basic immunization, This study uses a combined research method between quantitative and qualitative.Sample for this study is 107 mother mother, while informant for qualitative study is Head of PuskesmasPengambiran Padang City, Responsible, Immunization Officer of Puskesmas and Kader which is in Working Area of PengambiranPublic Health in Padang City, The result of this study shown that family support is the most important factors in the implementation Complete basic immunization (p = 0.001). The results of the analysis revealed that the coverage of the implementation of complete basic immunization has not been successful because the lack of active role of cadres and health officers in community in informing immunization in depth. so that there is still a lack of understanding from mothers and families which has no family support in the implementation of complete basic immunization, it has not reached 95% target because the system implementation of complete basic immunization services that have not been optimal. It needs various efforts to improve the achievement of complete basic immunization coverage especially through optimizing the role and function of health and cadre officers and optimizing partnerships with various parties.

Analysis of Factors Related to Midwife's Performance in Filling the "Poedji Rohyati" Score in Early Detection of High Risk Pregnancy atPublic Health Center of Lima Puluh Kota District Liza Andriani; Yuniar Lestari; Erwani Erwani
Journal of Midwifery Vol 3, No 1 (2018): Published on June 2018
Publisher : Universitas Andalas

One indicator that determines community health status is mortality. Midwives as the spearhead of antenatal care must be able to prevent maternal mortality rates (AKI) by increasing their performance in providing antenatal services in accordance with standards. One attempt to prevent AKI is by early detection of high-risk pregnancy using the PoedjiRohyati score card (KSPR). Midwife's performance is influenced by several factors, namely individual, organizational and psychological factors. This study aims to analyze the factors related to the performance of midwives in filling the PoedjiRohyati score card on early detection of high-risk pregnancies in the Lima Puluh Kota District Health Center. This study uses a combination of quantitative and qualitative methods. Quantitative research samples were 74 respondents, data collection was carried out from January to February 2018 with interview techniques using questionnaires and observation sheets. While the qualitative research informants were the Head of Community Health and Nutrition, the head of the puskesmas and the midwife coordinator of the Piladang, Taram, Koto BaruSimalanggang and TanjungPati health centers. The results of the study prove that the factors associated with the performance of midwives in filling in the KSPR include the level of knowledge (p = 0.031), attitude (p = 0.004), motivation (p = 0.020) and supervision (p = 0.025). The factors that are most related to the performance of midwives in filling in KSPR are attitudes (p = 0.006). Based on the research, it can be concluded that the midwife will have a good performance in filling in the KSPR if it is based on a high level of knowledge, a positive attitude, high motivation, periodic supervision and supported by complete facilities.

Association Between Mother Factors With Prelacteal Feeding Practice To Newborn In Working Area Of Air Dingin Primary Health Center 2017 Yunita Chairani; Yuniar Lestari
Journal of Midwifery Vol 2, No 2 (2017): Published on December 2017
Publisher : Universitas Andalas

The maintenance of infant health can be done by early and exclusive breastfeeding. However, exclusive breastfeeding has not been achieved. This may be due to the administration of prelakteal foods. Prelacteal feeding practice define as administration of food/drink despite of breastmilk without indication to newborn during the first three days without any medical indication. The purpose of this study is to determine the association between maternal factors with prelakteal feeding to newborns in the working area of Air Dingin Primary Health Center. This study was an analytical study with cross sectional design with a sample of mothers who have babies aged 0-12 months in the working area of Air Dingin Primary Health Center. This study was conducted from November 2016 to October 2017. Data will analyze using chi square analysis (p <0.05). A total of 63% of mothers administrated prelakteal foods. The result revealed p-value between prelakteal feeding and maternal knowledge (p = 0,03), parity (0,037) and mother’s job status (p = 0,771). There was a significant relationship between maternal knowledge and parity with prelakteal feeding. It is necessary to provide information to the mother by health workers and to increase mother awareness to get information from KIA book. As well as a concern on primipara mothers.

Association of Pesticides Exposure with Breast Cancer in West Sumatera Province, Indonesia Yuniar Lestari; Rima Semiarty; Wirsma Arif Harahap
Journal of Midwifery Vol 4, No 2 (2019): Published on December 2019
Publisher : Universitas Andalas

Breast cancer cause multifactorial, one of the risk factors is exposure of pesticides. The aim of this study was to determine association of pesticides exposure with breast cancer in West Sumatera Province, Indonesia. In this cross sectional study, the data were collected from Dr. M Djamil General Hospital Padang. Sampling technique with convenience sampling. We selected 234 patients with breast cancer diagnosed. The variables of this study included independent variable is exposure pesticides and dependent variable is breast cancer. Pesticides exposure were collected from the questionnaire of pesticides exposure that have been validated. The association was analyzed by using chi-square test and cut off point analyzed using receiver operating characteristics (ROC). A two-tailed P-value of <0.05 was considered statistically significant. Data were analyzed using the SPSS version 22.0. The results of study found that more than half of respondents (53.8%) were exposed of pesticides while less than half of respondents (46.2%) were not exposed. This study confirmed no association of pesticides exposure with breast cancer in West Sumatera Province, Indonesia

The Relation Between Husband Support with Exclusive Breastfeeding in Baby Age 6-12 Months in Air Dingin Health Center Nurul Fitri; Yuniar Lestari; Lisma Evareny
Journal of Midwifery Vol 2, No 2 (2017): Published on December 2017
Publisher : Universitas Andalas

Exclusive breastfeeding is one of ways to maintain a good growth and development for the baby. Exclusive breastfeeding in Indonesia is the right for every baby which is regulated in government regulations, but the coverage of exclusive breastfeeding is still low in some areas. The lowest exclusive breastfeeding coverage in Padang is in the working area of Air Dingin health center. The aims of this study is to determine the relationship between husbands support with exclusive breastfeeding in Air Dingin public health center.This study was a quantitative study with cross sectional design conducted at Air Dingin health centerfrom Marchto December 2017. Subject of this studywere mothers who had 6-12 month babies whichwere106 people. Data was collected by using questionnaires and guided interviews. Data analysis was performed using univariate and bivariate using chi square test with p-value ≤ 0,05.The results showed 76,4% of mothers did not provide exclusive breastfeeding for their babies and 59,4% of mothers did not get support from their husbands.Bivariate analysis showed that there was a relationship between husband support with exclusive breastfeeding with p-value=0.000.There was a relationship between husband support with providing exclusive breastfeeding for the babies. Because of the importance of husbands role, husbands must be the target for exclusive breastfeeding counseling.Therefore, husbands can also be active to find the information and participate in the success of exclusive breastfeeding for the babies.

Analisis faktor yang berhubungan dengan pelaksanaan standar APN oleh bidan puskesmas PONED Padang Pariaman Merisa Riski; Yuniar Lestari; Ulvi Mariati
Majalah Kedokteran Andalas Vol 42, No 3S (2019): Published in November 2019
Publisher : Faculty of Medicine, Universitas Andalas

Tujuan: Untuk menganalisis faktor yang berhubungan dengan pelaksanaan penerapan standar asuhan persalinan normal oleh bidan puskesmas PONED Padang Pariaman. Metode: Penelitian ini menggabungkan 2 jenis penelitian (mixed method) yang didahului oleh penelitian kuantitatif dengan desain cross sectional, sampel 74 bidan puskesmas PONED. Analisis data menggunakan uji Chi-Square dan uji regresi logistik. Kemudian dilanjutkan dengan penelitian kualitatif. Hasil: Hasil penelitian menunjukkan sebagian besar bidan puskesmas pelaksanaan penerapan standar asuhan persalinan normal yang baik. Faktor yang memiliki hubungan bermakna dengan pelaksanaan penerapan standar asuhan persalinan normal adalah pengetahuan, sikap, persepsi kepemimpinan, motivasi, persepsi supervisi kepala puskesmas, dan persepsi organisasi profesi/IBI. Hasil penelitian juga menunjukkan persepsi supervisi kepala puskesmas sebagai faktor dominan yang mempengaruhi pelaksanaan penerapan standar asuhan persalinan normal secara baik 7,649 kali dibandingkan dengan komitmen variabel lainnya. Simpulan: Persepsi supervisi kepala puskesmas sebagai faktor dominan yang berhubungan pelaksanaan penerapan standar APN oleh bidan puskesmas PONED. Disarankan agar mempertahankan keterampilan bidan terutama dalam melaksanakan penerapan standar asuhan persalinan normal.

The risk of smoking with stroke in Asia : meta-analysis Fadhilatul Hasnah; Yuniar Lestari; Abdiana Abdiana
Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan Vol 14, No 1 (2020): Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan
Publisher : Fakultas Kedokteran UPN Veteran Jakarta Kerja Sama KNPT

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33533/jpm.v14i1.1597

This study uses a systematic method of review and meta-analysis to look at the risk of smoking with stroke in Asia. Further analysis based on the stroke subtype (ischemic stroke and haemorrhagic stroke was also carried out. Literature search was carried out in the PubMed, EBSCO and Google Scholar databases. Q tests were performed to determine the heterogeneity of included studies. Funnel plot, Egger regression test and trim and fill methods were used to identified publication bias and with the transformation of the model between the fixed effect model and the random effect model for sensitivity analysis A total of 12 articles were included consisting of 9 studies with case control design studies and 3 studies with cohort designs. The meta-analysis results showed that people who smoke have risks pooled OR 2.04 times (95% CI 1.57-2.65) for having a stroke Analysis of the type of stroke, smokers had 2.3 times the risk of having an ischemic stroke or 2.77 times for having a haemorrhagic stroke. Eggers test showed no influence of publication bias on the meta-analysis of smoking with stroke to. From this meta-analysis, it can be concluded that smoking increasing risk for stroke. This study found the risk of smokers to have a haemorrhagic stroke is higher than ischemic stroke.

Analisis Implementasi Program Penanggulangan HIV/AIDS di Puskesmas Bungus Kota Padang Tahun 2020 Fitri Yanti; Yuniar Lestari; Husna Yetti
Jurnal Kesehatan Medika Saintika Vol 11, No 2 (2020): Desember 2020
Publisher : Stikes Syedza Saintika Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30633/jkms.v11i2.847

Penyebaran HIV dan AIDS merupakan ancaman serius bagi kehidupan manusia, upaya penanggulangan dilakukan secara terpadu, efektif, dan efisien. Dari data Dinas Kesehatan Kota Padang diketahui bahwa kasus AIDS tertinggi ditemui pada usia 20-29 tahun sebanyak 17 kasus, dan usia 30-39 tahun sebanyak 17 kasus. Puskesmas Bungus merupakan puskesmas rujukan dengan kunjungan terbanyak dibandingkan puskesmas lainnya. Capaian tes HIV Puskesmas Bungus adalah yang paling tinggi, yaitu sebesar 215%. Namun, pencapaian ini berasal dari kunjungan dari luar wilayah kerja puskesmas. Sementara capaian untuk penjaringan yang dilakukan oleh petugas terhadap kelompok berisiko di wilayah kerjanya belum mencapai target. Tujuan dari penelitian ini adalah untuk menganalisis implementasi program HIV/AIDS di Puskesmas Bungus Kota Padang tahun 2020. Penelitian ini menggunakan metode kualitatif dengan menelaah input, proses, dan output untuk melihat keberhasilan program. Teknik pengumpulan data dilakukan dengan cara wawancara mendalam, Focus Group Discussion, observasi, dan studi dokumentasi. Hasil penelitian didapatkan bahwa kebijakan HIV/AIDS sudah baik, sumber daya manusia belum memenuhi standar sesuai Peraturan Menteri Kesehatan Nomor 4 Tahun 2019 dan penempatan Sumber Daya Manusia yang tidak efektif, dana di puskesmas bersumber dari Global Fund dan Bantuan Operasiona Kesehatan, media Komunikasi, Informasi, dan Edukasi untuk promosi kesehatan belum cukup. Kegiatan perencanaan belum sesuai dengan standar yang ada, dan kegiatan promosi kesehatan belum rutin dan terjadwal, serta monitoring dan evaluasi dilakukan dalam bentuk laporan secara online. Dalam surat keputusan tim pelaksana program hendaknya melibatkan Sumber Daya Manusia yang terintegrasi dengan program HIV/AIDS dan merencanakan anggaran untuk kegiatan promosi kesehatan.

Profil Paparan Asap Rokok Lingkungan pada Pasien Kanker Payudara di Sumatera Barat Tahun 2020 Fathma Mardhotilla; Wirsma Arif Harahap; Yuniar Lestari
Jurnal Ilmu Kesehatan Indonesia Vol 1 No 2 (2020): Juli 2020
Publisher : Fakultas Kedokteran, Universitas Andalas

Latar Belakang. Kanker payudara merupakan keganasan pada perempuan terbanyak ke-dua di dunia dan merupakan keganasan dengan tingkat kejadian tertinggi ke-dua di Indonesia. Kanker payudara disebabkan oleh faktor risiko yang dapat dimodifikasi dan tidak dapat dimodifikasi. Salah satu faktor risiko yang dapat dimodifikasi yang dicurigai menyebabkan kanker payudara adalah paparan asap rokok lingkungan, baik paparan asap rokok dari suami, rekan kerja, dan orang tua saat kecil. Objektif. Mengetahui profil paparan asap rokok lingkungan pada pasien kanker payudara di Sumatera Barat tahun 2020 Metode. Penelitian ini merupakan penelitian deskriptif dengan jumlah sampel sebanyak 107 orang pasien yang sedang rawat jalan atau rawat inap di di Bagian Bedah RSUP Dr. M. Djamil, RS Pendidikan Universitas Andalas, dan RSI Ibnu Sina Padang dari Januari 2020 – Maret 2020. Hasil. Sebanyak 90 (84,1%) pasien terpapar asap rokok lingkungan. Simpulan. Pasien yang terpapar asap rokok lingkungan lebih banyak lima kali lipat daripada yang tidak terpapar asap rokok lingkungan. Kata kunci: kanker payudara, faktor risiko yang dapat dimodifikasi, paparan asap rokok lingkungan, sumatera barat Background. Breast cancer is the second most common malignancy in women in the world and the second highest malignancy incidence rate in Indonesia. Breast cancer is caused by modifiable and non-modifiable risk factors One of the modifiable risk factors factor suspected of causing breast cancer is exposure to environmental cigarette smoke, such as exposure to cigarette smoke from husband, coworkers, and parents as a child. Objective. To determine the he profile of environmental cigarette smoke exposure in breast cancer patients in West Sumatra in 2020. Methods. This research is a descriptive study with a sample of 107 patients who are being treated as outpatients or inpatients in the Department of Surgery Dr. M. Djamil, Andalas University Hospital, and Ibnu Sina Padang Hospital from January 2020 - March 2020 Results. 90 (84.1%) patients were exposed to environmental cigarette smoke Conclusion. Patients who are exposed to environmental cigarette smoke are lima times more likely than those who are not exposed Keyword: breast cancer, modifiable risk factor, environmental cigarette smoke, West Sumatra

Co-Authors Abdi Setya Putra Abdiana Abdiana, Abdiana Ade Nurhasanah Amir Afriwardi Afriwardi Ahmad Adi Trianto Anak Agung Gede Sugianthara Ariadi Ariadi Ariesko Gunanda Rangkuti Asyari, Dian Paramitha Audrey Faiza Rosa Bobby Indra Utama Dasman, Hardisman Delmi Sulastri Desmawati Desmawati Dessy Arisanty Donal Ortega Edison Edison Edison Edison Enda Gusnita Erlinengsih Erlinengsih Erwani Erwani Eryati Darwin Fathma Mardhotilla Fika Tri Anggraini finy marsyah Firdawati Fitri Yanti Fitria Susanti Friska Eka Fitria Hardisman Hardisman Husna Yetti Ice Yolanda Puri Jamsari Jamsari Lisma Evareny Liza Andriani Masrul Basyar MERISA RISKI Mira Eka Putri Nelmi Silvia Nizwardi Azkha Nur Afrainin Syah Nurul Fitri Nuzulia Irawati Rahmi Hafianti Ramayanti Ramayanti Reno Afriza Neri Rima Semiarty Rizanda Machmud Rosa Juliasari Santioso Silvia Nengcy Surika Martalina Susanti, Yenila Suspenti Dewi Syaiful Indra Ulvi Mariati Ulya Uti Fasrini Vicky Warian Triwibowo Virna Zufti Pratiwi Widya Handayani Wirsma Arif Harahap Yani Anggina Yenila Susanti Yessi Pertiwi Yolanda Syahdia Yunita Chairani Yusti Siana Zairil Zairil

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