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Neutrophil-to-Lymphocyte Ratio and Covid-19 Symptom-based Severity at Admission M. Fuad; Amaylia Oehadian; Delita Prihatni; Marthoenis Marthoenis
Althea Medical Journal Vol 8, No 1 (2021)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v8n1.2255

Abstract

Background: Increased Neutrophil-to-Lymphocyte Ratio (NLR) is an independent risk factor for mortality in Covid-19 patients and is considered as an early warning sign of Covid-19 severity. This study aimed to observe the differences in NLR at admission between patients with mild, moderate, and severe symptoms of Covid-19 treated in a referral hospital in Banda Aceh, Indonesia.Methods:  A total of 114 patients with Covid-19 admitted to a referral hospital in Banda Aceh, Indonesia, during March–September 2020 were included in this study. Demographic information and baseline laboratory data, including the NLR, were collected. Descriptive and inferential statistics were used to analyze the data. Results: The median NLR at admission was higher among patients with moderate to severe symptoms than those with mild symptoms [6.54 (2.80–97.00, IQR 4.81–9.44) vs 2.27 (0.79–5.07, IQR 1.43-2.98), p <0.001]. Covid-19 patients who died had a higher NLR than those who survived [10.88 (4.17–47.50, IQR 7.00–15.17) vs 6.15 (2.80–97.00, IQR 4.63–8.50), p 0.02]. Patients with moderate-severe symptoms had an initial NLR of 4.63–8.50 and decreased to 2.75–5.43 at the end of the treatment had a greater chance of survival. There was an increased probability of death in patients with moderate-severe symptoms whose initial NLR was 7.00–15.17, which was then elevated to 14.33–23.25.Conclusion: Different NLR at admission is seen among Covid-19 patients with mild and moderate-severe symptoms, leading to significantly different outcomes. The NLR can be used as a simple parameter to determine the severity of the disease and predict the outcome of Covid-19 patients.
JANGAN STRESS SAAT HAMIL, JUGA JANGAN STRESS JIKA ANAK MENGALAMI AUTISM Marthoenis, Marthoenis
Jukema (Jurnal Kesehatan Masyarakat Aceh) Vol 5, No 1 (2019): Jurnal Kesehatan Masyarakat Aceh (JUKEMA)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37598/jukema.v5i1.698

Abstract

Sepasang suami istri yang tinggal disebuah kota di Indonesia begitu bahagia dengan lahirnya anak pertama mereka. Setelah lebih dari lima tahun menikah, sang istri akhirnya bisa hamil. Kehamillanya juga berlangsung normal, meski kadang si Istri merasa stress karena kesibukan di tempat kerja, dan juga cemas dengan kehamilan pertamanya tersebut. Meski begitu, hingga hari kelahiran si buah hati, tak ada masalah yang berarti yang harus dihadapi pasangan muda ini. Setelah si bayi lahir, si ibu memilih untuk resign dari pekerjaan, demi bisa memberikan perhatian yang lebih ke anak semata wayangnya. Sedangkan suaminya tetap bekerja sebagaimana biasanya.Tubuh atau fisik si anak tumbuh normal seperti anak-anak lainnya. Kecemasan mulai muncul sejak si anak berusia dua tahun. Berbeda dengan anak seusia yang sangat ineraktif dengan orang disekitar, anak mereka sepertinya kurang respon saat diajak berkomunikasi. Si anak tampak seperti memiliki dunia sendiri dan kurang interaktif ketika namanya dipanggilkan. Orang tua yang kebetulan berpendidikan tinggi kemudian berkonsultasi tentang keadaan anaknya ke dokter. Setelah mendapatkan penjelasan mengenai masalah yang dialami anaknya, pasangan ini bertambah bingung dan stress dengan diagnosa yang diberikan, Autism.Autism merupakan suatu gangguan perkembangan yang ditandai dengan kesusahan untuk berkomunikasi dan interaksi sosial. Secara global ada sekitar 35 juta anak yang menderita Autism pada tahun 2011. Di Indonesia sendiri, Kemenkes RI mengestimasi sekitar 112.000 anak dengan gangguan ini. Meski penelitian sudah lama dilakukan, penyebab pasti Autism belum diketahui. Beberapa teori mengaitkan dengan masalah biologis, termasuk kedalamnya masalah genetik dan perinatal, dan teori psikososial. Riset juga menunjukkan bahwa paparan terhadap polusi udara selama kehamilan juga meningkatkan resiko terjadinya autism pada anak yang dilahirkan. Stress yang dialami oleh ibu saat hamil juga berhubungan dengan Autism. Sedangkan vaksin MMR yang dianggap sebagai penyebab autism pada anak sama sekali tidak terbukti secara klinis.Sama seperti anak yang mengalami gangguan perkembangan lainnya, anak-anak dengan autism memiliki tingkat perawatan kesehatan yang tidak terpenuhi (unmet healthcare need) yang lebih tinggi dibandingkan dengan masyarakat umum. Karena itu, ada beberapa strategi yang direkomendasikan untuk mengatasi ketidaksetaraan dalam memperoleh pelayanan, termasuk diantaranya adalah: menyediakan materi pendidikan kesehatan yang mudah dijangkau oleh orang tua, memberdayakan orang tua dan anak-anak yang mengalami masalah perkembangan, dan meningkatkan pengetahuan serta mengubah sikap pemberi pelayanan kesehatan.Penelitian berkaitan dengan Autism dan gangguan perkembangan lainnya harus berfokus pada atau mampu memberikan bukti yang lebih baik tentang paket perawatan yang efektif dan sesuai bagi penderita dan keluarga, bisa menemukan model pelayanan anak-anak autism dengan sumber daya yang terbatas, bisa melibatkan masyarakat luas untuk peduli tentang austim dan yang paling penting, bisa mengubah kebijakan sebuah negara untuk lebih memperhatikan penderita Autism dan gangguan perkembangan lainnya.Terakhir, penatalaksanaan anak dengan Autism difokuskan pada penanganan stress yang dialami keluarga khususnya orang tua, meningkatkan kualitas hidup anak, dan mengurangi ketergantungan. Secara umum, anak yang IQ tinggi cenderung memiliki prognosa yang lebih baik atau memiliki hasil penatalakanaan yang baik pula. Tidak ada satu pendekatan treatment yang paling baik untuk menangai anak dengan Autism. Tetapi, edukasi terhadap keluarga merupakan salah satu kunci untuk mencapai tujuan dari penatalaksanaan anak dengan autism.
DETERMINAN KEJADIAN KEKERASAN DALAM RUMAH TANGGA (KDRT) DI KOTA BANDA ACEH Milza Oka Yussar; Aulina Adamy; Marthoenis Marthoenis
Jukema (Jurnal Kesehatan Masyarakat Aceh) Vol 5, No 2 (2019): Jurnal Kesehatan Masyarakat Aceh (JUKEMA)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37598/jukema.v5i2.739

Abstract

Latar Belakang: Kekerasan dalam rumah tangga (KDRT) merupakan suatu pelanggaran hak asasi manusia dan salah satu kriminal terhadap martabat seseorang. Berdasarkan data dari P2TP2A Kota Banda Aceh kasus KDRT mengalami kenaikan sejak tahun 2014, penyebabnya antara lain menikah usia muda, sikap yang tempramen, perilaku tidak sehat seperti merokok atau peminum, gangguan kepribadiaan suami, ekonomi rendah, namun juga pengaruh faktor status perkawinan. Metode: Penelitian ini adalah penelitian kuantitatif dengan menggunakan study case control yang dilakukan pada bulan Mei-Juli 2019 di Kota Banda Aceh. Partisipan dalam penelitian ini ada Ibu rumah tangga sebanyak 40 orang (kelompok kontrol) dan 20 orang ibu rumah tangga yang mengalami domestic violence. Hasil: Hasil penelitian diketahui ada hubungan dengan pendidikan istri kategori dasar (P value 0.04), religiusitas suami (P value 0.003), perselingkuhan (P value 0.003) dan kepribadian suami (P value 0.004) dengan kejadian KDRT di Kota Banda Aceh. Saran: Disarankan kepada pihak Pemerintah Kota Banda Aceh untuk meningkatkat sosisialisasi tentang pencegahan kekerasan dalam rumah tangga sejak dini melalui dinas tekait seperti BKKBN, KUA, BP3A dan Kantor Kecamatan.
GAMBARAN KEKERASAN PADA REMAJA SEKOLAH MENENGAH PERTAMA DI KABUPATEN ACEH TIMUR Marthoenis Marthoenis; Febrina Rizky
Jurnal Ilmu Keperawatan Vol 9, No 1 (2021): Jurnal Ilmu Keperawatan (JIK) Volume IX No.1 Januari-Juni 2021
Publisher : Jurnal Ilmu Keperawatan

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Abstract

Kekerasan pada remaja merupakan tindakan atau perlakuan yang dapat mengakibatkan cedera dan tekanan mental atau trauma. Tindakan kekerasan yang dilakukan oleh seseorang  kepada remaja  dapat berupa kekerasan fisik, seksual dan emosional. Sekitar  17,8% yang mengalami trauma dari segala kekerasan yang pernah dialami sepanjang hidup, dan sisanya sebanyak  82,2% responden lainnya menyatakan tidak mengalami trauma. Tujuan penelitian ini adalah untuk mengetahui gambaran kekerasan pada remaja sekolah menengah pertama di Kabupaten Aceh Timur. Jenis penelitian berupa deskriptif, dengan menggunakan desain cross sectional. Populasi dalam penelitian ini adalah remaja siswa kelas VII,VIII,IX yang berjumlah 735 orang siswa SMP Negeri 1 Peureulak. Teknik pengambilan sample random sampling dengan jumlah responden sebanyak 129 orang siswa. Teknik pengumpulan data menggunakan kuesioner baku yaitu childhood trauma questionnaire yang dikembangkan oleh James W. Pennebaker (2013). Waktu penelitian 10 September  s/d 12 September 2020.  Hasil penelitian dapat disimpulkan bahwa dari 129 responden penelitian, 91,5% responden pernah mengalami kekerasan sedangkan untuk  8,5% responden lainnya mengakui tidak pernah mendapatkan kekerasan dalam bentuk apapun selama hidupnya. Direkomendasikan kepada petugas kesehatan agar dapat melakukan dan menyediakan edukasi kepada masyarakat khususnya orang tua mengenai dampak kekerasan pada anak dan remaja untuk peningkatan pengetahuan dan pengaplikasian didalam keluarga. Kata Kunci: Kekerasan, Anak dan Remaja ABSTRACTViolence in adolescents is an act or treatment that can result in injury and mental stress or trauma. Violent acts committed by a person to adolescents can be physical, sexual, and emotional violence. About 17.8% of respondents experienced trauma from all the violence they have experienced in their lifetime, and the remaining 82.2% of other respondents stated that they had not experienced trauma. This study aimed to determine the description of violence in junior high school adolescents in Aceh Timur Regency. This research is a descriptive study with a cross-sectional design. The population of this study was 735 students of VII, VIII, IX grade of State Junior High School (SMP Negeri) 1 Peureulak. The sampling technique used was the random sampling techniquewith 129 students as respondents. The data collection technique used was a standard questionnaire, namely the childhood trauma questionnaire developed by James W. Pennebaker (2013). The time of the research was September 10 to September 12, 2020.  The study results concluded that, of the 129 research respondents, 91.5% of respondents had experienced violence. In contrast, 8.5% of the respondents admitted that they had never experienced violence in any form during their life. It is recommended that health workers conduct and provide education to the community, especially parents, about the impact of violence on children and adolescents to increase knowledge and its application in the family.Keywords       : Violence, Children, and Adolescents
Analisis Hubungan Disabilitas Dengan Gangguan Mental Emosional (GME) di Provinsi Aceh (Riskesdas Tahun 2013) Chairurrijal Chairurrijal; Asnawi Abdullah; Nurjannah Nurjannah; Marthoenis Marthoenis; Aulina Adamy
Jurnal Ilmu Keperawatan Vol 6, No 2 (2018): Jurnal Ilmu Keperawatan (JIK) Volume VI No.2 Juli-Desember 2018
Publisher : Jurnal Ilmu Keperawatan

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Abstract

Prevalensi GME pada penduduk umur ≥ 15 tahun di Indonesia dilaporkan terjadi penurunan dari 11,6 persen (2007) menjadi 6,0 persen (2013) namun meningkat menjadi 9,8% tahun 2018, disabilitas menunjukkan penurunan dari 21,3% (2007) menjadi 11% (2013) dan meningkat menjadi 13,7%. sedangkan GME di Provinsi Aceh sebanyak 4,9% (2007) menjadi 6,6% (2013) dan 9,8% (2018), disabilitas dari 12,7% (2013) menjadi 18% (2018). Penelitian ini bertujuan untuk mengetahui hubungan disabilitas dengan GME di Provinsi Aceh (analisis lanjutan data Riskesdas 2013). Penelitian ini menggunakan data sekunder Riskesdas 2013 dengan desain Cross-sectional. Lokasi penelitian di Provinsi Aceh, dilakukan pada Mei-Juni 2013. Populasi pada penelitian ini adalah seluruh anggota rumah tangga terpilih sebanyak 40.951 orang. Sampel dalam penelitian ini adalah ART umur ≥ 15 tahun sebanyak 28.059. Analisa data dilakukan dengan analisis univariat, bivariat dengan uji chi square. Hasil analisis univariat didapat bahwa persentase responden GME (6,94%), disabilitas bermasalah (85,7%). Analisis bivariat menunjukkan hubungan jenis kelamin (p value 0,0001), tingkat pendidikan menengah (p value 0,0001), tingkat pendidikan tinggi (p value 0,0001), status pekerjaan (p value 0,0001), status perkawinan (p value 0,0001) dengan GME. Tidak ada hubungan antara status dalam keluarga (p value 0,094) dan disabilitas (p value 0,526) dengan GME. Uji Independent sample t-test menyatakan rata-rata umur responden mengalami GME 45 tahun dan yang tidak 38 tahun (p value 0,0001). Penderita GME akan berdampak kepada menurunnya produktifitas dan pengembangan diri. Kata Kunci: Sosial-Demografi, Disabilitas, GME AbstractThe prevalence of mental emotional disorders in people aged ≥ 15 years in Indonesia was reported a declined from 11.6 percent (2007) to 6.0 percent (2013) but it increased to 9.8% in 2018. The prevalence of disability also declined from 21.3% (2007) to 11% (2013) and to 13.7% (2018). In Aceh Province, mental emotional disorders declined from 4.9% (2007) to 6.6% (2013) and to 9.8% (2018), disability from 12.7% in 2013 increased to 18% in 2018. This study aimed to determine the relationship of disabilities with mental emotional disorders (GME) in Aceh Province (analysis of Riskesdas 2013). This study uses secondary data Riskesdas 2013 with a cross-sectional design. The location of the study in Aceh Province, was conducted in May-June 2013. The population in this study were all members of the selected household as many as 40,951 people. The sample in this study was ART aged 15 years as many as 28,059. Data analysis was performed by univariate and  bivariate analysis with chi square test. The results of the univariate analysis showed that the percentage of respondents had mental emotional disorders (6.94%), disability in the problem category (85.7%). Bivariate analysis found that there was a relationship between mental emotional disorders with gender with (p value 0,0001), secondary education level (p value 0,0001), higher education level (p value 0,0001) , employment status (p value 0,0001), marital status (p value 0,0001) with mental emotional disorders. There was no relationship between family status (p value 0.094; AOR 1.11) and disability (p value 0.526) and mental emotional disorders. Independent sample t-test test states that the average age of respondents experiencing emotional mental disorders is 45 years and not 38 years (p value 0.0001). Patients with mental emotional disorders will have an impact on decreased productivity and self-development. Keywords: Social-Demographics, Disability, Emotional Mental Disorders 
TINGKAT KECEMASAN DAN MEKANISME KOPING PADA MAHASISWA KEPERAWATAN SELAMA MASA PANDEMI COVID-19 Arinda Siti Fathia; Martina Martina; Marthoenis Marthoenis
Jurnal Ilmu Keperawatan Vol 9, No 2 (2021): Jurnal Ilmu Keperawatan (JIK) Volume IX No.2 Juli-Desember 2021
Publisher : Jurnal Ilmu Keperawatan

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Abstract

Penyebaran COVID-19 yang berlangsung cepat dan telah menyebar keseluruh dunia, sehingga pemerintah menerapkan kebijakan work from home (WFH) yang mana proses pembelajaran dilakukan di rumah masing-masing. Berbagai keluhan yang dihadapi mahasiswa jika terjadi secara terus-menerus dapat menyebabkan stres yang mampu mengganggu aktivitas sehari-hari sehingga mahasiswa harus mampu beradaptasi dengan mengembangkan koping yang optimal untuk meminimalkan kecemasan terhadap perubahan yang ada. Penelitian ini bertujuan untuk mengetahui gambaran tingkat kecemasan dan mekanisme koping pada mahasiswa keperawatan selama masa pandemi COVID-19. Jenis penelitian ini adalah deskriptif kuantitatif dengan pendekatan cross sectional study. Subjek pada penelitian ini adalah mahasiswa aktif fakultas keperawatan universitas syiah kuala angkatan 2017-2018 dengan jumlah 248 sampel. Pengambilan data dilakukan dengan metode total sampling. Teknik pengumpulan data menggunakan data primer berdasarkan kuesioner baku yang disebar secara online berbentuk googleform kepada responden. Hasil penelitian ini menunjukkan bahwa sebanyak 128 (51,6%) mahasiswa tidak mengalami kecemasan selama pandemi COVID-19 serta sebanyak 163 (65,7%) mahasiswa menggunakan mekanisme koping yang adaptif dalam menghadapi stresor kecemasan selama pembelajaran daring dimasa pandemi COVID-19. Hasil penelitian ini dapat dijadikan sebagai referensi untuk penelitian lanjutan dalam menghadapi kecemasan dan perilaku mahasiswa dimasa pandemi COVID-19 dan bagi mahasiswa agar selalu mengembangkan perilaku koping yang adaptif untuk mengurangi gejala kecemasan akibat pandemi. Kata Kunci       : Kecemasan, Mekanisme Koping, Keperawatan, COVID-19  ABSTRACTThe rapid spread of COVID-19 has expanded throughout the world. Hence, the government implemented work from home (WFH) policy in which the learning process is carried out at home. However, problems can lead to confusion and anxiety among students. If it occurs continuously, it can cause stress that interfere their daily activities. Therefore, the students must adapt by developing optimal coping mechanisms to minimize their anxiety. This research aimed to determine the overview of anxiety and coping mechanisms among nursing students during the COVID-19 pandemic. This research was quantitative research with a cross-sectional study approach. The subject was 248 active students from class of 2017-2018 from Nursing Faculty University of Syiah Kuala. The sampling technique used was total sampling. The data collection instrument used for primary data collection was a standard questionnaire distributed by using the Google form to the respondents. The research showed that as many as 128 (51.65%) students do not experience anxiety during the COVID-19 pandemic. The results also showed that as many as 163 (65.7%) students used adaptive coping mechanisms in dealing with anxiety stressors during online learning. These results can be used as a reference for further research in dealing with anxiety and students’ behavior during the COVID-19 pandemic. The students are also advised to continuously develop adaptive coping behaviors to reduce anxiety symptoms due to the pandemic. Keywords             : Anxiety, Coping Mechanism, Nursing, COVID-19
PENGALAMAN PASIEN KANKER DALAM MENGHADAPI KEMOTERAPI DI ACEH Riza Sofia; Teuku Tahlil; Marthoenis Marthoenis
Jurnal Ilmu Keperawatan Vol 6, No 2 (2018): Jurnal Ilmu Keperawatan (JIK) Volume VI No.2 Juli-Desember 2018
Publisher : Jurnal Ilmu Keperawatan

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Abstract

Kanker merupakan penyakit yang menyebabkan morbiditas dan mortalitas yang signifikan di seluruh dunia. Setiap pengobatan yang ditujukan kepada sel kanker akan berpengaruh terhadap sel tubuh normal. Tujuan pengobatan yang meliputi eradikasi menyeluruh dari penyakit, memperpanjang angka harapan hidup, dan menghambat pertumbuhan sel-sel kanker atau menghilangkan gejala yang berhubungan (palliative care). Kemoterapi menjadi salah satu pilihan pengobatan kanker yang dapat dilakukan oleh pasien. Penatalaksanaan kemoterapi memerlukan upaya yang optimal karena menyangkut aspek fisik, psikologis, sosial, dan ekonomi. Tujuan penelitian ini adalah untuk mengetahui tentang pengalaman pasien kanker dalam menghadapi kemoterapi di Aceh. Metode penelitian yang dilakukan adalah secara kualitatif melalui pendekatan fenomenologi deskriptif, pengumpulan data dilakukan melalui individual indepth interview. Partisipan dalam penelitian ini berjumlah sepuluh orang. Analisa data menggunakan analisa tematik dan didapatkan hasil berupa empat tema utama  yang berkaitan dengan pengalaman pasien kanker dalam menghadapi kemoterapi.Kata Kunci : Pengalaman, kanker, kemoterapi, pasien  Abstract Cancer leads to a significant morbidity and mortality worldwide. While most cancer treatment usually affect the normal body cells, it benefits for a comprehensive eradication of the disease, extending life expectancy, and inhibiting the growth of cancer cells or eliminating related symptoms (palliative care). Chemotherapy is one of option for cancer treatment which requires optimal efforts because it involves physical, psychological, social, and economic aspects. The purpose of this study was to describe the experience of cancer patients in dealing with chemotherapy in Aceh. The research method was qualitative with a descriptive phenomenological approach. The data were collected by using individual in-depth interviews among ten participants. The data were analyzed with thematic analysis and the result shows five main themes related to the patient’s chemotherapy experience.Keywords: Experience, cancer, chemotherapy, patients
Analisis Stigma Terhadap Penderita Gangguan Mental Dikalangan Mahasiswa D-III Keperawatan Taufik Taufik; Aulina Adamy; Marthoenis Marthoenis; Said Devi Elvin; Roma Sitio; Munazar Munazar
Jurnal Kesehatan Masyarakat dan Lingkungan Hidup Vol 5 No 2 (2020): JURNAL KESEHATAN MASYARAKAT DAN LINGKUNGAN HIDUP
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

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Abstract

Stigma is a situation in which giving someone else a slave that unwittingly demean someone who has been socially discredited. During this time when students see or meet people with mental disorders, they are still afraid and they call the mental disorders people as a crazy man. Stigma can cause people with mental disorders to feel ashamed, blame themselves, despair, and reluctant to seek or receive help. This type of research is analytic descriptive using a cross sectional study design. The sample of this research is the D-III Nursing Banda Aceh students and the Nursing Students at Academy Iskandar Muda Banda Aceh, Data collection was conducted on 06-12 February 2020. Then the data were analyzed by univariate analysis, bivariate analysis with chi square test, and multivariate analysis with using logistic regression test. The results showed that the stigma of Nursing D-III students was high for people with mental disorders (59.11%) and there was a relationship between triggering factors and student stigma. Trigger factors based on stereotypes (p = 0.001), blame (p = 0.001), prejudice (p = 0.001), authoritarianism (p = 0.001), lack of awareness (p = 0.001) and social judgment (p = 0.007). The factors that showed the most significant relationship were stereotypes (p = 0.001 OR 4.44), prejudice (p = 0.001 OR 37.20) and authoritarianism (p = 0.001 OR 6.20). It can be concluded that Nursing D-III students still have a high stigma towards people with mental disorders and they are expected to increase their understanding of mental disorders. Also the education management needs to improve scientific activities or training that are more focused on mental disorders. if the stigma can not be removed, especially on students or health workers in general, it will be very difficult to reduce the number of people with mental disorders (recovered).
THE INFLUENCE OF MATERNAL ANXIETY TOWARDS THE SELECTION OF MATERNITY PLACES DURING COVID- 19 Cut Yulia; Maidar Maidar; Melania Hidayat; Asnawi Abdullah; Marthoenis Marthoenis
MORFAI JOURNAL Vol. 1 No. 2 (2022): January
Publisher : RADJA PUBLIKA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (169.176 KB) | DOI: 10.54443/morfai.v1i2.54

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Corona Virus Disease (COVID-19) pandemic is currently engulfing almost the entire world, including Indonesia. As of August 12, 2021, there were 3,774,155 positive cases of Covid-19 in Indonesia, 24,709 new cases and 113,664 deaths. The group of maternal is a vulnerable group, where there are 4.9% of pregnant women who are confirmed positive for COVID-19 from 1,483 confirmed cases that have accompanying condition data. Therefore, maternal, perinatal, postpartum and newborns are vulnerable targets for transmission of COVID-19 infection and this condition is feared to increase maternal and perinatal morbidity and mortality. The general objective of this study was to determine the effect of the anxiety level of pregnant women on the choice of place of delivery during the COVID-19 period. This study used a survey method with a cross sectional approach. The study was conducted in Aceh Barat Regency, in March-June 2021. The population in this study were 637 third trimester pregnant women in 2021. The number of samples in this study was 246 samples calculated by the slovin formula and using accidental sampling technique. Data analysis used logistic regression test. The results of the bivariate analysis showed that there was a significant effect between the level of mild anxiety and the choice of place of delivery during the COVID-19 pandemic with a value (OR=5.6, 95% CI=2.04-15.3, p-value=0.001), . While the level of moderate anxiety had no significant effect on the choice of place of delivery during the Covid-19 period (OR=2.1, 95% CI=0.4-12.4, p-value=0.383) The level of severe anxiety in pregnant women was also not significant. effect on the choice of place of delivery during the Covid-19 period (OR=1.1, 95% CI=0, p-value=0.989). Expected to the government can improve education programs and supervision of the prevention and control of the Covid 19 pandemic, especially groups of pregnant women in order to minimize the possibility of excessive anxiety in pregnant women during the Covid 19 pandemic.
Relationship of Individual, Psychological and Organizational Factors with Practical Performance Professional Continuity Nurse in Non-Inpatient Room Intensive Regional General HospitalAceh Government Area 2022 Muhammad Muhammad; Hajjul Kamil; Said Usman; Marthoenis Marthoenis; Elly Wardhani
Budapest International Research and Critics Institute (BIRCI-Journal): Humanities and Social Sciences Vol 5, No 2 (2022): Budapest International Research and Critics Institute May
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v5i2.5724

Abstract

This study aims to determine the relationship between the performance of the continuous professional practice of nurses with individual, psychological and organizational factors in the Non-Intensive Intensive Care Unit at the Regional General Hospital.Aceh governmentyear 2022. This research uses descriptive analytic method with cross sectional approach. Sampling through random sampling approach. The research subjects were 224 implementing nurses who served in thenon-intensive inpatient roominstallationp. Regional general hospitalAceh government. Measured variableage, gender, education, years of service, employment status and income, psychological factors consist of sub variablesmotivation and perception, while the organizational factors that are measured are the sub-variables of leadership and supervision. The instrument uses a Likert scale. Analysis of the data used is associative test using Chi-Square and multivariate test using Binner Logistic Regression to find the most dominant factor influencingrelationship with individual, psychological and organizational factors with continuous evaluation of the performance of the nurse's professional practice, with the help of a computer program. The results of the study with the Chi-Square correlation test showed that aand the relationship between the level of education, leadership and supervision with evaluationcontinuous performance of the nurse's professional practice,and there is no relationship between age, gender, employment status, years of service, income, perception and motivation with evaluationthe performance of the continuous professional practice of nurses, while the multivariate test showedthat nurses with a Nurse, Masters in Nursing and Nurse Sp 1 Nursing education have an evaluation valuecontinuous performance of the nurse's professional practicebetter than nurses with a Diploma III nursing education level, which is 0.5 times and based on the analysis, it was found that there was a significant relationship between education level and evaluation.continuous performance of the nurse's professional practice and leadership