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GAMBARAN NYERI PINGGANG PADA PARAMEDIS DI BEBERAPA RUMAH SAKIT DI JAKARTA Tana, Lusianawaty; Delima, Delima
Media Penelitian dan Pengembangan Kesehatan Vol 23, No 1 Mar (2013)
Publisher : Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | http://ejournal.litbang.depkes.go.id/index.php/MPK/article/view/3059

Abstract

Abstrak Nyeri pinggang merupakan gangguan otot rangka yang paling sering di antara gangguan otot rangka, dan masih merupakan masalah bagi paramedis.Penelitian ini bertujuan mendapatkan gambaran nyeri pinggang pada paramedis di beberapa rumah sakit di Jakarta. Disain penelitian adalah belah lintang pada paramedis di bagian perawatan dari 3 rumah sakit di Jakarta. Diagnosis nyeri pinggang berdasarkan anamnesis dan pemeriksaan fisik oleh dokter. Kriteria inklusi adalah berusia 20-45 tahun dan masa kerja minimal 1 tahun. Hasil penelitian menunjukkan proporsi nyeri pinggang dalam 1 tahun terakhir pada paramedis 28,5% (n=382 orang). Nyeri pinggang terjadi saat memindahkan pasien di tempat tidur 55% dan saat memindahkan pasien ke/dari kursi roda 23,9%. Nyeri pinggang yang mengalami kekambuhan lebih dari 1 kali/tahun 90,8%, yang mengalami rasa nyeri lebih buruk dari sebelumnya 11%, dan yang mencari pengobatan ke dokter 43,1%. Persentase nyeri pinggang lebih tinggi pada umur 40 tahun ke atas dibandingkan umur kurang dari 40 tahun, pada lama kerja lebih dari 15 tahun dibandingkan lama kerja 15 tahun ke bawah (p<0,05). Persentase nyeri pinggang tidak berbeda berdasarkan jenis kelamin, status pegawai, dan lokasi kerja (p>0,05). Paramedis sebaiknya mengangkat dan menangani pasien dengan cara yang benar untuk mencegah nyeri pinggang. Kata kunci:  nyeri pinggang, paramedis, rumah sakit Abstract Back pain is the most frequent musculosceletal diorders and still be a  problem in paramedics.The objective of this study was to identify back pain among paramedics who work in several hospitals in Jakarta. A cross sectional study was conducted to paramedics who were working at care unit of three hospitals in Jakarta. Back pain was diagnosed by anamnesis and physical examination by physicians. The inclusion criteria were aged 20 – 45 years old and had been working in the hospitals for more than 1 year. The percentage of back pain in the last one year  was 28.5 % (N=382). Fifty five percents of the back pain occurred when moving patients in bed, 23.9 % when moving patients to or from wheel chair. Almost all paramedics with back pain (90.8 %) experienced recurrent back pain more than once in a year, 11 % had been worse back pain than before, and 43.1 % went to see a physician. The percentage of back pain was higher in paramedics aged 40 years old and above and also in paramedics with working period more than 15 years (p<0.05). Back pain was not significantly different between sex, employment status, and workplace. (p>0.05). Paramedics should  follow the correct method for lifting  and handling patients to prevent back pain. Key words:  back pain, paramedics, hospital
EVALUASI PRAKTIK DOKTER YANG MERESEPKAN JAMU UNTUK PASIEN PENDERITA PENYAKIT DEGENERATIVE DI 12 PROPINSI Widowati, Lucie; Siswanto, Siswanto; Delima, Delima; Siswoyo, Hadi
Media Penelitian dan Pengembangan Kesehatan Vol 24, No 2 Jun (2014)
Publisher : Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (350.503 KB)

Abstract

AbstrakWHO merekomendasikan penggunaan obat tradisional untuk penyakit degeneratif. Tujuan studi adalah untuk mengevaluasi implementasi praktik dokter komplementer-alternatif menggunakan ramuan jamu untuk penyakit degeneratif di 12 provinsi. Data dikumpulkan melalui wawancara menggunakan kuesioner, secara purposive. Hasil studi menunjukkan bahwa, sebanyak 86% dari 145 responden melakukan praktik komplementer-alternatif, dengan penggunaan obat tradisional/jamu. Separuh dari jumlah dokter tersebut, 49 % berada di Provinsi Jawa Tengah, dan 50 % berpraktik sebagai dokter praktik mandiri. 91,2 % dokter melakukan praktik komplementeralternatif dengan alasan utama atas permintaan masyarakat. Menurut persepsi dan pendapat dokter, alasan terbesar dari pasien berobat ke dokter dan meminta pelayanan jamu, adalah karena percaya, mencapai angka 85,1%. Terdapat upaya untuk memisahkan catatan medik pasien (28,3%) dan meminta pasien untuk menanda tangani informed consent (43,4%). Penggunaan tanaman obat oleh dokter terbanyak berturut-turut adalah jahe (artritis), sambiloto (hiperglikemia), seledri ( hipertensi), jatibelanda (hiperlipidemia dan obesitas), serta sidaguri ( hiperurisemia). Menurut pendapat dokter urutan kecepatan kesembuhan pasien, berurutan mulai dari penyakit artritis, hiperglikemia, hipertensi, hiperlipidemia, hiperurisemia dan terakhir adalah obesitas. Pelayanan dengan jamu/obat tradisional oleh dokter di masyarakat sudah menjadi pilihan pasien. Menurut pendapat dokter obat tradisional/jamu ada manfaatnya.Kata Kunci : Praktik complementary aternative medicine, obat tradisional, penyakit degeneratif , dokterAbstractWHO has recommended the use of traditional medicine for degenerative diseases. The objective of this study is to evaluate the implementation of CAM doctors practice in using traditional medicine for degenerative diseases in 12 provinces. Data were collected through interviews using questionnaire to CAM doctors purposively. This study showed that 86 % of 145 the respondents did CAM practice by using traditional medicine. Almost half (49 %) of the doctors, were in Central Java Province and 50 % were independent doctors. There were 91.2 % doctors did CAM practice by demand from the society as main reason. Based on the doctor’s perception and opinion, the main reason for the patients seeing the doctors and asking for traditional medicine were trust (85.1 %). There were initiatives to differentiate CAM patient medical record from the common one (28.3 %) and ask patients to sign the informed consent (43.4 %). The most common medicinal plant utilized by doctors, consecutively were jahe (arthritis), sambiloto ( hyperglicaemia), seledri ( hypertension), jati belanda ( hyperlipidemia, and obesity), and also sidaguri ( hyperuricemia). Based on the doctors’ opinion, the most rapid disease to heal with traditional medicine consecutively were arthritis, hyperglycemia, hypertension, hyperlipidemia, hyperuricemia, and the last was obesity. Traditional medicine prescribed by the doctors in the community had already been the patient choice. The CAM doctors believed there were benefits from traditional medicine.Keywords : complementary-alternative medicine practice, traditional medicines, degenerative diseases, doctor
Praktek Pencegahan Penyakit Menular dan Faktor yang Berperan Pada Pekerja Laboratorium Puskesmas di Tiga Provinsi di Indonesia, Tahun 2012 Tana, Lusianawaty; Delima, Delima
Media Penelitian dan Pengembangan Kesehatan Vol 25, No 4 Des (2015)
Publisher : Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (448.658 KB)

Abstract

AbstrakLaboratorium merupakan salah satu lokasi kerja di pelayanan kesehatan yang memberikan risiko lebih tinggi untuk terpapar kuman TB lebih tinggi dibandingkan ruang kerja lainnya. Kewaspadaan dan perilaku pencegahan penyakit menular terutama TB pada pekerja laboratorium sangat perlu diperhatikan. Penelitian ini bertujuan mengidentifikasi praktek pencegahan penyakit menular dan faktor yang berperan pada pekerja laboratorium di tiga provinsi di Indonesia. Penelitian dilakukan secara potong lintang, pada 60 pekerja laboratorium yang bertugas di 50 Puskesmas (Puskesmas rujukan mikroskopis/PRM dan Puskesmas pelaksana mandiri/PPM) di Provinsi Banten, Provinsi Gorontalo, dan Provinsi Kalimantan Selatan. Data dikumpulkan melalui wawancara dengan menggunakan kuesioner terstruktur dan observasi, pada tahun 2012. Praktek pencegahan penyakit menular ditentukan berdasarkan 14 pertanyaan. Hanya 40% dari 60 pekerja laboratorium yang baik dalam praktek pencegahan penyakit menular saat bekerja di laboratorium. Pekerja dari Puskesmas di Provinsi Banten berpeluang 4,2 kali lebih banyak untuk baik dalam praktek pencegahan penyakit menular dibandingkan dengan pekerjadari Puskesmas di Provinsi Kalimantan Selatan (p=0,03 OR 4,21; 95%CI 1,14-15,47). Pekerja dari Puskesmas di Provinsi Gorontalo tidak berbeda dengan pekerja dari Puskesmas di Provinsi Kalimantan Selatan dalam praktek pencegahan penyakit menular (p=0,08 OR 5,51; 95%CI 0,83-36,73). Faktor lama kerja dan jenis Puskesmas merupakan faktor perancu terhadap hubungan antara lokasi provinsi pekerja laboratorium dengan praktek pencegahan penyakit menular (p>0,05). Lokasi provinsi dimana Puskesmas berada merupakan faktor yang berhubungan secara signifikan terhadap praktek pencegahan penyakit menular.Kata Kunci : pekerja laboratorium, Puskesmas, pencegahan penyakit menular AbstractLaboratory is one of the health care locations with higher risk for tuberculose infection (TB) than other workplaces. Awareness and infectious disease prevention practice of the laboratory workers should be encouraged. This study aimed to identify the infectious disease prevention practice and related factors of laboratory workers, in three provinces in Indonesia. A cross sectional study was conducted in Banten Province, Gorontalo Province, and South Kalimantan Province in 2012. Data were collected by interviewing 60 laboratory workers from 50 Primary Health Centers (PHC) using structuredquestionnaires and observation. The infectious disease prevention practice was assessed by scoring 14 questions. Only 40% of the 60 laboratory workers were good in practising infectious disease prevention while working in the laboratory. Laboratory workers from PHC in Banten Province were 4.2 times higher in good infectious disease prevention practice than workers from PHC in South Kalimantan Province (p=0.03 OR 4.21; 95%CI 1.14-15.47). Laboratory workers from PHC in Gorontalo Province were not significantly different in good infectious disease prevention practice than workers from PHC in SouthKalimantan Province (p=0.08 OR 5.51; 95%CI 0.83-36.73). The length of work and type of PHC were not significantly associated with infectious disease prevention practice (p> 0.05) but became confounders to the association of province location with infectious disease prevention practice. Infectious disease prevention practice was associated with the province where PHC located.Keywords: laboratory worker, primary health center, infectious disease prevention
Central obesity increases the risk of type 2 diabetes mellitus among urban adults Pradono, Julianty; Kusumawardani, Nunik; Delima, Delima
Universa Medicina Vol 34, No 3 (2015)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2015.v34.187-196

Abstract

BackgroundIn Indonesia the number of persons with type 2 diabetes mellitus (T2DM) was 8.5 million in 2013, and is estimated to be 11.8 million in 2030. The aim of this study was to determine the major risk factors associated with T2DM prevalence in urban aged >15 years.MethodsAn observational study with cross-sectional design was used with the data from Riskesdas 2007 and 2013 on population aged >15 years. Total respondents were 294,352 (2007) and 368,281 (2013). Data were collected by trained personnel through interviews, blood pressure and anthropometry measurements, and blood glucose and lipid tests. Odds ratio (OR) was used to test the relationship between T2DM and a number of other variables. Multiple logistic regression analysis was obtained to determine the main risk factor associated with T2DM prevalence.ResultsType 2 diabetes mellitus prevalence increased from 2.3% (2007) to 2.5% (2013). T2DM tended to be increased in the younger age groups. Low education, middle-to-high economic status, less physical activity, smoking >200 cigarettes, and high risk blood lipid levels were strongly associated with T2DM prevalence. The main risk factors were inadequate physical activity (2007: OR 1.9;95% CI:1.16–2.98 and 2013: OR 2.44;95% CI: 1.57-3.78) and central obesity (2007: OR 1.8;95% CI:0.99–3.10, and 2013:OR 3.84; 95% CI: 2.49-5.93) after controlling for age, gender, employment and economic status.ConclusionsType 2 diabetes mellitus prevalence in the population aged >15 years increased within 5 years. Lack of physical activity and central obesity were the major risk factors of T2DM prevalence in urban adults.
TINGKAT LAJU INFILTRASI TANAH PADA DAS KRUENG MANE KABUPATEN ACEH UTARA Delima, Delima; Akbar, Halim; Rafli, Muhammad
Agrium Vol 15, No 1 (2018)
Publisher : Faculty of Agriculture, Universitas Malikussaleh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29103/agrium.v15i1.685

Abstract

Infiltration is the inclusion of water into the soil through the soil surface due to differences in matrix potential, gravitational potential and pressure potential Infiltration is an important component in soil conservation.  It is because the efforts are fundamental in managing the relationship between rainfall intensity and infiltration capacity, as well as run off. The magnitude of surface flows due to disruption of characteristics and potential land will change the ecosystem which can reduce the function of river basin (DAS). This study aims to measure the infiltration rate in the Krueng Mane watershed in North Aceh District. The method used in this research was survey method where to measure infiltration rate using infiltrometer method. The results revealed that the highest infiltration rate was 8.20 cm / h. It  was found in mixed plantation land cover, 0-3% slope and latosol soil type. The lowest infiltration rate was 1.906 cm/h, found in oil palm plantation cover, slope of 3-8% and yellow podzolic soil type (PMK). Soil texture is dominated by clay fraction, porosity value is 43,23-45,56%, moisture content is between 1.01-4,38%, C-organic content is 0,32-2,93%, soil permeability is 0, 28-11.12 cm / hour and bulk density ranged from 1.13 to 1.35 gr / cm³. The result of statistical analysis indicated that the fraction of dust had a positive correlation with the C-organic content (r = 0.851 **). The porosity of the soil is positively correlated with the permeability (r = 0.844 **).
POLA INTERAKSI EDUKATIF DALAM PENGASUHAN ANAK (STUDI KELOMPOK NELAYAN DI DESA NIBUNG KECAMATAN SELIMBAU) Delima, Delima; Rustiyarso, Rustiyarso; Ulfah, Maria
Jurnal Pendidikan dan Pembelajaran Khatulistiwa Vol 7, No 12 (2018): Desember 2018
Publisher : Jurnal Pendidikan dan Pembelajaran Khatulistiwa

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (160.053 KB)

Abstract

AbstractThe tittle of this thesis is ?pattern of educational interaction in childcare (studies group of fishermen in village Nibung subdistrict Selimbau Kapuas Hulu)? problem in research this is how pattern of educational interactional in children. This study aims to determine shape child care for fishermen groups, within this research method used is qualitative with deskriptif. Research result 1) pattern of educational interaction within shape push and guide child, giving by motivation, coercion and persuasion. Invite their children fish, processing fish into salted fish, wey creackers and dry crackers to make money and so that children can be independent. 2) pattern of educational interaction within shape parent and child collaboration, working together to find fish, working to process fish and paerticipate the community activities. 3) pattern of educational whitin shape potential of children, develop children?s with children way make fishing gear, make wet crackers dried crackers from salted fish. 4) pattern of educational interaction within shape control children, everything a child does always control by parents, when the child is working there is good control so that no mis takes occur and if something goes wrong, it is corrected immediately.Keywords: Pattern Interaction Educative, Parenting Child, Group Fisherman.
The Using of E-module as Teaching Materials Development to Improve Students’ Learning Outcomes at SMA Swasta BPI Paluh Kurau Delima, Delima; Budiarta, Kustoro; Hasyim, Hasyim
Ekuitas: Jurnal Pendidikan Ekonomi Vol 9, No 2 (2021)
Publisher : Fakultas Ekonomi Universitas Pendidikan Ganesha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23887/ekuitas.v9i2.34122

Abstract

The development of teaching materials e-module is an effort to train students to learn independently. This research focused on the feasibility level of developing teaching materials e-module that were applied to class XI students for the 2020/2021 academic year at SMA Swasta BPI Paluh Kurau Hamparan Perak District. A quantitative method was used in this study. The population was all students of class XI at SMA Swasta BPI Paluh Kurau, Hamparan Perak District. To determine the feasibility level, a comparison was made between the experimental class and the control class. The data source results from a questionnaire given to the experimental class to see using e-modules on economic subjects, student test results, and experts. Validation test sheets include e-module design, material experts, and media experts. The procedures and steps of this research used the research model of Borg & Gall (2007: 589), which produces learning products. The result shows that the use of e-modules was in the good or feasible category for use. Overall, learning using e-modules is quite exciting and fun and exciting and easy to use by students. With e-modules, students can become more independent and accelerate learning but still need teacher guidance to have better understand phenomena and language problems in questions in the module.
Effectiveness of the Covid-19 Module in Preventing and Reducing the Positive Rate of Covid-19 during the New Normal Period in the City of Padang. Irfan, Asep; Darwel, Darwel; Suksmerri, Suksmerri; Delima, Delima; Arlinda, Sari
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 2: June 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (599.141 KB) | DOI: 10.30604/jika.v8i2.1851

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Although the number of people exposed to COVID-19 in Indonesia is currently under control, efforts to prevent COVID-19 must still be carried out properly to avoid the dangers of COVID-19 which are always threatening. The study aimed to determine community participation in the Prevention and Reduction of the Positive Rate of Covid 19 during the New Adaptation Period. This type of research is quantitative with a cross-sectional study design. The research was conducted in the city of Padang. The intervention was implemented by implementing the Corona Virus Disease 19 (Covid-19) module on the Prevention of Covid 19 Disease Behavior in the City of Padang. The sampling technique used was purposive sampling, with as many as 123 people. Data were analyzed by univariate and bivariate, with statistical test dependent t / paired t. The results of the study: the average score of Covid prevention measures before being given an intervention was 47.6098 and after receiving an intervention it increased to 52.6992. The analysis showed that with the value of p = 0.000 (p less than 0.05), there was a significant difference in community participation in efforts to prevent copying. To prevent Covid 19, it is necessary always to carry out promotive and preventive efforts, one method of providing education can be used, one of which is through interactive media in the form of educational videos and educational modules. Abstrak: Meski jumlah orang yang terpapar COVID-19 di Indonesia saat ini sudah terkendali, namun upaya pencegahan COVID-19 tetap harus dilakukan dengan baik untuk menghindari bahaya COVID-19 yang selalu mengancam. Tujuan penelitian adalah mengetahui partisipasi masyarakat dalam Pencegahan Dan Penurunan Angka Positif Rate Covid 19 Pada Masa Adaptasi Baru.  Jenis penelitian ini kuantitatif dengan desain crossectional studi. Penelitian dilakukan di Kota Padang. Intervensi yang dilakukan penerapan modul Corona Virus Desease 19 (Covid-19) Terhadap Perilaku Pencegahan Penyakit Covid 19 di Kota Padang Teknik sampling yang digunakan purposive sampling, sebanyak 123 orang. Data dianalisis dengan univariat dan bivariat, dengan uji statistik t dependen/ paired t. Hasil penelitian: rata rata skort tindakan pencehgehan Covid sebelum diberi intervensi 47.6098 dan setelah mendapat intervensi meningkat menjadi 52.6992. Hasil analisis didapatka nilai p=0,000 (p kurang dari 0,05) terdapat perbedaan yang signifikan partisipasi masyarakat dalam upaya pencegahan copid. Untuk mencegah Covid 19, perlu upaya promotif dan preventif yang selalu dilakukan, salah satu metode penyelenggaraan pendidikan dapat digunakan, salah satunya melalui media interaktif berupa video edukasi maupun modul edukasi.