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ANALISIS IMPLEMENTASI KEBIJAKAN PENANGGULANGAN TB DALAM MENINGKATKAN KUALITAS HIDUP PENDERITA TB PARU DI PUSKESMAS TIGABARU KABUPATEN DAIRI TAHUN 2018 ELFIDA PURBA; WISNU HIDAYAT; EVAWANI SILITONGA
JURNAL ILMIAH SIMANTEK Vol 3 No 3 (2019): JURNAL ILMIAH SIMANTEK
Publisher : LP2MTBM MAKARIOZ

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Abstract

Tuberculosis (TB) is a transmitted disease which becomes public health problem. It can cause high rate in morbidity, mortality, and physical disability so that it is necessary to do effective and efficient prevention, control, and eradication (Kemenkes RI, No. 82/2014). Dairi Regency ranks the tenth in tuberculosis in North Sumatera 2018 in the target of 1,207 people with the achievement of 595 people (49 %) while in the working area of Tigabaru Puskesmas in 2018 in the target of 69 people with the achievement of 52 people (75 %). This indicates that the implementation of applying the policy on handling Tuberculosis does not run well. The research used descriptive qualitative method with case study which was aimed to deeply explore the implementation of the policy on handling tuberculosis in order to increase the quality of TB Paru (Pulmonary tuberculosis) patients at Tigabaru Puskesmas. The data were gathered by conducting in-depth interviews and observation on 8 (eight) informants: the Head of the Health Agency of Dairi Regency, the Head of P2P Department, the Head of P2PM Section, District TB Wasor, The Vice Head of the Puskesmas Quality Management, the Manager of TB Pusekesmas, and two TB patients. The gathered data were analyzed by using Miles and Huberman test. The result of the research showed that the policy on handling TB Paru at Tigabaru Puskesmas was not maximal because imparting PHBS and promoting coughing ethics were not implemented well so that providing PMT milk should be increased. The plan of regional action has been established since 2018, but it is not embodied in the Regional Regulation, not all people actively participated in empowering people, and there was no tuberculosis surveillance at Tigabaru Puskesmas. The conclusion was that applying the policy on handling tuberculosis to increase the quality of life of TB Paru patients would be successful when they recovered, they get welfare, and the increase in their quality of life.
PENGARUH PENGETAHUAN, SIKAP, RIWAYAT KONTAK DAN KONDISI RUMAH TERHADAP KEJADIAN TB PARU DI WILAYAH KERJA UPTD PUSKESMAS HUTARAKYAT KABUPATEN DAIRI TAHUN 2019 INTAN NOBERTA SIGALINGGING; WISNU HIDAYAT; FRIDA LINA TARIGAN
JURNAL ILMIAH SIMANTEK Vol 3 No 3 (2019): JURNAL ILMIAH SIMANTEK
Publisher : LP2MTBM MAKARIOZ

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Abstract

Tuberculosis is an infectious disease caused by TB germs where most TB attacks the lungs but can also attack other parts.The purpose of this study was to analyze the effect of knowledge, attitudes, contact history and home conditions on the incidence of pulmonary TB in the work area of the Hutarakyat District Health Center UPTD in 2019.Tuberculosis is an infectious disease caused by TB bacteria (Mycobacterium Tuberculosis) where most TB attacks the lungs but can also attack other parts.The type of this research is analytic correlation research with cross sectional method. The population in this study was 150 people suspected of suspected / suspected pulmonary tuberculosis and 60 pulmonary TB patients, bringing a total population of 210 and a sample of 68 respondents. Analysis of the data used in this study consisted of univariate, bivariate and multivariate analysis. The results of the study were obtained:there is influence of knowledge(p=0,000; OR = 8,631), attitudes(p=0,000; OR = 12,444), contact history (p=0,000; OR = 26,400)and home conditions (p=0,000; OR = 8,861)on the incidence of pulmonary TB, the dominant factor influencing the incidence of pulmonary TB is attitude(p=0,007; OR = 26,400).From the results of the research obtained it is recommended to sufferers and suspected lung TB to maintain health through a healthy lifestyle and avoid various contacts with the surrounding environment so as not to transmit pulmonary TB and adhere to doctor's recommendations.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN TINDAKAN MEMBUANG SAMPAH DI LINGKUNGAN IV KELURAHAN HELVETIA KECAMATAN MEDAN HELVETIA TAHUN 2017 Napis Alfikri; Wisnu Hidayat; Vierto Irennius Girsang
Jurnal Riset Hesti Medan Vol 3, No 1 (2018)
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (367.967 KB) | DOI: 10.34008/jurhesti.v3i1.17

Abstract

Garbage is the consequence human activity in the form of disposal or waste. There are 2000 tons of garbage per day in Medan, and most of the garbage which comes from people’s homes and is produced by housewives reaches to 1,500 to 1,600 tons per day.  which is caused by several factors that are predisposition, enabler and amplifier. The objective of the research was to find out some factors which were correlated with the behavior of action throwing garbage at Lingkungan IV, Kelurahan Helvetia, Medan Helvetia, in 2017. The population was178 people, and 123 of them were used as the samples. The research used observational analytic method with cross sectional design. The data were analyzed by using univariate anaslysis, bivariate analysis, and multivariate analysis. The result of the research showed that there was the correlation of knowledge (p-value = <0.001), attitude (p-value = 0.004), education (p-value = <0.001), availability of facility (p-value = <0.001), socialization of health care providers (p-value = <0.001), and knowledge about perda no 6 year 2015 (p-value = <0.004) of throwing garbage. The variable which had the most dominant correlation with of throwing garbage was knowledge which 8.6 times of the possibility to be a good behavior in throwing garbage compared with those who had bad knowledge. It is recommended that the Government do regular evaluation and promote environmental health by making public figures participate in good behavior of throwing garbage.Keywords: Predisposition, Enabling, Enforcing, Action   Throwing Garbage  
KESIAPSIAGAAN PETUGAS KESEHATAN PUSKESMAS DALAM MANAJEMEN BENCANA DI WILAYAH KERJAPUSKESMAS SILIH NARA KABUPATEN ACEH TENGAH Adisah Adisah; Evawani Martalena Silitonga; Jasmen Manurung; Wisnu Hidayat
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 6 No. 1 (2022): April 2022
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v6i1.2937

Abstract

   Disaster management is a very important factor to reduce the impact of disaster events. This study aims to determine the preparedness of health workers in disaster management based on the characteristics, knowledge, attitudes and practices/previous experiences of health workers in disaster management. This type of research is a quantitative research with a cross sectional approach. The study was conducted in the Working Area of the Silih Nara Health Center, Central Aceh Regency in August 2021 with a population of 85 health workers and all of them were used as samples (total sampling). Data analysis used univariate, bivariate and multivariate analysis. The results of data analysis show that there is a relationship between age and knowledge and attitudes, while based on previous practice/experience there is no relationship; there is no relationship between gender and previous knowledge, attitude and practice/experience; there is a relationship between education and previous knowledge, attitudes and practices/experience; there is a long-standing relationship with knowledge but no long-standing relationship with previous attitudes and practices/experiences; there is a relationship between involvement in disaster response with previous knowledge, attitudes and practices/experiences; there is a relationship between disaster management training and previous attitudes and practices/experience, while disaster management training has no relationship with knowledge; There is a relationship between being included in the Rapid Action Team (TGC) with previous knowledge, attitudes and practices/experiences based on the preparedness of health workers in disaster management in the Work Area of the Silih Nara Health Center, Central Aceh Regency. The variable of disaster management training is the most dominant variable in the preparedness of health workers in disaster management in the Work Area of the Silih Nara Health Center, Central Aceh Regency.
STRATEGI DOTS DALAM PROGRAM PENANGGULANGAN TUBERKULOSIS DI PUSKESMAS MATITI KECAMATAN DOLOKSANGGUL KABUPATEN HUMBANG HASUNDUTAN Hertati Nababan; Wisnu Hidayat; Mido Ester J. Sitorus; Netty Brahmana
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 6 No. 3 (2022): DESEMBER 2022
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v6i3.6990

Abstract

Tuberculosis (TB) is a global public health problem caused by Mycobacterium tuberculosis and is one of the top 10 causes of death worldwide. DOTS is a very effective strategy to treat TB patients. One of the success factors for TB control is the availability of sufficient human resources, both in terms of quantity and quality. Objective to identify the implementation of the DOTS Strategy component in the TB control program at the Matiti Health Center, Doloksanggul District. This type of research is a qualitative research with analytical descriptive approach, through in-depth interviews and taking research subjects using purposive sampling method. The main foundation of this research is the phenomenology of design. There were eight informants in this study consisting of key informants, main informants and additional informants. Data analysis was carried out with three streams of activities that occurred simultaneously, namely data condensation, data display and conclusions: drawing and verifying. Result there is no political commitment in the form of local regulations. The TB program implementers at the Puskesmas have not been fully trained. Case finding has not been carried out actively, still and intensively. Case detection rate and success rate has not met the national indicators. Planning for the availability of OAT has been included with reference to the number of cases and the type of patient. PMO has contributed to the control of patient's drug ingestion. The SITB application has not been carried out optimally so that the evaluation of program implementation is not carried out properly. Conclusion Implementation TB control program at the Matiti Health Center is still not optimal and the coverage of patient findings is still low.
Faktor Risiko yang Memengaruhi Kejadian Tuberkulosis (TB) Paru di Wilayah Kerja Puskesmas Perbaungan Jeni Susanto Sipayung; Wisnu Hidayat; Evawani M Silitonga
Jurnal Ilmiah Kesehatan Masyarakat : Media Komunikasi Komunitas Kesehatan Masyarakat Vol 15 No 2 (2023): JIKM Vol. 15, Edisi 2, Mei 2023
Publisher : Public Health Undergraduate Program, Faculty of Health Science, Universitas Pembangunan Nasional Veteran Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52022/jikm.v15i2.444

Abstract

Abstrak Latar belakang: Tuberkulosis (TB) merupakan penyakit yang disebabkan oleh kuman Mycobacterium Tuberculosis. Tahun 2021, WHO menyatakan bahwa sekitar 9,9 juta orang meninggal yang diakibatkan oleh penyakit tuberkulosis paru. Faktor yang dapat memengaruhi kejadian TB paru diantaranya yaitu faktor lingkungan. Penelitian ini bertujuan untuk mengetahui faktor risiko yang memengaruhi kejadian penyakit TB paru di wilayah kerja Puskesmas Perbaungan tahun 2022. Faktor risiko yang diteliti berupa kepadatan hunian, ventilasi, suhu, kelembapan, pencahayaan, lantai rumah dan dinding rumah. Metode: Penelitian ini merupakan penelitian kuantitatif dengan desain case-control. Jumlah sampel sebanyak 96 responden yang terdiri dari 48 kasus dan 48 kontrol. Analisis data menggunakan uji Chi-Square dan juga regresi binari logistik. Hasil: Hasil analisis bivariat didapatkan kepadatan hunian (0,014), ventilasi (0,038), kelembapan (0,008), pencahayaan (0,002), lantai rumah (0,000), dan dinding rumah (0,002) merupakan faktor yang dapat memengaruhi kejadian TB paru. Sedangkan suhu (0,540) bukan merupakan faktor yang dapat memengaruhi kejadian TB paru.. Kesimpulan: Diharapkan kepada pihak puskesmas untuk lebih sering memantau dan meningkatkan survei serta memberikan penyuluhan terkait TB paru dan juga diharapkan kepada masyakarat agar lebih membenahi rumah secara berkala dan menjaga kebersihan rumah. Risk Faktors Affecting the Incident of Pulmonary Tuberculosis (TB) in the Working Area of Perbaungan Public Health Center Abstract Background: Tuberculosis was a disease caused by Mycobacterium Tuberculosis. According to WHO (2021), 9.9 million people have died due to pulmonary tuberculosis (TB). One of the factors affecting TB incidents was the environment. The research aims to find out the factors affecting the incidents of pulmonary TB in the working area of the Public Health Center of Perbaungan in 2022. Methods: Risk factors investigated encompass occupancy density, ventilation, temperature, humidity, lighting, as well as home floor and walls condition. This is a quantitative research that uses case-control. The sample was consisted of 96 respondents included 48 cases and 48 controls. Data was analyzed using Chi-Square and binary logistic regression tests. Result: Based on bivariate test results, this study was found that the occupancy density (0.014), ventilation (0.038), humidity (0. 008), lighting (0.002), home floor condition (0.000) dan home wall condition (0.002) was the factors affecting the incidents of TB. While, temperature (0.540) is not the factor that can affect the incidents of TB. Conclusion: It is suggested that puskesmas frequently monitor and give counseling related to TB and the society clean their houses regularly and keep the house clean
Comparison Of Knowledge And Attitudes Of Pregnant Women About Stunting Using Booklet Media And Audiovisual Media Contents Of My Plate Sapnita Sapnita; Wisnu Hidayat; Taruli Rohana Sinaga
Jurnal EduHealth Vol. 13 No. 02 (2022): Jurnal eduHealth, December, 2022
Publisher : Sean Institute

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Abstract

A World Health Organisation (WHO) report from 2021 states that Universal Health Coverage (UHC) ensures that everyone gets high-quality medical care as and when they need it, without creating any barriers. Of the anticipated 1 billion population, only about 270 million people are expected to get health services between 2000 and 2023. The purpose of this study is to evaluate the job satisfaction of nurses working in inpatient wards of hospitals in 2023 in Banyuasin Regency. This study will be conducted in May 2023. A total of 34 nurses working in the inpatient wards of Banyuasin Regional Hospital were the sample population for this quantitative, cross-sectional study. the sample was 34 respondents, and used complete sampling for sample collection. using questionnaires for data collection and retrieval. Chi-Square statistical test and multiple logistic regression were used in the statistical test analysis, and the findings showed a significant relationship (p-value 0.05) between the variables of incentives (p=0.037), work environment conditions (p=0.001), training (p=0.000), legal protection rights (p=0.002), and rewards (p=0.016). Age (p=0.447), gender (p=0.591), education (p=0.660), length of service (p=0.448), leadership (p=1.000), promotion opportunities (p=0.662), supervision (p=1.000), and punishment (p=0.731) were not correlated with each other. Based on the results of multivariate statistical analysis, the training variable is the most important factor in determining the level of satisfaction of nurses with their work (p=0.003; OR=63.254). It is intended that nursing management in Banyuasin Hospital can protect nurses legally, educate nurses to become competent nurses, pay attention to the quantity of incentives, build a pleasant work environment, and use rewards and punishments to inspire nurses.
FAKTOR RISIKO HIPERTENSI Esther Purnama Ria Sihombing; Wisnu Hidayat; Janno Sinaga; Donal Nababan; Mido Ester J. Sitorus
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 7 No. 3 (2023): DESEMBER 2023
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v7i3.19199

Abstract

Hipertensi masih menjadi bahaya kesehatan karena merupakan penyakit yang bersifat 'silent killer' Hipertensi dapat meningkatkan tekanan didalam pembuluh darah di atas normal dan menempatkan pasien pada risiko penyakit jantung, stroke, dan gagal ginjal. Faktor risiko Riwayat keluarga/keturunan, tingkat pendidikan, stress, kebiasaan minum kopi, kebiasaan merokok berhubungan dengan peningkatan risiko hipertensi Tujuan penelitian ini untuk mengetahui faktor risiko yang paling dominan mempengaruhi kejadian Hipertensi Masyarakat Usia Produktif Diatas Umur >40 Tahun di wilayah Kecamatan Nainggolan Periode 2021-2022. Penelitian ini merupakan penelitian analitik observasional dengan desain studi kasus-kontrol (case-control study). Responden dalam penelitian ini masyarakat usia > 40 tahun di wilayah kerja Puskesmas Sirait dengan jumlah kelompok kasus sebanyak 50 responden dan kelompok kontrol sebanyak 50 responden. Adapun analisis yang digunakan dalam penelitian ini adalah analisis univariat, bivariat, dan multivariat. Penelitian ini menggunakan  uji Chi –Square dan selanjutnya  menggunakan regresi logistik untuk melihat faktor yang paling berpengaruh. Hasil Uji Chi-Square menunjukkan ada hubungan Riwayat Keluarga/ keturunan hipertensi (p=0,002 OR=4,89 95%CI=1,76 - 13,69,) dan Kebiasaan merokok (p=0.047,  OR=1,54 95%CI=1,00 - 2,37)  terhadap kejadian hipertensi dan tidak ada hubungan  tingkat pendidikan responden (p=0,294 OR=0,727 95%CI=0,40 - 1,32), Tingkat stress (p=0.500 OR=1,36 %CI=0,55 - 3,29), kebiasaan Minum kopi(0.872 OR=0,95 95%CI=0,50 - 1,78) terhadap kejadian hipertensi faktor yang paling dominan adalah faktor keluarga/ keturunan (p=0.002) OR=5,246  95%CI=1.846-14.910 yang artinya responden dengan riwayat keluarga/keturunan mempunyai risiko terkena hipertensi 5,246 kali dibanding responden yang tidak memiliki riwayat keluarga/keturunan  Disarankan agar Puskesmas dapat membuat program pencegahan dan penurunan angka kejadian hipertensi melalui kegiatan Deteksi dini/Skrining ifaktor risiko penyakit hipertensi di setiap desa secara rutin setiap bulan serta melakukan edukasi tentang penyakit hipertensi dan faktor-faktor risiko terjadinya hipertensi iterutama pada masyarakat yang memiliki riwayat keluarga/keturunan. Hipertensi dan riwayat merokok.