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HUBUNGAN TINGKAT PENGETAHUAN TENTANG PEMERIKSAAN PAYUDARA SENDIRI (SADARI) DENGAN PERILAKU SADARI PADA MAHASISWI NON KESEHATAN DI UNIVERSITAS MUHAMMADIYAH YOGYAKARTA Baswedan, Rizki Hafidzah; Listiowati, Ekorini
Biomedika Vol 6, No 1 (2014): Biomedika Februari 2014
Publisher : Universitas Muhamadiyah Surakarta

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Breast cancer is a type of malignant tumor that most commonly affects women around the world, both in the developed and developing countries, as evidenced by the discovery of 1:38 million new cases and 458 400 deaths from breast cancer in 2008. In Indonesia, breast cancer is now the number one killer and every year there are an estimated 100 new cases per 100,000 population in Indonesia. This can be prevented by spreading knowledge about cancer and early detection by performing routine breast self-examination. The American Cancer Society recommends breast self-examination performed on women aged 20 years. Students of non-health is one component of society that have a high level of knowledge, but less exposure to health problems.This study uses observational analytic with cross sectional approach. The subjects of this study were non-health students from Islamic faculty, agriculture faculty, and engineering faculty. The number of samples in this study was 209 respondents. The level of knowledge about breast tumor, BSE, and BSE behavior was assessed using a questionnaire followed by interview. The results obtained were processed using a computerized system with the Spearman correlation test.The results showed that there is a relationship between the level of knowledge about BSE and BSE behavior in non-health student although statistical tests showed no signifi cant correlation p 0.680 (p> 0.05). The relationship between the level of knowledge about BSE and BSE behavior on non-health student infl uenced by various factors including experience, education, resources, and bridged by a positive attitude.Keywords: Knowledge Level, Behaviour, Breast Self-Examination (BSE), Non-health Students

HUBUNGAN TINGKAT PENGETAHUAN HAND HYGIENE DENGAN KEPATUHAN PELAKSANAAN HAND HYGIENE PADA PESERTA PROGRAM PENDIDIKAN PROFESI DOKTER Widyanita, Anietya; Listiowati, Ekorini
Biomedika Vol 6, No 1 (2014): Biomedika Februari 2014
Publisher : Universitas Muhamadiyah Surakarta

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Prevention and Control Program (PPI) including hospital accreditation assessment. One of the standard phase is hand hygiene. The hands of health care are often contact with the patient and his environment, thus becoming the most common transmission of HAIs. Hand hygiene can reduce HAIs if done with appropriate recommendation. This study was conducted to determine the relationship between the level of knowledge of hand hygiene and hand hygiene compliance implementation. This study was observational analytic with cross sectional approach. Subjects were participants of educational programs in the medical profession with a total sampling technique. Instrument research using questionnaires and observation sheet. Analyzed with descriptive statistics, the average level of knowledge and implementation of hand hygiene compliance in respondents is less. Analysis distribution of respondents by sex, male totaled 17 people and female totaled 14 people, distribution of respondents according to the level of knowledge, less value totaled 29 people (93.5%) and enough value totaled 2 people (6.5%), distribution of respondents according to the level of compliance, less value totaled 26 people (83.9%) and good value totaled 5 people (16.1%). Analysis using a correlation test, 0.599 correlation value, where p<0.005, positively related. This study shows that there is a positive relationship between the level of knowledge of hand hygiene and hand hygiene compliance implementation. The average level of knowledge has less value. The average rate of hand hygiene compliance implementation has less value.Keywords: Knowledge level of hand hygiene-Implementation of hand hygiene compliance

EVALUASI PENERAPAN IDENTIFIKASI PASIEN DI BANGSAL RAWAT INAP RSI SITI AISYAH MADIUN Yudhawati, Donna Dwi; Listiowati, Ekorini
Jurnal Medicoeticoilegal dan Manajemen Rumah Sakit Vol 4, No 2 (2015): July
Publisher : Magister Manajemen Rumah Sakit

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Backgraund: This research is to reveal the evaluation of the application of identification patient at Siti Aisyah Madiun Islamic Hospital. The diversities and the routines of the services in hospital will make adverse event (KTD) if we donât manage it properly. Errors due to misidentification patient happen almost in every aspect or diagnosis stages and treatment, so it needs the accuracy of patientâs identifications.Method: This research using qualitatif methods that produce descriptive data such as written words and verbal from people and observed attitude and study planning cases that exploits a problem with detail data retrictions, accompanied with detail data retrieval from many sources so can reflects patient identifications done by Siti Aisyah Islamic Hospital. Instruments used in this research is the search guidelines, in-depth interviews, FGD and RCA.Result and Discussion: This research result shows incident type of patient safety happens at Siti Aisyah Islamis Hospital. One of the causes is misidentifications patients. The nurses knowledge about the identification of patients had 100 % but the implementation of identification in hospital not optimal.Conclussion: The implementation of the identification of patients that should be doneÂ by nurses not yet become a culture in Siti Aisyah Madiun Islamic Hospital and the implementation still far from the expectation. The suggestion from the researchers is management should do some evaluation and routine monitoring on the patientâs identifications in hospital to cultivate all nurses to identify patients become common culture nurse.Â Keyword : identification patient, patient safety incidents

EFEKTIVITAS PEMBERIAN SIMULASI HAND HYGIENE TERHADAP KEPATUHAN HAND HYGIENE PETUGAS NON MEDIS DI RUMAH SAKIT PKU MUHAMMADIYAH YOGYAKARTA UNIT II Listiowati, Ekorini; Nilamsari, Lisa
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 4, No 1 (2015): January
Publisher : Universitas Muhammadiyah Yogyakarta

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Hospital Associated Infection (HAIs) is the worldâs problem and one of the causes is hand hygiene compliance in healthcare workers are still low. Data showed 80% of HAIs spread by hands. Non medical healthcare workers are at risk for spreading the phatogen by hands, because although they donât give intervention directly to the patients, they still have big possibilities to be in one of 5 moments hand hygiene. Hand hygiene simulation is one of training methods for heakthcare workers to create higher compliance in hand hygiene. This research was an experimental design with one group pre-posttest design. The population were all non medical healthcare workers in security department, nutritional department, and cleaning service department, the total sample is 37 persons. Paired T-test is used for stastitical analysis.The results obtained, the implementation of hand hygiene with proper procedure is 0,55%. The compliance rate increase after intervention by hand hygiene simulation 13,83%. Statistical analysis showed significant result p<0,05; p=0,026 for security department, p=0,027 for nutritional department, and p=0,002 for cleaning service department, meaning there is a difference in hand hygiene compliance of non medical healthcare workers before and after intervention by hand hand hygiene simulation.Hand hygiene simulation is effecticve to improve hand hygiene compliance. Therefore it can be used to improve hand hygiene compliance in non medical healthcare workers.Keywords: hand hygiene, compliance, non medical healthcare workers, simulation

Pengaruh Terapi Akupunktur terhadap Proses Penurunan Berat Badan Wanita di RS Ludira Husada Yogyakarta Trida, Ayu Anggia; Pujiatun, -; Listiowati, Ekorini
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 7, No 1 (s) (2007)
Publisher : Universitas Muhammadiyah Yogyakarta

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Losing weight is a step in the right directionfor healthy life and come up self confidence as according to desire many women. Acupuncture as one of the alternative therapy which selected by many women because effective enough for help weight loss and almost without serious side effect. The purpose of this research is to know how big influence of acupuncture therapy to help weight loss process. This research is descriptive study by using primary data from questioners and secondary data from medical record of Ludira Husada Hospital Yogyakarta. The subjects of this research are 20 women who feel overweight / obesity following acupuncture therapy. The data will analyze with statistical test of T-Test. Result of this research at 20 women following acupuncture therapy during 2 package therapy got the most weight loss 4-6 kg (70 %), the most reduction of arm circular size is 1-2 cm (45 %), the most reduction of stomach circular size is 4-6 cm (65 %) and the most reduction of thigh circular size is 4-6 cm (60 %). The result of statistical test with T-Test at the fourth variable got by result 0,000 or p < 0,05, its means that there are significant influence at probandus before and after following acupuncture therapy. In this research can be concluded that acupuncture therapy give significant influence for weight loss process.Mengurangi berat badan adalah langkah yang tepat untuk hidup sehat dan tampil percaya diri sesuai dengan keinginan banyak wanita. Akupunktur merupakan salah satu terapi alternatif yang banyak dipilih oleh wanita karena efektifitas menurunkan berat badan cukup tinggi dan relatif aman. Penelitian ini bertujuan untuk mengetahui berapa besar pengaruh terapi akupunktur terhadap proses penurunan berat badan. Penelitian ini merupakan penelitian deskriptifdengan menggunakan data primer yang diperoleh melalui kuesioner dan data sekunder dari bagian Rekam Medik RS Ludira Husada Yogyakarta. Subyek penelitian adalah 20 orang wanita yang mempunyai masalah kelebihan berat badan/obesitas yang mengikuti terapi akupunktur. Data dianalisis signifikansinya dengan uji statistik T-Test. Hasil penelitian pada 20 orang wanita yang mengikuti terapi akupunktur selama 2 paket terapi didapatkan hasil penurunan berat badan terbanyak adalah 4-6 kg (70 %), pengurangan ukuran lingkar lengan terbanyak yaitu 1-2 cm (45 %), pengurangan ukuran lingkar perut terbanyak yaitu 4Â¬6 cm (65 %) dan pengurangan ukuran lingkar paha terbanyak yaitu 4-6 cm (60 %). Hasil uji statistik dengan T-Test pada keempat variabel didapatkan hasil 0,000 atau p < 0,05, artinya terdapat pengaruh yang signifikan pada probandus sebelum dan setelah mengikuti terapi akupunktur. Dapat disimpulkan bahwa terapi akupunktur memberikan pengaruh yang signifikan terhadap proses penurunan berat badan.

Akupunktur pada Manajemen Berat Badan Listiowati, Ekorini
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 4, No 2 (2004)
Publisher : Universitas Muhammadiyah Yogyakarta

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Recently, overweight or obesity are complained by our community. Even several years ago, overweight and obesity are obviously become a proud-ness because these showed a welfare, but then the community start to realize the negative impact of these, which is psycho-socially and scientifically produce a lot of problems. Therapy to overcome an overweight which is well-known by Indonesian people are diet, exercise, and by consuming several of weight-loss drugs. But now, we start to know and interested with another therapy to overcome this problem by acupuncture. It is stimulate special point in our body with special time and special technique. Based on the study reducing weight by acupuncÂ¬ture give an efficacious result. One of the most important thing to support the obesity therapy is a strong motivation from the patient itself. The achievement of the obesity therapy will be more efficient by combining diet, exercise, acupuncture and drugs.Kegemukan atau obesitas saat ini banyak dikeluhkan masyarakat kita, meskipun beberapa tahun yang lalu kelebihan berat badan justru sebagai kebanggan karena dianggap sebagai lambang kesejahteraan/kemakmuran. Akibat negatif dari kelebihan berat badan mulai disadari oleh masyarakat kita, dimana secara psikososial maupun menurut kaidah medis banyak sekali dampak negatif yang muncul. Terapi untuk mengatasi kelebihan berat badan yang sudah sangat dikenal masyarakat Indonesia adalah diet, olah raga dan menggunakan obat-obatan penurun berat badan. Namun akhir-akhir ini, mulai dikenal dan diminati terapi untuk mengatasi kelebihan berat badan dengan cara akupunktur. Yaitu dengan cara menstimulasi titik-titik akupunktur tertentu pada tubuh dengan periode dan teknik tertentu. Berdasarkan data penelitian yang telah ada ternyata penatalaksanaan obesitas dengan akupunktur memberikan hasil yang efektif. Satu hal yang sangat penting dalam menunjang keberhasilan terapi obesitas adalah motivasi diri penderita yang kuat. Sehingga keberhasilan terapi obesitas akan .ebih efektif bila terapi yang diberikan berupa kombinasi diet, exercise, akupunktur dan atau obat-obatan.

Faktor Risiko Kejadian Infeksi Daerah Operasi pada Bedah Digestif di Rumah Sakit Swasta Nirbita, Alam; Rosa, Elsye Maria; Listiowati, Ekorini
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 11, No 2 (2017): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: The incidence of IDOs in hospitals in Indonesia varies between 2-18% of all surgical procedures. No research has been done on the effects of IDO risk factors with IDO incidence in gastrophic surgery at this hospital. This study aims to determine the effect of IDO risk factors consisting of nutritional status, type of surgery, the nature of surgery, and durante surgery against the incidence of IDO in surgical patients digestif. Method: This research is an observational quantitative study. The data taken are primary (observasional) and secondary (medical record) using cross sectional method. The data were then analyzed by Chi-square bivariate and multivariate test. Result: Based on Chi-square bivariate test, the variables: operation type (p=0.000), durante surgery (p=0.000), and operational properties (p=0.029) have significant relationship while nutritional status (p=0.055) which is significant against IDO events. Conclusion: The result of multivariate test showed that the variables: nutritional status (p=0.032), type of operation (p=0.006), and durante (p=0.008) had significant influence with the type of operation is the most influential on IDO event.Â

Appendicitis Clinical Pathway Implementations Compliance Evaluation in Hospital Wijaya, Adi Indra; Dewi, Arlina; Listiowati, Ekorini
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 11, No 2 (2017): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: Clinical pathway (CP) is a collaborative guidance for patients treatments that focused on diagnosis, clinical problems, and stages of care. CP implementation becomes a guideline on hospital quality and safety improvement for the patient services. Method: The research used a descriptive-qualitative mixed methods. Primary data collected through medical record and secondary data is done by interview and observation by using CP format. Results: From medical records total, 23 cases were found that met the inclusion criteria. The acute appendicitis case in adults is more than children in number (3,6:1). Acute appendicitis CP compliance is 86%. There are three problems in CP compliance of acute appendicitis i.e doctors visit adherence (physician in charge of patient 87%, 0% anesthesia), 65% adherence therapy compliance, and 52% inpatient admission. The root of the problem is the lack of socialization, monitoring, and evaluation of established standards. Some activity variations may occur during each process from time to time that will produce a variety of the outcomes as well. How to reduce process variation is to standardize. The process of standardization includes the preparation, socialization, monitoring, control, evaluation and revision of thew standards. CP profit is that it could reduce variation, is a professional requirement, and the basis for quality measurement. Implementation of good standards will ensure the safety of patients and the healthcare providers. Conclusion: Almost all employees have conducted medical record (MR) in accordance with clinical pathway criteria as well, but the CP sheet is not included in the MR

Analysis of Hygiene and Sanitation Practice Within Hospital Foodservice Employees. a Case Study in a Private Hospital in Yogyakarta Hapsari, Oldriana Prawiro; Permana, Iman; Listiowati, Ekorini
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 7, No 3 (2018): December
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.7380

Hospitals are expected to provide service according to the accreditation committee standard. One of the accreditation criteria is Infection and Prevention Control, in which the hospital must minimalize infection risk from the provided facilities such as hospital food service. Analyzing food handlers hygiene and sanitian practice in PKU Muhammadiyah Gamping Hospital’s Food Service Unit. The research method is a qualitative method, and the design is a case study. Subjects of the research are 13 food handlers, one food service unit supervisor, one sanitation unit supervisor, one infection and prevention control unit, supervisor. Here we conducted a questionnaire to measure knowledge, an observation checklist to observe food handlers compliance and an in-depth interview for their perspective on hygiene and sanitation practice. Food handlers perspective in hygiene and sanitation practice, on knowledge wise 10 (76,92%) food handlers have good knowledge on hygiene and sanitation. 13 (100%) food handlers have a good practice and compliance on practicing food safety and hygiene and sanitation practice. The Conclusion and Advice there are some adversities such as neglection to wear personal protective types of equipment and some facilities need to be upgraded.

Faktor Risiko Kejadian Infeksi Daerah Operasi pada Bedah Digestif di Rumah Sakit Swasta Nirbita, Alam; Rosa, Elsye Maria; Listiowati, Ekorini
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 11, No 2 (2017): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: The incidence of IDOs in hospitals in Indonesia varies between 2-18% of all surgical procedures. No research has been done on the effects of IDO risk factors with IDO incidence in gastrophic surgery at this hospital. This study aims to determine the effect of IDO risk factors consisting of nutritional status, type of surgery, the nature of surgery, and durante surgery against the incidence of IDO in surgical patients digestif. Method: This research is an observational quantitative study. The data taken are primary (observasional) and secondary (medical record) using cross sectional method. The data were then analyzed by Chi-square bivariate and multivariate test. Result: Based on Chi-square bivariate test, the variables: operation type (p=0.000), durante surgery (p=0.000), and operational properties (p=0.029) have significant relationship while nutritional status (p=0.055) which is significant against IDO events. Conclusion: The result of multivariate test showed that the variables: nutritional status (p=0.032), type of operation (p=0.006), and durante (p=0.008) had significant influence with the type of operation is the most influential on IDO event.

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