Siska Nia Irasanti
Departemen Ilmu Kesehatan Masyarakat, Fakultas Kedokteran, Universitas Islam Bandung

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Karakteristik dan Gaya Hidup Pasien Hipertensi di Rumah Sakit Al-Islam Bandung Ramdhani, Rizky; Respati, Titik; Irasanti, Siska Nia
Global Medical & Health Communication (GMHC) Vol 1, No 2 (2013)
Publisher : Fakultas Kedokteran Universitas Islam Bandung

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Abstract

Abstrak Hipertensi merupakan masalah kesehatan yang semakin penting, karena prevalensi yang meningkat setiap tahun. Pada tahun 2000 World Health Organization memperkirakan prevalensi hipertensi sebesar 26,4% di dunia, Menurut Riskesdas tahun 2007 memperkirakan prevalensi hipertensi sebesar 31,7%. Faktor risiko hipertensi dapat dibedakan menjadi non modifiable (seperti keturunan, jenis kelamin, dan usia) dan modifiable (seperti kurang olahraga, obesitas, dan garam). Penelitian ini bertujuan untuk mengetahui karakteristik dan gaya hidup pasien hipertensi di RS Al-Islam Bandung. Penelitian ini adalah penelitian deskriptif analitik dengan pendekatan cross sectional. Subjek penelitian adalah pasien yang datang ke poli rawat jalan Instalasi Penyakit Dalam RS Al-Islam periode 1 April–31 Juli 2012. Sebanyak 230 subjek mengikuti penelitian terdiri atas 114 pasien hipertensi dan 116 pasien normotensi. Hasil penelitian menunjukkan pasien hipertensi berusia rata-rata 61–70 tahun (38,6%), berjenis kelamin perempuan (68,4%), berpendidikan S-1 (42,1%), ibu rumah tangga 48,2%, memiliki faktor genetik (66,7%), serta tidak rutin melakukan olahraga (47,4%). Hasil penelitian memperlihatkan faktor risiko yang mempunyai   hubungan dengan hipertensi adalah usia (p=0,0001), jenis kelamin (p=0,007), riwayat hipertensi (p=0,048), tidak rutin olahraga (p=0,004), dan tidak melakukan pencegahan (p=0,0001). Simpulan penelitian ini adalah kejadian hipertensi dipengaruhi oleh usia, jenis kelamin, faktor risiko, dan kebiasaan olahraga rutin. Hasil ini diharapkan dapat dipergunakan untuk meningkatkan pengetahuan tentang faktor risiko hipertensi sehingga dapat menurunkan kejadian hipertensi di masyarakat.  Kata kunci: Gaya hidup, hipertensi, karakteristik Characteristic and Lifestyle of Hypertension Patients at Al-Islam Hospital Bandung  Abstract Hypertension is an increasingly important health problem, showed by an increasing prevalence every year. In 2000 the World Health Organization estimates that the prevalence of hypertension in the world were 26.4%. According to Riskesdas in 2007 it was estimated that the prevalence of hypertension in Indonesia was 31.7%. Risk factors for hypertension can be divided into nonmodifiable (such as heredity, gender, and age) and modifiable (such as lack of exercise, obesity and salt). This study aimed to investigate the patients characteristics and lifestyle. This is a descriptive study using cross sectional analytic approach. Subjects were patients attending the outpatient clinic at Al-Islam Hospital, Internal Medicine Department during 1st  April to 31st  July 2012. A total of 230 subjects completed the study with 114 subjects diagnosed as hypertensive and 116 normotensive. The results showed that majority of    hypertensive patients were 61–70 years old (38.6%), female (68.4%), university graduate  (42.1%), housewives 48.2%, has genetic factor (66.7%), and doing exercise irregularly (47.4%). The results showed that risk factors associated with hypertension were age (p=0.0001), gender (p =0.007), genetic factors (p=0.048), irregular exercise (p=0.004), and no prevention of hypertension (p=0.001). The conclusion of this study is the incidence of hypertension is influenced by age, sex, genetic factors and regular exercise habits. These results are expected to be used to increase knowledge about risk factors for hypertension that may be used to help decreasing the incidence of this disease in the community.   Key words: Characteristics, hypertension, lifestyle 
Pengaruh Inovasi Jasa dan Harga Terhadap Nilai yang Dirasakan Pasien di Stroke Center RS. Al-Islam Bandung Irasanti, Siska Nia; Azis, Yudi; Sukarya, Wawang S
Global Medical & Health Communication (GMHC) Vol 3, No 1 (2015)
Publisher : Fakultas Kedokteran Universitas Islam Bandung

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Abstract

Abstrak Rumah sakit sebagai salah satu industri jasa harus dapat menghasilkan produk barang maupun jasa dengan kualitas yang baik. Tujuan penelitian ini adalah ingin mengetahui pengaruh  inovasi jasa dan harga pada nilai yang dirasakan pasien di Stroke Center RS Al Islam Bandung. Penelitian ini adalah penelitian observasional analitik dengan pendekatan survei. Waktu penelitian adalah bulan November-Desember tahun 2015. Populasi dan sampel yang digunakan dalam penelitian ini adalah pasien Stroke Center RS Al Islam Bandung. Jumlah sampel adalah 256 responden dan dikumpulkan dengan teknik accidental samping. Alat pengambil data yang digunakan adalah kuesioner dan wawancara. Pengolahan data dilakukan dengan menggunakan SEM (structural equation modelling) dengan LISREL versi 8.80. Hasil penelitian ini menunjukkan terdapat pengaruh positif yang secara statistik bermakna (kategori kekuatan sedang) dari variabel inovasi jasa dan harga terhadap nilai yang dirasakan pasien di Stroke Center RS Al Islam Bandung secara parsial sebesar 20,25% (t hitung 2,20 dan 1,98 > tabel=1,98 dan α=0,05) dan secara simultan sebesar 44,3% (F=0,001<F tabel=0,005 dengan α=0,05). Walaupun demikian, masih ada faktor lain yang mempengaruhi nilai yang dirasakan di Stroke Center RS Al Islam Bandung dan tidak diteliti dalam penelitian ini sebesar 55,7%. Kata kunci : nilai yang dirasakan pasien, rumah sakit, inovasi jasa, harga, stroke center.   THE EFFECT OF SERVICES  INNOVATION AND PRICE TO THE CUSTOMER PERCEIVED VALUE AT STROKE  CENTER                  BANDUNG AL ISLAM HOSPITAL Abstract Hospital as one of service industry need to produce good services. The aim of this study was to describe the effects of service innovation and price on customer perceived value in Stroke Center of Al Islam Hospital, Bandung. This was an analytical observational study using survey. Subjects were 256 patients in Stroke Center of Al Islam Hospital, Bandung using accidental sampling method. Data were collected through questionnaires and interviews. Analysis used SEM (structural equation modeling) with LISREL version 8.80. The results of this study showed that service innovation and price had positive and significant influence (moderate effects) to customer perceived value in Stroke Center of Bandung Al Islam Hospital. The partially influence was detected at 20,25% (t value 2,20 and 1,98 > t table=1,98 with α=0,05) and the simultaneous influence was 44.3% (F significance = 0.001 < F table = 0.005 with α= 0.05). There were another influencing factors that affected customer perceived value in Stroke Center of Bandung Al Islam Hospital by 55,7%. Key words: customer perceived value, hospital, service innovation, price, stroke center
Deteksi Dini Penyakit Parkinson: Pengetahuan, Sikap, dan Perilaku Petani Desa Tanjung Wangi Cicalengka Mengenai Bahaya Pestisida bagi Kesehatan Arief Budi Yulianti; Siska Nia Irasanti; Meta Maulida; Mia Kusmiati; Adhika Putra Rahmatullah
Global Medical & Health Communication (GMHC) Vol 4, No 1 (2016)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (102.876 KB) | DOI: 10.29313/gmhc.v4i1.1730

Abstract

Pestisida bersifat toksik bagi manusia dan lingkungan sekitarnya. Petani adalah kelompok masyarakat berisiko tinggi terpapar pestisida. Tingkat pengetahuan, sikap, dan perilaku petani mengenai bahaya pestisida sangat diperlukan agar keputusan untuk menggunakan pestisida sesuai dengan jenis, waktu, dan cara menjadi tepat. Penelitian ini dilaksanakan selama bulan Maret–Juli 2015 dan merupakan penelitian observasional dengan subjek penelitian petani Desa Tanjung Wangi. Subjek penelitian diambil secara acak diperoleh 62 subjek penelitian yang terdiri atas 47 laki-laki dan 15 perempuan. Tingkat pengetahuan, sikap, dan perilaku diukur dengan kuesioner yang sudah divalidasi. Pengukuran gejala dini Parkinson menggunakan kuesioner PDQ39 yang sudah dimodifikasi. Diperoleh tingkat pengetahun dan sikap petani mengenai bahaya pestisida skor terendah 0,70 dan tertinggi 0,97 dengan nilai median 0,80 dan modus 0,79. Perilaku pestisida ini mengenai tata cara penggunaan pestisida skor terendah 0,64, tertinggi 1 dengan modus 0,84. Gejala dini Parkinson pada petani di Desa Tanjung Wangi skor tertendah 0,74 dan tertinggi 1 dengan nilai median 0,84 dan modus 0,91. Simpulan, pengetahuan, sikap, dan perilaku petani Desa Tanjung Wangi mengenai bahaya pestisida baik. Hasil yang diperoleh dari kuesioner tidak menggambarkan kondisi petani di lapangan. Hal ini dapat terjadi karena peneliti tidak memasukkan unsur ekonomi sebagai salah satu faktor penentu pengambilan keputusan menggunakan pestisida sehingga diperlukan upaya edukasi petani. DETECTION-EARLY OF PARKINSON'S DISEASE: KNOWLEDGE, ATTITUDES, AND BEHAVIOR FARMER IN DESA TANJUNG WANGI ABOUT PESTICIDES TOXICITIES TOWARD HEALTHPesticides are toxic for human and environment. Farmers are people at high risk of exposure to pesticides. The level of knowledge, attitudes, and behaviors of farmers about pesticides toxicity needed, so the decision to use pesticides be expected right. This research held on March–July 2015, observational method with subjects farmers in Desa Tanjung Wangi were taken randomly. Number of samples were 62 person consisted of 47 men and 15 women. The level of knowledge, attitudes, behaviors and detectionearly of Parkinson’s disease were measured with a questionnaire PDQ39 modified. The lowest score of level knowledge and attitudes about pesticides toxicities was 0.70 and the highest was 0.97 with median and modus 0.80 and 0.79, respectively. The lowest score of behavior regarding the method of pesticides used was 0.64 and the highest was 1 with modus 0.84. The lowest score of detection-early of Parkinson’s disease was 0.74 and the highest was 1 with median and modus 0.84 and 0.91, respectively. In conclusions, farmers knowledge, attitudes and behavior regarding pesticides toxicities are good. But the questionnaire wasn’t describe the really condition in field, especially in economic issues that affecting decisions about pesticides to be used, so educating to understand about pesticides toxicities needs to be done.
The Increased Knowledge of Children Dental and Oral Health at the Baitus Syukur Orphanage in Bandung Siska Nia Irasanti; Yuniarti Yuniarti; Yuli Susanti; Yani Dewi Suryani; Revika Ilma Nurul Uswah; Risya Farisatul Aini; Novita Arya Cahyani; Hilal Muhammad Dimas Nugraha; Muhammad Mufti
Global Medical & Health Communication (GMHC) Vol 9, No 3 (2021)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (49.158 KB) | DOI: 10.29313/gmhc.v9i3.8230

Abstract

The COVID-19 pandemic has led to restrictions on visits to the dentist except for emergency cases. It causes the examination and treatment of dental and oral diseases to be hampered, which is feared to impact a person's overall health condition negatively. Therefore, each individual is expected to maintain optimal dental and oral health to prevent it. Until now, based on the results of interviews with the head of the Baitus Syukur orphanage, it was stated that the level of awareness of foster children on the importance of maintaining dental and oral health was low, and they did not yet have a special examination program related to dental and oral health. This study aims to analyze whether there is an increase in children's knowledge in the Baitus Syukur orphanage after counseling on oral health. This type of research is a quasi-experiment with pre and post-test methods in March–April 2021. This study uses a total population of 24 children in the Baitus Syukur orphanage. The data were analyzed with the results of the Wilcoxon Test analysis at a 95% confidence level. It showed that statistically, there was a significant difference between the values before and after giving counseling materials to participants with p value=0.003 (p value≤0.05). The conclusion is that there is an increase in children's knowledge about dental and oral health at the Baitus Syukur orphanage after counseling. PENINGKATAN PENGETAHUAN KESEHATAN GIGI DAN MULUT ANAK DI PANTI ASUHAN BAITUS SYUKUR BANDUNGKondisi pandemik COVID-19 menyebabkan pembatasan kunjungan ke dokter gigi kecuali untuk kasus penyakit kesehatan gigi dan mulut darurat. Hal ini menyebabkan pemeriksaan dan perawatan penyakit gigi dan mulut terhambat yang dikhawatirkan akan menimbulkan dampak negatif terhadap kondisi kesehatan seseorang secara menyeluruh. Untuk mencegah hal ini, setiap individu diharapkan dapat menjaga kesehatan gigi dan mulutnya secara optimal. Sampai saat ini, berdasar atas hasil wawancara dengan Ketua Panti Asuhan Baitus Syukur menyatakan bahwa tingkat kesadaran anak asuh dalam menjaga kesehatan gigi dan mulut rendah dan belum memiliki program pemeriksaan khusus terkait kesehatan gigi dan mulut. Penelitian ini bertujuan menganalisis apakah terdapat peningkatan pengetahuan anak di Panti Asuhan Baitus Syukur setelah dilakukan penyuluhan mengenai kesehatan gigi dan mulut. Jenis penelitian ini adalah eksperimen quasi dengan metode pre and post-test pada Maret–April 2021. Penelitian ini menggunakan total populasi anak di Panti Asuhan Baitus Syukur yang berjumlah 24 orang. Data dianalisis menggunakan Uji Wilcoxon pada derajat kepercayaan 95% menunjukkan bahwa secara statistik, terdapat perbedaan yang signifikan antara nilai sebelum dan setelah pemberian materi penyuluhan pada  partisipan dengan p=0,003 (p≤0,05). Simpulan, terdapat peningkatan pengetahuan  anak mengenai kesehatan gigi dan mulut di Panti Asuhan Baitus Syukur setelah dilakukan penyuluhan.
Religiosity and Stress on Nurses during COVID-19 Pandemic at a Hospital in Bandung Siska Nia Irasanti; Rizki Perdana; Dhian Indriasari; Yuniarti Yuniarti; Ahmad Kamil; Wellisna Merduani
Global Medical & Health Communication (GMHC) Vol 10, No 1 (2022)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (201.524 KB) | DOI: 10.29313/gmhc.v10i1.8573

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The problem of the coronavirus disease 2019 (COVID-19) pandemic has resulted in changes in various aspects of life, primarily related to health services. All health workers involved in handling COVID-19 are likely to experience psychological pressure in treating COVID-19 patients with an increasing number of patients. The correlation between religiosity is expected to guide an individual in interacting in the work environment, including in health services and managing stress on nurses. This study aimed to analyze the correlation between religiosity and stress at work during the COVID-19 pandemic in nurses. This research is an observational analytic with a cross-sectional approach. Primary data was obtained from a questionnaire to 78 nurses in the COVID-19 ward at a hospital in Bandung in August 2021. The Pearson correlation test analysis results showed a significant correlation between religiosity and stress. Religious maturity can influence a person's level of mental maturity. It can give a feeling of peace in the heart so that a person can avoid feeling restless and anxious about the problems faced without stress.
Pengaruh Inovasi Jasa dan Harga terhadap Nilai yang Dirasakan Pasien di Stroke Center RS Al-Islam Bandung Siska Nia Irasanti; Yudi Azis; Wawang S. Sukarya
Global Medical & Health Communication (GMHC) Vol 3, No 1 (2015)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2897.981 KB) | DOI: 10.29313/gmhc.v3i1.1544

Abstract

Rumah sakit sebagai salah satu industri jasa harus dapat menghasilkan produk barang maupun jasa dengan kualitas yang baik. Tujuan penelitian ini adalah ingin mengetahui pengaruh inovasi jasa dan harga pada nilai yang dirasakan pasien di Stroke Center RS Al Islam Bandung. Penelitian ini merupakan penelitian observasional analitik dengan pendekatan survei. Waktu penelitian selama bulan November–Desember tahun 2015. Populasi dan sampel yang digunakan dalam penelitian ini adalah pasien Stroke Center RS Al-Islam Bandung. Jumlah sampel sebanyak 256 responden dan dikumpulkan dengan teknik accidental sampling. Alat pengambil data yang digunakan adalah kuesioner dan wawancara. Pengolahan data dilakukan dengan menggunakan structural equation modelling (SEM) dengan LISREL versi 8.80. Hasil penelitian ini menunjukkan terdapat pengaruh positif yang secara statistik bermakna (kategori kekuatan sedang) variabel inovasi jasa dan harga terhadap nilai yang dirasakan pasien di Stroke Center RS Al-Islam Bandung secara parsial sebesar 20,25% (t hitung 2,20 dan 1,98 > tabel=1,98 dan α=0,05) dan secara simultan sebesar 44,3% (F=0,001<F tabel=0,005 dengan α=0,05). Walaupun demikian, masih ada faktor lain yang memengaruhi nilai yang dirasakan di Stroke Center RS Al-Islam Bandung dan tidak diteliti dalam penelitian ini sebesar 55,7%. Simpulan, kondisi inovasi jasa sangat inovatif, kondisi harga pada kategori murah, sedangkan kondisi nilai yang dirasakan pasien pada kategori baik. Inovasi jasa dan harga berpengaruh sedang dalam meningkatkan nilai yang dirasakan pasien di Stroke Center RS Al-Islam. THE EFFECT OF SERVICES INNOVATION AND PRICE TO THE COSTUMER PERCEIVED VALUE AT STROKE CENTER BANDUNG AL-ISLAM HOSPITALHospital as one of service industry need to produce good services. The aim of this study was to describe the effects of service innovation and price on customer perceived value in Stroke Center of Al-Islam Hospital, Bandung. This was an analytical observational study using survey. Subjects were 256 patients in Stroke Center of Al-Islam Hospital, Bandung using accidental sampling method. Data were collected through questionnaires and interviews. Analysis used structural equation modeling (SEM) with LISREL version 8.80. The results of this study showed that service innovation and price had positive and significant influence (moderate effects) to customer perceived value in Stroke Center of Bandung Al-Islam Hospital. The partially influence was detected at 20,25% (t value 2,20 and 1,98 > t table=1,98 with α=0,05) and the simultaneous influence was 44.3% (F significance=0.001 <F table=0.005 with α=0.05). There were another influencing factors that affected customer perceived value in Stroke Center of Bandung Al-Islam Hospital by 55,7%. In conclusions, service innovation is very innovative, price condition is in cheap category and customer perceived value is in good categor. Services innovation and price have moderate effect to the customer perceived value at Stroke Center Bandung Al-Islam Hospital.
A nationwide survey of psychological distress among Indonesian residents during the COVID-19 pandemic Titik Respati; Siska Nia Irasanti; Dewi Sartika; Ieva Baniyah Akbar; Roy Rillera Marzo
International Journal of Public Health Science (IJPHS) Vol 10, No 1: March 2021
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v10i1.20609

Abstract

The Coronavirus disease (COVID-19) has become a public health emergency. The speed at which COVID-19 become pandemic and spread all over the world is alarming. A critical aspect of this type of pandemic is on the mental health of the community. This survey aimed to describe psychological distress in Indonesia's general population during the COVID-19 pandemic. Data collection began on 1st April 2020 to 30th April 2020. An online survey using Google Form with snowball sampling method used in this study. A modified version of the COVID-19 peri-traumatic distress index (CPDI) with 24 items used. The survey questionnaire included socio-economic and demographic variables. The study's total responses were 1,287, with 33 excluded from the analysis because of incomplete responses or not meeting inclusion criteria. Results showed that 63.5% of respondents reported having normal or no distress, 34% were having mild to moderate levels of distress, and 2.8% having severe distress. Age is the only variable that correlates with the level of distress. Healthcare workers and the general population showed no significant differences in the level of distress. During the early break of the COVID-19 pandemic, around 40% of respondents rated their psychological state having moderate to severe distress. These findings can be used to develop better psychological intervention measures and prevention of mental health during the pandemic.
Implementation of Importance-Performance Analysis (IPA) for Improving Medical Students’ Quality of Service in Teaching Hospital Siska Nia Irasanti; Ieva Baniasih Akbar; Yani Dewi Suryani
Global Medical & Health Communication (GMHC) Vol 8, No 1 (2020)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (295.865 KB) | DOI: 10.29313/gmhc.v8i1.5863

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One of the most relevant elements for improving the quality of an organization is the recognition of customer satisfaction and perceived quality of services. During their clerkship, medical students are required to work with different medical specializations in rotation and treat patients under the supervision of the attending physicians. The purpose of the study is to explore the medical students' quality of service using the importance-performance analysis (IPA) diagram that focused on the conformance level (CLi) between the actual service performance score and patient expectation score. This was a cross-sectional study involving 160 patients and patient caregivers at the Department of Pediatric of West Java Provincial Al-Ihsan Regional General Hospital Bandung, who was a purposive sampling method to participate in the study during January 2018. Results showed that the total CLi was less than 100%. The CLi scores for responsiveness, empathy, assurance, and reliability components were 84.57%, 84%, 83.56%, and 83.45%, respectively. It can be concluded that the services provided were good, but have not yet been able to meet the expectation of the patients. Overall, the IPA is useful to identify areas for strategic focus in improving the quality of services provided by medical students to help the hospital managers and faculty of medicine develop education management strategies. PENERAPAN IMPORTANCE-PERFORMANCE ANALYSIS (IPA) UNTUK MENINGKATKAN KUALITAS PELAYANAN MAHASISWA SELAMA KEPANITERAAN DI RUMAH SAKIT PENDIDIKANSalah satu elemen yang paling relevan untuk meningkatkan kualitas organisasi adalah mengetahui kepuasan dan kualitas layanan yang dirasakan oleh konsumen. Selama kepaniteraan, mahasiswa kedokteran diwajibkan untuk berotasi melalui berbagai spesialisasi medis dan merawat pasien di bawah pengawasan dokter. Tujuan penelitian ini mengetahui kualitas pelayanan mahasiwa kedokteran dengan menggunakan diagram importance-performance analysis (IPA) yang berfokus pada tingkat kesesuaian (Tki) antara skor kinerja layanan aktual dan skor harapan pasien. Penelitian ini merupakan penelitian cross-sectional yang melibatkan 160 pasien dan penunggu pasien di Departemen Ilmu Kesehatan Anak di RSUD Al-Ihsan Provinsi Jawa Barat Bandung dengan metode purposive sampling selama bulan Januari 2018. Hasil penelitian menunjukkan bahwa total Tki kurang dari 100%. Skor Tki untuk komponen respons, empati, assurance, dan reliabilitas masing-masing adalah 84,57%, 84%, 83,56%, dan 83,45%. Dapat disimpulkan bahwa faktor layanan yang diberikan baik, tetapi belum memenuhi harapan pasien. Meskipun demikian, IPA berguna untuk mengidentifikasi area untuk fokus strategis dalam meningkatkan kualitas layanan yang diberikan mahasiswa kedokteran untuk membantu manajer rumah sakit dan fakultas kedokteran mengembangkan strategi manajemen pendidikan.
Factors Affecting Surgical Waiting Time in Cancer Patients at Referral Hospitals of West Java Province Yuli Susanti; Siska Nia Irasanti; Ieva Baniasih Akbar; Wawang S. Sukarya
Global Medical & Health Communication (GMHC) Vol 8, No 2 (2020)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (283.01 KB) | DOI: 10.29313/gmhc.v8i2.6201

Abstract

A challenge for hospitals in facing the high number of patient visits is to provide quality services. One of the vital services in dealing with patients, especially those who will have cancer surgery considering the high rate of mortality cancer, is an improvement in waiting time (WT). Waiting time for elective surgery is one indicator of service quality with a standard of ≤2 days. This research aimed to determine the average WT for surgery, influencing factors, and optimal queuing models. The method used was quantitative and qualitative methods applied to 207 samples with consecutive sampling at West Java Provincial Al-Ihsan Regional General Hospital Bandung from October to December 2016. The analysis used partial least squares (PLS). The results of the study showed that the average WT for surgery was 32 days. Factors that influence WT were inpatient rooms, number of medical personnel, condition of patients, and health insurance. The optimal queue model to reduce surgical waiting time are adding inpatient beds, oncologist doctor, and creating an online system for registration and confirmation of inpatient rooms and operating. FAKTOR YANG MEMENGARUHI WAKTU TUNGGU OPERASI PASIEN KANKER DI RUMAH SAKIT RUJUKAN JAWA BARATTantangan bagi rumah sakit dalam menghadapi jumlah kunjungan pasien yang tinggi adalah mampu memberikan pelayanan berkualitas. Salah satu pelayanan signifikan bagi pasien kanker yang akan menjalani operasi adalah perbaikan waktu tunggu karena mortalitas pasien kanker yang tinggi. Waktu tunggu operasi elektif merupakan salah satu indikator mutu pelayanan dengan standar ≤2 hari. Penelitian bertujuan mengetahui waktu tunggu operasi rerata, faktor yang memengaruhi, dan model antrean yang optimal. Metode yang digunakan adalah kuantitatif dan kualitatif yang diterapkan pada 207 sampel secara consecutive sampling di RSUD Al-Ihsan Provinsi Jawa Barat Bandung dari Oktober hingga Desember 2016. Analisis menggunakan partial least squares (PLS). Hasil penelitian menunjukkan bahwa waktu tunggu operasi rerata adalah 32 hari. Faktor yang berpengaruh terhadap waktu tunggu operasi adalah ruang rawat inap, jumlah tenaga medis, kondisi pasien, dan jaminan kesehatan. Model antrean yang optimal untuk menurunkan waktu tunggu operasi adalah penambahan tempat tidur rawat inap, penambahan dokter spesialis bedah onkologi, serta pembuatan sistem daring untuk pendaftaran dan konfirmasi kesiapan ruang rawat inap dan ruang operasi.
Correlations between a Smoking Habit and Teeth, Gums and Lips Discoloration Issues on Active Smoker Caecielia Makaginsar; Yuniarti Yuniarti; Siska Nia Irasanti; Aliya Salsabila; Tannia Kusumawardhani
Global Medical & Health Communication (GMHC) Vol 10, No 1 (2022)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1508.937 KB) | DOI: 10.29313/gmhc.v10i1.8190

Abstract

According to the Central Statistics Agency, the percentage of smokers among Indonesians aged 15 years is relatively high. It was 32.20%, 29.03%, and 28.69%, in 2018, 2019, and 2020 respectively. Cigarettes contain tar that changes into a solid and builds up colored plaque when entering the mouth. Perpetual cigarette smoke causes brown pigmentation on the mucosa, known as smoker's melanosis. Smoker's melanosis is abundant in gums and lips. This study's objective was to analyze the correlations between a smoking habit with teeth, gums, and lips discoloration in an active smoker. This study was an observational analysis with a survey approach from January to May 2021 in Bandung. The sample was 100 males, consisting of 38 active smokers and 62 non-smokers as a comparison group. Data were analyzed by Pearson and Spearman test. This study shows a significant correlation between smoking habit and teeth discoloration (p=0.01), also shows a statistically significant correlation between a smoking habit and gum discoloration (p=0.00), and there is a significant correlation (p=0.00) between a smoking habit and lips discoloration. In conclusion, there is a correlation between a smoking habit and teeth, gums, and lips discoloration.