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Jurnal Aisyah : Jurnal Ilmu Kesehatan

jika
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Published by Universitas Aisyah Pringsewu

ISSN : 25024825 EISSN : 25029495 DOI : 10.30604/jika

Core Subject : Health,

Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

Jurnal Aisyah: Jurnal Ilmu Kesehatan (JIKA), with registered number ISSN 2502-4825 (Print) and ISSN 2502-9495 (Online), is an international peer-reviewed journal published two times a year (June and December) by Universitas Aisyah Pringsewu (UAP) Lampung. JIKA is intended to be the journal for publishing articles reporting the results of research on Health Science field especially Nursing and Midwifery, as well as with their development through interdisciplinary and multidisciplinary approach. The submission process of the manuscript is open throughout the year. All submitted manuscripts will go through the blind peer review and editorial review before being granted with acceptance for publication.

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Search results for , issue "Vol 6, No 4: December 2021" : 42 Documents clear

Analysis Autocorrelation Spatial Diarrhea, Typhoid and Leptospirosis on The East Flood Canal, Semarang City: Moran Index Method Fikri, Elanda; Firmansyah, Yura Witsqa; Ramadhansyah, Muhammad Fadli; Husna, Riyana; Widyantoro, Wahyu; Lewinsca, Maurend Yayank; Arumdani, Intan Sekar; Berlian, Alifia Intan; Novitasari, Karina Laras; Mahendra, Pasha Dwi
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 4: December 2021
Publisher : Universitas Aisyah Pringsewu

Waterborne disease is a disease with water-borne media. The waterborne disease can occur when people come into contact with water that is high in Escherichia coli (a pathogen that causes diarrhea), Salmonella (a pathogen that causes typhoid) and leptospira (a pathogen that causes leptospirosis). This study aims to provide information on the relationship and distribution pattern between canal water consumption and the incidence of waterborne diseases using spatial autocorrelation analysis using the Moran index method. This research is development research with a spatial approach and the Moran index method. From the results of the Moran index autocorrelation, diarrhea has a value of Z(I) = 0.085786 less than Z0.95 = 1.645, which means that there is no spatial autocorrelation, but the distribution pattern is positive so that it is clustered. Typhoid has a value of Z(I) = -0.015495 less than Z0.95 = 1.645, which means that there is no spatial autocorrelation, the distribution pattern is negative and random. While leptospirosis has a value of Z(I) = 0.014872 less than Z0.95 = 1.645, meaning that it has no spatial autocorrelation, the distribution pattern is positive with a clustered form. Efforts are needed for the participation of the Semarang City government in providing access to clean water in several urban areas of Semarang City, assessing parameters and processing water for the East Flood Canal. Penyakit yang ditularkan melalui air adalah penyakit dengan media yang terbawa air. Penyakit yang ditularkan melalui air dapat terjadi ketika orang bersentuhan dengan air yang tinggi Escherichia coli (patogen penyebab diare), Salmonella (patogen penyebab tifus) dan leptospira (patogen penyebab leptospirosis). Penelitian ini bertujuan untuk memberikan informasi tentang hubungan dan pola distribusi antara konsumsi air saluran dengan kejadian penyakit yang ditularkan melalui air menggunakan analisis autokorelasi spasial menggunakan metode indeks Moran. Penelitian ini merupakan penelitian pengembangan dengan pendekatan spasial dan metode indeks Moran. Dari hasil autokorelasi indeks Moran, diare memiliki nilai Z(I) = 0085786 kurang dari Z0,95 = 1,645 yang artinya tidak terdapat autokorelasi spasial tetapi pola distribusinya positif sehingga mengelompok. Tifus memiliki nilai Z(I) = -0,015495 kurang dari Z0,95 = 1,645 yang berarti tidak terdapat autokorelasi spasial, pola sebarannya negatif dan acak. Sedangkan leptospirosis memiliki nilai Z(I) = 0,014872 kurang dari Z0,95 = 1,645 artinya tidak memiliki autokorelasi spasial, pola sebarannya positif dengan bentuk mengelompok. Diperlukan upaya peran serta Pemerintah Kota Semarang dalam penyediaan akses air bersih di beberapa wilayah perkotaan Kota Semarang, pengkajian parameter dan pengolahan air untuk Kanal Banjir Timur.

Motivation and Workload of Nurses with Nurse Performance in Handling Events of Corona Virus (Covid-19) Zainaro, M Arifki; Ridwan, Ridwan; Isnainy, Usastiawaty Cik Ayu Saadiah
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 4: December 2021
Publisher : Universitas Aisyah Pringsewu

Coronavirus Disease 2019 (COVID-19) is a new type of disease that has never been previously identified in humans. The virus that causes COVID-19 is called Sars-CoV-2. As part of the front line in dealing with COVID-19 cases, many health care workers experience fatigue both physically and mentally. Their high workload in handling COVID-19 cases, the scarcity of Personal Protective Equipment (PPE) facilities and insufficient nutritional needs, decrease their immunity, so the risk of contracting the virus increases. To determine the relationship between motivation and workload of nurses and the performance of nurses in handling the coronavirus (COVID-19) incident at Pertamina Bintang Amin Hospital, Bandar Lampung. This type of research is a quantitative, research design analytic survey with a cross-sectional approach. The population and sample of this study were all nurses who served in the inpatient room of Pertamina Bintang Amin Hospital, Bandar Lampung, with as many as 58 respondents. Results Of the 58 respondents, the motivation and workload that were said to be poor with the performance of nurses were 21 respondents (36.2%), while the motivation and workloads that were said to be good with the performance of nurses were 37 respondents (63.8%). The results of statistical tests showed that the p-value = 0.003 was smaller than the alpha value (p less than 0.05). There is a significant relationship together between motivation and workload with the performance of nurses in handling the coronavirus (COVID-19) incident at Pertamina Bintang Amin Hospital, Bandar Lampung. It is hoped that the hospital management will continue to maintain the level of motivation for health workers, especially nurses, to get additional incentives for nurses and workloads to take time off for nurses who work during working hours and the performance of nurses in carrying out actions in accordance with the SOP for patients suffering from Covid 19.

Implementation of Patient Safety in Hospitals: A Qualitative Study Magdalena M. Tompunuh; Sri Sujawaty
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 4: December 2021
Publisher : Universitas Aisyah Pringsewu

The implementation of patient safety programs is an important thing to do to minimize medical errors, increase health costs and improve the quality of health services. This study qualitatively analyzes the implementation of the patient safety program performed by referring to the 6 target indicators of patient safety. The approach used is a case study design involving 10 informants to be interviewed and observation and document tracing. The results showed that in the implementation of the patient safety program, there were several obstacles, namely ineffective communication due to the instruction provider not reconfirming the instructions given to the implementing nurse. The officers also forgot the position of the drugs to be wary of, and some officers were still found to be negligent in washing their hands. In terms of preventing the risk of falls, collaboration and communication between staff and the patient's family has not been effective. The most basic thing to be immediately addressed is the adequacy of human resources so that a lower workload can optimize the performance of officers in implementing a patient safety culture. Additionally, increasing understanding can be done by providing continuous education and training to health workers.Penerapan program keselamatan pasien menjadi hal yang penting dilaksanakan guna meminimalisir kesalahan tindakan medis, pembengkakan biaya kesehatan dan peningkatan kualitas layanan kesehatan. Studi ini bertujuan menganalisis secara kualitatif mengenai pelaksanaan program keselamatan pasien yang telah dijalankan dengan mengacu pada 6 indikator sasaran keselamatan pasien. Pendekatan yang digunakan adalah rancangan studi kasus yang melibatkan 10 orang informan untuk diwawancarai serta observasi dan penelusuran dokumen. Hasil penelitian menunjukkan bahwa dalam pelaksanaan program keselamatan pasien terdapat beberapa kendala yakni komunikasi yang kurang efektif akibat pemberi instruksi tidak melakukan konfirmasi ulang kembali terkait instuksi yang diberikan kepada perawat pelaksana. Petugas juga lupa penempatan posisi obat-obat yang diwaspadai, dan masih dijumpai beberapa petugas lalai dalam mencuci tangan. Dalam hal pencegahan risiko jatuh, kolaborasi dan komunikasi antara petugas dan keluarga pasien belum efektif. Hal paling mendasar untuk segera dibenahi adalah kecukupan SDM sehingga beban kerja yang lebih rendah mampu mengoptimalkan kinerja petugas dalam menerapkan budaya keselamatan pasien. Selain itu peningkatan pemahaman dapat dilakukan dengan memberikan edukasi dan pelatihan berkelanjutan pada petugas kesehatan.

The Relationship of Triage Competence with The Performance of Emergency Room Nurses at General Hospitals Rahmad, Muhamad Nur; Ahsan, Ahsan; Utami, Yulian Wiji
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 4: December 2021
Publisher : Universitas Aisyah Pringsewu

Triage assessment unsuitable with patient conditions has a risk of increasing pain level, disability, and death. It causes nurses to perform non-optimal emergency nursing care for patients. This study aimed to analyze triage competency factors affecting ER nurse performance in performing emergency nursing care. The current study used the analytic observational design. The study was performed at ER of RSUD Bahteramas and RSUD Kendari City from 1 March – 7 April 2021, with all ER nurses as the samples. Total sampling was applied to obtain 55 nurses. Data analysis was conducted using the Rank Spearman and ordinal logistic regression tests. The study result shows a relationship between triage knowledge and skills with ER nurse performance in performing emergency nursing care with a p-value of 0.533. The most dominant factor affecting ER nurse performance in performing emergency nursing care was skills, with an odds ratio of 4.61. Penilaian triase yang tidak sesuai dengan keadaan pasien memiliki resiko dalam meningkatkan angka kesakitan, kecacatan bahkan kematian pasien sehingga membuat kinerja perawat tidak maksimal dalam melakukan asuhan kegawatan bagi pasien. Penelitian ini bertujuan untuk menganalisis faktor kompetensi triage yang mempengaruhi kinerja perawat IGD dalam melakukan askep kegawatdarurata. Penelitian ini menggunakan desain observational analitik yang telah dilaksanakan di ruang IGD RSUD Bahteramas dan RSUD Kota Kendari pada 1 maret - 7 april 2021, dengan sampel semua perawat yang bertugas diruang IGD. Teknik sampling menggunakan total samping dengan jumlah responden 55 Perawat. Analisa data menggunakan uji rank spearman dan uji regresi logistik ordinal. Hasil penelitian menunjukkan ada hubungan pengetahuan triage, keterampilan triage dengan kinerja perawat IGD dalam melakukan askep kegawatdaruratan dengan p-value 0,021 dan 0,000 dan tidak ada hubungan sikap triage dengan kinerja perawat IGD dalam melakukan askep kegawatdaruratan dengan p-value 0,533. Faktor paling dominan berpengaruh terhadap kinerja perawat IGD dalam melakukan askep kegawatdaruratan adalah keterampilan dengan nilai odds ratio paling besar yaitu 4,61.

Comparative Analysis of Consumption Methods and Minimum Maximum Stock Level (MMSL) in Improving the Efficiency and Effectiveness Inventory of Antibiotic Drugs at Aisyiyah Hospital Bojonegoro Wijayanto, Pramono Apriawan; Sriatmi, Ayun; Jati, Sutopo Patria
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 4: December 2021
Publisher : Universitas Aisyah Pringsewu

Antibiotic spending at the Aisyiyah Hospital Pharmacy Installation showed a value of IDR 6,045,618,320.00 in 2018 increased to IDR 5,043,476,179.00 in 2019, and there were still often vacancies and excess stock. This study aimed to compare the efficiency and effectiveness parameters of planning consumption methods with simulation results using the Minimum-Maximum Stock Level (MMSL) method for antibiotic drug types. Study samples were 17 types of antibiotic drugs category A obtained from ABC analysis, the inclusion criteria of drugs with high cost, high volume, and clinically important drugs, and the exclusion criteria were drugs with unstable supply. The results showed that there were significant differences in inventory value, ITOR, death stock, and stock out when controlling drug supplies by applying the MMSL method. The inventory value when applying the MMSL method decreased to IDR 503,938.00 with a p-value of 0.000 less than 0.05, while the ITOR value increased to 32.40 with a p-value = 0.030 less than 0.05, the number of death stocks decreased to 97 items of antibiotics with a p-value of 0.048 less than 0.05, while the value of stock-outs is empty or zero stock out with a value of p = 0.004 less than 0.05. Aisyiyah Hospital, Bojonegoro, should carry out the process of antibiotic drugs planning by applying an integrated Management Information System (MIS) so that the data on supplies use and stock is accurate.Nilai belanja antibiotik di IFRS Aisyiyah Bojonegoro menunjukkan sebesar Rp. 6.045.618.320,00 (2018) meningkat menjadi sebesar Rp. 5.043.476.179,00 (2019), dan masih sering terjadi kekosongan stok dan stok yang berlebih. Penelitian ini bertujuan membandingkan parameter efisiensi dan efektivitas perencanaan metode konsumsi dengan hasil simulasi menggunakan metode Minimum-Maximum Stock Level (MMSL) untuk jenis obat antibiotika. Sampel penelitian adalah 17 jenis obat antibiotika kategori A hasil analisa ABC, dengan kriteria inklusi adalah obat high cost, high volume, clinically important drug, serta kriteria eksklusi adalah obat dengan pasokan yang tidak stabil. Hasil penelitian menunjukkan terdapat perbedaan yang signifikan pada nilai persediaan, ITOR, death stock, dan stock out saat pengendalian persediaan obat dengan menerapkan metode kosumsi dengan metode MMSL. Nilai persediaan saat menerapkan metode metode MMSL menurun sebesar Rp. 503.938,00 dengan nilai p = 0,000 kurang dari 0,05, nilai ITOR meningkat mencapai 32,40 dengan nilai p = 0,030 kurang dari 0,05, jumlah death stock mengalami penurunan menjadi 97 item antibiotik dengan nilai p = 0,048 kurang dari 0,05, serta nilai stock out adalah kosong atau nol stock out dengan nilai p = 0,004 kurang dari 0,05. Rumah Sakit Aisyiyah Bojonegoro perlu melaksanakan proses perencanaan antibiotik melalui Sistem Informasi Manajemen (SIM) yang terintegrasi agar data pemakaian dan stok persediaan akurat.

The Effect of Management Practices on Improving the Quality of Services Through Integrated Infrastructure Practices of EFQM and Six Sigma Public Health Center in Jambi Province Noerjoedianto, Dwi; Amir, Andy; Subandi, Andi
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 4: December 2021
Publisher : Universitas Aisyah Pringsewu

This study aims to analyze the effect of management practices on improving service quality through the practice of integrated infrastructure EFQM and Six Sigma Public Health Center (PHC) in Jambi Province. This research is a quantitative research using a cross sectional design approach through two stages of research. The research data was obtained using a questionnaire from a sample of 560 civil servant employees in 24 PHCs that were randomly selected and analyzed by second order using Smart-PLS 3.0. The results of the study found that the implementation of management practices, infrastructure practices had a fairly good average by employees and each had a direct effect on the quality of PHC services. The practice of core infrastructure is able to partially mediate between management practices and the quality of PHC services. However, in practice, not all PHCs have implemented quality management practices.

Risk Management of Occupational Safety and Health (K3) Against B3 Medical Waste Management at the Regional Hospital of Kotabumi North Lampung Regency, Indonesia Trigunarso, Sri Indra
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 4: December 2021
Publisher : Universitas Aisyah Pringsewu

The implementation of Occupational Health and Safety is an endeavor to provide a safe, healthy, and pollution-free work environment in order to decrease or eliminate work accidents and occupational diseases, which can boost efficiency and production (sustainable, 2014). The level of occupational safety and health risk that waste management officers face from tasks such as selection, freight, and storage. This is a qualitative sort of research that uses the process of in-depth understanding of a topic by looking at it for generalization research (Drs. Sumanto, M.A., 1995). B3 medical waste management officers at regional hospitals face a high level of workplace safety and health risks, according to the researcher. The risk assessment is made up of the following items based on the results of the hazard identification: selection of hospital medical waste with the greatest risk of being exposed to sharp items, with a value/score of (16) indicating a high-risk Muscle and bone injuries are the highest risk in hospital medical waste freight, with a score of (12) with High Risk, and bad smell is the highest risk in unwell medical waste storage, with a score of (15) with High Risk. Risk Analysis: Selection of Hospital Medical Waste from each waste-producing room (Exposed to sharp items) and Hazardous Waste Storage are two risk statements and the statement with the highest cause in Risk Analysis (Respiratory Disorders). Evaluation of the effect of the Highest Opportunity Risk (Likelihood) x Impact (Consequence) on waste storage (bad smell) and hospital medical waste selection from each waste generating room (Exposed to Sharp Objects). Suggestions for research; adequately supervise so that things don't happen that could be really hazardous (very high). Hospitals can issue a warning or sanctions to officers who manage solid medical waste improperly.Pelaksanaan Keselamatan dan Kesehatan Kerja (K3) merupakan upaya untuk menciptakan lingkungan kerja yang aman, sehat, bebas dari pencemaran lingkungan, sehingga dapat mengurangi dan atau terbebas dari kecelakaan kerja dan penyakit akibat kerja yang pada akhirnya dapat meningkatkan efisiensi serta meningkatkan produktivitas kerja (lestari, 2014). Besarnya tingkat risiko keselamatan dan kesehatan kerja terhadap penyakit akibat kerja yang dapat terjadi pada petugas pengelolaan limbah dari kegiatan pemilihan, pengangkutan, dan penyimpanan. Jenis penelitian ini adalah bersifat kualitatif dengan metode pemahaman secara mendalam terhadap suatu masalah dari melihat permasalahan untuk penelitian generalisasi (Drs. Sumanto. M.A.,1995) peneliti ingin mengetahui besarnya tingkat risiko keselamatan dan kesehatan kerja terhadap petugas pengelolaan limbah medis B3 di Rumah Sakit Daerah. Dari hasil Identifikasi bahaya penilaian risiko terdiri dari: Pemilihan limbah medis Rumah Sakit terdapat risiko tertinggi adalah terkena benda tajam dengan nilai/skor (16) dengan risiko High, Pengangkutan Limbah medis Rumah Sakit terdapat risiko tertinggi adalah Cidera oror dan tulang dengan nilai/skor (12) dengan Risiko High, dan Penyimpanan Limbah Medis Sakit terdapat risiko tertinggi adalah Bau Tidak Sedap dengan nilai/skor (15) dengan Risiko High. Analisis Risiko terdapat 2 pernyataan risiko dan pernyataan yang paling tinggi penyebabnya yaitu, Pemilihan Limbah Medis Rumah Sakit dari setiap ruangan penghasil limbah (Terkena benda tajam), dan Penyimpanan Limbah B3 (Gangguan Pernafasan). Evaluasi dampak Risiko Peluang (Likehood) x Dampak (Consequance) yang tertinggi pada Penyimpanan Limbah (Bau Tidak Sedap) dan Pemilihan Limbah Medis Rumah Sakit Dari Setiap Ruangan Penghasil Limbah (Terkena Benda Tajam). Saran penelitian; melakukan pengawasan dengan baik agar tidak terjadi hal-hal yang dapat menimbulkan risiko yang sangat tinggi (Very High). Pihak Rumh Sakit dapat memberikan teguran atau peringatan serta sanksi agar petugas bersikap baik dalam penanganan limbah medis padat.

Effectiveness of Aromatherapy Against Nausea and Vomiting in Patients Cancer Undergoing Chemotherapy: Literature Review Magenda Bisma Yudha; Sri Nabawiyati Nurul Makiyah
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 4: December 2021
Publisher : Universitas Aisyah Pringsewu

Cancer became the second leading cause of death in the world at about 9.6 million deaths in 2018. One of the most common treatments is chemotherapy. Chemotherapy has side effects such as nausea vomiting, stomatitis, anorexia, bone marrow damage, and alopecia. Treatment of vomiting nausea can be done through non-pharmacological therapy, namely by using aromatherapy. The review aims to find out and synthesize the scientific literature on the effectiveness of aromatherapy against nausea and vomiting in cancer patients undergoing chemotherapy. The literature search method uses the electronic databases PubMed, Proquest, Science Direct, and Google Scholar using search keywords: cancer + chemotherapy + aromatherapy + nausea + vomiting; cancer AND chemotherapy OR aromatherapy AND nausea AND vomiting. Out of a total of 3946 articles found, 30 were determined from the results of matching the title with the abstract. After removing duplicate articles, each abstract article is evaluated. The next 23 articles were obtained, read in full, and searched for relevant articles. Selected 8 articles used to be included in the final data set. A total of 8 articles use aromatherapy from various types of herbal medicinal plants such as lavender, ginger, and peppermint.. The conclusion is that aromatherapy has been shown to be effective for reducing symptoms of nausea and vomiting in cancer patients undergoing chemotherapy.Kanker menjadi penyebab kematian kedua di dunia sekitar 9,6 juta kematian pada 2018. Salah satu perawatan yang paling umum adalah kemoterapi. Kemoterapi memiliki efek samping seperti mual muntah, stomatitis, anoreksia, kerusakan sumsum tulang, dan alopecia. Pengobatan mual muntah dapat dilakukan melalui terapi non-farmakologis, yaitu dengan menggunakan aromaterapi. Tinjauan ini bertujuan untuk mencari tahu dan mensintesis literatur ilmiah tentang efektivitas aromaterapi terhadap mual dan muntah pada pasien kanker yang menjalani kemoterapi. Metode pencarian literatur menggunakan database elektronik PubMed, Proquest, Science Direct, dan Google Scholar menggunakan kata kunci pencarian: cancer + chemotherapy + aromatherapy + nausea + vomiting; cancer AND chemotherapy OR aromatherapy AND nausea AND vomiting. Dari total 3946 artikel yang ditemukan, 30 artikel ditentukan dari hasil pencocokan judul dengan abstrak. Setelah menghapus artikel duplikat, setiap artikel abstrak dievaluasi. 23 artikel berikutnya diperoleh, dibaca secara lengkap, dan mencari artikel yang relevan. Dipilih 8 artikel yang digunakan untuk dimasukkan dalam kumpulan data akhir. Sebanyak 8 artikel menggunakan aromaterapi dari berbagai jenis tanaman obat herbal seperti lavender, ginger, dan peppermint. Kesimpulannya adalah aromaterapi telah terbukti efektif untuk mengurangi gejala mual dan muntah pada pasien kanker yang menjalani kemoterapi.

Hubungan Faktor Cuaca dengan Kejadian Demam Berdarah di Kabupaten Bantul Wahyu Widyantoro; Nurjazuli Nurjazuli; Yusniar Hanani Darundianti
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 4: December 2021
Publisher : Universitas Aisyah Pringsewu

Dengue hemorrhagic fever (DHF) is still becoming epidemic stage in Indonesia. Climate and weather are variable that determine ecological aspect. The ecological aspect consist of DHF. The aim of this research is to analyze the association betwen climate factors (humidity, temperature, rainfall) and dengue cases in Bantul Regency during 2016–2020. This research is quantitative using an ecology time-series study approach. The data analysis used in this study was univariate and bivariate analysis using the Spearman-rho correlation test by testing the relationship between the variables of temperature, humidity, rainfall, and the incidence of DHF. The temperature variable shows a significant value, and the correlation coefficient value will be stronger if the temperature fluctuations in the previous two months (lag 2) are associated with the incidence of DHF. The value of p (0.0000) less than (0.05) with a value of r = 0.515. The humidity variable, the significance value and the correlation coefficient value will be stronger if the fluctuation of air humidity in the previous month (lag 1) is associated with the incidence of DHF. The value of p (0.001) less than (0.05) with a value of r = 0.417. The rainfall variable, the significance value and the correlation coefficient value only showed that in the previous two months (lag2), it was associated with the incidence of DHF, p-value (0.0023) less than (0.05) with r=0.299. The increase in the incidence of DHF in Bantul Regency will tend to follow the fluctuation or increase in the average rainfall in the previous two months. It is an early warning that can signal that there will be an increase in cases of dengue outbreaks. Demam berdarah dengue (DBD) masih merupakan kasus penyakit endemis di Indonesia. Faktor iklim dan cuaca merupakan variabel penting dalam menentukan ekologi, perkembangan, kelangsungan hidup, dan perilaku nyamuk Aedes sebagai vektor utama DBD. Penelitian ini bertujuan untuk menganalisis hubungan antara faktor iklim (kelembaban, suhu, curah hujan) dan kasus DBD di Kabupaten Bantul selama tahun 2016–2020. Penelitian ini bersifat kuantitatif dengan menggunakan pendekatan studi ecology time series. Analisis data yang digunakan dalam penelitian ini adalah univariat dan analisis bivariate mengunakan uji korelasi Spearman-rho dengan menguji hubungan variabel suhu, kelembaban, curah hujan, dan kejadian DBD. Variabel suhu menunjukan nilai signifikansi dan nilai koefisien korelasi semakin kuat apabila fluktuasi suhu pada dua bulan sebelumnya (lag 2) dihubungkan dengan kejadian DBD. Nilai p (0,0000) kurang dari (0,05) dengan nilai r=0,515. Variabel kelembaban, nilai signifikansi dan nilai koefisien korelasi akan semakin kuat apabila fluktuasi kelembaban udara pada satu bulan sebelumnya (lag 1) dihubungkan dengan kejadian DBD. Nilai p (0,001) kurang dari (0,05) dengan nilai r=0,417. Variabel curah hujan, nilai signifikansi dan nilai koefisien korelasi hanya menunjukan pada 2 bulan sebelumnya (lag2) dihubungkan dengan kejadian DBD niilai p (0,0023) kurang dari (0,05) dengan nilai r=0,299. Peningkatan kejadian DBD di Kabupaten Bantul akan cenderung mengikuti fluktuasi atau peningkatan rata-rata curah hujan pada dua bulan sebelumnya. Perlu adanya kewaspadaan sebelum terjadinya peningkatan kasus KLB penyakit DBD.

Supporting Factors in Searching for Childbirth Assistance for the Anak Dalam Tribe (SAD) Community in Bungo Regency, Indonesia Ridwan, M; Sari, Puspita; Ningsih, Vinna Rahayu
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 4: December 2021
Publisher : Universitas Aisyah Pringsewu

Maternal mortality in Jambi Province has increased from 46 cases in 2018 to 59 cases in 2019. Childbirth out in health facilities is a specific problem in this province, especially in districts with Anak Dalam Tribe (SAD) communities, one of which is a district of Bungo. SAD residents rely more on delivery assistance and general medical treatment of their citizens to someone passed down from generation to generation called Kepaco'an, a term that residents more accept than traditional midwives. This study aims to analyse supporting factors to search for childbirth assistance in this community. The results showed that there had been a division of roles between Kepaco'an and health workers (midwives), but the midwife’s roles between Kepaco’an and health workers (midwives), but the midwife’s role was trivial. The main supporting factor is trust, where kepaco'an is passed down from generation to generation, while midwives are considered very young and inexperienced. Childbirth procedure with “jampe-jampe” makes to mother and family become calm is the next supporting factor. In addition, the cost of childbirth is cheaper and the distance to health facilities is quite far also factor in childbirth to Kepaco'an. Increasing trust in health workers is essential and cannot be ignored through a partnership pattern by assigning more experienced health workers. Continuous mentoring of SAD families with the involvement of tumenggung and Kepaco'an and shaping internal changes through midwifery education for SAD residents is an effective step in increasing childbirth with health workers, which has an impact on reducing maternal mortality in this district. Kematian ibu di Provinsi Jambi mengalami peningkatan dari 46 kasus di tahun 2018 ke 59 kasus di tahun 2019. Persalinan yang tidak dilaksanakan di fasilitas kesehatan menjadi permasalahan spesifik di provinsi ini, terutama di kabupaten yang memiliki komunitas Suku Anak Dalam (SAD), salah satunya Kabupaten Bungo. Warga SAD lebih memercayakan pertolongan persalinan dan pengobatan umum warganya kepada seseorang yang terpilih secara turun temurun yang dipanggil Kepaco’an, sebuah istilah yang lebih diterima oleh warga daripada dukun bayi. Penelitian ini bertujuan menggali lebih dalam faktor pendukung pencarian pertolongan persalinan pada komunitas ini. Hasil penelitian menunjukkan telah terdapat pembagian peran antara kepaco’an dan tenaga kesehatan (bidan), akan tetapi peran bidan sangat kecil. Faktor pendukung utama adalah kepercayaan, dimana kepaco’an terpilih secara turun temurun, sedangkan bidan dianggap masih sangat muda dan belum berpengalaman. Prosedur persalinan dengan jampe-jampe sehingga ibu dan keluarga menjadi tenang adalah faktor pendukung selanjutnya. Selain itu, biaya persalinan yang lebih murah dan jarak tempuh ke fasilitas kesehatan yang cukup jauh juga menjadi faktor persalinan dilakukan kepada kepaco’an. Meningkatkan kepercayaan kepada tenaga kesehatan menjadi hal penting yang tidak dapat diabaikan melalui pola kemitraan, tentunya dengan menugaskan tenaga kesehatan yang lebih berpengalaman. Pendampingan keluarga SAD secara kontinue dengan keterlibatan tumenggung dan kepaco’an serta membentuk perubahan internal melalui pemberian pendidikan kebidanan bagi warga SAD merupakan langkah efektif dalam peningkatan persalinan ke petugas kesehatan yang tentunya berdampak pada penurunan angka kematian ibu di kabupaten ini.

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Hamid Mukhlis

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me@hamidmukhlis.id

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Abstract

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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Hamid Mukhlis

Contact Email me@hamidmukhlis.id

Phone +6281325790254

Journal Mail Official me@hamidmukhlis.id

Editorial Address Jalan A. Yani 1A Tambahrejo Gadingrejo Kab. Pringsewu Kode Pos: 35372, Phone: 0729 7081587

Location Kab. pringsewu, Lampung INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Hamid Mukhlis

Contact Email
me@hamidmukhlis.id

Phone
+6281325790254

Journal Mail Official
me@hamidmukhlis.id

Editorial Address
Jalan A. Yani 1A Tambahrejo Gadingrejo Kab. Pringsewu Kode Pos: 35372, Phone: 0729 7081587

Location
Kab. pringsewu,

Lampung

INDONESIA