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"Vol 6 No 1 (2019): JUNI 2019 : Jurnal Kesehatan Perintis (Perintis's Health Journal)"
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<![CDATA[ANALISIS MUTU PELAYANAN PERAWAT TERHADAP KEPUASAN PASIEN RAWAT INAP KELAS III DI RUMAH SAKIT ADVENT MEDAN ]]>
<![CDATA[Joyce Yulianti Silalahi]]>;
<![CDATA[Arifah Devi Fitriani]]>;
<![CDATA[Megawati Megawati]]>
<![CDATA[ JURNAL KESEHATAN PERINTIS Vol 6 No 1 (2019): JUNI 2019 : Jurnal Kesehatan Perintis (Perintis's Health Journal) ]]>
Publisher : <![CDATA[LPPM UNIVERSITAS PERINTIS INDONESIA ]]>
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DOI: 10.33653/jkp.v6i1.165
<![CDATA[Nurse services are the most services obtained by inpatients at the hospital and important in providing patient satisfaction. The satisfaction survey for inpatients in 2017 for the period of February to April shows the lowest satisfaction rates for Class III inpatients on nurse services was 71% in April. The purpose of this study was to determine the relationship between the qualities of nurse services to the satisfaction of class III inpatients at Advent Hospital Medan. The design of this study is a quantitative analytical survey with a cross sectional approach. The population of this study was class III inpatients with an average number of 168 people each month. This research used accidental sampling technique as many as 118 people. The results of the chi-square analysis showed that the variable completeness and accuracy of information provided by nurses (p value 0,000), skilled and professional nurse variables (p value 0.019), patient variables were comfortable (p value 0,000) and patient variables avoided danger (p value 0,000) has a relationship to satisfaction. While the variable decrease in patient anxiety (p value 0.066) and friendly and empathetic nurses (p value 0.085) did not have a relationship to tsatisfaction. The results of multivariate analysis showed that the patient variables avoided danger (p = 0.009; Exp (B) 76,851) and the patient felt comfortable (p = 0.035; Exp (B) 15.308) significantly affected satisfaction. The conclusion of this study shows that efforts are needed to emphasize the implementation of patient safety while monitoring and evaluating, its implementation and to improve the ability of nurses to perform pain management. ABSTRAK Pelayanan perawat merupakan pelayanan terbanyak yang diperoleh pasien rawat inap dirumah sakit, sehingga menjadi ujung tombak pelayanan dan berperan dalam memberikan kepuasan pasien. Survey kepuasan pasien rawat inap tahun 2017 periode bulan Februari sampai April menunjukkan angka kepuasan pasien rawat inap kelas III terendah pada bulan April sebesar 71%. Penelitian ini bertujuan untuk mengetahui hubungan mutu pelayanan perawat terhadap kepuasan pasien rawat inap kelas III di Rumah Sakit Advent Medan . Metode penelitian ini adalah penelitian kuantitatif survei analitik dengan pendekatan cross sectional . Populasi penelitian adalah pasien rawat inap kelas III di Rumah Sakit Advent Medan dengan jumlah rata –rata 168 orang setiap bulan , menggunakan teknik accidental sampling sebanyak 118 orang. Hasil analisis chi square menunjukkan bahwa variabel kelengkapan dan ketepatan informasi yang diberikan perawat ( p value 0,000), variabel perawat terampil dan professional (p value 0,019) ,variabel pasien merasa nyaman (p value 0,000) dan variabel pasien terhindar dari bahaya ( p value 0,000) memiliki hubungan terhadap kepuasan pasien rawat inap kelas III RS Advent Medan. Sedangkan variabel penurunan kecemasan pasien (p value 0,066) dan perawat ramah dan empati (p value 0,085) tidak memiliki hubungan terhadap kepuasan pasien. Hasil analisis multivariat menunjukkan variabel pasien terhindar dari bahaya (p=0.009; Exp(B) 76.851) dan pasien merasa nyaman ( p=0.035; Exp(B) 15.308) berpengaruh signifikan terhadap kepuasan pasien rawat inap kelas III Rumah Sakit Advent Medan. Kesimpulan bahwa diperlukan upaya untuk menekankan pelaksanaan keselamatan pasien sembari dilakukan monitoring dan evaluasi pelaksanaannya dan diperlukan upaya untuk meningkatkan kemampuan perawat dalam melakukan manajemen nyeri.]]>
<![CDATA[PENGARUH PENGATURAN POSISI TERHADAP LAMA PEMULIHAN KEADAAN PASIEN POST OPERASI DENGAN ANESTESI UMUM DI RECOVERY ROOM RSAM BUKITTINGGI ]]>
<![CDATA[Mera Delima]]>;
<![CDATA[Kalpana Kartika]]>;
<![CDATA[Dewi Deswita]]>
<![CDATA[ JURNAL KESEHATAN PERINTIS Vol 6 No 1 (2019): JUNI 2019 : Jurnal Kesehatan Perintis (Perintis's Health Journal) ]]>
Publisher : <![CDATA[LPPM UNIVERSITAS PERINTIS INDONESIA ]]>
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DOI: 10.33653/jkp.v6i1.206
<![CDATA[Background: Surgery is an option to address disease or health problems in modern medicine practice. After the surgery, the nurse checks the patient's condition and treats it in the recovery room. The phenomenon found in the field that there are some patients in recovery room with a recovery period of more than 1 day even reach 3-4 days. The purpose of this research is to know the effect of positioning on the recovery of patient condition in recovery room. Methods: Type of pre-experimental design study, with static group comparison design (Static Group Comparison). Population were all postoperative patients with general anesthesia treated in recovery room Methods of sampling using total sampling technique, amounted to 30 people. Processing and data analysis is done computerized. Result: The univariate analysis result showed that the average recovery time of the patient who performed positioning every 15 - 30 minutes was 1.67 days, and the non-positioning was 2.73 days. Bivariate results have effect of position setting on recovery of patient condition in recovery room (p = 0,011). Conclusion and Suggestion: It is concluded that there is an effect of positioning on the recovery of the patient's condition in recovery room. It is expected that officers should make position arrangements every 15 - 30 minutes to accelerate the recovery of postoperative patients under general anesthesia]]>
<![CDATA[PENGARUH PEMBERIAN BISPENOL-A (BPA) TERHADAP JUMLAH SPERMATOZOA PADA Rattus norvegicus GALUR WISTAR ALBINO ]]>
<![CDATA[Tetra Anestasia Putri]]>
<![CDATA[ JURNAL KESEHATAN PERINTIS Vol 6 No 1 (2019): JUNI 2019 : Jurnal Kesehatan Perintis (Perintis's Health Journal) ]]>
Publisher : <![CDATA[LPPM UNIVERSITAS PERINTIS INDONESIA ]]>
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DOI: 10.33653/jkp.v6i1.210
<![CDATA[Bispenol-a (BPA) has an esterogen hormone activity while it enters the body, it can become endocrine disruptor. The objetive of this study was to purpose to prove that bispenol a can decrease spermatozoa cell count in male wistar albino strain rats (rattus novergicus).This research is an experimental design with post-only control group by using 20 male wistar albino strain rats (rattus Novergicus). Those sample aged 2-3 months which divided into four groups for 5 rats each. Control group (K) without bispenol-a adduction. The first (P1), second (P2), and third (P3) group treatment was given with BPA in 51 days for 0.45, 0.9 and 1.8 mg/body weight(kgs)/day for a 51-day. After 51-day treatment.This research showed that mean value of testosterone hormone for control group was 7.78 ng/lts. P1 group, P2 and P3 groups showed 6.19, 5.23 and 4.02 ng/lt.the count of spermatozoa has mean value for control group was 39,1 while first group (P1) was 30.2 . In second (P2) and third (P3) treatment group were 21,1 and 19.7. Data analysis showed mice spermatozoa cell count had p <0.05, which means that there is significance differentiation between control and treatment groups.It can be concluded that there is an effect of bisphenol a adduction on male Rattus novergicus wistar albino strain spermatozoa cell count.]]>
<![CDATA[FAKTOR-FAKTOR YANG MEMENGARUHI KEGAGALAN INISIASI MENYUSUI DINI PADA IBU POST SECTIO CAESAREA DI RUMAH SAKIT TENTARA BINJAI TAHUN 2018 ]]>
<![CDATA[Enni Prina Ginting]]>;
<![CDATA[Fikarwin Zuska]]>;
<![CDATA[Asyiah Simanjorang]]>
<![CDATA[ JURNAL KESEHATAN PERINTIS Vol 6 No 1 (2019): JUNI 2019 : Jurnal Kesehatan Perintis (Perintis's Health Journal) ]]>
Publisher : <![CDATA[LPPM UNIVERSITAS PERINTIS INDONESIA ]]>
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DOI: 10.33653/jkp.v6i1.213
<![CDATA[Masih tingginya angka kematian ibu dan bayi membuat pemerintah berusaha keras untuk meningkatkan kualitas hidup. Salah satunya yaitu pelaksanaan Inisiasi Menyusu Dini. Namun kenyataannya banyak ibu menolak untuk melakukannya. Berdasarkan data yang diperoleh dari Dinas Kesehatan Kota Binjai Tahun 2015, cakupan IMD Kota Binjai hanya 11% dari yang ditargetkan sebesar 80%. Data yang diperoleh dari RS Tentara Binjai Tahun 2015 cakupan IMD 1,28%, tahun 2016 cakupan IMD 0,98%, dan tahun 2017 sebesar 0,92% dari yang ditargetkan 80%. Tujuan penelitian ini adalah Menganalisis sebab-sebab kegagalan Inisiasi Menyusui Dini pada ibu post sectio caesaria di Rumah Sakit Tentara Binjai tahun 2018. Jenis penelitian ini menggunakan metode penelitian deskriptif kualitatif dengan 3 informan ibu, 3 informan suami, dan 3 informan bidan perujuk dan bidan penanggung jawab yang bertugas di ruang rawat inap sebagai pemberi asuhan persalinan serta dilakukan triangulasi data untuk menjaga validitas data. Berdasarkan hasil wawancara dan pengamatan ditemukan kurangnya pengetahuan ibu tentang pentingnya pelaksanaan IMD disebabkan karena kurangnya informasi yang diberikan oleh tenaga kesehatan, dukungan suami, serta motivasi, baik dari bidan perujuk pada saat kunjungan kunjungan ANC maupun peran dari bidan yang bertugas di rumah sakit yang seharusnya memfasilitasi ibu melakukan IMD. Maraknya promosi susu formula di media massa, teman, penawaran langsung ke ibu, menyebabkan timbulnya pola fikir ibu yang beranggapan susu formula sama baiknya dengan ASI. Diharapkan agar Rumah Sakit Tentara Binjai yang merupakan faktor paling berpengaruh sebagai tempat rujukan agar melakukan sosialisasi kebijakan dan mendukung program IMD antara lain mengupayakan standar prosedur operasional terkait pelaksanannya, pengawasan dan evaluasi menuju keberhasilan menyusui.]]>
<![CDATA[HUBUNGAN TINGKAT PENGETAHUAN DAN LAMA MENDERITA DIABETES MELLITUS (DM) DENGAN KEJADIAN ULKUS DIABETIKUM PADA PASIEN DM TIPE 2 ]]>
<![CDATA[Ida Suryati]]>;
<![CDATA[Def Primal]]>;
<![CDATA[Darsis Pordiati]]>
<![CDATA[ JURNAL KESEHATAN PERINTIS Vol 6 No 1 (2019): JUNI 2019 : Jurnal Kesehatan Perintis (Perintis's Health Journal) ]]>
Publisher : <![CDATA[LPPM UNIVERSITAS PERINTIS INDONESIA ]]>
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DOI: 10.33653/jkp.v6i1.214
<![CDATA[DM is a disease where the level of glucose (simple sugar) in high blood because the body cannot release or use insulin adequately. Type 2 diabetes can cause various chronic complications such as diabetic foot disorders. The number of DM patients in Bukittinggi Achmad Mochtar Hospital has increased in the last 2 years. In 2017 there are 1,350 DM patients, in 2018 there are 1,400 DM patients who visit the International Clinic. Information obtained from officers at the Achmad Mochtar Hospital International Police that officers did not provide health promotion about diabetic ulcers to DM patients who visited the internal poly. The purpose of the study was to determine the relationship level of knowledge and duration of suffering from diabetes with the incidence of diabetic ulcers. Descriptive analytic research method with cross sectional design. The population was all type 2 DM patients who visited the Bukittinggi Achmad Mochtar Hospital interne poly, with an average number of 117 people per month. The number of samples is 54 people, with sampling using accidental sampling. Data was processed and analyzed using the chi-square test. The results of univariate analysis showed that 72.2% of respondents had high level of knowledge, 61.1% had long suffered from DM and 79.6% had no diabetic ulcer. Bivariate results have a correlation between level of knowledge with the incidence of diabetic ulcer (p = 0,000) and there is a relationship between knowledge and incidence of diabetic ulcer (p = 0.036 and OR = 8.696). It was concluded that there was a relationship between level of knowledge and duration of suffering from diabetes with the incidence of diabetic ulcers. It is expected that the hospital management will make counseling information on diabetic ulcers for DM patients visiting the Bukittinggi Achmad Mochtar Hospital interne poly.]]>
<![CDATA[HUBUNGAN TINGKAT TOKSISITAS LOGAM TIMBAL (Pb) DENGAN GAMBARAN SEDIAAN APUS DARAH PADA PEROKOK AKTIF ]]>
<![CDATA[Betti Rosita]]>;
<![CDATA[Helvina Mustika]]>
<![CDATA[ JURNAL KESEHATAN PERINTIS Vol 6 No 1 (2019): JUNI 2019 : Jurnal Kesehatan Perintis (Perintis's Health Journal) ]]>
Publisher : <![CDATA[LPPM UNIVERSITAS PERINTIS INDONESIA ]]>
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DOI: 10.33653/jkp.v6i1.216
<![CDATA[Based on the results of a survey conducted by the World Health Organization (WHO) in 2012, the number of active smokers in the world has reached more than 1 billion people. This number is expected to continue to increase given the high prevalence of world cigarette consumption rates, while in Indonesia it is found that almost every year the number of smokers is increasing. Cigarettes containing chemicals including carbon monoxide, nicotine, tar, ammonia, arsenic, cyanide and lead (Pb) The main effect is lead that is inhaled and enters the respiratory system will also circulate throughout the tissues and organs of the body. More than 90% of lead metal absorbed by blood binds to red blood cells and results in a disruption in the process of hemoglobin synthesis. The purpose of this study is to determine the level of lead metal toxicity with an overview of smear preparations in the blood of active smokers. The research method with simple random sampling, samples taken capillary blood and making blood smear preparations that were examined with a microscope while examining the metal in the urine using Atomic Absorption Spectrophotometer (AAS). The results of the study of lead content in urine of active smokers found that the high is 0.384 mg / dl and the low lead level is 0.002 mg / dl positive containing lead in the urine with the amount of lead content exceeding the threshold and from the results of the smear dosage found that normal or normociter cell size can be obtained normal or normochrome (1/3 of the center is pale) whereas abnormalities in the cell form are teardrop cells, ovalocytes, schistocyte, this is due to the effect of lead that disrupts health especially usually occurs in haemotopoetic systems (blood formation system)]]>
<![CDATA[IDENTIFIKASI BAKTERI Escherichia Colli PADA JAJANAN BAKSO TUSUK DI SEKOLAH DASAR KECAMATAN GUNUNG TALANG ]]>
<![CDATA[Dyna Putri Mayaserli]]>;
<![CDATA[Dwi Anggraini]]>
<![CDATA[ JURNAL KESEHATAN PERINTIS Vol 6 No 1 (2019): JUNI 2019 : Jurnal Kesehatan Perintis (Perintis's Health Journal) ]]>
Publisher : <![CDATA[LPPM UNIVERSITAS PERINTIS INDONESIA ]]>
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DOI: 10.33653/jkp.v6i1.220
<![CDATA[Makanan pangan jajanan anak sekolah (PJAS) di Indonesia diketahui mengalami penurunan kualitas, hal ini ditunjukkan dengan banyaknya angka kejadian keracunan di Sumatera Barat yang dilaporkan kepada Dinas Kesehatan.Pada tahun 2017 sebanyak 6 kasus keracunan dengan jumlah korban sebanyak 404 orang.Salah satu penyebabnya adalah kontaminasi pada makanan jajanan. Adanya kontaminasi pada makanan jajanan dapat menyebabkan foodborne disease.Penyebab kontaminasi pada makanan adalah cemaran mikroba, cemaran mikroba merupakan penyebab utama tidak terpenuhinya syarat pada pangan jajanan anak sekolah (PJAS) di Indonesia salah satunya disebabkan oleh Escherichia colli.Penelitianini bertujuan untuk mengetahui adanya cemaran bakteri, jumlah bakteri, dan identifikasi bakteri Escherichia collipada jajanan bakso tusuk.Sampel diambil dari 5 Sekolah Dasar di Kecamatan Gunung Talang.MetodePerhitungan dengan metode Uji Total Plate Count (TPC), isolasi pada media, dan uji biokimia. Dapat disimpulkan bahwa pada sampel 1 memiliki hasil rata-rata jumlah bakteri tertinggi dibandingkan dengan sampel lain, yaitu 1,5 x 105CFU/gram, dan hasil terendah terdapat pada sampel 5 sebesar 2,3 x 103 CFU/gram.Hasil penelitian inimenunjukkan hasil bahwa 1dari 5 sampel bakso tusuk telah melebihi ambang batas, sementara 4 lainnya masih diperbolehkan dikonsumsi.]]>
<![CDATA[VERIFIKASI PENENTUAN ANGKA BAKTERI Escherichia coli PADA SAMPEL YANG DI-SPIKE MENGGUNAKAN METODE COLONY FORMING UNIT ]]>
<![CDATA[Chairani Arizal]]>;
<![CDATA[Aswal Harianto]]>
<![CDATA[ JURNAL KESEHATAN PERINTIS Vol 6 No 1 (2019): JUNI 2019 : Jurnal Kesehatan Perintis (Perintis's Health Journal) ]]>
Publisher : <![CDATA[LPPM UNIVERSITAS PERINTIS INDONESIA ]]>
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DOI: 10.33653/jkp.v6i1.221
<![CDATA[The water that must be drunk is healthy water that meets the requirements of Bacteriology, Chemistry, Radioactivity and Physicality based on Republic of Indonesia Minister of Health Regulation No: 492 / MENKES / PER / IV / 2010 concerning the requirements and supervision of clean water quality which includes physical requirements which are odorless, not colored and tasteless, where for the Coliform value is 0/100 mL. Escherichia coli is a fecal coliform bacterium and an indicator of the quality of drinking water because its presence in water indicates that the water is contaminated by feces. The aim of this study was to determine the value of accuracy, precision, detection limit, sensitivity and specificity of the calculated numbers of Escherichia coli bacteria from spike samples using the CFU method with agar chromocult media. The results of the bacterial results obtained on accuracy parameters were 229.33%, precision ie 26.35%, LOD which was 13.85 CFU / ml, LOQ ie 138.54 CFU / ml, and Specificity of 0%. Based on the results of verification of bacterial numbers obtained from the results of the accuracy test, precision that is not within the range of general requirements indicates that the method cannot be valid to use factors that affect high dilution, rapid bacterial growth rate, adequate nutrition and observer vision, whereas specificity indicate that chromocult coliform is very specific to Escherichia coli.]]>
<![CDATA[PENGARUH TERAPI CERMIN TERHADAP KEMAMPUAN GERAK PADA PASIEN STROKE DI WILAYAH KERJA PUSKESMAS KUMPULAN KABUPATEN PASAMAN ]]>
<![CDATA[Muhammad Arif]]>;
<![CDATA[Suci Mustika]]>;
<![CDATA[Def Primal]]>
<![CDATA[ JURNAL KESEHATAN PERINTIS Vol 6 No 1 (2019): JUNI 2019 : Jurnal Kesehatan Perintis (Perintis's Health Journal) ]]>
Publisher : <![CDATA[LPPM UNIVERSITAS PERINTIS INDONESIA ]]>
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DOI: 10.33653/jkp.v6i1.239
<![CDATA[Background: Stroke is a disease or functional disorder of the brain in the form of nerve paralysis due to inhibition of blood vassel flow to the brain. Based on Medikal Record data of Kumpulan Public Health Center 2016, there were 67 cases. Whereas in 2017 there were 81 cases of stroke 25 witch of them outpatients who experience weakness in the limb and have never received mirror therapy. Objective: This study was to investigate "the effect of mirror therapy on the ability of motion in stroke patients in Kumpulan Public Health Center on 2018. Method: This study used the quasi-experimental method of One Group Pretest-postest. Interventions: Mirror therapy performed 5-10 minutes, once a day, 5 times a week for 4 weeks. The sample in this study were 11 respondents. Results: This research has been conducted from February 5 to March 3, 2018. The results of statistical tests obtained p value 0,000 wich it can be concluded that there is a significant influence between the mirror therapy on the ability of motion in stroke patients in Kumpulan Public Health 2018 year. Conclusion and Suggestions: It is recommended that mirror therapy should be used as one of the nonpharmacologic therapies in patients with weak extremities either through the provision of education in educational institutions and in health services by health care provider.]]>
<![CDATA[PENGARUH PEMBERIAN DISCHARGE PLANNING TERHADAP KEMAMPUAN KELUARGA DALAM PERAWATAN PASCA STROKE DI RUMAH TAHUN 2019 ]]>
<![CDATA[Yaslina Yaslina]]>;
<![CDATA[Maidaliza Maidaliza]]>;
<![CDATA[Itra Hayati]]>
<![CDATA[ JURNAL KESEHATAN PERINTIS Vol 6 No 1 (2019): JUNI 2019 : Jurnal Kesehatan Perintis (Perintis's Health Journal) ]]>
Publisher : <![CDATA[LPPM UNIVERSITAS PERINTIS INDONESIA ]]>
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DOI: 10.33653/jkp.v6i1.240
<![CDATA[Post-stroke patients admitted to hospital in fact did not get a good discharge planning for the family, therefore this study aims to examine the effect of giving discharge discharges on the ability of families in post-stroke care at home. The method of this research is the design of correlation with the population whose sample is the family of patients after stroke. The research was carried out on January 2, 2019 until February 10, 2019. The results showed post-stroke family ability at home before discharge planning with Mean = 12.2 and with Standard Deviation 2.1 and results of post-stroke family abilities at home after discharge planning with Mean = 21.3 and with Standard Deviation 2.9. Statistical test results obtained p value 0,000. It was concluded that this study had the effect of discharge planning on the ability of families in post-stroke care at home. And it was suggested to hospital staff to provide discharge planning about to treat post-stroke at home such as diet, exercise and ADL including: to the toilet, eat, dress, bathe, and move places.]]>
