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"Vol. 6 No. 2 (2019): Jurnal Kesehatan Mahardika"
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<![CDATA[LAMANYA KALA II BERDASARKAN PARITAS IBU BERSALIN DI WILAYAH KERJA PUSKESMAS CANGKOLKOTA CIREBON TAHUN 2018 ]]>
<![CDATA[Ainusyarifah]]>;
<![CDATA[Ani Nurhaeni]]>;
<![CDATA[Sumarni]]>
<![CDATA[ Jurnal Kesehatan Mahardika Vol. 6 No. 2 (2019): Jurnal Kesehatan Mahardika ]]>
Publisher : <![CDATA[LPPM ITEKES Mahardika ]]>
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DOI: 10.54867/jkm.v6i2.39
<![CDATA[Maternity mothers who have difficulty adapting to labor pain can cause uncoordinated uterine contractions which result in a disruption in labor and impaired fetal well-being. The purpose of this study was to determine the duration of second stage in primipara, multipara, and grande. The support of the family or the people. Closest to the mother can help ther process oflabor so that it can provide psychological calmness by knowing that someone is accompanying the mother during ther second time to perevent the accurrnce of second time. This reseach uses descriptive type. This study was conducted in the cangkol in 2019. Community Health Center in the City date 01-07 July 2019, The populasion used in this study was 89 respondents, with a sample of 89 respindents . The sampling total sampling, the instrument used is a check sheet. The results of the study showed the duration of the second period based on maternal parity in the primiparous category as 28 respondest (31,46%), the multipara category 43 respondents (46,31%), and the multipara grande category 18 respondents (20,23%). Advice is expected for health workers to increase maternal care during labor in order to prevent the duration of second period.]]>
<![CDATA[HUBUNGAN TERAPI HEMODIALISA DENGAN PEMENUHAN ACTIVITY DAILY LIVING DI RSUD WALED KABUPATEN CIREBON ]]>
<![CDATA[Amaliyah]]>;
<![CDATA[Nonok Karlina]]>;
<![CDATA[Citra Setyo Dwi Andhini]]>
<![CDATA[ Jurnal Kesehatan Mahardika Vol. 6 No. 2 (2019): Jurnal Kesehatan Mahardika ]]>
Publisher : <![CDATA[LPPM ITEKES Mahardika ]]>
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DOI: 10.54867/jkm.v6i2.40
<![CDATA[Patients with chronic kidney failure globally more than 500 million people. Every year it has increased. To overcome this kidney failure hemodialysis therapy is needed. However, patients undergoing hemodialysis will experience patient lifestyle problems, such as disruption of daily activities due to unstable body conditions and having to undergo routine processes. The purpose of this study was to identify the relationship of hemodialysis therapy with the fulfillment of Activity Daily Living (ADL) in Waled District Hospital Cirebon. This type of research is descriptive correlational with a retrospective approach. Sampling using a purposive sampling technique totaling 99 respondents. The instrument used was a questionnaire. Data analysis using the Spearman rank test. The research site was in the Waled District Hospital in Cirebon Regency during June 2019. The results showed that the duration of hemodialysis therapy carried out in the hemodialysis room at the Waled District Hospital in Cirebon District was in the chronic category of 71 respondents (71.7%) and the fulfillment of Activity Daily Living (ADL) in the category of severe functional impairment was 68 respondents (68.7%). Spearman rank test results (Pvalue ꞊ 0.027; {≤ 0.05; r꞊ 0.222). The direction of the correlation is positive, the longer the hemodialysis therapy is done, the severe functional disorder occurs. Nurses are expected to provide counseling to patients and families in identifying the ability of patients and families to meet the daily living activity (ADL).]]>
<![CDATA[HUBUNGAN SELF EFFICACY DENGAN ADAPTASI STRESS PASIEN GAGAL GINJAL KRONIK YANG MENJALANI HEMODIALISA DI RSUD WALED KABUPATEN CIREBON ]]>
<![CDATA[Ica Wahyuni]]>;
<![CDATA[Nonok Karlina]]>;
<![CDATA[Citra Setyo Dwi Andhini]]>
<![CDATA[ Jurnal Kesehatan Mahardika Vol. 6 No. 2 (2019): Jurnal Kesehatan Mahardika ]]>
Publisher : <![CDATA[LPPM ITEKES Mahardika ]]>
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DOI: 10.54867/jkm.v6i2.41
<![CDATA[Patients with chronic kidney failure each year experience an increase of 3.8 percent. To overcome kidney failure, hemodialysis therapy is needed. But patients undergoing hemodialysis will experience problems such as discomfort, increase stress and affect quality of life. To reduce these problems, intervention is needed to give self efficacy to patients, based on this it will also affect the stress adaptation of patients undergoing hemodialysis.Purpose of this research was to knew correlation of self efficacy with stress adaptation on chronic kidney failure patients that have hemodialysis in the Waled Hospital of Cirebon.Design of this research was descriptived correlating with cross sectional approach. Sample of this research using purvosive sampling amounted 99 respondens. Instruments used in the form of questionnaire. Data analysis using Spearman- rank test. The place of research at waled hospital in the Cirebon.The results showed that the majority of self-efficacy carried out in the hemodialysis room of Waled Hospital in Cirebon District was mostly in the low category of 90 (90.9%) and stress adaptation was mostly in the very severe category 54 (54.5%). The results of the Spearman rank test 0.000 ( P Value = 0.000 ; α.= 0.05 ; r = 0.546 ).show that H0 is rejected. Conclusion of this research there was a correlation of self efficacy with stress adaptation on chronic kidney failure patients that have hemodialysis in the waled hospital of Cirebon.]]>
<![CDATA[BERAT BADAN BAYI BARU LAHIR PADA IBU DENGAN HIPERTENSI DI RUMAH SAKIT DAERAH GUNUNG JATI KOTA CIREBON ]]>
<![CDATA[Dea Nurtika Fajri]]>;
<![CDATA[Ani Nurhaeni]]>;
<![CDATA[Sumarni]]>
<![CDATA[ Jurnal Kesehatan Mahardika Vol. 6 No. 2 (2019): Jurnal Kesehatan Mahardika ]]>
Publisher : <![CDATA[LPPM ITEKES Mahardika ]]>
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DOI: 10.54867/jkm.v6i2.42
<![CDATA[Hypertension in pregnancy is one of the three highest causes of maternal mortality and mobility. High blood pressure of pregnant women (hypertension) can result in impaired intrauterine fetal growth which will certainly have an impact on birth weight. The purpose of this study was to determine the description of newborn weight in mothers with hypertension in the Gunung Jati Hospital Cirebon in 2019. The type of research used was descriptive method. The population used in this study were mothers with hypertension in Gunung Jati Hospital as many as 71 people with a sample of 71 respondents. The instrument used in this study used a checklist sheet using secondary from parturition book for the Gunung Jati Regional Hospital in January-March 2019. The results showed the classification of hypertension in maternal women due to gestational hypertension was 28 (39.4%) and newborn birth weight for mothers with hypertension weighing 2,500-4,000 grams as much as 50 (65.0%). For this reason, during pregnancy, pregnant women are expected to know about the symptoms of hypertension that occur during pregnancy, so that they can be prevented as early as possible by resting, carrying out regular monthly checks and taking a healthy lifestyle.]]>
<![CDATA[HUBUNGAN PEMANFAATAN KLINIK SANITASI DENGAN UPAYA PENCEGAHAN PENYAKIT ISPA DI WILAYAH KERJA PUSKESMAS MAJASEM KOTA CIREBON TAHUN 2019 ]]>
<![CDATA[Dina Aulya Wahab]]>;
<![CDATA[Mitha Erlisya Puspandhani]]>;
<![CDATA[Shella Febiana]]>
<![CDATA[ Jurnal Kesehatan Mahardika Vol. 6 No. 2 (2019): Jurnal Kesehatan Mahardika ]]>
Publisher : <![CDATA[LPPM ITEKES Mahardika ]]>
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DOI: 10.54867/jkm.v6i2.43
<![CDATA[Utilization of clinical sanitation is where people use clinical sanitation room and follow activity in clinical saanitation. Efforts to prevent diseases of the upper respiratory tract, namely to prevent direct or indirect contact with patients with upper respiratory tract infections and using PPE, maintaining environmental cleanliness, maintaining personal hygiene with clean and healthy living behaviors in the household order. Depend on data of Public Health Office Cirebon at 2018, achievement program clinical sanitation just reach clinical sanitation is 30%, number of ISPA cases reach number 26.142 people. This research uses correlation descriptive, approach with cross sectional. Population is all of people in Puskesmas Working Area Cirebon as much 2.506 people. Sample technic which use is purposiv sampling technic as much 97 people. Instrumen which uses this research is questionare. Result of research shows 97 responden total responden which utilize clinical sanitation as much 88 responden or 90,7% more than which not utilize clinical sanitation as much 9,3%. P value which is got as bis as 0,00 and smller of value a = 0,05. This result shows that there is relation utilization of clinical sanitation which prevent ISPA disease in Puskesmas Working Area Majasem Cirebon. Be expected that the agency more improve clinical sanitation program and educate the public related importance to maintain environmental health.]]>
<![CDATA[HUBUNGAN LAMANYA TERAPI HEMODIALISA DENGAN PERUBAHAN MENSTRUASI PADA PASIEN GAGAL GINJAL KRONIK YANG MENJALANI HEMODIALISIS DI RSUD WALED KABUPATEN CIREBON ]]>
<![CDATA[Noni Ardiyani]]>;
<![CDATA[Endah Sari Purbaningsih]]>;
<![CDATA[Ika Nurfajriani]]>
<![CDATA[ Jurnal Kesehatan Mahardika Vol. 6 No. 2 (2019): Jurnal Kesehatan Mahardika ]]>
Publisher : <![CDATA[LPPM ITEKES Mahardika ]]>
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DOI: 10.54867/jkm.v6i2.44
<![CDATA[The number of patiens undergoing hemodialysis therapy at Waled General Hospital Cirebon in 2018 amounted to 77 patients. Patients with cronic kidney disease who underwent hemodialysis at Waled General Hospital Cirebon experience Menstrual Changes. The purpose of this study was to determine Relationship Long Time Of Hemodialyisis Therapy With Menstrual Changes Of Cronic Kidney Disease Patient who Undergoing Hemodialysis at Waled General Hospital Cirebon. This research used descriptive correlational with cross sectional approach. The population of the study was55 female patients undergoing hemodialysis therapy from December 2019 to February 2019. A total of 48 respondens participated as the sample by using Purposive Sampling tecniques. The documentation sheet and questionnaires were attempted as the instrument of study and data were analyzed by using chi square (x2).The study was held in RSUD Waled Hospital Cirebon. On 2nd – 6th July, 2019. The results of the study obtained r value of 0.707 and< α H0 rejected. It showed there was an relationship long time of hemodialyisis therapy with menstrual changes of cronic kidney disease patient who undergoing hemodialysis at Waled General Hospital Cirebon ( p value = 0.027, α = 0.05 r = 0,707). The long time of hemodialysis therapy affects the menstrual cycle changes can occur due to the presence of hyperprolactinemia so that the changes that occur can be secondary amenorrhea.]]>
<![CDATA[KELUHAN YANG DIRASAKAN PENDERITA KANKER PAYUDARA BERDASARKAN STADIUM DAN LAMANYA KEMOTERAPI DI RSUD WALED KABUPATEN CIREBON ]]>
<![CDATA[Retna Ayu Pengasih]]>;
<![CDATA[Dewi Erna Marisa]]>;
<![CDATA[Citra Setyo Dwi Andhini]]>
<![CDATA[ Jurnal Kesehatan Mahardika Vol. 6 No. 2 (2019): Jurnal Kesehatan Mahardika ]]>
Publisher : <![CDATA[LPPM ITEKES Mahardika ]]>
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DOI: 10.54867/jkm.v6i2.45
<![CDATA[Breast cancer is a malignancy in cells found in breast tissue that can originate from the glandular components (epithelial tracts or lobules) as well as components other than such as fat tissue, blood vessels, and nerve tissue.In Indonesia, there are two types of cancer most commonly suffered by Indonesia people, namely breast cancer and cervical cancer. There is breast cancer rate of 42,1 by 100.000 population and cervical cancer of 23,4 by 100.000 population with an average death of 13,9 by 100.000 population. In Waled Regional Public Hospital Cirebon District, from 2018, 32 breast cancer patients were obtained. This study was conducted to determine complaints in cancer patients based on the stage and duration of chemotherapy at Waled Waled Regional Public Hospital Cirebon District. This type of research is a quantitative descriptive study using a retrospective. The sampling technique used is the total sample of 32 respondents. Statistical tests were performed by univriat analysis. This research was conducted at Waled Regional Public Hospital Cirebon District. The results of this study indicate all complaints of breast cancer sufferers in Cirebon District Hospital that are less tolerable at stage IIB (100%) which supports moderate chemotherapy (100%). During chemotherapy treatment, nurses monitor patients about changes in complaints experienced by patients.]]>
<![CDATA[ANALISIS INDIKATOR GROSS DEATH RATE (GDR)DAN NET DEATH RATE(NDR) DI RUMAH SAKIT UMUM DAERAH WALED KABUPATEN CIREBON ]]>
<![CDATA[Reza Noviar]]>;
<![CDATA[Jaenudin]]>;
<![CDATA[Loura Weryco Latupeirissa]]>
<![CDATA[ Jurnal Kesehatan Mahardika Vol. 6 No. 2 (2019): Jurnal Kesehatan Mahardika ]]>
Publisher : <![CDATA[LPPM ITEKES Mahardika ]]>
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DOI: 10.54867/jkm.v6i2.46
<![CDATA[Based on preliminary studies conducted at Waled General Hospital the value of GDR and NDR has increased beyond the ideal standard set by the Ministry of Health, namely for GDR = ≤ 45 ‰ and for NDR = ≤ 25 ‰. The GDR in 2013 was 49.95 ‰, and in 2014 it was 61.10 ‰, while the NDR in 2013 was 19.71 ‰, and in 2014 it was 24.30 ‰. The results of the 2013 and 2014 calculations show the value of the GDR and NDR indicator numbers getting higher year after year. This type of research is a descriptive study. The method used is the observation method. The purpose of this study is to analyze the results of GDR and NDR calculations. Data collection procedures in this study by recording the results of monthly recapitulation of inpatient visits about GDR and NDR in 2013-2017. The population and sample in this study were GDR and NDR records from 2013 to 2017. The time of the study was conducted on 28 July 2018 in Waled County General Hospital. From the observations obtained the value of GDR and NDR in 2013-2017 tends to increase and decrease beyond the ideal limit that has been set. The lowest NDR was in 2013 with a value of 19.71 ‰, and the highest in 2015 with a value of 27.60 ‰. The lowest GDR was in 2013 with a value of 49.95 ‰, while the highest GDR was in 2016 with a value of 64.43 ‰. From the results of the study it is suggested that it is necessary to carry out medical audits and in-depth interventions regarding the improvement of GDR and NDR indicators and graph the GDR and NDR, so that they can always monitor the rise or fall of these indicator numbers, and for planning efforts to improve the quality of health services.]]>
<![CDATA[GAMBARAN TENAGA KESEHATAN REKAM MEDIS BERDASARKAN METODE WORKLOAD INDICATOR STAFF NEED (WISN) DI RUMAH SAKIT UMUM KUNINGAN MEDICAL CENTER ]]>
<![CDATA[Rina Eka Aulia]]>;
<![CDATA[M.H. Asiana Gabril]]>;
<![CDATA[Riantina Luxiarti]]>
<![CDATA[ Jurnal Kesehatan Mahardika Vol. 6 No. 2 (2019): Jurnal Kesehatan Mahardika ]]>
Publisher : <![CDATA[LPPM ITEKES Mahardika ]]>
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DOI: 10.54867/jkm.v6i2.47
<![CDATA[Workload Indicator Staff Need (WISN) is a method of calculating the needs of real health human resources implemented in each health work unit. The purpose of this study is to describe the needs of Medical Record staff based on the WISN methodIn Kuningan Medical Center (KMC) Hospital. This research method is a descriptive survey research method, the population of this study is 8 medical records officers, and the sample is 8 patients and the sampling uses total sampling. The results were obtained from the WISN ratio of 10 people, namely: 3 outpatient registrations, 1 inpatient registration, 1 outpatient coding, 1 inpatient coding, 2 assembling people, and 2 filing people, so it can be concluded that there are advantages to outpatient registration and any shortages for assembling and filing. The suggestion of this research is that future research can use other methods.]]>
<![CDATA[TINJAUAN ASPEK ERGONOMI DI RUANG PENYIMPANAN SUBBAGIAN REKAM MEDIS RSUD WALED KABUPATEN CIREBON ]]>
<![CDATA[Widya Nurbaeti]]>;
<![CDATA[Jaenudin]]>;
<![CDATA[Iin Indra Nuraeni]]>
<![CDATA[ Jurnal Kesehatan Mahardika Vol. 6 No. 2 (2019): Jurnal Kesehatan Mahardika ]]>
Publisher : <![CDATA[LPPM ITEKES Mahardika ]]>
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DOI: 10.54867/jkm.v6i2.48
<![CDATA[In the storage section of the medical recordat the Waled public hospital. there are problems with ergonomics. high shelves cause medical record files difficult to reach and footing aids used in the form of a former wooden table drawer where the risk of falling to the officer at work, and the unavailability of room temperature indicators to measure ideal temperature and humidity as well as lack of lighting and less space stuffy. The purpose of this study was to review aspects of ergonomics in the medical record storage room. The Used of type research is descriptive. The used method is observation. The purpose of this study is to overview ergonomic aspects in the medical record storage room. The procedure for collecting data in this study is by observation and measurement. The used instrument is observation and measurement sheets. The population and samples in this study are medical record storage room and the officers. The used data analysis is univariate analysis. The research was conducted on 16 may 2019 at Waled public hospital of Cirebon district.From the results of the study about ergonomic aspects according to The International Ergonomic Association IEA, 2002 devided ergonomics into 4 categories. Physical ergonomics with percentage value of 80% and environmental ergonomics also with a percentage value of 80% do not meet ergonomics standard. Cognitive ergonomics with percentage value of 100% which has the same value with ergonomic Organization with percentage value of 100% meet ergonomics standard. it is suggested that hospital, especially in the filling room should replace foot pedestal devices, should use iron material ladders to advoid and reduce the risk of falling for officer. Should Install a temperature indicator or hygrometer in medical record storage room. Should Install curtains on glass windows, should clean the floor use a wet cloth to reduce dust and repair damage facilities and infrastructure in filling room.]]>
