Jurnal Keperawatan Priority

PENGETAHUAN DAN STIGMA SOSIAL MEMENGARUHI PERILAKU PENCARIAN PENGOBATAN TUBERKULOSIS

2022-06-04T08:58:34+00:00

Knowledge and social stigma can influence the behavior of TB sufferers in seeking treatment in order to free themselves from the disease and obtain health recovery. This study aims to analyze the effect of knowledge and social stigma of tuberculosis on treatment-seeking behavior. This research is quantitative research conducted in the working area of Hutabaginda Public Health Center, North Tapanuli Regency. The sample in the study was 60 people consisting of 30 TB patients and 30 people from the community. Research data in the form of primary data, secondary data, and tertiary data. Data were analyzed by univariate, bivariate, and multivariate analysis. The results showed that there was no effect of patient knowledge on the behavior of seeking treatment for tuberculosis patients with p = 0.563 > 0.05. There is no influence of internal stigma on the behavior of seeking treatment for tuberculosis patients with a p-value = 0.565 > 0.05. There is an influence of public knowledge on the behavior of seeking treatment for tuberculosis patients with a p-value = 0.027 <0.05. There is an influence of external stigma on the behavior of seeking treatment for tuberculosis patients in the working area of the Hutabaginda Public Health Center, North Tapanuli Regency with p = 0.030 <0.05. Based on this, it is recommended that the results of this study be used as input for the Hutabaginda Public Health Center, North Tapanuli Regency to make programs and evaluations in dealing with health problems, especially cases of pulmonary TB.

STUDI FENOMENOLOGI PENGALAMAN DAN PENGOBATAN PASIEN KANKER SERVIKS

2022-06-04T08:55:36+00:00

Cancer affects all aspects of a patient's life physically, psychologically, and spiritually. This study aimed to analyze the experience of cervical cancer patients. This study used a qualitative research method with a descriptive phenomenological approach. The participants consisted of key informants, namely 1 doctor, 5 main informants, and 5 cancer survivors The data in this study include primary data, secondary data, and tertiary data. Data were collected by three methods, namely, observation, interviews, and documentation. Data analysis was carried out by interactive analysis. The results of the study revealed 5 themes, namely: 1) family support, 2) sexual activity, 3) personal hygiene, 4) social relationships, and 5) the treatment process. Family support is the main factor that makes patients excited about undergoing treatment, while undergoing cancer services, patients continue to have sexual relations with their husbands, but the frequency is reduced from before undergoing treatment, in general, cervical cancer sufferers do not lack hygiene, cancer sufferers Cervical sufferers experience low self-esteem related to the disease they are suffering from, when they were first diagnosed with cervical cancer, the patient did not accept it, felt hopeless, and feared death. Based on the foregoing, it was concluded that when the informant had cancer, the patient really needed family support, besides that they continued to carry out sexual activities, paid less attention to personal hygiene, did not socialize, and tried to routinely take treatment, so it was suggested that the family be more supportive of the patient is undergoing treatment.

FAKTOR-FAKTOR YANG MEMENGARUHI STRES KERJA PADA PERAWAT DI RUANG RAWAT INAP

2022-06-04T08:57:47+00:00

The stress nurses face in hospitals at work will greatly affect the quality of nursing services provided to patients. This study aims to analyze what factors affect the work stress on nurses. This research is a quantitative study with a research design using the analytical survey method with a Cross Sectional approach. The research was conducted at Rantauprapat Hospital, Labuhanbatu Regency. The sample was 82 nurses obtained by purposive sampling. Data analysis was performed using a univariate analysis test, Bivariate using a chi-square test, and Multivariate using multiple Logistic regression. The results showed that in the univariate analysis of 82 respondents, most of the respondents were 36-45 years old, namely 36 (43.9%), and had a D3 Nursing education level, namely 45 (54.9%). In the Bivariate analysis, it was found that there was the effect of workload on nurses' work stress (p= 0.000), there was an effect of the work environment on nurses' work stress (p= 0.000), there an effect of career development on nurse stress (p= 0.000), there was the effect of role conflict double the work stress of nurses (p= 0,000). In the multivariate analysis, the most dominant variable affecting the work stress of nurses was career development with a p value of 0.007, t count = 2.273 (r table = 0.2146). Based on the results of this study, it is recommended that the hospital provide the duties and responsibilities given should not be less or excessive so that work stress on nurses.

ANALISIS PERBEDAAN KODE DIAGNOSIS ICD-10 ANTARA RUMAH SAKIT DENGAN VERIFIKATOR BPJS KESEHATAN

2022-06-04T08:55:07+00:00

The accuracy of the diagnosis code is important as a determinant in the financing of health services. The delay in payment of BPJS Health claims can occur if there is a difference in the diagnosis code. This study aims to describe the differences in the ICD 10 diagnosis code between hospitals and BPJS Health Verifiers and the factors that influence them. Qualitative research with data collection techniques through in-depth interviews and documentation studies. The research informants consisted of the main informants as many as 3 Doctors in Charge of Service (DPJP) and the triangulation informants as many as 3 people, namely the Internal Verifier, Coder, and Head of the Medical Record Section. Processing and analyzing data using the content analysis method. The results of the study were 187 claim files experienced delays in payment due to differences in diagnosis codes, no quality audit of diagnosis coding was carried out, no clinical protocol, lack of cooperation between DPJP, coder, and internal verifier, lack of understanding of DPJP, lack of hospital management role involving DPJP in writing the code diagnosis, the absence of hospital policies/SOPs related to writing the ICD 10 diagnosis code, not providing diagnostic coding training. The conclusion of the study is that there are differences in the ICD 10 diagnosis code due to the absence of quality audits for diagnosis coding, clinical protocols, and the role of hospital management which is lacking in preparing policies and training on diagnosis coding causing delays in claim payments.

ANALISIS PENGARUH PELAKSANAAN GERMAS TERHADAP KESEHATAN LANSIA

2022-05-08T04:03:03+00:00

The low implementation of GERMAS in 2020 has a major impact on their health, namely the increased morbidity rate in the elderly. This study aims to analyze the effect of the implementation of GERMAS on the health of the elderly in the working. This study used a quantitative analytical survey with a cross-sectional. The location in the work area of Ulunoyo Health Center, South Nias Regency. The research population consisted of 216 elderly people, samples in this study was 68 people. The technique used is purposive sampling. Data were analyzed using the chi-square test and logistic regression. The results showed that there was an effect of physical activity on the health of the elderly, and an influence of the culture of fruit and vegetable consumption on the health of the elderly who participated. There was an effect of smoking on the health of the elderly, an effect of not consuming alcoholic drinks on the health of the elderly, an effect of conducting regular health checks on the health of the elderly, an effect of maintaining environmental cleanliness on the health of the elderly, an effect of using a latrine on the health of the elderly. The variable that had the most influence on the health of the elderly who participated was the variable of conducting regular health checks. Based on the results of the research, it is suggested that Health Center should be more active and improve special health services for the elderly.

DETEKSI DAN PREDIKSI PENYAKIT DIABETES MELITUS TIPE 2 MENGGUNAKAN MACHINE LEARNING (SCOOPING REVIEW)

2022-06-20T07:11:17+00:00

Diabetes Mellitus is a chronic disease and one of the non-communicable diseases whose growth is very fast. This study aims to explore and analyze the early detection and prediction system of risk factors for type 2 diabetes mellitus which utilizes machine learning methods. This type of research is a scoping review to accumulate and synthesize the results of previous studies on the early detection of risk factors and the prediction system of Diabetes Mellitus type 2 using machine learning methods. The inclusion criteria are articles in English or Indonesian, journals published in the 2017-2021 range, full text, and not systematic reviews. Article searches are 4 databases, namely Google Scholar, Pubmed, International Journal of Public Health Science/Hindawi, and IEEE Xplore. The results obtained as many as 2,941 articles, using the PRISMA method. The remaining 15 studies were maintained and met the criteria for qualitative analysis. The articles used machine learning methods in the creation of early detection models and prediction systems. Some articles use the merging of two methods (statistical and machine learning). The machine learning techniques mostly use supervised, unsupervised, and deep learning techniques. For the algorithms used, the majority of researchers used more than one algorithm such as algorithm support vector machine (SVM), random forest (RF), Decision Tree (DT), LASSO, and others, to compare the best accuracy of each algorithm. Risk factors associated with Diabetes Mellitus type 2 incidence are age, gender, obesity, family history of the disease, lack of physical activity, genetics, environment, smoking, blood pressure, and diet.

FAKTOR YANG BERPERAN TERHADAP KEAKTIFAN KADER KESEHATAN DALAM PENEMUAN KASUS TERDUGA PENDERITA TB PARU

2022-06-20T07:10:34+00:00

The eradication of pulmonary TB in Indonesia is one of the national priorities for the tuberculosis disease. The purpose of the study was to analyze the factors that influence the activity of health cadres in finding suspected cases of pulmonary TB patients in the working area of Siatas Barita Health Center, North Tapanuli Regency. The design of this research was an analytic survey with a cross-sectional design. This research was conducted in the Working Area of the Puskesmas Siatas Barita, North Tapanuli Regency from Mei to Juni 2021 with a sample of 80 people. Data analysis was carried out by univariate, bivariate, and multivariate analysis. The statistical test used is the chi-square test and logistic regression. The results of the chi-square test showed that the variables of knowledge, attitude, motivation, and monitoring p-value = 0.000 < 0.05, meaning that there was an influence between knowledge, attitude, motivation, and supervision of cadre activity. influential in this study is the motivation variable. The conclusion was that there is an intermediate influence. there was an influence between knowledge, attitude, motivation, and supervision on cadre activity, while multivariate analysis shows that the most dominant factor was the motivation variable on cadre activity. It was recommended to the District Health Office to increase the frequency of supervision and monitoring of the implementation of the pulmonary TB control program in the puskesmas area, specifically the active and sustainable health cadres.

ANALISIS FAKTOR-FAKTOR YANG MEMPENGARUHI CAKUPAN PROGRAM ANTENATAL CARE BUMIL

2022-05-24T07:28:26+00:00

ANC or antenatal care is the care of the mother and fetus during pregnancy. Through ANC, various information and education related to pregnancy and preparation for delivery can be given to mothers as early as possible. This type of research is observational with a cross-sectional study design. The study was carried out at the Silih Nara Health Center, Central Aceh Regency in August 2021 from June to August 2021. The population in this study were all mothers who gave birth recorded as many as 65 people and all of them were used as samples (total sampling). The instrument used to collect study data is a developed questionnaire. The statistic test uses univariate, bivariate, and multivariate regression data analysis. The results were obtained: there was an effect on education, knowledge, attitude, family support, affordability of health facilities, and support of health workers while age and occupation had no effect on the coverage of the ANC program. The variable affordability of health facilities has the most dominant influence on the coverage of the ANC program. It is recommended for the puskesmas to increase the visits of pregnant women so that the Silih Nara Health Center further increases the knowledge of pregnant women through counseling about the importance of Antenatal Care.

HUBUNGAN SUPERVISI KEPALA RUANGAN TERHADAP PELAKSANAAN KOMUNIKASI SBAR PADA SAAT HANDOVER

2022-05-27T05:03:06+00:00

Communication is the most important thing in providing services to patients because everything related to Covid-19 patients must be conveyed, well, and correctly. On this basis, adjustments are needed from various parties to communicate so that the message to be conveyed regarding patients can run smoothly. Until now this continues to be a concern of all medical personnel and adjustments are needed in communicating considering the obstacles experienced. This study used a cross-sectional design. The location of research was held at Bhayangkara General Hospital, Banda Aceh. Sampling technique with random sampling with a sample of 57 patients. Data collection using the observation table instrument. The statistical test used the Chi-square test. The majority of room head supervision is in the good category 55 people (96.5%). The results of the study obtained were that the majority of nurses' SBAR communication was good as many as 54 people (94.7), and the relationship between the two variables between the implementation of supervision of the head of the room and the implementation of SBAR communication obtained the p-value of 0.000. Suggestions in this study are expected to be the basis for hospital management policy to improve hospital services, especially in terms of implementing the supervision of the head of the room and the implementation of nurse SBAR communication. This research can play a major role in terms of providing nursing services in the future. The increase in nursing communication services can reduce unwanted events.

MOTIVASI EKSTRINSIK MAHASISWA KEPERAWATAN SELAMA METODE PEMBELAJARAN BLENDED LEARNING

2022-06-24T04:22:21+00:00

Blended learning is a learning model that combines face-to-face learning with online learning. The blended learning method has advantages and disadvantages, whether face-to-face learning or online learning. This method must be supported by motivation, such as extrinsic motivation. Extrinsic motivation in blended learning is an encouragement to learn in students which arising from external stimuli to the blended learning method like a social environment, family environment, economic, punishment, gift, and rewards. Based on the survey, nursing students do not agree when blended learning was applied to all courses, because of environmental factors, quotas, networks, devices, and the experience of educators. This study aimed to determine the extrinsic motivation of nursing students during blended learning at the Faculty of Nursing, One of the West Indonesian Private universities. This research was conducted through a quantitative descriptive method. The sampling technique of this research used a simple random sampling method by distributing online questionnaires to the class of 2019 at the Faculty of Nursing was 184 respondents. The data were analyzed using univariate analysis. The result of this study showed that the extrinsic motivation of nursing students during the blended learning at the Faculty of Nursing, one of West Indonesia Private University showed that 139 students (75.5%) with moderate extrinsic motivation category. Based on this result, it is influenced by several indicators of extrinsic motivation such as punishment, rewards, and competition with peers. Further research can focus on the self-motivation of students by comparing intrinsic and extrinsic motivation during blended learning.