Jurnal Kesehatan Medika Udayana

Hubungan Gejala Gangguan Stres Pascatrauma dengan Kualitas Hidup Anggota Relawan Bencana Banjir di Putussibau Kalimantan Barat

Kusuma Jasmine Vicky Sutrisno — 2024-10-31

Background: PTSD occurs when a person undergoes life-threatening events like war, terrorism, accidents, abuse, or natural disasters. It can greatly impact an individual's well-being, causing harm to their physical, mental, social, and environmental health. Purpose: The aim of this research is to uncover the connection between PTSD symptoms and the quality of life. Methods: This study used a quantitative approach with descriptive characteristics and a cross-sectional design. The number of participants was 135 people who volunteered to be involved in flood disaster management operations. The research location was in Putussibau. Results: According to the possibility of PTSD, about 32.6% of respondents were suspected of experiencing PTSD symptoms. In terms of physical health, 34.1% of respondents had a moderate level, in terms of psychological well-being, 34.8% of respondents had a moderate level, in terms of social relationships, 27.4% of respondents had a poor level, and in terms of relationships with the environment, 33.3% of respondents had a good level. The results of the bivariate test showed that the p value had a value greater than 0.05. Conclusion: Due to the frequent flooding in Putussibau, volunteers may experience adjustments. In addition, engagement in regular exercise may be a factor that supports a good quality of life for respondents. These factors may explain why no correlation was found between the two variables.

Evaluasi Proses Pengelolaan Rekam Medis Pasien di Rumah Sakit Umum Dharma Yadnya

I Gusti Ayu Merry Permatasari — 2024-10-31

Background: The process of managing medical records at Dharma Yadnya General Hospital is not in accordance with the work procedures and organization of health service facilities. This can be seen from incomplete medical records, doctor writing is not specific in diagnosis and human error which results in errors in taking medical records. Purpose: This study aim to evaluate the process of managing patient medical records at Dharma Yadnya General Hospital. Method: This research is descriptive qualitative using in-depth interviews. The sampling technique used purposive sampling method with a sample of 6 people. Results: Based on the analysis results, 5 themes were discussed, namely assembling, filling, coding, indexing, filling and retention activities. Overall, the management of patient medical records at Dharma Yadnya Hospital has not been able to run optimally, namely the filling of incomplete medical record documents, namely patient identity, diagnosis, medical resume, signature of the doctor in charge of the service and there are still errors in placing medical records (missfiles) so that the management of medical records takes a long time so that the assembling, coding, indexing, filling and retention processes are hampered. Conclusion: The management system of patient medical records at RSU Dharma Yadnya starting from assembling, coding, indexing, filling and retention have not been run optimally.

Tingkat Kemandirian Lansia Dalam Melakukan Aktivitas Sehari-Hari Di Desa Tibubeneng Kuta Utara Kabupaten Badung

I Gede Yudiana Putra — 2024-10-31

Background: The influence of the aging process can cause various problems, both physically, biologically, mentally, and socioeconomically. This also results in disruptions in meeting their living needs, so that it can increase dependence that requires the help of others. Independence in the elderly is assessed by their ability to carry out daily activities (Activities of Daily Living) is one of the measuring tools to assess functional capacity to find out the elderly who need the help of others in carrying out daily life activities or can do it independently.

Method: The research design used is a descriptive method. The location of the study was carried out in Tibubeneng Village, North Kuta, Badung, with a sample of 60 respondents selected by purposive sampling technique. The instrument of this research is the Barthel Index Questionnaire, Data processing is carried out using computerization. The data is presented in a textual/narrative manner and accompanied by tables.

Result: The characteristics of respondents are many genders of women with 60%, the age group is mostly in the age range of 60-74 years old with a percentage of 56.7%, Diabetes Militus is the highest history of diseases experienced by the elderly as much as 33.4% and 100% of the elderly live together with their families. The level of independence of the elderly in carrying out daily activities shows that most of the elderly are independent in carrying out their activities as much as 60%.

Conclusion: The results of the study show that most of the elderly with the female gender, the age range of the elderly is mostly with the age range of the elderly (60 – 74 years) as large, based on the history of the disease most of the elderly do not experience illness, the elderly all live with family. The results of the study show that the level of independence of the elderly in carrying out daily activities shows that most of the elderly are independent.

Perbandingan Tarif Rumah Sakit dan INA-CBG pada Pasien Diabetes Mellitus Tipe II Rawat Jalan di RSIJ Sukapura

Daffa Diwa Rahagyan — 2024-10-31

Background: The National Health Insurance Program helps patients pay for medical expenses and provides financial protection against unexpected health risks. INA-CBG system is used for healthcare payments, where the payment is determined based on type of disease the patient has. However, the rates set by INA-CBG are lower than hospital rates, causing financial losses and affecting the quality of service. Purpose: This research aims to compare rates to maintain hospital financial balance and fair access to services. Method: This study uses comparative quantitative research method with cross-sectional approach. The research was conducted at Rumah Sakit Islam Jakarta Sukapura. The sampling technique used was saturated sampling, with a sample of 374 claim data for type II diabetes mellitus patients from October to December 2023. Data were taken from Zi-Care system, which has been bridged with INA-CBG. The data collection tool used was a checklist. The analysis techniques included univariate and bivariate analysis using Wilcoxon Signed Rank Test. Results: The research results show that the total hospital cost is Rp265,805,506, with the highest value being Rp2,746,407 and the lowest value being Rp161,000. The total INA-CBG cost is Rp73,341,400. P-value of 0.0001 indicates a significant difference between both variables. Conclusion: The difference in rates resulted in the hospital experiencing a loss of IDR 192,464,106. Hospitals need to refer drug collection to external pharmacies, and BPJS must evaluate INA-CBG rates to match hospital expenditure to prevent losses.

Hubungan Dukungan Instrumental dengan Kualitas Hidup Pasien Diabetes Melitus Tipe 2 di Puskesmas Ngemplak Simongan Kota Semarang

Citra Dewi Widiastuty — 2024-10-31

Background: Type 2 diabetes mellitus is a disease with various causes or chronic metabolic disorders such as carbohydrates, lipids and proteins characterized by high blood glucose levels due to a lack of responsiveness of the body's cells to insulin, which will cause several impacts on the body. Objective: This research aims to determine the relationship between instrumental support and the quality of life of type 2 DM patients at the Ngemplak Simongan Community Health Center. Method: This research is a quantitative, cross sectional study involving 54 respondents who are members of Prolanis DM type 2 using a simple random sampling technique. Results: The research shows that the majority of respondents are elderly (<65 years) 24 (44.4%), women 34 (63, 0%), junior high school education 15 (27.8%), good instrumental support 53 (98.1%), and high quality of life 52 (96.3%). Conclusion: There is a relationship between instrumental support and quality of life (p-value 0.001), the strength of the relationship is moderate (r = 0.429) and the direction of the correlation is positive. The better the instrumental support, the higher the patient's quality of life.

Hubungan Kebiasaan Konsumsi Jajanan Manis dan Jajanan Berlemak dengan Status Gizi Remaja di SMAN 18 Bekasi

Ivana Vardia — 2024-10-31

Background: Prevalence of obese adolescents in Indonesia has increased every year. In 2018, Indonesian adolescents suffering from obesity reached 8.8%. One of the causes of the increasing problem is an imbalance in nutritional intake. Sweet snacks and fatty snacks are popular snacks among adolescents. This snacking habit can risk the incidence of obesity in adolescents. Obesity in adolescents can have various negative impacts on adolescents, both in terms of health, and in terms of mental health which will also affect adulthood. Purpose: This study was to determine the relationship between the habit of consuming sweet snacks and fatty snacks with the nutritional status of adolescents at SMAN 18 Bekasi City. Methods: This study used analytic observational method with cross sectional design conducted at SMAN 18 Bekasi City. The sample of this study amounted to 100 respondents who were taken by consecutive sampling method. Data were collected using a 24-hour food recall questionnaire and analyzed using fisher's exact statistical test. Results: Based on the results of the analysis, the p-value of the variable consumption habits of sweet snacks with nutritional status is 0.771 (p>0.05) with OR 0.744 and the p-value of the variable consumption habits of fatty snacks with nutritional status is 1.000 (p>0.05) with OR 0.948. Conclusion: There is no significant relationship between consumption habits of sweet snacks and fatty snacks with nutritional status among adolescents at SMAN 18 Bekasi City.

Determinan BBLR dari Riwayat Maternal sebagai Bahan Pengembangan Fuzzy Logic Method Teknologi Informatika

Lina Puspitasari — 2024-10-31

Background: Infants born with Low Birth Weight (LBW) are a significant factor contributing to stunting in children under five. Therefore, a system is needed for early detection of LBW. To develop an accurate system, accurate variables are necessary. Descriptive research on the determinants of LBW based on maternal history is crucial. Objective: To identify the determinants of LBW from maternal history as a basis for developing Fuzzy Logic Method technology. Method: This quantitative study employs a descriptive analytic approach. Results: SPSS data analysis indicates a relationship between LBW and gestational age (p-value: 0.001), parity (p-value: 0.008), Mid-Upper Arm Circumference (MUAC) (p-value: 0.758), hemoglobin levels (p-value: 0.021), and pregnancy risk (p-value: 0.001). Conclusion: The independent variables significantly associated with LBW are gestational age, parity, anemia status from hemoglobin data, and pregnancy risk status. Conversely, MUAC is not significantly associated with LBW.

Interaksi Sosial dengan Kualitas Hidup Lansia di Wilayah Kerja Puskesmas Kecamatan Kedurang

Dian Dwiana Maydinar — 2024-10-31

Social interaction an important role in the lives of the elderly because in the elderly there are various declines in body abilities and five senses which can influence and limit the activities and movements of the elderly. Lack of social interaction in the elderly can be a factor in reducing the quality of life of the elderly. Purpose: This study aims to determine the relationship between social interaction and quality of life in the elderly. Method: Quantitative research method uses a correlational design. The research population was the total number of elderly people in the Kedurang District Health Center Working Area in Durian Sebatang Village, 75 people. The sampling technique uses purposive sampling. Data were collected using quality of life and social interaction questionnaires. Analysis uses the Chi–Square Test (c2). Result: The research results showed that (1) of the 43 respondents, the majority (51.2%) had poor interaction and (48.8%) respondents had good interaction. (2) Of the 43 respondents, (51.2) had good quality of life and (48.8%) had poor quality of life. The results of the chi-square test (Continuity Correction) obtained a value of c2=5.254 with asymp.sig(p) = 0.022 < 0.05. This result shows that there is a significant relationship between social interaction and quality of life. Conclusion: it can be concluded that there is a significant relationship between social interaction and quality of life in the elderly

Gambaran Kepatuhan Diet Pasien Diabetes Melitus di Rumah sakit Harapan Pematangsiantar 2023

Lili Suryani Tumanggor — 2024-10-31

Background: The prevalence of Diabetes Mellitus is based on all provinces in Indonesia, especially in the province of North Sumatra 1.39%. The prevalence of DM in Pematangsiantar is 1.68%. Prevalence by Gender, males are 1.34% while females are mostly 1.45%. The habit of eating sugary foods excessively and not adhering to the dietary recommendations of diabetes mellitus is not good for health. Dietary adherence is one of the keys to success in managing DM. Objective: To find out the overview of dietary adherence of patients with diabetes mellitus at Harapan Pematangsiantar Hospital. Method: Descriptive research design using a cross sectional approach. The sampling technique was accidental sampling with a total of 95 respondents. The research instrument used a Diabetes Mellitus diet adherence questionnaire. Results: The results showed that the majority of respondents obeyed as many as 61 respondents (64%) and the non-compliant minority 34 respondents (36%). Conclusion: Family support greatly impacts the patient's health, with support from the family the patient understands and is more obedient in undergoing the diabetes mellitus diet, family support needs to be increased so that the patient can feel better and can also follow the diet obediently, service facilities, consultation on lifestyle DM patients need to be improved.

Gambaran Tingkat Kecemasan pada Remaja Usia Pertengahan (15 - 18 Tahun) Terhadap Citra Diri di SMAN 1 Kediri Tabanan Bali

Ni Komang Shanti Dewi — 2024-10-31

Background: During the growth and development period, teenagers will experience various changes, one of which is physical changes. Due to physical changes, teenagers often feel dissatisfied with themselves and tend to have an attitude of self-rejection which will ultimately cause anxiety in the teenager. The prevalence of anxiety disorders in adolescents aged 15 years and over in Indonesia is estimated at around 37 thousand people, with the prevalence in Bali Province being 4.4%. Method: This research uses descriptive research methods. The population in this study were students of SMAN 1 Kediri Tabanan Bali class X, class XI, and class XII with a sample size of 260 respondents based on inclusion and exclusion criteria that have been determined using purposive sampling techniques and data processed using SPSS with univariate analysis. Results: This research shows that of the 260 student respondents at SMAN 1 Kediri Tabanan, most of the students had mild levels of anxiety (40.4%), moderate anxiety (33.1%), severe anxiety (17.7%) and anxiety very severe/panic (8.8%). Conclusion: Students of SMAN 1 Kediri Tabanan have anxiety levels in the mild category.