Hubungan Penerapan Manajemen Dengan Kinerja Petugas Kesehatan

Kinerja merupakan salah satu faktor yang sangat penting dalam sebuah organisasi. Pihak manajemen juga dapat menggunakan pengukuran kinerja sebagai alat untuk mengevaluasi organisasi. Dalam rangka peningkatan manajemen di tingkat Puskesmas, maka unsur-unsur manajemen yang terdiri atas perencanaan, penggerakan pelaksanaan dan pengawasan, pengendalian dan penilaian telah dikernbangkan. Penerapan fungsi-fungsi manajemen sangat berpengaruh terhadap kinerja pegawai puskesmas. Penelitian bertujuan untuk mengetahui hubungan penerapan manajemen dengan kinerja petugas kesehatan. Penelitian bersifat analitik dengan desain cross sectional. Populasi dalam penelitian ini adalah seluruh petugas kesehatan sebanyak 150 orang dengan jumlah sampel 88 orang. Sampel diambil dengan menggunakan consecutive sampling. Penelitian ini dianalisis uji chi-square dan Regresi Logistik. Berdasarkan hasil penelitian didapatkan bahwa perencanaan, (p-value 0,02), pelaksanaan dan pengendalian (p-value 0,01), pengawasan dan pertagnggungjawaban (p-value 0,00) mempunyai hubungan yang signifikan dengan kinerja petugas kesehatan. Berdasarkan analisis multivariate didapatkan bahwa variabel yang paling dominan berhubungan dengan kinerja petugas kesehatan adalah Pengawasan dan Pertanggungjawaban dimana p-value 0.03 dan nilai Exp (B) 5,885 dimana Pengawasan dan Pertanggungjawaban yang dilakukan dengan baik mempunyai peluang 5.885 kali petugas kesehatan melakukan kinerja yang baik dibandingkan dengan Pengawasan dan Pertanggungjawaban yang cukup. perencanaan, (p-value 0,02), pelaksanaan dan pengendalian (p-value 0,01), pengawasan dan pertagnggungjawaban (p-value 0,00) mempunyai hubungan yang signifikan dengan kinerja petuga

ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN SELF EFFICACY PENDERITA TB PARU

Tuberculosis adalah penyakit menular yang disebabkan oleh bakteri Mycobacterium Tuberkulosis. Penyakit ini menjadi penyebab kematian terbanyak kedua akibat penyakit infeksi. WHO telah mencanangkan tuberculosis sebagai global publik health emergency. Peningkatan efikasi diri berhubungan dengan peningkatan kepatuhan terhadap pengobatan, perilaku promosi kesehatan dan menurunkan gejala fisik dan psikologis. Efikasi diri memiliki peran dalam inisiasi dan menjaga perilaku kesehatan, sehingga diyakini bahwa  peningkatan efikasi pada perilaku kesehatan akan mengakibatkan perbaikan kesehatan dan meningkatkan perilaku serta kualitas hidupnya Penelitian ini bertujuan Untuk analisis faktor yang berhubungan dengan self efficacy penderita TB Paru menjalani pengobatan di puskesmas delitua. Penelitian ini menggunakan pendekatan kuantitatif dengan teknik observasional dengan pendekatan potong lintang (cross sectional). Penelitian dilaksanakan Puskesmas Deli Tua. Populasi dalam penelitian ini adalah seluruh pasien MDR yang berkunjung kepuskesmas Delitua dengan jumlah sampel 96 orang Penelitian ini dilakukan dalam waktu 1 tahun terhadap 96 orang responden. Penelitian ini dilakukan dalam waktu 1 tahun terhadap 96 orang responden. Analisis dapat dilakukan  secara univariat, bivariat. Hasil penelitian ini menunjukkan terdapat hubungan usia, jarak layanan kesehatan, pekerjaan, pendapatan dan riwayat penyakit lain dengan Self-Efficacy Penderita Tb Paru Menjalani Pengobatan. Diharapkan kepada tenaga kesehatan untuk memberikan pendidikan kesehatan kepada Penderita TB paru dalam meningkatkan kepercayaan diri selama proses pengobatan

Pengaruh Pelvic Rocking Terhadap Penurunan Nyeri Mental Pada Remaja Wanita

Menurut World Health Organization (WHO) remaja adalah orang yang berusia 10-19 tahun. rata-rata 16,8%-81% wanita di seluruh dunia menderita nyeri haid. Sebanyak 15% remaja putri di Amerika Serikat mengalami nyeri haid yang parah (Sulistyorinin, 2017). Penelitian ini dilakukan bertujuan untuk mengetahui “Pengaruh Pelvic Rocking Terhadap Penurunan Nyeri Haid Pada Remaja Putri Di SMPN 1 Namorambe Tahun 2023”. Desain penelitian ini menggunakan quasi eksperimen dengan metode one group pretest-posttest design, yang bertujuan untuk mengetahui pengaruh pelvic rocking terhadap penurunan nyeri haid pada remaja putri di SMPN 1 Namorambe. Desain ini tidak menggunakan kelompok pembanding. Penelitian ini dilakukan hanya pada satu kelompok eksperimen, dimana nyeri haid diukur sebelum dan sesudah goyang panggul. Pengukuran dilakukan dengan membandingkan hasil pengukuran nyeri haid pertama (pretest) dengan perubahan yang terjadi setelah (posttest) percobaan (Setiadi, 2007). Berdasarkan penelitian didapatkan hasil uji pengaruh signifikan pelvic rocking terhadap penurunan nyeri haid pada remaja putri SMPN 1 Namorambe tahun 2023. Berdasarkan sebaran data skala nyeri sebelum dilakukan pelvic rocking, mayoritas merasakan nyeri 4-6 25 responden dan sebagian kecil merasakan nyeri 7 -10 11 responden. Sedangkan sebaran data skala nyeri setelah dilakukan goyang panggul mayoritas merasakan nyeri 1-3 sebanyak 19 responden dan minoritas merasakan nyeri 4-6 sebanyak 17 responden. Ada pengaruh pelvic rocking terhadap penurunan nyeri haid pada remaja putri SMPN 1 Namorambe tahun 2023 dengan nilai signifikansi 0,000 menggunakan uji parametrik yaitu uji wilcoxon

EVALUASI RISIKO TERJADINYA DISFUNGSI SEKSUAL PASIEN KANKER KOLOREKTAL DENGAN STOMA: A SYSTEMATIC REVIEW

Objective: Stoma is a surgical procedure commonly used for the treatment of colorectal cancer patients, this will affect the patient's sexuality problems. This research study with qualitative and quantitative research designs published between 2008 to 2018 in English articles. Methods: PubMed, EBSCO, and Google Scholar, are sought to evaluate the risk of sexual dysfunction in colorectal cancer patients with stoma. Results: Research that has been explored in nine consists of mixed methods case control, case control retrospective study, systematic review, phenomenology study, multiple logistic regression, prospective descriptive study, longitudinal study, cross sectional design, descriptive comparison study. Most of the findings of the study show that sexual dysfunction is a problem of concern. Conclusions: evaluating sexual dysfunction problems in colorectal cancer patients with stoma, are the basic essence of nursing intervention. Health care professionals must be more aware of the problems of risk factors for sexual dysfunction experienced by patients after making stoma, so that services and treatments performed are more optimal

PENGARUH KUALITAS PENCATATAN DAN PELAPORAN TERHADAP TATA KELOLA ADMINISTRASI DI WILAYAH KERJA PUSKESMAS SIBOLANGIT TAHUN 2017

Regristration and reporting system of Public Health Center is vital instrument in health system. The information about the pain, the use of health service at Public Health Center, death and many others health information is beneficial to have decision and policy maker at Regency stage, city and Sub-regency. This research aims to analyze the influence quality of registration and reporting toward administrative system at Pubilic Health Center of Sibolangit in 2017. This research is explanatory research with cross sectional as discover, analyze and explain how the influences quality or registration and reporting toward administrative system at Pubilic Health Center of Sibolangit in 2017. The sample of this research is all populations (random sampling) who are the staff who work in Public Health Center of Sibolangit as many as 50 people. The result of input factors found that budgeting in registration and reporting is good (82%), capacity resource support (86%), mainstay variable in handling good registration and reporting (74%), good respond (76%). The factor of process, data respondents collecting who said good (68%), good sending process of respondents data (52%), bad sending process (48%). From data analysis found that respondents who said good (65%). Output factors, good planning variable (36%), with good evaluation (58%), punctuality to handle and make good report (60%), safety of saving data file (52%). The bivariat result show that there is significant influences between collecting data, sending data, analysis data, planning, punctuality, completencess with implematation of administration system at Public Health Center of Sibolangit. There is no significant influences between budgeting, capacity resources, mainstay, respond capacity, and evaluation with administrative system at Pubilc Health Center of Sibolangit. The result of multivariate analysis found that dominant factors is collecting data with value 1,637. For health department needs the efforts comprehensive ordering on organizing of Registration and reporting system of Public Health Center to progress and application of health information system at Public Health Center

Pengaruh Senam Prolanis Terhadap Pengendalian Kadar Glukosa Darah dan Tekanan Darah Pada Pasien Diabetes Melitus Tipe II dan Hipertensi

Diabetes Mellitus - Hipertensi (DM-HT) adalah intoleransi karbohidrat yang ditandai dengan resistensi insulin, defisiensi insulin relatif, produksi glukosa berlebih oleh hati dan hiperglikemia. Diabetes dan komplikasinya membawa kerugian besar bagi penderita diabetes dan keluarga. Upaya yang dilakukan untuk mengendalikannya adalah dengan latihan prolanis. Tujuan penelitian ini untuk mengetahui pengaruh senam prolanis terhadap tekanan darah dan pengendalian kadar glukosa darah pada pasien DM Tipe II dan Hipertensi di Puskesmas Aek Habil Sibolga. Jenis penelitian dengan menggunakan one group pre and post test dimana penelitiannya terdapat pretest sebelum diberi perlakuan dan posttest setelah diberi perlakuan. Populasi dalam penelitian ini adalah seluruh penderita diabetes tipe II dan hipertensi di wilayah kerja Puskesmas Aek Habil dengan jumlah sampel sebanyak 49 orang yang diambil dengan teknik purposive sampling. Analisis data menggunakan Paired t-test. Sebelum dianalisis dilakukan uji normalitas data terlebih dahulu dimana diperoleh hasil untuk data kadar gula darah terdistribusi normal dan untuk data tekanan darah sistol dan diastol tidak berdistribusi normal. Berdasarkan hasil penelitian terdapat pengaruh senam prolanis terhadap gula darah dengan signifikansi 0,001. Pada tekanan darah didapatkan hasil ada pengaruh senam prolanis terhadap perubahan tekanan darah sistol dengan signifikansi 0,000, dan tekanan darah diastol dengan signifikansi 0,00. Dari hasil penelitian dapat disimpulkan bahwa terdapat pengaruh Senam Prolanis terhadap pengendalian kadar gula darah dan tekanan darah pada penderita Diabetes Mellitus dan Hipertensi. Diharapkan kepada tenaga kesehatan dapat meningkatkan upaya penanganan penyakit diabetes melitus dengan mengoptimalkan kegiatan senam prolanis

PELATIHAN PETUGAS SISTEM PENCATATAN DAN PELAPORAN TERPADU PUSKESMAS DI KABUPATEN TAPANULI SELATAN

The Puskesmas Integrated Recording and Reporting System (SP2TP) is intended to meet administrative needs at higher levels in order to develop, establish policies and be utilized by Puskesmas to improve Puskesmas efforts, through planning, mobilizing, implementing, monitoring, controlling and assessing. The training for SP2TP officers in South Tapanuli Regency is aimed at increasing the capacity and capability of human resources in managing common problems. The training was carried out using the lecture method interspersed with discussions and brain storming to stimulate the training atmosphere. The training participants are invited to express their opinions, especially the problems faced at the puskesmas in managing SP2TP, so that solutions can be found together. Participants were given a question about data processing, in the form of items in the SP2TP format so that it became useful information. This is done so that the absorption of SP2TP material can be maximized so that it can be directly practiced in managing SP2TP problems at their respective health centers

HUBUNGAN PERILAKU HIDUP BERSIH DAN SEHAT DALAM TATANAN RUMAH TANGGA DENGAN KEJADIAN DIARE

Diarrheal disease frequency of bowel movements more than 4 times with consistent dilute, can green or can be mixed with mucus and blood or mucus only. This study aims to determine The relationship between behavior of clean and healthy life and incidence of diarrhea at subvillage sidorame paya rumput subdistrict medan deli. The study design used is cross sectional by using total sampling method, a sample size of 50 people. Data were analyzed using chi square test, with α of 0.05. Research results obtained from 50 people who did not do a clean and healthy living behaviors there are 37 people (74%) had diarrhea, which perform a clean and healthy life behavior, there were 13 people (26%) did not have diarrhea. From the research there was no significant association of clean and healthy behaviors with the incidence of diarrhea who do not have the meaning of living a clean and healthy behaviors have a great chance of diarrhea than those who do a clean and healthy living behaviors. Suggested to the health authority health centers medan deli to take preventive action against the possible occurrence of diarrhea to reduce mortality and morbidity in diarrhea

Analisis Risiko Ergonomi Terhadap Gangguan Otot Rangka Akibat Kerja (GOTRAK) Pada Perawat Di Rumah Sakit Umum Haji Medan Tahun 2023

The majority of complaints involving the skeletal-muscle system are brought on by excessive muscle contraction as a result of exerting an excessive workload for an extended period of time. Ergonomics is the study of work harmony in a system. In its application, work will be safe for workers/humans and work efficiency will increase so that human welfare is achieved. Quantitative cross-sectional or cross-sectional research, or research that aims to examine the relationship between ergonomic risk (awkward posture, workload, duration and frequency) with work-related skeletal muscle disorders in nurses at the Hajj Generali Hospital, Medani City in 2023. The populace in this study were all nurses at Medan Hajj General Hospital. The Slovin formula was used in this study's sample selection, which resulted in 75 respondents. With a p value of 0.000, statistical tests performed with chi-square showed that awkward postures and work-related skeletal muscle disorders are related. There is also a relationship between workload and skeletal muscle disorders due to workp value of 0.009, there is a relationship between duration and skeletal muscle disorders due to work withp value of 0.018 and the relationship between frequency and skeletal muscle disorders due to work withp value of 0.000. It was discovered in the multivariate analysis that awkward postures and frequency were the dominant factors affecting skeletal-muscle disorders due to work in nurses at the Medan Hajj General Hospital in 2023, the value obtained p value of 0.000 with Odd Ratio 100.189 for awkward posture and p value of 0.045 with Odd Ratio of 8.237 for frequency. It is normal that nurses will actually want to apply work breaks or light extending for a couple of moments after carrying out repetitive activities for a long duration and for the directorate of Medan Hajj Hospital to pay more attention to and implement work stations with an ergonomic position. Keywords: Nurse, Ergonomic Risk, Work-related Skeletal Muscle Disorder

Locus Control And Obedience in Covid-19 Prevention

Background: Locus control is dimensions psychology at play important in self elderly in application Covid-19 prevention. Purpose:  for knowing knowing connection locus control to obedience elderly in doing protocol health Covid-19 prevention. Method : Study this is correlative . Research samples as many as 209 elderly with cluster sampling based on 5 villages and simple random sampling based on population data  Study this will held in 1 year in Work Area Deli Tua Health Center . Instruments in the form of questionnaire locus control . Results: Research results obtained that there is connection locus control to obedience elderly in application proces Covid-19 prevention in the elderly. Conclusion: Importance observation to locus control To use increase obedience