Hubungan Praktek Menyuntik Aman dengan Kejadian Cedera Tertusuk Jarum

Perawat dapat memiliki risiko pada saat berinteraksi dengan pasien salah satunya yaitu tertular atau menularkan infeksi. Infeksi adalah masuk dan berkembangnya mikroorganisme dalam tubuh yang menyebabkan sakit yang disertai dengan gejala klinis baik lokal maupun sistemik. Cedera akibat tusukan jarum pada petugas kesehatan merupakan masalah yang signifikan dalam institusi pelayanan kesehatan dewasa ini diperkirakan lebih dari satu juta jarum digunakan setiap tahun oleh tenaga perawat. Tujuan penelitian ini adalah untuk menganalisis hubungan praktik menyuntik aman dengan kejadian cedera tertusuk jarum di RSUD Kota Kendari. Penelitian ini menggunakan observasional analitik dengan pendekatan cross sectional dengan jumlah sampel 45 orang yang diambil secara proportional random sampling dengan menggunakan uji chi square test. Hasil penelitian menunjukkan bahwa ada hubungan praktik menyuntik aman (X2hit= 7,487, p value = 0,006) dengan kejadian cedera tertusuk jarum di RSUD Kota Kendari. Kesimpulan penelitian adalah semakin rendah penerapan praktik menyuntik aman maka peluang kejadian cedera tertusuk jarum akan lebih tinggi. Disarankan agar pihak Rumah Sakit dapat memberikan sosialisasi tentang menyuntik aman pada perawat pelaksana dan melakukan tindakan sesuai SPO dan adanya pelatihan serta supervisi dari atasan secara berkesinambungan. Kata kunci: Praktik menyuntik aman, kejadian cedera tertusuk jarum Abstract The Relationship Between the Practice of Safe Injections and The Incidence of Needle Stick Injuries. Nurses can have a risk when interacting with patients, one of which is contracting or transmitting an infection. Infection is the entry and development of microorganisms in the body that cause pain accompanied by clinical symptoms both locally and systemically. Injury from needle puncture to health workers is a significant problem in institutions of health care today estimated at more than one million needles used every year by nurses. The purpose of this study was to analyze the relationship between the practice of safe injections and the incidence of needle stick injuries in Kendari City Hospital. This study used observational analytic with cross sectional approach with a sample of 45 people taken by proportional random sampling using the chi square test. The results showed that there was a correlation between the practice of safe injections (X2hit = 7.487, p value = 0.006) with the incidence of needle stick injuries in Kendari City Hospital. The conclusion of the study is that the lower the application of safe injecting practices, the higher the chance of the occurrence of needle puncture injuries. It is recommended that the Hospital can provide socialization about safe injections to the implementing nurses and take action according to the SPO and the existence of training and supervision from superiors on an ongoing basis. Keywords: Practical safe injection, needle-injured incidenc

Derajat Merokok Dengan Disabilitas Low Back Pain Pada Tenaga Kerja Bongkar Muat Di Pelabuhan Kota Kendari

Background : Low back pain is unpleased condition or pain which can make limitation in activity and LBP is a leading cause of disability in the world. Based on data from the Port Health Office in 2018, LBP is a condition that is often experienced by loading and unloading workers in the Port of Kendari. There are many factors that can affect low back pain, one of which is smoking. This study aimed to determine the relationship of smoking degree with low back pain disability. Method : This research is an observasional analytic study with cross-sectional approach. This research is an observasional analytic study with cross-sectional approach. 130 sampels were acquired through total sampling. Data were analyzed using the Spearman correlation test (p value <0,05). Result : The result of the study showed that the majority of respondents have mild smoking habits of 70,8% and mild disabilities of 42,3%. Based on statistical test, a positive correlation was obtained between of smoking degree and low back pain disability of loading and unloading workers in port of Kendari City with p value = 0,000 and a correlation coefficient = 0.524. Conclusion : The conclusion of this study is that there is a significant correlation  between smoking degree and low back pain disability of tenaga kerja bongkar muat in port of Kendari City

FAKTOR RISIKO KEJADIAN PENYAKIT ISPA PADA BALITA DI PUSKESMAS LAONTI KABUPATEN KONAWE SELATAN

Infeksi Saluran Pernafasan Akut masih merupakan masalah kesehatan utama di Indonesia terutama pada balita. Tujuan penelitian untuk mengetahui faktor risiko kejadian Infeksi Saluran Pernapasan Akut pada balita. Jenis penelitian inimenggunakan desain penelitian case control study. Populasi penelitian adalah balita yang menderita infeksi saluran pernapasan akut usia 7 sampai 59 bulan. Sampel berjumlah 70 balita yang terdiri dari 35 kasus dan 35 kontrol. Hasilpenelitian menunjukkan faktor risiko kejadian penyakit Infeksi Saluran Pernapasan Akut pada balita dengan nilai OR hitung masing-masing diperoleh kepadatan hunian rumah (OR = 3,24; CI 95% = 1,21-8,62), pemberian ASI eksklusif(OR = 3,85; CI 95% = 1,4-10,5), kebiasaan merokok di dalam rumah (OR = 6,35; CI 95% = 2,0-20,1). Kesimpulan penelitian adalah kepadatan hunian rumah, pemberian ASI eksklusif, dan kebiasaan merokok di dalam rumahmerupakan faktor risiko kejadian infeksi saluran napas aku

Faktor Risiko Efek Samping Obat dan Merasa Sehat Terhadap Ketidakpatuhan Pengobatan Penderita Tuberkulosis Paru

Tuberkulosis Paru (TB) tetap menjadi masalah kesehatan di Indonesia dan juga banyak negara lain di dunia. Salah satu strategi untuk mengelola penyakit ini adalah dengan penerapan strategi DOTS (Directly Observed Treatment Short Course). Namun, program TB Paru di Kota Kendari mencapai tingkat ketidaksesuaian 12% pada tahun 2006 dan 11% pada tahun 2007. Tujuan dari penelitian ini adalah untuk menganalisis faktor risiko pengobatan ketidaksesuaian pasien TB di kota Kendari. Penelitian ini adalah desain kasus kontrol, dengan 136 responden terdiri dari 68 kasus dan 68 kontrol. Sampel kasus adalah semua pasien TB baru berusia 15 tahun ke atas yang pengobatan tidak sesuai. Sampel kontrol adalah semua pasien TB baru berusia 15 tahun dan di atas, siapa yang mematuhi perawatan. Analisis data dengan sistem tabulasi dan statistik oleh SPSS dengan rasio odds. Hasil penelitian menunjukkan bahwa dari dua variabel yang dianggap berisiko terhadap ketidakpatuhan untuk minum obat, semua variabel yang ditemukan memiliki risiko ketidakpatuhan, yaitu efek samping obat OR = 3,853 (95% CI: 1,723-8,616), dan merasa sehat OR = 5,250 (95% CI: 2,174-12,672). Simpulan: efek samping obat&nbsp; dan merasa sehat&nbsp; merupakan faktor risiko terhadap ketidakpatuhan pengobatan pasien TB di Kota Kendari

Determinan Kejadian Dermatitis Kontak Pada Pekerja Bengkel di Kota Kendari

One of the problems in occupational health is occupational diseases. Occupational disease is a disease caused by a job or work environment. Occupational disease that often occurs is contact dermatitis. Contact dermatitis is dermatitis caused by material or substance that sticks to the skin. The study results of the Indonesian Ministry of Health in 2016 for informal workers were 44.2%. Allergic contact dermatitis. Likewise, in 2017 the 2017 Profile of Worker Health Problems in Indonesia obtained 50.5% of work related to work, one of which was skin disorders of 5.3%. This study aims to determine the factors associated with the incidence of contact dermatitis in motorbike workshop workers in Kendari City 2018. This study was quantitative with cross sectional study design. The populations in this study were all The mechanics of motorcycle workshop in Kendari city in 2016, amounting to 459 people. The samples in this study were 58 people. The Results showed that, there was a relationship between long contact and symptoms of contact dermatitis with ρ value = 0.000, there was no relationship between a history of skin disease and symptoms of contact dermatitis with ρ value = 0.174, there was relationship between personal hygiene and symptoms of contact dermatitis with ρ value = 0.026, and there was a relationship between the use of PPE and symptoms of contact dermatitis with ρ value 0,00

Faktor determinan proksi kejadian kematian neonatus di wilayah kerja dinas kesehatan kabupaten Buton Utara

Proxy determinant factors of neonatal mortality rate in the working area of North Buton District Health OfficePurpose: This study aims to determine the proxy determinant of the incidence of neonatal death.Methods: This type of research is observational analytic with a case control approach. The population is all neonatal born in the working area of North Buton District Health Office for the period of 2016-2018. Case samples were neonates who died before the age of 28 days while the control samples were neonates who lived to the age of 28 days with a sample size of 108, with a ratio of 1 case: 2 controls, the sample size was 36 and the control was 72 samples. Data collection is using a questionnaire. Data is processed using the SPSS 16.0 for Windows program to present data in the form of tables and narratives based on the variables studied. Data were analyzed using the test (OR) at the limit of significance α = 0.05.Results: Based on this study, it can be concluded that the risk factors for neonatal death in the working area of North Buton District Health Office are distance birth OR = 8,5 (3,334-21,668), antenatal care quality OR = 3,571 (1,522-8,380), delivery helper OR = 12,429 (4,788-32,259), neonatal sepsis / postnatal infection OR = 4,247 (1,785-10,063), accessibility OR = 4,545 (1,932-10,692), delay in deciding to seek help OR = 6,000 (2,441-14,751).Conclusion: The proxy determinant of neonatal death in the working area of North Buton District Health Office in 2018 was a delivery helper.Tujuan: Angka Kematian Neonatal (AKN) merupakan indikator utama kesehatan dan kesejahteraan masyarakat yang mencerminkan sosiodemografi, biologi, budaya, dan status ekonomi penduduk. Target Sustainable Development Goals (SDGs) menjadi 12 per 1000 kelahiran hidup dari sebelumnya pada Milenium Development Goals (MDGs) tahun 2015 yaitu 19 per 1000 kelahiran hidup. Angka kematian neonatal di Kabupaten Buton Utara merupakan penyumbang terbanyak dengan tingkat kematian dari kematian bayi, anak balita dan balita. Penelitian ini bertujuan untuk mengetahui determinan proksi kejadian kematian neonatus. Metode: Jenis penelitian ini adalah analitik observasional dengan pendekatan case control. Populasinya adalah semua neonatus yang lahir di wilayah kerja Dinas Kesehatan Kabupaten Buton Utara kurun waktu tahun 2016-2018. Sampel penelitian diperoleh setiap kasus dan kontrol adalah 108 dengan perbandingan 1 kasus : 2 kontrol, besar sampel adalah 36 dan kontrol adalah 72 sampel. Pengumpulan data menggunakan kuesioner. Data dianalisis menggunakan uji (OR) pada batas signifikansi α = 0,05. Hasil: Hasil penelitian menunjukkan faktor risiko kematian neonatal di wilayah kerja Dinas Kesehatan Kabupaten Buton Utara adalah jarak dari kelahiran, antenatal care, dukun bayi, sepsis neonatal / infeksi pasca kelahiran, aksesibilitas, keterlambatan dalam memutuskan untuk mencari bantuan. Simpulan: Berdasarkan penelitian ini, dapat disimpulkan bahwa penentu proxy kematian neonatal di wilayah kerja Kantor Kesehatan Kabupaten Buton Utara pada tahun 2018 adalah dukun bayi (OR = 8,992 (95% CI 2,394-33,775)

Clinical Investigation of Leprosy Case in Kendari City

Leprosy is a disease caused by Mycobacterium leprae infection that predominantly affects the skin and peripheral nerves. The long term impact of this infection including neuropathy is deformities and disability. The disease is associated with stigma, especially when deformities are present. Majority of patients exposed to Mycobacterium leprous will not develop the disease, suggesting that person immunity plays an important role in disease infection. This study aims to figure out the new case detection of leprosy patient in Kendari city at the year 2017-2019 and to find out the issues in leprosy elimination. The research was an observational study with descriptive approach. Data collection in this study is using the direct interview for the leprosy programmer from all of Public Health Centre in Kendari City and home visiting the leprosy patient.&nbsp; Data analyzed and presented in narrative and figure. The result showed that in 2019, all of cases (14 cases) detected in the population were adult MB type of leprosy, New Case Detection Rate 3.67/100,000 population. Prevalence rate of leprosy cases that go under treatment in Kendari city was 0.57/10,000 population. Problem in eliminating of leprosy case : Case mapping of leprosy patient was not present, so endemic status not clear; several doctors and programmer of leprosy staffs untrained, &nbsp;low participation and collaboration of relevant sector

Penyuluhan terhadap peningkatan pengetahuan dan sikap remaja tentang bahaya narkotika

Educating young people about drugs among high school studentsBackground: Adolescence is a transition between childhood and adulthood. At this stage of development, adolescents have tasks that must be completed, if adolescents are not able to carry out their roles properly they can be involved in the drugs abuse and other addictive substances.Purpose: to analyze the effect of educating young people  on improving the knowledge and attitudes about drugs among high school studentsMethod: A quasi experiment, using a pre-test and post-test design. The population was  all of student council organization such as  of (youth consultation information center, youth red cross, Scouts) and all students in grade XI (high school)  Negeri 4 Kendari. The samples was divided by 2 group: intervention groups (44 respondents) and control groups (44 respondents). Measuring instruments used were pre-test, post-test day 1, and post-test day 2 after intervention. Data analysis used paired t test and unpaired t test.Results: Shows that the briefing regarding of negative of consequence addicted to drugs  had a significant effect on students' knowledge with p-value <α (0,000) and attitude 0,000. Whereas in the control group there was no effect on knowledge (p value = 0.151) and attitudes (p value = 0.141). The results of the independent test t test obtained knowledge of 0,000 while the attitude of 0.082. This shows there is a difference between knowledge in intervention and control groups but there is no difference in attitude between intervention and control groups.Conclusion: There is effectiveness of briefing regarding of negative of consequence addicted to drugs  on knowledge among high school students in Kendari.Keywords: Educating; Young people; Drugs; High school studentsPendahuluan : Masa remaja merupakan masa peralihan antara masa kanak-kanak dan masa dewasa. Pada tahap perkembangan tersebut, remaja memiliki tugas yang harus diselesaikan, bila remaja tidak mampu menjalankan tugas dengan baik mereka dapat terlibat dalam dunia narkotika, psikotropika, obat-obatan terlarang dan zat adiktif lainnya.Tujuan: Menganalisis pengaruh penyuluhan terhadap peningkatan pengetahuan dan sikap remaja tentang bahaya Narkotika  pada remaja pada kalangan siswa SMA Negeri 4 Kendari.Metode: Penelitian quasi experiment, menggunakan rancangan pre test and post test design. Populasinya semua pengurus organisasi siswa siswi terdiri dari (pusat informasi konsultasi remaja/PIKR, palang merah remaja/PMR, Pramuka) dan siswa kelas XI SMA Negeri 4 Kendari. Sampel dibagi dalam 2 kelompok meliputi kelompok perlakuan (44 responden) dan kelompok kontrol (44 responden). Alat ukur yang digunakan kuesioner pre test, post test hari ke-1, dan post test hari ke-2 setelah penyuluhan. Analisis data menggunakan uji T berpasangan dan uji T tidak berpasangan.Hasil: Pada kelompok perlakuan (penyuluhan) menunjukkan bahwa pemberian penyuluhan tentang narkotika berpengaruh signifikan pada pengetahuan siswa yakni p value < α (0,000) dan sikap 0,000. Sedangkan pada kelompok kontrol tidak ada pengaruh penyuluhan terhadap pengetahuan (p value = 0,151) dan sikap siswa (p value = 0,141). Hasil uji indenpenden T test diperoleh pengetahuan sebesar 0,000 sedangkan pada sikap 0,082. Hal ini menunjukkan ada perbedaan antara pengetahuan pada kelompok perlakuan dan kontrol akan tetapi tidak ada perbedaan sikap antara kelompok perlakuan dan kontrol.Simpulan: Kesimpulan bahwa ada pengaruh penyuluhan terhadap peningkatan pengetahuan remaja tentang bahaya narkotika di Sekolah Menenganh Atas Negeri 4 Kendari

THE INFLUENCE OF HOSPITAL IMAGE SERVICES ON NEED COMMUNITIES IN REGIONAL GENERAL HOSPITAL (RSUD) BAU-BAU CITY

Data on inpatient visits to the Baubau City General Hospital, in 2015 the number of inpatient visits was 6.518 patients, in 2016 there were 7.023 patients, while in 2017 there were 7.119 patients. This study aims to determine the Effect of Inpatient Service Image on Need Society at the Baubau City General Hospital from the level of service of health workers, health service facilities and infrastructure, and environmental conditions. This type of research is quantitative research with a Cross Sectional approach. The total population is 7.119. The sample in this study were 99 patients who were in the inpatient room at the Baubau City General Hospital. The sampling technique is done by the method of accidental sampling. The results showed that there was an influence on the services of health workers with community needs with a significance value of 0.026, which meant that health care services were smaller than probability values ​​or 0.026 &lt;0.05, health service facilities and infrastructure were smaller than probability values ​​or 0,000 &lt;0.05, environmental conditions are smaller than the probability value or 0.004 &lt;0.05. It can be concluded that there is an influence between the services of health workers on community needs, facilities and infrastructure for health services for the community needs, environmental conditions for the need of the community in the Baubau City general hospitalData kunjungan pasien rawat inap pada Rumah Sakit Umum Daerah Kota Baubau, pada tahun 2015 jumlah kunjungan pasien rawat inap sebanyak 6.518 pasien, tahun 2016 sebanyak 7.023 pasien, sedangkan pada tahun 2017 sebanyak 7.119 pasien. Penelitian ini bertujuan untuk mengetahui Pengaruh Citra Pelayanan Rawat Inap Terhadap Need Masyarakat Di Rumah Sakit Umum Daerah Kota Baubau dari tingkat pelayanan petugas kesehatan, sarana dan prasarana pelayanan kesehatan, dan kondisi lingkungan. Jenis penelitian ini adalah penelitian kuantitatif dengan pendekatan Cross Sectional. Jumlah populasi sebanyak 7.119.Sampel dalam penelitian ini adalah 99 pasien yang berada di ruang rawat inap Rumah Sakit Umum Daerah Kota Baubau. Teknik penarikan sampel dilakukan dengan metode Accidental Sampling. Hasil penelitian menunjukan bahwa ada pengaruh pelayanan petugas kesehatan dengan need masyarakat dengan nilai signifikasi 0,026 yang artinya pelayanan petugas kesehatan lebih kecil dari nilai probaliti atau 0,026 &lt; 0,05, sarana dan prasarana pelayanan kesehatan lebih kecil dari nilai probaliti atau 0,000 &lt; 0,05, kondisi lingkungan lebih kecil dari nilai probaliti atau 0,004 &lt; 0,05. Dapat disimpulkan bahwa terdapat pengaruh antara pelayanan petugas kesehatan terhadap need masyarakat, sarana dan prasarana pelayanan kesehatan terhadap need masyarakat, kondisi lngkungan terhadap need masyarakat di rumah sakit umum daerah Kota Bauba

Gonad Extracts of Diadema setosum as Potential Antibacterial Agent Derived from Wakatobi District Sea Waters Southeast Sulawesi Province-Indonesia

High incidence rates of typhoid fever and urinary tract infections in developing countries are aggravated by the overuse of antibiotics that lead to higher resistance of strains of bacteria, including&nbsp;Salmonella typhi&nbsp;and uropathogenic&nbsp;E. coli&nbsp;(UPEC). This dilemma instigates recent studies to find alternative drugs derived from marine resources to reduce the resistance of these harmful bacteria through the utilization of bioactive compounds in the gonad of&nbsp;Diadema setosum. For that reason, this study was conducted to explore the antibacterial properties of ethyl acetate extract in the gonad of&nbsp;Diadema setosum&nbsp;on&nbsp;S.typhi&nbsp;and&nbsp;E. coli&nbsp;bacteria. Chemical screening of bioactive compounds in the gonad of&nbsp;Diadema setosum&nbsp;used ethyl acetate solvent, whereas the antibacterial sensitivity test was conducted by diluting the gonad extracts in 10% DMSO. Preparation of 10% DMSO was made by mixing 10 ml DMSO with a 90 ml aquadest. Each gonad extract of 1 g, 2 g, 4 g, and 8 g was diluted in 10 ml DMSO with the extract concentrations of 10%, 20%, 40%, and 80%, respectively. Results of the chemical screening of the gonad extracts of&nbsp;Diadema setosum&nbsp;showed that the gonad extracts contained flavonoids (orange to red color), steroids (greenish color), and saponin was marked in the form of foam for 15 minutes. Meanwhile, results of the culture test proved that ethyl acetate extract of the gonad of Diadema setosum inhibited the growth of&nbsp;E. coli&nbsp;and&nbsp;S. typhi&nbsp;at 80% concentration classified into high inhibition response with mean inhibition response was 21 mm for&nbsp;E. coli&nbsp;and mean inhibition response was 20 mm for&nbsp;S. typhi&nbsp;compared to the concentrations of 40%, 20%, and 10 %. It was concluded that the gonad extracts of&nbsp;Diadema setosum&nbsp;could be used as a potential novel drug for reducing the resistance of these bacteria. In addition, the gonad of&nbsp;Diadema setosum&nbsp;delivers a potential alternative foodstuff to improve health status and prevents the negative effects of these bacterial strains