ANALISIS FAKTOR YANG MEMENGARUHI ADVERSITY QUOTIENT PERAWAT DI RUMAH SAKIT UMUM SINAR HUSNI MEDAN

Low nurse adversity quotient will affect nursing services in a health facility. This study aims to analyze the factors that influence nurses' Adversity Quotient at Sinar Husni General Hospital, Medan. This type of research is an analytic survey with a cross sectional study design. The study was conducted at the Sinar Husni General Hospital, Medan. The sample in this study used a total sampling technique so that the sample were all nurses at Sinar Husni General Hospital, Medan, as many as 71 people. To analyze the data used the chi-square test and logistic regression. Based on the results of the study it can be concluded that there is a genetic influence on nurses' Adversity Quotient in the inpatient room of the Sinar Husni General Hospital in Medan, there is an influence of beliefs on the Adversity Quotient of nurses at the Sinar Husni General Hospital in Medan, there is an influence of talent on the Adversity Quotient of nurses at the Hospital General Sinar Husni Medan, there is an influence of willingness on nurses' Adversity Quotient at Sinar Husni General Hospital Medan, there is an environmental effect on nurses' Adversity Quotient at Sinar Husni General Hospital in Medan, there is a character effect on nurses' Adversity Quotient at Sinar Husni General Hospital, Medan. Based on the conclusions above, it is recommended that hospitals can consider developing HR by including the Adversity Quotient development program in the annual plan in addition to professional skills and knowledge training. In addition, the hospital can also review the recruitment system by including an assessment of the level of one's Adversity Quotient in a psychological test as one of the considerations of employee recruitment

PENGARUH FAKTOR INDIVIDU, ORGANISASI DAN PERILAKU TERHADAP KEPATUHAN PERAWAT DALAM MELAKSANAKAN HAND HYGIENE DI RUANG RAWAT INAP RSUD BATU BARA

ABSTRAK Rumah Sakit merupakan tempat berkumpulnya segala macam penyakit, baik menular maupun tidak menular. Ditinjau dari asal atau didapatnya infeksi dapat berasal dari komunitas (community acquired infection) atau berasal dari lingkungan rumah sakit (Hospital acquired infection) yang sebelumnya dikenal dengan istilah infeksi nosokomial. Tujuan penelitian ini adalah untuk menganalisis Pengaruh Faktor Individu, Organisasi dan Perilaku Terhadap Kepatuhan Perawat dalam Melaksanakan Hand Hygiene di Ruang Rawat Inap RSUD Batu Bara. Jenis penelitian adalah survey. Populasi dalam penelitian adalah perawat yang bekerja di RSUD Batubara sejumlah 70 orang dan seluruhnya dijadikan sampel. Pengumpulan data dengan menggunakan kuesioner. Analisis data menggunakan analisis univariat dan analisis bivariat dengan menggunakan uji Chi-Square pada taraf kepercayaan 95%, α=5%. Hasil penelitian ini menunjukkan bahwa Ada pengaruh faktor individu terhadap kepatuhan perawat dalam melaksanakan hand hygiene. Ada pengaruh faktor organisasi terhadap kepatuhan perawat dalam melaksanakan hand hygiene. Kepatuhan perawat dalam melaksanakan Hand Hygiene dipengaruhi oleh faktor organisasi sebesar 4.119 kali. Bagi manajemen RSUD Batu Bara agar meningkatkan strategi promosi media lefleat dan MMT hand hygiene berupa peningkatan kualitas (design, susunan kata/kalimat, ukuran), peningkatan jumlah, dan lokasi penempatan yang mudah dilihat siapa saja.Abstract             Hospital is a gathering place for all kinds of diseases, both infectious and non-communicable. In terms of origin or infection, it can come from the community (community acquired infection) or come from the hospital environment (Hospital acquired infection) which was previously known as nosocomial infection. The purpose of this study was to analyze the influence of individual, organizational and behavioral factors on nurse compliance in implementing hand hygiene in the inpatient room of Batu Bara Hospital. This type of research is a survey. The population in this study were 70 nurses who worked at Batubara Hospital and all of them were sampled. Data collection using a questionnaire. Data analysis used univariate analysis and bivariate analysis using the Chi-Square test at the 95% confidence level, α = 5%. The results of this study indicate that there is an influence of individual factors on nurses' compliance in implementing hand hygiene. There is an influence of organizational factors on nurses' compliance in implementing hand hygiene. Nurses' compliance in implementing Hand Hygiene is influenced by organizational factors of 4,119 times. For the management of Batu Bara Hospital to improve the promotion strategy of lefleat media and MMT hand hygiene in the form of quality improvement (design, word / sentence structure, size), increasing the number, and placement locations that are easily seen by anyone

ANALISIS FAKTOR YANG MEMENGARUHI KEJADIAN HIPERTENSI PADA SUKU BATAK DI WILAYAH KERJA PUSKESMAS CIKAMPAK KABUPATEN LABUHAN BATU SELATAN

Hipertensi atau tekanan darah tinggi merupakan masalah yang ditemukan pada masyarakat baik di negara maju maupun berkembang termasuk Indonesia.. Adapun tujuan Analisis faktor yang memengaruhi Kejadian Hipertensi pada Suku Batak di Wilayah Kerja Puskesmas Cikampak Kabupaten Labuhan Selatan. Jenis penelitian ini merupakan survei analitik dengan rancangan cross sectional study. Penelitian dilakukan di Puskesmas Cikampak, Kabupaten Labuhan Batu Selatan. Populasi dalam penelitian ini yaitu rata-rata kunjungan pasien sebanyak 48 orang pada bulan Oktober-November 2019. Sampel diperoleh dengan menggunakan total sampling. Untuk menganalisis data tersebut digunakan uji regresi logistik.. Berdasarkan hasil penelitian diketahui bahwa kejadian hipertensi berhubungan dengan umur (p=0,033), pola makanan (p=0,017), konsumsi kopi (p=0,000). Berdasarkan hasil penelitian, dapat disimpulkan bahwa faktor-faktor yang berhubungan dengan kejadian hipertensi berhubungan dengan umur, pola makanan, konsumsi kopi. Sehingga adapun saran dalam penelitian ini diharapkan agar penderita hipertensi mengurangi konsumsi faktor-faktor yang berhubungan dengan kejadian hipertensi dan melakukan pemeriksaan rutin di Wilayah Kerja Puskesmas Cikampak Kabupaten Labuhan Selata

Analysis of the Utilization of Capitation Funds for the National Health Insurance Program at the Kute Panang Health Center

The research objective is to analyze the utilization of capitation funds, utilization of services and utilization of operational costs of health services for the National Health Insurance program at the Kute Panang Health Center. Research uses are theoretical/scientific and practical uses. The type and design of the research used was descriptive qualitative. The data sources used are primary data and secondary data. Data collection techniques through interviews, observation and documentation. Data analysis techniques through data collection, data reduction, data presentation, conclusion drawing and clarification. data validity test is done through Triangulation and Member Check. the research stage consists of the pre-field stage, the field work stage, and the data analysis stage. 21 of 2016. and Decree of the District Head of Central Aceh No. 425/ Dinkes/2019 concerning the use of JKN capitation funds at Puskesmas. Analysis of utilization of health services (health workers and non-health workers) by 70%. Analysis of the Utilization of Health Service Operational Costs for activities inside the building, outside the building by 30%. 21 of 2016 and the Decree of the District Head of Central Aceh No. 425/ Dinkes/2019 as technical guidelines and regional policies in the use of JKN capitation funds at the Community Health Center. The utilization of capitation funds is 70% for payment of health services and 30% for other health operations

Analysis of Factors Associated with Compliance with Taking Medicines for Pulmonary Tuberculosis Patients at Lut Tawar Health Center, Central Aceh Regency

There is a worldwide epidemic of tuberculosis (TB). As of May 31st, 2021, the Lut Tawar Health Center had recorded 10 instances in 2019, and 17 cases had been recorded as of that date. The purpose of this research is to evaluate the analysis of variables influencing medication adherence in pulmonary TB patients at the Lut Tawar Health Center, Lut Tawar District, Central Aceh Regency. Research is conducted using a cross-sectional design using quantitative analytic techniques. As many as 33 tuberculosis patients are enrolled in the Lut Tawar Health Center's TB treatment program. Total sampling was employed as the sampling strategy. Univariate, bivariate and multivariate analyses were used to analyze the data. There were no statistically significant differences in the p-values for education (0.000), employment (0.000), distance from home (0.000), knowledge (0.00), medication side effects (0.024), or family support (0.024) in the chi square analysis. Multivariate analysis indicated that the pharmacological side effect variable had a value (p=0.000) that was the most significant. Patients and families should be supported by the puskesmas, or health professionals, in charge of running the TB treatment program, so that they can keep tabs on their loved ones' medication compliance and avoid drug withdrawal and resistance. As part of the health education provided by health professionals, they describe the side effects of TB medications and encourage patients to continue taking them until they are well enough to do so

Factors Affecting the Incidence of Uncontrolled Hypertension in Patients Performing Routine Examinations at the Kebayakan Public Health Center, Central Aceh Regency

The purpose of the study was to determine the factors that influence the incidence of uncontrolled hypertension in patients who carry out routine checks at the Community Health Center (Puskesmas). Method: using analytical survey method using Case Control research design. The sample was 148 respondents, 74 case groups and 74 control groups were taken by purposive sampling. Data analysis was performed univariate, bivariate and multivariate with multiple logistic regression. The results of the bivariate test showed that the factors influencing the incidence of uncontrolled hypertension were age (p= 0.002; OR = 3,253), family history (p= 0.000; OR = 4.216), obesity (p= 0.005; OR = 2.734), physical activity (p= 0.000; OR = 4.229), salt consumption (p= 0.000; OR = 4,127), coffee consumption (p= 0.010; OR = 4,127), stress (p= 0.000; OR = 3,745), medication adherence (p= 0.000; OR = 4.492). Factors that were not related were gender (p= 0.620; OR = 0.803), smoking (p= 1,000; OR = 1,000). While the results of the multivariate test showed that the most influential factors with the incidence of uncontrolled hypertension were medication adherence variable (p= 0.000; Exp(B) = 5.982), and obesity variable (p= 0.002; Exp(B) = 4.945). In conclusion, the dominant factors that influence the incidence of uncontrolled hypertension at the Kebayakan Health Center are medication adherence and obesity

ANALISIS IMPLEMENTASI STRATEGI PROMOSI KESEHATAN DALAM PENCEGAHAN FILARIASIS DI WILAYAH KERJA PUSKESMAS TANJUNG SENGKUANG KECAMATAN BATU AMPAR KOTA BATAM TAHUN 2019

Filariasis is still a health threat in several regions in Indonesia. One of the government's strategies in preventing filariasis is to provide health promotion through counselling to people in endemic areas. The purpose of this study was to analyze the implementation of health promotion strategies in the prevention of filariasis. This research was a qualitative research with a descriptive approach and was conducted at Tanjung Sengkuang Health Centre. The informants were 6 people. Data were analysed with the stages of data reduction, data display, and conclusion or verification. The results showed that community empowerment was done by providing cadre training 2 months before the activity, direct counselling to the community, mobilizing the community in BELKAGA activities, motivating midwives/cadres to go to the community. The atmosphere building activities are inviting cadres to the field, establishing posts in each village, cross-sectoral collaboration, ensuring counselling schedules and taking medicine. Advocacy by putting the doctor in charge of the program approaches with elements of the community. The Partnership coordinates with heads of offices, members of the DPR, mass organizations, community and religious leaders, heads of RT/RW, youth, and companies. Supporting factors are the support of health workers, funds from the government, cadres and midwives as role models, Helath Centre infrastructure facilities, distribution of manuals, stickers and banners. The inhibiting factors are boredom, fear of side effects, the majority of workers, different catches, medical personnel are not proportional to the population and area. It is recommended to the Tanjung Sengkuang Health Centre to overcome the inhibiting factors found in the health promotion strategy for preventing filariasi

Factors Associated with 0-28 Day Neonatal Mortality in Central Aceh Regency

This study aims to determine the factors associated with neonatal mortality 0-28 days in Central Aceh District in 2020. This research is a quantitative study with a case control research design and uses a retrospective approach. The study population was all mothers giving birth whose babies died at the age of 0-28 days from January to December 2020. The sample in this study was 120 respondents consisting of 60 cases and 60 controls. The sampling technique used was total sampling. Data analysis using chi square test and multiple logistic regression test. The results of the bivariate analysis using the chi square test showed that there were 2 variables that were significantly related to neonatal mortality, namely the maternal age variable with p value = 0.012 and the pregnancy examination variable with p value = 0.047. The results of multivariate analysis with multiple logistic regression test showed that there were 3 variables that influenced neonatal mortality, namely the maternal age variable with a p value of 0.001, the birth spacing variable with a p value of 0.018 and the pregnancy examination variable with a p value of 0.018, while the most dominant variable affecting the incidence of death Neonatal age is the variable of maternal age with an OR value of 4.397

Pengaruh mutu pelayanan kesehatan terhadap kepuasan pasien peserta JKN/KIS di Puskesmas Gunung Tua Kecamatan Padang Bolak

Quality of health services is the level of perfection of health services, which on the one hand can lead to satisfaction for each patient in accordance with the average level of satisfaction. The purpose of this study was to analyze the quality of service that affects patient satisfaction of JKN / KIS participants at Gunung Tua Publich Health, Padang Bolak District, North Padang Lawas Regency in 2020. This study used a quantitative analytical survey with a cross sectional study design. The location of this research was conducted at Gunung Tua Puskesmas, Padang Bolak District, North Padang Lawas Regency. The study population was all outpatients visiting with an average monthly visit of 906 patients. The number of samples in this study were 90 people. The technique used is purposive sampling. Survey data were analyzed using the chi-square test and logistic regression. The results showed that there was an effect of tangible (physical evidence), reliability (reliability), responsiveness (responsiveness), assurance (certainty) and empathy (empathy) had an effect on patient satisfaction of JKN / KIS participants at Gunung Tua Puskesmas, Padang Bolak District, North Padang Lawas Regency. Based on the research results, it is known that the variable that most influences patient satisfaction is the responsiveness variable (responsiveness). It is recommended for health workers to maintain patient satisfaction by improving the quality of service, especially in the responsiveness aspect, such as responding to complaints quickly, so that patients feel valued and served well and increasing the number of officers who handle JKN / KIS patients so that patients do not wait too lon

Analysis of Immunization Program Management in Achieving Universal Child Immunization (UCI) Coverage at Bebesen Health Center, Central Aceh Regency

The purpose of the study was to analyze the implementation of immunization program management in an effort to achieve UCI at the Bebesen Health Center, Central Aceh Regency. This research uses descriptive qualitative method. The research location is Bebesen Public Health Center, Central Aceh Regency. Sources of data used consisted of primary data, secondary data and tertiary data. Data collection techniques in the form of observation, in-depth interviews with 10 informants and documentation. Data analysis techniques are carried out through data reduction, data presentation and drawing conclusions. To analyze the availability of resources for the implementation of the immunization program at the Bebesen Health Center, Central Aceh Regency, the researchers used management theory including input, process and output consisting of the availability of officers, sources of funds and facilities and infrastructure. The implementation of the immunization program consists of planning, implementation, monitoring and evaluation. The output can be seen in the UCI coverage at the Bebesen Health Center. It has not yet reached the target where the achievement is still 71.4%. The conclusion of this study is that the staff's resources have met the qualification standards, namely having a medical or nursing educational background and having STR with a minimum education of DIII in the field of Health, as well as sufficient funds, facilities and infrastructure. The evaluation has been carried out and it is necessary to increase cross-sectoral collaboration