232 research outputs found

    Sikap Mengenai Keselamatan pada Residen dan Perawat di Rumah Sakit Pendidikan

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    Background: Provider attitudes about issues pertinent topatient safety may be related to errors and adverse events.Residents as the main health provider in teaching hospitalsplay an important factors for assuring patient safety.Objective: To assess the attitudes of residents towards patientsafety and compare the attituted to other health providersnurse/midwive) in the Obstetrics Gynaecology Outpatient Clinic.Methods: This was a survey conducted in a teaching hospitalat Yogyakarta. Safety Attitude Questionnare (SAQ)-A questionnairewas adapted into Indonesian setting to assess attitudesamong residents and nurses at Obstetrics Gynaecologyoutpatient clinic. All residents and health providers were invitedto participate in this survey.Results: Total of 71 respondents involved in this survey (consistedof 79% of total residents and 82% of total nurses). TheSAQ-A questionnaire which was used here had comparableinternal consistency with the previous study. In general attitudestowards patient safety were higher among nurses/midwive than residents. Significant differences revealed relatedto perception to management and stress recognition.Perception to management score was the lowest compared toother scales (19,6% residents versus 33,3% nurses withpositive attitudes). There was no differences for other scalesbut still with low attitude scores. Aspects related to informationtransfer between residents and consultant, clinic referralsystem and care in test results management were perceivedas poor by residents and nurses.Conclusion: Residents have lower attitudes towards patientsafety compare to nurses/midwive. This study shows theimportance of providing orientation among residens beforetheir training program to improve patient safety attitude.Key Words: attitude towards patient safety, safety attitudesquestionnaire, teaching hospita

    Determinan Perilaku Suami yang Mempengaruhi Pilihan Penolong Persalinan Bagi Istri

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    Background: Culture often gives limitation for women in decision taking regarding their health. In fact, husbands play an absolute role to determine who will attend and help the delivery.Objective: To explore husbands' behavior in choosing and determining that will help their wife's delivery.Methods: This is a survey study using cross-sectional design. The samples were 110 husbands who had a wife delivering in Pekuncen Sub District's primary health center, Banyumas District, Central Java, during the period of 1 January 2005 – 31 December 2005.Results: The variables that had significant relationship in choosing and determining birth attendant were husbands' education OR = 7.57 (95% Cl: 2.11 – 27.15), delivery cost OR = 6.77 (95% Cl: 2.06 – 22.28) and husbands' trust OR = 0.15 (95% Cl: 0.04 – 0.55). Husbands with higher level of education had an opportunity of 7.5 times increased to choose and determine the birth attendant compared to those with lower lever of education. Husbands' trust had an opportunity of 7 times decreased to choose and determine the birth attendant compared to those with no trust to the birth attendant. Expensive delivery cost would be 6.7 times increased the determination of the birth attendant by health provider compared to cheap delivery cost. It was because of some additional cost for the health provider that was relatively high. As a result, mean distribution curve of the birth attendant cost would tend to go to the right.Conclusions: Husbands' education, cost, and trust factors were the determinant factors in choosing and determining who would attend the delivery

    Penilaian Keterampilan klinik

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    Penilaian - Ketrampilan kilini

    Faktor-Faktor yang Berhubungan dengan Pernikahan Usia Dini di Kabupaten Purworejo Jawa Tengah

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    Background: Early marriage is common in developing countries including Indonesia. Factors related to early marriage are, among others; education, economic, and social aspects. The impacts of early marriage are dropout and teenage pregnancy which causes rejection to pregnancy. In District of Purworejo marriage below 20 years of age is still as much as 20.6% (Community Health and Nutrition Research Laboratory 2005).Objective: The study aimed to identify factors related to early marriage.Method: This was an observational study with cross sectional design using both qualitative and quantitative approaches. Data were obtained through questionnaires and interview guide. Samples of the study were 90 married women, who were systematically chosen, respondents of longitudinal surveillance of Community Health and Nutrition Research Laboratory, 90 parents of the respondent, 1 religious leader, 2 community leaders and 1 staff of office of Religious Affairs. Hypothetical test used chi square with p<0.05, CI 95%. Multivariable analysis used logistic regression.Results: Low perception about marriage showed the most related to the decision for early marriage. Other factors related to early marriage were low level of education (RP=2.90, CI 95%=1.30–6.49, p=0.000), low familyeconomic status (RP=1.75, CI 95%=1.05 – 2.91 p=0.017). Unemployed parents (RP=1.48, CI95%=0.88-2.49 p=0.23) and parents' low perception about marriage (RP=1.5, CI95%=0.96-2.37 p=0.05) were not strongly related with early marriage.Conclusion: Factors related to early marriage were perception of respondents about marriage, education of respondents, family economic status, and unemployed parents

    SIKAP MENGENAI KESELAMATAN PADA RESIDEN DAN PERAWAT DI RUMAH SAKIT PENDIDIKAN

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    Background: Provider attitudes about issues pertinent topatient safety may be related to errors and adverse events.Residents as the main health provider in teaching hospitalsplay an important factors for assuring patient safety.Objective: To assess the attitudes of residents towards patientsafety and compare the attituted to other health providersnurse/midwive) in the Obstetrics Gynaecology Outpatient Clinic.Methods: This was a survey conducted in a teaching hospitalat Yogyakarta. Safety Attitude Questionnare (SAQ)-A questionnairewas adapted into Indonesian setting to assess attitudesamong residents and nurses at Obstetrics Gynaecologyoutpatient clinic. All residents and health providers were invitedto participate in this survey.Results: Total of 71 respondents involved in this survey (consistedof 79% of total residents and 82% of total nurses). TheSAQ-A questionnaire which was used here had comparableinternal consistency with the previous study. In general attitudestowards patient safety were higher among nurses/midwive than residents. Significant differences revealed relatedto perception to management and stress recognition.Perception to management score was the lowest compared toother scales (19,6% residents versus 33,3% nurses withpositive attitudes). There was no differences for other scalesbut still with low attitude scores. Aspects related to “informationtransfer between residents and consultant”, “clinic referralsystem” and “care in test results management” were perceivedas poor by residents and nurses.Conclusion: Residents have lower attitudes towards patientsafety compare to nurses/midwive. This study shows theimportance of providing orientation among residens beforetheir training program to improve patient safety attitude.Key Words: attitude towards patient safety, safety attitudesquestionnaire, teaching hospita

    Studi deskriptif prakik menyusui pada ibu pekerja industri dalam memberikan ASI di pabrik tekstil dan garmen

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    Menyusui memberi manfaat luar biasa bagi bayi karena ASI mengandung nutrisi yang penting dan terbaik untuk menunjang kesehatan, pertumbuhan, dan perkembangan bayi secara optimal .Meningkatnya ibu pekerja di Indonesia dapat mempengaruhi angka cakupan pemberian ASI ekslusif. Dukungan menyusui dapat meningkatkan konsentrasi ditempat bekerja karena berkurangnya kekhawatiran ibu terhadap nutrisi bayi sehingga produktivitas pekerja tinggi. Tujuan penelitian ini adalah untuk menggali secara mendalam dukungan yang diperoleh dalam memberikan  ASI pada ibu menyusui pekerja industri di pabrik tekstil dan garmen. Jenis penelitian iniadalah deskriptif kualitatif. Teknik pengambilan sampel menggunakan purposive sampling. Jumlah sampel pada penelitian ini adalah 26 informan. Penelitian dilakukan dengan wawancara. Hasil penelitian pada informan didapatkan bahwa dukungan yang diterima ibu adalah dukungan keluarga yang terdiri dari dukungan dengan memberikan bantuan fisik dan dukungan emosional. Ketika bekerja ibu menerima dukungan dari rekan kerja dan perusahaan

    Hubungan Hipertiroid dengan Aktivitas Kerja pada Wanita Usia Subur

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    Background: Based on disorder mapping due to Iodine deficiency in 1998 and 2003, elimination of Iodine deficiency in household by consuming minimally 90 percent Iodine salt and giving Iodine oil capsule to fertile women in endemic Iodine deficiency, medium to severe, had been carried out. Evaluation of Iodine in urine appeared related to hyperthyroid cases, and a number of people were in critical Iodine status. Hyperthyroid especially for fertile women may cause fatigue and led to low working activity.Objective: To find out correlation between thyroid and working activity of fertile women in endemic Iodine deficiency.Method: The study was a cross-sectional design using two samples in Magelang District. The samples were 100 fertile women who were divided into two groups, namely hyperthyroid (50 persons) and norm thyroid group (50 persons) taken by using systematic sampling.Result: Bivariate analysis showed significant relationship between hyperthyroid and working activity (RP=4.10; 95%Cl; 2.32 - 7.24). Using stratification analysis it was found that hyperthyroid were higher among women with hormonal contraceptive (RP=6.45; 95%Cl; 2.55 - 16.34) and consumed Iodine capsule (RP=4.73; 95%Cl; 2.37 - 9.43).Conclusion: There was a significant correlation between hyperthyroid and working activity of fertile women. Hyperthyroid women tend to have lower working activity (four times lower) than norm thyroid women. The modified effects were hormonal contraceptive and Iodine capsule factors. The factors not affecting the correlation between hyperthyroid and working activity of fertile women were age, Body Mass Index (BMI) and Iodine salt consumption

    Hubungan Pengetahuan Tentang HIV/AIDS dengan Stigma Orang dengan HIV/AIDS di Kalangan Pelajar SMA

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    Background: Stigma of people living with HIV/AIDS is an aspect which disrupts the program of HIV/AIDS infection prevention. Some studies show that the widespread of stigma of people living with HIV/AIDS is related to knowledge about methods of HIV/AIDS infection. One most effective method to improve knowledge about HIV/ AIDS is education at schools. This study is carried out at Surakarta Municipality whereby knowledge about HIV/ AIDS and the presence of stigma of people living with AIDS among school age teenagers have never beenobserved.Objective: To identify the relationship between knowledge about HIV/AIDS and stigma of people living with HIV/ AIDS among senior high school students at Surakarta Municipality.Method: The study was qualitative observational with cross sectional design to get deeper explanation and offer input for policy making in introducing relevant intervention. Subject of the study were as many as 558 students of 4 junior high schools of Surakarta Municipality. Quantitative data analysis used univariable, bivariable with chi square test and multivariable with logistic regression and stratification.Result: The result of test on knowledge about HIV/AIDS showed that mean was 15.40 from maximum score of 20, whereas the result of test on stigma of people living HIV/AIDS showed that mean was 15.70 from maximum score of 21. The result of qualitative study showed that there was misunderstanding about methods of HIV/AIDS infection and the presence of stigma of people living with HIV/AIDS, either among the students or teachers. The result of bivariable analysis showed that the stigma was 3.37 times stronger among students with limited knowledge about HIV/AIDS than among those with good knowledge about HIV/AIDS.Conclusion: Students with limited knowledge about HIV/AIDS had higher risk for stigma of people living with HIV/AIDS that those with good knowledge

    Hubungan Antara Pengetahuan Dan Sikap Ibu Usia Remaja Tentang Stimulasi Perkembangan Dengan Perkembangan Motorikanaknyayang Berusia Di Bawah Dua Tahun

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    ABSTRACT The sensorimotor stage in the first two years is an asset for the cognitive function to children\u27s future. Young mother has to know more about child\u27s development process, has a fervent motivation concerning child development, appropriates arranged and guided stimulation to adevance child motoric development. Good attitude of the mother will be benefited for children rather than low quality of the mother\u27s attitude. The aim of the research was to investigate the relationship between knowledge and attitude of the young mothers about development stimulation with motoric development of children under two years old. This research was done in Purworejo regency in February 2002 by using cross sectional design. The respondent were 26 young mothers and their children who are under two years old as many as 26 children. The mothers were examined their knowledge and attitude about development stimulation. And the children were examined their nutrition status, health status and motoric development. Data were analysed by using non-parametric correlation, Mann Whitney test, correlation and logistic regression. Bivariate analysis showed that there was significant relationship between health status with motoric development, but there was no significant relationship between nutrition status with motoric development, also there was no significant relationship between knowledge and attitude with motoric development. Multivariate analysis showed that nutrition status and health status were significant relationship with motoric development, however knowledge and attitude were no significant relationship with motoric development. It was concluded that the change of the young mother\u27s knowledge and attitude did not influence concerning the change of motoric development of children under two years old. The change of nutrition status and health status of the children will influence concerning the change of motoric development of children under two years old. Keywords: young mother -knowledge- attitude-motor developmen
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