Getsempena Health Science Journal

HUBUNGAN BEBAN KERJA PEGAWAI REKAM MEDIS DENGAN MUTU PELAYANAN RSUD LANGSA TAHUN 2024

Herna Linda — 2025-02-05

Pendahuluan : Beban kerja pegawai rekam medis adalah keadaan dimana pegawai dihadapkan pada volume kerja yang harus diselesaikan pada waktu tertentu. Beban kerja yang terlalu banyak dapat menurunkan produktifitas pegawai itu sendiri. Hal ini memungkinkan penurunan mutu pelayanan rumah sakit. Tujuan penelitian ini adalah untuk mengetahui dan mengidentifikasi bagaimana hubungan beban kerja pegawai rekam medis dengan mutu pelayanan di Rumah Sakit Umum Langsa Tahun 2024 dilihat dari beban kerja, sumber daya manusia (SDM) dan uraian tugas (job description). Metode: Jenis penelitian ini adalah survei analitik dengan desain cross sectional. Sampel dalam penelitian ini adalah seluruh petugas rekam medis di Rumah Sakit Umum Langsa sebanyak 31 orang dengan teknik total sampling. Analisa data dilakukan secara univariat dan bivariat menggunakan uji chi-square. Hasil: penelitian menunjukkan bahwa ada hubungan beban kerja pegawai rekam medis dengan mutu pelayanan rumah sakit dengan p-value 0,001 (p<0,05). Ada hubungan sumber daya manusia (SDM) pegawai rekam medis dengan mutu pelayanan rumah sakit dengan p-value 0,000 ( p<0,05). Ada hubungan job description pegawai rekam medis dengan mutu pelayanan rumah sakit dengan p-value 0,001 (p<0,05). Simpulan: Diharapkan bagi rumah sakit untuk menertibkan kembali peran petugas rekam medis dalam pengisian dokumentasi dan meningkatkan sikap yang positif dalam bekerja dan mengevaluasi kinerja setiap tahun.

ANALYSIS OF FISH CONSUMPTION HABITS AND THE PERCENTAGE OF STUNTING INCIDENCE IN CHILDREN UNDER FIVE IN SAMPOINIET ACEH JAYA REGENCY

Mhd. Hidayattullah — 2025-02-05

Stunting Stunting adalah kondisi kronis yang menunjukkan malnutrisi jangka panjang dan telah menjadi perhatian serius di Indonesia, memengaruhi sekitar 37,2% anak di bawah usia lima tahun. Penelitian ini berfokus pada analisis hubungan antara konsumsi ikan dan stunting pada balita di Sampoiniet, Kabupaten Aceh Jaya. Penelitian dilakukan selama satu bulan, yang melibatkan observasi langsung di lapangan, serta penggunaan kuesioner dan wawancara terstruktur. Metode yang digunakan adalah deskriptif analitis, dengan uji Chi-square untuk memberikan gambaran hubungan antara konsumsi ikan dan terjadinya stunting pada balita di Sampoiniet, Kabupaten Aceh Jaya. Hasil analisis menunjukkan bahwa 22,2% anak yang sering mengonsumsi ikan mengalami stunting, sementara 24,1% anak yang jarang mengonsumsi ikan mengalami stunting. Selain itu, 9,3% anak yang sering mengonsumsi ikan tidak mengalami stunting, sedangkan 44,4% anak yang jarang mengonsumsi ikan tidak mengalami stunting. Nilai p sebesar 0,015, yang lebih kecil dari 0,05, menunjukkan adanya hubungan yang signifikan antara konsumsi ikan dan stunting.

Abstract
Stuntingis a chronic condition that indicates long-term malnutrition and has become a serious concern in Indonesia, affecting approximately 37.2% of children under five years of age. This study focuses on analyzing the relationship between fish consumption and stunting in toddlers in the Sampoiniet of Aceh Jaya Regency. The research was conducted over the course of one month, involving direct field observations, as well as the use of questionnaires and structured interviews. The method employed was descriptive analytical, with Chi-square testing to provide an overview of the relationship between fish consumption and the occurrence of stunting in toddlers in Sampoiniet, Aceh Jaya Regency. The analysis results show that 22.2% of children who frequently consume fish experience stunting, while 24.1% of children who rarely consume fish experience stunting. Additionally, 9.3% of children who frequently consume fish do not experience stunting, whereas 44.4% of children who rarely consume fish do not experience stunting. The p-value of 0.015, which is less than 0.05, indicates a significant relationship between fish consumption and stunting.

EFEKTIFITAS BREAST CARE DAN PIJAT OKSITOSIN TERHADAP PENINGKATAN PRODUKSI ASI PADA IBU POST SC DI RUANG KEBIDANAN RUMAH SAKIT IBU DAN ANAK

Kasmawati Kasmawati — 2025-02-10

Peningkatan produksi ASI sangat penting karena ASI mengandung zat anti infeksi yang membantu menjaga kekebalan tubuh bayi. Adapun terapi nonfarmakologis untuk melancarkan ASI adalah melalui breast care dan pijat oksitosin. Penelitian ini bertujuan untuk mengetahui Efektifitas Breast care dan Pijat Oksitosin terhadap Peningkatan Produksi ASI Pada Ibu Post SC di Ruang Kebidanan Rumah Sakit Ibu dan Anak Pemerintah Aceh tahun 2024. Jenis penelitian ini adalah quasy exsperimen. Pengumpulan data dilakukan bulan Juli sampai Agustus tahun 2024. Populasi dalam penelitian ini adalah seluruh ibu yang melahirkan secara SC yang berjumlah 20 orang dengan teknik pengambilan sampel total sampling. Hasil penelitian diperoleh rata-rata produksi ASI sebelum intervensi breast care dan pijat oksitosin adalah 12,75 ml, dan produksi ASI setelah perlakuan adalah 28 ml, adapun hasil uji wilcoxone test diperoleh p value 0,000 0 (p<0,05). Kesimpulan yang dapat ditarik dari penelitian ini breast care dan pijat oksitosin efektif meningkatkan produksi ASI. Diharapkan kepada petugas kesehatan dalam hal ini bidan dapat mengajarkan kepada keluarga tentang Teknik perawatan payudara maupun pijat oksitosin yang benar. Terapi pijat oksitosin dan breast care telah membuktikan bahwa terapi tersebut memberikan pengaruh terhadap peningkatan produksi Asi ibu postpartum. Hal ini dibuktikan oleh peneliti yang telah ditelaah bahwa terapi pijat oksitosin dan breast care dapat meningkatkan produksi ASI

HIGHER EDUCATION PRIESSIONAL FEMININE DEFICITS IN HEALTH SCIENCES IN NIGERIA

Mowaiye Fagbemi O — 2025-02-11

There are important psychological processes involved in career socialization and specialization. Such processes streams line many into specialised profession and areas of study thereby entrenching a gendered structure of specialization in any gendered society. Nigeria is a developing nation and still trying to over come gender limiting norms ,one of which is assigned masculine and feminine attributes to some fields and professions, one of which is the health sector . With such a background, the paper attempted to delve into the ratio of males and females within the Nigerians University system in the health sciences using the case study model. The paper revealed a paucity of females in the sector and made recommendations for improvement given the critical nature of the sector and the spate of development in the sector in the global village which Nigeria aims to join in development.

SEX ROLE ORIENTATION AND CAREER SPECIALIZATION AMONG FEMALES ON MANAGERIAL POSITIONS IN NIGERIA

Ndom R — 2025-02-11

Sex role attributes and orientation are influenced by societal socialization and tendencies and individuals pick cues related to such as they may with varied intervening variables. Such variables could be level of education, parental background , peer influences , school type influences amongst others. In almost every society sex role attributes is a determinant of many things for individuals and societies. Career choice for many may not be an easy choice to make especially for individuals who may be stereo-typical gender wise . It thus seem probable that there could be influences on gender beliefs and career choices especially where some careers are perceived as masculine and majorly for males or feminine and mainly for females. The present study sought to find out if females holding high positions of authority could be said to be stereotypical or otherwise as regards sex and gender role orientation and how that relates or not to career choice and area of specialization

MODEL OF IMPROVING COMPLIANCE IN TREATMENT OF PULMONARY TUBERCULOSIS PATIENTS THROUGH CADRES IN BAITUSSALAM DISTRICT

Ferdi Riansyah — 2025-04-06

Various models and intervention strategies have been developed by various researchers to support the control and compliance of TB treatment and other infectious diseases. This study aims to produce a formulation of a model for increasing compliance of TB patient treatment as an important part of achieving TB cure and elimination in Baitussalam District, Aceh Besar. This study uses a qualitative research design with a phenomenological approach. The research informants numbered 16 people, consisting of one TB Puskesmas manager, five facilitator nurses, five TB patients (who are undergoing treatment, suspects, and former patients), and five families of patients. Data collection was carried out through in-depth interviews, focus group discussions (FGD), and document reviews. The results of the study found a phenomenon of minimal knowledge and ability of nurses in comprehensive peer group counseling services. The concept of the TB service model program that emphasizes all aspects of both physical and psychological TB patients is not yet strong. Formulation of a self-esteem model as an effort to increase the capacity of nurses to improve the quality of life of TB patients. This study produced a design of a self-esteem module to improve the ability of nurses in TB services through peer groups.

HUBUNGAN POLA PEMBERIAN MAKAN DENGAN STATUS GIZI PADA ANAK USIA 3-5 TAHUN DI WILAYAH KERJA PUSKESMAS EROMOKO I WONOGIRI

Septya Happy Putri Moga Pamungkas — 2025-04-30

Masalah berat badan kurang masih menjadi perhatian serius di Indonesia, khususnya pada anak usia 3-5 tahun. Ketidakseimbangan pola pemberian makan, baik dari segi jenis, jumlah, maupun jadwal makan, dapat memengaruhi status gizi anak. Penelitian ini bertujuan untuk mengkaji hubungan antara pola pemberian makan dengan status gizi pada anak usia 3-5 tahun di wilayah kerja Puskesmas Eromoko I, Wonogiri. Penelitian dilakukan menggunakan pendekatan kuantitatif dengan desain korelasional dan metode potong lintang (cross-sectional). Sampel penelitian melibatkan 83 anak di wilayah tersebut yang dipilih melalui teknik stratified random sampling. Instrumen yang digunakan meliputi kuesioner Child Feeding Questionnaire (CFQ) yang merupakan kuesioner baku yang telah tervalidasi secara internasional dan pengukuran berat badan berdasarkan usia. Analisis data dilakukan menggunakan uji korelasi Spearman-rho. Hasil penelitian menunjukkan adanya hubungan yang signifikan antara pola pemberian makan yang baik dan status gizi normal pada anak usia 3-5 tahun (p=0,00). Analisis variabel perancu terhadap status gizi menunjukkan bahwa pendapatan orang tua, usia anak, dan jenis kelamin anak tidak memiliki hubungan yang signifikan dengan status gizi. Namun, pendidikan orang tua memiliki hubungan yang signifikan dengan status gizi (p=0,009). Penelitian ini menegaskan pentingnya peran orang tua dalam menyediakan pola makan seimbang untuk mendukung pertumbuhan dan perkembangan anak usia dini secara optimal.

FAKTOR-FAKTOR YANG MEMENGARUHI KEJADIAN ANEMIA PADA IBU HAMIL

Lasria Yolivia Aruan — 2025-05-30

Anemia pada ibu hamil merupakan salah satu masalah kesehatan masyarakat yang berdampak serius terhadap ibu dan janin. Kondisi ini dapat meningkatkan risiko komplikasi kehamilan, persalinan, bahkan kematian ibu. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang memengaruhi kejadian anemia pada ibu hamil di wilayah kerja Puskesmas Kuala Baru tahun 2024. Jenis penelitian yang digunakan adalah observasional analitik dengan pendekatan case control. Populasi dalam penelitian ini adalah seluruh ibu hamil yang tercatat sebanyak 506 orang, dengan sampel sebanyak 172 orang yang terdiri dari 86 kasus dan 86 kontrol, yang dipilih menggunakan teknik purposive random sampling. Data dianalisis menggunakan uji chi-square untuk analisis bivariat dan uji regresi logistik untuk analisis multivariat. Hasil penelitian menunjukkan bahwa terdapat hubungan bermakna antara umur kehamilan (p = 0,009; OR = 2,728), umur ibu (p = 0,035; OR = 2,489), paritas (p = 0,009; OR = 5,930), dan status KEK (p = 0,002; OR = 3,575) dengan kejadian anemia pada ibu hamil. Sementara itu, tingkat pendidikan tidak menunjukkan hubungan yang signifikan (p = 0,256). Kesimpulan dari penelitian ini adalah bahwa umur kehamilan, umur ibu, paritas, dan status KEK merupakan faktor dominan yang berkontribusi terhadap kejadian anemia. Diperlukan intervensi kesehatan yang menyasar kelompok ibu hamil dengan karakteristik berisiko tinggi untuk mencegah dan menurunkan prevalensi anemia.

Abstract
Anemia in pregnant women is a public health problem that has a serious impact on the mother and fetus. This condition can increase the risk of complications in pregnancy, childbirth, and even maternal death. This study aims to determine the factors that influence the incidence of anemia in pregnant women in the Kuala Baru Health Center work area in 2024. The type of research used is observational analytic with a case-control approach. The population in this study were all pregnant women recorded as many as 506 people, with a sample of 172 people consisting of 86 cases and 86 controls, selected using purposive random sampling techniques. Data were analyzed using the chi-square test for bivariate analysis and the logistic regression test for multivariate analysis. The results showed that there was a significant relationship between gestational age (p = 0.009; OR = 2.728), maternal age (p = 0.035; OR = 2.489), parity (p = 0.009; OR = 5.930), and CED status (p = 0.002; OR = 3.575) with the incidence of anemia in pregnant women. Meanwhile, the level of education did not show a significant relationship (p = 0.256). The conclusion of this study is that gestational age, maternal age, parity, and CED status are dominant factors contributing to the incidence of anemia. Health interventions are needed that target groups of pregnant women with high-risk characteristics to prevent and reduce the prevalence of anemia.

PENGARUH PIJAT BAYI TERHADAP KUALITAS TIDUR PADA BAYI UMUR 3-6 BULAN

Rasmi Manullang — 2025-06-01

Tidur merupakan kebutuhan penting bagi tumbuh kembang bayi, terutama pada usia 3–6 bulan yang merupakan masa emas perkembangan. Gangguan tidur pada bayi dapat berdampak negatif terhadap perkembangan fisik dan kognitif. Pijat bayi merupakan salah satu intervensi non-farmakologis yang dapat membantu meningkatkan kualitas tidur bayi melalui stimulasi sentuhan yang menenangkan. Penelitian ini bertujuan untuk mengetahui pengaruh pijat bayi terhadap kualitas tidur bayi usia 3–6 bulan. Metode yang digunakan adalah quasi eksperimen dengan desain non-equivalent control group. Sampel sebanyak 32 bayi dibagi menjadi dua kelompok, yaitu kelompok eksperimen yang diberikan pijat bayi dan kelompok kontrol tanpa perlakuan. Data dianalisis menggunakan uji Paired t-test. Hasil penelitian menunjukkan adanya peningkatan signifikan rata-rata durasi tidur pada kelompok eksperimen dari 7,2 ± 0,8 jam menjadi 9,1 ± 0,6 jam (p = 0,000), sementara kelompok kontrol tidak mengalami perubahan signifikan (p = 0,413). Kesimpulannya, pijat bayi berpengaruh secara signifikan dalam meningkatkan kualitas tidur bayi.

Abstract
Sleep is an important need for infant growth and development, especially at the age of 3–6 months which is the golden period of development. Sleep disorders in infants can have a negative impact on physical and cognitive development. Infant massage is one of the non-pharmacological interventions that can help improve infant sleep quality through soothing touch stimulation. This study aims to determine the effect of infant massage on the sleep quality of infants aged 3–6 months. The method used is a quasi-experimental method with a non-equivalent control group design. A sample of 32 infants was divided into two groups, namely the experimental group given infant massage and the control group without treatment. Data were analyzed using the Paired t-test. The results showed a significant increase in the average sleep duration in the experimental group from 7.2 ± 0.8 hours to 9.1 ± 0.6 hours (p = 0.000), while the control group did not experience any significant changes (p = 0.413). In conclusion, infant massage has a significant effect on improving infant sleep quality.

RELATIONSHIP BETWEEN PARITY AND FAMILY SUPPORT WITH REGULARITY OF CONSUMPTION OF BLOOD ENHANCER TABLETS IN PREGNANT WOMEN

Yasrida Nadeak — 2025-02-03

Anemia in pregnancy is a public health problem that is still highly prevalent in Indonesia and has serious impacts on maternal health and fetal development. The impact of anemia during pregnancy is not only short-term but also long-term, both for the mother and the fetus. One of the recommended preventive efforts is regular consumption of iron tablets (TTD) during pregnancy. However, the level of compliance of pregnant women in consuming TTD is still relatively low. This study aims to analyze the relationship between parity and family support with the regularity of TTD consumption in pregnant women in Muara Batu-Batu Village, Rundeng District. The study used a quantitative approach with a cross-sectional design. A total of 52 respondents were selected using purposive sampling techniques based on inclusion criteria, namely pregnant women who had received TTD from health workers, did not experience pregnancy complications, and were willing to be respondents. Data collection was carried out using questionnaires and documentation, then analyzed using the chi-square test. The results showed that the majority of respondents were grandemultipara (88.5%), unemployed (88.4%), and had hemoglobin levels <11.5 gr% (65.1%). As many as 59.6% of respondents were recorded as irregular in consuming TTD. Statistical tests showed a significant relationship between family support and regularity of TTD consumption (p = 0.003), while no significant relationship was found between parity and regularity of TTD consumption (p = 0.610). This finding confirms that family support, whether in the form of emotional motivation, information, or practical assistance, is a determining factor in increasing compliance of pregnant women. In contrast, the number of previous pregnancies did not have a direct effect. Therefore, increasing education and family involvement needs to be strengthened in maternal health interventions, especially iron supplementation programs.

ETHICAL AND CLINICAL CONSIDERATIONS IN THE USE OF RESTRAINTS FOR PATIENT SAFETY IN INTENSIVE CARE UNITS

Aina Fitri — 2025-06-14

The use of physical restraints on patients in intensive care units (ICUs) is a common intervention aimed at ensuring patient safety, particularly in preventing the dislodgement of vital invasive devices. However, this practice raises ethical and clinical dilemmas due to the complex considerations involved. The aim of this study was to explore the ethical and clinical considerations in the use of restraints for patient safety in the intensive care setting. This research employed a qualitative phenomenological design, with data collected through in-depth interviews involving eight participants in the intensive care unit. Data were analyzed using the Colaizzi method. The study identified three major themes: considering the patient's needs, preventing the dislodgement of invasive devices, and experiencing contradictory feelings. The findings highlight the need for clearer, standardized policies on the use of restraints in intensive care units that incorporate both ethical and clinical perspectives.