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Aprillya Dwi Sarweni; Novita Wulan Sari

JURNAL KEPERAWATAN SISTHANA 2020 SEKOLAH TINGGI ILMU KESEHATAN KESDAM IV DIPONEGORO

Hypertension is situation where blood pressure exceeding the limit of normal with blood pressure 140/90 mmHg and which includes non contagious disease. Complementary therapy can reduce the risk of hypertension complications. SEFT therapy one of a complementary therapy that can be used to overcome the problem of increasing blood pressure. The purpose of this study was to carried out SEFT therapy towards decreasing blood pressure in hypertension patients in the built area of Puskesmas Rowosari Semarang. This type of researAch is descriptive using the case study approach method. The criteria used in the case study: primary hypertension patients, hypertension sufferers were able to communicate well, hypertension patients who did not take anti-hypertension drugs. Case study analysis was carried out by processing data through observation of blood pressure before and after SEFT therapy. The results of the case study showed that there was a decrease of blood pressure. Before therapy the blood pressure of  the subject I was 170/110 mmHg decreased to 120/80 mmHg and in subject II before therapy, blood pressure 160/100 decreased to 140/80 mmHg. The recommendation is with control of blood pressure by using SEFT therapy, the society can apply this therapy.

Luluk Rahmawati; Dwi Mulianda

JURNAL KEPERAWATAN SISTHANA 2020 SEKOLAH TINGGI ILMU KESEHATAN KESDAM IV DIPONEGORO

Hypertension is a medical condition in which the systole and diastole pressure abnormally elevate. Q.S. Ar Rahman Murottal is a complementary therapy for lowering blood pressure. This case study aims at describe the effect of Q.S. Ar Rahman Murottal therapy on the blood pressure pattern in patients with hypertension at RSUD Ungaran. The method of this study is descriptive. The subjects of this case study are two Moslem patients with hypertension who have no hearing problems. The data are collected through observation and measurement by using medical tools such as sphygmomanometer and stethoscope before and after the therapy. The result of this study shows that the blood pressure in Subject I decreases from 150/90 mmHg to 120/80 mmHg, while in Subject II the blood pressure decreases from 160/90 mmHg to 120/90 mmHg. It means that Q.S. Ar Rahman Murottal therapy is effective in lowering the blood pressure in patients with hypertension at RSUD Ungaran. It is hoped that this case study can be the beginning of extensive researches in Q.S. Ar Rahman Murottal in lowering the blood pressure in hypertension patients. Hopefully, Ungaran Hospital will make Q.S. Ar Rahman Murottal as an SOP to be given to hypertension as a nonpharmacological therapy for pharmacological therapy.

A.Awaliya Anwar; Andi Khairul Musyawir; Era Pratiwi

Jurnal Fisioterapi dan Ilmu Kesehatan Sisthana (JUFDIKES) 2020 Stikes Kesdam IV/Diponegoro Semarang, Indonesia

The purpose of this study was to analyze the effect of management information systems on the work effectiveness of outpatients at the Prof.Dr.H.M Anwar Makkatutu Regional General Hospital, Bantaeng Regency. The type of research used is quantitative research. This research method uses primary data through a survey using a questionnaire as many as 73 outpatient employees of the Regional General Hospital Prof.Dr.H.M Anwar Makkatutu Bantaeng as the research sample. Data were analyzed through univariate and bivariate analysis with Chi-Square test using SPSS program. The results showed that: (1) The quality of the system showed a value of p = 0.001 < from = 0.05, which means it can be concluded that Ho is rejected, meaning that the system user has an effect on the work effectiveness of outpatients at Prof. Hospital. Dr. H. M. Anwar Makkatutu 2020, (2) The quality of information affects the work effectiveness of employees with a p value = 0.000, (3) System users affect the work effectiveness of outpatients with a p value = 0.000, (4) User satisfaction affects the work effectiveness of outpatients path with p value = 0.000. This shows that the quality of the management information system can increase the work effectiveness of outpatient employees at Prof. Hospital. Dr. H. M. Anwar Makkatutu Bantaeng. If the management information system is good, it will increase the work effectiveness of outpatients and increase employee satisfaction.

Irma M. Yahya; Kristine Dareda; Musdhalifa Kilian

JURNAL KEPERAWATAN SISTHANA 2020 SEKOLAH TINGGI ILMU KESEHATAN KESDAM IV DIPONEGORO

Hipertensi merupakan gangguan pada sistem sirkulasi.Seseorang dikatakan hipertensi apabila keadaan tekanan darah mengalami peningkatan diatas normal yaitu ? 140 mmHg untuk tekanan sistolik dan atau ? 90 mmHg untuk tekanan diastolik secara terus-menerus. Penatalaksanaan dalam mengatasi hipertensi terbagi menjadi dua, yaitu pengobatan farmakologis dan nonfarmakologis. Terapi non farmakologis yang relatif praktis dan efisien yaitu saalah satunya dengan cara pemberian aromaterapi bunga mawar. Tujuan penelitian yaitu mengetahui pengaruh pemberian aroma terapi bunga mawar terhadap tekanan darah pada pasien hipertensi di Puskesmas Kombos Kota Manado. Penelitian dilakukan bersifat eksperimental menggunakan desain penelitian one group pretest-postest design. Sampel diambil berdasarkan jumlah responden sebanyak 22 orang dengan menggunakan accidental sampling. Pengumpulan data dilakukan dengan cara melakukan observasi. Selanjutnya data yang terkumpul diolah dengan menggunakan bantuan komputer program SPSS versi 16.0 untuk dianalisa menggunakan uji wilcoxon sign test. Hasil penelitian diperoleh bahwa sebelum pemberian aroma terapi bunga mawar didapatkan rata-rata tekanan darah yaitu 151/90 mmHg. Setelah pemberian aroma terapi bunga mengalami penurunan rata-rata tekanan darah yaitu 136/81 mmHg. Data di uji dengan wilcoxon sign test. Dengan hasil nilai p value= 0,000 < ? = 0,05 dengan demikian H_0 ditolak dan H_aditerima.Artinya ada pengaruh pemberianaroma terapi bunga mawar terhadap tekanan darah pada pasien hipertensi di Puskesmas Kombos Kota Manado. Kesimpulan dalam penelitian ini terdapat pengaruh pemberian aroma terapi bunga mawar terhadap tekanan darah pada pasien hipertensi di Puskesmas Kombos Kota Manado. Saran agar penelitian ini dapat menjadi tambahan informasi kepada mahasiswa tentang pengaruh pemberian aroma terapi bunga mawar terhadap tekanan darah pasien hipertensi danjuga dapat dijadikan sebagai bahan bacaan maupun pembelajaran bagi mahasiswa.

Delima Fitri Hapsari; Azhari, Nanang Khosim

JURNAL KEPERAWATAN SISTHANA 2020 SEKOLAH TINGGI ILMU KESEHATAN KESDAM IV DIPONEGORO

Schizophrenia is a neurological disease that affects the person's perception, thinking, language, emotional, and social behavior of a person. One of the symptoms of schizophrenia is hallucinations. Hallucination is a lost person's ability in distinguishing the stimulation from the outside or from within. The results of a survey obtained from RSJD Dr. Amino Gndohutomo central java province of hallucinations is the most common problem that is reaching 2.398 inhabitants. One of the efforts to deal with the hallucination is scolded. Scolded is an effort that can be done to control his hallucinations by way of rejecting the hallucinations that arise. The purpose of this case study to find out the decrease in the score of the hallucinations of schizophrenia patients have heard before and after the therapy done and scolded. This research uses descriptive analysis type by using the method of approach to the case studies. The subjects used are 2 subjects with impaired auditory hallucinations. The results showed there is a difference between before and after the therapy is carried out on the subject I from 42 became 37, and subject II from 39 became 30. It can be concluded that the result of this study indicate that scolded therapy able to reduce the level of hallucinations in schizophreia patients, therefore if done with a routine then the level of hallucination will come down and help the healing process.

Suprapti E; Azhari N.K; Lestariningsih

JURNAL KEPERAWATAN SISTHANA 2020 SEKOLAH TINGGI ILMU KESEHATAN KESDAM IV DIPONEGORO

Satisfaction is a person's feelings of pleasure or disappointment that arise after comparing the results of a service that are in accordance with or not in accordance with the expectations they had before getting service. Patients as users of nursing services demand nursing services in accordance with their rights, namely quality nursing services. In providing nursing services, Standard Operational Procedure (SOP) is very important to assist nurses in achieving quality nursing care. In giving medicine, one must pay attention to the six "correct" principles which have become mandatory procedures before giving medicine, namely: right patient, right drug, right dose, right method, right time, and correct documentation. This study aims to identify the effect of applying standard operational procedures (SOP) for drug administration with the six correct principles on the level of patient satisfaction in Ungaran Hospital. The design of this research is descriptive analysis using a cross sectional approach, the number of samples used is 90 respondents using the Slovin formula to determine. The results of the study using the Chi Square analysis test showed that there was a significant effect between the application (SOP) of drug administration with the six correct principles on the level of patient satisfaction (p = 0.000). From the results of the analysis obtained the value of Odds Ratio (OR) of 59.160. The recommendation from this research is that nurses always apply the SOP correctly to increase patient satisfaction.

Nur Qamariyah; Nursyamsiyah Nursyamsiyah

Jurnal Fisioterapi dan Ilmu Kesehatan Sisthana (JUFDIKES) 2020 Stikes Kesdam IV/Diponegoro Semarang, Indonesia

The quality of health services shows the level of perfection of health services in creating a sense of satisfaction in patients.In this study, researchers used a purposive sampling type of research, namely sampling with special criteria, namely inclusion and exclusion criteria with a cross sectional approach, namely research that explores, analyzes and explains the relationship between the quality of health services and patient satisfaction at the Ridge Health Center. The data needed comes from filling out questionnaires by patients or families of patients seeking treatment at the Ridge Health Center.The sample in this study used 44 respondents who received treatment at the Ridge Health Center. And in this research, the instrument used was a questionnaire with a total of 40 questions.The results of this study show that there is a relationship between the quality of health services, reliability (0.038<0.05), assurance (0.000<0.05), tangibility (0.002<0.05), empathy (0.000<0.05), and responsiveness (0.000 <0.05) with patient satisfaction. The conclusion of this research is that there is a relationship between the quality of health services (reliability, assurance, tangibility, empathy and responsiveness) with patient satisfaction at the Ridge Community Health Center. The advice that researchers can give is that they can evaluate and improve management to improve the quality of service so that patient satisfaction is related to research results, namely the components of speed of administration, patient comfort as well as completeness of medical equipment and accuracy of information so that it is hoped that it can increase patient satisfaction.    

Sri Wahyuni; Siti Astariyani Latjui

Jurnal Fisioterapi dan Ilmu Kesehatan Sisthana (JUFDIKES) 2020 Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Workload is the ability of the worker's body to accept the job. From the standpoint of ergonomics, every workload received must be appropriate and balanced against the physical and psychological ability. The good Response time for patients is <5 minutes. Handling of emergency is the whole act performed in emergency conditions that are effectively and efficiently. The purpose of this study was to determine the relationship workload response time nurses with nurses in emergency departments of RSUD Bitung General Hospital. This study was descriptive and cross sectional study. Samples were taken based on the number of respondents as many as 31 nurses by using total sampling. The data collection is done by filling out the observation sheet and questionnaire. Furthermore, the data that has been collected processed with the aid statistics analyzed by chi square test with significance level is ? = 0.05. After the results, the value of p = 0.008, this may imply that there is a relationship between the workload of nurses response time. CONCLUSIONS of this study found that there is a relationship between nurses workload response time. Suggestions for the research was taking place is setting a good system including facilities and infrastructure in order to nurse response time can be improved.

Abdullah Ammar; Sirajudin Hawari; Trevy Jonatya Novella; Ahlijati Nuraminah

Jurnal Riset Rumpun Ilmu Teknik 2019 Pusat riset dan Inovasi Nasional

ABSTRAK The development of computer technology helps many aspects of life. One aspect of life that takes advantage of technological developments is the health sector, in order to solve problems including brain tumors. Brain Tumor Disease is the growth of abnormal cells in or around the brain in an unnatural and uncontrolled manner. Patients with brain tumors continue to increase every year, because the initial symptoms are often underestimated. Therefore created a software that can help diagnose brain tumors using the certainty factor method    

Vidiya Arum Miftachul Jannah; Yuni Astuti

JURNAL KEPERAWATAN SISTHANA 2019 SEKOLAH TINGGI ILMU KESEHATAN KESDAM IV DIPONEGORO

Breast milk is the best food for babies, because breast milk contains nutrients and all the nutrients with the amount and composition needed by the baby. one of the obstacles in the process of lactation on the first day is the mother does not produce enough breast milk or the baby does not want to suck so that the mother does not want to breastfeed the baby. Way that can be done to increase milk production is by doing the technique  marmet. This case study aims to illustrate the increased production breast milk in post partum mothers after nursing with marine techniques in hospitals Bougenville Room TK III 04.06.02 Bhakti Wira Tamtama Semarang. The type of this research is descriptive by using case study approach method. Subjects in this study were two patients with postpartum mother with criteria of primiparous mother, postpartum mother who breastfeeding, mother who is willing to be respoden, babies performed nursing. The analysis was measured based on an observed sheet of fluid milk production. the results of case studies show an increase in milk production from a score of 12 categories not smooth to score 19 categories smoothly on subject I and score 13 categories not smooth to score 20 categories smoothly on subject II. Recommendations need to be consistent nurses in taking action marmet techniques to increase milk production in primipara mother.

Azhari, Nanang Khosim; Kharisa Anggi

JURNAL KEPERAWATAN SISTHANA 2019 SEKOLAH TINGGI ILMU KESEHATAN KESDAM IV DIPONEGORO

Schizophrenia is a disorder in a person with a state of being unable to think logically so that he cannot control his behavior and emotions. One of the positive symptoms of schizophrenia is hallucinations. Hallucinations occupied the highest number in 2018 as many as 5,339 people in RSJD Dr. Amino Gondhoutomo, Central Java Province. Hallucinations are the inability to distinguish between internal and external stimuli. One of the therapies for hallucinations is occupational therapy. Occupational therapy is an activity to correct abnormalities, maintain and improve the client's health status. The purpose of this case study is to describe the symptoms of hallucinations before and after being given occupational therapy for leisure activities. This type of research is descriptive with a case study approach. This study used 2 people with auditory hallucinations as subjects who were willing to be respondents. The results showed a decrease in the score of hallucinatory symptoms before and after being given occupational therapy for leisure activities to Mr. T from 13 to 4 and Br. R from 16 to 8. It can be concluded that the provision of occupational therapy for leisure activities has an effect on reducing hallucinatory symptoms experienced by schizophrenic patients with auditory hallucinations.

Haizoen Avita Tani; Yuni Astuti

JURNAL KEPERAWATAN SISTHANA 2019 SEKOLAH TINGGI ILMU KESEHATAN KESDAM IV DIPONEGORO

Depression Breast milk is the best food for babies, because it contains all the nutrients the ideal amount  and  composition  required  by  infants.  One  of  the  obstacles  in  the  early breastfeeding is the production of breast milk in small quantities on the first day after birth. Ways that can be done toincrease milk production is the oxytocin message. The purpose of case study to improve sepending colostrum at maternal post partum after doing oxytocin message. This type of research is descriptive using a case study approach. Subjects in this study were two patients maternal post partum. The result of the analysis to subject 1 spending colostrum time this is 5.00 hours with fast   categori, while to subject  2  spending  colostrum  time  this  is  06.20  hours  with  low  categori.  Can  be concluded there oxytocin message effect on the time spending colostrum.nurse have to apply message oxytocin to the mother post partum to give colostrum on her baby soon after birth.

Eka Yuninda Lutfiani; Tuti Anggarawati

JURNAL KEPERAWATAN SISTHANA 2019 SEKOLAH TINGGI ILMU KESEHATAN KESDAM IV DIPONEGORO

Depression is one form of psychiatric disorders in nature of feeling (affective or disorder) is characterized by melancholy, lethargy, feeling of no use, and despair. A nursing action that needs to be administered to patients with depression disorder with the provision of music therapy. Music therapy is a therapy that can improve the effects of analgesics, comfort effects that can reduce depression. Musik used with dangdut music fast rhythm. The purpose of this case study illustrates the changes in depression levels before and after the dangdut music therapy performed rapidly in the space Gatot Kaca RSJD Dr. Amino Gondhohutomo. This type of research is descriptive by using case study approach method. Subyek in this case study were two patients with mild to moderate depression, 18 to 20 years og age, and like dangdut music. Analysis was done descriptively and measured using an HRS-D scale assessment. The result of analysis after the music therapy dangdut fast rhythm for 4 times on subjects I and subjects II, showed that the occurrence of decreased depression rate with subjects I score 13 (mild depression) to 6 (normal) and subjects II 16 (moderate depression) to 12 (mild depression). Recommendations for nurse may continue nursing actions to lower dep levels.

Agus Prabowo; Ainnur Rahmanti

JURNAL KEPERAWATAN SISTHANA 2019 SEKOLAH TINGGI ILMU KESEHATAN KESDAM IV DIPONEGORO

Stroke is the sudden death of brain tissue caused by the lack of oxygen due to the impaired blood supply. Patients with stroke need to be given strengthen joints therapy, one of them is 300 lateral incline positions. The purpose of this case study is to analyze the position in stroke patients after the intervention of mobilization exercise every 2 hours for 6 days in Cempaka ward of RS Pantiwilasa Ciratum Semarang. The type of this research is descriptive case study approach method. The subjects of this study are two stroke patients with good functional outcomes, where the score for Modified Rankin Scale is between 0-2, willing to be respondents, never received a lateral 30? lateral incline therapy. The immobilization analysis is done descriptively and measured by Braden scale. Hence, the result of the study is the decrease of the risk shows by the changing of risk scale from 10 to 13. The recommendation of the research is the need of nurse consistency in mobilization to prevent decubitus in stroke patients.

Raihan A. Hanasi; Siti Nurhaliza Labasir; Lina Syafitri

Desentralisasi : Jurnal Hukum, Kebijakan Publik, dan Pemerintahan 2016 Asosiasi Peneliti dan Pengajar Ilmu Hukum Indonesia

Maladministration in BPJS Kesehatan services at government hospitals remains a persistent challenge that undermines the principles of good governance in Indonesia. This study examines violations of the General Principles of Good Governance (Asas-Asas Umum Pemerintahan yang Baik/AUPB) in the context of BPJS Kesehatan services at Dr. Wahidin Sudirohusodo Regional General Hospital (RSUD), Makassar, South Sulawesi. This research employs a normative-empirical legal method, combining statutory analysis with field data obtained through interviews and documentation. The findings reveal that maladministrative practices—including procedural delays, discriminatory treatment of BPJS patients, inadequate information disclosure, and arbitrary administrative decisions violate several AUPB principles enshrined in Law No. 30 of 2014 on Government Administration. These violations contravene the principles of legal certainty, impartiality, proportionality, and accountability. The study concludes that institutional reforms, strengthened supervisory mechanisms through the Ombudsman of the Republic of Indonesia, and enhanced legal literacy among healthcare workers are necessary to reduce maladministration. This research contributes to the development of administrative law enforcement in the Indonesian public health sector.

Sugiharti, Sugiharti

Jurnal Ilmu Manajemen dan Akuntansi Terapan 2010 Sekolah Tinggi Ilmu Ekonomi Totalwin

Hospital is one of type effort for service that is now stays in very tightening emulation climate. Struggle to create recuring business with customeroccupies central point in the effort hospital to exeed at long-range emulation. Service quality and cutomer value becomes thing which necessary for hospital. This research analysis factors influence customer satisfaction to create hospital service reference enthusiasm in Hospital PKU Muhamadiyah Gubug Kabupaten Grobogan.Research problem is existence of gap or debate at antecedent research would consequence and from customer satisfaction. Other problems is thehappening of downdraft of number of outpatients continually at last four months and existence of improvement of number sighs from patient. Respondent in this research 120 patients with sampling method applies acidental sampling. This research applies analysis Structural Equation Modeling (SEM) what implemented through program AMOS as a means of assists its the analysis.Result of research proves that service quality, cutomer value and excellence of product has positive influence and signifikan to customersatisfaction. Hereinafter, customer satisfaction of influence positive and signifikan to hospital service reference enthusiasm. Excelsior service quality and cutomer value has customer satisfaction of excelsior and causes home service reference enthusiasm which excelsior.