Jurnal Ilmu Kesehatan Bhakti Setya Medika
Jurnal Ilmu Kesehatan Bhakti Setya Medika is a journal that focuses on the field of health, including pharmacy, health information management, medical records, blood transfusion technology, and various research that support the development and advancement of health science. Jurnal Ilmu Kesehatan Bhakti Setya Medika (JIKBSM) employs a single-blind peer review, and as of 2016, accepts articles written in Indonesian and English. Journal reviewers are experts in their fields and come from health research groups that have a good track record in national and international journals. This journal is presented in electronic publication. All publications have ISSNs and can be electronically searched. Therefore, the editorial board invites academics, researchers, practitioners, and professionals working in the field of health to publish their research. Therefore, in addition to articles being immediately open access, authors are not required to pay any submission or publication fees. The journal is published twice a year, in April and October, by Politeknik Kesehatan Bhakti Setya Indonesia. Journal Title : Jurnal Ilmu Kesehatan Bhakti Setya Medika Initials : BSM Frequency : 2 Issues per year (April & October) E-ISSN : 2579-938X (0005.2579938X/JI.3.1/SK.ISSN/2017.05) Chief Editor : Iramie Duma Kencana Irianto Contact : 081228864582 Publisher : Politeknik Kesehatan Bhakti Setya Indonesia DOI : 10.56727
Politeknik Kesehatan Bhakti Setya Indonesia
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Evaluation of the Effect of Leaflet Education on Customer Knowledge about How to Administer Medication at the YAKRI Clinic in North Bekasi
Adequate knowledge about how to administer medication is an important factor in the success of therapy. Low health literacy among the public can hinder patients' understanding of the proper use of medication. Leaflets are considered a practical and efficient written educational medium that can convey information clearly. This study aims to determine the effect of education on the proper administration of medication through leaflets on the level of knowledge of customers at the YAKRI Clinic in North Bekasi. This study used a pre-experimental design with a one-group pretest–posttest design. A sample of 78 respondents was selected using accidental sampling from a population of 83 customers who met the inclusion criteria. Knowledge levels were measured twice using a validated questionnaire containing 16 questions, namely before (pretest) and after (posttest) the distribution of the leaflet. The Kolmogorov-Smirnov and Shapiro-Wilk normality tests showed that the data were not normally distributed (p < 0.05), so the analysis was continued with the Wilcoxon Signed Rank Test. The Wilcoxon test results showed an Asymp. Sig (2-tailed) value of 0.000 (< 0.05), indicating a significant difference between pretest and posttest scores. A total of 92.3% of respondents experienced an increase in knowledge, 5.1% experienced no change, and 2.6% experienced a decrease. The distribution of knowledge categories shifted positively, with the “good” category increasing from 0% to 24.36%, the ‘adequate’ category from 26.92% to 52.56%, and the “poor” category decreasing from 73.08% to 23.08%. The highest increase occurred in the indicator of drug dosage forms and administration procedures (71.15%), while the lowest increase was in the indicator of drug definitions (55.1%). Providing education through leaflets effectively increased the knowledge of YAKRI Bekasi Utara Clinic customers regarding proper and correct drug administration. Leaflets are suitable for use as a routine educational medium in healthcare facilities to improve drug literacy.
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Evaluation of Prolanis Patient Compliance in Using Antihypertensive Medication at the Istiazah Bantul Clinic in January-February 2024
Hypertension is a condition where a person’s blood pressure is more than 140/90mmHg. Based on the results of a preliminary study, the number of prolanis patients suffering from hypertension at the Istiazah Clinic was 151 patients and only 17% had regular check-ups every month. In the treatment of hypertension , the level of compliance plays an important role in the success of therapy. The purpose of this study was to determine the compliance of prolanis patients in using antihypertensive drugs at the Istiazah Clinik in Bantul. This study used a deskriptive quantitative survey design conducted in January-February 2024. The number of samples in this study was 67 respondents and the sampling technique was purposive sampling. Measurement of patients compliance levels used the MMAS-8 (Morisky Medication Adherence Scale) questionnaire. Data were analyzed quantitatively and presented in tabular form. The results showed that the level of compliance of prolanis patients at the Istiazah Clinic in Bantul was 46% in the compliant category, 42% in the fairly compliant category and 12% in the non compliant category.
Copyright (c) 2025 JURNAL ILMU KESEHATAN BHAKTI SETYA MEDIKA https://creativecommons.org/licenses/by/4.0
Utilization of the Whatauto Application in Improving Online Patient Registration Services at the Hospital
Inhibiting factors for online registration were still using manual chat replies and there were limited registration service times, namely only at 07.00-14.00 and 13.00-20.00. This results in patients who register outside of service hours not getting a chat reply response or a slow chat reply response. This study aims to improve online patient registration services by utilizing Whatauto application. Analysis of autoresponder design needs using a system model. Response rules use exact match so that responses match conversation pattern database. Use of words that were often used to start a conversation is set as keywords and basis for starting a response. Rules use similarity match, making it possible to respond to conversations. There were choices and questions that patients may ask and prepare relevant responses. Menu options include online patient registration, online consultation, doctor's schedule, other information. Menu consists of sub-menus that function as further information or instructions. Services before use of application-based autoresponders have an average duration of 5 minutes with use of autoresponders becoming 2 minutes. So that service is relatively consistent, effective and efficient in preparing answer choices and information needed by patients is already available.
Analysis of Rhodamine B Content in Terasi that are not Registered in the Ministry of Health by Paper Chromatography Method
Rhodamine B is a synthetic dye compound used in the textile and plastic industries, but not intended for food products due to its carcinogenic potential that poses health risks to humans. Nevertheless, many food producers still use Rhodamine B as a food coloring, such as in shrimp paste, crackers, syrup, and cotton candy. This study aims to identify the presence of Rhodamine B in shrimp paste products that do not have distribution permits from the Ministry of Health. A total of 10 shrimp paste samples—comprising 8 samples without a Ministry of Health distribution permit and 2 reference samples with official permits—were analyzed using the paper chromatography method, which is known to be simple, economical, and effective for qualitative analysis. Samples were randomly collected from traditional markets in Yogyakarta and surrounding areas, considering variations in the sources and distribution of shrimp paste products sold without official permits. Samples of shrimp paste products with official permits were obtained from registered stores or distributors with guaranteed safety. Colorant extraction was carried out using defatted wool yarn, while Whatman No. 1 filter paper was used as the stationary phase, and the eluent solvent consisted of a mixture of 2% NaCl in 50% alcohol. This method allows the identification of Rhodamine B with accurate results without requiring complex laboratory equipment. The analysis results showed that out of the 10 samples tested, eight samples (codes A, C, D, E, F, G, H, and I) tested positive for Rhodamine B, while the other two samples (codes B and J) did not contain the dye. All samples found to contain Rhodamine B came from shrimp paste products without Ministry of Health distribution permits. These findings indicate that illegal shrimp paste products are more likely to contain hazardous substances, and it is important for the public to be more vigilant in choosing food products that are guaranteed safe.
Formulation of Transparent Bar Soap from Chinese Betel Extract (Peperomia pellucida L. Kunth)
Transparent bar soap is a soap innovation with a clear appearance, produces soft foam, has an attractive sparkle, and has the ability to retain active ingredients. This study developed transparent bar soap using ethanol extract of Chinese betel (Peperomia pellucida L. Kunth) which has antibacterial activity (inhibition zone 13.73 mm) and strong antioxidant (IC50 = 32.94 microgram/mL). This study aims to formulate transparent soap of ethanol extract of Chinese betel with variations of sucrose and 96% ethanol. This study was conducted with pre-experimental method using post-test only design in the laboratory. Chinese betel samples were collected from Magelang Regency using purposive sampling method and extracted using maceration method with 70% ethanol solvent. The extract was then formulated into transparent soap bars with varying levels of sucrose and 96% ethanol: Formulation 1 (7.5%: 15%), Formulation 2 (9.5%: 13%), and Formulation 3 (11.5%: 11%). Tests included organoleptic test, pH, foam height, cleanness, and transparency. The results showed that the transparent soap bar preparation in formulation 1 had a solid shape with elastic hard texture, dark brown colour. Formulation 2 also has a solid shape, elastic hard texture, and lighter brown colour. Formulation 3 produces the same shape and texture, with a light brown colour and has the most transparent level of transparency. All formulas have a soap pH value of 10, in accordance with SNI standards which range from 9-11. Foam height in all formulations met the set standard of 1.3-22 cm. In the cleanability test, formulation 2 has the highest level of cleanliness, followed by formulation 3 and formulation 1.
Mapping the Distribution and Trendline of Tuberculosis Cases in the Gunungkidul Region
There has been an increase in TB cases in the Gunungkidul area. TB case findings in 2019, 2020, 2021, 2022, and 2023 were 360, 309, 248, 353, and 528 cases. This study aims to identifies process of collecting health data on TB cases, identifying factors causing TB cases, and mapping distribution of TB cases. Descriptive research with a qualitative approach. The variables are health data on number of TB cases and environmental factors. QGIS 3.34 application was used to create a map of distribution of stunting disease. Process of collecting TB data at Gunungkidul Regency Health Office and health centers has been carried out electronically and online using a web-based information system, namely SITB, but in health centers there are still those who use the TB register book, namely TB 03 to validate data that has been inputted into SITB. The highest TB cases were in Kapanewon Wonosari with 89 cases (18.68%). There are risk factors that influence the incidence of TB in Kapanewon Wonosari and Playen. Population density factor in Wonosari is 1,158.18 per km2, and Playen is 575.93 per km2. Average temperature risk factor is 26.0 °C. Average rainfall risk factor is 244.04 mm. Average altitude factor is 254 meters above sea level. Average humidity factor is 83%. The highest distribution of pulmonary TB cases is in Kepek Village (2.08%), Bleberan and Ngawu Villages, each (1.14%). The highest extrapulmonary TB category is in Karangtengah Village (0.38), and in Bandung and Gading Villages, each (0.19%). The trendline of TB cases in 2019-2023 has increased and decreased every year. Decrease in cases in 2020 (3.00%), in 2021 (3.22%). Increase in cases in 2022 (5.83%), and in 2023 (9.73%). Active case finding and active case monitoring programs need to be carried out by the health office and related stakeholders.
Coding of Injury, Poisoning and External Cause in the Health Center Information System
In health center, there was still errors in filling in disease codes. In this case was on cases of injury, poisoning and external cause codes that were not coded up to the 5th character. This happened because doctors and nurses did not understand the coding procedures. This study aims to identify coding process, calculate the percentage of code accuracy, identify factors causing inaccuracy in coding injuries, poisoning and external causes at the Bambanglipuro Health Center. The provision of disease diagnosis codes at health center was carried out after the nurse had finished filling in the assessment, doctor input diagnosis in SIMPUS, and ICD code automatically appeared. The percentage of correct diagnosis codes for cases of poisoning injuries and external causes of outpatients at Bambanglipuro Health Center, Bantul in period 2023 from a total sample of 71 medical records, number of correct diagnosis codes was 20 medical records (28%), and number of incorrect diagnosis codes was 51 medical records (72%). The cause was human factor (human), namely human resources who did not meet the competence of medical creators, special training had not been provided for coding officers and external causes were not coded. Method factors are that there is no SOP on disease coding system. Measuring implementation of disease diagnosis coding is carried out by re-examination by medical record officers who have competence in disease coding. Fulfilment of human resources according to qualifications affects work outcomes in UKRM. The ICD database on SIMPUS needs to be reviewed and data updated by vendors so that code selection can be available more specifically. Classification of code determination with ICD rules can describe the journey of a patient's medical record history more specifically.
The Effect of Sugar Weight Variation on Vitamin C Levels in Roselle Flower Pudding and Hedonic Test
Pudding is a popular snack often consumed as a dessert and enjoyed by people from various backgrounds. One of its variations is Roselle Flower Pudding, which uses roselle petals as the main ingredient. Roselle flowers are known for their high nutritional content, particularly vitamin C, which ranges from 260 to 280 mg per 100 grams. In pudding preparation, sugar is typically added to enhance flavor. However, sugar addition is suspected to affect the vitamin C content and consumer preference for the final product. This study aims to determine the effect of varying sugar weights on the vitamin C content and consumer acceptance of Roselle Flower Pudding. The research was conducted using a true experimental method, utilizing roselle flowers randomly selected from Argomulyo Subdistrict, Sedayu, Bantul. The process included identifying the roselle flower type, making pudding with sugar additions of 0, 5, 10, 15, and 20 grams, testing the vitamin C content using the iodimetric method (0.001 N titration), and conducting a preference test based on taste, aroma, color, and texture. The results showed that increasing sugar levels led to a decrease in vitamin C content: 2.52; 2.37; 2.22; 2.18; and 2.16 mg/100 grams. Conversely, consumer acceptance increased: 63.7%; 64.3%; 69.9%; 72.0%; and 76.8%. The best formulation was with 10 grams of sugar, as it maintained a relatively high vitamin C level while achieving optimal consumer preference.
Identification of Prednisone and Piroxicam in Herbal Medicine for Aches and Pains in the Special Region of Yogyakarta Using Thin Layer Chromatography Method
Herbal medicine (Jamu) is a part of Indonesian cultural heritage passed down through generation. One of the commonly consumed “Jamu” in Yogyakarta is “Jamu Pegal Linu” (herbal medicine for aches and pains). Competition among “Jamu” producers often leads to the addition of chemicals subtances to enhance the drug’s effectiveness. This practice is strictly prohibited due to its potential adverse health effects. Prednisone and piroxicam, which are pharmaceutical compounds, are suspected to be frequently added to “Jamu Pegal Linu”. Therefore, this study aims to identify the presence of prednisone and piroxicam in “Jamu Pegal Linu” available in Yogyakarta. Sampel of “Jamu Pegel Linu” were collected using a purposive sampling method from herbal shops in the Yogyakarta area. The samples were extracted using 96% ethanol. The extracted samples were then spotted onto a TLC plate, which was placed in a saturated chamber. The mobile phase used to identify prednisone were ethyl acetate: chloroform in ratios of 9:1, 6:4, and 8:2; whereas for piroxicam, three mobile phases were used: chloroform : acetone (80: 20), ethyl acetate : methanol : ammonia (60: 30: 10), and chloroform : methanol (100: 5). The stationary phase used was a silica gel GF254 plate. A sample was considered positive if the Rf value and the color of the spot of the spot matched those of the reference standard. The results of the study, using the thin-layer chromatography (TLC) method, showed that none of herbal medicine samples for aches and pains circulating in the Special Region of Yogyakarta contained prednisone or piroxicam. Therefore, the analyzed herbal medicine samples are considered safe for public consumption.
Fishbone Diagram and Framework for Developing a Roadmap for the Medical Records Digitalization Process in Hospitals
Digitization of medical records in hospitals requires a series of activity implementation planning. Based on the grand design from the Ministry of Health, hospital HR, and SIMRS vendors that have existed previously, it can be used as a form of roadmap creation stages by making milestones as the basis for implementation. The roadmap creation uses a framework of thinking with a fishbone diagram as a cause and effect diagram, and with the methodology of using the project management life cycle. This study provides an overview of the process of digitizing medical records in supporting the implementation of RME so that RME can be implemented effectively, and considerations in decision making for the implementation of RME. The activities carried out include identification and analysis of the process of digitizing medical records, identification of supporting factors for digitizing medical records, and ending with creating a roadmap for digitizing medical records. The process of digitizing medical records requires 3 officers. Users of medical records who are not yet technologically proficient will be considered in the planning. The SOP must contain several things that need to be considered. The person in charge of the medical transfer section should have planned the budget needs. The budget submission is made at the annual meeting of the annual budget draft. Implementation of the priority scale by grouping active medical records into 3 groups. SIMRS needs to be developed and added features that can accommodate the results of medical record scans and features for scan control or the history scan menu. The medical record digitization roadmap stage 1 is HR planning, planning of infrastructure needs, designing digitalization procedures, and adjusting SIMRS features. Stage 2 is HR procurement, procurement of supporting infrastructure, establishing SOPs, and determining the priority scale of medical records. Stage 3 is a trial implementation of digitalization and evaluation of the trial. Stage 4 is the implementation of active medical record digitization.
Review of Ergonomic Aspects of Filing Room Based on Anthropometry of Filing Officers at RSUD Wonosari
Based on our observations, the medical record storage rack in the Wonosari Hospital filing room is too high when compared to the height of the officers. Stepping chairs are provided but they are not secure and the distance between the shelves is too close. Therefore, adjusting ergonomics and anthropometric aspects in the filing room is very important as a form of risk management for the occupational safety and health of filing officers. The type of research that we use in this article uses a qualitative research type with a case study research design. The use of qualitative methods in research can produce a more comprehensive study of a phenomenon. Qualitative research that pays attention to humanism or the human individual and human behavior is the answer to the awareness that all the results of human actions affect the internal aspects of the individual. Ergonomic aspects of the filing room at Wonosari Hospital, including the management and equipment for the filing room are in accordance with existing standards except for the footing aids. The temperature in the Wonosari Hospital filing room is ideal, but the humidity is categorized as not ideal and the lighting is uneven. In addition, there are also aspects of occupational safety and health consisting of occupational safety and health risks. Provision of safe footing aids such as aluminum folding ladders as a tool to make it easier for filing officers to retrieve medical records in areas that are difficult to reach. Ergonomic adjustments to the anthropometry of filing officers to ensure safety and comfort at work. Hospital management and filing officers pay more attention to K3 aspects of officers by adding lights, providing work equipment and safe PPE.
Isolation and Antibacterial Activity Test of Soil Fungi from Livestock Cages in Tamanan, Banguntapan
Infections are the most deadly infectious diseases. High infection rates lead to higher antibiotic use. Cases of infection by bacteria make up the top ten cases that result in death. Therefore, potential bacterial agents are needed to overcome infection problems. The purpose of this study was to determine the antibacterial activity of fungi isolated from cattle pens in Tamanan, Banguntapan against several types of bacteria. Fungal isolation was carried out by dilution using PDA media, and then purification of isolates and antibacterial activity tests were carried out. The method used in determining antibacterial activity in this study is the disc diffusion method which will be tested against Staphylococcus aureus, Streptococcus mutans, Escherichia coli, and Bacilus subtillis bacteria. Microscopic and macroscopic results of fungal isolates were processed descriptively. Antibacterial activity test results were compared between treatments statistically using the Kruskal-Wallis test. The results showed that the three isolates did not have inhibition against S.aureus and E.coli bacteria. Isolate C1 (cattle barnyard soil fungus isolate) and isolate C4 (cattle barnyard soil fungus isolate) fall into the strong category in inhibiting S.mutans and B.subtillis. The diameter of the inhibition zone produced by Isolate C1 (cattle shed soil fungus isolate) was 11.67 mm and Isolate C4 (cattle shed soil fungus isolate) was 10.67 mm against Streptococcus mutans. The inhibition zone produced by Isolate C1 (cattle shed soil fungus isolate) was 11.17 mm and Isolate C2 (cattle shed soil fungus isolate) was 7.17 mm against B.subtillis.
Analisis Time Series Efisiensi Penggunaan Tempat Tidur Berdasarkan Grafik Barber Johnson di Rumah Sakit Umum Daerah Waras Wiris Kabupaten Boyolali Tahun 2019-2023
The quality of inpatient care services in hospitals can be measured through the utilization of bed facilities provided for patient care services. The BOR value in 2019-2023 at Waras Wiris Regional Hospital, Boyolali Regency is not yet in accordance with Barber Johnson standards. This research aims to analyze the efficiency of bed use based on the Barber Johnson graph at Waras Wiris Regional Hospital, Boyolali Regency, in 2019-2023 using a time series analysis approach. The type of research carried out was descriptive with a quantitative approach. The population in this study includes recapitulation of daily inpatient census data. Data collection techniques used include documentation studies and interviews. Data analysis was carried out descriptively. The results of this research showed that the BOR in 2019-2023 was not ideal, the highest BOR occurred in 2019 at 54.63% and the lowest in 2021 at 26.14%. LOS in 2019-2023 is ideal, the highest LOS in 2021 was 4.21 and the lowest in 2020 was 3.37. TOI in 2019-2023 is not yet ideal, the highest TOI in 2021 was 11.89 and the lowest in 2019 was 3.45. BTO in 2019-2023 is not yet ideal, the highest BTO in 2023 was 48.13 and the lowest in 2021 was 22.66. The research conclusions obtained are that the BOR value for 2019-2023 is not yet efficient, LOS for 2019-2023 is efficient, TOI for 2019-2023 is not yet efficient and BTO for 2019-2023 is not yet efficient.
SKRINING FITOKIMIA DAN AKTIVITAS ANTIOKSIDAN FRAKSI n-HEKSAN-DIETIL ETER PAPRIKA MERAH (Capsicum annuum L.) DENGAN METODE DPPH
Paprika merah (Capsicum annuum L.) mengandung berbagai jenis senyawa karotenoid yang berpotensi sebagai antioksidan. Ekstrak metanol buah paprika merah telah diteliti sebelumnya aktif sebagai antioksidan. Penelitian ini bertujuan untuk mengetahui kandungan senyawa golongan karotenoid, polifenol, vitamin C, vitamin E dan uji aktivitas antioksidan dari fraksi n-heksan-dietil eter buah paprika merah. Buah paprika merah diekstraksi dengan maserasi menggunakan pelarut metanol (1:1). Ekstrak kemudian difraksinasi dengan n-heksan-dietil eter (1:1). Ekstrak dan fraksi n-heksan-dietil eter dilakukan skrining fitokimia, meliputi uji karotenoid, polifenol, vitamin C dan vitamin E. Fraksi n-heksan-dietil eter diuji aktivitas antioksidannya secara kualitatif dengan metode penangkapan radikal bebas DPPH. Analisis dilanjutkan secara kuantitatif dengan metode tersebut yang diukur menggunakan spektrofotometer visibel. Hasil uji kualitatif menunjukan bahwa ekstrak metanol dan fraksi n-heksan-dietil eter buah paprika merah mengandung senyawa karotenoid, polifenol, vitamin C dan E. Aktivitas antioksidan dari fraksi n-heksan-dietil eter dan standar β-karoten yang dinyatakan dengan nilai IC50 berturut-turut adalah (106,90 ± 7,19) dan (43,23 ± 4,95) μg/ml. Daya antioksidan fraksi n-heksan-dietil eter buah paprika merah adalah sedang, sedangkan standar β-karoten sangat kuat.
paprika merah, fraksi n-heksan-dietil eter, Capsicum annuum, antioksidan
FAKTOR-FAKTOR YANG MEMPENGARUHI NIAT UNTUK BERDONOR DARAH SECARA REGULER DI UNIT TRANFUSI DARAH PALANG MERAH INDONESIA KABUPATEN GUNUNGKIDUL
ABSTRAK Pelayanan darah sebagai salah satu upaya kesehatan dalam rangka penyembuhan penyakit dan pemulihan kesehatan sangat membutuhkan ketersediaan darah yang cukup, aman, bermanfaat, mudah diakses dan terjangkau oleh masyarakat. Jumlah donasi darah terus mengalami peningkatan, namun masih belum bisa memenuhi jumlah kebutuhan. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi niat untuk berdonor darah secara reguler di Unit Transfusi Darah (UTD) PMI Kabupaten Gunungkidul. Desain penelitian menggunakan metode survey analitik dengan rancangan potong lintang. Sampel penelitian berjumlah 101 pendonor darah sukarela yang berdonor darah di UTD PMI Kabupaten Gunungkidul. Pengambilan sampel dilakukan dengan teknik Systematic Random Sampling. Pengumpulan data menggunakan kuesioner tertutup oleh petugas teknis transfusi darah. Metode analisis data menggunakan regresi linear berganda dengan tingkat kepercayaan 95%. Hasil analisis data variabel sikap (p=0.003) dan kontrol perilaku (p=0.000) memiliki pengaruh signifikan terhadap niat untuk berdonor darah secara reguler. Variabel normasubjektif tidak berpengaruh signifikan (p=0,435). Variabel yang paling dominan adalah variabel kontrol perilaku sebesar 0.405 (40.5%).
Niat Berdonor Darah, Donor Darah Secara Reguler.
ANALISIS EFISIENSI BOR, LOS, TOI, DAN BTO BERDASARKAN GRAFIK BARBER JOHNSON
Titik pertemuan pada Grafik Barber Johnson Rumah Sakit Umum Rajawali Citra tahun 2016-2017 antara BOR, LOS, TOI, dan BTO berada di luar daerah efisiensi. Pada tahun 2016 nilai BOR 54,2 %, LOS 2,89 hari, TOI 2,44 hari, dan BTO 68,2 kali. Sedangkan pada tahun 2017 nilai BOR 53,9 %, LOS 2,75 hari, TOI 2,35 hari, dan BTO 71,3 kali. Nilai BOR ideal adalah 75 % - 85 %, LOS 3-12 hari, TOI 1-3 hari, BTO lebih dari 30 kali. Penelitian ini melakukan penghitungan ulang, interpretasi pergeseran titikGrafik Barber Johnson untuk mengetahui efisiensi penggunaan tempat tidurtahun 2016-2017, dan mengidentifikasi penyebabnya.Jenis penelitian dengan deskriptif pendekatan kualitatif. Rancangan case studydan pengambilan sampel menggunakan teknik purposive sampling. Teknik pengumpulan data diperoleh dengan metode observasi, wawancara dan studi dokumentasi. Uji validitas menggunakan triangulasi sumber. Instrumen yang digunakan adalah pedoman wawancara, pedoman observasi. Hasil penelitian berdasarkan Grafik Barber Johnson di Rumah Sakit Umum Rajawali Citra tahun 2016-2017, titik pertemuan keempat parameter BOR, LOS, TOI dan BTO berada di luar daerah efisien dan terjadi pergeseran titik menjauh dari daerah efisien. Titik pertemuan keempat parameter tahun 2016 lebih mendekat pada daerah efisien daripada tahun 2017 menjauhi dari daerah efisien. Faktor penyebab tidak efisien di rumah sakit adalah adanya pasien dirujuk, APS, pasien meninggal kurang atau lebih dari 48 jam, letak atau lokasi keberadaan rumah sakit, promosi, kurangnya sarana dan fasilitas, serta kurangnya pemerataan tempat tidur.
Grafik Barber Johnson, Efisiensi, Rekam Medis
HARD CANDY SARI BUAH TOMAT (Licopersicon Esculentum Mill.) SEBAGAI ANTIOKSIDAN ALAMI
Buah tomat memiliki kandungan likopen, flavonoid dan vitamin C yang dapat bermanfaat sebagai antioksidan. Buah tomat dapat dibuat menjadi serbuk sari buah tomat dengan menggunakan metode spray drying dengan suhu inlet 110°C. Sari buah tomat diperoleh dengan cara dibuat juice tanpa penambahan air, kemudian dibuat menjadi serbuk dengan menambahkan 0,5% tween 80 dan maltodekstrin 15 %. Serbuk sari buah tomat dapat dibuat sediaan hard candy yang praktis dalam pemakaian. Komponen bahan tambahan hard candy terdiri dari sukrosa, sirup glukosa, air dan flavor. Pembuatan hard candy sari buah tomat dengan metode molding mixture dengan perbandingan konsentrasi sukrosa dan sirup glukosa yang digunakan adalah formula I (75% : 25%), formula II (50% : 50%), dan formula III (25% : 75%). Variabel terikat dari penelitian ini adalah karakteristik fisik hard candy sari buah tomat. Pada penelitian ini juga dilakukan uji aktivitas antioksidan hard candy sari buah tomat. Data dianalisis secara statistik menggunakan metode Anova dengan taraf kepercayaan 95%. Hasil penelitian hard candy berwarna jingga, berasa manis khas tomat, tekstur padat dan keras dengan keseragaman bobot ± 2,87 gram. Kombinasi kadar sukrosa dan sirup glukosa sebagai pemanis berpengaruh terhadap karakteristik fisik hard candy sari buah tomat meliputi kekerasan dan waktu larut dengan nilai signifikansi 0,000 < 0,05. Hasil uji kruskal wallis hard candy sari buah tomat pada konsentrasi 300 ppm, 400 ppm, 500 ppm, 800 ppm, 900 ppm dan 1000 ppm memiliki aktivitas antioksidan yang berbeda tidak bermakna, hal ini ditunjukkan dengan nilai signifikansi > 0,05.
hard candy, sari buah tomat, sukrosa, sirup glukosa, antioksidan
PERANCANGAN SISTEM INFORMASI PELAPORAN REKAM MEDIS RAWAT JALAN
Sistem informasi rumah sakit berperan penting dalam pelayanan klinis dan administratif. Pengelolaan data di rumah sakit sudah mulai menggunakan sistem berbasis elektronik (SIMRS), terutama dalam mendukung pengambilan keputusan. Sebanyak 82,21% (48 rumah sakit) dari 57 rumah sakit di Yogyakarta sudah mengadopsi SIMRS. Sebagian besar masih berfokus pada fungsi administratif dibandingkan fungsi klinis. Di Rumah Sakit Nur Hidayah belum sepenuhnya menggunakan SIMRS, sehingga dalam proses pengolahan data rekam medis rawat jalan masih menggunakan perangkat lunak berupa microsoft excel. Namun ditemui banyak kekurangan. Di bagian pelaporan, masing-masing laporan microsoft excel yang telah dibuat harus di cross check ulang dengan data SIMRS.Sehingga perlu aplikasi lain yang lebih efektif, yaitu dengan menggunakan database microsoft access serta memaksimalkan fitur yang ada di dalamnya. Tujuan penelitian ini adalah untuk merancang sisem informasi pelaporan rekam medis rawat jalan berbasis microsoft access 2016. Metode penelitian dengan metode perancangan sistem menggunakan model rekayasa perangkat lunak “modified waterfallâ€. Penelitian ini menghasilkan sistem informasi pelaporan rekam medis rawat jalan. Di dalam sistem informasi terdapat tabel, form dan fungsi queries untuk mempermudah pembuatan laporan rekapitulasi kunjungan pasien rawat jalan. Kesimpulan: Berdasarkan hasil pengujian, model rekayasa perangkat lunak ini diuji coba 10 kali. Uji coba menggunakan laporan bulan maret 2017 dengan petugas rekam medis. Sistem informasi pelaporan rekam medis rawat jalan mempermudah petugas dalam mencari data pasien dengan menggunakan fungsi queries, mampu mengolah data pasien serta membuat laporan rekapitulasi kunjungan pasien rawat jalan.
Sistem informasi, pelaporan, rekam medis, rawat jalan
PERSEPSI PELAKU ABORSI DENGAN PENYALAHGUNAAN OBAT-OBATAN TENTANG BAHAYANYA
Penyalahgunaan obat diantaranya menggunakan obat dengan tujuan untuk aborsi. Aborsi adalah salah satu kasus menonjol di Indonesia. Sedikitnya 2 juta kasus abortus secara sengaja yang dilakukan tidak sesuai standar keamanan berlangsung setiap tahun. Metode penelitian kualitatif dengan pendekatan fenomenologi. Persepsi pelaku aborsi tentang tindakan aborsi merupakan hal yang berbahaya, mengakibatkan sakit, menimbulkan cacat pada janin apabila aborsi tidak berhasil dan bahkan kematian, tetapi mereka tetap melakukan aborsi karena menganggap aborsi sebagai suatu solusi. Alasan wanita melakukan upaya aborsi untuk mengakhiri kehamilannya adalah ketidaksiapan karena perasaan malu, alasan pekerjaan, belum menikah, kondisi perekonomian keluarga, jumlah anak, jarak kehamilan dengan anak terlalu dekat. Sumber informasi untuk melakukan upaya aborsi terutama dari teman dekat, sedangkan apotek dan toko obat hanya untuk mendapatkan obat untuk aborsi, bukan merupakan sumber informasi cara melakukan upaya aborsi. Jenis-jenis obat yang digunakan berupa ramuan tradisional (mrica, nanas, bawang), sediaan jamu tradisional (kiranti, EM kapsul, jamu kates, alkohol, obat modern yang tidak diketahui jenis dan mereknya oleh pelaku dan pengalaman pelaku setelah berhasil melakukan aborsi sangat ambivalen antara sedih, senang dan lega.
PENGARUH METODE CBIA (CARA BELAJAR INSAN AKTIF) TERHADAP PENGETAHUAN INFORMASI OBAT SELESMA PADA ANGGOTA KARANG TARUNA DUSUN WANUJOYO LOR SRIMARTANI PIYUNGAN BANTUL
Peningkatan swamedikasi dimasyarakat menimbulkan adanya peningkatan kebutuhan promosi kesehatan dan kemudahan akses masyarakat dalam memperoleh obat tanpa resep dokter. CBIA (Cara Belajar Insan Aktif) merupakan salah satu metode edukasi untuk masyarakat dalam memilih obat yang benar sehingga tidak terjadi kesalahan dalam swamedikasi. Dari pelatihan CBIA ini diharapkan masyarakat dapat memilih dan menentukan obat yang akan dipakai dengan lebih aman terutama untuk penyakit-penyakit ringan yang sering diderita oleh masyakat seperti batuk, selesma, demam, gatal dan lain sebagainya. Penelitian ini dilaksanakan dengan tujuan untuk mengetahui pengaruh metode CBIA terhadap pengetahuan tentang informasi obat selesma pada anggota karang taruna Dusun Wanujoyo Lor Srimartani Piyungan Bantul. Jenis penelitian ini adalah kuasi eksperimen dengan rancangan non equivalent control grup, atau rancangan dua kelompok yaitu kelompok kontrol dan perlakuan. Subjek penelitian ini adalah anggota Karang Taruna Dusun Wanujoyo dan objek penelitian ini adalah pengetahuan anggota Karang Taruna Dusun Wanujoyo. Populasi dan sampel pada penelitian ini adalah seluruh anggota Karang Taruna Dusun Wanujoyo Lor Srimartani Piyungan Bantul yang berusia 17-30 tahun dan hadir pada saat kegiatan CBIA tersebut. Instrumen yang digunakan dalam penelitian ini meliputi paket obat selesma dari berbagai merek, lembar kerja tentang informasi obat yang ada di dalam kemasan serta lembar kuesioner tertutup yang berisi tentang pertanyaan tentang informasi obat terutama 5 informasi utama yang diperlukan sebagai dasar melakukan swamedikasi yaitu nama bahan aktif, indikasi, dosis, dan cara penggunaan, efek samping, dan kontraindikasi yang telah diuji validitas dan reliabilitas. Data dianalisis menggunakan uji paired test dan Mann Withney dengan α = 0,05. Hasil penelitian menunjukkan bahwa metode CBIA berpengaruh signifikan terhadap pengetahuan tentang informasi obat selesma dengan nilai probilitas 0,000 sehingga Ho ditolak yang berarti pelatihan CBIA berpengaruh secara signifikan meningkatkan pengetahuan.
REVIEW:BUDIKDAMBER SEBAGAI SOLUSI PENCEGAHAN ANEMIA PADA REMAJA
Remaja merupakan salah satu kelompok yang beresiko terhadap kejadian Anemia.Pencegahan anemia dapat dilakukan dengan konsumsi Protein hewani seperti lele yang berperan penting dalam transportasi zat besi dalam tubuh. Sayur hijau ( seperti bayam dan kangkung) mempunyai fungsi yang sangat penting dalam membantu penyerapan zat besi yang dapat membantu mencegah anemia sehingga pemenuhan gizi keluarga terpenuhi. Tujuan dapat memberikan informasi mengenai pemanfaatan BUDIKDAMBER (budidaya ikan lele dalam ember ) dalam mengurangi dan mengatasi serta mencegah terjadinya anemia khususnya pada remaja putri Metode yang digunakan Literatur review berupa jurnal internasional, dan jurnal nasional yang didapatkan pada penyedia jurnal di internet serta situs resmi lembaga kesehatan baik itu nasional maupun internasional. Kesimpulan edukasi secara mendiri dengan BUDiKDAMBER dapat meningkatkan konsumsi protein seperti lele dan kangkung sehingga dapat mencegah Anemia Pada Remaja
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a Analisis Kelengkapan Pengisian Berkas Rekam Medis Rawat Jalan Di Puskesmas Pleret
Filling out outpatient medical record files is an important part of health information management. The existence of complete and accurate medical record files is necessary to ensure continuity of patient care, clinical evaluation, as well as legal and administrative interests. This study aims to analyse the completeness of filling out medical record files in hospitals in certain areas by considering the factors that cause incompleteness. This type of research uses descriptive methods with a qualitative approach, the design used is a cross sectional survey. The subjects in this study were the head of medical records, general nurses, general practitioners, nurses, dentists, and medical records officers. The object in this study was the patient's medical record file. Data were obtained through observation, interview, and documentation study. Analysis of the completeness of filling in medical record files at Puskesmas Pleret from 100 samples of medical record files in filling in patient identity data reached 95% completeness which was incomplete 5%, complete date and time 45% incomplete 55%, complete history results 92% incomplete 8%, physical examination results and medical support complete 90% incomplete 10%, name and signature of the doctor complete 64% incomplete 36%.... Factors causing incomplete filling of medical record files at the Pleret Health Centre in terms of human factors are due to lack of accuracy in filling, the large number of patients who perform services so that medical record files forget to be filled in and also time constraints.
Evaluation of Independent Clinical Information System Using System Usability Scale
The Health Information System (SIK) is part of the Health Information System in a country. Health Information System as data that has been processed in such a way as to increase the knowledge of a person who uses the data. Independent Clinic Information System, is a system designed to be used in a simple independet clinic. Services at independent clinic have not used an electronic system but still based on paper. Along with the development and increase in the number of patients served, it becomes a need to change the system from a paper-based manual to an electronic system, it is hoped that using an information system can improve the smoothness of patient administration such as patient registration, examination services, patient medical record records, drug services, payment for services and the need for reports on clinical activities can be realized effectively and efficiently. The System Usability Scale (SUS) is used to measure and assess how users perceive the benefits of the system in their work processes. The usability test is carried out aimed at measuring the quality of a good application so that in the future users can adopt the system easily and increase the acceptance of users to the new technology. The results of the evaluation with the System Usability Scale average score of 74.75 which means acceptable, grade scale category C level, adjective rating "good" and score SUS Percentile Rank is Grade B, thus the application of the clinical information system can be accepted and used easily for health services in Clinic.
The Phytochemical Test and Antioxidant Activity Of Various Organs Of The Golden Banana (Musa acuminata Colla)
The golden banana (Musa acuminata Colla) is a typical banana plant in Rokan Hilir. Some parts of the golden banana plant are generally used, however, various other banana organs such as fruit skin, stem midrib, bractea, and golden banana flowers in Rokan Hilir have not been used in medicine. This study aims to determine the content of secondary metabolites and antioxidant activity in various organs of the golden banana. Simplicia powder from the golden banana organ was extracted by maceration method using 96% ethanol. The extract was then tested for antioxidant activity with a spectrophotometer using the DPPH method at a wavelength of 520 nm. The results showed that the four organs had very weak antioxidant activity. The highest antioxidant activity was in bractea with an IC50 value of 225.98 ppm and the lowest in flowers with an IC50 value of more than 1000 ppm. The results of the phytochemical screening showed that the four organs of the golden banana from Rokan downstream contained flavonoids, tannins, terpenoids, and saponins but did not contain alkaloids
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The Effect of Counseling on the Level of Knowledge abaout DAGUSIBU in the Jetis Caturharjo Sleman Comunity
DAGUSIBU is a movement launched by the Indonesian Pharmacist Association in order to encourage people to manage drugs properly. Community knowledge about DAGUSIBU is very important so that the goals of treatment can be achieved properly. This study aims to determine the effect of counseling on the level of knowledge about DAGUSIBU in the community of RW 13 Jetis hamlet Caturharjo Sleman. This type of research is pre-experimental with one group pretest-posttest design. The research subjects were the people of RW 13 Jetis hamlet Caturharjo Sleman. The sampling technique used purposive sampling. The number of samples used was 70 people. The data were analyzed using the Wilcoxon test to compare the level of knowledge before and after counseling. The results showed that there was an influence of counseling on the level of public knowledge. The average level of knowledge of the people of RW 13 Jetis hamlet Caturharjo Sleman before counseling was in the sufficient category (63,3%) whereas the average level of knowledge of the people of RW 13 Jetis hamlet Caturharjo Sleman after counseling is in the good category (84,0%).
The development of aloe vera leaf peel products into cosmetic products has not yet been widely explored, making it an alternative natural ingredient that can be developed as an antibacterial ingredient. Butterfly pea flower (Clitoria ternatea L.) is a plant that contains anthocyanin pigments which have the potential to be developed as local natural dyes in various food industries. Liquid soap is a liquid preparation intended for cleaning the skin, made from soap base ingredients with added surfactants, preservatives, foam stabilizers, permitted fragrances and dyes, and can be used for bathing without irritating to the skin. This research aims to inhibit the growth of Staphylococcus aureus bacteria. The potential results expected from making "leoria" hand washing soap are that it contains buya tongue which can inhibit the growth of Staphylococcus aureus bacteria, and can also make the skin soft, not dry, and not irritate the skin.
Evaluating Development of Monitoring Budget Transparency Electronic (eTAM) Information System for Public Health Center Management
ABSTRACT Health information management focuses on health services and health information sources in order to produce information for the continuity and progress of health services. The Public Health Center management cycle that must be carried out every month throughout the current fiscal year, limited human resources, duplicate tasks, data management is not one door, and the amount of data that must be managed requires a system that can help the implementation of Public Health Center management activities so that they can be carried out effectively and efficiently. Therefore, it is necessary to design the development of an eTAM (electronic Monitored Budget Transparency) information system for the Kutai Kartanegara Regency Health Office that suits user needs. From the design of the information system development, this study aims to evaluate whether the SI eTAM design for management of data and information in Public Health Center is in accordance with user needs. The assessment results obtained from the SUS questionnaire were then carried out data analysis. The calculation results of 17 respondents who had filled out the questionnaire with an average result of 46. From the total score on the prototype design of the SI eTAM application, it is classified as grade D or Ok/Fair rating. The SI eTAM application cannot be used easily and still needs feature development to be easy to use. Keywords: Development of Information System, Public Health Center Management
DESCRIPTION OF REACTIVE HEPATITIS B TEST RESULTS IN BLOOD DONOR AT UDD PMI MADIUN CITY YEARS 2017-2020
Blood transfusion is an important form of health care. Giving according to indications can save lives and improve health status, to minimize the occurrence of infectious diseases through blood transfusions, especially HIV/AIDS, Hepatitis C, Hepatitis B, Syphilis, Malaria, and Dengue Hemorrhagic Fever (DHF). needed. Hepatitis B is a clinical or pathological syndrome characterized by varying degrees of inflammation and necrosis of the liver, caused by the Hepatitis B Virus. Infection can be acute or chronic, continuous without healing for at least six months. Mechanism of occurrence Acute hepatitis, chronic or hepatocellular carcinoma begins with liver cell damage. The purpose of this study was to determine the prevalence of Hepatitis B reactive test results on donor blood at UDD PMI Madiun in 2017-2020. The type and design of this study used descriptive with a quantitative approach to the population in this study, namely donors whose blood was screened for Hepatitis B Transmissible Infections (IMLTD) at UDD PMI Madiun from 2017 to 2020 as many as 51,481 donors. The sample used in this study was data from Hepatitis B reactive screening results on blood donors from 2017 to 2020 as many as 433 donors. The data analysis method in this study used a purposive sampling technique. Based on research on the Description of Hepatitis B Reactive Test Results on Blood Donors at UDD PMI Madiun City in 2017-2020, the number of reactive Hepatitis B based on the type of voluntary donor was 433 donors (100%) replacement donors 0 donors (0%), based on gender there were males -342 male donors (79.0%), 91 female donors (21.0%), based on age <18-24 years 78 donors (18.0%), 25-44 years 237 donors (54.7%) , 45-64 years 118 donors (27.3%), based on blood type there are group A 90 donors (20.8%), group B 137 donors (31.6%), group O 152 donors (35.1%) and group AB 54 donors (12.5%). All results of reactive HbsAg at UDD PMI Madiun City are voluntary donors.
Antioxidant Activity of Green and Roasted Beans Temanggung Robusta Coffee Using The DPPH Method
Oxidative stress can cause cell damage if endogenous antioxidants cannot fight free radicals.If the cell damage lasts a long time, it can cause premature aging and disease disordesa such ascancer, cardiovascular disease, and diabetes.To assists endogenous antioxidants in fighting free radicals, exogenous antioxidants can help. One of them is coffee. However, the content of compoundscontained in coffee can be affected by the roasting process. The degree of the roasting process can affect the physical properties, taste, aroma, and chemical content of coffee beans. Changes in the chemical content of coffee beans can affect antioxidant avtivity, This study aims to determine the effect of roasting degree on antioxidant activity of Temanggung Robusta coffee beans. Robusta coffee bean samples were identified to ensure the correctness of the sample, than macerated with 1:10 aquadest. The filtrate was tested for antioxidants using the DPPH method, which later obtained the LC50 value. Identification results obtained that the correct sample is robusta coffee beans. The antioxidant test results showed that LC50 og green, light, medium, and dark beans were 82,27, 362,91, 61,46, and 617,04. Based on these results, it is known that the best antioxidant activity is medium bean. Changes in the antioxidant capacity of roasted coffee beans are related to the degradation of chlorogenic acid, melanoidin, and Maillard’s reaction products.
oxidative stress, roaste, coffee beans, antioxidant, DPPH
ANALYSIS OF ACCURACY OF DIAGNOSIS CODES BASED ON ICD-10 OUTPUT PATIENTS AT SENTOLO I KULON PROGO HEALTH CENTER
The diagnosis code is the code for the disease diagnosis determined based on the ICD-10. The diagnosis code is used for report generation, if the code is not correct then the resulting information has low data validity. Based on the results of a preliminary study at the Sentolo I Kulon Progo Health Center on December 7, 2021, from 11 samples of medical records, 5 (45.4%) medical records were obtained with the correct code and 6 (54.6%) medical records with the incorrect code. This study aims to determine the coding procedure, the percentage of accuracy and inaccuracy, as well as the factors causing the inaccuracy of the outpatient diagnosis code at the Sentolo I Kulon Progo Health Center. This study uses a descriptive method with a qualitative approach and a cross sectional research design. The population of the subjects in this study were 11 midwives, 9 general nurses, 1 dental nurse, and 1 triangulation of sources, namely medical recorders. The object population in this study is the medical records of outpatients in the period from September to November 2021, which is 6,354 medical records. The sample subjects in this study were 2 midwives, 2 general nurses, and 1 dental nurse and the object sample was 98 outpatient medical records. The results showed that the diagnosis coding activity was carried out by midwives and nurses who provided services at the polyclinic. The correct diagnosis code was 47 medical records with a percentage of 47.9% and the incorrect code was 51 medical records with a percentage of 52.1%. The inaccuracy of giving the diagnosis code was due to the man factor, namely human resources that did not meet the competence of medical recorders, some officers had never attended training related to diagnosis coding, and had not been evaluated related to diagnosis coding, the money factor, namely there was no budget for diagnosis coding training, material factors. namely the less optimal use of the ICD-10 book, the machine factor, namely SIMPUS there is still a code that only reaches the 3rd character so it is less specific, the method factor is the lack of socialization of SOPs related to the diagnosis coding system, while for environmental factors, the puskesmas already have adequate ventilation. according to the standards of the Ministry of Health.