Efektivitas Intervensi Pendidikan Kesehatan Terhadap Tingkat Pengetahuan Dan Sikap Tentang Pemilahan Sampah Pada Siswa Sekolah Dasar Negeri Di Kota Serang Tahun 2015

Abstract

Rubbish sorting is to separate waste types in according to the dissociation nature. In Serang city, especially the State Elementary School in working area Puskesmas Taktakan as being the location TPSA Cilowong Serang City government property still carry out the separation of biodegradable garbage and is not readily biodegradable. This is related with the knowledge and attitudes about less waste sorting. The purpose of this study was to determine the effect of health education on the knowledge level and attitudes about the waste sorting at the State Elementary School students in the Serang City 2015. The method used is a quasi-experimental. Samples some students at class V SDN Serang City. The first group is the experimental sample is SDN Pereng Cilowong village, and the second group is the experimental sample was SDN Taktakan 1 Serang. Data was analyzed using univariate and bivariate analysis with dependent t test, independent t test, and the correlation test. Based on the research results revealed that the mean of knowledge before the health education intervention = 11.088, mean knowledge after = 12.431. Mean attitude before = 37.363, and the attitude of health education interventions after the mean values ​​obtained 38.902. No statistically significant difference between the average knowledge before and after the health education intervention in the experimental first group (p = 0.0001) and second group (p = 0.0001). There are significant differences between the average attitude before and after the health education intervention in the experimental first group (p = 0.002) and second group (p = 0.040). The score average students knowledge and attitude who are given health education interventions through the film, is higher than the students knowledge and attitudes who are given health education interventions through leaflets (p = 0.015 and p = 0.048). There is a significant relationship between knowledge and attitude about waste separation (r= 0.524) and p = 0.0001). Suggestions in this research is to be able to select and use the appropriate health education media for students, especially elementary school students who turned out to be more effective to use audio visual media be compared visual media.

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Perilaku Merokok Remaja Laki-laki Siswa SMP Swasta di Depok

Abstract

Di Indonesia diperkirakan pada tahun 2013 di ada sekitar 60,4 juta orang yang merokok setiap hari. Meskipun faktor-faktor risiko perilaku merokok di kalangan remaja di Indonesia sudah banyak diteliti dalam berbagai survei, namun pengetahuan secara mendalam mengenai peranan niat, norma subyektif, dan lingkungan sosial masih belum banyak diteliti.

Penelitian ini bertujuan untuk mengetahui informasi yang mendalam tentang gambaran faktor-faktor yang mendukung dan menghambat  terjadinya perilaku merokok di kalangan remaja laki-laki di SMP Master di Kota Depok. Penelitian ini merupakan penelitian kualitatif dengan rancangan Rapid Assesment Procedure (RAP). Informan yang terlibat dalam penelitian ini ada 10 orang dan 1 orang informan kunci yang diwawancarai dengan enggunakan teknik Wawancara Mendalam (WM).

Hasil penelitian ini menunjukkan Faktor norma subyektif adalah faktor yang paling berpengaruh dalam membentuk perilaku remaja untuk merokok. Sedangkan iklan rokok adalah faktor yang paling sedikit mempengaruhi remaja untuk merokok. Norma subyektif yang terbentuk dari teman sebaya mereka adalah   merokok merupakan identitas remaja ketika nongkrong atau bercengkrama dengan teman bermainnya. Nongkrong tanpa rokok adalah hal yang tabu buat remaja, sehingga dorongan merokok berasal dari teman sebaya, bukan dari dorongan internal, diri sendiri. Edukasi yang membangun keterampilan hidup (life skill) remaja belum didapatkan oleh informan

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The Barriers in Implementing Electronic Prescribing in The Health Care: a Systematic Review

Abstract

Medication error remain extremely common, and the health care system can do much more to prevent it. Electronic prescribing is increasingly being viewed by health care stakeholders as an important step toward improved medication safety, better management of medication costs, increased practice efficiency, and improved health care quality. However, the adoption of e-prescribing has been difficult to attain owing to numerous barriers throughout the industry. Even with all the benefits of e-prescribing, many providers and pharmacists remained hesitant about completely adopting an e-prescribing system. The main purpose of this study was to explore and to assess the barriers of electronic prescribing implementation. The methodology for this study followed the basic principles of a systematic review with PRISMA methode retrieved from online database PubMed using a keyword “barriers” OR “obstacles” AND “electronic prescribing” OR “electronic prescription” AND “implementation”. Finally 6 documents were selected by full text inclucion and assessed for eligibility. The result of the study are  inefficiency, the low uptake of the physicians, the cost of implementing the electronic prescription, system errors and the privacy and legacy. The conclusion from the studies should that electronic prescribing implementation barriers those we divided into 2 groups : the user factors and the system factors of the electronic prescription. Vendors or the consultants to facilitate more adequately the adoption of e-prescribing by giving the physicians the free trial and provide evaluation and improvement according to the physicians’ needs for the features in the e-prescription.

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Could We Derive Benefit From Implementing Electronic Medical Records In Hospital?: A Structured Evidence and Narrative Review

Abstract

Introduction

One method chosen by many hospitals to achieve efficiency is the use of an Electronic Medical Record (EMR) system. This study discusses the EMR and its relationship with the efficiency and quality of hospital services through patient outcomes and users’ (physicians’ and nurses’) perspectives.

Method

A structured evidence and narrative review using the PRISMA method, with articles retrieved from online databases including PubMed, Wiley, ScienceDirect and ProQuest. The study’s period of review dates back ten years.

Results

The advantages of EMRs are decreased length of stay (LOS) and infection rate, plus a reduced probability of readmission once a patient safety event has occurred. EMRs reduce nurse, licensed vocational nurse (LVN) and registry cost per hour. EMRs provide enhanced ability in completing medical records and clinical documentation. The disadvantages are greater inefficiency in medical-surgical acute settings and increased cost per patient day. EMR does not reduce LOS in ICU. Some physicians also complain about the inefficiencies and time loss created by EMR.

Conclusion

The implementation of EMR in hospitals has advantages and disadvantages. Hospital management should undertake more analysis and consideration prior to deciding whether or not to use EMR.

Keywords: Electronic medical records, hospital, patients’ outcomes, efficiency

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Pengaruh Profitabilitas, Leverage, Dan Firm Size Terhadap Peringkat Obligasi Bank Konvensional Periode 2015-2019

Abstract

Abstrak. Tujuan dari penelitian ini adalah untuk menguji pengaruh dari leverage yang diproksikan dengan Debt Equity Ratio (DER), firm size yang diproksikan dengan (Ln), pengaruh dari DER melalui profitabilitas, pengaruh Ln melalui profitabilitas, pegaruh profitabilitas yang diproksikan dengan Return On Equity (ROE) terhadap peringkat obligasi. Variabel independen yang digunakan dalam pennelitian ini adalah leverage (DER), dan Firm size (Ln). variabel independen dalam penelitian ini adalah peringkat obligasi dan profitabilitas (ROE). Pemilihan sampel ditentukan dengan metode purposive sampling. Sampel yang digunakan dari penelitian ini 10 Bank konvensional yang terdaftar di Bursa Efek Indonesia sejak tahun 2015, melakukan penerbitan obligasi di Bursa Efek Indonesia dan diberikan peringkat oleh PT. PEFINDO dari periode 2015-2019, serta memiliki laba positif secara berturut-turut pada periode penelitian. Tahapan analisis data melalui tiga tahapan yaitu nalisis deskriptif, Uji pemilihan model regresi data panel, uji asumsi klasik, serta pengujian hipotesis melalui analisis jalur, dengan bantuan program Eviews 11. Hasil dari penelitian ini adalah (1) profitabilitas yang diproksikan Return On Equity (ROE) memiliki pengaruh positif dan signifikan terhadap peringkat obligasi dengan nilai koefisien sebesar 0,077 dan sig. 0,0025, (2) leverage yang diproksikan Debt Equity ratio (DER) tidak memiliki pengaruh signifikan terhadap peringkat obligasi dengan koefisien sebesar -0,009 dan sig. 0,92, (3) Firm size yang diproksikan (Ln) tidak memiliki pengaruh signifikan terhadap peringkat obligasi dengan koefisien 0,1106 dan sig. 0,16.

Download Journal : https://journal.uhamka.ac.id/index.php/jmbp/article/view/5686

Health Related-Quality of Life in CKD and Dialysis Patients in Asian Countries : A Systematic Review

Abstract

ABSTRACT

Introduction: Chronic Kidney Disease (CKD) and Chronic dialysis has a great impact on patients health-related quality of life (HRQOL). The impacts are about the morbidity, mortality, and the survival rate of the dialysis therapy. We focused this systematic review in Asian countries.

Methods: Systematic Review with PRISMA method retrieved from online database such as PubMed, Wiley and ProQuest using a keyword “Health Related-Quality Life (HRQOL)”, “Chronic Kidney Disease (CKD) patient OR ESRD (End Stage Renal Disease), CKD with Hemodialysis OR CKD dialysis  at Asian Country”. The end of this search we got 10 journals.

Results: The measurement HRQOL in CKD or dyalisis patients such EQ-5D and Kidney Disease Quality of Life (KDQOL). There are 4 country used KDQL (Korea, China, India, Singapore and Indonesia). The result show HRQOL in CKD patients has declined when the level of CKD increased especially when the amount of albumin high and the level of hemoglobin decline. HRQOL in dialysis patient has lower depressive mood in planned dialysis group than unplanned dialysis. There are no difference in KDCS, PCS, or MCS scores between patients treated by hemodialysis and CAPD. They also got 5 more years when choose dialysis (Hemodialysis). 

Conclusion: Health related quality of life (HRQOL) related with progressive of CKD level. The level that should pay attention is CKD level 3 where HRQOL can decreased. When the patients routine dialysis (CAPD or hemodialysis) used concern about the medicine (such erythropoietin, routine medicine) and the laboratory (albumin and hemoglobin). The more progressive level of CKD the lower of HRQOL.

Keywords: Health Related Quality of Life (HQOL), CKD (Chronic Kidney Disease), Dialysis, Hemodialysis, Continuous Ambulatory Peritoneal Dialysis (CAPD).

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