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A multivariate analysis of risk factors influencing the cesarean section rate in two university hospitals in Leiden (the Netherlands) and Bandung (Indonesia) Wirakusumah, Firman F.; Brand, R; Gravenhorst, J Bennebroek
Medical Journal of Indonesia Vol 7, No 1 (1998): January-March
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (688.618 KB) | DOI: 10.13181/mji.v7i1.796

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[no abstract available]
PERBEDAAN ANTARA FAKTOR INTRINSIK DAN EKSTRINSIK PADA PASIEN INFEKSI NOSOKOMIAL DI BAGIAN BEDAH DAN MEDIKAL RSUP. DR. HASAN SADIKIN BANDUNG Wahyudi, Bayu; Setiawati, Elsa Puji; Shahib, Nurhalim; Wirakusumah, Firman F.
Majalah Kedokteran Bandung Vol 50, No 4 (2018)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v50n4.1576

Abstract

Infeksi nosokomial merupakan satu masalah komplikasi di rumah sakit dan menjadi permasalahan penting bagi kesehatan publik di dunia. Kecenderungan pasien menderita infeksi nosokomial (HAIs) ditentukan oleh faktor intrinsik dan faktor ekstrinsik. Metode penelitian yang digunakan adalah potong lintang. Terdapat 287 pasien yang mengalami infeksi nosokomial yang disebabkan oleh Klebsiella pneumoniae di Bagian Bedah dan Medikal Rumah Sakit Dr. Hasan Sadikin Bandung (RSUP) selama periode Januari sampai Juni tahun 2015 yang telah memenuhi kriteria inklusi dan tidak termasuk eksklusi. Hasil penelitian menunjukkan perbedaan antara faktor intrinsik dan ekstrinsik pada pasien infeksi nosokomial yang disebabkan oleh klebsiella pneumoniae di bagian Bedah dan Medikal RSUP Dr. Hasan Sadikin Bandung dengan nilai p<0,05. Terdapat perbedaan kejadian resistensi terhadap karbapenem pada kasus infeksi nosokomial selain kadar Hb adalah tindakan medis untuk tindakan medis sedang mempunyai risiko 2,06 kali (IK 95%; 1,0?4,28 ), pada tindakan medis berat 3,03 kali (IK 95%; 1,21?7,61) bila dibanding dengan tindakan medis ringan. Terdapat perbedaan dengan ketidaksembuhan pada kasus infeksi nosokomial adalah kasus rawat medikal, leukosit >16.600, tindakan medis berat, dan keadaan kulit terbuka dengan OR masing masing 2,89; 2,09; 5,05; dan 1,88. Saran, untuk memberikan pelayanan yang prima dengan memperhatikan faktor intrinsik pasien baik usia, jenis kelamin, keadaan luka kulit dan status gizi, juga memperhatikan faktor ektrinsik berupa lamanya masa rawat, tempat pengambilan sampel, dan tindakan medik yang dilakukan. Kata kunci: Faktor intrinsik dan ekstrinsik, infeksi Klebsiella pneumoniae, kasus bedah dan medikal, nosokomialinfeksiDifference between Intrinsic and Extrinsic Factors of  Nosocomial Infection Patients in The Surgery and Medical Ward of Dr. Hasan Sadikin General Hospital BandungNosocomial infection or Hospital-Acquired Infection (HAI) occurs as a complication during hospitalization in hospitals and becomes an important global public health problem. The tendency of patients suffering from nosocomial infectionis determined by intrinsic and extrinsic factors. This was a cross-sectional study on 287 patients with nosocomial infection caused by Klebsiella pneumoniae at the Surgical and Medical wards of Dr. Hasan Sadikin General Hospital during the period January to June 2015 who met the inclusion and exclusion criteria. Results showed the difference in intrinsic and extrinsic factors in patients with nosocomial infections caused by Klebsiella (p<0.05). There was a difference in the resistance towards Carbanepem in nosocomial infections. Factors influencing this were Hb level and medical actions. Patients with intermediate medical procedures had 2.06 times higher risk (CI 95%; 1.0?4.28 ) while in those with complicated medical procedures, the risk was 3.03 times higher (CI 95%; 1.21?7.61) when compared to those receiving simple medical procedures. A difference was also seen in the failure to recover in nosocomial infection between the medical inpatient cases (leucocyte of >16,600), complicated medical procedure, and open-skin condition with ORs of 2.89; 2.09; 5.05; and 1.88, respectively. It is suggested to provide excelent services by paying atttention to the intrinsic factors of patients, i.e. age, gender, skin wound status, and nutrition status and the extrinsic factors, i.e. length of stay, sampling sites, and medical procedures performed.Key words: Intrinsic and extrinsic factors , Klebsiella pneumoniae infection, nosocomial infection, surgical andmedical cases
EVALUASI PENGARUH LAMANYA PEMBERIAN ASI SAJA TERHADAP PERTUMBUHAN ANAK SUATU STUDI DI KECAMATAN LEDO, KABUPATEN BENGKAYANG, PROVINSI KALIMANTAN BARAT Lepita, Lepita; Sukandar, Hadyana; Wirakusumah, Firman F.
Majalah Kedokteran Bandung Vol 41, No 1
Publisher : Faculty of Medicine, Universitas Padjadjaran

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Abstract

Air susu ibu (ASI) merupakan makanan yang kaya akan gizi dan sangat penting untuk pertumbuhan anak. Terganggunya pertumbuhan anak diawali dengan kekurangan gizi yang dapat diatasi dengan memberikan ASI saja sejak lahir. Tujuan penelitian ini untuk mengetahui pengaruh lamanya pemberian ASI saja pada pertumbuhan anak. Faktor yang dilihat adalah berat badan dan tinggi badan anak. Penelitian ini merupakan penelitian kohort retrospektif yaitu mencari efek yang muncul pada balita usia antara 12 sampai 36 bulan yang ketika bayinya menggunakan ASI saja di wilayah Kecamatan Ledo. Jumlah subjek yang diteliti sebanyak 101 anak. Sampel diambil dengan teknik cluster berdasarkan kriteria inklusi. Analisis statistik memakai analisis varians, uji Mann-Whitney, Kruskal-Wallis, dan korelasi regresi. Hasil penelitian ini menunjukkan bahwa lamanya pemberian ASI saja mempengaruhi pertumbuhan anak berdasarkan persen terhadap median Berat Badan (BB)/Usia (U) dan Berat Badan (BB)/Tinggi Badan (TB) (p<0,001); tidak tampak pengaruh lamanya pemberian ASI dengan pertumbuhan anak berdasarkan persen terhadap median TB/U baku rujukan WHO-NCHS (p>0,05). Kesimpulan pada penelitian ini adalah lamanya pemberian ASI saja berpengaruh positif terhadap pertumbuhan yang diukur berdasarkan persen terhadap median BB/U dan BB/TBbaku rujukan WHO-NCHS.Kata kunci: Lamanya pemberian ASI, pertumbuhan anak, antropometriEVALUATION THE IMPACT BREASTFEEDING PERIOD OF TIME TO THE CHILD GROWTH: A Study In Ledo Subdistrict, Bengkayang Regency, West Kalimantan Province Breastfeeding is rich food nutrient and it is very important for the child growth. Neonatal growth disorders, it is initially revealed from the beginning by a lack of nutrient. The lack of nutrient can be minimized by giving breastfeeding since the first living without any additional food. The objective of this study was to know the impact of length duration influenced of breastfeeding to the child growth that was seen from the child's body weight and body height. This study designed as a retrospective cohort looking for an effect of weight and height growth of subject child age between 12 to 36 months used to have only breastfeeding in Ledo. The study carried out to 101 children. The samples collected by cluster technique, the inclusion criteria had been determined. Statistical analysis used, varians, Mann-Whitney, Kruskal-Wallis, and analysis regression.The result of study, it was shown that the duration of breastfeeding affect of child growth significantly different; the percentage of median body weight to age vs body weight to body height referred to WHO-NCHS standard (p<0.001); but there were no any correlation on the percentage of median body height to age referred to WHO-NCHS standard (>0.05). Conclusion: duration of breastfeeding has positive effect to the growth which is measured based on the percentage of median body weight/age and body weight/body height referred to WHO-NCHS standard.Key words: Duration of breastfeeding, child growth, anthropometry DOI: http://dx.doi.org/10.15395/mkb.v41n1.181
Gambaran Rasionalitas Penggunaan Antibiotik berdasarkan Kriteria Gyssens di Bangsal Obstetri dan Ginekologi RSUP Dr. Hasan Sadikin Bandung Yoanitha, Nenny; Wirakusumah, Firman F.; Sukarsa, Rizkar Arev
Indonesian Journal of Obstetrics & Gynecology Science Volume 1 Nomor 2 September 2018
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (551.81 KB)

Abstract

AbstrakTujuan: Penggunaan antibiotik yang tidak rasional terjadi di banyak rumah sakit dan dikaitkan dengan peningkatan jumlah resistensi antibiotik di seluruh dunia. WHO telah menggambarkan bahwa saat ini sedang terjadi “krisis” resistensi antibiotik yang berpotensi menyebabkan musibah secara global. Di Indonesia termasuk RSUP Dr. Hasan Sadikin Bandung data penelitian yang menggambarkan kualitas penggunaan antibiotik masih terbatas.Metode: Penelitian ini merupakan jenis penelitian deskriptif eksploratif dengan desain cross sectional dilaksanakan di RSUP Dr. Hasan Sadikin Bandung pada periode September–November 2016  pada pasien rawat inap di bangsal Obstetri dan Ginekologi. Rasionalitas penggunaan antibiotik diukur berdasarkan kriteria Gyssens yang  mengklasifikasikan kasus penggunaan antibiotik berdasarkan suatu alur memuat indikasi, jenis antibiotik, dosis, rute, interval, dan waktu pemberiannya.Hasil: Dari 150 kasus mayoritas merupakan kasus obstetri (62,7%) dengan kelompok umur terbanyak antara 21−35 tahun (73,3%). Berdasarkan  kriteria gyssens didapatkan terbanyak adalah kategori V (40,3%), sedangkan kategori 0 (antibiotik rasional) didapatkan sebanyak (22%).Kesimpulan: Penggunaan antibiotik yang tidak rasional berdasarkan kriteria Gyssens masih tinggi ditemukan di bangsal Kandungan dan KebidananKata kunci : Antibiotik, kualitas penggunaan antibiotik, kriteria gyssensAbstractObjective: The use of irrational antibiotics occurs in many hospitals and is associated with an increase of antibiotic resistance worldwide. WHO has described that there is currently a “crisis” of antibiotic resistance that has the potential to cause a global disaster. In Indonesia, including dr. Hasan Sadikin Hospital research data describing the quality of antibiotic use is still limited.Method: This study is a descriptive explorative research with cross sectional design that was conducted in dr. Hasan Sadikin Hospital on September until November 2016 with the sample was all inpatient that trated in the Obstetric and Gynecology ward.. The rationality of antibiotic use is measured by the Gyssens criteria that classify cases of antibiotic use based on a path containing indications, type of antibiotics, doses, routes, intervals, and time of administration.Result: Of the 150 cases the majority were obstetric cases (62.7%) with the most age group between 21-35 years (73.3%). Based on the criteria gyssens obtained the most is category V (40.3%), while category 0 (rational antibiotics) obtained as much (22%).Conclusion: The use of irrational antibiotics based on the Gyssens criterion is still high in the Obstetric and Gynecology wardKey words: Antibiotics, quality of antibiotic use, criteria gyssens
Hubungan Faktor Risiko Kegawatdaruratan Obstetri Menurut Rochjati dengan Pelaksanaan Rujukan oleh Bidan di RSUD Gambiran Kediri Laili, Fauzia; Garna, Herry; Irawan, Gaga; Husin, Farid; Wirakusumah, Firman F.; Sunjaya, Deni K.; Susiarno, Hadi
Jurnal Pendidikan dan Pelayanan Kebidanan Indonesia (Indonesian Journal of Education and Midwifery Care Vol 2, No 2 (2015): Juni
Publisher : Program Studi Magister Kebidanan FK UNPAD

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (75.63 KB) | DOI: 10.24198/ijemc.v2i2.11

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Kegawatdaruratan obstetri merupakan penyebab utama kematian maternal dan perinatal. Kegawatdaruratan obstetri menurut Rochjati terbagi menjadi 3 kelompok faktor risiko, yaitu APGO (Ada Potensi Gawat Obstetri), AGO (Ada Gawat Obstetri), dan AGDO (Ada Gawat Darurat Obstetri). Berbagai penelitian menyatakan salah satu upaya penatalaksanaan yang efektif pada kegawatdaruratan obstetri dengan pelaksanaan rujukan. Rujukan yang tepat dan terencana dapat menyelamatkan ibu dan bayi baru lahir. Penelitian ini bertujuan untuk mengetahui hubungan faktor risiko kegawatdaruratan obstetri (APGO, AGO, dan AGDO) dengan pelaksanaan rujukan oleh bidan di RSUD Gambiran Kediri. Desain penelitian secara kuantitatif dengan pendekatan potong silang dilaksanakan pada Januari–Februari  2014 dengan jumlah sampel sebesar 150. Pengambilan sampel dilakukan dengan cara consecutive sampling. Pengumpulan data sekunder berdasarkan laporan ruang bersalin dan rekam medik rumah sakit periode Januari–Desember 2011. Hasil penelitian menunjukkan tidak terdapat perbedaan bermakna faktor risiko kegawatdaruratan obstetri pada variabel APGO dan AGO antara rujukan terencana dan rujukan terlambat (p>0,05), namun terdapat perbedaan bermakna pada variabel AGDO antara rujukan terencana dan rujukan terlambat. Meningkatnya faktor risiko kegawatdaruratan obstetri akan meningkatkan pelaksanaan rujukan terencana lebih dari 6 kali (OR=6,12). Simpulan penelitian ini adalah  faktor risiko kegawatdaruratan obstetri pada AGDO berhubungan dengan pelaksanaan rujukan dan peningkatan faktor risiko kegawatdaruratan obstetri akan meningkatkan pelaksanaan rujukan oleh bidan
Perbedaan Kualitas Soft Skill Mahasiswa Sebelum dan Sesudah Pelatihan Manajemen Diri Hernawati, Erni; Idjradinata, Ponpon S.; Husen, Ike Rostikawati; Husin, Farid; Wirakusumah, Firman F.; Shahib, Muhammad Nurhalim; Herawati, Dewi M.D
Jurnal Pendidikan dan Pelayanan Kebidanan Indonesia (Indonesian Journal of Education and Midwifery Care Vol 2, No 2 (2015): Juni
Publisher : Program Studi Magister Kebidanan FK UNPAD

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (78.087 KB) | DOI: 10.24198/ijemc.v2i2.46

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Institusi pendidikan bidan bertujuan mencetak lulusan bidan yang memiliki kemampuan baik secara akademik maupun non akademik dan siap kerja. Berbagai upaya yang dilakukan untuk meningkatkan soft skill mahasiswa hingga saat ini belum memuaskan. Salah satu cara meningkatkan kualitas soft skill mahasiswa yaitu dengan pelatihan manajemen diri. Tujuan penelitian ini untuk menganalisis perbedaan kualitas soft skill dari aspek komunikasi, kepemimpinan, dan etika mahasiswa sebelum dan sesudah diberikan pelatihan manajemen diri. Penelitian ini menggunakan metode eksperimental dengan desain one group pre-test and post-test design. Populasi penelitian mahasiswa Program Studi DIII Kebidanan yang teridentifikasi nilai soft skill rendah berjumlah 47 orang. Teknik pengambilan sampel dengan total sampling. Pengukuran soft skill menggunakan kuesioner. Hasil analisis penelitian kualitas soft skill mahasiswa sebelum dan sesudah diberikan pelatihan menunjukkan perbedaan bermakna (p<0,001). Hasil analisis paired t-test untuk aspek komunikasi diperoleh nilai p<0,001 dan uji Wilcoxon untuk aspek kepemimpinan dan etika diperoleh nilai p<0,001. Simpulan penelitian ini adalah soft skill aspek kepemimpinan mengalami peningkatan skor yang lebih tinggi sebesar 36,4%, soft skill aspek etika mendapat peningkatan skor 27,2%, sedangkan soft skill aspek komunikasi hanya meningkat 21,0%
PENGARUH KUALITAS PENDIDIKAN TERHADAP KEPUASAN MAHASISWA LULUSAN PRODI DIII KEBIDANAN DI STIKes RESPATI TASIKMALAYA Rahmidini, Annisa; Wirakusumah, Firman F.; Dewi, Sari Puspa
Creative Research Journal Vol 1, No 01 (2015)
Publisher : Badan Penelitian dan Pengembangan Daerah (BP2D) Provinsi Jawa Barat

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Abstract

Tingginya tingkat persaingan antara institusi pendidikan mengakibatkan setiap institusi harus dapat mengelola institusinya secara professional. Institusi pendidikan dapat mengatasi daya saing yang tinggi dengan memiliki mutu/kualitas  pendidikan  yang  baik.  Keputusan  perguruan  tinggi  melakukan  tindakan  perbaikan  kualitas pendidikan  yang  sistematis  merupakan  perangkat  yang  menentukan  dalam  menindaklanjuti  keluhan mahasiswa dari suatu kegagalan sehingga pada akhirnya mampu meningkatkan kepuasan lulusan. Tujuan penelitian ini adalah menganalisis pengaruh kualitas pendidikan (tatakelola, pengabdian pada masyarakat, kurikulum program studi, proses pembelajaran, sumber daya manusia, suasana akademik, penelitian dan publikasi, kemahasiswaan, keuangan, serta prasarana dan sarana) terhadap kepuasan lulusan di Sekolah Tinggi Ilmu Kesehatan (STIKes) Respati Tasikmalaya. Jenis penelitian kuantitatif dan metode yang digunakan adalah metode survey analitik dengan desain penelitian yaitu cross sectional. Populasi dalam penelitian ini adalah seluruh lulusan STIKes Respati Tasikmalaya dua tahun terakhir yaitu Angkatan VII dan VIII berjumlah 201 lulusan. teknik pengambilan sampel pada penelitian ini menggunakan simple random sampling sebanyak 106 lulusan diambil. Metode pengumpulan data dalam penelitian ini adalah dengan kuesioner. Hasil analisis data menunjukkan bahwa terdapat pengaruh positif antara kualitas pendidikan terhadap kepuasan lulusan di Sekolah Tinggi Ilmu Kesehatan Respati Tasikmalaya. Diharapkan STIKES Respati Tasikmalaya meningkatkan kualitas pendidikan agar lulusan dapat merasa puas.
Korelasi Kepemimpinan dengan Komitemen dan Lingkungan Kerja Dosen D3 Kebidanan Widyasih, Hesty; Sutisna, Ma’mun; Wirakusumah, Firman F.
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 1, No 3 (2012): NOVEMBER
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (690.794 KB) | DOI: 10.22146/jpki.25101

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Background: Leadership in midwifery education may bring into positive change such as increase of organization quality. Leadership facilitates to build high working commitment and good working environment. Malcolm Baldrige criteria is a working management system that can measure leadership, working commitment and environment. This study aimed to analyze the correlation between leadership and working commitment or environment based on Malcolm Baldrige Criteria.Method: This was quantitative research with cross sectional design. Subjects of this study were 60 lecturers of diploma 3 midwifery in the DIY Province. The research was conducted in March-April 2011 using questionnaire based on Malcolm Baldrige Criteria. Data were analyzed by Rank Spearman and Chi Square with level of significant p<0,05.Results: There was positive correlation between leadership and working commitment (rs=0,740, p<0,001). Leadership has a positive correlation with working environment (rs=0,719 and p<0,001). The chi square result of leadership and working commitment and environment corellation shows p value<0,001. The more effective the leadership the higher the working commitment and environment would be. Age and work experience had no correlation with variables in this study. there were no difference between respondent who are married and unmarried regarding all variables.Conclusion: Based on Malcolm Baldrige Criteria, leadership has positive correlation with lecturer’s working commitment and environment. 
Kontribusi Stresor dan Motivasi Kerja terhadap Kinerja Tenaga Kependidikan Berdasarkan Uraian Tugasnya di Institusi Pendidikan Kesehatan Karya Husada Kediri (Sebuah Analisis Jalur) Nuraisya, Wahyu; Wirakusumah, Firman F.; Judistiani, Tina Dewi
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 2, No 2 (2013): JULI
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (414.634 KB) | DOI: 10.22146/jpki.25177

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Background: Quality of management education is an important aspect for the continuity of education and the acquisition of quality outcomes. Human resource management requires good performance of educational personnel in providing services to students and the lecturers themselves supporting the implementation of tasks. For the lecturers, the demand of task implementation is sort of a stressor. A good motivation well-achieved the performance of educational personnel. This study aimed to determine the correlation of stressors and motivation of the lecturers’ performance based on job descriptions in the work of health education institution Karya Husada Kediri.Method: This study is an analytical research correlated with cross-sectional approach. The population is all educational personnel in health education institution Karya Husada Kediri. Study sample was 50 educational staff with a total population of the technique. Collecting date using questionnaire.Results: The results of correlation analysis using Pearson test found that work stressors negatively correlated (r = -0.315) with the performance, and there is a positive correlation (r = 0.408) between work motivation and performance. The results of analysis using path analysis showed a influence between stressors and simultaneously with the performance of work motivation with square values of r = 0.359 and the influence of other variables that are not observed at 0.641.Conclusion: Low work stressors and highly motivation could raise the performance of the educational personnel at health education institute Karya Husada Kediri so in that way there is much more thing to do how to deal with work stressors and motivational improvement to gain better performance.
Analisis Penyebab Kematian Maternal Di Kabupaten Garut (Studi Epidemiologi dalam Upaya Menurunkan Kematian Maternal di Provinsi Jawa Barat) Octaviani, Dhita Aulia; Husin, Farid; Wirakusumah, Firman F.; Susiarno, Hadi; Sukandar, Hadyana; Susandi, Dadan
JURNAL KEBIDANAN Vol 9, No 1 (2019): April 2019
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v9i1.3953

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Maternal mortality is still a problem globally and especially occur in developing countries, including Indonesia. The maternal mortality rate is one indicator of the health status of a country. Garut is one part of West Java province with the count of maternal mortality case was 45 deaths in 2015. Most of the causes of maternal death is preventable, ie factors of patients, healthcare workers, facilities, and referral. Recording and reporting of maternal deaths has not to be going well yet, so that intervention can not be set to decrease maternal mortality significantly.Research carried out by sequential explanatary mixed method. The first phase, data collection and analysis is done quantitatively, followed by collection of qualitative data in the second phase which aims to strengthen the results of quantitative research. Quantitative research using cross sectional and qualitative study using in-depth interviews and focus group discussions.The study was conducted in October-November, 2016.Based on the research showed that 96% of maternal deaths occur in Garut regency are preventable maternal deaths that caused by multifactorial, a combination of healthcare workers factors, patient factors, and referral factors. Maternal deaths are also caused by the referral process has been delayed. Besides that, recording and reporting have not been able to run well, with the availability of human resources, but the existing policy has not been adequate.Patient factors such as age, parity, and birth spacing is at risk, as well as negative perceptions of mothers and families to health facilities contributed to preventable maternal deaths. Health workers factor prefer to unqualified health workers in conducting effective communication and counseling. Access, financing, and poor communication between health professionals and patients have contributed to the occurrence of resistance in the referral process.