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Level of Knowledge about Tuberculosis among Type 2 Diabetes Mellitus Patients at the Endocrine Clinic Dr. Hasan Sadikin General Hospital Bandung Febriani, Ulfah Dwi; Ruslami, Rovina; Alisjahbana, Bachti
Althea Medical Journal Vol 4, No 4 (2017)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (550.891 KB) | DOI: 10.15850/amj.v4n4.1260

Abstract

Background: Diabetes Mellitus (DM) is one of the risk factors for tuberculosis (TB). Knowledge of TB is essential in prevention control for the person at risk. This study aimed to describe the level of knowledge about TB among DM patients.Methods: A cross sectional study was performed involving 72 adult DM patients at the Endocrine Clinic, Dr. Hasan Sadikin General Hospital Bandung. The subjects were interviewed using a standardized questionnaire including socio-demographic information and knowledge about TB: manifestation of TB, transmission, treatment, DM-TB co-infections, and status acquiring TB information in the last 12 months. Knowledge was categorized as high, moderate and low if total scores were >75, 56–75 and <56 respectively. Data were presented descriptively as percentage and mean (SD) after testing for the normality of distribution.Results: The mean of age of subjects was 56.6 years, and 55% were female. Most were unemployed (72.2%), had an education background lower than high school (75%), and lived in Bandung (91.7%).  The mean score of knowledge was 54.4. Proportion of subjects based on the level of knowledge which is high, moderate and low, were 29.2%, 26.4%, and 44.4% respectively.  Conclusions: The level of knowledge about TB among Type 2 DM patients at the Endocrine Clinic Dr. Hasan Sadikin General Hospital Bandung was low. TB education program among DM patients needs to be improved.
Health Seeking Behavior among Patients with Tuberculosis in Dr. Hasan Sadikin General Hospital Bandung, Indonesia in November 2012 Putrie, Maya Valentina; Ruslami, Rovina; Apriani, Lika
Althea Medical Journal Vol 2, No 3 (2015)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (182.264 KB)

Abstract

Background: Dr. Hasan Sadikin General Hospital is the main referral hospital in West Java, Indonesia, treating yearly 1.000 tuberculosis cases of whom most  are in severe condition. The severity of the disease is probably affected by the poor patient’s health seeking behavior.The objective of this study was to assess the pattern of patients with tuberculosis’s health seeking behavior before being treated in Dr. Hasan Sadikin General Hospital, Bandung.Methods: A descriptive study was  carried out in November 2012 on 56 patients in the Drug Observed Treatment Shortcourse (DOTS) Clinic at Dr. Hasan Sadikin General Hospital (RSHS) to assess the number and type of health services visited prior to RSHS. The inclusion criteria were patients who were diagnosed with TB for the first time, aged at least 19 years old. The data were collected using an open-ended questionnaire and presented as percentage.Results: A total of 32 respondents (57%) sought for initial treatment by going to professional health care centers (the medical doctors, puskesmas, or hospitals), the rests sought for traditional treatment (7%), self-treatment (29%), or no medication prior to the treatment at RSHS (7%). Fifty five percent of respondents did more than one type of health seeking behavior. The average time between the first complaint until the respondents got treatment was 5 months.Conclusions: The patients with tuberculosis’s treatment seeking behavior is various prior to the treatment at RSHS and there are still patients who seek treatments  to the non-profesional health care. DOI: 10.15850/amj.v2n3.490
Studi Kualitas Air Reverse Osmosis Secara Mikrobiologi pada Dua Unit Hemodialisis di Kota Bandung cahyadi, adi imam; Ruslami, Rovina; Sudigdoadi, Sumaryati
Jurnal Sistem Kesehatan Vol 1, No 3 (2016): Volume 1 Nomor 3 Maret 2016
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (429.453 KB) | DOI: 10.24198/jsk.v1i3.10352

Abstract

Kontaminasi bakteri pada air reverse osmosis (RO) yang digunakan untuk hemodialisis (HD) dapat menyebabkan respon inflamasi, termasuk inflamasi kronis. Pasien HD memiliki risiko kematian yang tinggi akibat kejadian kardiovaskular yang berkaitan erat dengan inflamasi kronis. Penelitian ini bertujuan untuk mengetahui gambaran kualitas air RO dan jenis bakteri kontaminan pada saluran distribusi unit HD di Kota Bandung secara mikrobiologi. Enam belas sampel air diambil dari unit HD di dua rumah sakit (RS) pada bulan September 2014, sebelas sampel dari unit HD di RS A dan lima dari unit HD di RS B, secara langsung pada titik sebelum dan sesudah proses RO. Sampel air diinokulasi pada Reasoner’s agar (R2A), koloni bakteri yang tumbuh kemudian diisolasi dan diidentifikasi di laboratorium Mikrobiologi Rumah Sakit Pendidikan (RSP) Unpad. Sampel air dari RS A menunjukkan pertumbuhan koloni bakteri 213-1473 cfu/mL. Sampel dari RS B menunjukkan pertumbuhan koloni 0-99 cfu/mL. Pada identifikasi didapatkan 12 spesies bakteri yang terdiri dari 8 spesies batang gram negatif, 3 spesies kokus gram positif, dan 1 spesies batang gram positif. Kualitas air RO unit HD RS A masih rendah karena hitung koloni yang tinggi dan perlu segera diperbaiki, pada RS B masih dalam batas yang diperbolehkan.Kata kunci: Hemodialisis; kontaminasi bakteri; reverse osmosis
Potensi Suplementasi Resveratrol dalam Mengatasi Efek Negatif Hormon Tiroid pada Terapi Obesitas: Uji Preklinik Ruslami, Rovina; Rosalita, Renny; Yolanda, Raesa; Agustin, Agnes; Sudigdoadi, -
Majalah Kedokteran Bandung Vol 48, No 1 (2016)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (428.017 KB)

Abstract

Terapi obesitas menggunakan hormon tiroid menurunkan berat badan dengan nyata, namun menyebabkan berbagai efek negatif seperti stres oksidatif, kerusakan DNA, dan muscle wasting. Penelitian ini bertujuan mengkesplorasi potensi resveratrol (RSV), polifenol alami yang mempunyai efek antioksidan, anti-inflamasi, dan antiobesitas. Uji preklinik dengan rancangan acak sederhana dilakukan di Lab Hewan Fakultas Kedokteran Universitas Padjadjaran menggunakan 40 ekor tikus Wistar yang diinduksi obesitas. Hewan model obesitas dialokasikan secara acak ke dalam dua kelompok selama periode Agustus–November 2014. Kelompok perlakuan mendapat hormon tiroid 3 (HT3) dan RSV, serta kelompok kontrol mendapat HT3 saja selama 14 hari. Hewan coba yang mendapat HT3 dan RSV memiliki bobot badan lebih besar (290,5 g vs 251 g, p=0,016), massa otot lebih berat (2,57 g vs 2,25 g, p=0,036), indeks adiposit lebih kecil (0,89% vs 1,02%, p=0,026), dan area under the curve (AUC) gukosa lebih kecil (1.849,2 mg.mnt/dL vs 2.591,7 mg.mnt/dL, p<0,001) dibanding yang mendapat HT3 saja. Tidak terdapat perbedaan kadar MDA plasma (0,49 nmol/mL vs 0,44 nmol/mL, p=0,430) dan kerusakan DNA (19,7 pixel vs 22,0 pixel, p=0,657) pada kedua kelompok yang mungkin berhubungan dengan dosis dan lama pemberian resveratrol. Suplementasi resveratrol berpotensi mengatasi efek negatif hormon tiroid pada hewan model obesitas. Perlu penelitian lanjutan untuk mengetahui dosis optimal resveratrol sebagai antioksidan pada pengobatan obesitas menggunakan hormon tiroid. [MKB. 2016;48(1):51–7]Kata kunci: Hormon tiroid, obesitas, resveratrol, uji preklinikResveratrol Supplementation Potential in Managing Negative Effects of Thyroid Hormone during Obesity Treatment: a Pre-Clinical TrialAbstractTreatment of obesity using thyroid hormone could give significant result in decreasing body weight, but it also causes various negative effects such as oxidative stress, DNA damage, and muscle wasting. This sudy aimed to explore the potential of resveratrol, a natural polyphenol, that has anti-oxidant, anti-inflammatory, and anti-obesity effects, in managing negative effects of thyroid hormone used as anti-obesity. A preclinical trial was conducted at the animal laboratory, Faculty of Medicine, Universitas Padjadjaran. Forty male Wistar rats underwent obesity induction before randomly allocated into intervention and control groups in August–November 2014. The intervention group received a 14-days of triiodothyronine (T3) and resveratrol (RSV), while the control group received T3 only. Obese rats treated with T3 and RSV were heavier (body weight of 290.5 g vs 251.0 g, p<0.016), had a heavier muscle mass (2.57 g vs 2.25 g, p=0.036), smaller adipocyte index, (0.89% vs 1.02%, p=0.026) and smaller glucose area under the curve (AUC) (1,848.2 mg.mnt/dL vs 2,591.7 mg.mnt/dL, p<0.001) than those who were treated with T3 only. There was no significance difference in MDA plasma levels (0.49 nmol/mL vs 0.44 nmol/mL, p=0.0430) and DNA damage (19.7 pixel vs 22.0 pixel, p=0.657) between groups, probably due to insufficient dosage of resveratrol. Our results indicate that resveratrol supplementation could counter negative effects of thyroid hormone used as anti-obesity in obese-rats model treated with T3. More research is needed to determine the adequate dosage of resveratrol to elicit anti-oxidant effect that could minimize the negative effects of thyroid hormone as anti-obesity. [MKB. 2016;48(1):51–7]Key words: Obesity, preclinical trial, resveratrol, thyroid hormone DOI: 10.15395/mkb.v48n1.734
Clinical Characteristics and Side Effects of Multidrug Resistant Tuberculosis Therapy at Top Referral Hospital West Java Indonesia Rahmawati, Rika Nurlaily; Pranggono, Emmy Hermiyanti; Ruslami, Rovina
Althea Medical Journal Vol 3, No 4 (2016)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (246.776 KB)

Abstract

Background: The efficacy of multidrug resistant tuberculosis (MDR TB) therapy is still being questioned. It has lesser quality, longer duration therapy and high toxicity level. This study was conducted to identify clinical characteristics and side effect of MDR TB therapy at Dr. Hasan Sadikin General Hospital, Bandung, Indonesia as the top referral hospital in West Java. Methods: A retrospective descriptive study was performed to 142 medical records of MDR TB inpatient and outpatient at Dr. Hasan Sadikin General Hospital from January 2012–July 2013. Data was collected on October–November 2013. Data about clinical characteristics and side effects of MDR TB therapy were collected and was analyzed in the form of percentage.Results: From 142 patients, 96% had history of tuberculosis therapy. Eighty (56%) of them had positive acid fast bacilli (AFB) sputum that still remained after 5th month or more with category 2. Seventy (49%) patients used combination of pyrazinamide, capreomycin, levofloxacin, ethionamide and cycloserine (Pz-Cm-Lfx-Eto-Cs). All patients experienced side effects during therapy and the majority of them (91%) had gastroenteropathy and rheumatism. Tentamen suicide was detected in one patient. Conclusions: The MDR TB patients had history of tuberculosis therapy. The majority of patients used combination of Pz-Cm-Lfx-Eto-Cs. All patients experienced side effects during MDR TB therapy. [AMJ.2016;3(4):526–32]
Studi Kasus Ketidakpatuhan Orang Kontak Serumah terhadap Anjuran Pemeriksaan Tuberkulosis H, Herawati; Ruslami, Rovina; Yamin, Ahmad
Jurnal Keperawatan Padjadjaran Vol 1, No 2 (2013): Jurnal Keperawatan Padjadjaran
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (603.443 KB) | DOI: 10.24198/jkp.v1i2.53

Abstract

Ketidakpatuhan orang kontak serumah terhadap anjuran pemeriksaan Tuberkulosis (TB) merupakan fenomena kompleks, dinamis dari faktor yang berkaitan dengan perilaku. Penelitian ini bertujuan untuk menggali perilaku ketidakpatuhan orang kontak serumah terhadap anjuran pemeriksaan TB dengan menggunakan Health Belief Model(HBM). Penelitian ini adalah studi kasus yang dilakukan di Kelurahan Pajajaran Kota Bandung. Subjek penelitian adalah sembilan orang kontak serumah dan enam orang perawat Puskesmas Pasirkaliki. Pengumpulan data dilakukan dengan studi dokumentasi, observasi pasif tidak berstruktur, wawancara mendalam, dan diskusi kelompok terarah. Data dianalisis dengan menggunakan model Miles dan Huberman, yaitu reduksi data, penyajian data, dan penarikan kesimpulan. Hasil penelitian meliputi persepsi kerentanan, persepsi keseriusan, persepsi manfaat pemeriksaan orang kontak serumah, dan isyarat untuk melakukan tindakan berdasarkan HBM. Persepsi orang kontak serumah tentang kerentanan TB meliputi adanya perasaan takut tertular, melakukan pemisahan, dan menerima takdir. Persepsi orang kontak serumah mengenai keseriusan penyakit TB yaitu kematian, perasaan malu atau minder. Persepsi orang kontak serumah tentang manfaat skrining yaitu akan diketahui apakah orang kontak serumah terkena TB atau tidak. Isyarat untuk melakukan tindakan pemeriksaan TB menurut orang kontak serumah yaitu apabila mereka sudah sakit atau muncul gejala-gejala TB. Hasil penelitian dari perawat menunjukkan bahwa perawat mengetahui bahwa salah satu standar program penanggulangan TB (P2TB) adalah pemeriksaan TB pada orang kontak serumah penderita TB paru terutama yang basil tahan asam (BTA) positif dan anak dengan TB. Pemeriksaan TB tersebut dilakukan dengan pemeriksaan dahak sewaktu-pagi-sewaktu (SPS). Persepsi perawat mengenai hambatan dalam menjalankan peran dan fungsinya yaitu adanya keterbatasan jumlah tenaga di puskesmas, pendidikan perawat masih rendah, dan perawat mendapat tugas limpahan di klinik. Kata kunci:Ketidakpatuhan, kontak serumah, pemeriksaan TB, studi kualitatif. AbstractNon-adherence of household contacts to undergo screening for Tuberculosis (TB) is a dynamic and complex phenomenon of the various factors related to behaviour. The objective of this study was to explore the behaviours related to non-adherence of household contacts to undergo screening for TB. This study is a descriptive case study that was conducted at the Pajajaran village, Bandung city. Participant were 9 household contacts of smear positive TB patients and 6 nurses who is working in the Pasirkaliki Community Health Center (CHC). Data collection was performed with the study documentation, non-structured passive observation, in-depth interview, and focus group discussion (FGD). Data analysis was according to Miles and Huberman model, which consist of data reduction, data display and drawing conclusions. The result includes perception of vulnerability of TB, perceptions of seriousness of TB, perceptions of benefits of TB screening, and cues to action for the TB patients household contact. The result showed that perceptions of the household contact of TB vulnerability were: fear of infection, make the separation and accept fate. Perceptions of the seriousness of TB were that TB could cause death and feelings of shame or inferiority. As for the perception of benefits was by doing screening,it will be known whether household contacts are exposed to TB or not. While the cues to action for household contact to perform screening for TB was if they are sick or have emerging symptoms of TB. The nurses knew that according to P2TB (TB management program) standards, the household contacts of TB patients should undergo screening for TB, especially for smear-positive pulmonary TB patients and paediatric TB. They knew that TB screening was done through sputum smear microscopy. Nurses’ perceptions about the barriers in carrying out their role and function were limited number of human resources in CHC, lack of education, and the presence of abundance tasks at the clinic. . Key words:Household contact, non-adherence, qualitative study, TB screening.
ANALISIS GLIKOSIDA KARDIOAKTIF DIGOKSIN MENGGUNAKAN ULTRA PERFORMANCE LIQUID CHROMATOGRAPHY (UPLC) Meirina, Triana Nurul; Dewi, Atu Purnama; Atmaja, Harold Eka; Dewi, Vycke Yunivita Kusumah; Ruslami, Rovina
Chimica et Natura Acta Vol 2, No 1 (2014)
Publisher : Departemen Kimia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (777.149 KB) | DOI: 10.24198/cna.v2.n1.9142

Abstract

Digoksin merupakan glikosida kardioaktif, salah satu senyawa yang penting dalam terapi yang saat ini tersedia sebagai obat untuk pengobatan penyakit jantung. Penggunaan obat ini meningkat sejalan dengan bertambahnya penderita penyakit jantung. Oleh karena itu, perlu dilakukan penelitian dan monitoring penggunaan obat ini pada penderita penyakit jantung dalam proses terapi kesembuhan. Tujuan dari penelitian ini adalah untuk mengetahui metode analisis digoksin dengan menggunakan alat Ultra Performance Liquid Chromatography (UPLC). Digoksin yang digunakan adalah Fargoksin (Injection 0,25 mg/mL, ampoule/berbentuk cairan). Pengenceran digoksin dilakukan dengan penambahan pelarut metanol. Kolom yang digunakan adalah kolom BEH C18. Optimasi metode analisis yang dilakukan meliputi perbandingan pelarut yang digunakan, suhu kolom, dan laju alir. Setelah melakukan optimasi, diperoleh kondisi fasa gerak yang optimum adalah larutan air-asetonitril (72:28%), laju alir 0,3 mL/menit, waktu selama ± 6 menit, suhu kolom off, dan detektor yang digunakan adalah spektrofotometer UV dengan panjang gelombang 218 nm. Pengulangan analisis dengan menggunakan hasil yang diperoleh secara optimum dilakukan sebanyak sepuluh kali. Berdasarkan data tersebut, proses analisis dengan menggunakan UPLC dapat berlangsung lebih cepat dibandingkan dengan menggunakan HPLC.
Statin sebagai Protektor Otak pada Cedera Otak Traumatik Marwan, Kenanga; Boom, Cindy Elfira; Ruslami, Rovina
Jurnal Neuroanestesi Indonesia Vol 6, No 1 (2017)
Publisher : Departement of Anesthesiology and Intensive Care Dr. Hasan Sadikin Hospital Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24244/jni.v6i1.39

Abstract

Cedera otak traumatik (COT) masih menjadi masalah morbiditas dan mortalitas utama di dunia. Cedera otak traumatik dengan cepat mencetuskan cedera sekunder yang yang dapat memperburuk outcome. Proteksi otak bertujuan untuk mencegah cedera otak sekunder dengan cara melakukan metode dasar, hipotermi, neurofarmakologi dan kombinasi hipotermi dan farmakologik. Metode dasar pada proteksi otak adalah dengan cara menjaga jalan napas bebas sepanjang waktu, oksigenasi yang adekuat, mencegah hipokarbia, pengendalian tekanan darah, pengendalian tekanan intrakranial, pengendalian tekanan perfusi otak, dan pengendalian kejang. Neurofarmakologi pada proteksi otak yaitu dengan menggunakan obat yang memiliki efek proteksi otak. Statin, suatu inhibitor 3-hydroxy-3-methyglutaryl coenzym-A (HMG CoA) reduktase telah dikenal sebagai obat penurun lemak darah. Statin memiliki efek pleiotropik yang bersifat kolesterol-independen dengan efek yang potensial dalam tatalaksana gangguan neurologis. Efek ini berupa kemampuan menurunkan hemostasis dengan cara mengurangi efek trombosis dan kaskade koagulasi, meningkatkan fibrinolisis dan kaskade antikoagulasi, memperbaiki fungsi endotel, mempercepat bioaviabiltas nitrat oksida, antioksidan, aktifitas imunomodulasi dan antiinflamasi, serta menstabilkan plak aterosklerosis. Pada kasus COT, statin menurunkan trombosis intravaskuler dan menurunkan mediator inflamasi seperti TNFα, IL-6 dan IL-1β. Hal ini membuat statin menjadi kandidat yang ideal untuk penanganan cedera otak akut.Statin As Brain Protector In Traumatic Brain InjuryAbstractTraumatic brain injury (TBI) still represents the leading cause of morbidity and mortality in the world. Traumatic brain injury could rapidly develop secondary brain injury after trauma that can make worst the outcome. Brain protection procedures to prevent secondary brain injury are basic method, hypothermia, neuropharmacology, and combination of both hypothermia and neuropharmacology. Basic method such as patency airway, adequate oxygenation, blood pressure control, intracranial pressure monitoring, maintain cerebral perfusion pressure and prevent of seizure. Neuropharmacology is one technique to do brain protection by using drugs with neuro-protection effect. Statin, 3-hydroxy-3-methyglutaryl coenzym-A (HMG CoA) reductase inhibitor is hypolipidemik drug which has pleiotropic effect in cholesterol-independen manner and suggest potential effect in neurologic disorder such as decreased hemostatic and decreased thrombotic effect and cascade coagulation, increased fibrinolytic and anticoagulation cascade, improve endothelial function, increase nitric oxide bioaviability, antioxidan, immunomodulation and anti-inflammatory activity and stabilize plaque atheroslerotic. In TBI, statin reduce intravascular thrombocytosis and decreased inflammatory mediator like TNF α, IL-6 dan IL-1β. These makes statin becomes ideal candidate for management acute brain injury. 
Factors Influencing Private Practitioners to Report Tuberculosis Cases Rosma, Anneke; Yamazaki, Chiho; Kameo, Satomi; Herawati, Dewi M.; Ruslami, Rovina; Raksanagara, Ardini; Koyama, Hiroshi
Pharmacology and Clinical Pharmacy Research Vol 1, No 1
Publisher : Universitas Padjadjaran, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (453.916 KB) | DOI: 10.15416/pcpr.v1i1.15189

Abstract

One of the key elements in tuberculosis (TB) management is a system for recording and reporting, in which every health care provider needs to report every TB case to an authorized primary health center (PHC) to support effective treatment. This study was conducted to investigate the present condition of TB recording and reporting system and evaluate several factors that might influence PP behavior regarding the reporting of TB cases to a PHC in Bandung, Indonesia. Face-to-face interviews with PP and the head of the PHC were performed. Data were coded, categorized, and analyzed statistically by Fischer’s exact test. We found that there were four factors influencing the reporting of TB cases by PP to PHC, including self-awareness, ignorance, lack of time, and poor implementation of recording and reporting system. The level of PP self-awareness was significantly associated with the reporting of TB cases (p<0.05). Private sector involvement, improvement in the recording of treatment follow-up, and the use of electronic based reporting were considered important by participants to construct a well-established recording and reporting system for TB cases. In conclusion, there are still room for improvement in the reporting and recording system of TB cases in PHC.Keywords: recording, reporting, tuberculosis, self-awareness, practitioners
Peran Penerapan Model Pembelajaran Asuhan Bayi Baru Lahir Terintegrasi Terhadap Motivasi dan Kompetensi Mahasiswa Serta Kepuasan Pasien pada Praktik Klinik Kebidanan Julaecha, Julaecha; Anwar, Anita Deborah; Ruslami, Rovina; Husin, Farid; Sunjaya, Deni K; Achadiyani, Achadiyani; Abdulhak, Ishak
Jurnal Pendidikan dan Pelayanan Kebidanan Indonesia (Indonesian Journal of Education and Midwifery Care Vol 3, No 2 (2016): Juni
Publisher : Program Studi Magister Kebidanan FK UNPAD

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (412.837 KB) | DOI: 10.24198/ijemc.v3i2.18

Abstract

Kualitas lulusan bidan dalam memberikan asuhan bayi baru lahir  cenderung menurun dan belum sesuai harapan masyarakat, perlu perbaikan kualitas dimulai dari proses pendidikan. Proses pembelajaran kebidanan saat ini sebagian besar diberikan secara terpisah antara satu mata kuliah dengan mata kuliah lain sehingga mahasiswa bersikap pasif dan  tidak dapat menjawab kebutuhan masyarakat yang holistik. Diperlukan model pembelajaran terintegrasi dengan mengintegrasikan  kebutuhan  masyarakat dan menyesuaikan dimensi fisiologis, psikologis, agama, budaya dengan kompetensi asuhan bayi baru lahir. Penelitian ini bertujuan menganalisis peran penerapan model pembelajaran asuhan bayi baru lahir terintegrasi terhadap motivasi dan kompetensi mahasiswa serta kepuasan pasien pada praktik klinik kebidanan. Desain penelitian intervensi  dengan kuasi eksperimental one group pre- post- test design. Subjek penelitian 37 mahasiswa semester IV prodi D-III kebidanan UNS Surakarta. Subjek penelitian diberikan  pre-test untuk penilaian awal dan  post-test setelah diberikan intervensi berupa pemberian materi model pembelajaran asuhan bayi baru lahir terintegrasi selama 4 minggu.Tes dilakukan untuk menilai motivasi dan kompetensi mahasiswa serta efek asuhan yang diberikan oleh mahasiswa terhadap kepuasan pasien yang bayinya mendapat asuhan bayi baru lahir dengan menggunakan kuesioner. Data dianalisis secara deskriptif dan dilakukan uji statistik menggunakan uji wilcoxon (median skor, rentang), untuk mengetahui hubungan antar variabel menggunakan uji spearman rho. Hasil analisis menunjukkan terdapat perbedaan motivasi dan kompetensi mahasiswa sebelum dan sesudah penerapan model pembelajaran dengan median skor motivasi (52,0 vs 76,0, p<0,05). Jumlah mahasiswa yang kompeten sebelum dan sesudah praktik klinik kebidanan (0 vs18). Efek peningkatan kompetensi mahasiswa berpengaruh 21,4% terhadap kepuasan pasien yang bayinya mendapat asuhan oleh mahasiswa, 78,6 % dipengaruhi oleh faktor lain. Simpulan penelitian ini adalah terdapat efek penerapan model pembelajaran asuhan bayi baru lahir terintegrasi terhadap motivasi dan kompetensi mahasiswa serta kepuasan pasien pada praktik klinik kebidanan namun  perlu dilakukan penelitian lanjut untuk mengetahui faktor lain yang memengaruhi kepuasan pasien.
Co-Authors - Sudigdoadi, - Achadiyani Achadiyani, Achadiyani adi imam cahyadi, adi imam Agnes Agustin, Agnes Agung Dinasti Permana, Agung Dinasti ahmad rizal Ahmad Yamin Ani Melani Maskoen Anita Deborah Anwar ardini raksanagara, ardini Atmaja, Harold Eka Atmaja, Harold Eka Atmaja, Harold Eka Attamimi, Fathimah Azzahra Bachti Alisjahbana banowati, marni Bethy S. Hernowo Boesoirie, Thaufiq Bony Wiem Lestari, Bony Wiem Budi Setiabudiawan Cindy Elfira Boom DEWI HERAWATI Dewi, Atu Purnama Dewi, Atu Purnama Dewi, Atu Purnama Edhyana Sahiratmadja Edy Soewono Endang Sutedja Febriani, Ulfah Dwi Gunadharma, Suryani H, Herawati Hadyana Sukandar Herawati, Dewi M. Herawati, Dewi M. Husin, Farid Hutabarat, Igor Ida Parwati Idrajinata, Ponpon Indratno, Sapto Wahyu Ishak Abdulhak Ju, See Siew Judistianti, Tina Julaecha, Julaecha Juni Wijayanti Puspita Kameo, Satomi Kameo, Satomi Koyama, Hiroshi Koyama, Hiroshi Kusumah Dewi, Vycke Yunivita Lika Apriani, Lika Madjid, Tita Husnitawati Marwan, Kenanga Maya Valentina Putrie, Maya Valentina Meirina, Triana Nurul Meirina, Triana Nurul Meirina, Triana Nurul Meita Dhamayanti Pranggono, Emmy Hermiyanti Raesa Yolanda, Raesa Rahmawati, Rika Nurlaily Ratna Anggraeni Renny Rosalita, Renny Rosma, Anneke Rosma, Anneke Sekarwarna, Nanan Siahaan, Vera Renta Sinta Sari Ratunanda Sophia, Sophia Sumaryati Sudigdoadi, Sumaryati Sunjaya, Deni K Sunjaya, Deni K. Talakua, Billy Tatang Bisri Teti Madiadipoera Tri Hanggono Achmad Vycke Yunivita Kusumah Dewi, Vycke Yunivita Kusumah Wahyudi, Kumia Winarni, Lastri Yamazaki, Chiho Yamazaki, Chiho