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"Gangguan pendengaran sebagai penyakit akibat kerja yang paling sering terjadi di berbagai industri membutuhkan perhatian dari banyak pihak. Gangguan pendengaran yang dialami seseorang akan berpengaruh pada produktivitas kerja dan kualitas hidup pekerja tersebut, sehingga pengendalian bising sangat penting untuk dilaksanakan di semua industri. Penelitian ini bertujuan untuk mengetahui gambaran pelaksanaan dan kesesuaian dari elemen program konservasi pendengaran yang dilakukan PT XYZ sesuai dengan peraturan dan rekomendasi yang ada, agar dapat diketahui hal-hal yang dapat diperbaiki untuk mewujudkan Program Konservasi Pendengaran yang efisien, efektif dan memadai. Penelitian ini menggunakan desain studi deskriptif dengan pendekatan kualitatif. Data diperoleh dengan cara wawancara mendalam, observasi dan telaah dokumen, dan kuisioner. Hasil penelitian menunjukkan bahwa adanya ketidaksesuaian penerapan elemen Program Konservasi Pendengaran di PT XYZ dengan peraturan dan rekomendasi. Peneliti merekomendasikan bahwa perlu dibuat kebijakan khusus terkait dengan PKP, dan pelaksanaan pencatatan dan pelaporan yang lebih baik, serta pengawasan yang lebih pada pelaksanaan setiap elemen Program Konservasi Pendengaran.

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Hearing loss as the most common occupational disease in many industries requires attention from many parties. Hearing loss experienced by a person will affect the work productivity and quality of life of the worker, so noise control is very important to be implemented in all industries.

This study aims to determine the description of the implementation and suitability of the elements of hearing conservation program conducted by PT XYZ in accordance with existing regulations and recommendations, in order to know the things that can be improved to realize an efficient, effective and adequate Hearing Conservation Program. This research uses descriptive study design with qualitative approach. Data were obtained by in-depth interviews, observation and document review, and questionnaires.

The results of the study indicate that there is a mismatch of the implementation of Hearing Conservation Program elements in PT XYZ with the rules and recommendations. The researcher recommends that special policies relating to Hearing Conservation Program, better implementation of recording and reporting, and more oversight of the implementation of each element of the Hearing Conservation Program."

"Latar Belakang: Bising adalah bahaya potensial (hazard) yang dapat menyebabkan NIHL pada pekerja tambang nikel yang terpajan bising. Adanya peningkatan ambang dengar pada pekerja dengan pajanan bising yang tinggi dan dalam jangka waktu yang lama dapat menyebabkan NIHL. Kejadian NIHL yang semakin meningkat merupakan salah satu masalah pada pekerja tambang PT. X. Tujuan penelitian adalah mengetahui tren audiometri dan prevalensi NIHL, mengetahui perbedaan NAD akibat pajanan bising tinggi dan rendah, mengetahui faktor-faktor yang menyebabkan NIHL pada pekerja tambang nikel yang terpajan bising di PT. X tahun 2012-2016. Metode: Penelitian dengan desain observasional analitik dengan kohort retrospektif di UBP Nikel PT. X pada Bulan Desember 2017, dengan cara pengambilan sampel menggunakan metode total sampling. Penelitian dilakukan dengan cara mengumpulkan data sekunder MCU pekerja yang sudah dilakukan pemeriksaan audiometri, data baseline 2011, data annual dari tahun 2012 sampai dengan 2016, dan analisis data dilakukan dengan program statistik SPS Statistics 20.0. Hasil: Prevalensi kejadian NIHL sebesar 15,97% tahun 2012 dan mencapai 39,54% pada tahun 2016. Kejadian kasus (prevalensi) NIHL selalu mengalami peningkatan baik pada area kerja dengan risiko kebisingan <85dB atau ≥85dB sejak tahun 2012 sampai 2016, namun tidak terdapat hubungan yang signifikan antara risiko kebisingan dengan kejadian NIHL setiap tahunnya. Pada penelitian ini diketahui bahwa tidak terdapat perbedaan NAD telinga kanan dan kiri baik pada area kerja dengan risiko kebisingan <85dB atau ≥85dB pada tahun 2012-2016. Pada penelitian diketahui bahwa faktor usia memiliki hubungan signifikan dengan kejadian NIHL usia ≥40 tahun sebanyak 47,21% (p 0,000, IK 1,33-1,87), responden dengan usia ≥40 tahun memiliki risiko mengalami NIHL 1,58 kali lebih besar dibandingkan kelompok usia <40 tahun. Masa kerja ≥10 tahun sebanyak 40,15% memiliki hubungan signifikan dengan kejadian NIHL (IK 1,51-1,85) dan memiliki risiko mengalami NIHL 1,67 kali lebih besar dibandingkan kelompok masa kerja <10 tahun. Kriteria STS yang positif (90,91%) dengan (p 0,000) signifikan menunjukkan terjadinya NIHL. Kesimpulan: Tren Audiometri dan prevalensi NIHL terlihat kecenderungan meningkat dari tahun 2012 sampai tahun 2016. Tidak terdapat perbedaan NAD telinga kanan dan kiri baik pada area kerja dengan risiko kebisingan <85dB atau ≥85dB pada tahun 2012-2016. Hasil ini menunjukkan tren kecenderungan meningkat terjadinya kejadian (prevalensi) NIHL di PT. X. Kejadian kasus (prevalensi) NIHL selalu mengalami peningkatan baik pada area kerja dengan risiko kebisingan <85dB atau ≥85dB sejak tahun 2012 sampai 2016, namun tidak terdapat hubungan yang signifikan antara risiko kebisingan dengan kejadian NIHL setiap tahunnya. Faktor usia, masa kerja, kriteria STS positif memiliki hubungan signifikan dengan kejadian NIHL.

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Background: High-volume noise is a potential hazard which may cause Noise Induced Hearing Loss (NIHL) among nickel mine workers who are exposed to noise. The increase of hearing threshold in workers with chronic exposure to high-volume noise may cause NIHL. The increasing prevalence of NIHL is a problem for nickel mine workers of PT. X. The objective of this study is to identify the audiometry trend and NIHL prevalence among mine workers who are exposed to high-volume noise, to investigated correlation of noise level exposure and the others that causes NIHL, to know how difference hearing treshold value on the workers worked with noise level <85 dB and ≥85 dB since 2012 until 2016.

Method: This study used an analytical observational design with retrospective cohort at UBP Nikel PT X in December 2017, with the method of obtaining samples by total sampling. This study was conducted by collecting secondary medical check-up data of workers who have undergone audiometry examinations, baseline data from 2011, annual data from 2012 until 2016, and data analysis was done using SPSS program version 20.0

Results: The prevalence of NIHL was shown starting from 15,97% in 2012, and the prevalence reached 39,54% in 2016. The prevalence of NIHL always showed an increase, both in the working areas with noise level <85dB and ≥85dB since 2012 until 2016, however there was no significant relation between noise levels and NIHL prevalence each year. In this study it was discovered that there were no differences in hearing treshold value right ear and left ear, both in the working areas with noise level <85dB and ≥85dB during 2012-2016. It was found that age had a significant association with NIHL prevalence, respondents aged >40 years old as much as 47,21% (p 0,000, 95% CI 1,33-1,87); respondents aged >40 years old had 1,58 times higher risks to develop NIHL than the age group <40 years old. Respondents with the period of work ≥10 years as much as 40,2% (IK 1,51-1,85) had a significant association with NIHL prevalence. They had 1,67 times higher risks to develop NIHL than period of work <10 years. It was found that Positive STS Criteria (90,91%) had a significant association with NIHL prevalence (p 0,000).

Conclusion: The NIHL prevalence and the audiometry trend showed a tendency to increase from 2012 until 2016. The prevalence of NIHL always showed an increase, both in the working areas with noise level <85dB and ≥85dB since 2012 until 2016, however there was no significant relation between noise levels and NIHL prevalence each year. There were no differences in hearing treshold value right ear and left ear, both in the working areas with noise level <85dB and ≥85dB since 2012 until 2016. The factor of age and period of work had a significant association with NIHL It was found that Positive STS Criteria had a significant association with NIHL prevalence."

"Penelitian ini bertujuan untuk menganalisis tingkat kebisingan, faktor karakteristik pekerja (usia, masa kerja, durasi kerja, riwayat diabetes, riwayat hipertensi), dan faktor perilaku pekerja (penggunaan APT dan perilaku merokok), dengan gangguan pendengaran pada pekerja bagian refining PT X tahun 2019. Desain studi yang digunakan dalam penelitian ini adalah cross-sectional dengan jumlah sampel sebanyak 66 orang pekerja bagian refining. Data gangguan pendengaran pada pekerja diperoleh dari hasil Medical Check Up rutin yang dilakukan oleh perusahaan, sedangkan data tingkat kebisingan diperoleh melalui pengukuran secara langsung menggunakan Sound Level Meter di area kerja bagian refining. Hasil uji Chi Square menunjukkan bahwa terdapat hubungan yang signifikan antara usia (OR 7; 95% CI: 1,608-30,474), masa kerja (OR 7,8; 95% CI: 0,925-65,747, dan perilaku merokok (OR 7,8; 95% CI: 0,925-65,747) dengan gangguan pendengaran pada pekerja bagian refining. Selain itu, didapatkan rata-rata tingkat kebisingan yang berbeda pada setiap unit kerja bagian refining, yakni unit kerja Peleburan sebesar 87,08 dBA, Pemurnian Perak sebesar 89,04 dBA, Pemurnian Emas sebesar 83,25 dBA, dan Waste Management sebesar 77,85 dBA.

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This study aims to analyze noise level, characteristics of worker (age, work period, work duration, history of diabetes, history of hypertension), worker behaviour (use of ear protector and smoking behaviour) with hearing loss among refining unit workers at PT X in 2019. A cross-sectional study was conducted involving 66 refining workers. Data on hearing loss among workers are obtained from the results of routine medical check up conducted by the company, while noise level data is obtained through direct measurement using the Sound Level Meter in the refining section work area. Chi Square test results showed that there was a significant relationship between age (OR 7; 95% CI: 1,608-30,474), work period (OR 7.8; 95% CI: 0.925-65,747, and smoking behavior (OR 7.8; 95% CI: 0.925-65,747) with hearing loss among refining workers. In addition, different noise levels were obtained for each refining work unit, the Smelting work unit was 87.08 dBA, Silver Refining was 89.04 dBA, Gold Refining was 83.25 dBA, and Waste Management was 77, 85 dBA."

"Latar belakang: Gangguan pendengaran sensorineural pada pilot merupakan masalah kesehatan yang dapat menyebabkan inkapasitasi pada saat pilot menjalankan tugas terbangnya dan berdampak terhadap keselamatan penerbangan. Tujuan penelitian ini mengidentifikasi jam terbang total dan faktor dominan lainnya terhadap risiko gangguan pendengaran sensorineural di antara pilot sipil di Indonesia. Metode: Desain penelitian potong lintang dengan purposive sampling pada tanggal 4-20 Mei 2015 terhadap pilot laki-laki berusia 20-60 tahun dan pilot memiliki lisensi Commercial Pilot License (CPL) atau Air Transport Pilot License (ATPL) yang sedang melakukan pemeriksaan kesehatan berkala (medex) di Balai Kesehatan Penerbangan, Jakarta. Gangguan pendengaran yaitu subyek memiliki ambang dengar 25 dB atau lebih. Pengumpulan data dilakukan dengan wawancara memakai kuesioner. kemudian data diambil dari rekam medis pada hari pemeriksaan. Risiko gangguan pendengaran sensorineural dianalisis menggunakan risiko relatif (RR) dengan regresi Cox. Hasil: Selama 3 minggu masa pengumpulan data terdapat 681 pilot yang melakukan medex di Balai Kesehatan Penerbangan, didapatkan 314 pilot yang memenuhi kriteria penelitian. Sebanyak 15,9% mempunyai gangguan pendengaran sensorineural. Pilot dengan jam terbang total lebih 5000 jam dibandingkan kurang 5000 jam berisiko gangguan pendengaran sensorineural 4,7 kali lipat [risiko relatif suaian (RRa)=4,73; p=0,137]. Pilot dengan usia 45-60 tahun dibandingkan usia 20-44 tahun berisiko gangguan pendengaran sensorineural 6,8 lipat (RRa=6,87; p=0,000). Simpulan: Jam terbang total 5000 jam atau lebih serta usia 45-60 tahun meningkatkan risiko gangguan pendengaran sensorineural pada pilot sipil di Indonesia.

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Background: Sensorineural hearing loss in civil pilots could interfere pilots? performance to safely operate an aircraft thus could cause incapacitation on board. This study aimed to identify risk factors of sensorineural hearing loss among civil pilots in Indonesia.

Methods: A cross-sectional study design with purposive sampling on 4-20 May 2015 was conducted on pilots of the male civilian. The inclusion criteria civilian pilots male 20-60 years old and had Commercial Pilot License (CPL) or Air Transport Pilot License (ATPL) who were taking medical examinations (medex) in Civil Aviation Medical Centre, Jakarta. Hearing impairment defined by hearing threshold of 25 dB or more. Demographic data were collected by interviewed pilots using questionnaires while audiometry and laboratory data were collected from medical records. Risk factors of sensorineural hearing loss were analyzed by Cox regression.

Results: Three weeks collecting data had 681 pilot conducted medex in Civil Aviation Medical Centre, among 314 commercial pilots were fulfilled the criteria?s. Percentage of sensorineural hearing loss from audiometry data were 15.9%. Subjects with 5000 flight hours or more had almost five times increased risk of sensorineural hearing loss compared to subjects with less than 5000 flight hours [adjusted relative risk (RRa) = 4.73; p = 0.137]. Subjects aged 45-60 year-old had almost seven times increased risk of sensorineural hearing loss compared to subjects aged 20-44 year-old (RRa= 6.87; p = 0.000).

Conclusion: Total flight hours 5000 hours or more and age of 45-60 years increased the risk of sensorineural hearing loss among civilian pilots in Indonesia."

"Tuli mendadak merupakan kedaruratan dibidang audiologi yang perlu penatalaksanaan segera. Konsensus terapi tuli mendadak tahun 2010 di Madrid-Spanyol dan systematic review yang dilakukan Cochrane tahun 2009 menetapkan steroid sebagai terapi utama. Pasien yang mengalami kesembuhan memperlihatkan peningkatan nilai emisi otoakustik selama terapi. Perbaikan emisi terjadi lebih awal dibandingkan perbaikan ambang dengar. Tujuan penelitian ini adalah mengevaluasi hasil terapi metil prednisolon dosis terbaru pada tuli mendadak dengan pemeriksaan DPOAE dan audiometri nada murni dengan desain pre-eksperimental bersifat analitik pre-post terapi. Pemeriksaan audiometri nada murni dan DPOAE dilakukan sebelum dan sesudah terapi hari ke-15 pada 22 subjek penelitian. Pada penelitian ini didapatkan perubahan bermakna nilai audiometri di semua frekuensi yang diteliti, perubahan bermakna nilai DPOAE di frekuensi 1500 Hz, 2000 Hz, 8000 Hz dan hubungan bermakna perubahan SNR pada DPOAE dengan tingkat perubahan ambang dengar pada frekuensi 8000 Hz dan 10000 Hz. Penelitian ini mendapatkan perubahan yang bermakna nilai audiometri nada murni sebelum dan sesudah terapi pada semua frekuensi yang diteliti dengan menggunakan dosis terbaru metil prednisolon. Oleh karena itu dosis ini dapat diaplikasikan untuk terapi tuli mendadak.

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Sudden deafness is an emergency case in audiology that need immediate treatment. Consensus 2010 in Madrid-Spain and Cochrane systematic review in 2009, stated steroid as drugs of choice in sudden deafness therapy. Patient that has been recovered from sudden deafness has increasing otoacoustic emission during treatment. The emission improvement begins earlier than the improvement of the hearing level.

The aim of research is to evaluate new dose of methylprednisolon therapy in sudden deafness by using DPOAE and pure tone audiometry with pre-experimental analytical design pre-post treatment. Pure tone audiometry and DPOAE evaluation before therapy and day 15th after therapy on 22 subjects.

This reseach found that there are changes in pure tone audiometry for all hearing frequencies, there is also changes in DPOAE for 1500 Hz, 2000 Hz, 8000 Hz frequencies and a significant difference between changes in DPOAE with changes in hearing threshold level for 8000 Hz and 10000 Hz. This research found changes in pure tone audiometry for all hearing frequencies by using new dose of methylprednisolone. There fore, this new dose could be applied for sudden deafness therapy."

"Gangguan pendengaran karena bising merupakan salah satu penyakit akibat kerja yang sering ditemui pada perusahaan manufaktur. Hazard yang bisa menyebabkan gangguan pendengaran meliputi bising, zat kimia dan getaran. Ruang lingkup penelitian tesis ini adalah melihat dampak pajanan bising terhadap fungsi pendengaran pekerja yang terpajan bising diatas 82 dBA. Jenis penelitian adalah cross sectional study yang meneliti hubungan faktor independen berupa dosisi pajanan dalam perhitungan leq, umur dan masa kerja serta faktor penggangu berupa pemakaian alat pelindung diri serta kebiasaan dengan fungsi pendengaran pekerja. Dari survei tingkat bising ditemukan departemen PVC, CDM, CDS dan CDB mempunyai tingkat kebisingan diatas nilai ambang batas yang diperbolehkan. Hasil pemeriksaan audiometri ditemukan dua orang responden yang mengalami gangguan pendengaran. Responden yang mengalami gangguan pendengaran satu orang berumur diatas 40 tahun, bekerja pada ruangan PVC dimana merupakan tingkat pajanan bising tertinggi di pabrik ini dan sudah bekerja selama lebih dari 5 tahun. Responden yang mengalami gangguan pendengaran lainnya merupakan pekerja yang berumur dibawah 40 tahun dan sudah bekerja selama lebih dari 5 tahun. Dari hasil analisis statistik tidak ditemukan hubungan yang signifikan antara Leq pajanan bising, faktor masa kerja, pemakaian alat pelindung diri dan kebiasaan merokok dengan gangguan pendengaran. Ditemukan hubungan yang signifikan antara umur dan gangguan pendengaran dengan OD ratio 7.99.

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Noise induced hearing loss is one of the occupational diseases are often found in manufacturing companies. Hazard that can cause hearing loss include noise, chemicals and vibration. The scope of this thesis research on the impact of noise exposure on hearing function of workers exposed to noise above 82 dBA. This type of research is a cross-sectional study examining the relationship be an independent factor in the noise dose exposure (leq), age and working period and disturbance factors such as the use of personal protective equipment, smoking with hearing function. From the survey found noise levels PVC department, CDM, CDS and CDB have noise levels above the permitted threshold value.

Audiometric examination found two participant who suffered from hearing loss. Respondents who suffered from hearing loss a person aged over 40 years, working on PVC indoor noise exposure level which is the highest in the plant and it has been working for more than 5 years. Other participant who suffered from hearing loss is under the age of 40 years and has been working for more than 5 years. From the analysis found no statistically significant relationship between Leq noise exposure, working period, the use of personal protective equipment and smoking with hearing loss. Found a significant relationship between age and hearing loss with OD ratio 7.99."

"[ABSTRAKGangguan pendengaran akibat stroke yang terjadi pada jalur auditorik merupakan aspek yang sedikit sekali dieksplorasi pada pasien pasca stroke dan berpotensi menimbulkan dampak pada fungsi dan kualitas hidup. Pendengaran memfasilitasi komunikasi verbal sehingga hal ini penting untuk memberikan penatalaksanaan yang sesuai dan maksimal. Untuk mengukur proporsi gangguan pendengaran dan gangguan komunikasi verbal pada pasien pasca stroke dapat dilakukan pemeriksaan audiometri nada murni, audiometri tutur, dan audiometri tutur dalam bising untuk mengkaji bagaimana gangguan pendengaran berkorelasi dengan karakteristik demografik dan karakteristik klinis serta faktor yang mempengaruhi. Penelitian potong lintang ini dilakukan di RSUPN dr. Cipto Mangunkusumo Jakarta pada bulan November 2014 sampai Mei 2015, melibatkan 40 subyek pasien pasca stroke otak (eksklusi afasia, gangguan fungsi luhur dan gangguan kognitif) yang terdiagnosis dari pencitraan tomografi komputer kepala. Sebanyak 40% mengalami gangguan pendengaran sensorineural (ringan 37,5% dan sedang 20%). Gangguan pendengaran sentral didapatkan 12,5 dan campuran (sensorineural dan sentral) sebanyak17,5%. Didapatkan gangguan komunikasi verbal dalam suasana tenang dan bising 12,% sedangkan gangguan dalam suasana bising sebanyak 32,5%. Berdasarkan nilai odds rasio didapatkan kecenderungan faktor risiko usia lebih dari 60 tahun, letak lesi kortikal dan atau subkortikal serta vaskularisasi lesi dapat mempengaruhi gangguan pendengaran dengan atau tanpa disertai gangguan komunikasi dan secara statistik bermakna.

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ABSTRACTHearing loss due to stroke which disturb the auditoric path is less known, and may potentially effect the function and quality of life. Hearing facilitates a good speech hence it is important to give appropriate and optimal treatment. To measure the proportion of hearing loss and speech disorder in post stoke patient, we did pure tone audiometry, speech audiometry, and word in noise and to analyze how it could correlate with demographic, clinical characteristic and other factors. This cross sectional study was conducted in Cipto Mangunkusumo hospital Jakarta which started from November 2014 to May 2015, involving 40 samples after stroke patient (with the exclusion of aphasia and cognitive disorder) which were diagnosed with brain CT scan. Fourty percents patients had sensoryneural hearing loss (mild 37,5% and moderate 20%,). Central Hearing loss was found in 12.5% patients and mixed (sensorineural and sentral) hearing loss was found in 17.5%. Speech disorder in quite and noise background was found in 12.5% patients and disorder in noise background was found in 32.5% patients. Based on the odds ratio it is found that age older than 60 year old, cortical and or subcortical lesion, and vascularization of the lesion is the risk factor that can influence hearing disorder with or without speech disorder and it is statistically significance.;Hearing loss due to stroke which disturb the auditoric path is less known, and may potentially effect the function and quality of life. Hearing facilitates a good speech hence it is important to give appropriate and optimal treatment. To measure the proportion of hearing loss and speech disorder in post stoke patient, we did pure tone audiometry, speech audiometry, and word in noise and to analyze how it could correlate with demographic, clinical characteristic and other factors. This cross sectional study was conducted in Cipto Mangunkusumo hospital Jakarta which started from November 2014 to May 2015, involving 40 samples after stroke patient (with the exclusion of aphasia and cognitive disorder) which were diagnosed with brain CT scan. Fourty percents patients had sensoryneural hearing loss (mild 37,5% and moderate 20%,). Central Hearing loss was found in 12.5% patients and mixed (sensorineural and sentral) hearing loss was found in 17.5%. Speech disorder in quite and noise background was found in 12.5% patients and disorder in noise background was found in 32.5% patients. Based on the odds ratio it is found that age older than 60 year old, cortical and or subcortical lesion, and vascularization of the lesion is the risk factor that can influence hearing disorder with or without speech disorder and it is statistically significance., Hearing loss due to stroke which disturb the auditoric path is less known, and may potentially effect the function and quality of life. Hearing facilitates a good speech hence it is important to give appropriate and optimal treatment. To measure the proportion of hearing loss and speech disorder in post stoke patient, we did pure tone audiometry, speech audiometry, and word in noise and to analyze how it could correlate with demographic, clinical characteristic and other factors. This cross sectional study was conducted in Cipto Mangunkusumo hospital Jakarta which started from November 2014 to May 2015, involving 40 samples after stroke patient (with the exclusion of aphasia and cognitive disorder) which were diagnosed with brain CT scan. Fourty percents patients had sensoryneural hearing loss (mild 37,5% and moderate 20%,). Central Hearing loss was found in 12.5% patients and mixed (sensorineural and sentral) hearing loss was found in 17.5%. Speech disorder in quite and noise background was found in 12.5% patients and disorder in noise background was found in 32.5% patients. Based on the odds ratio it is found that age older than 60 year old, cortical and or subcortical lesion, and vascularization of the lesion is the risk factor that can influence hearing disorder with or without speech disorder and it is statistically significance.]"

"Di Amerika diperkirakan lebih dari 20 juta orang terpajan bising 85 dB atau lebih. Departemen tenaga kerja di Amerika mengestimasi bahwa 19,3 % dari pekerja di manufacturing dan utilities terpajan kebisingan dengan intensitas 90 dBA atau lebih 34,4 % terpajan kebisingan pada level di atas 85 dBA, dan 53,1% terpajan kebisingan pada level di atas 80 dBA. Frechet mendapatkan data bahwa 55% daerah industri di Quebec-Canada mempunyai tingkat kebisingan di atas 85 dB dan menurut survei prevalensi NIHL (Noise Induced Hearing Loss) atau gangguan pendengaran akibat bising bervariasi antara 40 - 50%. Gangguan pendengaran sebagai penyakit akibat kerja yang paling sering terjadi di berbagai industri membutuhkan perhatian dari banyak pihak. Gangguan pendengaran yang dialami seseorang akan berpengaruh pada produktivitas kerja dan kualitas hidup pekerja tersebut, sehingga pengendalian bising sangat penting untuk dilaksanakan di semua industri. Pelaksanaan program pengendalian bising atau Hearing Conservation Program di PT. X perlu dievaluasi sesuai dengan ketentuan yang ada, agar dapat diketahui hal-hal yang dapat diperbaiki untuk mewujudkan Hearing Conservation Program yang efisien, efektif, dan memadai.

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United States estimated that more than 20 million people exposed to noise 85 dB or more. Department of labor in the United States estimates that 19.3% of workers in manufacturing and utilities exposed to noise with intensity 90 dBA or more than 34.4% exposed to noise levels above 85 dBA, and 53.1% exposed to noise levels above 80 dBA. Fréchet have shown that about 55% of industrial areas in Quebec-Canada has a noise level above 85 dB and, according to survey the prevalence of NIHL (Noise Induced Hearing Loss), or noise induced hearing loss varies between 40-50%. Hearing loss as occupational diseases is the most often occur in various industries require attention from many parties. Hearing loss will affect the worker?s productivity and quality of life of workers, so that noise control is very important to be implemented in all industries. Implementation of noise control program or a Hearing Conservation Program at the PT. X needs to be evaluated in accordance with existing provisions, in order to know the things that could be improved to realize the Hearing Conservation Program that is efficient, effective, and adequate."

"ABSTRAKKegiatan menyelam dapat menyebabkan gangguan pada pendengaran.Penyelam TNI AL berisiko mengalami gangguan pendengaran akibatbarotrauma pada telinga. Penelitian ini merupakan penelitian deskriptifyang bertujuan untuk mengetahui gambaran gangguan pendengaran pada50 orang penyelam TNI AL Armada RI Kawasan Barat sebagai sampel.Data didapatkan dengan tes rinne, weber, dan schwabach menggunakangarputala frekuensi 512 Hz untuk menentukan jenis gangguan sensorikatau konduktif. Hasil penelitian ini menunjukkan bahwa 42% respondenmengalami gangguan pendengaran, terdapat 40% tuli sensorik dan 2% tulikonduktif. Program pendidikan dan latihan tentang standar prosedurpenyelaman yang tepat perlu dirancang untuk mencegah terjadinyagangguan pendengaran akibat penyelaman.

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ABSTRACTDiving activity may caused hearing loss. Indonesian Navy divers haverisked to undergo hearing loss that caused by barotrauma in the ear. Theobjective of this study was to describe descriptive of hearing loss on 50person Navy divers in the west district. The Rinne, Weber, and Schwabachtests that use a tuning fork 512 Hz were perform to identify conduction orsensoric deafness. These research shows that 42% have hearing loss, 40%sensoric deafness and 2% conductive deafness. The education programsand training about the progress right diving procedure standart should bedesigned prevent hearing loss caused by diving."

"ABSTRAKPenelitian ini bertujuan untuk mengetahui gambaran pelaksanaan dan kesesuaiansurvei kebisingan, pengendalian teknis dan administratif, pemeriksaan audiometri,dan Alat Pelindung Telinga (APT) yang dilakukan di PT X sesuai denganperaturan dan rekomendasi yang ada, agar dapat diketahui hal-hal yang dapatdiperbaiki untuk mewujudkan Program Konservasi Pendengaran (PKP) yangefisien, efektif, dan memadai. Penelitian ini menggunakan desain studi deskriptifdengan pendekatan kualitatif. Data diperoleh dengan cara wawancara mendalam,observasi, dan telaah dokumen. Hasil penelitian menunjukan bahwa adanyaketidaksesuaian penerapan elemen Program Konservasi Pendengaran (PKP) di PTX dengan peraturan dan rekomendasi. Peneliti merekomendasikan bahwa perludibuat kebijakan khusus dan pemberian pelatihan mengenai Program KonservasiPendengaran (PKP), serta pengawasan yang lebih pada pelaksanaan setiap elemenProgram Konservasi Pendengaran.

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ABSTRACTThis study aims to describe the implementation and suitability noise survey,engineering and administative controls, audiometric test, and Hearing ProtectionDevice (HPD) in PT X accordance with existing regulations andrecommendations, in order to know the things that could be improved to realizethe Hearing Conservation Program (HCP) that is efficient, effective, andadequate. This study used descriptive design with qualitative approach. Data wasobtained by in-depth interview, observation, and document review. The resultsshowed that there was found mismatches between implementation of HearingConservation Program elements in PT X with regulations and recommendations.Researchers recommend that should made specific policy and training aboutHearing Concervation Program (HCP), as well as supervision to eachimplementation of Hearing Conservation Program (HCP) elements."