Hasil Pencarian  ::  Simpan CSV :: Kembali

"Kebijakan pusat pelayanan kesehatan masyarakat (puskesmas) sebagai Badan Layanan Umum Daerah (BLUD) diimplentasikan untuk meningkatkan kualitas pelayanan kesehatan dasar. Kebijakan BLUD puskesmas telah diterapkan di Kabupaten Gianyar sejak tahun 2010 dan berlaku pada puskesmas perawatan maupun nonperawatan. Pelaksanaan BLUD puskesmas tidak selalu meningkatkan mutu layanan. Penelitian ini bertujuan mengetahui gambaran mutu pelayanan puskesmas perawatan yang berstatus BLUD di Kabupaten Gianyar. Penelitian ini merupakan penelitian potong lintang dengan pendekatan kuantitatif dan kualitatif. Tempat dan waktu penelitian ini dilakukan di Kabupaten Gianyar, Agustus hingga Desember 2013. Data kuantitatif dikumpulkan melalui penyebaran kuesioner kepada 105 pengguna layanan di empat puskesmas yang dipilih dengan cara multistage random sampling. Data kualitatif dikumpulkan melalui wawancara mendalam kepada 13 penyedia pelayanan kesehatan yang dipilih secara purposive sampling. Data kuantitatif dianalisis secara deskriptif dan data kualitatif dianalisis dengan analisis tematik. Dari hasil penelitian, pelayanan di puskesmas perawatan berstatus BLUD di Gianyar dinilai kurang memuaskan karena keterbatasan peralatan medis dan kurangnya tenaga yang kompeten dalam pengelolaan keuangan. Pelatihan pengelolaan keuangan pada staf puskesmas dan perekrutan tenaga berlatar belakang akuntansi penting untuk dilakukan.

---

The policy of primary health care as local public service agencies (BLUD) was established to improve the quality of basic health care services. The public service agencies primary health care policy has been implemented to all primary health care in Gianyar district since 2010. The implementation does not always improving health service quality. This research was aimed to overview the quality of services in primary health care with general services agency status in Gianyar district. This research was a crosssectional study with mixed of quantitative and qualitative approaches.This research was conducted in Gianyar between August and December 2013. The quantitative data was collected through questionaire survey to 105 patients in four primary health care who were chosen with multistage random sampling technique. The qualitative data was collected through in-depth interviews to 13 health care providers in primary health care who were chosen with pusposive sampling. The quantitative data was analysed descriptively and the qualitative data was analysed using thematic analysis. The result of the study was primary health care quality in BLUD puskesmas with inpatient services was perceived as poor due to the limited availability of medical equipment and lack of staff who major in financial management. Training on financial management and recruitment of staff with accounting background should be conducted."

"Angka kejadian ruptur perineum pada primipara persalinan normal adalahsekitar 88,9%. Piper crocatum extract atau ekstrak daun sirih merah dike-tahui mempunyai kandungan kimia yang berefek antiseptik dan antibakteri.Sebagian besar persalinan normal di Kota Bengkulu mengalami rupturspontan atau episiotomi. Dari 10 persalinan, ada 7 pasien yang mengalamirobekan perineum dan kering rata-rata dalam 7 hari, dengan perawatanmenggunakan iodin atau merendam/ cebok rebusan daun sirih. Tujuanpenelitian ini adalah menilai efektivitas penyembuhan luka perineum ibunifas dengan menggunakan daun sirih merah dan obat antiseptik. Metodepenelitian quasi eksperimental, populasi ibu pospartum dengan luka peri-neum yang ditolong oleh bidan praktik mandiri. Sampel perlakuan 35 orangdan kelompok kontrol 35 orang. Sampel diambil secara accidental sam-pling. Waktu penelitian bulan Mei ? Agustus 2012 di Kota Bengkulu.Variabel lainnya yaitu status kesehatan, obat antibiotik dan status gizi.Analisis menggunakan uji Mann _ Whitney Test. Hasil penelitian menun-jukkan bahwa rata-rata lama penyembuhan luka perineum menggunakaninfusum sirih merah adalah 2 _ 3 hari sedangkan pada kelompok obatantiseptik rata-rata lama penyembuhan 5 ? 6 hari, artinya bahwa daunsirih merah lebih efektif dibandingkan dengan iodine dalam perawatan lukaperineum pada masa pospartum.The incidence of perineal rupture in primiparous normal deliveries is 88.9%.Piper crocatum Extract or red betel leaf extract are known contained anti-septic and antibacterial effect. Mostly normal deliveries in Bengkulu Cityexperienced spontaneous rupture or episiotomy. From 10 births, 7 patientsexperienced perineal laceration and were dry in 7 days by treatment usingiodine or soak/ wiping with betel leaf decoction. The aim of this study wasto determine the effectiveness of red betel leaf in healing perineal wound ofpostpartum mother in Independent Practice Midwife in Bengkulu City 2013.The method of this study was quasi-experimental. The population wasmothers with postpartum perineal wounds who attended by independentmidwive practice. 35 sample as treatment group and 35 people as controlgroup. Sample was taken by accidental samplingthis study doing at monthMay ? August 2012 in The Bengkulu City. Other variables are health status,antibiotics and nutritional status. Analysis using the Mann _ Whitney Test.The result of this study showed that the avarage length of perineal woundhealing using infusum of red betel leaf was 2 _ 3 days, while in groupiodine was 5 _ 6 days, meaning that red betel leaf is more effective com-pared with iodine in wound care in the puerperium."

"Rumah sakit berupaya menciptakan mutu pelayanan yang terbaik sebagai salah satu faktor penentu citra di masyarakat. Perilaku caring perawat merupakan salah satu indikator mutu pelayanan yang diterima oleh masyarakat.Tujuan penelitian ini untuk mengetahui faktor-faktor yang memengaruhi persepsi pasien terhadap perilaku caring perawat di Rumah Sakit Ichsan Medical Centre Bintaro dengan desain potong lintang. Populasi adalah pasien rawat inap dengan pengambilan sampel random sampling sebesar 93. Data dianalisis dengan univariat sampai bivariat dengan analisis kai kuadrat. Hasil penelitian menunjukkan faktor yang berhubungan dengan persepsi pasien yang menjalani perawatan di rawat inap Rumah Sakit Ichsan Medical Centre Bintaro adalah kebutuhan caring (nilai p = 0,001) dan perilaku caring perawat (nilai p = 0,006). Terpenuhinya kebutuhan caring dan perbaikan perilaku caring perawat akan menjadikan persepsi pasien menjadi positif selama rawat inap.

---

The hospital strives to create the best quality of service as a determining factor for the image in society. Nurse caring behavior is one indicator of the quality of service received by the public.

The purpose of this study was to determine the factors that influence patient perception to nurse caring behaviors in Ichsan Medical Centre Hospital Bintaro with cross sectional design. The population was inpatients with sampling random sampling of 93. Data were analyzed by univariate and bivariate by chi-square analysis.

The results showed that associated factors with the perception of patients undergoing inpatient treatment at Ichsan Medical Centre Hospital Bintaro is caring needs (p value = 0.001) and the nurse caring behaviors (p value = 0.006). The fulfillment needs of caring and repair will make the nurse caring behaviors the perception become positive patients during hospitalization."