http://jurnal.htp.ac.id/index.php/keskom/issue/feed Jurnal Kesehatan Komunitas 2020-02-04T14:37:19+00:00 Jasrida Yunita, S.KM, M.Kes jasridayunita@htp.ac.id Open Journal Systems <p>Published by :<br><strong>P3M Sekolah Tinggi Ilmu Kesehatan (STIKes) Hang Tuah Pekanbaru</strong><br>Jl. Mustafa Sari No. 5 Pekanbaru Riau Telp.0761-33815 Fax 0761-868666.&nbsp;<br>Website: http://jurnal..htp.ac.id&nbsp; Email: keskom@htp.ac.id.</p> http://jurnal.htp.ac.id/index.php/keskom/article/view/336 THE FACTORS THAT ASSOCIATED WITH DIETARY ADHERENCE IN TYPE 2 DIABETES MELLITUS PATIENTS AT PASAR MINGGU PRIMARY HEALTH CARE IN 2018 2020-01-02T07:48:20+00:00 Youvita Indamaika Simbolon triyantigizi@gmail.com Triyanti Triyanti triyantigizi@gmail.com Ratu Ayu Dewi Sartika ratuayu.fkm.ui@gmail.com <p>Background: The level of dietary adherence in Indonesia is still low. Diet in maintaining food is often become an obstacles because the patient is still tempted by all food that can worsen their health.</p> <p>Met The purpose of this study is to determine the factors that associated with dietary adherence in type 2 diabetes mellitus patients. This study was using a cross-sectional design. The samples studied were all type 2 diabetes mellitus type 2 with the age range 25-65 years was outpatient, samples were taken with non-random sampling method with purposive sampling of 130 people. Data were collected through anthropometric measurements, filling-out questionnaires, 1x24 hour food recall and dan (semi-quantitative food frequency questionnaire) SFFQ form.</p> <p>Results: The results showed 13.8% of respondents were diet-compliant. There were significant relationship between gender (p=0.008) and length of suffering (p=0.044) with between dietary adherence. The result of logistic regression test showed that the duration of suffering is the dominant factor associated with dietary adherence in type 2 diabetes mellitus patients.</p> <p>Conclusion: Type 2 diabetes mellitus patients were expected to pay attention to the diet recommended and carry it out well, to actively to improve the knowledge related to the disease diabetes mellitus and related to the other factors and still preserve diet that has been run for who has long been suffering from type 2 diabetes mellitus.</p> 2019-12-31T00:00:00+00:00 Copyright (c) 2019 Jurnal Kesehatan Komunitas http://jurnal.htp.ac.id/index.php/keskom/article/view/372 QUALITY INDICATORS FOR STROKE PATIENTS AT HOME-BASED CARE SETTING: A REVIEW 2020-01-01T07:53:03+00:00 Nur Chayati nchayati1983@gmail.com Christantie Effendy christantie@gmail.com Setyopranoto Setyopranoto christantie@gmail.com <p><strong>Background</strong>: One method to identify the level of performance is using quality of care indicators. Even though many quality indicators of health care have been announced, those which specify in home care services are limited in that none of them describe the stroke patients’ condition. The purposes of this study are to determine through systematic literature review what methods can be used to assess the quality of home care that patients received and to identify what components can be used as a determinant of the quality of home care services.</p> <p><strong>Method</strong>: Google Scholar, EBSCO, ProQuest and PubMed database websites were searched for articles and information.</p> <p><strong>Results</strong><strong>: </strong>The method that was used is a qualitative study using a literature review with quantitative analysis of a previously accepted research instrument with a questionnaire that has been widely available and considered reliable. The researchers identified thematic differentiation in grouping the quality indicators used by those articles, however most of them are classified as outcome indicators, one as process indicator, and none as structure or input indicator. Overall quality indicators in home care that are used by the three articles are based on the Home Care Quality Indicators Instrument (HCQIs).</p> <p><strong>Conclusion</strong><strong>s</strong><strong>: </strong>Several studies discussed home care quality indicators but no articles specifically analyze home care provision for stroke patients. Further research is needed to clarify the components indicators for stroke patients and more importantly, these indicators should be valid, and reliable.</p> 2019-12-31T06:15:20+00:00 Copyright (c) 2019 Jurnal Kesehatan Komunitas http://jurnal.htp.ac.id/index.php/keskom/article/view/386 ANALYSIS OF WORK SAFETY PERFORMANCE OF CONTRACTOR COMPANIES IN OIL AND GAS COMPANY X CILACAP 2020-01-01T07:52:24+00:00 Clara Dewinda claradewinda19@gmail.com Yuliani Setyaningsih claradewinda19@gmail.com Hanifa Maher Denny claradewinda19@gmail.com <p><strong>Abstract</strong></p> <p>Background&nbsp; &nbsp;: Safety in a company is the main and first thing. No exception in oil and gas company X in Cilacap, Indonesia. This company requires that all contractor companies that send their workers be required to fulfill the Contractor Safety Management System (CSMS) in this oil and gas company. This study is intended to analyze the work safety performance of workers sent by the contractor companies of the oil and gas company X.</p> <p>Methods&nbsp; &nbsp;:This research is a quantitative descriptive study that uses a sample of respondents. The research method used in this study is the survey method by interviewing each selected respondent.</p> <p>Results&nbsp; &nbsp; &nbsp; &nbsp; : The results of this study indicate the relationship between each selected variable related to work safety performance in this oil and gas company X.</p> <p>Conclusion&nbsp; &nbsp;: It is expected that with this research, work safety in oil and gas companies X can be further enhanced for the good in the future.</p> <p>Keywords&nbsp; &nbsp; &nbsp;:work safety performance, contractor companies, oil and gas company</p> 2019-12-31T06:26:58+00:00 Copyright (c) 2019 Jurnal Kesehatan Komunitas http://jurnal.htp.ac.id/index.php/keskom/article/view/129 The effects of nature sound on blood pressure 2020-01-01T07:51:44+00:00 Lita lita_0284@yahoo.com Heldiayana Ardianti lita_0284@yahoo.com Meisa Daniati lita_0284@yahoo.com <p><em>Hypertension is also called the silent killer because it does not cause symptoms, but if left untreated will become a serious health problem. Hypertension can be caused by various factors. This study aims to identify risk factors of hypertension in Puskesmas Harapan Raya Pekanbaru. The design used in this study is a simple descriptive. The samples are 180 people with purposive sampling technique. Measuring instrument used is kesioner. The analysis used univariate analysis to determine the frequency distribution factor of hypertension that can not be changed and hypertension factors that can be changed. The results of the study of factors that can not be changed hypertension showed an average 40-year-old hypertensive patients, mostly female (51.1%), have descended hypertension (97.8%), from the tribe of Minang (40.6%) , Factors that can be changed hypertension showed smoking patients (37.2%), stressed (65%), obesity (22.8%) and had a history of diabetes (52%). From the results of the study are expected for health workers and families pay more attention to risk factors of hypertension and maximize treatment in cases of hypertension</em></p> 2019-12-31T06:53:32+00:00 Copyright (c) 2019 Jurnal Kesehatan Komunitas http://jurnal.htp.ac.id/index.php/keskom/article/view/381 Implementation of National Health Insurance (JKN) in Quality Of Health Services At Petala Bumi Hospital 2020-01-01T07:51:02+00:00 Budi Hartono rifinza81@gmail.com Mitra Mitra rifinza81@gmail.com Nur Maimun rifinza81@gmail.com <p>One of the policies implemented by the Government of Indonesia is the implementation of the National Health Insurance (JKN) program run by the Social Insurance Administration Organization (BPJS). However, over time the program was deemed detrimental to the community in terms of complicated procedures, inappropriate doctor services and limited drugs, and many more procedures that were deemed not to fit the needs of the community. The purpose of this research The purpose of this study was to find out the implementation of JKN in terms of quality of health services at Pekanbaru Petala Bumi Hospital. This is a research method qualitative purposive sampling, to technique two informants hospitals and 2. the patients data collection is done with the observation/ observation in-depth interviews, and group interviews. The research technical competence officials always update sip, doctor affordability and accessibility hospital, accessible the health services management, instuksi follow in curbing bpjs, policy. in supporting the availability of tools, BPJS does not provide tools but hospitals that provide, but hospitals have standards that are in accordance with regulations, patient health services have clinical pathways and there are SOP clinical pathways, patient safety is guaranteed, comfort of patients in hospitals is very comfortable, treatment officers in the hospital for patients are also comfortable, information provided by officers to patients and families is quite clear, officers in providing services are always on time and responsive to patients, service is very helpful for patients and families in the era JKN. Concluded that the level of satisfaction by participants national health insurance hospital petala earth provinzi riau considered as a whole patient had been satisfied but need to be repaired. hospital services.</p> 2019-12-31T06:56:54+00:00 Copyright (c) 2019 Jurnal Kesehatan Komunitas http://jurnal.htp.ac.id/index.php/keskom/article/view/383 IMPLANTS AND INJECTIONS ARE FAVORITE CONTRACEPTION TOOLS IN SUMATERA SELATAN 2020-01-01T07:50:24+00:00 mukni mukni mukniro@yahoo.com <p>Background: The choice of contraception by family planning acceptors greatly determines the success rate of the family planning program, because not all contraceptives are suitable for someone. This study aims to determine what types of contraceptives chosen by family planning acceptors and whether there is a relationship between the selection of contraceptives there is a relationship with the poverty level in the District / City in South Sumatra in 2015, 2016 and 2017. The source of data obtained from the Provincial BPS South Sumatra. Methodology: This study uses a descriptive approach with a simple linear regression analysis method. Results: The results of the analysis were grouped into two, first long-term contraception method KB IUD, MOW, MOP and implants, both short-term contraceptive methods namely injection KB, pill and condom from 17 regencies / cities in South Sumatra. Conclusion: contraception devices that are mostly chosen by long-term contraceptive methods are implants (10000-35000) or 10-20 times larger than other contraceptives. Short-term contraceptive methods are injections, (7700 - 76000) or 5-7 times greater than other contraceptives. From the simple linear regression analysis it turns out that the relationship of long-term contraceptive selection by acceptors with the poverty level is R² = 0.7382 and the short-term method R² = 0.9223. District / City Governments in South Sumatra should provide alokon (contraceptive devices and drugs) in accordance with the type and amount in the field to be on target.</p> 2019-12-31T07:01:13+00:00 Copyright (c) 2019 Jurnal Kesehatan Komunitas http://jurnal.htp.ac.id/index.php/keskom/article/view/399 Implementation of Hospital Management Information System 2020-01-01T07:49:47+00:00 Tona Doli Silitonga toenadunkz21@gmail.com <p><strong>ABSTRACT</strong></p> <p>&nbsp;</p> <p>Hospital Management Information System (SIMRS) is a communication information technology that processes and integrates the entire process flow of hospital services in the form of network coordination, reporting and administrative procedures to obtain information accurately and accurately, and is part of health information system. Handsome Mental Hospital of Riau Province has implemented SIMRS starting from 2013 and has been integrated, but not all are integrated from the existing structure at the Handsome Soul Hospital of Riau Province.</p> <p>The results obtained Man (<em>Human</em>), Money (<em>Cost</em>), Material (<em>Material</em>s), Machine (<em>Machine</em>), Motode (<em>Method)</em>. It is of concern in the implementation of SIMRS, because the implementation of SIMRS has not been implemented as a whole and there are still obstacles in some parts related to the implementation of SIMRS.</p> <p>&nbsp;</p> <p>Keywords: Hospital Management Information System (SIMRS)</p> 2019-12-31T07:06:53+00:00 Copyright (c) 2019 Jurnal Kesehatan Komunitas http://jurnal.htp.ac.id/index.php/keskom/article/view/414 The Effect of Gender Sensitivity Education on Sexuality Knowledge and Attitudes at Occupants of LPKA Kelas II B Sungai Raya Pontianak 2020-01-01T07:49:10+00:00 Reni Novia reni.ayahibu@gmail.com M Taufik reni.ayahibu@gmail.com Otik Widyastutik reni.ayahibu@gmail.com <p><em>The Special Guidance Agency for Children (LPKA) has the task of fostering correctional students during their criminal period. The high cases of decency crimes in LPKA Kelas II B Sungai Raya Pontianak indicate a lack of adolescent knowledge and attitudes about sexuality. The purpose of this study was to determine the effect of gender sensitivity education on knowledge and attitudes about sexuality in occupants of LPKA Kelas II B Sungai Raya Pontianak. This research is a quantitative research with pre-experimental design with a one group pretest-posttest design approach. The number of samples is 17 respondents. The sampling technique is total sampling. Data were obtained using a questionnaire and analyzed by Wilcoxon test. The results showed that there was an increase in knowledge and attitudes about sexuality in occupants of LPKA Kelas II B Sungai Raya Pontianak after being given gender sensitivity education. There were significant differences in knowledge (0.001 &lt; 0.05) and attitudes (0.010 &lt; 0.05) before and after being given gender sensitivity education about sexuality in occupants of LPKA Kelas II B Sungai Raya Pontianak. Thus, gender sensitivity education can be used as a means of effective health education in changing knowledge and attitudes.</em></p> 2019-12-31T07:10:41+00:00 Copyright (c) 2019 Jurnal Kesehatan Komunitas http://jurnal.htp.ac.id/index.php/keskom/article/view/434 Relationship Between Birth Weight Against Weight Gain 12 Months of Age in Babies at Lubuklinggau City 2020-01-01T07:48:35+00:00 Muhammad Ridho Nugroho ridho78@yahoo.com Ratu Ayu Dewi Sartika ratuayu.fkm.ui@gmail.com <p><em>The baby's weight gain is very rapid, but the rate of weight gain is getting less and less. At the age of 5 months, a baby weighs twice his birth weight, while at 1 year his weight reaches three times his birth weight, and at 2 years his weight weighs four times his birth weight. The purpose of this study was to determine the relationship between birth weight and factors influencing weight gain at the age of 12 months in babies born at the midwife independent practice clinic (BPM) in Lubuklinggu City, South Sumatra Province in 2019. Sample of 108, research design cross sectional. The results showed there was a relationship between birth weight (p value = 0.001) and immunization status (p value = 0.017) to the baby's weight gain at 12 months of age.</em></p> 2019-12-31T07:13:13+00:00 Copyright (c) 2019 Jurnal Kesehatan Komunitas http://jurnal.htp.ac.id/index.php/keskom/article/view/359 RELATIONSHIP BETWEEN SERVICES QUALITY AND PATIENTS’ SATISFACTION IN OUTPATIENT WARD OF PETALABUMI GENERAL HOSPITAL OF RIAU PROVINCE 2020-01-02T07:47:43+00:00 Firda Resty jes.devis18@gmail.com Yesica Devis jejes.devis@gmail.com <p><em>Improving service quality is a top priority in a hospital management. Quality health services could be appeared from five dimensions, namely reliability, responsiveness, assurance, empathy, and tangibles. </em><em>Excellent patients’ satisfaction will be obtained if health services applied were in better quality</em><em>. This research </em><em>aim</em> <em>was</em><em> to </em><em>find out the</em><em> correlation </em><em>between </em><em>service quality with patient</em><em>s’</em><em> satisfaction </em><em>in </em><em>outpatient </em><em>unit</em><em> of Petala Bumi </em><em>General </em><em>Regional Hospital </em><em>of R</em><em>iau Province. This </em><em>was a</em><em> quantitative </em><em>study </em><em>with cross sectional design. </em><em>Sample</em> <em>were</em><em> 96 patients</em><em> which taken by</em> <em>accidental sampling.</em><em> Data analyzed was bivariate with used</em> <em>Chi Square Test. The result </em><em>obtained</em><em> there </em><em>we</em><em>re correlation reliability </em><em>( P value = 0,021, value of OR 3,000)</em><em>, responsiveness </em><em>( P value = 0,000, value of OR 5,432)</em><em>, assurance (</em><em>P value = 0,018, value of OR 3,096), emp</em><em>h</em><em>aty (P&nbsp; value = 0,004, value of OR 3,850), tangible ( P value = 0,010, value of OR 3,392)</em><em> with pat</em><em>i</em><em>ent</em><em>s’ </em><em>satisfaction in outpatient </em><em>unit of </em><em>Petala Bumi </em><em>GRH of </em><em>Riau Province</em><em>. It could be concluded that there was a relationship between service quality and patients’ satisfaction at the outpatient unit at Petala Bumi GRH of Riau Province. This result suggests to the Petala Bumi GRH on Riau Province to create a strategy and efforts to improve the quality of health services in order to patients’ satisfaction cloud be increased continually. </em></p> 2019-12-31T00:00:00+00:00 Copyright (c) 2019 Jurnal Kesehatan Komunitas http://jurnal.htp.ac.id/index.php/keskom/article/view/419 THE INFLUENCE OF HOSPITAL IMAGE SERVICES ON NEED COMMUNITIES IN REGIONAL GENERAL HOSPITAL (RSUD) BAU-BAU CITY 2020-01-14T05:16:45+00:00 Dahmar Dahmar ners_riki@yahoo.co.id Taswin Taswin ners_riki@yahoo.co.id Almin Arifudin Osi ners_riki@yahoo.co.id Ni'ma Meilani ners_riki@yahoo.co.id Adius Kusnan adiuskusnan.fkuho@gmail.com <p>Data on inpatient visits to the Baubau City General Hospital, in 2015 the number of inpatient visits was 6.518 patients, in 2016 there were 7.023 patients, while in 2017 there were 7.119 patients. This study aims to determine the Effect of Inpatient Service Image on Need Society at the Baubau City General Hospital from the level of service of health workers, health service facilities and infrastructure, and environmental conditions.</p> <p>This type of research is quantitative research with a Cross Sectional approach. The total population is 7.119. The sample in this study were 99 patients who were in the inpatient room at the Baubau City General Hospital. The sampling technique is done by the method of accidental sampling.</p> <p>The results showed that there was an influence on the services of health workers with community needs with a significance value of 0.026, which meant that health care services were smaller than probability values ​​or 0.026 &lt;0.05, health service facilities and infrastructure were smaller than probability values ​​or 0,000 &lt;0.05, environmental conditions are smaller than the probability value or 0.004 &lt;0.05.</p> <p>It can be concluded that there is an influence between the services of health workers on community needs, facilities and infrastructure for health services for the community needs, environmental conditions for the need of the community in the Baubau City general hospital</p> 2019-12-31T07:59:29+00:00 Copyright (c) 2019 Jurnal Kesehatan Komunitas http://jurnal.htp.ac.id/index.php/keskom/article/view/432 The level of knowledge, attitudes and family skills in caring elderly in psychosocial function 2020-01-02T07:47:06+00:00 abdurrahman hamid rahmanditaselaluselamanya@gmail.com Agnita Utami agnitautami@gmail.com <p><strong><em>Abstract</em></strong></p> <p><em>A healthy older adult &nbsp;life cannot be achieved alone by the older adult , but also requires the involvement of family members. Achieving optimal quality of life in the older adult &nbsp;must be supported by psychosocial care. Family members help the older adult &nbsp;meet their needs in achieving optimal quality of life. The purpose of this research is to help to provide an overview of family knowledge, attitudes and skills in caring for the psychosocial older adult . In this case the psychosocial function is memory, intellectual function, orientation of time and place. The sample in this study amounted to 30 families with a purposive sampling method. Data collection using the instrument in the form of a questionnaire and using the method of interviews and direct observation of families who have older adult &nbsp;family members. The results of the study revealed that the level of knowledge and skills was largely low, and family attitudes in caring for the older adult &nbsp;were high. This shows that families with the older adult &nbsp;still need an increase in knowledge about the care of psychotic functions, and an increase in knowledge will also have an impact on improving attitudes and skills in caring for the older adult &nbsp;by family members. This research can be a reference to determine the form of activities that support the improvement of psychosocial functions of the older adult .</em></p> 2019-12-31T00:00:00+00:00 Copyright (c) 2019 Jurnal Kesehatan Komunitas http://jurnal.htp.ac.id/index.php/keskom/article/view/469 A COLLABORATION OF NURSES AND DOCTORS IN THE INPATIENT ROOM AT ARIFIN ACHMAD GENERAL HOSPITAL OF RIAU PROVINCE 2020-01-01T07:47:23+00:00 yecy anggreny yecy1809@gmail.com Henny Lucyda hennylucyda@gmail.com Vionalisa Vionalisa vionalisa@gmail.com <p><em>collaboration is a form of collaboration between nurses and doctors for the same purpose of providing health services in order to increase patient recovery efforts. collaboration between nurses and doctors is limited to recording the doctor's instructions given without discussing and giving opinions or suggestions about the patient's health problems. the result of this study was to identify collaboration between nurses doctors in the inpatient hospital Arifin Ahmad Riau. this type of research is quantitative with descriptive design. the population in this research are all nurses in the inpatient room 196 nurses as populations. the type of samlping technique used in this research was purposive sampling. data collection tools using questionnaires with data processing using computerization and data analysis is done univariately. the results showed that more than half the population (66.8%) of nurses stated that the collaboration of nurses and doctors was not good. based on the results of this study it is suggested to nurses to improve the education, knowledge, and competence of nurses in the implementation of nursing care</em></p> 2019-12-31T09:10:59+00:00 Copyright (c) 2019 Jurnal Kesehatan Komunitas http://jurnal.htp.ac.id/index.php/keskom/article/view/417 Incidence prevalence and pattern of tuberculosis treatment in HIV/AIDS patients in Regional General Hospital of Bandung city 2020-01-01T07:46:48+00:00 Yani Mulyani yani.mulyani@stfb.ac.id Raden Roro Maryana Ulfah ryanmaryana@gmail.com Rizki Siti Nurfitria ryanmaryana@gmail.com <p><em>HIV causes a decrease in immunity which makes the patient susceptible to opportunistic infections such as tuberculosis. This research aims to find out the prevalence, patient descriptions’, treatment pattern and therapeutic goals for tuberculosis in HIV/AIDS patients who were taking the medication in polyclinic of DOTS and polyclinic of VCT in Regional General Hospital Of Bandung City. This was nonexperimental research. Data was collected retrospectively with cross-sectional approach using secondary data which were TB-01 form and HIV Care Summary Form and Antiretroviral Therapy from 1 January 2016 to 31 December 2018. &nbsp;From 668 Tuberculosis occurrence, there were 25 patients suffered HIV/AIDS. Result obtained the most risk factors was homosexual (60%), with the most ART treatment combination were Tenofovir, Lamivudine, and Evarirenz, 4% has a drug allergic, the most TB treatment history was new case (92%), with the most kind was pulmonary TB (56%), the most Anti TB treatment was category I (92%) and 60% patients done with full therapy</em></p> 2019-12-31T09:13:03+00:00 Copyright (c) 2019 Jurnal Kesehatan Komunitas http://jurnal.htp.ac.id/index.php/keskom/article/view/466 The effect bibliotheraphy on depression and anxiety level of breast cancer patient at Arifin Achmad Regional General Hospital of Riau Province 2020-02-04T14:37:19+00:00 bayu saputra toleunix@yahoo.com Yani Sofiani toleunix@yahoo.com Diana Irawati toleunix@yahoo.com <p><em>Patient with breast cancer who get chemotheraphy has an side effect, one of this effect is psychological problem. The psychological problem among breast cancer patient is about depression and anxiety. The implementation of biblioteraphy has a positive effect on psychological condition. The aim of this research was to identify the effect biblioteraphy method on the level of depression and anxiety of breast cancer patient. The method was used quasy experimental pretest-postest with intervention control group design. The sampel was 32 respondents using purposive sampling technique wich divided into 2 groups, the intervention group received biblioteraphy story telling method and pray of Prophet Ayyub Alaihisalam while the control group without intervention.The evaluation of psychological aspect depression and anxiety used Hospital Anxiety Depression Scale (HADS) in bahasa. The analysis of depression and anxiety changes measured using independent t-test. The result: There was a significant relationship between level of depression and anxiety in pre and post on respondents who received intervention and without intervention. Conclusion: the applying of intervention of biblioteraphy method with frequency as much as 5 time and maximum in 45 minutes proved in lowering level of depression and anxiety. It is suggested for applying bibliotheraphy when giving nursing care of breast cancer patient. The future research should investigate other aspect such as education and environment against level of depression and anxiety.</em></p> 2019-12-31T09:16:23+00:00 Copyright (c) 2019 Jurnal Kesehatan Komunitas http://jurnal.htp.ac.id/index.php/keskom/article/view/467 Determinants of IUD Use in Sukmajaya Sub District, Depok: A Qualitative Research 2020-01-01T07:45:35+00:00 Maria Gayatri maria_gaya3@yahoo.co.id <p><em>A qualitative research through Rapid Assessment Procedure on the Behavior of Intrauterine Device (IUD) use was carried out in Sukmajaya District, Depok. The aims of this research ware to analyxe predisposing, enabling and reinforcing factors influencing the use of IUDs. The informants were mother who use IUD, mother who ever use IUD and mother who use non-IUD methods (such as pills and injectables). The results showed that the informants understood IUD effective methods to prevent pregnancy. Most informants considered that IUDs were cheap, available at health facilities and the service given by competence providers. Support from husband, encouragement from friends who successfully used the IUD and the effectivity and reversibility of IUDs were also as strength factors for IUDs use. However, there were some factors that inhibit the use of IUDs such as side effects, rumors of IUDs, incomplete counseling from providers and sharing negative experiences of friend who have failed to use IUD. In conclusion, IUD used was influenced by multi-factors such as predisposing factors (knowledge, values, beliefs, attitude of perception), enabling factors (access to information, availability of IUDs, officer competencies, regulations) and reinforcing factors (husband, friends, health workers).</em></p> <p>&nbsp;</p> 2019-12-31T09:22:09+00:00 Copyright (c) 2019 Jurnal Kesehatan Komunitas http://jurnal.htp.ac.id/index.php/keskom/article/view/341 The Benefit of Metally and Social Health that Felt in Study Tour Recreatiol Activities: by Perspective of Students, Parent, and Teachers 2020-01-01T07:44:59+00:00 Lusiana Putri MN lusianaputrimn@gmail.com Tri Krianto lusianaputrimn@gmail.com Novita Rany lusianaputrimn@gmail.com <p><em>Recreation benefits for </em><em>Psychological and social health</em><em>. Study tour recreation is organized by private junior high school X purpose to expand knowledge culture, social and tradition. Private junior high school X applies full day school system. Duration of studying is cause the student felt bored. </em><em>The purpose of this research is to kn</em><em>o</em><em>w the differencence </em><em>between </em><em>benefits </em><em>of </em><em>pshycology and social health at study tour from the perspective of students, the parents and teachers.</em> <em>Dependent variable is pschycology and social health, independent variable is </em><em>&nbsp;perspective of students, the parents and teachers. </em><em>Kind of this research descriptive comparative to cross sectional desaign. This research is done on September 2018. The sample includes 63 person.in purposive sampling. The analyse data is univariat and bivariat (one way annova). The result is univariat, is got from the total of low category is 32 person and high category 31 person. The result of the test&nbsp; one way annova is got </em><em>p value (0,536 and 0,568)&gt;0,05. There is no difference between student, parents and teacher in this research but still has low benefit </em><em>p</em><em>sychological and social health</em><em>. Suggested for teacher to add outbound and game in study tour, </em><em>the teachers divest the students to do anything but they are controlled</em><em>, adapt the place of recreation with interest students. For health and social department collaborated to socialize important of outdoor recreation.</em></p> 2019-12-31T11:25:24+00:00 Copyright (c) 2019 Jurnal Kesehatan Komunitas http://jurnal.htp.ac.id/index.php/keskom/article/view/455 DETERMINANTS OF FACTORS RELATED TO NUTRITIONAL STATUS IN HIGH SCHOOL STUDENTS 2020-01-02T07:46:29+00:00 I Putu Sudayasa putu putusudayasa@gmail.com Asmarani rani asmarani@gmail.com Nurzulifa nur Nurzulifa@gmail.com Widyawati Samita widya Widyawati@gmail.com La Ode Alifariki riki ners_riki@yahoo.co.id <p>Background: Nutritional status is a condition caused by the balance status between the amount of intake (intake) of nutrients and the amount of nutrients needed by the body for biological functions, such as physical growth, development, activities, health maintenance, and others.</p> <p>Objective: this study aims to determine the determinants of factors related to student nutritional status.</p> <p>Method: This study uses a cross sectional research design. The research sample amounted to 121 respondents. Data were taken using the International Physically Actual Questionnaire (IPAQ) questionnaire, using the questionnaire consumption pattern of poke shells, Food Frequency Questionnaire (FFQ), digital stamp balance, and microtoice. Data analysis consisted of univariate and bivariate analyzes using spearmen statistical tests of p value &lt;0.05 and correlation coefficient (r).</p> <p>Results: The results showed that there was no relationship between physical activity (p = 0.085), fat consumption patterns (p = 0.944), pokea shell meat consumption patterns (p = 0.078) with nutritional status in class XI students of SMAN 1 Sampara in Sampara District.</p> <p>Conclusion: The conclusion of this study is that there is no relationship between physical activity, fat consumption patterns and meat of pokea shells and nutritional status in class XI students of SMAN 1 Sampara in Sampara District.</p> 2019-12-31T00:00:00+00:00 Copyright (c) 2019 Jurnal Kesehatan Komunitas http://jurnal.htp.ac.id/index.php/keskom/article/view/460 analysis Analysis of Nutritional Unit Service Management in Arifin Achmad Regional General Hospital of Riau Province in 2019 2020-01-01T07:53:42+00:00 Zela Familta zela.familta@yahoo.com Elfindri Elfindri zela.familta@yahoo.com Jasrida Yunita jasridayunita@gmail.com <p><em>Hospital nutrition services are very important and as a determinant of service quality. In Arifin Achmad Regional General Hospital, Riau Province, illustrates the lack of human resources so that many officers do double jobs and the lack of facilities and infrastructure such as water supply to the room. This study aims to analyze the Management of Class III Inpatient Nutrition Installation Services at Arifin Achmad Regional General Hospital, Riau Province. This study uses in-depth interviews, observations and questionnaires. Data management is done by qualitative and quantitative analysis techniques. This study uses data validity in the form of triangulation. Informants in this study were Nutrition Officers, Nutritionists, Head of Nutrition Installation, Head of Monitoring and Evaluation Sub-Sector and patients totaling 2 people. For quantitative research with a sample of 100 inpatients. The results showed that there were themes that emerged as the findings of this study. The themes are the lack of human resources and the lack of knowledge about each other's duties, the availability of facilities and infrastructure is still lacking such as damaged water heaters, less comfortable space and non-smooth water supply and the implementation of SOP that has not been optimal in the form of food serving. not on time, food delivery is not on time. There is a need to improve the management of Nutrition Installations at Arifin Achmad Regional General Hospital in Riau Province in accordance with established standards. Such as recruitment for human resources that are still lacking, completing damaged facilities and infrastructure such as water heaters, repairing supply of water that is still lacking, performing services according to SOPs such as delivering food to patients on time</em></p> 2019-12-31T00:00:00+00:00 Copyright (c) 2019 Jurnal Kesehatan Komunitas http://jurnal.htp.ac.id/index.php/keskom/article/view/464 An DETERMINANT OF NURSING CLINICAL DECISION MAKING IN ARIFIN ACHMAD GENERAL HOSPITAL OF RIAU PROVINCE 2020-02-04T14:37:17+00:00 Susi Erianti susi_eriyanti@yahoo.com Rizanda Machmud susi_eriyanti@yahoo.com Harmawati susi_eriyanti@yahoo.com <p><em>Nurses always deal with various clinical problems when caring their patients. Nursing clinical decision making is an evaluation process of nursing care to the patient which evaluated by nurses every day. The phenomenon showed that there was a lack of nurses' ability to make a clinical nursing decision in the nursing process of patients at the Intensive Care Installation (IPI) of Arifin Achmad General Hospital of Riau Province. The study aims were to </em><em>analyze</em><em>d</em><em> the factors related to nursing clinical decision making This research was </em><em>a quantitative study with </em><em>used cross-sectional</em><em> design. </em><em>Population were all nurses in the intensive care installation consisting of ICU, CVCU and PICU</em><em>. Sample of this study were </em><em>6</em><em>0 </em><em>nurses</em> <em>which</em><em> taken by us</em><em>ed</em><em> total sampling</em><em> technique</em><em>. </em><em>Data analyze was used multivariate with logistic regression test. </em><em>The results showed that the factors related to clinical nursing decision making were length of work and training certificates</em><em>. Mean</em><em>while</em> <em>age, education and work unit factors were not related to clinical nursing decision making. The most dominant factor related to clinical nursing decision making was length of work (OR = 8.312). The results of this study </em><em>could</em><em> be an information for nurses to improv</em><em>ing</em><em> their ability in making clinical nursing decision, nurse</em><em>s</em><em> competenc</em><em>y</em><em> and work experiences in their work units, so that the quality of nursing care services and the quality of hospital services can be improved.</em></p> 2019-12-31T11:52:39+00:00 Copyright (c) 2019 Jurnal Kesehatan Komunitas