Jurnal Kesehatan Komunitas http://jurnal.htp.ac.id/index.php/keskom <p>Diterbitkan oleh<br><strong>Sekolah Tinggi Ilmu Kesehatan (STIKes) Hang Tuah Pekanbaru</strong><br>Alamat Redaksi:&nbsp;<strong>STIKes Hang Tuah Pekanbaru</strong>&nbsp;<br>Jl. Mustafa Sari No. 5 Pekanbaru Riau Telp.0761-33815 Fax 0761-868666.&nbsp;<br>Website: keskom.htp.ac.id&nbsp;<br>Email: keskom@htp.ac.id</p> <p><strong>Jurnal Kesehatan Komunitas memuat tulisan ilmiah baik berupa naskah hasil penelitian maupun naskah konsep di bidang kesehatan masyarakat. Diterbitkan setiap 4 (empat) bulan sekali yaitu pada bulan April, Agustus, dan Desember&nbsp;.</strong></p> en-US <p>Copyright @2017. This is an open-access article distributed under the terms of the Creative Commons&nbsp;Attribution-NonCommercial-ShareAlike 4.0 International License (<a href="http://creativecommons.org/licenses/by-nc-sa/4.0/" target="_blank">http://creativecommons.org/licenses/by-nc-sa/4.0/</a>) which permits unrestricted non-commercial used, distribution and reproduction in any medium&nbsp;</p> jasridayunita@htp.ac.id (Jasrida Yunita, S.KM, M.Kes) ade@htp.ac.id (Ade Cahya, S.Kom) Sat, 02 Feb 2019 12:39:13 +0700 OJS http://blogs.law.harvard.edu/tech/rss 60 Correlation Between Patient Service Quality and ReVisit Interest of Outpatient Ward at Regional Hospital, Mandau Sub-District, Bengkalis Regency, 2017 http://jurnal.htp.ac.id/index.php/keskom/article/view/267 <p>Community users of health services increasingly demand quality services. The better quality of the services provided, the more will increase the patient's interest to re-visit. The number data of patient visits in the outpatient installation in 2017 tended to decrease compared to 2016. From the data of the decrease in the number of outpatient visits, obtained from 3 polyclinics have decrease of patient visit, that is: polyclinic of internal medicine, child polyclinic and obstetric polyclinic. Whereas RSUD Mandau Sub-District, continues to strive to provide a good service for the interest of patient visit increases.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</p> <p>The purpose of this research is to know the relation of patient service quality and re-visit of outpatient installation at Regional Hospital, Mandau Sub-District, Bengkalis Regency, based on reliability, responsiveness, assurance, empathy and direct evidence.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</p> <p>The study is quantitative observational analytic with cross-sectional design analytic study (cross-sectional). The number of samples in this study are patients from 3 polyclinics of Mandau District General Hospital of Bengkalis Regency (polyclinic of internal medicine, child polyclinic and obstetric polyclinic) conducted in December 2017. The sample was taken by using hypothesis test-two proportion formula with 82 patients.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</p> <p>The result of multivariate analysis shown that the most influence variable of re-visit interest is emphaty (OR: 31,063) and reliability and responsiveness as confounding variable. Therefore required to improve quality of service, mostly on making patients feel safe and comfortable during medical treatment, by giving reward for employee who give best services</p> Madya Andriane, Herlina Susmaneli ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-sa/4.0 http://jurnal.htp.ac.id/index.php/keskom/article/view/267 Sat, 02 Feb 2019 00:08:56 +0700 The Comparison of Diabetes Self Management Education Using Lecturing Method with Booklet and Whatsapp Group Method Against Self Care Behavior of Diabetes Mellitus Patients http://jurnal.htp.ac.id/index.php/keskom/article/view/294 <p><strong><em>ABSTRACT</em></strong></p> <p><strong><em>&nbsp;</em></strong></p> <p><em>Diabetes mellitus is a chronic metabolic disease that requires self-management education to prevent acute complications and reduce the risk of long-term complications. Diabetes Self Management Education</em><em> (DSME) can be used as an effective method in improving self-care of patient with diabetes mellitus when discharged from the hospital. In the implementation of education in patients, many methods can be done. The lecturing method is one of the most commonly used methods in conducting health education, one of which is to used a booklet. Another method can be used is to use the whatsapp group application. The purpose of this study was to find out the differences between DSME method by using booklet and social media method on care behavior of diabetes mellitus patients. The research design of this study was quantitative by using quasy-experiment approach with two groups pretest-posttest. Sample in this research are diabetes patient in the outpatient room, the collecting sample was used concecutive sampling with 30 people divided into 2 groups. The analysis used was univariate and bivariate analysis using paired sample t-test and independent sample t-test. The independent t-test result were obtained </em><em>p value = 0.00</em><em>1</em><em> is smaller than alpha value (p &lt; 0.05) with different mean, namely -15,33. It can be concluded that diabetes self management education by using social media (whatsapp group) was more inluential in improving self care behavior than diabetes self management education by using lecturing method with booklet. </em><em>From the results of this study, it is expected that hospitals can educate DM patients by following the DSME principle with the WhatsApp group method.</em></p> <p><em>Keys</em><em>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </em><em>: diabetes mellitus, </em><em>DSME, </em><em>lecturing</em><em>, Self Care Behavior, </em><em>social media</em><em> (WhatsApp</em><em> group</em><em>) </em></p> Dwi Elka Fitri, Siska Mayang Sari, Tri Krianto ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-sa/4.0 http://jurnal.htp.ac.id/index.php/keskom/article/view/294 Sat, 02 Feb 2019 11:59:30 +0700 Determinant of Chronic Energy Malnutrition (CEM) in Pregnant Woman at Lubuk Muda Public Health Center http://jurnal.htp.ac.id/index.php/keskom/article/view/289 <p><em>Deficiency chronic energy is the condition those where pregnant women experience food shortages that occur as a year (Chronis). To be marking by size LILA &lt;23,5 cm. Overall for survey results Riskesdas in 2017 and Riskesdas in 2013 that is 21,6% increased to be 24.2%, while Riskesdas Riau Province in 2013 that’s showing the risk prevalence KEK of Bengkalis Regency that is (66, 4%). The purpose of this study to knows the connection of knowledge about nutrition, energy intake, abstinence, education, parity and age.&nbsp; Is it associated with chronic energy deficiency (KEK) Pregnant Women in the Work Area of ​​Lububuk Muda Public Health Center Siak Kecil District Bengkalis Regency in 2017. Analytical quantitative research type with Cross Sectional design, sample number of 117&nbsp; pregnant mother. Measuring instrument using questioner, KEK is measured using Upper Arm Ribbon and Recall Energy intake 2x24 hours measured using Nury Suvey program. Data analysis was performed univariat, bivariate (chi-square) and multivariate (multiple logistic regression). The results showed that there was a causal relationship between parity with happening on KEK to pregnant mother&nbsp; of POR: 9,937 (CI 95 % :4,206-23,481). To the manager of KIA program collaborate with cross sectors to move the family planning program by re-sosializing to get an ideal number of families.</em></p> Ervinawati Ervinawati, Aslis Wirda, Nurlisis Nurlisis ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-sa/4.0 http://jurnal.htp.ac.id/index.php/keskom/article/view/289 Sat, 02 Feb 2019 12:01:17 +0700 The Analysis of Linen Management in LaundryWard of Ibnu Sina Pekanbaru Islamic Hospital http://jurnal.htp.ac.id/index.php/keskom/article/view/278 <p><em>Installation laundry became on</em><em>e </em><em>of the most important in supporting medical services at the hospita</em><em>l. P</em><em>reliminary survey conducted </em><em>at Ibnu Sina Islamic Hospital Pekanbaru, at process linen </em><em>management dirty not performed the stage weighin</em><em>g. </em><em>This resulted in the laundry just estimate how comparison between heavy linen dirty with amount of water and measure of down</em><em>. </em><em>Research</em> <em>purposes to see how linen management </em><em>at Ibnu Sina Islamic Hospital Pekanbaru.</em></p> <p><em>The data collected in interviews, observation and review of documentation.</em> <em>Data processing done to technique qualitative analysis by approach explorative.</em> <em>This research using data validity of triangulation.</em> <em>Informants to research this is officer laundry, head of laundry, chief medical facilities and director </em><em>at Ibnu Sina Islamic Hospital Pekanbaru w</em><em>hich consisted of the </em><em>7.</em></p> <p><em>The research results show that there are themes that appear as the findings of the study this linen management .As for themes in the area are obstacles in the management of exertion or in the form of a lack of linen is , less he did training to officers and the length of the handling of if there are defective machine , the provision of facilities and infrastructure in the form of the absence of an instrument those who weighed dirty linen , and she has not done on a regular service , and the implementation of the house in the form of discharging sop apd , she has not done the process of weighing dirty linen , discharging washer that equal and there is no color sorting linen .By because it was necessary attention on the management of the linen in installation </em><em>Ibnu Sina Islamic Hospital Pekanbaru </em><em>conforming with established standard</em><em>s</em>.</p> Hidayati Mukhtar, Nurmaimun Nurmaimun, Jasrida Yunita, Asfeni Asfeni, Henni Djuhaeni ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-sa/4.0 http://jurnal.htp.ac.id/index.php/keskom/article/view/278 Sat, 02 Feb 2019 12:02:41 +0700 The Implementation of Diseases Control for Acute Respiratory Infection (DC-ARI) Program's at Sungai Pakning's Public Health Centre, Bengkalis Regency http://jurnal.htp.ac.id/index.php/keskom/article/view/269 <p><em>Disease control program for Acute Respiratory Infection is a program for infectious diseases. Aims of this program is to lowering the number of toddler’s pain and death&nbsp; that caused by Acute Respiratory Infection or Pneumonia. The implementation program of this program at Sungai Pakning’s Community Health Centre, Bengkalis Regency, was still not effective. It shown that pneumonia discovery was still low&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; ( 2,64%) and it’s still far from the target of national policy for pneumonia control (100%). Aim of this study was to know how is the implementation program of diseases control for acute respiratory infection at Sungai Pakning’s Community Health Centre, Bengkalis Regency, based on indicators of achievement process (intensification program, improvement and development of human resources, and partnerships). This research was qualitative study. There were eight persons as a sample consists of Head of Disease Control Program for Acute Respiratory Acute, Head of Community Health Centre, Doctor, Nurse, midwife of Integrated Management of The Sick Toddler, Cadre of Health, Community Leader, and Religious Figures. It used triangulation of sources, method, and data. The results shown that there’s no fund for disease control program of ISPA, less human resources is caused the lack of trained personnel for Pneumonia implication thru integrated management of the sick toddler nor verbal autopsy. Then the partnership of cross program or sectoral was not so good. Even the internal of Community Health Centre has policy to used BPJS services as a scape goat to rise the fund. Availability of facilities and infrastructure of integrated management of the sick toddler policlinic should be completed. Increases of human resources capacity by given a training for integrated management of the sick toddler and verbal autopsy. Building partnership and involving the community participation in the middle of disease control program for acute respiratory infection.</em></p> Welly Sando, Kiswanto Kiswanto, Agus Alamsyah ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-sa/4.0 http://jurnal.htp.ac.id/index.php/keskom/article/view/269 Sat, 02 Feb 2019 12:05:34 +0700 Determinants of Stunting Children (0-59 Months) in Some Countries in Southeast Asia http://jurnal.htp.ac.id/index.php/keskom/article/view/262 <p>Stunting is one of the main nutritional problems caused by malnutrition in children under 5 years old. Risk factors of stunting influenced by socio-economic, Infant and Young Child Feeding (IYCF), child illnesses, Water Sanitaon and Hygiene (WASH). These factors vary considerably accros the nation in southeast asia. The aim of this study was to determine the factors affecting in stunting of children (0-59 months) in Southeast Asia. It is needed to identified the right intervention. This systematic review was conducted using the Preferred Reporting Items for Systematic reviews and Meta-Analysis (PRISMA) guidelines. Articles were searched by using pubMed database. The literature search outline in the methods indentified 14.790 arcles discuss stunting. We identified 60 articles potentially met all criteria using PubMed advanced search strategy. A total of 60 articles were retrieved from one database (PubMed), 11 articles met the inclusion criteria for stunting in Southeast Asia countries. In our review socio-economic status was reported as one of consistent factors associated with stunting in Cambodia, Myanmar, Indonesia, Laos, Thailand, and Malaysia. Low household income and lack education of mother influenced inappropriate IYCF practice, poor hygiene and sanitation, and care of child illnesses. Improving like income and maternal exposure to nutrition and health information especially for the topics of growth and development, appropriated IYCF, hygiene, sanitation, and child illnesses are required for continuous improvement in a specific strategy that involves many factors.&nbsp;</p> Eka Rosiyati, Erlina A.D. Pratiwi, Ina Poristinawati, Erna Rahmawati, Resita Nurbayani, Sri Lestari, Putri Sari Wardani, Muhammad Ridho Nugroho ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-sa/4.0 http://jurnal.htp.ac.id/index.php/keskom/article/view/262 Sat, 02 Feb 2019 12:06:59 +0700 Elderly Visit Routines to Elderly Integrated Service Post in the Working Area of Payung Sekaki Community Health Center, Pekanbaru City 2017 http://jurnal.htp.ac.id/index.php/keskom/article/view/182 <p><strong><em>ABSTRACT</em></strong></p> <p><strong><em>&nbsp;</em></strong></p> <p><em>Posyandu elderly is integrated service kanggo general public wis agreed, sing dikendakan dening ngendi people they can get health services. In Indonesia based on Health Facilities Research (Rifaskes) in 2011 the national kanthi percentage of pus nenwsh health center posyandu elderly yaiku 78.8%. The number of posyandu elderly in the city of Pekanbaru yaiku 92 posyandu elder saka 20 puskesmas sing ana ing Pekanbaru city. The purpose of this research is to know the factors related to routine visit of elderly to posyandu elderly that is knowledge factor, attitude, family support, role of health worker, role of cadre, work, education and age. The type of research used is quantitative analytic observasional. The research design used was analytic cross sectional study. The population is all elderly in working area of health center of sekas kota Pekanbaru with sample of 210 people. The results showed that low knowledge had 4 times more risk to not regularly visit to posyandu elderly. The results showed that low knowledge had 4 times more risk to not regularly visit to posyandu elderly. The conclusion in this research is there is a causal relationship between knowledge with routine visit of elderly to posyandu elderly. It is recommended that the elderly improve the knowledge of posyandu elderly and the benefits of visiting elderly parachute services and suggested to Payung Sekaki Health Center Pekanbaru to provide counseling and socialization about posyandu elderly to elderly people</em><em>.</em></p> <p><em>&nbsp;</em></p> Lisna Pandiana, Sri Surya Ningsih ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-sa/4.0 http://jurnal.htp.ac.id/index.php/keskom/article/view/182 Sat, 02 Feb 2019 12:11:33 +0700 The Risk of Awkward Posture with the Incidence of Work-related Musculoskeletal Disorders (WMSDs) in Massage Therapist http://jurnal.htp.ac.id/index.php/keskom/article/view/256 <p>Many massage therapists experience work-related skeletal muscle disorders (WMSDs). This study aimed to determine the proportion of the incidence of WMSDs and the relationship with the incident of posture WMSDs in massage therapists. The type of research was quantitative analytic observational with cross sectional design. The type of massage under study was traditional massage. Population and sample were massage therapist in Pekanbaru City 2017 with sample size 77 people taken by consecutive sampling technique. Data collection and processing used interviews with quesonnaires, documentation and Rapid Upper Limb Assesment (RULA). Level of risk of WMSDs incident used semi-qualitave analysis and nordic body map. WMSDs incidence rate in massage therapist was high enough that was 61%. The results showed that the variables significantly correlated with incidence of WMSDs were odd posture (POR: 8,30, 95% CI: 2,401-8,753), length of work (POR: 10,109; 95% CI:2,567-39,811) and age (POR: 7,649 95% CI: 2,567-39,811). The most WMSDs complaints on both hands were 57 people (74%), left shoulder and right shoulder were 27 people (35.1%) and lower back were 19 (24,7%). It is advisable in massage therapists to avoid awkward posture while massaging clients by improving work posture, posion while massaging and placing the equipment used within the reach of the hand.&nbsp;</p> Muhammad Dodi, Erna Tresnaningsih, Mitra Mitra, M. Kamali Zaman, Retno Putri ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc-sa/4.0 http://jurnal.htp.ac.id/index.php/keskom/article/view/256 Sat, 02 Feb 2019 12:33:30 +0700