Ibnu Sina Hospital Research Articles

THE EFFECT OF PUPPET SHOW ON HOSPITALIZATION IN PRESCHOOL CHILDREN (3-6 YEARS)

Introduction: One way to minimize the impact of hospitalization is storytelling with dolls or puppet shows , which is a type of game using puppet media through fantasy games for preschoolers (3-6 years old). The purpose of this study was to determine the effect of play therapy "puppet show" on the impact of hospitalization on preschool children (3-6 years) in the Orchid room of Ibnu Sina Hospital, Gresik Regency. Methods: This study uses a quasi experiment with one group pre test and post test design. The population of this research is parents who have preschool age children (3-6 years) who are hospitalized in the Orchid Room of Ibnu Sina Hospital, Gresik Regency. While the sampling using consecutive sampling technique obtained 22 parents. The independent variable studied was play therapy "puppet show". The dependent variable in this study was the impact of hospitalization on preschool children aged (3-6 years) who experienced hospitalization. Data collection is done by using a questionnaire then analyzed through the T-test statistical test. Results: The results of this study indicate that there is a significant difference between positive and negative impacts on pre-school age children during nursing actions before and after play therapy "puppet show" (p value = 0.005 smaller than = 0.05). Conclusions: Based on the results of the research obtained, the need for play should still be given to children undergoing hospital treatment to continue the child's growth and development, reduce stress and tension.

The Association between Modifiable Risk Factor with Inflammatory Marker in Knee Osteoarthritis Women

Background: IL-1β and TNF-α are vital inflammatory cytokines in the pathophysiological process of Osteoarthritis (OA). Several risk factors can increase the expression of these cytokines, such as BMI, physical activity, and menopausal status.
 
 Aims: This study aims to determine the relationship of modifiable factors with synovial fluid IL-1β and TNF-α levels in knee OA women.
 
 Methods: The cross-sectional study was conducted at the orthopedic poly hospital Arifin Achmad Riau Province and Ibnu Sina Hospital in Pekanbaru City. A total of 93 women with knee OA were taken as samples by consecutive sampling. Data were obtained directly from respondents by conducting interviews using a questionnaire, measuring weight and height, examining levels of IL-1β and TNF-α from the synovial fluid using the enzyme-linked immunosorbent assay (ELISA) method. The data were processed computerized using the Person correlation test, One Way Anova, and t-Test. The statistical analysis results were considered significant if the p-value was 0<05.
 
 Results: the average age of subjects was 60.67 + 9.99 years, 87.8% aged > 40 years, 84.9% had menopause, and at most had moderate physical activity degrees (51.6%). The mean BMI was 27.18+4.17, the average of IL-1β 424.73+188.01 pg/mL, and TNF-α 105,17+48.98 ng/L. There was a significant positive correlation with moderate strength between BMI and levels of IL-1β and TNF-α synovial fluid (p=0.037, r=0.217, and p=0.047, r=0.207).
 
 Conclusion: BMI is a risk factor for IL-1β and TNF-α levels in synovial fluid of knee joints in women with OA, but physical activity and menopausal status are not risk factors.

Supporting and Prohibiting Factors in Reflective Case Discussion (RCD)

Background: Reflective case discussion (RCD) is part of performance management development (PMD). RCD can be done in Hospital and Public Health Center. Nurses carried out RCD to discuss the Nursing issues and create a new Standard Operating Procedure (SOP) through reflective method. Objective: increase nurse professionalism and knowledge by holding discussions, sharing experiences so that mistakes in doing actions that have occurred do not happen again. All nurses must participate in RCD at least once a week. This activity was performed between half an hour and an hour. Method: Qualitative method with action research approach, involving 8 participants until the end in the operating room with three stages namely assessment, implementation and evaluation. Each stage is a reflective process, namely Plan, Action, Observe and Reflect stages. Results: This study found several themes regarding supporting factors, namely stakeholder support, and Nurse motivation, while inhibiting factors were lack of socialization and time and lack of evaluation and supervision. Conclusion: RCD did occur at Ibnu Sina Hospital because of lack of knowledge and socialization. Besides that, supervision and evaluation also did not work. The Head Nurse and Hospital management department must ensure that RCD activities are running and scheduled, because this activity is very important to improve the professionalism of nurses in their work as well as efforts to encourage the development of performance management.

Glycemic Control in Patients with Type 2 Diabetes Mellitus: Descriptive Survey in Makassar City Hospitals

Aims: This study aims to determine the frequency distribution based on the respondent's glycemic control in the hospitals in Makassar City Methdos: This research is a non-experimental quantitative research using descriptive method. This research was conducted in hospitals in Makassar City, South Sulawesi (RSUD Kota Makassar, Bhayangkara Hospital Makassar, Pelamonia Hospital Makassar, Labuang Baji Hospital, RSUD Haji Makassar, and Ibnu Sina Hospital Makassar). The total of samples in this study amounted to 291 patients with diabetes mellitus using purposive sampling. Results: Based on the results of the our study, it was found that there were 161 (55.3%) people with diabetes mellitus with less glycemic control and 130 (44.7%) people with diabetes mellitus with good glycemic control. Conclusions: In the management of diabetes management with monitoring blood sugar levels is very important. Thus, good glycemic control will be declined diabetes complications. Consequently, it is highly recommended for people with diabetes mellitus to reduce the complications of Type 2 DM by complying with glycemic control.

Studi Longitudinal Pada Analisis Data Gula Darah Pasien Diabetes melalui Principal Component Analysis

Multicollinearity is a relationship or correlation between predictor variables. Multicollinearity can also occur in longitudinal data, which is a combination of cross-section data and time-series data. The impact of multicollinearity causes the influence of the predictor variable on the response variable to be insignificant, the least-squares estimator, and the error to be sensitive to changes in the data. Therefore, the procedure to overcome multicollinearity uses the principal component analysis method. This study aims to model PCA longitudinal data regression with a fixed-effect model that is applied to blood sugar data of diabetic patients with a time span of January 2019 to July 2019 at Ibnu Sina Hospital Makassar City. The results of this study indicate that there are two main components formed from PCA longitudinal data regression modelling with a fixed-effect model. Obtained variable values are systolic blood pressure of -0.007, diastolic blood pressure of -0,016, the body temperature of -0.098, and platelets of 0.005 which affect blood sugar in patients with diabetes.

KARAKTERISTIK INDEKS MASSA TUBUH DAN JENIS KELAMIN PASIEN HIPERTENSI DI RS IBNU SINA MAKASSAR NOVEMBER 2018

Hypertension, commonly referred to as high blood pressure, is a global health problem in Indonesia because of its high prevalence, although it varies in different countries. In Indonesia, hypertension is found in 83 per 1000 household members. The majority of high blood pressure increases with the presence of risk factors such as; Age, lack of exercise / physical activity, genetic factors and family history, body weight/obesity, sodium intake, alcohol consumption, smoking, stress. This study is a descriptive design using an observational approach to describe the characteristics of the risk factors for the Body Mass Index (BMI) and the gender of hypertension patients at Ibnu Sina Hospital for November 2018. The sampling technique used the total sampling technique with a complete sample size of 26 people. The results showed that the gender characteristics of hypertension sufferers showed that the number of female patients (16 people) was more than that of male patients (10 people). And the attributes of BMI in patients with hypertension found that the number of patients with normal nutritional status (13 people) was the most compared to another nutritional status.

THE RELATIONSHIP OF FAMILY ROLES TO MEDICATION ADHERENCE IN SCHIZOPHRENIA PATIENTS

Introduction: Schizophrenia is a chronic mental illness with symptoms of hallucinations, delusions and inappropriate behavior. Patients require long-term treatment, but many do not adhere to treatment. The purpose of the study was to determine whether there was a relationship between family roles and adherence to medication for schizophrenic patients. Methods: The research design used correlation with a cross-sectional approach. The population of this study was 60 families with schizophrenia who visited the mental polyclinic of Ibnu Sina Hospital on 7-13 July 2019. The sampling technique used accidental sampling with a total sample of 52 respondents. Collecting data on family roles based on Friedman's theory and medication adherence using the Morisky Medication Adherence Scale. The research test used the Spearman rank test SPSS. Ethical Approval by Faculty of Nursing Universitas Airlangga number 1601-KEPK, July 17, 2019. Results: The results of this study showed that the role of the good family was 53.8% and the role of the less family was 46.2%. The medium level of adherence to taking medication was 42.3% and less level of adherence to taking medication was 32.7%. The results of the Spearman test are rho count 0.403 > rho table 0.271, which means that there is a significant relationship. Conclusion: The role of the family is related to medication adherence for schizophrenic patients.

ANALISIS FOOD WASTE PASIEN RAWAT INAP DI RUMAH SAKIT UMUM DAERAH IBNU SINA KABUPATEN GRESIK

Food waste is still a problem in several hospitals in Indonesia because it is quite high, namely >20%. This causes the patient's food intake to be inadequate, resulting in length of hospitalization and increased patient morbidity and mortality. The purpose of this study was to determine the food waste in RSUD Ibnu Sina Gresik and its causal factors. This research uses descriptive analysis method with cross sectional study. The research subjects were 28 inpatients who were taken using simple random sampling technique. Data processing uses a visual estimation method (visual comstock) with a 6-point scale. The results showed that the most food waste of inpatients at Ibnu Sina Hospital, Gresik Regency was breakfast time with the most contributors being vegetables (>52%). The causative factors include in terms of food quality including a taste that is too salty, too sweet, bland, and an unattractive appearance. So it can be concluded that food waste is still relatively high and it is necessary to modify recipes or menus to increase the patient's preference for food.

Recurrence Prediction Score of the Localy Advance Breast Cancer in West Sumatera Province, Indonesia

Introduction: Breast cancer is the most common malignancy that occurs in women in the world, which is about 18% of cancer cases that occur in women. Every year there are 1 million new cases of breast cancer worldwide and nearly 60,000 patients die from this disease. Therefore, the authors want to find out more about the prognosis factors that play a role in influencing the survival of patients with locally advanced breast cancer in Padang city, West Sumatera Province Indonesia.
 Methods: This study is a retrospective case-control study of locally advanced breast cancer for patients in Padang city. The study was conducted at the Surgical Oncology Division of Dr. M Djamil Padang Hospital, Ropana Suri Hospital, Ibnu Sina Hospital and Siti Rahmah Padang Hospital from September 2018 to December 2018. The total number of samples for the two groups was 242 people. The sampling technique used was convenience sampling.
 Results: In this study 4 prognostic factors were found that had a significant effect on predicting breast cancer recurrence, namely histopathological type, stage, regional lymph and lymphovascular invasion with p <0.05.
 Conclusion: Prognosis factors that influence breast cancer recurrence are histopathological type, stage, regional lymph node status and lymphovascular invasion. A scoring system is obtained that is good enough to predict the possibility of breast cancer recurrence.

Recurrence Prediction Score of the Localy Advance Breast Cancer in West Sumatera Province, Indonesia

Introduction: Breast cancer is the most common malignancy that occurs in women in the world, which is about 18% of cancer cases that occur in women. Every year there are 1 million new cases of breast cancer worldwide and nearly 60,000 patients die from this disease. Therefore, the authors want to find out more about the prognosis factors that play a role in influencing the survival of patients with locally advanced breast cancer in Padang city, West Sumatera Province Indonesia.
 Methods: This study is a retrospective case-control study of locally advanced breast cancer for patients in Padang city. The study was conducted at the Surgical Oncology Division of Dr. M Djamil Padang Hospital, Ropana Suri Hospital, Ibnu Sina Hospital and Siti Rahmah Padang Hospital from September 2018 to December 2018. The total number of samples for the two groups was 242 people. The sampling technique used was convenience sampling.
 Results: In this study 4 prognostic factors were found that had a significant effect on predicting breast cancer recurrence, namely histopathological type, stage, regional lymph and lymphovascular invasion with p <0.05.
 Conclusion: Prognosis factors that influence breast cancer recurrence are histopathological type, stage, regional lymph node status and lymphovascular invasion. A scoring system is obtained that is good enough to predict the possibility of breast cancer recurrence.

A Qualitative Study of the Implementation of Occupational Health and Safety Management Systems at Ibnu Sina Hospital, Makassar City, Indonesia

Background: Occupational health and safety management system is a concept of managing occupationalhealth and safety systematically and comprehensively in a complete management system. This study aimsto obtain information about the level of implementation of the Occupational Health and Safety ManagementSystem at Ibnu Sina Hospital, Makassar City.Method: This study uses descriptive qualitative method. The data obtained through in-depth interviewswere then analyzed using a deductive mindset.Results: Commitment and policies exist and have been issued in the decision of the Hospital Director.Planning is carried out by the planning subdivision which collects occupational health and safety data.Implementation is carried out by socialization/counselling on Occupational Health and Safety, training andinstallation of light fire extinguishers, use of personal protective equipment, installation of dangerous signson equipment that pose a danger. Measurement is assessed by staff compliance to work while performanceevaluation cannot be implemented. Monitoring has not been carried out on the Occupational Health andSafety Policy.Conclusion: The implementation of the Occupational Health and Safety program is still not beingimplemented. So it is suggested to hospital managers to further increase the efforts of the OccupationalHealth and Safety Management System.

Risk Factors, Clinical Stage, and CD4 Counts on HIV-Infected Patients in Pregnancy at Local Government Hospital

Perinatal period was the third-highest of HIV/AIDS transmission in Indonesia.The information related to the prevalence of cases and risk factors of HIV in pregnancy in each area was still restricted. This research aimed to determine the risk factors, clinical stage, and CD4 counts in pregnant women with HIV at local government hospital. This research was carried out from medical records in Ibnu Sina Hospital from January 2013 to June 2020 and it used total sampling. We analyzed the association of risk factors (age, entry points, sexual risk group, weight, tuberculosis screening) with clinical stage and CD4 counts in pregnant women. Tuberculosis screening, antiretroviral therapy, and CD4 counts have an association with a clinical-stage in pregnant women with HIV with an odds ratio (OR) was 14.6, 12.0, and 0.1, respectively. Besides, only tuberculosis screening has an association with CD4 counts (p

BODY IMAGE IN DIABETES MELITUS PATIENTS WITH ULCUS DIABETIC IN GRESIK

Introduction: Indonesia is ranked 4th in the world for the number of diabetics according to WHO, and most of diabetics experience complications, one of which is ulcer diabetikum. This can be a trigger for the emergence of body image disorders from diabetics, so researchers need to know the picture of ulcus sufferers' body image to later be mapped and make it easier in subsequent handling. The research objective is to describe the image of body image in patients with diabetes mellitus with ulcus complications. Physical changes in the body can affect body image and self-esteem Methods: Design of this study used a descriptive research design, the population in this study were all patients who have diabetes mellitus with ulcus diabeticum in Ibnu Sina Hospital Gresik regency with a sample of 20 respondents, samples were taken by using purposive sampling technique. Data collection using questionnaires with 15 multiple choices question. Furthermore, the data were analyzed with coding, scoring, tabulating presentatif, and described. Results: The results showed a total of 20 respondents obtained ii'om 5 respondents (25%) have a good body image, 7 respondents (35%) had a poor body image and 8 respondents (40%) who did not have a good body image. Conclusion: Based on the results of this study indicate that in patients with diabetes mellitus who are already experiencing complications of ulcus diabetic almost half of respondents do not have a good body image, and a small proportion of respondents have a good body image. This is due to several factors, namely the respondents admitted that the wounds on his legs is a sign of personal failure on him therefore to improve body image and the changing assessment of the physical condition and provide social support.

Nasopharyngeal colonization at birth and the development of early-onset neonatal sepsis

Background Neonatal sepsis is one of the major causes of morbidity and mortality in neonates. Exposure to maternal bacteria during pregnancy or delivery allows for colonization of the normal upper airway. Such bacteria become the major ecological species in the infant. If the colonizing bacteria invade the bloodstream, early-onset neonatal sepsis (EONS) could occur.
 Objective To evaluate for an association between colonization of the newborn nasopharynx and EONS, as well as for agreement between nasopharyngeal swab culture and blood culture isolate results.
 Methods This prospective cohort study was conducted in Dr. Wahidin Sudirohusodo General Hospital and Ibnu Sina Hospital, Makassar, South Sulawesi. Nasopharyngeal swab culture was taken within 2 hours of life from newborns who met the inclusion criteria, then they were followed up for signs of EONS. Blood culture was taken from subject with EONS.
 Results Of the 100 newborns, 69 (69%) had nasopharyngeal bacterial colonization, of whom 5.8% (4/69) experienced EONS. Of the remaining 31 (31%) without colonization, 9.7% (3/31) experienced EONS. There was no significant difference in frequency of EONS between newborns with and without nasopharyngeal colonization. Although Gram-negative bacteria were predominant among colonized newborns, there was no significant difference to numbers of Gram-positive bacteria as a causative agent of EONS. Only one patient with EONS had the same bacterial species in both the nasopharynx and blood culture isolate.
 Conclusion Newborn nasopharyngeal colonization at birth is not associated with EONS.

The differences of patient satisfaction level in public and private hospitals in Makassar, Indonesia

To know the difference in patient satisfaction level in the dental department of public hospitals and private hospital in Makassar. This study was conducted in December 2017-February 2018 in the dental department of Labuang Baji, which is a government hospital and Ibnu Sina Hospital, which is a private hospital. The samples were all patients who received dental treatment. Patient satisfaction was measured using a questionnaire (PSQ-18). Data were tested using Independent T-Test and ANOVA using SPSS version 24. There were significant differences in accessibility, comfort, and communication between the public and private hospitals (p<0.05); the average value of patient satisfaction was higher in private hospitals. Patients in private hospitals are more satisfied with the health services provided by health care providers, compared to patients in public hospitals.

EVALUASI POTENSI INTERAKSI OBAT ANTIBIOTIKA PADA PENYAKIT INFEKSI GASTROINTESTINAL PASIEN RAWAT INAP PERIODE JANUARI – JUNI 2016 DI RUMAH SAKIT IBNU SINA MAKASSAR

Infective gastrointestinal is gastrointestinal tract inflammation (GIT), which is caused by microorganisms. The symptoms include diarrhea, vomit, abdominal pain, and fever. This study aimed to determine the antibiotic drug interaction potential based on the interaction mechanisms of gastrointestinal infectious diseases of in patients in the period of January to June 2016 at IbnuSina Hospital Makassar and to determine the severity of antibiotic drug interaction using the website www.drugs.com on the gastrointestinal infectious diseases. This research is non experiments conducted by dekskriptif method retrospectively. The results showed that the drug interaction in the therapeutic use along with less potential antibiotics to interact. This was shown that pharmacokinetic interaction mechanism is 3.80% cases and pharmacodynamics interactions is 6.33% cases, while the pharmacokinetic interaction instead of antibiotics is 40.51% cases, and pharmacodynamics interactions is 7.60% cases. Based on the minor or moderate severity levels, the drug interactions between antibiotics and other drugs are 11.39% cases while the drugs which is not the antibiotics of drug interaction case is 32.91% cases.

ANALISIS PENERAPAN ENVIRONMENTAL MANAGEMENT ACCOUNTING (EMA) DALAM MENINGKATKAN EKO-EFISIENSI USAHA (Studi Kasus Pada Rumah Sakit Ibnu Sina YW-UMI Kota Makassar)

Current issues related to the environment to be one of the issues that got the attention of the public. Awareness of the community to participate in protecting the environment is increasing from time to time. It encourages businesses as part of the community itself, to participate in maintaining the environment in ways that minimize the risk of environmental damage as a result of the operational company's. In this case, the needed cost of the so-called environmental costs. Environmental costs necessary to achieve eco-efficiency efforts, one of which is the use of Environmental Management Accounting (EMA), by identifying environmental costs by classifying into the category of environmental quality to evaluate their environmental performance.&#x0D; This study uses the Ibnu Sina Hospital YW-UMI Makassar City engaged in health services as research objects. In this study the author uses descriptive qualitative method. The results showed that the Ibnu Sina Hospital YW-UMI Makassar City yet to implement Environmental Management Accounting (EMA), manage environmental costs, but this hospital has managed the impact of the environment.

The comparison of good corporate governance on human resources performance in regional general hospital of Labuang Baji and Ibnu Sina hospital Makassar, South Sulawesi

To analyze the comparison of the principles of hospital governance on the human resources performance at Regional General Hospital of Labuang Baji and Ibnu Sina. The type of research used was explanatory research. The population in this study were all employees in the general section of the Regional General Hospital of Labuang Baji and Ibnu Sina Hospital. The number of samples was 76 employees. The sampling technique used was exhaustive sampling. Transparency (t: 0.833; Sig: 0.412), Accountability (t: -0.680; Sig: 0.502), and Independence (t: -0.889; Sig: 0.376) did no significantly affect, but Responsibility (t: 2.676; Sig: 0.012) and Fairness (t: 2.412; Sig: 0.022) significantly affected the performance in the Regional General Hospital of Labuang Baji. Meanwhile, in Ibnu Sina Hospital, transparency (t: -0.539; Sig: 0.594), responsibility (t: 1.545; Sig: 0.131) and independency (t: -0.522; Sig: 0.605) did not significantly affect, but accountability (t: 1.919; Sig: 0.063) and Fairness (t: 1.755; Sig: 0.088) fairness affected but not significant on the performance. Responsibility and fairness were variable that affect the hospital governance on performance in the Regional General Hospital of Labuang Baji, while accountability and fairness affected but were not significant variables in Ibnu Sina Hospital.

Analysis of the implementation of medical record services in Ibnu Sina Islamic Hospital in 2019

Background: Medical records are important files or documents for each hospital institution. The process of organizing medical records begins when the patient is received at the hospital, followed by the recording of patient medical data by doctors or dentists or other health professionals who provide direct health services to patients. The objective of the study was to find out the implementation of inpatient medical record services at Home Ibnu Sina Hospital, Padang in 2019.Methods: Qualitative with a system approach of input, process, and output. Research informants was 5 people.Results: In making a decision and policy, not all parties were included, such as medical personnel, paramedics, and medical records officers, tools and materials that support the implementation of medical records, especially where the storage of active medical records is not yet available.Conclusions: The implementation of medical records at RSI Ibnu Sina Padang in 2019 has not been carried out thoroughly as seen from the input, process and output. For this reason, the addition of an active medical record repository, the existence of coordination, integration and synchronization in making decisions and policies so that medical personnel, paramedics and medical records officers are included.

The Recurrence Rate of Oral Benign Lesions which Treated with Dredging and Obturator

Successful healing, moreover, the recurrence rate of the benign oral lesion after treatment affected by multiple variables. One variable contribution is procedure treatment including secondary treatment after the principal procedure. There are some optional procedures consisting of simple and sophisticated or radical surgery. Several studies showed probability recurrence higher in simple than complex treatment. However, the complex or radical treatment caused severe complications such as deformity and asymmetry of the jaw. In this article, the author presented combination dredging and obturator as an alternative procedure and evaluated their outcome focus to a recurrence rate of oral benign lesions. This study aimed to determine the recurrence rate of oral benign lesions treated with dredging and obturator. This study is a descriptive observational with a retrospective approach. The sample was oral benign lesions patients who had dredging treatment at Ibnu Sina Hospital, Makassar. Twenty cases had dredging, 15 (75%) cases used obturator after dredging I, recurrence occurred in 2 (40%) of these cases, dredging II then was done, and no recurrence occurred afterward. There were 4 (15%) cases that did not use obturator after dredging I. Recurrence occurred in 4 cases, 3 cases then had dredging II and use obturator, no recurrence afterward, while one evidence that did not use obturator after dredging II showed recurrence. Then dredging III and obturator insertion was done in this case, follow up showed no recurrence. Dredging with an obturator can reduce the recurrence rate of oral benign lesions.