Kertosono Regional General Hospital has a high risk exposure and is the biggest hospital in Kertosono area, Nganjuk regency, so to prevent accidents and occupational diseases, it is necessary to manage K3 management through the implementation of the implementation of Occupational Safety and Health Management System (SMK3RS). This study aims to get a picture of the implementation or implementation of Occupational Safety and Health Management System (SMK3RS) implemented in RSUD Kertosono. The research design used was qualitative research with thematic analysis and by using observation method, in-depth interview, and documentation. Sampling technique used is purposive sampling with informant as many as ten people are structural hospital officials who have worked in RSUD Kertosono minimum five years and above. This research resulted that K3 Management System in RSUD Kertosono not yet the establishment of K3 Committee because not yet have K3 general expert, in terms of policy and commitment of K3 even though only in the form of oral speech, process of implementation of SMK3RS which have been run although not maximal, support factor and factor which inhibits, efforts are made to reduce barriers in the implementation process of SMK3RS, the impact of SMK3RS implementation, and the desired expectation in the implementation of SMK3RS in RSUD Kertosono. This study concludes that basically OSH program has been run well according to legislation, although K3 still not become work culture which will create the creation of Zero accident in work environment specially in hospital.
Pendahuluan: Lansia mengalami penurunan fungsi neurologis, sensoris dan muskuloskeletal berakibat menurunnya keseimbangan sehingga meningkatkan risiko jatuh. Untuk mengatasinya, perlu dilakukan latihan keseimbangan seperti latihan tandem walking. Studi ini bertujuan untuk menganalisis adanya penurunan risiko jatuh setelah diberikan latian tandem walking pada responden lansia. Metode: Penelitian eksperimental pre-test.and.post-test with control group designs. Melibatkan 26 responden didistribusikan kedalam kelompok perlakuan.dan.kelompok kontrol sama besar masing-masing 13 responden. Kelompok perlakuan diberikan latihan tandem walking 2 set per pekan selama 2 pekan, pada kelompok kontrol tidak ada intervensi khusus melainkan hanya mengikuti kegiatan rutin lansia di ruang rawat inap. Instrumen yang digunakan yakni TimexUp and Go (TuG) dan Morse Fall Score (MFS). Uji statistik menggunakan paired t-test dan independent t-test dengan tingkat signifikansi ?=0,05. Hasil: Berdasarkan hasil penelitian diketahui bahwa paired sample t-test (TuG) kelompok perlakuan p=0,000 (p<0,05) dengan selisih nilai rerata pretest-posttest 10,230, kelompok kontrol sebesar 2,384. Paired sample t-test (MFS) pada kelompok.perlakuan p=0,000 (p<0,05) dengan selisih nilai rerata pretest-posttest sebesar 31,923, kelompok kontrol sebesar 11,153. Independent.sample.t-test pada post-test (TuG) antara kelompok perlakuan dengan kontrol p=0,000 (p<0,05) dengan selisih rerata sebesar 8,307. Independent.sample T-test pada post.test (MFS) antara kelompok perlakuan dengan kontrol p=0,000 (p<0,05) dengan selisih rerata sebesar 31,153. Simpulan: Latihan tandem walking efektiflmeningkatkanlkeseimbanganldanlmenurunkanlrisikoljatuhlpadallansia. Kata Kunci: lansia, latihan tandem walking, risiko jatuh
Proses menua bukanlah penyakit melainkan proses degeneratif alami/fisiologis, ketidakseimbangan merupakan salah satu dampak yang ditimbulkan oleh kemunduran sistem fisiologis dan morfologis pada lanjut usia. Tujuan pada pengabdian masyarakat ini adalah untuk mengetahui faktor yang menyebabkan terjadinya resiko jatuh pada lansia, sehingga dapat ditentukan latihan yang tepat untuk mencegah resiko jatuh pada lansia di Yayasan Sigi Pelita Hati Kabupaten Sigi. Menggunakan metode analisis SWOT dalam hal ini didasarkan pada logika yang memungkinkan kita untuk memaksimalkan kekuatan dan peluang dengan meminimalkan kelemahan dan ancaman. Kedua menggunakan metode USG. Yang ketiga adalah metode Fishbone, meningkatnya angka resiko jatuh pada lansia merupakan salah satu indikator kesehatan dari lansia, terjadinya penurunan berbagai fungsi mukulosketal merupakan salah satu faktor pencetusnya, terjadinya gangguan keseimbangan yang dialami oleh lansia merupakan manifestasi dari tingkat kemandirian dan resiko jatuh terhadap lansia, sehingga dibutuhkan satu tools yang dapat mengukut angka resiko jatuh pada lansia seperti TUG.
Introduction: Living in the prison can causing anxiety to the prisoner. The major factor of anxiety is feeling worry their society won’t accept them again a lot of people stay away from ex-prisoner. logotherapy paradoxical intention session 1 can effect anxiety prisoner in LAPAS Kediri. The purpose of this study is to determine the effect of paradoxical intention session 1 on the anxiety in LAPAS Kediri.Methods: The design of this study was pre-experimental with a one-group pretest posttest design approach. The population studied were detainees who were in LAPAS Kediri, totalling 109 people, with a random sampling technique obtained by a sample of 78 people. The independent variable paradoxical intention logotherapy session 1 with dependent variable anxiety. Collected data using questionnaire. Data analysis using the Wilcoxon test at α = 0.05.Results: The results of the study before logotherapy showed that the majority of respondents in a panic situation were 33 respondents (42.3%) and after logotherapy showed that the fraction in severe anxiety were 18 respondents (23.1%). The results of the analysis, p-value (0.000) < (0.05), it means there is an effect of paradoxical intention session 1 on the anxiety of prisoner in LAPAS Kediri.Conclusion: Anxiety was not significant caused of age, education, length of detention, and logotherapi given as session 1, lenght of administration, and provider of logotherapy.
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