The prevalence of stress on medical students is very high, especially on first grade medical students. Theproblem to adapt to new environment is the most common cause of stress occuring on first grade medicalstudents. Stress can become negative effect to person. The aim of this study was to understand the stresslevels on first grade medical students of Faculty of Medicine, University of Riau. This study used descriptivedesign with cross-sectional approach. Samples in this study were 166, using total sampling technique. Datawas accumulated by using Medical Student Stressor Questionnaire (MSSQ) that had been modified forstress levels. The results showed that 57.23% had moderate stress levels with stressors related academicand stressors related teaching-learning relationship as the highest stressors.
Diabetes melitus merupakan penyakit yang memerlukan terapi jangka panjang dan dapat menimbulkan komplikasi di berbagai organ. Pengetahuan merupakan faktor penting untuk terbentuknya perilaku kesehatan yang baik termasuk dalam kepatuhan minum obat. Tujuan: Mendapatkan gambaran tentang korelasi antara pengetahuan dan kepatuhan minum obat pasien DM tipe 2 di Puskesmas Mandau Kabupaten Bengkalis. Metode: Studi observasional dengan desain crosssectional dilakukan pada pasien diabetes melitus (DM) Tipe 2 di Puskesmas Mandau. Responden penelitian adalah 40 orang pasien yang terpilih dan bersedia berpartisipasi. Tingkat pengetahuan dan kepatuhan minum obat diukur menggunakan Diabetes Knowledge Questionnaire (DKQ-24) dan Morisky Medication Adherence Scale (MMAS-8) yang sudah tervalidasi. Uji Spearman dilakukan untuk mengetahui hubungan antara pengetahuan pasien dan kepatuhan minumobat. Hasil: Pengetahuan pasien DM Tipe 2 75% berada pada tingkat sedang dan 50% berada pada tingkat kepatuhan yang tergolong tinggi. Uji spearman menunjukkan nilai p = 0,022 dengan nilai r = 0,360. Simpulan: Terdapat hubungan yang bermakna antara pengetahuan pasien DM Tipe 2 dengan kepatuhan minum obat dengan tingkat korelasi lemah.
AbstrakSalah satu indikator kualitas fasilitas kesehatan tingkat primer (FKTP) adalah rendahnya rujukan nonspesialistik. Rujukan nonspesialistik adalah rujukan dari 144 penyakit yang seharusnya dapat diatur di FKTP. Kenyataannya, masih banyak kasus nonspesialistik yang dirujuk ke fasilitas kesehatan sekunder. Penelitian deskriptif dengan metode campuran kuantitatif dan kualitatif ini bertujuan untuk mengetahui pola dan penyebab kasus penyakit nonspesialistik yang dirujuk ke fasilitas kesehatan tingkat sekunder di Kota Pekanbaru. Gambaran kasus penyakit nonspesialistik dikumpulkan dari data Badan Penyelenggara Jaminan Sosial Kesehatan Kota Pekanbaru periode Desember 2014 -April 2015, sedangkan faktor penyebab rujukan diperoleh dari focus group discussion yang diikuti oleh 40 dokter berdasarkan jenis FKTP. Penelitian ini menampilkan 20 kasus nonspesialistik yang paling sering dirujuk, di antaranya hipertensi esensial, miopia ringan, dan diabetes melitus. Penyebab rujukan kasus penyakit nonspesialistik antara lain kesalahan kode serta terbatasnya fasilitas, sumber daya manusia, manajemen pelayanan, dan kompetensi dokter. Semua faktor keterbatasan tersebut perlu diantisipasi agar upaya rujukan dapat diminimalkan. Kata kunci: Fasilitas kesehatan tingkat primer, fasilitas kesehatan tingkat sekunder, rujukan nonspesialistik Abstract One of primary healthcare facility quality indicators is the low non-specialistic referral. Non-specialistic referral is referral of 144 diseases that should be arranged in primary healthcare facilities. In fact, there are many non-specialist cases referred to secondary health care facilities. This descriptive study using quantitative and qualitative method aimed to determine patterns and causes of non-specialist diseases referred to secondary primary health care in Pekanbaru City. Depiction of non-specialistic disease cases was collected from data of the state health insurance scheme in Pekanbaru City on December 2014 -April 2015 period, meanwhile causes of referral were obtained from focus group discussion participated by 40 doctors based on types of primary healthcare facilities. This study showed 20 non-specialistic cases oftenly referred including essential hypertension, mild myopia and diabetes mellitus. Causes of non-specialistic disease referrals were code error as well as limited facilities, human resources, service management and competence of doctors. Such limitations need to be anticipated in order to minimalize act of referrals. Keywords: Primary healthcare facilities, secondary healthcare facilities, non-specialistic referral PendahuluanDokter praktik umum di fasilitas kesehatan tingkat pertama (FKTP) merupakan pintu gerbang pelayanan kesehatan yang dituntut kompetensinya untuk menapis dan mengatur penyakit nonspesialistik secara lengkap. Rujukan pada layanan primer merupakan isu yang penting karena tingginya angka rujukan sering dihubungkan dengan inefisiensi, buruknya layanan, dan kegagalan diagnosis. Tingginya angka rujukan juga berdampak langsung pada pembiayaan kesehatan....
Abstrak: The workers in clinical laboratories were suspected to always threatened a number of risks and potential accidents due to the interaction between the labor, equipment, materials and labor and environmental situation in it. In addition, the lack of understanding and awareness of companies/agencies and workers to anticipated and managed the potential risks in the laboratory in accordance with established standards. Research has been conducted in nine private clinical laboratories from February to December 2014 with 39 respondents of laboratory workers. This research was a quantitative study which using observational design. Data collection techniques in this research was using interviews, direct observation and questionnaires which distributed to the management of clinical laboratory and clinical laboratory workers. The quality of the clinical laboratory in Pekanbaru city of fair quality were three of eight laboratories. The results of clinical laboratory management signified the majority of fair quality that five of the eight laboratories in Pekanbaru city. The results of behavioral assessment of clinical laboratory workers were not well behaved. Measurement of behavior consists of knowledge attitude and practice of clinical laboratory workers. The measurement results of clinical laboratory workers were moderate categorized, nice attitudes, but the practice was not well categorized.
The purpose of community service was to increase community participation in the prevention and treatment of tuberculosis (TB) through training of health cadres and the establishment of village TB posts in the working area of Sentajo Raya health centre. The activity method in the form of TB cadre training, the establishment of a Village TB Post and monitoring evaluation. The results of this activity were 30 people who had received training and were appointed as TB cadres. All TB cadres get TB module books, cadre pocketbooks and certificates. TB cadres must be able to play a role in the prevention and treatment of TB in their respective villages. The establishment of the first village TB post in the working area of Sentajo Raya Health Center was Pulau Kopung Sentajo Village. In the monitoring and evaluation activities of Pulau Kopung village Sentajo, a village TB post was formed in the "Village Population Activity Corner". Discussions with cadres and village heads were conducted to find out the problems faced, and there were activity books for cadres, PMO cards, and Banner TB for village TB posts. This activity can be carried out well and has the full support of the government and the community. They hope that this current activity and collaboration can be continued.
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