AbstrakDi Sleman, masyarakat yang memanfaatkan fasilitas pelayanan kesehatan swasta (52%) lebih tinggi daripada yang memanfaatkan fasilitas kesehatan pemerintah (37,6%). Fenomena ini diduga berhubungan dengan kebijakan kesehatan. Penelitian ini bertujuan mengetahui pola pemanfaatan fasilitas pelayanan kesehatan pemerintah dan swasta oleh keluarga di Kabupaten Sleman serta berbagai faktor yang mempengaruhinya. Penelitian dengan rancangan studi cross sectional ini dilakukan di 13 kecamatan terpilih di Kabupaten Sleman. Teknik pengambilan sampel yang digunakan adalah cluster sampling dua tahap menghasilkan jumlah sampel penelitian 240 responden dari 30 cluster. Instrumen pengumpulan data yang digunakan adalah kuesioner yang sebelumnya telah disiapkan. Metoda uji chi-square digunakan untuk melihat hubungan antara pemanfaatan fasilitas pelayanan kesehatan pemerintah dan swasta dengan status ekonomi, persepsi akses ke fasilitas pelayanan kesehatan, persepsi kualitas pelayanan kesehatan, serta persepsi sehat sakit. Angka pemanfaatan fasilitas pelayanan kesehatan milik pemerintah dan swasta oleh masyarakat di Kabupaten Sleman ternyata sama tinggi yaitu lebih dari 90%. Pemanfaatan fasilitas pelayanan kesehatan pemerintah berhubungan bermakna dengan persepsi aspek waktu pelayanan kualitas pelayanan kesehatan (p value = 0,019). Fasilitas pelayanan kesehatan swasta berhubungan bermakna dengan persepsi aspek biaya kesehatan kualitas pelayanan kesehatan (p value = 0,005). Disimpulkan bahwa pemanfaatan fasilitas pelayanan kesehatan milik pemerintah maupun swasta oleh keluarga di Kabupaten Sleman dipengaruhi oleh persepsi kualitas pelayanan kesehatan.Kata kunci: Pemanfaatan, fasilitas pelayanan kesehatan, pemerintah, swasta. AbstractIn Sleman, the private health service facilities is utilized higher ( 52%) than those of public facilities ( 37,6%). This phenomenon is assumed to be brought about by health policy. This research is aimed at studying the pat- Pemanfaatan Fasilitas Pelayanan Kesehatan Pemerintah dan Swasta di Kabupaten Sleman Public and Private Health Service Facilities Utilization in Sleman RegencyAnita Sulistyorini, Purwanta tern of private and public health services facilities utilization in Sleman Regency and the factors influence it. A cross-sectional survey was carried out in 13 selected districts of Sleman Regency. Two steps cluster sampling was administered giving 30 clusters and 240 households as respondents. Chi-square test was used to identify association between private and public health services utilization and economical level; the perception of services facilities's accesibility; the perception of health services quality also the perception of family health and healthy illness perception. Both private and public health services facilities in Sleman Regency were equally utilized (>90)%. Utilization of public health services facilities has significant correlation with perception towards health services quality, especially services time (p valu e = 0,019). The private health services facilities has a sign...

Introduction: Parenting Self Efficacy (PSE) is the conviction of parents for their ability to manage and perform tasks related to parenting. Pain after caesarean childbirth can reduce the ability and lower confidence in caring for the babies. Counseling on postpartum mother is an effort to increase confidence in caring for the baby. This study was aimed  to test the effect of counseling given to mothers after caesarean section to increase PSE.Methods: The study used a quasi experimental with pre-test and post-test with control group. Number of research subjects were 66 divided into an experimental group and control group. Subject who pass the inclusion criteria, given the questionnaire and conducted pre-test with parenting selfefficacy scale (PSEs), given counseling and provide booklets in the experimental group, while the control group only given booklets. Measurements were made with instruments of parenting self-efficacy scale (PSEs). The statistical test used was paired t-test and independent sample t-test.Results: Increased PSE significant score after the intervention in the experimental group and the control group (6.19 ± 0.93 vs 7.54 ± 0.71, P = 0.001; 5.56 ± 0.85 vs 5.87 ± 0 , 68, P = 0.001). Changes in scores after the intervention were significantly higher in the experimental group than the control group (1.35 ± 0.58 vs 0.31 ± 0.26, p = 0.000).Conclusion: Counseling by using booklets effect on parenting self-efficacy in women after caesarean section.

AbstrakIsu yang berkembang terkait pengetahuan dan persepsi seorang calon tenaga kesehatan memengaruhi keberhasilan pelayanan kesehatan dalam menjawab tantangan di masyarakat nantinya. Shisha (rokok dari Timur Tengah) mulai marak di Yogyakarta. Tujuan penelitian ini untuk memperoleh gambaran tentang tingkat pengetahuan dan persepsi terhadap shisha pada mahasiswa reguler tahap akademik Fakultas Kedokteran Universitas Gadjah Mada. Penelitian ini merupakan penelitian deskriptif menggunakan rancangan potong lintang. Sampel penelitian adalah mahasiswa dari tiga program studi yang dilakukan pada bulan September -Oktober 2013. Jumlah responden sebanyak 72 mahasiswa ilmu keperawatan, 74 mahasiswa gizi dan kesehatan dan 258 mahasiswa pendidikan dokter. Pengumpulan data dilakukan dengan kuesioner. Analisis dilakukan dengan uji Mann-Whitney U dan uji-t. Hasil analisis statistik menunjukkan tingkat pengetahuan terhadap shisha pada mahasiswa dikategorikan kurang, sedangkan persepsi dikategorikan cukup. Hasil analisis uji beda menunjukkan tidak terdapat perbedaan tingkat pengetahuan dan persepsi terhadap shisha antar kelompok program studi (p=0,05). AbstractKnowledge and perception of medical student toward issue influence their health service to challenge in public. Shisha (cigarette from middle east) increasingly widespread in Yogyakarta. This study was aimed to assess the knowledge and perception of undergraduate students toward shisha at the Faculty of Medicine Gadjah Mada University. This study was descriptive and cross sectional study. It was undertaken in three study programs in September to October 2013. The respondents consisted of 72 of nursing students, 74 nutritionist student and 258 medicine students. The data were collected by questionnaires. Data was analysed by Mann-Whitney U-test and t-test. The result showed knowledge about shisha of the student was mostly rated as low, while perceptions toward shisha was rated as enough.The comparation analysis showed that there's no difference of knowledge and perception toward shisha between study program groups (p=0.05).

Mothers experience dealing an adolescent with premenstrual dysphoric disorder symptomsPurposeThe purpose of this study is to explore mothers experience dealing an adolescent with symptoms of the premenstrual dysphoric disorder (PMDD). MethodsThe research used quantitative and qualitative methods. In the quantitative method used with a cross-sectional design using the PMDD symptom questionnaire according to DSM-IV in adolescents, while in a qualitative method using in-depth interview technique on the mother of the adolescent. Data analysis on a quantitative method using descriptive analysis while on qualitative using method of data analysis Colaizi (1973). ResultsThis study showed that 23% or 52 of 226 adolescents had PMDD symptoms and found five themes: 1) the mother knew and felt the symptoms of PMDD experienced by the child, 2) The attitude and the limited time of mother and child affected the delivery of PMDD symptoms of the child to the mother, 3 ) Diversity of the mother's response when the child is facing symptoms of PMDD, 4) The handling that the mother gives to the child when the child has PMDD symptoms is sourced from the past, 5) Mother seeks information about the handling that can be done when experiencing PMDD symptoms. ConclusionMothers play an important role in helping adolescent deal with PMDD symptoms. mothers can provide support, be it instrumental support, assessment, emotional and informational. Mothers should have adequate knowledge of PMDD symptoms so that the support provided can be maximized.

MEKANISME KERJA MESIN SHREDDER DAN ANALISIS KEGAGALAN PADA OPERASI PROSES PENGOLAHAN LIMBAH RADIOAKTIF PADAT MATERIAL TERKONTAMINASI. Mesin Shredder adalah mesin pencacah atau penghancur, dalam penerapannya di Pusat Teknologi Limbah Radioaktif (PTLR) mesin shredder digunakan untuk mencacah limbah radioaktif padat material terkontaminasi yang memiliki dimensi besar. Limbah radioaktif padat seperti jerigen, drum High-density polyethylene (HDPE), drum korosi dan lainnya. Tujuan akhir dari kegiatan ini adalah untuk memberikan informasi terkait alat shredder dan mengetahui hubungan antara mekanisme kerja proses pengoperasi mesin shredder, serta analisis kegagalan dalam proses pengolahan limbah radioaktif padat material terkontaminasi. Metode yang digunakan meliputi pengoperasi alat, pengamatan dan analisis kegagalan operasi alat. Hasil kegiatan diperoleh bahwa kapasitas produksi operasi mesin shredder sebesar 288 kg/jam untuk material Drum HDPE. Untuk menjaga agar operasi mesin dapat berjalan dengan baik diperlukan perawatan secara berkala. Analisis kegagalan dalam proses operasi alat shredder dipengaruhi oleh : operator, sistem operasi mesin, metode operasi, dan material bahan yang diolah.

ABSTRAKPendahuluan: Parenting Self Efficacy (PSE) merupakan keyakinan orang tua terhadap kemampuannya dalam mengatur dan melakukan tugas yang berhubungan dengan mengasuh anak. Rasa sakit setelah persalinan SC dapat mengurangi kemampuan dan menurunkan keyakinan ibu dalam merawat bayi. Konseling pada ibu postpartum merupakan upaya meningkatkan keyakinan diri dalam mengasuh bayi. Tujuan: menguji pengaruh konseling yang diberikan pada ibu postpartum dengan SC terhadap peningkatan PSE. Metode: Penelitian menggunakan quasi eksperimen dengan pre-test and post-test with control group. Jumlah subjek penelitian sebanyak 66 subjek terbagi menjadi kelompok eksperimen 33 dan kontrol 33. Subjek yang sesuai kriteria inklusi, diberikan kuesioner dan dilakukan pre-test dengan parenting self efficacy scale (PSES), melakukan konseling dan memberi booklet pada kelompok eksperimen dan memberi booklet saja pada kelompok kontrol. Pengukuran dilakukan dengan instrumen parenting self efficacy scale (PSES). Uji statistik yang digunakan adalah paired t-test dan independent sample t-test. Hasil: Peningkatan skor PSE yang bermakna setelah dilakukan intervensi pada kelompok eksperimen dan kelompok kontrol (6,19±0,93 Vs 7,54±0,71, P=0,001; 5,56±0,85 Vs 5,87±0,68, P=0,001). Perubahan skor setelah intervensi secara bermakna lebih tinggi pada kelompok eksperimen dibanding kelompok kontrol (1,35±0,58 Vs 0,31±0,26, p= 0,000) . Kesimpulan: Konseling dengan menggunakan booklet berpengaruh terhadap parenting self efficacy pada ibu postpartum dengan SC. (6.19 ± 0.93 vs 7.54 ± 0.71, P = 0.001; 5.56 ± 0.85 vs 5.87 ± 0 , 68, P = 0.001). Changes in scores after the intervention were significantly higher in the experimental group than the control group (1.35 ± 0.58 vs 0.31 ± 0.26, p = 0.000). Discussion: Counseling by using booklets effect on parenting self-efficacy in women after caesarean section.

Background: Immunization injection procedure can cause pain in infants, so that non-pharmacological techniques approach is required to overcome it. Distraction techniques are used to reduce pain in infants including oral glucose administration and the distraction of music. How oral glucose effects in reducing pain in infants when compared with the distraction of music is not known. The research objective is to analyse and compare the effect of oral glucose intervention, gamelan music, and combined of oral glucose and gamelan music to the infant's pain response in immunization. Methods: This study is a randomized controlled trial with only posttest design. Respondents were divided into four groups: the oral glucose group, the gamelan group, the combined group of gamelan and oral glucose, and the control group. The study was conducted at the Baki public health center, Sukoharjo, Central Java, Indonesia, from July to August 2014. The total number of respondents was 135 infants aged 2-6 months who do pentavalent immunization by intramuscular injection. Assessment scores pain response was conducted by two single-blinded independent assessors. They were using instruments FLACC (face, legs, activity, cry and consolability) at four times. They were when rubbing the skin, in the injection, three minutes after injection and five minutes after injection. Data were analyzed using Kruskal Wallis and Mann Whitney post hoc. Results: The glucose group had a significant average rank score that is lower in pain response when compared to the control group at the time of injection (p = 0.029 <0.05), at three minutes after injection (p = 0.000 <0.05), and five minutes after injection (p = 0.000 <0.05). The gamelan group had a significant average rank score that is lower in pain response when compared to the control group at three minutes after injection (p = 0.023 <0.05), and five minutes after injection (p = 0.006 <0.05). The combined group of gamelan and glucose had a significant average rank score that is lower in pain response when compared to the control group at five minutes after injection (p = 0.043 <0.05). The glucose group had a significant average rank that is lower in pain response scores compared to the gamelan group at the time of injection (p = 0.045 <0.05). The glucose group had a significant average rank score that is lower in pain response when compared to the combined group of gamelan and glucose at three minutes after injection (p = 0.012 <0.05). Conclusions: Intervention glucose orally 2 ml affected the ranking of the average scores of the fastest pain response in infants who conducted immunization intramuscular injection, further distraction gamelan and the combination group of gamelan and oral glucose.

Penyakit TBC merupakan penyebab pertama pada kelompok penyakit infeksi dalam waktu satu tahun satu orang penderita dapat menularkan kepada 10-15 orang sekelilingnya.Peran keluarga sangat penting dalam pengobatan penderita TBC,selain memberikan dukungan dalam pengobatan, keluarga juga berperan dalam menciptakan rumah yang sehat, sehingga penularan TBC dapat dicegah. Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara tugas kesehatan keluarga dalam modifikasi lingkungan rumah dengan kejadian penularan TBC di Puskesmas Kota Jogja. Penelitian ini merupakan jenis penelitian analitik korelasional dan menggunakan metode kuantitatif dengan rancangan penelitian cross sectional. Menggunakan teknik purposive sampling, responden didapatkan sebanyak 27 orang dari 6 Puskesmas di Kota Jogja. Data diambil Juli sampai Agustus 2015. Analisis data menggunakan metode Fisher Exact. Dari total 27 responden terjadi penularan serumah sebanyak 4 orang atau sebesar 14,8% sedangkan dari 23 (85,2%) penderita TBC tidak terjadi penularan. Hasil uji Fisher Exact pada setiap aspek kesehatan rumah  menunjukkan nilai p > 0,05. Tidak terdapat hubungan antara pelaksanaan tugas kesehatan keluarga dalam modifikasi lingkungan rumah dengan kejadian penularan tuberkulosis di Puskesmas Kota Jogja.Kata kunci: tugas kesehatan keluarga; modifikasi lingkungan rumah; tuberkulosis