Media Penelitian dan Pengembangan Kesehatan <p><strong>ISSN Media Cetak : <a href="">0853-9987</a></strong> <br> <strong>ISSN Media Elektronik : <a href=";1368762356&amp;1&amp;&amp;">2338-3445</a></strong></p> <p>Media Penelitian dan Pengembangan Kesehatan (Media of Health Research and Development) is one of the journals published by the Agency for Health Research and Development ( National Institute of Health Research and Development ) , Ministry of Health of the Republic of Indonesia. This journal article is a form of research results , research reports and assessments / reviews related to the efforts of health in Indonesia .<br>Media Research and Development of Health published 4 times a year and has been accredited Indonesian Institute of Sciences ( LIPI ) by Decree No. 396/AU2/P2MI/04/2012 . This journal was first published in March 1991.</p> <p>Media of Health Research and Development currently has been registered on the sites: <a href="" target="_blank" rel="nofollow noopener">Indonesian Scientific Journal Database</a>; <a href=";mod=viewjournal&amp;journal=4883" target="_blank" rel="nofollow noopener">Indonesian Publication Index</a>; <a href=";id=0" rel="nofollow">Directory of Research Journals Indexing</a>; <a href="" rel="nofollow">getCITED;</a> <a href="{%22query%22%3A{%22filtered%22%3A{%22filter%22%3A{%22bool%22%3A{%22must%22%3A[{%22term%22%3A{%22_type%22%3A%22journal%22}}]}}%2C%22query%22%3A{%22query_string%22%3A{%22query%22%3A%22media%20penelitian%20dan%20pengembangan%20kesehatan%22%2C%22default_operator%22%3A%22AND%22}}}}%2C%22from%22%3A0%2C%22size%22%3A10}#.UrPuLeIpWkw" target="_blank" rel="nofollow noopener">Directory of Open Access Journals</a>; <a href=";btnG=&amp;hl=en&amp;as_sdt=0%2C5" rel="nofollow">Google Scholar</a>; <a href="" target="_blank" rel="nofollow noopener">Open Academic Journals Index</a>; <a href="" rel="nofollow">International Society of Universal Research in Sciences</a>; <a href=";type=all&amp;ling=1&amp;name=&amp;thes=&amp;refid=dcresen&amp;newsearch=1" rel="nofollow">Bielefeld Academic Search Engine</a> (BASE); <a href=";subAction=pub&amp;publisherID=2692&amp;journalID=28981&amp;pageb=1&amp;userQueryID=3766&amp;sort=&amp;local_page=1&amp;sorType=&amp;sorCol=1" rel="nofollow">JournalTOCs</a>; and <a href="" target="_blank" rel="nofollow noopener">Citefactor</a>. Media of Health Research and Development is being reviewed by <a href="" target="_blank" rel="nofollow noopener">Universal Impact Factor</a>.</p> <p>During 2014 Media Health Research and Development has published 28 research and review articles.</p> <p>See Google Scholar Profile for Media Health Research and Development by <a href="" target="_blank" rel="nofollow noopener">clicking here</a>.</p> <ul> <li class="show">Total Citations : 2320</li> <li class="show">h-index : 22</li> <li class="show">i10-index : 71</li> </ul> en-US (Sekretariat Media Litbangkes) (Sekretariat Media Litbangkes) Wed, 01 Jul 2020 05:45:39 SE Asia Daylight Time OJS 60 Analisis Survival Pasien Hemodialisis dengan Hipertensi di Lampung Tahun 2016-2018 <p><strong><em>Abstract</em></strong></p> <p><em>Chronic Kidney Disease (CKD) is now a serious health problem and millions die every year because they do not have access to treatment. One of the main risk factors for this catastrophic disease is hypertension. The purpose of this study was to determine survival rates in the hypertension and nonhypertension groups and to see the relationship between blood pressure, sex and age on the death status of CKD patients. The study used a retrospective cohort study design. The research data came from the medical records of patients in the hemodialysis room of Abdul Moeloek Hospital during 2016-2018, was 396 respondents. Data analysis used Kaplan Meier and Cox regression. The analysis showed the hypertensive groups were 320 (80.2 percent) and nonhipertensive groups were 76 (19.8 percent) with the proportion of hypertensive groups who died totaled 184 (57.5 percent) people. The average survival rate of the hypertension group was 33 months, whereas the nonhypertensive group was 44 months. The log rank test results show a p-value of 0.007 which indicates a lower survival rate between the hypertension and nonhypertension groups. The results of the multivariate cox regression test showed that the nonhypertensive group had a 1.6 times longer survival risk compared to the hypertensive group (p.value 0.006, 95 percent Confident Interval 1.2-2.3) after being controlled by sex. While the age variable was not significantly related to the death status of CKD patients (p.value 0.067). The conclusion is the average life span of CKD patients from the hypertension group is shorter than the nonhypertension group. The hypertension group had a shorter survival risk than the nonhypertensive group of CKD patients undergoing hemodialysis. In addition, female sex has a risk of survival longer after being controlled by blood pressure. Early detection of hypertension is highly recommended. This can be done by controlling blood pressure routines by utilizing the postbindu program at the health center. In addition, optimizing Germas (community movement healthy life) socialization was especially for young teenagers to be aware of the importance of health and to control routine blood pressure since the age of 15 years at risk.</em></p> <p><strong>Abstrak</strong></p> <p>Penyakit Ginjal Kronis (PGK) saat ini menjadi masalah kesehatan serius dan jutaan meninggal setiap tahun karena tidak mempunyai akses untuk pengobatan. Salah faktor risiko utama penyakit katastropik ini adalah hipertensi. Tujuan penelitian untuk diketahui angka ketahanan hidup pada kelompok hipertensi dan nonhipertensi serta melihat hubungan antara tekanan darah, jenis kelamin dan usia terhadap status kematian pasien PGK. Penelitian menggunakan desain studi kohort retrospektif. Data penelitian berasal dari rekam medis pasien di ruang hemodialisis RS Abdul Moeloek selama tahun 2016-2018 sebanyak 396 responden. Analisis data menggunakan <em>kaplan meier</em> dan <em>regresi cox</em>. Hasil analisis menunjukkan kelompok hipertensi sebanyak 320 (80.2 persen) dan nonhipertensi sebanyak 76 (19.8 persen) dengan proporsi kelompok hipertensi yang meninggal berjumlah 184 (57.5 persen) orang. Rata-rata ketahanan hidup kelompok hipertensi adalah 33 bulan, sedangkan pada kelompok nonhipertensi adalah 44 bulan. Hasil uji <em>log rank</em> menunjukkan nilai p-value sebesar 0.007 yang menunjukkan perbedaan <em>survival rate</em> lebih rendah antara kelompok hipertensi dan nonhipertensi. Hasil uji <em>regresi cox</em> multivariat menunjukkan kelompok nonhipertensi memiliki risiko ketahanan hidup 1.6 kali lebih lama dibandingkan dengan kelompok hipertensi (p.value 0.006, 95 persen Interval Kepercayaan 1.2-2.3) setelah dikontrol oleh jenis kelamin. Sedangkan variabel umur tidak berhubungan signifikan terhadap status kematian pasien PGK (p.value 0.067). Kesimpulan adalah rata-rata lama hidup pasien PGK dari kelompok hipertensi lebih pendek dibandingkan kelompok nonhipertensi. Kelompok hipertensi memiliki risiko ketahanan hidup lebih pendek dibandingkan kelompok nonhipertensi terhadap pasien PGK yang menjalani hemodialisis. Selain itu, jenis kelamin perempuan memiliki risiko ketahanan hidup lebih lama setelah dikontrol oleh tekanan darah. Deteksi dini hipertensi sangat dianjurkan. Hal ini dapat dilakukan dengan mengontrol rutin tekanan darah dengan memanfaatkan program posbindu yang ada di puskemas. Selain itu, optimalisasi sosialisasi Germas terutama untuk para remaja muda agar sadar tentang pentingnya kesehatan dan mengontrol tekanan darah rutin sejak usia berisiko 15 tahun.</p> Nurhalina Sari, Nova Muhani ##submission.copyrightStatement## Tue, 30 Jun 2020 00:00:00 SE Asia Daylight Time Hubungan Antara Motivasi Kerja, Kepuasan Kerja dan Karakteristik Tenaga Kesehatan ASN terhadap Retensi Bekerja di Puskesmas: Analisis Data Risnakes 2017 <p><strong><em>A</em></strong><strong><em>BSTRACT</em></strong></p> <p><em>There is still a gap in the need for health workers based on the ratio of Indonesia's population in 2019. One of the policy recommendations issued by WHO states that it is necessary to maximize the retention of health workers in rural areas, especially those that are underserved by health services. It is also in line with the 3c's SDG's goals of increasing health financing and recruitment, development, training and retention of health workers. Previous studies state that the health service system in rural and remote areas can be implemented well if the motivation and retention of health workers increase so that there is no longer a migration of health workers. Another study shows that increasing incentives and job satisfaction is an effort that can be done to overcome the problem of doctor retention in the area. This study aims to determine the relationship of work motivation, job satisfaction and characteristics of ASN health workers to work retention at the Puskesmas. This study is the result of further analysis of Health Workforce Research (Risnakes) data in 2017 with a sample of all health workers in Puskesmas with ASN status. Data were analyzed univariate, bivariate and multivariate to see what factors most influenced. Based on the results of the study there is a significant relationship between age, sex, level of education, marital status, length of work at the Puskesmas and access to the workplace, motivation and job satisfaction with the retention of the ASN health personnel to continue working at the Puskesmas (p &lt;0, 05). The results of multivariate analysis showed that easy access to the workplace was the dominant factor associated with work retention (OR = 1,928; 95% CI: 1,848-2,011). It is expected that local governments can provide easy access to the workplace for health workers who work at </em><em>Puskesmas</em><em>. The policy of building official housing for health workers can be a solution so that health workers feel at home </em><em>when </em><em>working in the regions.</em></p> <p><strong>ABSTRAK</strong></p> <p>Masih terdapat kesenjangan kebutuhan tenaga kesehatan berdasarkan rasio jumlah penduduk Indonesia di tahun 2019. Salah satu rekomendasi kebijakan yang dikeluarkan oleh WHO menyebutkan bahwa perlu memaksimalkan retensi tenaga kesehatan di daerah perdesaan terutama yang kurang terlayani dengan pelayanan kesehatan. Selain itu juga sejalan dengan sasaran 3c pada SDG’s yakni meningkatkan pembiayaan kesehatan dan rekrutmen, pengembangan, pelatihan dan retensi tenaga kesehatan. Studi terdahulu menyatakan bahwa sistem pelayanan kesehatan di perdesaan dan daerah terpencil dapat terlaksana dengan baik apabila motivasi dan retensi tenaga kesehatan meningkat sehingga tidak terjadi lagi migrasi tenaga kesehatan. Studi lain menunjukkan bahwa peningkatkan insentif dan kepuasan kerja merupakan upaya yang dapat dilakukan untuk mengatasi masalah retensi dokter di daerah. Penelitian ini bertujuan mengetahui hubungan motivasi kerja, kepuasan kerja dan karakteristik tenaga kesehatan ASN terhadap retensi kerja di Puskesmas. Studi ini merupakan hasil analisis lanjut dari data Riset Tenaga Kesehatan (Risnakes) tahun 2017 dengan sampel adalah seluruh tenaga kesehatan di Puskesmas yang berstatus ASN. Data dianalisis secara univariat, bivariat dan multivariat untuk melihat faktor apa yang paling berpengaruh. Berdasarkan hasil penelitian terdapat hubungan yang bermakna antara umur, jenis kelamin, tingkat pendidikan, status pernikahan, lama bekerja di Puskesmas dan akses menuju tempat kerja, motivasi dan kepuasan kerja dengan retensi atau kebetahan tenaga kesehatan ASN untuk terus bekerja di Puskesmas (p&lt;0,05). Hasil analisis multivariat menunjukkan bahwa mudahnya akses menuju tempat kerja merupakan faktor dominan yang berhubungan dengan retensi kerja (OR=1,928; 95%CI: 1,848-2,011). Diharapkan pemerintah daerah dapat memberikan kemudahan akses menuju tempat kerja bagi tenaga kesehatan yang bekerja di Puskesmas. Kebijakan pembangunan rumah dinas bagi tenaga kesehatan dapat menjadi satu solusi agar tenaga kesehatan betah bekerja di daerah.</p> Iin Nurlinawati, Lelly Andayasari, Syachroni Syachroni ##submission.copyrightStatement## Tue, 30 Jun 2020 00:00:00 SE Asia Daylight Time Pengembangan Parameter Penilaian Keamanan Pelayanan Kesehatan Tradisional Empiris <p></p> <p><strong><em>Abstract</em>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </strong></p> <p><em>In the context of protecting the community against the security of traditional empirical health services, more detailed safety assessment parameters have been developed for the traditional health aspects (Hattra), methods of care and facilities. Each safety assessment parameter is equipped with an operational definition and tested for validity and tested for reliability to provide objective safety assessment results and consistent assessment results.&nbsp;</em><em>The development of traditional empirical health service safety assessment parameters is carried out with a quantitative approach. Safety parameters refer to the Minister of Health Regulation (PMK) number 61 of 2016 concerning Traditional Empirical Health Services which includes aspects of Hattra, Methods of Care and Facilities. The number of parameter items in each aspect, namely 6, 27, and 16. The number of parameter items on the aspect of methods of care is divided into 11 items of methods of skills care and 16 items of methods of herbs care. Each parameter item is accompanied by an operational definition for uniformity of perception. Each parameter item is given a score based on a Likert scale (5 = strongly agree; 4 = agree; 3 = neutral; 2 = disagree; 1 = strongly disagree) for evaluating the validity and reliability of 36 people (the number to meet normality) health service experts traditional. Experts come from universities and the Traditional Health Association. Data analysis using SPSS program. Validity analysis using Product moment from Karl Pearson and reliability analysis using Cronbach alpha.&nbsp;</em><em>The results of the validity test showed that 2 of the 6 parameter items in the Hattra aspect are valid, 26 items out of the 27 parameter items in the aspect of the treatment method are valid, and all items of 16 parameters in the aspect of the tool are valid. Reliability test showed reliable results.&nbsp;</em><em>The development of traditional empirical health service safety assessment parameters produced reliable parameters and most of the parameters are valid. Invalid parameters are mostly adjusted by sentence without changing the meaning. </em></p> <p><strong>Abstrak</strong></p> <p>Dalam rangka perlindungan masyarakat terhadap keamanan pelayanan kesehatan tradisional empiris, dikembangkan parameter penilaian keamanan yang lebih terperinci terhadap aspek penyehat tradisional (Hattra), cara perawatan dan sarana. Setiap parameter penilaian keamanan dilengkapi dengan definisi operasional dan diuji validitas serta diuji reliabilitasnya untuk memberikan hasil penilaian keamanan yang obyektif dan hasil penilaian yang konsisten.&nbsp;Pengembangan parameter penilaian keamanan pelayanan kesehatan tradisional empiris dilakukan dengan pendekatan kuantitatif. Parameter keamanan mengacu pada Peraturan Menteri Kesehatan (PMK) nomor 61 Tahun 2016 tentang Pelayanan Kesehatan Tradisional Empiris yang mencakup aspek Hattra, Cara Perawatan dan Sarana. Jumlah item parameter pada masing masing aspek, yaitu berturut-turut 6, 27, dan 16. Jumlah item parameter pada aspek Cara Perawatan terbagi menjadi 11 item Cara Perawatan Keterampilan &nbsp;dan 16 item Cara Perawatan Ramuan. Setiap item parameter disertai&nbsp; dengan definisi operasional untuk keseragaman persepsi. Setiap item parameter diberikan skor berdasarkan skala Likert (5=sangat setuju; 4=setuju; 3=netral; 2=tidak setuju; 1=sangat tidak setuju) untuk evaluasi validitas dan reliabilitas terhadap 36 orang (jumlah untuk memenuhi normalitas) pakar pelayanan kesehatan tradisional. Pakar berasal dari perguruan tinggi dan Asosiasi Penyehat Tradisional. Analisis data menggunakan program SPSS. Analisis validitas menggunakan Product moment dari Karl Pearson dan analisis reliabilitas menggunakan Cronbach alpha.&nbsp;Hasil uji validitas menunjukkan bahwa 2 dari 6 item parameter pada aspek Hattra valid, 26 item dari 27 item parameter pada aspek cara perawatan valid, dan keseluruhan item dari 16 parameter pada aspek sarana valid. Hasil reliabilitas menunjukkan hasil yang reliabel.&nbsp;Pengembangan parameter penilaian keamanan pelayanan kesehatan tradisional empiris dihasilkan parameter reliabel dan sebagian besar parameter valid. Parameter yang tidak valid sebagian besar dilakukan penyesuaian kalimat tanpa mengubah makna.</p> Ondri Dwi Sampurno, Nurhayati Nurhayati, Delima Delima, Lucie Widowati, Hadi Siswoyo ##submission.copyrightStatement## Tue, 30 Jun 2020 16:06:59 SE Asia Daylight Time