International Journal of Multidisciplinary Learners
Journal title : International Journal of Multidisciplinary Learners Abbreviation : IJML Frequency : 6 issues per years Editor in chief : apt. Sri Yolandari, S.Farm., M.Si Publisher : Politeknik Baubau International Journal of Multidisciplinary Learners (IJML) is a peer-reviewed journal in the field of health sciences and economics. This journal is designed as a forum for disseminating information and knowledge, which is published sixth a year in February, April, June, August, October, December. This journal has been established since it’s first issue published in October 2024 under the name International Journal of Multidisciplinary Learners (IJML) which is managed by the Pusat Penelitian dan Pengabdian Kepada Mayarakat (PPPM) Politeknik Baubau.
Overview Of Knowledge And Actions of "Politeknik Baubau" Students Against Menstrual Pain (Dysmenorrhea) And How To Deal With It
Adolescence is a transitional phase that begins from childhood to adulthood, with a biological age range of 10 to 19 years. One of the significant events experienced by adolescent girls is their first menstruation, which usually occurs between the ages of 10 and 16. Menstruation is characterized by the release of blood and body cells through the walls of a woman's uterus periodically. Many women experience discomfort or intense pain during menstruation, known as dysmenorrhea. Menstrual pain is experienced by more than 50% of women in various countries. In America, around 60% of women experience it, while in Sweden the figure reaches 72%. Dysmenorrhea is a common disorder experienced by women during menstruation, including pain, cramps, and back pain. This study aims to assess the level of knowledge and actions of Baubau Polytechnic female students regarding menstrual pain (dysmenorrhea). There are two treatment methods that can be used to overcome menstrual pain: first, treatment with pain relievers (analgesics) and second, non-medical therapy. The study was conducted in June 2024 involving 68 randomly selected respondents. This study uses a quantitative descriptive method, with data collection through questionnaires whose results are presented in tabular form. Based on data from the first questionnaire, the level of knowledge of Baubau Polytechnic students about dysmenorrhea is considered good, which is 85.44%. However, the actions taken by students in dealing with dysmenorrhea are considered inadequate, with a percentage of 56.74%.
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Utilization of Alum And Lemon Peel (Citrus Limon L.) as A Natural Ingredient For Making Deodorant Spray
Excessive sweating can cause problems for some people, such as unpleasant body odor. Spray deodorant is one way to treat body odor. Lemon peel is one of the herbal ingredients that can be used to make deodorant spray. Citric acid, which has antibacterial properties, is found in lemon peels. Ingredients such as potassium aluminum sulfate, which functions as an antiperspirant, can also be added. The purpose of this study was to determine the physical evaluation test of deodorant spray formulations with lemon peel extract (Citrus limon L.) in various concentrations and also to determine the formulations with different concentrations. This study is a type of qualitative research that uses experimental methods. The results of the study showed that deodorant preparations based on lemon peel extract (Citrus limon L.) from three concentrations carried out, namely 1%, 3% and 5%, showed that the three formulations were safe and good to use as deodorant sprays. The results of the physical evaluation test of the preparation include organoleptic test, homogeneity test, pH test, spray pattern test, dry time test and irritation test for the three formulations have met the criteria and requirements that have been set. This research makes an important contribution to the development of beauty products such as natural-based deodorants that are environmentally friendly and safe for the skin. With such positive results, lemon peel extract can be a potential natural ingredient option in the cosmetic and personal care industry.
Pharmaceutical Service Standards In Pharmacies In Baubau City
Pharmaceutical services in ensuring the quality of public health are very important. Pharmacy pharmacy services have been stipulated in the Decree of the Minister of Health of the Republic of Indonesia Number 73 of 2016 so that it is more organized towards the goal of quality pharmaceutical services. The purpose of this study is to find out the standards of pharmaceutical services carried out by several pharmacies in Baubau City. This type of research is descriptive with quantitative data collection. Quantitative data is numerical data or values derived from pharmaceutical service standards, data obtained by dividing questionnaires. The descriptive data analysis aims to describe how the implementation of pharmaceutical services in Baubau city pharmacies is determined based on the number of respondents and the percentage of each answer. Data collection was carried out using the Cross Sectionals Survey approach. Cross-sectional design is a type of research used to study the dynamics between risk factors and their effects by observing or collecting data at a certain point in time. This study allows researchers to evaluate the prevalence and relationship between the variables studied in a population at any given time. Many observation samples in this study are 19 pharmacies located in the Baubau City area. The results of the study were reviewed on several aspects including Human Resources (SDA), facilities and infrastructure, and the quality of pharmaceutical services. The results showed that 74% of pharmacies were in the Good category and 26% of pharmacies were in the Enough category.
Lip Cream Preparation Formulation From Red Dragon Fruit (Hylocereus Polyrhizus L.) As A Natural Coloring
Lip cream is the most commonly used type of lip makeup among women. A natural dye called anthocyanins is found in the red dragon fruit (Hylocereus polyrhizus).. Red dragon fruit has a striking red color that can be used as a safe and attractive natural coloring material for use in cosmetic products. This study aims to formulate red dragon fruit as a natural dye in lip cream preparations and test the evaluation of the preparation. This study is an experimental study that formulates red dragon fruit using 3 concentrations of red dragon fruit F1 (15%), F2 (20%) and F3 (25%) as natural dyes. The evaluation test methods for lip cream preparations are organoleptic test, homogeneity test, application power test and pH test. The results of the evaluation of the lip-cream organoleptic test with the concentration of red dragon fruit dye F1 (15%) were cream while the concentration of red dragon fruit F2 (20%) was light pink and the concentration of red dragon fruit F3 (25%) was dark pink. The homogeneity test of F1, F2 and F3 has an even color, no coarse grains. The applicability test on F1, F2 and F3 had a difference in color produced in the application of lip cream due to the difference in the concentration of red dragon fruit extract used. Finally, the pH test obtained FI (4.54), F2 (4.33) and F3 (4.03). The results of the evaluation test of preparations from F1, F2 and F3 that have a good formula are F3.
Making Lipscrub With Honey Moisturizing Active Ingredients And Natural Exfoliating Coffee Grounds For Dry Lip Treatment
Dry lips are a condition in which the lips lose their natural moisture, often caused by environmental factors such as dry weather or wind as well as certain habits such as licking their lips frequently or biting their lips. This condition is common and can affect anyone, both men and women, regardless of age. Lipscrub is a special care product designed to cleanse and care for the skin of the lips. Containing fine scrub granules, lip scrubs aim to remove dead skin cells from the surface of the lips, resulting in a softer, supple texture. This study aims to determine the results of the physical evaluation of lipscrub preparations from natural ingredients of honey and coffee grounds in treating dry lips. Using skin analysis instruments, an experimental method was used in this qualitative study to determine the amount of moisture present in honey on the lips. Lip scrubs with different concentrations of honey were formulated for this study, and their physical stability was assessed using homogeneity tests, dispersion assessments, pH measurements, and organoleptic testing. The use of honey on the lips was found to result in an increase in moisture levels by 20%, 18%, and 16%. After a physical examination, the product was found to have fine grains, a distinctive coffee aroma, and a black hue. No clumping was seen in the homogeneity test. A diameter of five was obtained from the diffusion test, and a stable pH of six was noted. The prepared lip scrub shows good and stable physical quality based on physical evaluation.
Formulation of Aromatherapy Oil Making From Red Lemongrass (Cymbopogon Nardus)
Essential oils from various plants, including red lemongrass, are the main ingredients in making aromatherapy oils. Aromatherapy is a treatment method that generally uses essential oil vapors from various plants that are inhaled to cure various diseases. Aromatherapy is usually used to improve the health of the body, mind, soul, mood, and cognitive areas as well as an additional treatment. This study aims to determine the formulation of making aromatherapy oil from red lemongrass (Cymbopogon nardus) and to determine the results of the evaluation of the physical properties of red lemongrass oil aromatherapy preparations (Cymbopogon nardus). This study is an experimental study with 4 formulations, namely F1, F2, F3 and F4. The results of the organoleptic evaluation showed that the oil was yellow and had a distinctive odor of methol, camphor and red lemongrass. The results of the pH evaluation showed that this aromatherapy oil preparation was good as seen from the values ​​obtained, namely 6.63-6.82 and was included in the category of good pH for the skin, namely 4.5-7.5. The results of the Viscosity evaluation showed that this aromatherapy oil preparation was good as seen from the values ​​obtained, namely 19.69 cp-54.72 cp. 20 panelists with organoleptic parameters of the preparation against color, odor, and skin sensation were asked to determine their level of preference for the product. The results showed that F3 (2%) had good physical properties and had a high level of preference among 20 panelists.
Post Natal Midwifery Care For Mrs. "N" With Post Partum Hemorrhage At The Sorawolio Health Center
Background: Blood loss of more than 500 milliliters after vaginal delivery or more than 1000 milliliters during cesarean delivery is known as postpartum hemorrhage. This condition is one of the main causes of maternal mortality worldwide. In Indonesia, the maternal mortality rate (MMR) is still high, primarily due to postpartum hemorrhage. Quick and accurate handling is crucial to reduce the risk of death. Objective: This research aims to implement postnatal care for Mrs. "N" who experienced postpartum hemorrhage at the Sorawolio Health Center, Baubau City. Research Sample/Object: The subject of the research is Mrs. "N", a patient who is experiencing postpartum bleeding. Method: This case study uses the 7-step Varney approach and SOAP. Results: The results of the case study indicate that there were no obstacles in managing postpartum hemorrhage in Mrs. "N". The entire management process went smoothly without complications, for both the mother and the baby. Vital signs are within normal limits, indicating good health. Conclusion: This study emphasizes the importance of implementing Varney's 7-step management and documentation in SOAP format to ensure effective and professional midwifery care. It is hoped that midwives can provide quality services without distinguishing the social status of patients..
Post Partum Midwifery Care For Mrs. “L” P1A0 Second Day With Breast Milk
Background :Damaged breast milk is a condition in which venous and lymphatic flow is obstructed, disrupting the circulation of the mother's milk, increasing pressure on the milk ducts and alveoli. This condition is generally caused by a buildup of milk that is not released, resulting in a blockage. Objective: midwifery care is to provide comprehensive pregnancy care for Mrs. "L" PIA0 with the problem of breast milk dams at the Bataraguru Community Health Center. The research method uses a case study approach by applying Varney's seven-step management protocol, with data collection from primary and secondary sources. Researchers carry out midwifery care based on Varney's management steps: basic data identification, actual problem/diagnosis identification, potential problem/diagnosis identification, immediate action/collaboration, action planning, implementation, and evaluation. The results of research on Mrs. “L” indicates a breast milk dam problem confirmed by history, physical examination, and temperature measurement of 38°C. Documentation of all findings and actions in the care process is essential for legal accountability and compliance. This study recommends increasing research time and improving the skills and competence of health workers, especially midwives, in providing more specialist health services. Conclusion already given as much as possible and in accordance with standard midwifery services/care plans and complications that may occur can be resolved.
Antenatal Midwifery Care In Mrs "N" with Hyperemesis Gravidarum
Background : Hyperemesis gravidarum is a condition where the mother experiences continuous nausea and vomiting every time she drinks or eats. As a result, the mother's body becomes very weak. This condition can endanger the condition of the mother and baby she is carrying. Objective : The aim of this case study is to provide antenatal midwifery care for hyperemesis gravidarum with a midwifery management approach. Subject : The subject of this research is Mrs. N who suffers from hyperemesis gravidarum. Method : The reporting method used is observational using a 7-step Managed approach Care from Varney and Soap. Results : The results of subjective and objective data indicate the diagnosis of HEG during pregnancy. The patient came to the Bungi Community Health Center on February 22 2024 at 11.00 WITA with complaints of continuous nausea and vomiting. This is the mother's sixth pregnancy, she has never had a miscarriage before, and currently she is 5 weeks and 2 days pregnant. The results of the mother's health examination were 42 kg and the mother recorded a weight loss of 3 kg. The mother also looks weak when seen from her pre-pregnancy weight, which reached 45 kg. Conclusion : After receiving prenatal midwifery care, mothers become aware of the danger signs of pregnancy and physiological phenomena in young pregnancies. Physical examination showed that the mother's condition was gradually recovering. Mothers definitely know that eating small portions frequently and drinking warm ginger tea can reduce nausea and vomiting. Mothers also know about proper nutrition during pregnancy.
The Effect Of PAD, DAU, DAK , And DBH On The Level Of Regional Financial Independence
The national strategy based on regional autonomy implements a policy of decentralization, which aims to develop regional economies in an orderly and sustainable manner. This can be clearly seen in the increasing growth of transfer funds from the central government sent to the regions each year. It is expected that the regions will achieve regional economy with the help of decentralization policy. The purpose of this study is to identify variables that affect regional financial independence through revenue sharing funds, general allocation funds, special allocation funds, and local own-source revenues both partially and simultaneously. The sampling method is census sampling. This research is quantitative, using secondary data. The data analysis technique used is multiple linear regression analysis, classical assumption test, and descriptive statistical test. The hypothesis was tested using the simultaneous f test and partial t test with the help of SPSS 29. The results showed that local own-source revenue had a significant positive effect on regional financial independence, while the General Allocation Fund, Special Allocation Fund, and Revenue Sharing Fund had a significant negative effect on the level of regional financial independence. in addition, Local Own-Source Revenue, General Allocation Fund, Special Allocation Fund, and Revenue Sharing Fund simultaneously have a significant effect on the level of regional financial independence.
Local Government Financial Performance and Its Affecting Factors
The purpose of this study was to determine the Financial Performance of the South Buton Regency Regional Government and the Factors that Influence It. This research was conducted at the Regional Finance and Asset Agency of South Buton Regency. The population in this study was the Regional Revenue and Expenditure Budget Realization Report (APBD). The sample used in this study was the Regional Revenue and Expenditure Budget Realization Report of South Buton Regency for 2016-2022. The type of research used in this study is a descriptive approach with a quantitative method using primary data and secondary data. The data collection techniques used in this study are documentation and interview techniques. The data technique uses ratio analysis and SPSS 29. The results of the study indicate that the percentage of Regional Financial Independence is in an instructive pattern with very low financial capability, while the Regional Government Financial Performance based on the Effectiveness Ratio is in the Effective criteria range, based on the Activity Ratio indicating that the South Buton Regency Regional Government prioritizes Operating Expenditures and Capital Expenditures, while the Growth Ratio shows that the Regional Original Income fluctuates from year to year. Balancing funds do not have an impact on the financial performance of the South Buton Regency Regional Government, Regional Expenditure does not have an impact on financial performance, Regional Taxes do not have an impact on financial performance.
Analysis Of Financial Ratio As An Indicator of Financial Performance
The financial performance of a company can be known and measured using Financial ratio analysis is one of the instruments to analyze financial statements in a company. This study aims to determine the financial performance of PT Pos Indonesia by analyzing the ratio of liquidity, solvency, activity, and profitability. To assess the financial performance of PT Pos Indonesia, the purpose of this study is to find out the condition and performance based on financial ratios. The data used is secondary data. The type of research used is a type of quantitative descriptive research that aims to find factual information about the objects used in this study, namely financial statements in the form of balance sheets and income statements of PT Pos Indonesia for the period 2021 to 2023. The data analysis method used is a quantitative data analysis method. The results of the research from the liquidity ratio of the quick ratio position are said to be good while the current ratio and cash ratio are said to be poor. The solvency ratio of the debt to asset ratio is said to be unhealthy or unstable and the debt to equity ratio is said to be good. When viewed from the ratio of activities, the effectiveness level of PT Pos Indonesia is in poor condition because it is decreasing every year. The profitability ratio of NPM and ROE is said to be good while ROA is not in good condition.
The Role of Bumdes Bisaea Ini Increasing Village Original Income and Community Welfare
National development and economic base development are interrelated and mutually supportive in creating a positive loop that strengthens economic growth and sustainability. National development is an effort to improve the overall welfare of society, while economic base development aims to strengthen the economic foundation of a country. This research uses a qualitative descriptive approach. With the aim of knowing the role of BUMDes Bisaea in increasing Village Original Income and community welfare. The types of data used are primary data in the form of questionnaires and secondary data in the form of financial reports and BUMDes report data. The results of this study show: 1) The role of BUMDes Bisaea in increasing Village Original Revenue (PADes) in Lasalimu Village shows that despite the potential and efforts of the community in maintaining and utilizing the results of business entities, BUMDes Bisaea has no role in PADes in Lasalimu Village during the period 2019 to 2023. 2) BUMDes Bisaea has the potential to contribute to the improvement of community welfare in Lasalimu Village, but the results show that the current program implementation has not improved community welfare in the aspects of security, health, education and economic capability
Economic Analysis, Effectiveness And Efficiency Of Budget Use In Infrastructure Projects
Regional government financial measurements are carried out by accommodating the results that have been achieved during a period with the previous period, namely what financial trends have occurred. Several ratios used to reduce regional government financial performance based on financial data available in the APBD include economic, effectiveness and efficiency ratios. This research aims to analyze and measure the economy, effectiveness and efficiency of budget use in infrastructure projects. The population in this research is budget realization reports. The sampling technique used in this research is the 2018-2022 Budget Realization Report. The research method is a quantitative descriptive type that uses primary data and secondary data. The data collection techniques used in this research are documentation and interview techniques. The data analysis technique uses ratio analysis. The results of the research show that the percentage of economic ratios in budget use is in the very economical category, while based on the effectiveness ratio in budget use it is in the quite effective criteria, and based on the efficiency ratio in budget use it is in the very efficient category.
Overview of The Implementation of The Daily Inpatient Census In The Batauga Health Center South Buton District
The daily census of inpatients helps establish minimal requirements for patient costs and indicators as well as a way to finish medical records in reporting. Given the significance of the inpatient census, medical records officers with strong knowledge and abilities are needed to support its management. Evaluation of the daily inpatient census's execution at the Batauga Community Health Center, South Buton Regency, was the study's main objective. The subject of this type of research is derived from observations, interviews, and documentation from officers who complete the daily inpatient census. The research employs a qualitative method with a descriptive approach, and the 5M elements are man (human), material (material), money (funds/budget), machines (machines), and methods (methods/procedures).The results of this research are that based on the human element, there are sufficient qualified officers with medical records education and have never received training in implementing the daily inpatient census, the material element is that they still use register books, the money element is that they do not have a budget or special funds for carrying out the daily census. inpatient care, the machine element, namely the unavailability of computers or other supporting equipment in carrying out the daily inpatient census, the method element, namely the lack of SOP for carrying out the daily inpatient census .
Analysis of Readiness for Implementing Electronic Medical Records Using the DOQ-IT Method
This study aims to evaluate the readiness of the Wajo Community Health Center to implement Electronic Medical Records (RME). The background of this reseaech is based on the importance of digital transformation in the health service system to improve the efficiency and quality of health service through digitizing medical records. The research method used is descriptive with a qualitatif approach. Data was collected through interviews, observation. The research resulths show that the readiness of the Wajo Community Health Center in implementing RME using the portable DOQ-IT method studies is the readiness aspect: human resources, organizational work culture, and infrastructure. The researh results show that the human resources at the wajo Even Community Health Center are in the”not ready” category. Work culture and organization in the “fairly prepared” category. Governance and ladership in the “ready” category. Infrastucture in the” fairly ready” category, this isdue to a lack of HR training, specific SOPs for RME have not been prepared, infrastructure support is not yet optimal. Apart from that, further socialization and education needs to be carried out regarding the importance of RME and technology. Based on these findings, it is recommended that the Wajo Community Health Center conduct an intensive and comprehensive training program for all staff, prepare and implement clear and detailed SOPs regarding the use of RME, and increase infrastructure support by adding computer eqiupment in important locations. With this step, it is hoped that the implementation of RME at the Wajo Community Health Center can more effectively improve the quality of health services. In conclusion, although the Wajo community health centers are not yet fully ready, they are on the right track towards full implementation of RME with some necessary improvements.
Analysis of Medical Records Personnel Needs Using the ABK KES Method
Burden Work type as much work as possible Possible must be resolved by a power Work health professional in One year there service health . Based on studies introduction at the Community Health Center Waborobo there are 4 officers consisting of 1 civil servant background behind D3 Nursing education, and 3 internships with background behind education 1 person D4 record medical, 1 person S1 public health and 1 D3 nursing person with total patient visits on in 2023 it will be 2,368. lack power record medical cause No orderly administration because Still obtained officer concurrently work others, like officer registration concurrently as officer screening And distribution as well as officer concurrently filing as officer registration. So that causes burden Work from officers more Lots . The aim of the research was to determine the need for medical records personnel at the Waborobo Community Health Center using the Health Workload Analysis (ABK Kes) method. This research applies a qualitative descriptive approach with a case study design. The object of the research is calculating the need for medical record personnel using the ABK Kes method. Data was collected through observation, interviews and documentation studies. The results of the research reveal that based on the calculations of the Kes crew, the available working time reaches 1,300 hours per year or 78,000 minutes per year in accordance with the lowest workload standard, namely distribution of 165,957, the standard of supporting tasks is 1.01 and the results of calculations according to the Kes crew's method show the need for manpower. medical records of 4 people. Waborobo Community Health Center already has 4 medical records officers, but there are several officers who do not meet the qualifications in accordance with applicable regulations.
Review of the Implementation of Release of Disease-Related Health Information on the Medical Resume of ER Patients
Healthcare providers are responsible for maintaining the security of health data contained in medical records from potential loss, damage, falsification, or unauthorized access given that medical information is confidential. Therefore, in the implementation of information release, it is necessary to have approval from the patient himself. This study aims to determine the implementation of the release of disease-related health information on the medical resume of emergency room patients at Baubau City Hospital, using qualitative research methods with a descriptive approach. The data collection technique uses observation and interview methods. The research subjects were 1 doctor, and 3 nurses who were on duty in the ER installation. The object of the study is the implementation of the release of disease-related medical information on the medical resume of the ER patient, data analysis using interactive analysis. The research at Baubau City Hospital confirms that there is an established Standard Operating Procedure (SOP) for the release of medical information, and it is being properly followed. However, a challenge arises when family members seek information about the patient’s condition, as details can only be shared with individuals authorized by the patient. To address this, the hospital informs families about the confidentiality of medical information and emphasizes that only authorized persons can receive it. The study concludes that while the SOP for information release is effectively implemented, managing unauthorized information requests remains a challenge.
Analysis of the Readiness for the Implementation of Electronic Medical Records at Faga Husada General Hospital
Faga Husada General Hospital plans to transition to electronic medical records (EMRs), requiring a preparation assessment. According to the Ministry of Health Regulation No.24 of 2022, all healthcare facilities must implement EMRs. The regulation mandates that every healthcare facility in Indonesia manage electronic medical records, with the transition process to be completed by December 31, 2023. This study aims to assess the hospital's readiness for implementing EMRs. The research conducted is descriptive quantitative with a cross-sectional approach, using the DOQ-IT (Doctor's Office Quality-Information Technology) tool. The sample size is 8 participants, and data were collected via a questionnaire. The analysis of readiness for EMR implementation using the DOQ-IT method assessed four variables: organizational culture preparedness, governance and leadership, human resources, and infrastructure. The results showed that organizational culture preparedness scored an average of 33, placing it in the "very prepared" category. Governance and leadership scored 33.12, human resources scored 32.8, and infrastructure scored 32.4, all also in the "very prepared" category. Overall, the hospital's readiness for EMR implementation is classified as very high, indicating that Faga Husada General Hospital is well-prepared for the transition
Efforts to Correct Misfile Incidents in the Filing Room Using the PDCA (Plan, Do, Check, and Action) Method at the Wajo Health Center
Wajo Community Health Center is one of the Community Health Centers in Baubau City which has inpatient care and is a community health center that reaches 120 patients per day. This research was motivated by the occurrence of misfiles in medical record files obtained in May 2024 with a total of 15 misfiles in medical record files with a total of 1620 patients seeking treatment at the Wajo Community Health Center. This research aims to improve misfile incidents in the film room using the PDCA (Plan, Do Check and Action) method. is a type of descriptive approach and data collection techniques using interview guidelines, observation and documentation studies. The results of this research are that we have made a design for numbering stickers on the medical record shelf baskets, then pasted them and made an expedition book design as a marker and proof of the existence of the outgoing medical record files. From the storage room, after planning was carried out, the resulting number of misfile incidents in medical record files was 15, so after repairs were made, misfile incidents began to decrease by 6 files. Conclusion: The researcher has carried out efforts to repair misfile incidents in the medical record room using the PDCA method at the Wajo Health Center. Suggestions for this research It is hoped that the community health center which is the research site will continue the improvements that have been implemented.
Factors Causing Inaccuracy in Disease Diagnosis Codes in Outpatient BPJS Patients Based on the ICD-10 Book
Coding of disease diagnosis is an important process in the health care system that aims to classify and record patient disease information accurately. The purpose of this study was to identify the implementation of disease diagnosis coding and the factors causing inaccuracy of disease diagnosis codes in outpatient BPJS patients at the Siompu Barat Health Center, this study used a descriptive quantitative approach method with a sample of 89 medical record files of outpatient BPJS patients. Data collection methods were interviews, observations, and documentation studies, data analysis using source triangulation techniques. The results of the study showed that the coding process was carried out by searching for disease diagnosis codes using a book containing a list of previously existing patient diagnosis codes, which were recorded by coding officers as a guide, and by searching for the diagnosis code using Google. The accuracy of the disease diagnosis code was 45 diagnosis codes that were in accordance with ICD-10, while 44 others were not in accordance with the ICD-10 book. Factors that influence code inaccuracy include human factors, namely lack of knowledge and training of coding officers, material factors, namely non-specific diagnosis writing and unavailability of ICD-10 books, money factors, namely no budget related to coding training and budget for procuring ICD-10 books. It is expected that the Siompu Barat Health Center will hold routine training for officers, ensure the availability of a budget related to training and a budget related to procuring ICD-10 books so that the accuracy of disease diagnosis codes can be achieved as expected.
Newborn Midwifery Care for Mrs. "E" Infant with Moderate Asphyxia at Bungi Health Center
Background: Neonatorum asphyxia is a condition in which the baby is unable to breathe spontaneously and regularly, leading to a decrease in oxygen levels (O2) and an increase in carbon dioxide (CO2), potentially resulting in a negative impact on later life. The purpose of this study is to manage moderate asphyxia, which is characterized by babies who cry strongly, do not have hypothermia, and have vital signs within normal limits at the Bungi Health Center, Baubau City. The subject of this study was a newborn, Mrs. "E", who had moderate asphyxia. The method used in this study is a case study approach with Varney's seven-step management and SOAP documentation. The results obtained showed that the subjective data in Mrs. "E" babies after treatment of asphyxia were showing improvement, characterized by strong crying babies and active body movements. Objective data showed that vital signs were within normal limits and the baby was already breastfed. The analysis carried out indicated improvement in Mrs. "E's" baby who had moderate asphyxia problems. The management carried out includes warming, position adjustment, mucus suction, drying, and tactile stimulation, followed by an assessment known as HAIKAP. In conclusion, after carrying out midwifery care, moderate asphyxia has been resolved through tactile stimulation, showing success in the treatment provided. This research was conducted on February 19, 2024. The advice for practice places is to maintain services in accordance with the Standard Operating Procedures (SOP), especially in obstetric services for newborns with moderate asphyxia
Midwifery Care for Driwth and Developmment of Toddlers With Stunting At Wolio Center
Background:Stunting is a state of malnutrition caused by low nutritional content in the body for a long period of time, namely the first 1,000 (thousand) days of life, namely from the fetus to a two-year-old baby, this is caused because the The content of the food consumed is notin accordance with nutritional needs. Objective:Able to provide midwifery care for growth and development in toddler "M" aged 2 years and 3 months with stunting at the Wolio Health Center. Methods: Case study with a descriptive approach using 7-step variation and SOAP intervention methods. Subject: What was taken in this case was on Toddler "M". Result: From this research, it was obtained in toddlers "M", that is, no problems were found when overcoming cases with stunting. When overcoming cases with stunting in toddlers "M", namely improving parenting in toddlers. In addition, foods that contain high levels of animal protein, encourage mothers to maintain the cleanliness of their toddlers and clean water sanitation. Conclusion: The toddler's condition was good, as proven by TTV within normal limits, and the results of the case study , obtained using varney's 7-step management and documentation in the form of SOAP from visits 1 to 3, were all normal and without complications.
Postpartum Midwifery Care On The Second Day Of Mrs. “W” With Breast Milk Dam At Wajo Health Center
Background: Breast milk engorgement is an event that occurs due to blockage in the flow of breast milk, veins, and lymph nodes which results in increased pressure on the ducts and alveoli. The purpose of compiling this Final Assignment Report is to carry out postpartum midwifery care on the second day of Mrs. "W" with breast milk engagement at the Wajo Health Center, Baubau City. The subjects in this study were postpartum mothers, namely Mrs. “W” postpartum on the second day with breast milk engorgement problems. The method used in this Final Assignment Report is a case study model, with documentation of Varmey's 7 steps and SOAP. Data collection was carried out using interview techniques, physical examinations and documentation studies. Results: Subjective data obtained on Mrs. “W” P1A0 postpartum on the second day was that the mother complained of feeling feverish and her breasts felt swollen since waking up in the morning. Objective data was obtained. The mother's general condition was good. Temperature 38°C, breasts look swollen. No mass was felt, felt was hard and dense, and there was tenderness. The management carried out in this case is to advise the mother to provide breast milk without a schedule or on demand, teach the mother the right way to breastfeed, and consume the medication given according to the dose. The conclusion of the care for Mrs. “W” has been given proper midwifery care so that the problem experienced, namely breast milk engagement, has been resolved.
Antenatal Care for Mrs. “L” G2P1A0 with Chronic Energy Deficiency at Bataraguru Health Center
Background: Chronic Energy Deficiency is a condition where protein and energy needs are not met for a long period of time. Chronic energy deficiency can be seen from measuring the upper arm circumference (LILA) which is less than 23.5 cm. Objective: to be able to implement antenatal midwifery care for Mrs "L" with the problem of KEK (chronic energy deficiency) in the working area of ​​Bataraguru Community Health Center in 2024. Subject: The research subject taken was Mrs "L" G2P1A0 with chronic energy deficiency (KEK) . Research Method: the research method uses a descriptive method with a case study approach through Varney's 7-step midwifery care management and documentation in the form of SOAP. Results: Management of cases of chronic energy deficiency provided is measuring height, weight, and weight as well as providing counseling regarding regular eating patterns, adequate rest and giving PMT in the form of biscuits to improve maternal nutrition to prevent complications in the mother and fetus. , as well as complications that occur during childbirth and the postpartum period. After the evaluation, N.y "L" understands and understands all the explanations that have been given regarding her situation and is willing to follow the directions given. The evaluation showed that there were changes where the client's excessive fatigue felt when doing housework had begun to stabilize, the client's appetite began to improve and there was an increase in body weight and weight, but not too significantly. Conclusion: based on a case study with the implementation of midwifery care management using Varney's 7 steps and SOAP, the midwifery problem in Mrs. "L" has been handled optimally in accordance with service standards and midwifery care plans, and complications that may occur have been successfully resolved.