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Asiandi Asiandi, Asiandi
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PELATIHAN SIAGA BENCANA (DISASTER PREPAREDNESS) UNTUK SISWA SMU MUHAMMADIYAH 1 PURWOKERTO

medisains Vol 8, No 2 (2010)
Publisher : medisains

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Background: Disasters are unexpected events occur and can not be controlled without help from outside, it cause required an understanding, awareness and skills on disaster preparedness. One kinds of realization is important to conduct training programs on disaster prepardness.Objective: The aim of the training is to increase understanding, awareness and skills of Muhammadiyah high school student of Purwokerto on disaster preparedness.Method: The method was lecture training and simulation handling emergencies include cardiopulmonary resuscitation(CPR), how to stop bleeding, bandage, splint and transportation. Activities held on December 12, 2009 and January 5, 2010with participants were 24 students from student council representative (OSIS), PMR and Pramuka. Each participant got aguideline book for handling emergency patients. Before and after training carried out pre-test and post-test and cardiac pulmonary resuscitation practice exams, to stop the bleeding, bandage, splint and transport of patients with emergencyconditions.Results: The participants have increased of average score from 62.5 (pre-test) to an average of 78.75 (post-test) and allparticipants passed the competency of practice.Conclusion: This training can improve understanding and skills on Muhammadiyah high school student of Purwokertorelated to the theory and practice ofdisaster preparedness.Keywords: Disaster preparedness, senior high school student.

LESSONS LEARN FROM JAPANESE HEALTH CARE SYSTEM

medisains Vol 4, No 2 (2006)
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Sistem kesehatan Jepang dapat dijadikan sebagai sebuah model bagi negara-negara berkembang. Sistem kesehatan Jepang menjamin pemberian pelayanan kesehatan dasar bagi seluruh warganya dengan harga yang terjangkau meskipun sebenarnya sistem kesehatan Jepang juga menghadapi beberapa tantangan berupa masalah finansial yang serius sebagai dampak dari rendahnya pertumbuhan pendapatan (revenue) dan kuatnya tekanan pada pembiayaan kesehatan lansia yang tumbuh dengan cepatnya. Sistem pembiayaan kesehatan Jepang dikendalikan melalui tiga mekanisme: jadwal pembayaran, co-payment, dan pengaturan dari sisi suplai melalui pembatasan jumlah mahasiswa kedokteran dan jumlah tempat tidur rumah sakit. Sistem kesehatan Jepang kurang dalam melakukan diferensiasi dan standarisasi dapat dibuktikan adanya harga yang sama bagi seluruh pelayanan kesehatan namun dengan kualitas yang sangat baik, dokter-dokter spesialis tidak berbeda statusnya dengan dokter-dokter umum, dan tidak adanya pemisahan antara peresepan (prescribing) dan peracikan (despensing) obat.Artikel ini dimaksudkan memberi suatu perspektif bagi sistem pelayanan kesehatan di Indonesia dengan belajar dari negaralain. Artikel ini mendeskripsikan tentang struktur sistem pelayanan kesehatan Jepang, situasi saat ini dan reformasi asuransi kesehatan Jepang, sistem pembayaran pelayanan kesehatan Jepang, dan belajar dari sistem pembayaran pelayanan kesehatan Jepang.

THE IMPACT OF THE LYING CHANGE IN PROTECTING THE RISK OF DEKUBITUS ON THE STOKE PATIENTS AT RSUD BANYUMAS

medisains Vol 11, No 2 (2012)
Publisher : medisains

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Background : One of the important aspects in the nursing service is keeping and defending the integrity of theclient’s skin in order to be always treated and intact. The intervention in the treatment of the client’s skin will beone of the indicators of the nursing service quality given. The damage of the skin integrity can be from the injurydue to the trauma and surgery, but it can be also because of the pressing cause on the client’s skin in a longtime which finally causes irritation and this will grow to be a pressed injury or pressure ulcers.Objektive : To prove the impact of the lying change in protecting pressure ulcers on the stroke patients atRSUD Banyumas.Methods : This research methods is quart experimental approach the pre-post test control group design.Results : The test results paried t test before and after every one hour once show the difference t (df) = -17.219(29), mean = -6.2, SD = 1.97 (p = 0.000), whereas the test results paried t test before and after every 2 hoursshowed a difference t (df) = -27.901 (29), mean = -7.4, SD = 1.45 (p = 0.000). Results of independent t test posttest over the rest every 1 and 2 hours showed differences paried test t test before and after every one hour onceshow the difference t (df) = -1.546 (58) (p = 0.128).Conclusion : From the research result, it can be interpreted that there is not a significant difference betweenthe effectiveness of the lying change for once an hour and the one for once two hours in decreasing the riskpressure ulcers on the stroke patients. The result of the effect size is meant that the impact of the lying changefor once an hour and the one for once two hours in decreasing the risk of pressure ulcers on the stroke patientsis a small effect.Key words : The lying change, Dekubitus