Hasil Pencarian  ::  Simpan CSV :: Kembali

"[ABSTRAKAngka kecelakaan kerja di Indonesia masih menempati urutan tertinggi untuk wilayah Asia Tenggara. Berdasarkan data kasus kecelakaan yang ditangani di IGD Rumah sakit Dr.Cipto Mangunkusmo pada bulan Juli sampai September 2012 terdapat 12,6 % kasus kecelakaan kerja. Penelitian bertujuan untuk mengetahui faktor risiko kecacatan antomi pada kecelakaan kerja yang ditangani di RSUPN dr.Cipto mangunkusumo. Desain penelitian ini adalah potong lintang komparatif dengan sampel penelitian pasien kecelakaan kerja yang ditangani di IGD RSUPN Dr.Cipto Mangunkusumo. Sebanyak 173 sampel dari rekam medis yang memenuhi kriteria. Didapatkan 57,2% pasien kecelakaam kerja mengalami kecacatan anatomi. faktor risiko usia, jenis kelamin, pendidikan, status pernikahan, jenis kecelakaan, kecepatan transportasi tidak memiliki hubungan bermakna secara statistik. Faktor determinan kecacatan anatomi pada kecelakaan kerja adalah tidak mendapat tindakan P3K segera (p= 0,04; RRsuaian = 1,57; CI 95% : 1,01 - 2,44) setelah dilakukan adjusment terhadap jenis kelamin, pekerjaan dan status pernikahan.

---

ABSTRACTOccupational accident in indonesia is highest in Southeast Asia. Based on data that were menage in RSUPN Dr.Cipto Mangunkusomo there is 12,6% occupational accidents. This study aims to determine risk factors of anatomical impairment in occupational accident cases that were managed in RSUPN Dr.Cipto Mangunkusomo. The study design is a cross-sectional comparative which includes patients who underwent medical care in the emergency room RSUPN Dr.Cipto Mangunkusomo due to occupational accidents. A total of 173 samples of medical records meet the criteria. This study found 57.2% of occupational accident have anatomical impairment. Risk factors of age, gender, educational level, marital status, types of accident and speed of transport used at the time of incidence apparently does not have a statistically significant relationship. Determinant factors for anatomical impairment in occupational accidents are first aid performed (p = 0.04; adjusted RR = 1.57; 95% CI: 1.01-2.44) after adjustment for gender, occupation dan marital status.;Occupational accident in indonesia is highest in Southeast Asia. Based on data that were menage in RSUPN Dr.Cipto Mangunkusomo there is 12,6% occupational accidents. This study aims to determine risk factors of anatomical impairment in occupational accident cases that were managed in RSUPN Dr.Cipto Mangunkusomo. The study design is a cross-sectional comparative which includes patients who underwent medical care in the emergency room RSUPN Dr.Cipto Mangunkusomo due to occupational accidents. A total of 173 samples of medical records meet the criteria. This study found 57.2% of occupational accident have anatomical impairment. Risk factors of age, gender, educational level, marital status, types of accident and speed of transport used at the time of incidence apparently does not have a statistically significant relationship. Determinant factors for anatomical impairment in occupational accidents are first aid performed (p = 0.04; adjusted RR = 1.57; 95% CI: 1.01-2.44) after adjustment for gender, occupation dan marital status., Occupational accident in indonesia is highest in Southeast Asia. Based on data that were menage in RSUPN Dr.Cipto Mangunkusomo there is 12,6% occupational accidents. This study aims to determine risk factors of anatomical impairment in occupational accident cases that were managed in RSUPN Dr.Cipto Mangunkusomo. The study design is a cross-sectional comparative which includes patients who underwent medical care in the emergency room RSUPN Dr.Cipto Mangunkusomo due to occupational accidents. A total of 173 samples of medical records meet the criteria. This study found 57.2% of occupational accident have anatomical impairment. Risk factors of age, gender, educational level, marital status, types of accident and speed of transport used at the time of incidence apparently does not have a statistically significant relationship. Determinant factors for anatomical impairment in occupational accidents are first aid performed (p = 0.04; adjusted RR = 1.57; 95% CI: 1.01-2.44) after adjustment for gender, occupation dan marital status.]"

"Kedokteran Okupasi memiliki peran penting dalam aspek psikososial untuk meningkatkan produktivitas pekerja menghadapi bonus demografi tahun 2045yang sudah dimulai sejak tahun 2020. Dokter bidang kedokteran okupasi memberikan evaluasi kesehatan mental dan fisik kepada pekerja dengan melakukan identifikasi bahaya potensial di lingkungan kerja (terutama bahaya potensial aspek psikososial), pemeriksaaan kesehatan pekerja; menentukan Diagnosis Penyakit Akibat Kerja atau bukan, menentukan laik kerja atau Kembali kerja, serta memberikan rekomendasi/solusi yang dibutuhkan untuk mengatasi stress kerja, kelelahan akibat kerja, dan masalah kesehatan kerja lainnya. Dengan pendekatan yang holistik, Kedokteran Okupasi dapat membantu pekerja mempertahankan kesehatan mental dan fisiknya, sehingga meningkatkan produktivitas dan kontribusi mereka dalam lingkungan kerja. Selain itu, Dokter bidang Kedokteran Okupasi Bersama dengan tenaga kesehatan lainnya juga dapat memberikan pelatihan dan workshop mengenai manajemen stres, keseimbangan kehidupan kerja, dan strategi untuk meningkatkan kesejahteraan pekerja dalam menghadapi perubahan lingkungan kerja dan tuntutan kerja di masa datang."

"[ABSTRAKLatar Belakang: Pasca mengalami cacat anatomi akibat kecelakaan kerja, waktu yang dibutuhkan pekerja untuk kembali bekerja bervariasi, dengan berbagai faktor risiko yang berperan terhadap waktu kembali bekerja. Penelitian ini bertujuan membandingkan waktu kembali bekerja antara pekerja sektor ekonomi formal dengan informal dan faktor lainnya.Metodologi: Penelitian retrospektif, dengan sampel pekerja yang mengalami cacat anatomi akibat kecelakaan kerja yang ditangani di Rumah Sakit Dr. Cipto Mangunkusumo, periode 1 Januari 2013 - 31 Desember 2014. Klasifikasi kecelakaan, tindakan medis, penyakit penyerta serta pembiayaan diperoleh melalui rekam medik. Sosiodemografi, sektor pekerjaan, masa kerja, waktu kembali bekerja diperoleh dari kuesioner. Analisa korelasi dilakukan untuk melihat hubungan usia, masa kerja dengan waktu kembali bekerja. Pada faktor risiko juga dilakukan analisa bivariat menggunakan uji-t tidak berpasangan dan ANOVA. Faktor risiko yang memiliki (p<0,25) dilakukan analisa multivariat dengan regresi berganda.Hasil : Diperoleh 61 subyek, mayoritas pria (95,1%), berpendidikan dasar-menengah (85,2%), tidak mendapat jaminan pembiayaan (57,4%), cacat anatomi pada ekstremitas atas (85,2%), melakukan kontrol luka (88,5%), mendapat tindakan bedah amputasi tertutup (91,8%), tanpa penyakit penyerta (88,5%). Sebanyak 33 (54,1%) subyek adalah pekerja sektor ekonomi formal. Waktu kembali bekerja pada pekerja sektor ekonomi formal lebih cepat dibandingkan dengan pekerja sektor ekonomi informal dengan rata-rata perbedaan waktu 9 hari (p<0,01). Tindakan bedah amputasi tertutup mengurangi waktu kembali bekerja selama rata-rata 11 hari (p<0,01).Kesimpulan: Sektor ekonomi adalah determinan utama waktu kembali bekerja. Pekerja sektor formal mempunyai rerata waktu kembali bekerja lebih cepat dibandingkan dengan pekerja informal, kemungkinan berkaitan dengan sosio-ekonomi dan akses pelayanan kesehatan yang memadai pada pekerja sektor formal. Tindakan bedah amputasi tertutup mengurangi waktu kembali bekerja secara signifkan.

---

ABSTRACTIntroduction: Return to work time for workers with anatomical impairment due to occupational accident is varied as there are many risk factors associated with it. This study aimed to compare the mean differences return to work time between formal and informal workers and other factors.Methods: This study was a retrospective study, using sample of workers with anatomical impairment due to occupational accident who received medical care at the Cipto Mangunkusumo hospital, during the period of 1st January 2013 - 31st December 2014. Accident classification, medical procedure, healhtcare coverage, other accompanying health conditions were obtained from the medical records. Sosiodemography, working sector, working period, return to work time were obtained through a questionnaire. Correlation analysis was performed to observe the relationship between age, working period with the return to work time. Bivariate analysis was also performed by using unpaired t-test and ANOVA. Multivariate analysis using multiple regression was then performed in risk factors known to have (p < 0,25).Results : Sixty-one subjects were obtained consisted of male (95.1%), with basic and intermediate educational level (85.2%), did not possesed healthcare coverage (57,4%), had upper extremities anatomical impairment (85.2%), received wound control care (88.5%), underwent closed amputation procedure (91.8%), and did not have other accompanying health conditions (88.5%). Thirty-three (54.1%) subjects were categorized in a formal working group. Formal workers had a significantly shorter mean return to work time compared to informal workers with mean differences of 9 days (p< 0,01). Closed amputation procedure reduced 11 days of return to work time (p< 0,01).Conclusion: Working sector was the main determinant for the return to work time. The formal workers had a significantly shorter return to work time compared to the informal workers, which might be associated with better socioeconomical status and access of healthcare. In addition, closed amputation procedure significantly reduced the return to work time., Introduction: Return to work time for workers with anatomical impairment dueto occupational accident is varied as there are many risk factors associated withit. This study aimed to compare the mean differences return to work timebetween formal and informal workers and other factors.Methods: This study was a retrospective study, using sample of workers withanatomical impairment due to occupational accident who received medical care atthe Cipto Mangunkusumo hospital, during the period of 1vii st January 2013 - 31December 2014. Accident classification, medical procedure, healhtcare coverage,other accompanying health conditions were obtained from the medical records. Sosiodemography, working sector, working period, return to work time wereobtained through a questionnaire. Correlation analysis was performed to observethe relationship between age, working period with the return to work time.Bivariate analysis was also performed by using unpaired t-test and ANOVA.Multivariate analysis using multiple regression was then performed in risk factorsknown to have (p < 0,25).Results : Sixty-one subjects were obtained consisted of male (95.1%), with basicand intermediate educational level (85.2%), did not possesed healthcare coverage(57,4%), had upper extremities anatomical impairment (85.2%), received woundcontrol care (88.5%), underwent closed amputation procedure (91.8%), and didnot have other accompanying health conditions (88.5%). Thirty-three (54.1%)subjects were categorized in a formal working group. Formal workers had asignificantly shorter mean return to work time compared to informal workers withmean differences of 9 days (p< 0,01). Closed amputation procedure reduced 11days of return to work time (p< 0,01). Conclusion: Working sector was the main determinant for the return to worktime. The formal workers had a significantly shorter return to work timecompared to the informal workers, which might be associated with bettersocioeconomical status and access of healthcare. In addition, closed amputation procedure significantly reduced the return to work time.]"

"[Latar Belakang: Jumlah kecelakaan kerja yang masih tinggi dan belum ada studi epidemiologi kasus kecelakaan kerja yang ditangani Instalasi Gawat Darurat Rumah Sakit di Indonesia. Penelitian ini untuk mengetahui distribusi kasus kecelakaan kerja di tempat kerja yang ditangani di Instalasi Gawat Darurat RSUPN Dr. Cipto Mangunkusumo Jakarta dan faktor di tempat kerja yang berhubungan dengan kefatalan cedera.Metode: Desain penelitian yang digunakan cross-sectional dengan cara wawancara dan data sekunder status rekam medis. Didapatkan 131 sampel dengan convenient sampling dari 23 April sampai dengan 16 Desember 2013. Analisis yang digunakan univariat, bivariat menggunakan uji Chi-Square dan Exact Fisher’s Test serta analisis multivariat regresi logistik. Variabel yang diteliti faktor sosiodemografi, riwayat kecelakaan kerja sebelumnya, waktu terjadinya kecelakaan, perilaku kerja tidak aman, kondisi fisik pekerja tidak aman, lingkungan kerja tidak aman dan kinerja manajemen keselamatan tidak aman.Hasil: Distribusi berdasarkan klasifikasi kecelakaan kerja didapatkan jenis kecelakaan terbanyak adalah tertumbuk atau terkena benda, penyebab kecelakaan terbanyak adalah mesin, sifat luka terbanyak adalah luka superfisial, lokasi luka terbanyak adalah ekstremitas atas, bidang pekerjaan terbanyak adalah bidang konstruksi dan pemeliharaan gedung serta jenis pekerjaan terbanyak adalah kelompok pekerja kasar. Persentase cedera fatal 7,6 % dari 131 kasus kecelakaan kerja di tempat kerja. Faktor sosiodemografi pekerja bukan formal didapatkan mempunyai resiko 12 kali mengalami cedera fatal dibanding pekerja formal. Adapun faktor sosiodemografi lain, riwayat kecelakaan kerja sebelumnya, waktu terjadinya kecelakaan, perilaku kerja tidak aman, kondisi fisik pekerja tidak aman, lingkungan kerja tidak aman dan kinerja manajemen keselamatan tidak aman didapatkan tidak berhubungan bermakna dengan kefatalan cedera.Kesimpulan: Faktor utama yang berhubungan dengan kefatalan cedera kasus kecelakaan kerja di tempat kerja adalah pekerja bukan formal., Background: The number of workplace accident still high and epidemiological study about workplace accident cases that treated in emergency department in Indonesia has not yet been available. This study is to determine workplace accident cases that was treated in emergency department of Dr. Cipto Mangunkusumo Hospital distribution and association between workplace factors with injury fatality.Methods: Research design was cross-sectional with interview and secondary data from medical records. Sample size was obtained 131 through convenient sampling from April 23 to December 16, 2013. Analysis that conducted are univariate analysis, bivariate analysis using Chi-square and Fisher's Exact Test and multivariate analysis using logistic regression. Variables that examined were sociodemographic factors, history of previous workplace accident, the time of the accident, unsafe acts, unsafe conditions, unsafe management performance, physical condition of the workers.Results: Distribution of workplace accident classification showed the highest number of workplace accident type was striking against or struck by objects, agency type was machine, injury nature type was superficial wound, injury bodily location type was upper limb, job field type was construction and occupation type was blue-collar workers. Percentage of fatal injury was 7.6 % from 131 workplace accidents and non-formal workers have 12 times risk of fatal injury than formal workers. The other sociodemographic factors, history of previous work accident, the time of the accident, unsafe acts, unsafe conditions, unsafe management performance, physical condition of the workers were found no significant relationship with the fatality injury.Conclusion: Main factor that associated with injury fatality of workplace accident is non-formal workers.]"

"Sickness presenteeism adalah suatu kondisi seseorang yang sakit fisik atau mental namun tetap masuk kerja. Penelitian ini memperoleh data prevalensi penyakit dan faktor penyebabnya di kalangan pekerja sektor formal di beberapa daerah di Indonesia. Studi cross-sectional dilakukan di beberapa daerah di Indonesia dengan jumlah responden 590 orang. Sickness presenteeism ditentukan oleh masalah kesehatan yang dialami selama satu bulan terakhir sebelum mengikuti penelitian. Analisis data dilakukan dengan menggunakan uji bivariat chi-square dan uji multivariat regresi logistik. Dari 590 peserta, prevalensi sickness presenteeism yang didapatkan adalah 26,1% (n=154). Mayoritas responden adalah tenaga kesehatan (33,9%) dan berasal dari Pulau Jawa (64,1%). Hasil analisis multivariat menunjukkan bahwa umur (p=0.016), jenis kelamin (0.041), tingkat pendidikan (0.012), dan bidang pekerjaan (p=0.044) berpengaruh signifikan. Prevalensi sickness presenteeism pada pekerja sektor formal di beberapa daerah di Indonesia adalah 26,1%. Faktor yang paling relevan dengan kejadian penyakit adalah usia, jenis kelamin, tingkat pendidikan, dan bidang pekerjaan.

---

Sickness presenteeism is a condition in which an individual who is physically or mentally ill still comes to work. We obtained the prevalence of sickness presenteeism and contributing factors among formal sector workers in several areas in Indonesia. A cross-sectional study was done in several areas in Indonesia with 590 participants. Sickness presenteeism was determined by the health problems experienced in the last month before the study. Data analysis was done using the chi-square bivariate test and the logistic regression multivariate test. Out of 590 participants, the prevalence of sickness presenteeism is 26.1% (n=154). The majority of the respondents were healthcare workers (33.9%) and from Java Island (64.1%). Multivariate analysis results showed that age (p=0.016), gender (0.041), education level (0.012), and area of employment (p=0.044) were significant. The prevalence of sickness presenteeism among formal sector workers in some areas of Indonesia was 26.1%. The most relevant factors to sickness presenteeism were age, gender, education level, and area of employment."

"Latar Belakang : Industri pemotongan batu memiliki potensi bahaya berupa debu batu yang dihasilkan dari proses pemotongan batu. Debu batu berpotensi besar masuk dan mengendap di saluran napas pekerja yang terpajan debu batu tersebut. Dalam penelitian ini ingin diketahui hubungan pajanan debu batu dan faktor lainnya dengan gangguan fungsi paru. Metode Penelitian : Desain penelitian cross sectional dengan analisis regresi logistik. Subjek penelitian diambil secara cluster sampling. Tingkat pajanan debu batu ditentukan dengan metode semikuantitatif dan faktor-faktor lainnya dengan kuesioner. Pemeriksaan fungsi paru dilakukan dengan menggunakan alat spirometer. Hasil : Subjek penelitian adalah 70 pekerja laki-laki industri pemotongan batu informal dengan masa kerja lebih dari 5 tahun. Sebanyak 21,4% subjek mengalami gangguan fungsi paru, dengan gangguan fungsi paru restriksi sebanyak 14,3% dan gangguan fungsi paru obstruksi sebanyak 7,1%. Faktor risiko yang berhubungan bermakna dengan gangguan fungsi paru adalah tingkat pajanan debu batu. Faktor umur, pendidikan, status gizi, kebiasaan olahraga, kebiasaan merokok, masa kerja, kebiasaan menggunakan alat pelindung diri (APD) dan penyediaan APD tidak memperlihatkan hubungan bermakna dengan gangguan fungsi paru. Subjek dengan tingkat pajanan debu batu tinggi mempunyai risiko 5,889 kali mengalami gangguan fungsi paru dibandingkan subjek dengan tingkat pajanan debu batu rendah [ odds rasio suaian (ORa) = 5,889; interval kepercayaan (CI) 95% = 1,436-24,153)]. Kesimpulan : Didapatkan hubungan bermakna antara tingkat pajanan debu batu dengan gangguan fungsi paru. Perlu dilakukan pengendalian terhadap pajanan debu batu untuk mencegah risiko gangguan fungsi paru pada pekerja industri pemotongan batu.

---

Background : Stone cutting industry have a potential hazard in stone dust resulted from stone cutting process. Stone dust has a significant potential to enter and settle inside exposed worker’s respiratory tract. This study aims to identify the relationship between stone dust exposure and other factors with lung function disorder.

Method : This study was a cross-sectional study with logistic regression analysis. Study’s subjects were taken with cluster sampling method. Level of stone dust exposure was determined by semi-quantitative method and the other factors were identified by a questionnaire. Lung function was tested with a spirometer.

Results : Study’s subject was 70 male informal stone cutting industry workers with more than 5 years of service. In this study, it was found that lung function disorders was 21.4%, which restrictive lung function disorder was 14.3% and the obstructive lung function disorder was 7.1%. Risk factor significantly related to lung function disorder was stone dust level of exposure. Age, education, nutritional status, exercise habit, smoking habit, length of employment, habit of using personal protective equipment (PPE) and provision of PPE showed no significant relationship with lung function disorder. Subjects with high level of stone dust exposure had 5.889 times the risk of lung function disorder compared to subjects with low level of stone dust exposure [adjusted odds ratio(ORa) = 5.889; 95% confidence interval (CI) = 1.436 - 24.153)].

Conclusion : The level of stone dust exposure significantly related to lung function disorder. Control measures are needed for stone dust exposure to prevent the risk of lung function disorder in stone cutting industry workers."

"Partikel halus berukuran ≤ 2,5 µm (PM2,5) diketahui menimbulkan risiko kesehatan terbesar bagi manusia karena kemampuannya untuk masuk jauh ke dalam paru-paru dan bahkan aliran darah. Pekerja di industri pengasapan ikan terus terpapar oleh konsentrasi tinggi PM2,5 yang terkandung dalam asap hasil pembakaran. Asap diketahui mengandung berbagai zat radikal bebas yang dapat memicu stres oksidatif pada organ dan jaringan tubuh. Penelitian ini bertujuan untuk menganalisis hubungan konsentrasi PM2,5 di lingkungan kerja dengan kadar MDA yang merupakan salah satu biomarker stres oksidatif. Desain studi yang digunakan adalah Cross-sectional. Subyek penelitian adalah pekerja di pengasapan ikan Bandarharjo Semarang sejumlah 104 orang. Pengumpulan data dilakukan melalui pengukuran konsentrasi PM2,5 di udara, pengambilan sampel darah untuk uji kadar MDA, dan kuesioner. Hasil penelitian menunjukkan adanya hubungan yang signifikan antara kadar MDA dengan konsentrasi PM2,5 (p=0,007), konsumsi alkohol (p=0,022) dan masa kerja (p=0,019). Konsentrasi PM2,5 di rumah pengasapan skala kecil lebih tinggi dibanding rumah skala sedang dan besar. Sedangkan rata-rata kadar MDA pekerja adalah sebesar 0,996 µg/mL (95% CI 0,869-1,145). Adapun dari hasil Regresi Logistik Ganda diperoleh bahwa pekerja yang terpapar PM2,5 konsentrasi tinggi berisiko 4,433 kali untuk memiliki kadar MDA di atas rata-rata setelah dikontrol oleh variabel IMT, konsumsi alkohol, masa kerja, dan lama kerja. Temuan ini perlu ditindaklanjuti dengan meningkatkan pembinaan kepada pekerja, melakukan perbaikan sirkulasi udara di ruang pengasapan, dan pengaturan jam kerja pekerja, sehingga risiko kesehatan dapat diminimalisasi.

---

Fine particles with diameter ≤ 2.5 µm (PM2.5) are known to pose the greatest health risk to humans because of their ability to enter deeply into the lungs and even the bloodstream. Workers in the fish smoking industry continue to be exposed to high concentrations of PM2.5 contained in combustion fumes. Smoke is known to contain various free radical substances that can trigger oxidative stress in the organs and tissues of the body. This study aims to analyze the relationship of PM2.5 concentration in the work environment with MDA levels which is one of the biomarkers of oxidative stress. The study design used was Cross-sectional. The research subjects were 104 workers in Bandarharjo fish smoking industry in Semarang. Data collection was carried out through measurements of PM2.5 concentrations in the air, blood sampling for MDA levels, and questionnaires. The results showed a significant relationship between MDA levels and PM2.5 concentrations (p=0.007), alcohol consumption (p=0.022) and years of work (p=0.019). PM2.5 concentrations in small-scale smoke houses were higher than medium and large scale houses. While the average MDA level of workers is 0.996 µg/mL (95% CI 0.869-1.145). As for the results of the Multiple Logistic Regression, it was found that workers exposed to high concentrations of PM2.5 risk 4,433 times to have MDA levels above the average after being controlled by BMI variables, alcohol consumption, years of work, and duration of work. This finding needs to be followed up by increasing coaching to workers, improving air circulation in the smoking room, and regulating workers' working hours, so that health risks can be minimized."