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Destiana Agustin
"ABSTRAK
Tidur merupakan salah satu kebutuhan fisiologis bagi manusia yang berguna
untuk proses pemulihan tubuh. Pekerja shift memiliki jadwal kerja yang berubahubah
yang mengakibatkan perubahan irama sirkadian tubuh. Penelitian ini
bertujuan untuk mengidentifikasi hubungan antara kualitas tidur dengan faktorfaktor
yang mempengaruhi tidur pada pekerja shift di PT. Krakatau Tirta Industri.
Penelitian ini menggunakan desain deskriptif korelatif. Teknik sampel yang
digunakan adalah total sampling. Sampel dalam penelitian ini berjumlah 70
orang. Hasil penelitian menunjukkan bahwa pekerja shift memiliki kualitas tidur
yang buruk (64,3 %) dan adanya hubungan antara kualitas tidur dengan penyakit
fisik (p value=0,020, α = 0,05). Rekomendasi bagi pekerja diperlukan pelayanan
kesehatan untuk mengatasi masalah penyakit fisik

ABSTRACT
Sleeping is one of physiological needs for humans that is useful for body recovery
process. Shift workers had rotating work schedule which can change the circadian
rhythm of body. The aim of this research was to identify the relationship between
sleep quality and factors that affect sleep in shift worker at Krakatau Industrial
Water. This research used a correlative descriptive design. Sample tecqnique used
was total sampling. The number of sample in this research were 70 shift workers.
The results showed that shift workers had poor quality sleep (64,3 %) and there is
a relationship between sleep quality and disease (p value=0,020, α = 0,05). The
recommendation for worker is needed health service for overcome disease
problem.
"
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2012
S43780
UI - Skripsi Open  Universitas Indonesia Library
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Stefanie Goenawan
"Pendahuluan Gangguan kepadatan tulang saat ini menjadi masalah kesehatan masyarakat yang saat ini menjadi salah satu masalah kesehatan masyarakat. Banyak faktor yang berdampak pada kepadatan tulang. Tujuan dari penelitian adalah untuk mengetahui hubungan faktor risiko individu seperti gender, usia, indeks massa tubuh (IMT), merokok, kualitas tidur, diabetes, aktivitas fisik, gangguan mental emosional (stress), dan lama shift malam dengan kepadatan massa tulang yang tidak normal pada pekerja shift malam dan untuk mengetahui interaksi antar variabel mana yang paling bertanggung jawab pada pekerja dengan kejadian kepadatan tulang yang tidak normal.
Metode Penelitian ini adalah penelitian cross-sectional secara analitik pada 80 orang pekerja RSON untuk melihat kepadatan tulang dengan bone mineral density pada pekerja shift malam dengan faktor-faktor yang berhubungan yaitu gender, usia, indeks massa tubuh, merokok, kualitas tidur, diabetes, aktivitas fisik, gangguan mental emosional (stress), dan lama shift malam. Penelitian ini dilakukan dari November 2022-April 2023. Variabel bebas yakni pekerja shift malam, usia, jenis kelamin, indeks massa tubuh, merokok, gangguan mental emosional (stress), kualitas tidur, diabetes, dan aktivitas fisik. Skor Bone Mass Density (BMD) sebagai variable terikat. Dan keluaran yang dihasilkan adalah terdapat hubungan antara kepadatan tulang tidak normal dengan gender, usia, indeks massa tubuh, merokok, kualitas tidur, diabetes, aktivitas fisik, gangguan mental emosional (stress), dan lama shift malam.
Hasil Subjek penelitian didominasi oleh perempuan sebanyak 53 peserta (66,3%). Usia dibagi menjadi 2 dikarenakan median dari usia adalah 38 tahun. Didapatkan hasil pada usia pekerja,  pekerja sebagian besar berusia kurang dari 38 tahun sebanyak 42 pekerja (52,5%). Pada indeks massa tubuh didominasi dengan indeks massa tubuh gemuk sebanyak 52 pekerja (65%). Pekerja yang memiliki kebiasaan tidak merokok yakni 60 pekerja (75%). Diabetes pada pekerja didominasi oleh tidak memiliki diabetes sebanyak 70 pekerja (86,3%). Pada hasil pengisian dari kualitas tidur didapatkan hasil terbanyak pada kualitas tidur yang buruk sebanyak 47 pekerja (58,75%) dan gangguan mental emosional (stress) pada pekerja yang berasal dari pengisian kuesioner Self Reporting Questionnaire -20 (SRQ-20) didapatkan hasil yang tinggi pada tidak terdapat stress pada pekerja sebanyak 69 pekerja (86,25%). Pada hasil pengisian kuesioner International Physical Activity Questionnaire (IPAQ) untuk penilaian aktivitas fisik pada pekerja didapatkan hasil  dominan aktivitas fisik sedang 49 pekerja (61,3%). Lama kerja Shift malam yang dilakukan oleh seluruh pekerja yang mengikuti penelitian ini didapatkan didominasi oleh pekerja yang bekerja kurang dari 10 tahun sebanyak 43 pekerja (53,75%). Perihal kepadatan tulang pada pekerja didapatkan hasil pekerja yang memiliki kepadatan tulang yang normal sebanyak 60 pekerja (75%). Analisis multivariat dilakukan untuk mengetahui interaksi antar variabel dan untuk mengetahui variabel mana yang paling bertanggung jawab sebagai faktor risiko yang berpengaruh terhadap  kepadatan tulang. Dari analisis multivairat menggunakan Metode Backwards Conditional didapatkan variable yang paling dominan terhadap terjadinya BMD tidak normal adalah IMT normal-kurus, usia >38 tahun, aktivitas fisik sedang, aktivitas fisik ringan, merokok, dan diabetes mellitus. Dengan nilai R square sebesar 0.367. Dilakukan kembali analisis multivariat metode enter dengan memasukkan variabel di atas dan ditambahkan dengan variabel shift malam, dan didapatkan hasil dengan nilai Nagelkerke R Square sebesar 0.378. Kemungkinan Odds Ratio(OR) pekerja dari lama shift malam >20 tahun untuk BMD tidak normal sebesar 1.454x lipat lebih besar dibandingkan lama shift < 20 tahun, namun tidak bermakna. Variabel yang paling dominan berisiko terjadinya BMD tidak normal adalah diabetes dan merokok. Dimana risiko terjadinya BMD tidak normal pada pekerja shift malam dengan diabetes sebesar 8.624x lebih tinggi dibandingkan pada pekerja shift malam dengan tanpa diabetes. Pada pekerja shift malam yang merokok didapatkan risiko terjadinya BMD tidak normal sebesar 4.963x lebih tinggi dibandingkan dengan pekerja shift malam yang tidak merokok. Risiko terjadinya BMD tidak normal pada pekerja shift malam dengan aktifitas fisik sedang turun 80% mengalami penurunan dibandingan dengan pekerja shift malam yang pekerja shift malam yang tidak beraktifitas fisik sedang.
Kesimpulan Pada Prevalensi kepadatan tulang di pada pekerja shift malam di tempat kerja dengan pembagian 60 pekerja normal (Normal ≥ -1 SD) (75%) dan 20 pekerja (25%) terdapat kepadatan tulang tidak normal (Osteopenia -1 SD s/d -2,5 SD, Osteoporosis ≤ -2,5 SD). Didapatkan hubungan antara usia >38 tahun, diabetes, dan aktivitas sedang-tinggi dengan kepadatan tulang tidak normal pada pekerja shift malam. Pada analisis multivariat, seluruh variabel bisa menjelaskan penurunan skor kepadatan tulang (BMD) sebesar 36.7%. Terdapat variabel bermakna antara aktivitas sedang, diabetes, dan  merokok.


Introduction Bone density disorders are currently a public health problem that is currently a public health problem. Many factors have an impact on bone density. The purpose of the study was to determine the relationship of individual risk factors such as gender, age, body mass index, smoking, sleep quality, diabetes, physical activity, mental emotional disorders (stress), and night shift length with abnormal bone mass density in night shift workers and to determine which interactions between variables are most responsible for workers with abnormal bone density. 
Methods This study was an analytic cross-sectional study in 80 RSON workers to see bone density with bone mineral density in night shift workers with associated factors namely gender, age, body mass index, smoking, sleep quality, diabetes, physical activity, mental emotional disorders (stress), and length of night shift. This study was conducted from November 2022-April 2023. The independent variables were night shift workers, age, gender, body mass index, smoking, mental emotional disorders (stress), sleep quality, diabetes, and physical activity. Bone Mass Density (BMD) score as the dependent variable. And the resulting outcome is that there is an association between abnormal bone density with gender, age, body mass index, smoking, sleep quality, diabetes, physical activity, mental emotional disorders (stress), and length of night shift.
Results The study subjects were dominated by women as many as 53 participants (66.3%). Age was divided into 2 because the median age was 38 years. The results obtained in the age of workers, most workers are less than 38 years old as many as 42 workers (52.5%). Body mass index is dominated by obese body mass index as many as 52 workers (65%). Workers who have a non-smoking habit are 60 workers (75%). Diabetes in workers is dominated by not having diabetes as many as 70 workers (86.3%). The results of the filling of the sleep quality obtained the most results in poor sleep quality as many as 47 workers (58.75%) and mental emotional disorders (stress) in workers derived from filling out the Self Reporting Questionnaire -20 (SRQ-20) questionnaire obtained high results in the absence of stress in workers as many as 69 workers (86.25%). In the results of filling out the International Physical Activity Questionnaire (IPAQ) questionnaire for assessing physical activity in workers, the dominant result of moderate physical activity was 49 workers (61.3%). The length of night shift work carried out by all workers who participated in this study was found to be dominated by workers who worked for less than 10 years as many as 43 workers (53.75%). Regarding bone density in workers, it was found that 60 workers (75%) had normal bone density. In multivariate analysis, all variables can explain the decrease in bone density by 36.7%. Multivariate analysis was conducted to determine the interaction between variables and to determine which variables are most responsible as risk factors that affect bone density. From the multivariate analysis using the Backwards Conditional Method, it was found that the most dominant variables for the occurrence of abnormal BMD were normal-thin BMI, age> 38 years, moderate physical activity, light physical activity, smoking, and diabetes mellitus. With an R square value of 0.367. Multivariate analysis of the enter method was re-conducted by entering the above variables and adding the night shift variable, and the results were obtained in table 7 with a Nagelkerke R Square value of 0.378. The Odds Ratio(OR) probability of workers from night shift duration >20 years for abnormal BMD is 1.454x greater than shift duration <20 years, but not significant. The most dominant variables at risk of abnormal BMD are diabetes and smoking. Where the risk of abnormal BMD in night shift workers with diabetes is 8.624x higher than in night shift workers with no diabetes. In night shift workers who smoke, the risk of abnormal BMD is 4.963x higher than that of night shift workers who do not smoke. The risk of abnormal BMD in night shift workers with moderate physical activity decreased by 80% compared to night shift workers who did not have moderate physical activity. Conclusion In the prevalence of bone density in night shift workers in the workplace with a division of 60 normal workers (Normal ≥ -1 SD) (75%) and 20 workers (25%) there is abnormal bone density (Osteopenia -1 SD to -2.5 SD, Osteoporosis ≤ -2.5 SD). There was an association between age >38 years, diabetes, and moderate - high activity with abnormal bone density in night shift workers. In multivariate analysis, all variables could explain the decrease in bone density (BMD) score by 36.7%. There were significant variables between moderate activity, diabetes, and smoking.
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Jakarta: Fakultas Kedokteran Universitas Indonesia, 2023
SP-pdf
UI - Tugas Akhir  Universitas Indonesia Library
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Benny Arief Widjaja
"Untuk mempertahankan tingkat produksi, daya saing dan kontinuitas pekerjaan maka di era sekafang banyak perusahaan atau pabrik-pabrik yang memberlakukan pekesjaan shi# bagi karyawannya. Ada yang memberlakukan 2 atau 3 shi# tergantung dari pada kebutuhan perusahaan. Pada populasi pekeria dinegara berkembang 20 - 30 % memberlakukan kerja shim sehingga kelja shift menjadi hal yang biasa. Pada penelilian Simon Folkard dan Philip tahun 2002 (shitiwork safely and productivity) rnenyimpulkan bahwa produktifltas dan keselamatan kerja akan berkuranglmenurun pada waktu karyawan beraktilitas di malam hari. Pengurangan inl didasari oleh berbagai faktor antara lain: gangguan kesehatan, terganggunya kehidupan sosial, gangguan tidur (memendeknya waktu tldur) dan gangguan irama Sirkadlan.
Dalam tesis ini ingin ditelili dampak kerja malam terhadap perubahan tekanan darah sistolik, diastolik dan denyut jantung pada Operator Pmduction perusahaan Migas X. Penelitian ini merupakan penelitian kuantitalif dengan desain penelitian kuasi eksperimental, menggunakan alat ukur berupa kuesioner dan pengukuran langsung tekanan darah slstolik, diastol0< dan denyut jantung pada 77 Operator Production perusahaan Migas X pada saat shi# non malam dan malam. Setelah diukur kemudian dibandingkan apakah ada perbedaan hasil pengukuran antara yang shit! non malam dengan malam pada seorang pekerja.
Hasil penetitian dengan analisis bivariat menunjukkan terjadinya perbedaan bermakna tekanan sistotik dan diastolik antara pekerja shift non maiam dengan shift malam (p< 0,05). Untuk tekanan sistolik oenderung mengalami penumnan pada saat shit? malam, sedangkan untuk tekanan diastolik mengalami kenaikan pada saat shift malam. Kenaikan dan penurunannya masih dalam batas yang tidak mengganggu kesehatan. Untuk tekanan denyut jantung oenderung tidak mengalami perubahan antara yang bekerja pada shift non malam maupun shit? malam. Analisa multivariat menunjukkan bahwa faktor Olah Raga dan Kopl merupakan faktor dominan dalam perubahan tekanan darah dan denyut jantung.

To maintain productivity level, competition among and continuity of workers, most company or production apply shift working among their employee. There are 2 or 3 shifts applied based on the company?s need. In the developing countries' population. 20-30% ofthe country apply working shift, which make it as a common thing. ln the research done by Simon Folkard and Philip 2002 (Shift Working Safety and Productivity) concluded that productivity and work safely will decrease during night shift This decrease is due to several factors, such as health, social, sleep (decrease in the quantity time of sleep), and circadian rhythm disorder.
This thesis would like to know the effect of night shift on systolic, diastolyc blood pressure and heart beat among pmducfion operators in X Indonesia Company. This is a quantitative research with Quasy experimental design using queslonnaire and direct blood pressure measurement (systolic and diastolic) and heart beat as the research tools on 77 production operators during night and non-night shift in X Indonesia Company. After being measured, we compare the difference ofthe result among workers who work on night and non-night shift.
This research shows that there is a difference on systolic and diastolic among night shift and non-night shift workers (p < 0,05). Systolic pressure tends to decrease during night shift, while for diastolic pressure tends to increase during the same shift. Both the increase and decrease are within normal limit which does not effect their health. Heart beat tends not to change between these workers. Sport and coffee are the dominant factors to influence blood pressure and heart beat by multivariate analysis.
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Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia, 2007
T34494
UI - Tesis Membership  Universitas Indonesia Library
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Megan Roos Febransyah
"[ABSTRAK
Fatigue pada pekerja merupakan sebuah risiko yang dapat timbul apabila suatu
pekerjaan dituntut untuk menggunakan tenaga fisik dan pikiran mental yang
berlebihan serta dituntut untuk menyelesaikan pekerjaan dalam waktu yang terbatas
tanpa adanya waktu istirahat yang optimal. Fatigue merupakan risiko utama dari
pekerja shift seperti pada pekerja shift industri MRO (Maintenance, Repair, and
Overhaul) transportasi udara. Transportasi udara dituntut beroperasi selama 24/7 dan
memiliki kewajiban untuk memenuhi standar kelaikudaraan. Salah satu industri MRO
adalah Perusahaan ?X?. Bekerja dalam sistem shift menjadi sumber risiko fatigue bagi
pekerjanya karena bekerja bertentangan dengan irama sirkadian tubuh, oleh karena
itu dibutuhkan penilaian keluhan fatigue pada pekerjanya sebagai langkah awal
program fatigue management. Penelitian ini bertujuan untuk mengetahui faktor risiko
keluhan fatigue pada pekerja shift dan merupakan penelitian kuantitatif dengan
menggunakan disain studi cross sectional. Penelitian ini dilakukan pada bulan
Oktober-Desember 2015, di bagian Domestic & International Line Maintenance
Perusahaan ?X?, dengan sampel penelitian sebesar 105 responden. Hasil
menunjukkan bahwa terdapat hubungan yang bermakna antara shift kerja (p=0,002),
kerja lembur (0,005), kuantitas tidur (p=0,048), dan commuting time (p=0,042)
dengan keluhan fatigue.
ABSTRACT
Fatigue among workers is a risk that can arise when a job is required to use execessive
physical and mental force to complete the work within a limited time without optimal
amount of rests. Fatigue is a risk that commonly occurs for shift workers, including
shift workers in Maintenance, Repair, and Overhaul (MRO) industry for aircrafts
including commercial airlines. Air transportation operates for 24/7 dan has an
obligation to fulfill the standards of aircraft airworthiness. In doing so, one of the MRO
industry, Company ?X? develop a system of shift workers with standardized skills to
operate 24/7 for the sake of upholding the airworthiness of aircrafts and adjusting to
the flight schedules. Working in shifts is a risk to the workers, especially the risk of
being fatigue, because working in shifts forces them to work against their natural body
clock. In order to start the development of fatigue management program in Company
?X?, it is needed to assess the subjective feelings toward fatigue as a starting point.
ABSTRACT
This quantitative research is conducted to determine work related and non work related
factors toward the subjective feelings of fatigue with a cross sectional study design.
This research was done in October?December 2015 in the Domestic and International
Line Maintenance of Company ?X? with a total sample of 105 respondents. Results
showed that there is a correlation between work shifts (p=0,002), excessive working
hours (p=0,005), quantity of sleep (p=0,048), and commuting time (0,042) with
subjective feelings toward fatigue.;Fatigue among workers is a risk that can arise when a job is required to use execessive
physical and mental force to complete the work within a limited time without optimal
amount of rests. Fatigue is a risk that commonly occurs for shift workers, including
shift workers in Maintenance, Repair, and Overhaul (MRO) industry for aircrafts
including commercial airlines. Air transportation operates for 24/7 dan has an
obligation to fulfill the standards of aircraft airworthiness. In doing so, one of the MRO
industry, Company ?X? develop a system of shift workers with standardized skills to
operate 24/7 for the sake of upholding the airworthiness of aircrafts and adjusting to
the flight schedules. Working in shifts is a risk to the workers, especially the risk of
being fatigue, because working in shifts forces them to work against their natural body
clock. In order to start the development of fatigue management program in Company
?X?, it is needed to assess the subjective feelings toward fatigue as a starting point.
This quantitative research is conducted to determine work related and non work related
factors toward the subjective feelings of fatigue with a cross sectional study design.
This research was done in October?December 2015 in the Domestic and International
Line Maintenance of Company ?X? with a total sample of 105 respondents. Results
showed that there is a correlation between work shifts (p=0,002), excessive working
hours (p=0,005), quantity of sleep (p=0,048), and commuting time (0,042) with
subjective feelings toward fatigue.;Fatigue among workers is a risk that can arise when a job is required to use execessive
physical and mental force to complete the work within a limited time without optimal
amount of rests. Fatigue is a risk that commonly occurs for shift workers, including
shift workers in Maintenance, Repair, and Overhaul (MRO) industry for aircrafts
including commercial airlines. Air transportation operates for 24/7 dan has an
obligation to fulfill the standards of aircraft airworthiness. In doing so, one of the MRO
industry, Company ?X? develop a system of shift workers with standardized skills to
operate 24/7 for the sake of upholding the airworthiness of aircrafts and adjusting to
the flight schedules. Working in shifts is a risk to the workers, especially the risk of
being fatigue, because working in shifts forces them to work against their natural body
clock. In order to start the development of fatigue management program in Company
?X?, it is needed to assess the subjective feelings toward fatigue as a starting point.
This quantitative research is conducted to determine work related and non work related
factors toward the subjective feelings of fatigue with a cross sectional study design.
This research was done in October?December 2015 in the Domestic and International
Line Maintenance of Company ?X? with a total sample of 105 respondents. Results
showed that there is a correlation between work shifts (p=0,002), excessive working
hours (p=0,005), quantity of sleep (p=0,048), and commuting time (0,042) with
subjective feelings toward fatigue., Fatigue among workers is a risk that can arise when a job is required to use execessive
physical and mental force to complete the work within a limited time without optimal
amount of rests. Fatigue is a risk that commonly occurs for shift workers, including
shift workers in Maintenance, Repair, and Overhaul (MRO) industry for aircrafts
including commercial airlines. Air transportation operates for 24/7 dan has an
obligation to fulfill the standards of aircraft airworthiness. In doing so, one of the MRO
industry, Company ‘X’ develop a system of shift workers with standardized skills to
operate 24/7 for the sake of upholding the airworthiness of aircrafts and adjusting to
the flight schedules. Working in shifts is a risk to the workers, especially the risk of
being fatigue, because working in shifts forces them to work against their natural body
clock. In order to start the development of fatigue management program in Company
‘X’, it is needed to assess the subjective feelings toward fatigue as a starting point.
This quantitative research is conducted to determine work related and non work related
factors toward the subjective feelings of fatigue with a cross sectional study design.
This research was done in October—December 2015 in the Domestic and International
Line Maintenance of Company ‘X’ with a total sample of 105 respondents. Results
showed that there is a correlation between work shifts (p=0,002), excessive working
hours (p=0,005), quantity of sleep (p=0,048), and commuting time (0,042) with
subjective feelings toward fatigue.]"
Universitas Indonesia, 2016
S62322
UI - Skripsi Membership  Universitas Indonesia Library
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Amalia Syadzwina
"Penelitian ini membahas kajian pengukuran fatigue secara subjektif di Departemen Produksi bagian Die Casting PT TACI pada periode Mei sampai Juni 2016. Penelitian ini menggunakan desain studi cross sectional dengan pendekatan observasional. Tujuan penelitian ini untuk mengetahui faktor-faktor yang berhubungan dengan keluhan fatigue pada pekerja shift. Hasil penelitian mendapatkan pekerja shift bagian die casting mengalami keluhan fatigue dengan kategori fatigue ringan dan kategori fatigue berat. Faktor risiko yang memiliki hubungan signifikan dengan keluhan fatigue adalah desain kerja, kerja lembur, beban fisik, waktu perjalanan, dan tingkat kesehatan. Peneliti merekomendasikan upaya peningkatan berkelanjutan untuk perusahaan dan karyawan dalam mengatasi keluhan kesehatan kerja.

The focus of this research is the measurement of subjective fatigue at Production Department on Die Casting Unit PT TACI in may to june 2016. This research is a cross sectional study with observational approach. The purpose of this research is to determine the factors associated with complaints of fatigue in shift workers. The result of this research is the shift workers of die casting unit was complainting of fatigue on mild and severe level. The risk factors which have significant related of complaint fatigue are job design, overtime, physical workload, commuting time and health status. The researcher suggests that corporation and their employees are ought to implement the continous improvement for occupational heatlh issues.
"
Depok: Fakultas Kesahatan Masyarakat Universitas Indonesia, 2016
S63146
UI - Skripsi Membership  Universitas Indonesia Library