PENERAPAN UNIVERSAL PRECAUTION OLEH TENAGA KESEHATAN DALAM MITIGASI BENCANA HIV/AIDS DI RUMAH SAKIT UMUM MEDAN TAHUN 2012 Variabel 1. Mitigasi bencana Sub Variabel 1. Pengetah uan menggu nakan APD (alat pelindun g diri) Indikator 1. Mencuci tangan 2. Memaka i topi 3. Memaka i Masker 4. Memaka i kacamat a pelindun g 5. Apron/c elemek 6. Sarung tangan 7. Sepatu boot Item Pernyataan Variabel Berikan jawaban yang paling tepat terhadap pernyataan di bawah ini 1. Menurut anda, apakah mencuci tangan sebelum dan sesudah bekerja harus di kamar mandi 2. Apakah anda mencuci tangan sebelum memakai sarung tangan atau sesudah membuka sarung tangan dengan sabun 3. Apakah tenaga kesehatan harus memakai topi saat memeriksa pasien 4. Dengan memakai masker bisa mengurangi bau dari tubuh pasien 5. Apakah dengan cukup memakai masker dapat mencegah terjadinya penularan penyakit dari pasien ke tenaga kesehatan 6. Apakah menggunakan kacamata pelindung saat bekerja bisa mencegah percikan cairan tubuh ke dalam mata 7. Menurut anda, apron/celemek dapat mencegah cipratan cairan tubuh 8. Menurut anda, apakah mencuci apron/celemek harus di air mengalir 9. Apakah saat melakukan pemeriksaan pasien harus memakai sarung tangan 10. Apakah memakai sarung tangan harus bersih dan steril 11. Menurut anda, apakah seorang tenaga kesehatan harus memakai sepatu boot Alternatif Observasi Jawaban benar salah Kuesioner angket wawancara
Catatan : SS = Sangat Setuju; S = Setuju; TS = Tidak Setuju; STS = Sangat Tidak Setuju Observasi Variabel 2. Mitigasi bencana Sub Variabel 1. Sikap menggu nakan APD (alat pelindun g diri) Indikator Item Pernyataan Variabel SS S TS STS Kuesioner Angket Wawancara 1. APD Bagaimana sikap tenaga kesehatan tentang 1. Setujukah anda diterapkan APD di RSUP Haji Adam Malik` 2. Mencu ci tangan 3. Mema kai topi 4. Mema kai Masker 5. Mema kai kacam ata pelindu ng 6. Apron/ celeme k 7. Mema kai sarung tangan 8. Mema kai sepatu boot 2. Tenaga kesehatan diwajibkan mencuci tangan di air mengalir sebelum dan sesudah memeriksa pasien 3. Tenaga kesehatan harus memakai topi saat memeriksa pasien 4. Dengan memakai masker tidak bisa mengurangi bau dari tubuh pasien 5. Tenaga kesehatan wajib memakai kacamata pelindung sewaktu memeriksa pasien 6. Apron/celemek dapat mencegah cipratan cairan tubuh 7. Sebaiknya tenaga kesehatan memakai sarung tangan di saat memeriksa pasien dan membuang sarung tangan setelah memeriksa pasien 8. Saat memeriksa pasien tenaga kesehatan harus mengganti alas kaki dengan sepatu boot
Variabel 3. Penerapan Universal Precaution Sub Variabel 1. Ketramp ilan menggu nakan APD (alat pelindun g diri) Indikator Item Pernyataan Variabel 1. APD Berikan jawaban yang paling tepat terhadap pernyataan di bawah ini 1. Apakah seorang tenaga kesehatan diberi sanksi apabila tidak memakai APD. Alternatif Observasi Jawaban ya tidak Kuesioner Angket Wawancara 2. Apakah APD (alat pelindung diri) diterapkan oleh tenaga kesehatan di RSUP Haji Adam Malik Medan 3. Apakah fasilitas APD tersedia di bagian-bagian (Unit Gawat Darurat, RA 1, Hemodialisasi Darah, Voluntary Counselling and Testing) di RSUP Haji Adam Malik 4. Apakah seluruh APD yang sudah dipakai tenaga kesehatan harus dibuang. 5. Apakah anda pernah mendengar penerapan universal precaution oleh tenaga kesehatan tentang mitigasi bencana HIV/AIDS dari : a. Informasi : b. Sosialisasi : c. Diklat : d. Pengaturan dan penataan : 6. Apakah semua alat pelindung diri (sarung tangan, masker, kacamata, celemek dan sepatu boot) harus dipakai 7. Apakah tenaga kesehatan memproses alat bekas pakai dan menagani peralatan tajam dengan aman 8. Menurut anda, apakah tenaga kesehatan sebelum dan sesudah memeriksa pasien menggunakan asepsis atau teknik aseptik di RSUP Haji Adam Malik
Lampiran Master Data Master Data Umur pendidikan Lama Bekerja Pengetahuan Sikap Penerapan 1 2 1 2 2 1 1 2 1 3 3 1 2 3 2 1 2 1 2 3 2 1 3 2 1 2 1 1 2 1 2 2 1 1 2 1 3 2 2 1 3 1 3 1 1 1 3 2 3 3 1 1 2 1 2 2 2 1 2 2 3 3 2 1 2 1 3 3 2 1 2 1 2 2 2 1 2 1 3 2 2 1 2 1 1 2 1 1 3 1 1 3 1 1 3 1 2 2 2 1 2 1 3 2 3 1 3 2 2 2 2 1 2 1 3 1 2 1 2 1 1 3 1 1 3 2 3 2 1 1 3 1 2 3 1 1 2 1 3 2 2 1 2 1 3 2 3 1 3 2 3 2 2 1 3 1 3 3 2 1 2 1 3 3 1 1 2 1 3 3 2 1 3 1 3 2 3 3 3 2 2 3 2 2 2 1 2 1 1 1 2 1 3 3 1 1 3 2 2 2 1 3 3 2 3 3 1 1 2 1
2 2 1 1 2 1 3 1 2 1 2 2 2 1 2 1 2 1 3 2 3 1 2 1 2 3 2 3 3 2 3 2 2 2 2 1 1 3 1 3 3 1 2 1 1 1 2 1 3 1 1 3 3 2 1 2 1 1 2 1 2 3 2 2 3 2 3 2 2 2 2 1 3 2 4 3 3 2 1 2 3 3 3 2 1 3 2 2 3 2 2 2 1 1 2 1 2 3 1 3 3 2 2 3 1 3 2 2 3 2 4 3 2 2 3 2 1 1 3 1 2 2 1 3 2 2 3 2 2 3 3 2 3 2 1 3 2 2 3 2 3 1 3 2 3 2 1 1 2 2 3 2 2 1 3 1 3 2 1 1 2 1 3 2 1 1 3 1 1 2 1 3 2 2 1 2 2 1 3 1 2 3 1 3 2 2 3 2 1 3 2 2 1 2 1 3 3 2 1 3 2 2 2 2 2 2 2 3 3 2 3 2 2 3 3 2 2 3 4 1 3 2 2 3 4 1 3 2 3 2 5 3 3 2
2 1 5 1 3 2 2 1 2 1 3 2 1 2 1 1 2 1 2 1 1 1 2 2 3 3 1 1 2 1 2 3 2 3 2 1 2 2 3 2 3 2 2 2 2 3 3 2 2 2 2 3 3 2 2 1 1 3 3 1 2 1 1 1 3 2 3 3 2 2 3 2 3 1 3 3 3 2 2 3 2 3 3 1 3 2 1 3 3 2 2 3 1 2 2 2 3 2 1 1 3 2 2 3 1 3 2 2 2 2 4 3 3 2 3 2 4 3 2 2 3 2 5 1 3 1 2 2 4 3 3 2 3 2 2 3 3 2 2 3 2 3 2 2 3 3 3 1 3 2 2 2 3 1 3 2
Lampiran Uji itas dan Reliabilitas Reliability Scale: ALL VARIABLES Cases Ca se Processing Summa ry Excluded a N % 30 100,0 0,0 30 100,0 a. Listwise deletion based on all variables in the procedure. Reliability Statistics Cronbach's Alpha N of Items,949 11 Item Statistics p1 p2 p3 p4 p5 p6 p7 p8 p9 p10 p11 Me an Std. Deviation N,93,254 30,90,305 30,83,379 30,90,305 30,90,305 30,87,346 30,90,305 30,83,379 30,90,305 30,90,305 30,90,305 30
Ite m-tota l Sta tistics p1 p2 p3 p4 p5 p6 p7 p8 p9 p10 p11 Scale Correc ted Cronbach's Scale Mean if Variance if Item- Alpha if Item Item Deleted Item Deleted Correlation Deleted 8,83 6,902,914,941 8,87 6,740,853,941 8,93 6,616,731,947 8,87 6,740,853,941 8,87 6,809,806,943 8,90 6,852,671,948 8,87 6,740,853,941 8,93 6,823,615,952 8,87 6,809,806,943 8,87 6,809,806,943 8,87 6,947,712,946 Scale Sta tistics Mean Variance St d. Deviation N of Items 9,77 8,185 2,861 11 Reliability Scale: ALL VARIABLES Cases Ca se Processing Summa ry Excluded a N % 30 100,0 a. Listwise deletion based on all variables in the procedure. 0,0 30 100,0 Reliability Statistics Cronbach's Alpha N of Items,889 8
Item Statistics s1 s2 s3 s4 s5 s6 s7 s8 Me an Std. Deviation N 2,90 1,322 30 3,10 1,242 30 3,30 1,022 30 3,07 1,048 30 3,23 1,104 30 3,63,669 30 3,17 1,177 30 3,37 1,033 30 Item- Statistics s1 s2 s3 s4 s5 s6 s7 s8 Scale Corrected Cronbach's Scale Mean if Variance if Item- Alpha if Item Item Deleted Item Deleted Correlation Deleted 22,87 33,637,493,896 22,67 31,885,679,874 22,47 32,395,817,860 22,70 33,803,660,875 22,53 31,913,786,862 22,13 38,947,425,894 22,60 32,110,708,870 22,40 32,524,793,862 Scale Sta tistics Mean Variance St d. Deviation N of Items 25,77 42,944 6,553 8 Reliability Scale: ALL VARIABLES Cases Ca se Processing Summa ry Excluded a N % 30 100,0 a. Listwise deletion based on all variables in the procedure. 0,0 30 100,0
Reliability Statistics Cronbach's Alpha N of Items,898 11 Item Statistics t1 t2 t3 t4 t5 t6 t7 t8 t9 t10 t11 Me an Std. Deviation N,70,466 30,80,407 30,77,430 30,63,490 30,77,430 30,87,346 30,73,450 30,73,450 30,80,407 30,63,490 30,73,450 30 Ite m-tota l Sta tistics t1 t2 t3 t4 t5 t6 t7 t8 t9 t10 t11 Scale Correc ted Cronbach's Scale Mean if Variance if Item- Alpha if Item Item Deleted Item Deleted Correlation Deleted 7,47 9,913,498,897 7,37 9,689,686,886 7,40 9,352,781,881 7,53 9,361,664,887 7,40 10,041,501,896 7,30 10,355,502,896 7,43 9,426,711,884 7,43 9,564,656,888 7,37 9,964,569,893 7,53 9,361,664,887 7,43 9,426,711,884 Scale Sta tistics Mean Variance St d. Deviation N of Items 8,17 11,592 3,405 11
Lampiran Hasil output 1. Analisis univariat Frequencies N Missing Frequency Table Statistics umur pendidikan lama bekerja 100 100 100 0 0 0 umur 17-30 tahun 31-40 tahun 41-56 tahun Frequency Percent Percent Percent 15 15,0 15,0 15,0 40 40,0 40,0 55,0 45 45,0 45,0 100,0 pe ndidika n SPK D-III S1 Frequency Percent Percent Percent 13 13,0 13,0 13,0 55 55,0 55,0 68,0 32 32,0 32,0 100,0 lama bekerja 1-5 tahun 6-10 tahun 11-15 tahun 16-20 tahun >20 tahun Frequency Percent Percent Percent 43 43,0 43,0 43,0 37 37,0 37,0 80,0 10 10,0 10,0 90,0 7 7,0 7,0 97,0 3 3,0 3,0 100,0 Frequencies Statistics penget ahuan sik ap penerapan N 100 100 100 Missing 0 0 0 Frequency Table
baik sedang buruk pe nge tahuan Frequency Percent Perc ent Percent 56 56,0 56,0 56,0 10 10,0 10,0 66,0 34 34,0 34,0 100,0 sedang buruk sikap Frequency Percent Percent Percent 47 47,0 47,0 47,0 53 53,0 53,0 100,0 penerapan Frequency Percent Percent Percent ya 46 46,0 46,0 46,0 tidak 54 54,0 54,0 100,0 Frequencies Pengetahuan Statistics N Missing p1 p2 p3 p4 p5 p6 p7 p8 p9 p10 p11 100 100 100 100 100 100 100 100 100 100 100 0 0 0 0 0 0 0 0 0 0 0 Frequency Table salah benar p1 Frequency Percent Percent Percent 23 23,0 23,0 23,0 77 77,0 77,0 100,0 salah benar p2 Frequency Percent Percent Percent 26 26,0 26,0 26,0 74 74,0 74,0 100,0
salah benar p3 Frequency Percent Percent Percent 39 39,0 39,0 39,0 61 61,0 61,0 100,0 salah benar p4 Frequency Percent Percent Percent 37 37,0 37,0 37,0 63 63,0 63,0 100,0 salah benar p5 Frequency Percent Percent Percent 37 37,0 37,0 37,0 63 63,0 63,0 100,0 salah benar p6 Frequency Percent Percent Percent 29 29,0 29,0 29,0 71 71,0 71,0 100,0 salah benar p7 Frequency Percent Percent Percent 40 40,0 40,0 40,0 60 60,0 60,0 100,0
salah benar p8 Frequency Percent Percent Percent 43 43,0 43,0 43,0 57 57,0 57,0 100,0 salah benar p9 Frequency Percent Percent Percent 42 42,0 42,0 42,0 58 58,0 58,0 100,0 salah benar p10 Frequency Percent Percent Percent 37 37,0 37,0 37,0 63 63,0 63,0 100,0 p11 Frequency Percent Percent Percent salah 39 39,0 39,0 39,0 benar 61 61,0 61,0 100,0 Frequencies Sikap Statistics N Missing s1 s2 s3 s4 s5 s6 s7 s8 100 100 100 100 100 100 100 100 0 0 0 0 0 0 0 0 Frequency Table
SS S TS STS s1 Frequency Percent Percent Percent 34 34,0 34,0 34,0 7 7,0 7,0 41,0 23 23,0 23,0 64,0 36 36,0 36,0 100,0 SS S TS STS s2 Frequency Percent Percent Percent 11 11,0 11,0 11,0 10 10,0 10,0 21,0 25 25,0 25,0 46,0 54 54,0 54,0 100,0 STS TS S SS s3 Frequency Percent Percent Percent 6 6,0 6,0 6,0 12 12,0 12,0 18,0 28 28,0 28,0 46,0 54 54,0 54,0 100,0 STS TS S SS s4 Frequency Percent Percent Percent 5 5,0 5,0 5,0 22 22,0 22,0 27,0 26 26,0 26,0 53,0 47 47,0 47,0 100,0
STS TS S SS s5 Frequency Percent Percent Percent 7 7,0 7,0 7,0 24 24,0 24,0 31,0 23 23,0 23,0 54,0 46 46,0 46,0 100,0 SS S TS STS s6 Frequency Percent Percent Percent 2 2,0 2,0 2,0 17 17,0 17,0 19,0 30 30,0 30,0 49,0 51 51,0 51,0 100,0 SS S TS STS s7 Frequency Percent Percent Percent 8 8,0 8,0 8,0 18 18,0 18,0 26,0 35 35,0 35,0 61,0 39 39,0 39,0 100,0 STS TS S SS s8 Frequency Percent Percent Percent 6 6,0 6,0 6,0 22 22,0 22,0 28,0 27 27,0 27,0 55,0 45 45,0 45,0 100,0 Frequencies Penerapan N Missing Statistics t1 t2 t3 t4 t5 t6 t7 t8 t9 t10 t11 100 100 100 100 100 100 100 100 100 100 100 0 0 0 0 0 0 0 0 0 0 0
Frequency Table tidak ya t1 Frequency Percent Percent Percent 44 44,0 44,0 44,0 56 56,0 56,0 100,0 tidak ya t2 Frequency Percent Percent Percent 46 46,0 46,0 46,0 54 54,0 54,0 100,0 tidak ya t3 Frequency Percent Percent Percent 44 44,0 44,0 44,0 56 56,0 56,0 100,0 tidak ya t4 Frequency Percent Percent Percent 53 53,0 53,0 53,0 47 47,0 47,0 100,0 tidak ya t5 Frequency Percent Percent Percent 45 45,0 45,0 45,0 55 55,0 55,0 100,0
tidak ya t6 Frequency Percent Percent Percent 42 42,0 42,0 42,0 58 58,0 58,0 100,0 tidak ya t7 Frequency Percent Percent Percent 46 46,0 46,0 46,0 54 54,0 54,0 100,0 tidak ya t8 Frequency Percent Percent Percent 53 53,0 53,0 53,0 47 47,0 47,0 100,0 tidak ya t9 Frequency Percent Percent Percent 55 55,0 55,0 55,0 45 45,0 45,0 100,0 tidak ya t10 Frequency Percent Percent Percent 57 57,0 57,0 57,0 43 43,0 43,0 100,0
t11 Frequency Percent Percent Percent tidak 45 45,0 45,0 45,0 ya 55 55,0 55,0 100,0 2. Analisis Bivariat Crosstabs Ca se Processing Summa ry penget ahuan * penerapan sikap * penerapan Cases Missing N Percent N Percent N Percent 100 100,0% 0,0% 100 100,0% 100 100,0% 0,0% 100 100,0% pengetahuan * penerapan Crosstab pengetahuan baik sedang buruk Count % within pengetahuan % within penerapan % of Count % within pengetahuan % within penerapan % of Count % within pengetahuan % within penerapan % of Count % within pengetahuan % within penerapan % of penerapan ya tidak 37 19 56 66,1% 33,9% 100,0% 80,4% 35,2% 56,0% 37,0% 19,0% 56,0% 4 6 10 40,0% 60,0% 100,0% 8,7% 11,1% 10,0% 4,0% 6,0% 10,0% 5 29 34 14,7% 85,3% 100,0% 10,9% 53,7% 34,0% 5,0% 29,0% 34,0% 46 54 100 46,0% 54,0% 100,0% 100,0% 100,0% 100,0% 46,0% 54,0% 100,0%
sikap * penerapan Chi-Square Te sts Value df Asymp. Sig. (2-sided) Pearson Chi-Square 22,632 a 2,000 Likelihood Ratio 24,391 2,000 Linear-by-Linear Association 22,405 1,000 N of Cases 100 a. 1 cells (16,7%) have expected count less than 5. The minimum expected count is 4,60. Crosstab sikap sedang buruk Count % within sikap % within penerapan % of Count % within sikap % within penerapan % of Count % within sikap % within penerapan % of penerapan ya tidak 31 16 47 66,0% 34,0% 100,0% 67,4% 29,6% 47,0% 31,0% 16,0% 47,0% 15 38 53 28,3% 71,7% 100,0% 32,6% 70,4% 53,0% 15,0% 38,0% 53,0% 46 54 100 46,0% 54,0% 100,0% 100,0% 100,0% 100,0% 46,0% 54,0% 100,0% Chi-Square Tests Asymp. Sig. Value df (2-sided) Pearson Chi-Square 14,219 b 1,000 Continuity Correction a 12,744 1,000 Likelihood Ratio 14,552 1,000 Fisher's Exact Test Linear-by-Linear Association 14,077 1,000 N of Cases 100 a. Computed only for a 2x2 table Exact Sig. (2-sided) Exact Sig. (1-sided),000,000 b. 0 cells (,0%) have expected count less than 5. The minimum expected count is 21,62.
Lampiran Foto PENERAPAN UNIVERSAL PRECAUTION OLEH TENAGA KESEHATAN DALAM MITIGASI BENCANA HIV/AIDS DI RUMAH SAKIT UMUM PUSAT H. ADAM MALIK MEDAN TAHUN 2012 LOGO HIV/AIDS Rumah Sakit Umum Pusat (RSUP) Haji Adam Malik Medan
ALAT PELINDUNG DIRI (APD) untuk Kesehatan Keselamatan Kerja (K3) sesuai Kep Menkes No 432 Tahun 2007 RUANGAN PUSAT INFORMASI
RINDU (RAWAT INAP TERPADU) A RUANGAN NURSE STATION RINDU A1 RSUP H.ADAM MALIK MEDAN
PASIEN DI RUANGAN HIV/AIDS