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Hubungan Kerja Gilir dengan Gangguan Muskuloskeletal pada Perawat di Rumah Sakit Umum Daerah Provinsi Banten

Wibowo, Bagas (2024) Hubungan Kerja Gilir dengan Gangguan Muskuloskeletal pada Perawat di Rumah Sakit Umum Daerah Provinsi Banten. S1 thesis, Universitas Sultan Ageng Tirtayasa.

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Abstract

Background: Musculosceletal disorders (MSDs) are considered the main cause of nurses experiencing problems in carrying out daily tasks and vigilance towards patients. Nurses are particularly vulnerable to MSDs in the lower back, shoulders, neck, back of the wrist, knees, and elbows. Nurses who work in shifts have a higher risk of MSD incidence than nurses who do not work in shifts and irregularly. Objective: To determine the relationship between rotational work and Musculosceletal disorders in nurses at Banten Regional General Hospital. Methods: Cross-sectional study on 68 nurse subjects who were divided into 2 groups, 34 subjects each, namely shifts nurses and daily nurses. The inclusion criteria in this study are nurses who have nurse registration and age under 60 years with exclusion criteria of pregnant conditions, walking disorders while working for example due to fractures or congenital disabilities, heart disorders, impaired renal function, history of stroke, diabetes mellitus and thyroid hormone disorders. Analysis was carried out with the help of SPSS, in the form of independent t-test, Chi-Square and Mann-Whitney. Results: Back pain occurred in 33 (45.6%) people, back pain in 31 (48.8) people, right knee pain in 28 (41.1) people, left knee pain in 26 (38.2%) people, and right wrist in 24 (35.3%) people. Shiff nurses had an RR of 2.00 (95% CI 1.16-3.45; P=0.008) for Musculosceletal disorders compared to daily nurses. Age >40 years had a risk of Musculosceletal disorders 1.82 times with IK 1.11-2.99, P=0.016 compared to age <40 years. The habit of not doing exercise has a risk of MSD of 3.44 times with 95% IK 2.02-5.84, P<0.001. The habit of not stretching the body before doing work was found to have a risk of Musculosceletal disorders by 4.98 IK 95% 2.18-11.30, P<0.001 compared to those who stretch before activity. Conclusion: There is an association between shift work and Musculosceletal disorders in nurses at Banten Regional General Hospital.

Item Type: Thesis (S1)
Contributors:
ContributionContributorsNIP/NIM
Thesis advisorTrisnasari, Erni210401152004
Thesis advisorSyougie, SyougieUNSPECIFIED
Additional Information: Latar belakang: Gangguan muskuloskeletal (MSD) dianggap sebagai penyebab utama perawat mengalami permasalahan dalam melaksanakan tugas dan kewaspadaan terhadap pasien. Perawat sangat rentan terjadi MSD di punggung bawah, bahu, leher, punggung pergelangan tangan, lutut, dan siku. Perawat yang bekerja jaga gilir mengalami risiko lebih tinggi kejadian MSD dibandingkan perawat yang tidak bekerja dengan bergilir dan tidak teratur. Tujuan: Mengetahui hubungan antara kerja gilir dengan gangguan muskuloskeletal pada perawat di Rumah Sakit Umum Daerah Banten Metode: Penelitian potong lintang pada 68 subjek perawat yang terbagi menjadi 2 kelompok, masing masing 34 subjek yaitu perawat gilir dan perawat harian. Kriteria inklusi pada penelitian ini yaitu perawat yang memiliki STR.dan usia di bawah 60 tahun dengan kriteria eksklusi kondisi hamil, gangguan berjalan saat bekerja misalnya karena fraktur atau kecacatan bawaan, gangguan jantung, gangguan fungsi ginjal, riwayat stroke, diabetes melitus dan gangguan hormon tiroid. Analisis dilakukan dengan bantuan SPSS, berupa independent t-test, Chi-Square dan Mann- Whitney. Hasil: Sakit pada pinggang terjadi pada 33 (45,6%) orang, sakit pada punggung 31 (48,8) orang, sakit pada lutut kanan 28 (41,1) orang, sakit pada lutut kiri 26 (38,2%) orang, dan pergelangan tangan kanan 24 (35,3%). Perawat gilir memiliki RR 2,00 (IK 95% 1,16-3,45; P=0,008) terjadinya gangguan muskuloskeletal dibandingkan perawat harian. Usia >40 tahun memiliki risiko terjadinya gangguan muskuloskeletal 1,82 kali dengan IK 1,11-2,99, P=0,016 dibandingkan dengan usia < 40 tahun. Kebiasaan tidak melakukan olahraga memiliki risiko gangguan muskuloskeletal sebesar 3,44 kali dengan IK 95% 2,02-5,84, P<0,001. Kebiasaan tidak melakukan peregangan tubuh sebelum melakukan pekerjaan didapatkan memiliki risiko gangguan muskuloskeletal sebesar 4,98 IK 95% 2,18-11,30, P<0,001 dibandingkan dengan yang melakukan peregangan sebelum aktivitas. Simpulan: Terdapat hubungan antara kerja gilir dengan gangguan muskuloskeletal pada perawat di Rumah Sakit Umum Daerah Banten
Uncontrolled Keywords: Daily nurses, Musculosceletal disorders, Shifting nurses Gangguan muskuloskeletal, Perawat gilir, Perawat harian
Subjects: R Medicine > R Medicine (General)
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: 07-Fakultas Kedokteran
07-Fakultas Kedokteran > 11201-Prodi Kedokteran
Depositing User: mr bagas wibowo
Date Deposited: 13 Jul 2024 10:02
Last Modified: 17 Jul 2024 14:04
URI: http://eprints.untirta.ac.id/id/eprint/38366

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