Infeksi luka operasi (ILO) adalah bagian dari infeksi nosokomial dan merupakan masalah dalam pelayanan kesehatan, terjadi pada 2 - 5% dari 27 juta pasien yang dioperasi setiap tahun dan 25% dari jumlah infeksi terjadi di fasilitas pelayanan. Penelitian bertujuan mengetahui hubungan usia, status gizi, jenis operasi, lama rawat prabedah, kadar Hb, transfusi darah, waktu pemberian antibiotik profilaksis, jenis anestesi, lama pembedahan serta lama rawat pascabedah dengan kejadian ILO pada pasien pascabedah sesar di RSUP Dr. Sardjito Yogyakarta. Rancangan desain penelitian studi observasional prospektif dilakukan dengan sampel 154 orang. Data diperoleh melalui observasi menggunakan daftar tilik sejak pasien masuk rumah sakit sampai 30 hari pascabedah. Analisis data meliputi analisis univariat, analisis bivariat dengan menggunakan uji kai kuadrat serta analisis multivariat dengan uji regresi logistik berganda. Hasil penelitian menunjukkan ada hubungan antara waktu pemberian antibiotik profilaksis (OR = 1,16; 95% CI = 1,09 - 1,37), lama rawat prabedah (OR = 1,12; 95% CI = 1,02 - 1,24) dan lama rawat pascabedah (OR = 1,21; 95% CI = 1,04 - 1,39) dengan kejadian ILO. Faktor lainnya tidak mempunyai hubungan yang signifikan terhadap kejadian ILO. Hasil uji regresi logistik ganda menemukan lama rawat pascabedah merupakan faktor yang paling dominan terhadap kejadian ILO. Identifikasi faktor risiko ILO dapat bermanfaat untuk merencanakan upaya meminimalkan kejadian ILO pada pasien pascabedah sesar.Surgical site infection (SSI) is part of health care associated infection and remains a problem in hospital care. SSI occurs in 2 to 5% of the 27 million patients having surgery each year and 25% of infections occur in care facilities. This study aimed to relation various such as age, nutritional status, type of surgery, pre-operative length of stay, hemoglobin level, bloodtransfusions, timing of antibiotics prophylaxis, type of anesthesia, duration of operation and post-operative length of stay on the incidence of SSI post caesarean section at Dr. Sardjito Hospital Yogyakarta. Prospective observation study was conducted in 154 sample. Data were obtained through observations using checklist since hospital admission up to 30 days post surgery. Data analysis included univariate, chi-square test and multiple logistic regression. The result showed that time of prophylactic antibiotics (OR = 1.16; 95% CI = 1.09 - 1.37), pre-operative length of stay (OR = 1.12; 95% CI = 1.02 - 1.24) and post-operative length of stay (OR = 1.21; 95% CI = 1.04 - 1.39) were risk factors for SSI. Other factors did not show significant associations with incidence of the SSI. The findings from multiple logistic regression showed post-operative length of stay in hospital as the most dominant factor for incidence of SSI. Identifying SSI risk factors can be used to plan efforts to minimize the occurrence of SSI in post-caesarean section patients.

Selama dua tahun terakhir ini RSUD Tenriawaru Kelas B Kabupaten Bone mengalami peningkatan jumlah pasien yang dibuktikan dengan Bed Occupancy Rate (BOR), hal ini membuat beban kerja para perawat semakin bertambah, semakin bertambahnya beban para perawat semakin bertambah tingkat kelelahan yang dirasakan perawat dan jika hal ini terus berlanjut akan terjadi penurunan produktivitas kerja dan dapat memicu terjadinya stres kerja. Penelitian ini bertujuan untuk menganalisis hubungan antara beban kerja dan stres kerja dengan kelelahan kerja pada perawat RSUD Tenriawaru Kelas B Kabupaten Bone Tahun 2018. Penelitian ini menggunakan metode penelitian observasional analitik, dengan menggunakan pendekatan Cross Sectional, dan mengambil 65 perawat untuk menjadi responden dengan menggunakan teknik purposive sampling yaitu teknik dengan tujuan atau pertimbangan tertentu yang memenuhi kriteria inklusi hasil kriteria inklusi. Pengumpulan data dilakukan dengan menggunakan kuesioner yang telah diuji validitasnya. Uji statistik yang di gunakan yaitu uji univariat dan bivariat. Hasil penelitian menunjukkan bahwa perawat yang merasakan kelelahan tinggi sebanyak 43,1%. Perawat dengan beban kerja sedang sebanyak 61,5%. Perawat yang mengalami stres sedang sebanyak 95,4%. Hal ini menunjukkan bahwa terdapat hubungan yang signifikan antara stres kerja dengan kelelahan kerja (p = 0,001) dan terdapat hubungan antara beban kerja dengan kelelahan kerja (p = 0,001).

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The problem occured in Labuang Baji Makassar Hospital as a newly formed hospital with health workers, especially nurses mostly comes from fresh graduates so their experience and skills of serving patients are still low. From the data that we obtained, complaints against the services of Labuang Baji Makassar Hospital are staff friendliness only reached 24% and slow service with a total of 21%. Quality services are the expectation of all patients who received health service. Even so, not all the hospital able to offer a service that desired. This is because of good quality health services can only be administered by the professional workers who have good knowledge and skills, so the patient can feel comfortable. The excellent service training method was involved the trainee partners. So, this training can be expected to improve the trainee become trainers to train other Labuang Baji Hospital staff. This training will be conducted by applying discourse methods, question and answer, group discussions, games, simulations and group presentation. One group pre-test and post-test was conducted with 16 participants to see the impact from the training, The results show that there awas an increased knowledge of the excellent service participants before the training and after the training. Before the training the level of knowledge of 9 people (56.3%) who were in high level, and after training increased to 93.8% or as many as 15 people. Based on the results of the analysis on excellent service training there was an increased in participants' knowledge about the concept of hospital services, customer satisfaction and loyalty, attitude and appearance of excellent service, verbal and non-verbal communication in health services, intelligence development, transportation assistance, satisfaction assistance. With the existence of excellent service training, it is expected that the training participants can apply the knowledge they have obtained in order to provide satisfying services for patients.