Pengaruh Proactive Personality, Professionalism Dan Organizational Comitment Petugas Puskesmas terhadap Penanganan Hipertensi di Wilayah Kerja Puskesmas Pijorkoling Kota Padangsidimpuan
The Influence of Proactive Personality, Professionalism and Organizational Commitment of Puskesmas Staff on Hypertension Working Area of Pijorkoling Puskesmas Padangsimpuan City
Keywords:
Hipertensi, Organization Comitmen, Proactive Personality, Profesionalism
Abstract
utama penyakit jantung dan pembuluh darah. Penanganan yang efektif terhadap hipertensi memerlukan peran yang kuat dari petugas kesehatan, terutama petugas di puskesmas yang berperan langsung dalam memberikan layanan kesehatan primer kepada masyarakat.
Tujuan: Penelitian bertujuan untuk menganalisis hubungan antara pengaruh proactive personality, professionalism dan organizational comitment petugas puskesmas terhadap penanganan hipertensi di wilayah kerja Puskesmas Pijorkoling Kota Padangsidimpuan.
Metode: Jenis penelitian yang digunakan adalah observasional dengan menggunakan desain cross sectional study. Penelitian dilakukan di wilayah kerja Puskesmas Pijorkoling. Penelitian ini dilaksanakan Januari sampai dengan Februari 2024. Populasi adalah seluruh pegawai Puskesmas Pijorkoling sebanyak 125 orang. Sampel dalam penelitian ini adalah sebagian petugas kesehatan yang bersentuhan langsung dengan penanganan hipertensi sebnayak 41 orang. Teknik pengambilan sampel menggunakan teknik purposive sampling dengan kriteria: petugas kesehatan yang bersentuhan langsung dengan penanganan hipertensi, bekerja di Puskesmas Pijorkoling, dan petugas kesehatan bersedia menjadi subyek penelitian dengan menandatangani lembar persetujuan. Instrumen penelitian adalah kuesioner penelitian yang digunakan untuk pengumpulan data. Data dianalisis secara univariat, bivariat (chi-square), dan multivariat (regresi logistik).
Hasil: Hasil penelitian menunjukkan bahwa proactive personality (p=0,001), profesionalism (0,004), organization comitmen (0,002) berpengaruh terhadap penaganan hipertensi. Sedangkan variabel yang paling berpengaruh adalah proactive personality dengan nilai Exp (B)=25,876.
Kesimpulan: Penanganan hipertensi pada petugas kesehatan sangat dipengaruhi faktor proactive personality, profesionalism, organizational. Diharapkan agar petugas kesehatan khususnya di Puskesmas Pijorkoling untuk meningkatkan pengetahuan tentang hipertensi dan keaktifan dalam bekerja.
References
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29. Mohammadi R, Jain S, Agboola S, Palacholla R, Kamarthi S, Wallace BC. Learning to identify patients at risk of uncontrolled hypertension using electronic health records data. AMIA Summits Transl Sci Proc. 2019;2019:533.
30. Jafar TH, Gandhi M, De Silva HA, Jehan I, Naheed A, Finkelstein EA, et al. A community-based intervention for managing hypertension in rural South Asia. N Engl J Med. 2020;382(8):717–26.
31. Queiroz RF de, Alvarez AM, Morais LJ, Silva RAR da. Perception of nursing workers on the care of hypertension in older adult. Rev Bras Enferm. 2019;72:3–13.
32. Wong AKC, Bayuo J, Wong FKY, Chow KKS, Wong SM, Lau ACK. The synergistic effect of nurse proactive phone calls with an mHealth app program on sustaining app usage: 3-arm randomized controlled trial. J Med Internet Res. 2023;25:e43678.
33. Ritchie CW, Waymont JMJ, Pennington C, Draper K, Borthwick A, Fullerton N, et al. The scottish brain health service model: rationale and scientific basis for a national care pathway of brain health services in Scotland. J Prev Alzheimer’s Dis. 2022;1–11.
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35. Chappell LC, Tucker KL, Galal U, Yu L-M, Campbell H, Rivero-Arias O, et al. Effect of self-monitoring of blood pressure on blood pressure control in pregnant individuals with chronic or gestational hypertension: the BUMP 2 randomized clinical trial. JAMA. 2022;327(17):1666–78.
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37. Timpel P, Oswald S, Schwarz PEH, Harst L. Mapping the evidence on the effectiveness of telemedicine interventions in diabetes, dyslipidemia, and hypertension: an umbrella review of systematic reviews and meta-analyses. J Med Internet Res. 2020;22(3):e16791.
38. Serrat-Costa M, de Tuero GC, Noguer CB, Lluch RM, Blanes RR, Bagué AB, et al. Arterial hypertension diagnosis: A problem? Hipertens y Riesgo Vasc. 2023;40(2):58–64.
39. Wong AKC, Wong FKY, Chang KKP. A proactive mobile health application program for promoting self-care health management among older adults in the community: study protocol of a three-arm randomized controlled trial. Gerontology. 2020;66(5):506–13.
40. Alves AJ, Wu Y, Lopes S, Ribeiro F, Pescatello LS. Exercise to treat hypertension: late breaking news on exercise prescriptions that FITT. Curr Sports Med Rep. 2022;21(8):280–8.
41. Alessa T, Hawley MS, Hock ES, de Witte L. Smartphone apps to support self-management of hypertension: review and content analysis. JMIR mHealth uHealth. 2019;7(5):e13645.
42. Lubis MI, Ahmad H, Ali RSM, Hadi AJ. Analisis Tingkat Kepuasan Pasien BPJS di Puskesmas Tanjung Botung Kabupaten Padang Lawas. Media Publ Promosi Kesehat Indones. 2023;6(7):1439–46.
43. Baumann AA, Hooley C, Goss CW, Mutabazi V, Brown AL, Schechtman KB, et al. Exploring contextual factors influencing the implementation of evidence-based care for hypertension in Rwanda: a cross-sectional study using the COACH questionnaire. BMJ Open. 2021;11(9):e048425.
44. Siregar RM, Ahmad H, Hadi AJ, Majid A. Analisis Mutu Pelayanan Kesehatan terhadap Kepuasan Pasien di Rumah Sakit Umum Daerah Sipirok Kabupaten Tapanuli Selatan. Media Publ Promosi Kesehat Indones. 2023;6(6):1193–9.
45. Odendaal WA, Watkins JA, Leon N, Goudge J, Griffiths F, Tomlinson M, et al. Health workers’ perceptions and experiences of using mHealth technologies to deliver primary healthcare services: a qualitative evidence synthesis. Cochrane Database Syst Rev. 2020;(3).
2. Laily SR. Hubungan karakteristik penderita dan hipertensi dengan kejadian stroke iskemik. J Berk Epidemiol. 2017;5(1):48–59.
3. Hazarika CR, Babu B V. Prevalence of hypertension in Indian tribal population: a systematic review and meta-analysis. J Racial Ethn Heal Disparities. 2024;11(1):451–67.
4. Ezeala-Adikaibe BA, Mbadiwe CN, Okafor UH, Nwobodo UM, Okwara CC, Okoli CP, et al. Prevalence of hypertension in a rural community in southeastern Nigeria; an opportunity for early intervention. J Hum Hypertens. 2023;37(8):694–700.
5. Nanono J. Service Availability and Readiness of Primary Care Health Facilities Offering Hypertension Diagnosis Services in Wakiso District, Uganda, 2019. Prev Chronic Dis. 2023;20.
6. Haile TG, Mariye T, Tadesse DB, Gebremeskel GG, Asefa GG, Getachew T. Prevalence of hypertension among type 2 diabetes mellitus patients in Ethiopia: a systematic review and meta-analysis. Int Health. 2023;15(3):235–41.
7. Ebrahimi H, Shayestefar M, Talebi SS, Christie J, Ebrahimi MH. Prevalence of hypertension and its associated factors among professional drivers: a population-based study. Acta Cardiol. 2023;78(5):543–51.
8. Adejumo O, Ogundele O, Mamven M, Oyedepo D, Ntaji M, Mohammed A, et al. Assessment of hypertension service availability in some primary health centres in Nigeria: a mixed-methods study. BMJ Open. 2023;13(8):e073833.
9. Lima dos Santos L, Codogno JS, Camilo Turi-Lynch B, Araujo MYC, Fernandes RA, de Oliveira Gomes GA, et al. Interrelationship between arterial hypertension, health service costs, therapeutic treatment and physical activity. BMC Prim Care. 2023;24(1):164.
10. Hasibuan AS, Yaturramadhan H, Hadi AJ, Ahmad H. Pemanfaatan Pelayanan Puskesmas dalam Pencegahan Covid-19 di Puskesmas Batunadua Kota Padangsidimpuan. MPPKI (Media Publ Promosi Kesehat Indones Indones J Heal Promot. 2021;4(4):475–81.
11. Zhang Q, Huang F, Zhang L, Li S, Zhang J. The effect of high blood pressure-health literacy, self-management behavior, self-efficacy and social support on the health-related quality of life of Kazakh hypertension patients in a low-income rural area of China: a structural equation model. BMC Public Health. 2021;21(1):1114.
12. Cífková R. Hypertension in pregnancy: a diagnostic and therapeutic overview. High Blood Press Cardiovasc Prev. 2023;30(4):289–303.
13. Tang H, Li M, Liu LZ, Zhou Y, Liu X. Changing inequity in health service utilization and financial burden among patients with hypertension in China: evidence from China Health and Retirement Longitudinal Study (CHARLS), 2011–2018. Int J Equity Health. 2023;22(1):246.
14. Qin J, Zhang Y, Fridman M, Sweeny K, Zhang L, Lin C, et al. The role of the Basic Public Health Service program in the control of hypertension in China: results from a cross-sectional health service interview survey. PLoS One. 2021;16(6):e0217185.
15. Turana Y, Tengkawan J, Chia YC, Nathaniel M, Wang J, Sukonthasarn A, et al. Hypertension and stroke in Asia: a comprehensive review from HOPE Asia. J Clin Hypertens. 2021;23(3):513–21.
16. Kemenkes RI. Hasil Utama Riskesdas 2018. Badan Penelitian dan Pengembangan Kesehatan. Jakarta: Badan Penelitian dan Pengembangan Kesehatan; 2018.
17. Padangsidempuan DK. Profil Kesehatan Dinas Kesehatan Kota Padangsidimpuan Tahun 2022. Lembaran Negara Republik Indones Nomor. 2022;1(1).
18. Tugiarto A, Pratiwi F, Azkya A, Widodo PP. Pengolahan Data Pasien Rawat Jalan Puskesmas Bumi Ayu Kota Dumai Berbasis Web. Informatika. 2019;10(2):13–20.
19. Abbas A, Hannan J, Stolp H, Coronado F, Sperling LS. Peer Reviewed: Commitment to Hypertension Control During the COVID-19 Pandemic: Million Hearts Initiative Exemplars. Prev Chronic Dis. 2022;19.
20. Gore R, Patel S, Choy C, Taher M, Garcia-Dia MJ, Singh H, et al. Influence of organizational and social contexts on the implementation of culturally adapted hypertension control programs in Asian American-serving grocery stores, restaurants, and faith-based community sites: a qualitative study. Transl Behav Med. 2020;10(6):1525–37.
21. Marsteller JA, Hsu Y-J, Weeks K, Oduwole M, Boonyasai RT, Avornu GD, et al. Assessing Factors Influencing Commitment to a Disparities Reduction Intervention: Social Justice Attitudes and Organizational Mission. J Healthc Qual. 2023;45(4):209–19.
22. Lieu TA, Madvig PR. Strategies for building delivery science in an integrated health care system. J Gen Intern Med. 2019;34:1043–7.
23. Metria K, Riana IG. Pengaruh dukungan organisasi terhadap komitmen organisasional dan kinerja pegawai. E-Jurnal Ekon dan Bisnis Univ Udayana. 2018;7(9):2117–46.
24. Budiantara IK, Mitariani NWE, Imbayani IGA. Pengaruh Komitmen Organisasi Dan Budaya Organisasi Terhadap Kinerja Karyawan Outsourcing Pada Perusahaan Penyedia Jasa Outsourcing PT. Adidaya Madani Denpasar. Emas. 2022;3(6):139–51.
25. Ariyani RPN, Sugiyanto EK. Pengaruh komitmen afektif, komitmen berkelanjutan dan komitmen normatif terhadap kinerja karyawan (studi perusahaan bumn x di semarang). J Ilm Manaj Ubhara. 2020;2(2):113–22.
26. Liana Y. Budaya Organisasi Terhadap Kinerja Karyawan Melalui Komitmen. J Manajerial. 2020;7(01):86–100.
27. Sahur A. Implementasi Program Jaminan Kesehatan Nasional Kartu Indonesia Sehat Pada Badan Penyelenggara Jaminan Sosial Kota Makassar. Universitas Hasanuddin; 2021.
28. Viigimaa M, Jürisson M, Pisarev H, Kalda R, Alavere H, Irs A, et al. Effectiveness and feasibility of cardiovascular disease personalized prevention on high polygenic risk score subjects: a randomized controlled pilot study. Eur Hear J open. 2022;2(6):oeac079.
29. Mohammadi R, Jain S, Agboola S, Palacholla R, Kamarthi S, Wallace BC. Learning to identify patients at risk of uncontrolled hypertension using electronic health records data. AMIA Summits Transl Sci Proc. 2019;2019:533.
30. Jafar TH, Gandhi M, De Silva HA, Jehan I, Naheed A, Finkelstein EA, et al. A community-based intervention for managing hypertension in rural South Asia. N Engl J Med. 2020;382(8):717–26.
31. Queiroz RF de, Alvarez AM, Morais LJ, Silva RAR da. Perception of nursing workers on the care of hypertension in older adult. Rev Bras Enferm. 2019;72:3–13.
32. Wong AKC, Bayuo J, Wong FKY, Chow KKS, Wong SM, Lau ACK. The synergistic effect of nurse proactive phone calls with an mHealth app program on sustaining app usage: 3-arm randomized controlled trial. J Med Internet Res. 2023;25:e43678.
33. Ritchie CW, Waymont JMJ, Pennington C, Draper K, Borthwick A, Fullerton N, et al. The scottish brain health service model: rationale and scientific basis for a national care pathway of brain health services in Scotland. J Prev Alzheimer’s Dis. 2022;1–11.
34. Siyen S, Hadi AJ, Asriwati A. Faktor Yang Berhubungan Dengan Mutu Pelayanan Rumah Sakit Bhayangkara Tebing Tinggi. MPPKI (Media Publ Promosi Kesehat Indones Indones J Heal Promot. 2020;3(3):267–74.
35. Chappell LC, Tucker KL, Galal U, Yu L-M, Campbell H, Rivero-Arias O, et al. Effect of self-monitoring of blood pressure on blood pressure control in pregnant individuals with chronic or gestational hypertension: the BUMP 2 randomized clinical trial. JAMA. 2022;327(17):1666–78.
36. Tomson CR V, Cheung AK, Mann JFE, Chang TI, Cushman WC, Furth SL, et al. Management of blood pressure in patients with chronic kidney disease not receiving dialysis: synopsis of the 2021 KDIGO clinical practice guideline. Ann Intern Med. 2021;174(9):1270–81.
37. Timpel P, Oswald S, Schwarz PEH, Harst L. Mapping the evidence on the effectiveness of telemedicine interventions in diabetes, dyslipidemia, and hypertension: an umbrella review of systematic reviews and meta-analyses. J Med Internet Res. 2020;22(3):e16791.
38. Serrat-Costa M, de Tuero GC, Noguer CB, Lluch RM, Blanes RR, Bagué AB, et al. Arterial hypertension diagnosis: A problem? Hipertens y Riesgo Vasc. 2023;40(2):58–64.
39. Wong AKC, Wong FKY, Chang KKP. A proactive mobile health application program for promoting self-care health management among older adults in the community: study protocol of a three-arm randomized controlled trial. Gerontology. 2020;66(5):506–13.
40. Alves AJ, Wu Y, Lopes S, Ribeiro F, Pescatello LS. Exercise to treat hypertension: late breaking news on exercise prescriptions that FITT. Curr Sports Med Rep. 2022;21(8):280–8.
41. Alessa T, Hawley MS, Hock ES, de Witte L. Smartphone apps to support self-management of hypertension: review and content analysis. JMIR mHealth uHealth. 2019;7(5):e13645.
42. Lubis MI, Ahmad H, Ali RSM, Hadi AJ. Analisis Tingkat Kepuasan Pasien BPJS di Puskesmas Tanjung Botung Kabupaten Padang Lawas. Media Publ Promosi Kesehat Indones. 2023;6(7):1439–46.
43. Baumann AA, Hooley C, Goss CW, Mutabazi V, Brown AL, Schechtman KB, et al. Exploring contextual factors influencing the implementation of evidence-based care for hypertension in Rwanda: a cross-sectional study using the COACH questionnaire. BMJ Open. 2021;11(9):e048425.
44. Siregar RM, Ahmad H, Hadi AJ, Majid A. Analisis Mutu Pelayanan Kesehatan terhadap Kepuasan Pasien di Rumah Sakit Umum Daerah Sipirok Kabupaten Tapanuli Selatan. Media Publ Promosi Kesehat Indones. 2023;6(6):1193–9.
45. Odendaal WA, Watkins JA, Leon N, Goudge J, Griffiths F, Tomlinson M, et al. Health workers’ perceptions and experiences of using mHealth technologies to deliver primary healthcare services: a qualitative evidence synthesis. Cochrane Database Syst Rev. 2020;(3).
Published
2024-05-08
How to Cite
Intan Yusvita Sari Nasution, Alprida Harahap, Haslinah Ahmad, Owildan Wisudawan B, Anto J. Hadi, & Nayodi Permayasa. (2024). Pengaruh Proactive Personality, Professionalism Dan Organizational Comitment Petugas Puskesmas terhadap Penanganan Hipertensi di Wilayah Kerja Puskesmas Pijorkoling Kota Padangsidimpuan: The Influence of Proactive Personality, Professionalism and Organizational Commitment of Puskesmas Staff on Hypertension Working Area of Pijorkoling Puskesmas Padangsimpuan City. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 7(5), 1334-1342. https://doi.org/10.56338/mppki.v7i5.5298
Section
Research Article
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