Hubungan antara pengetahuan sanitasi dan higiene, sikap K3 dan perilaku K3 dengan infeksi Nosokomial pada Pramu Resik di RSU. Dr. Soetomo Surabaya

WIDAJATI, Noeroel, Dr.dr. Lientje Setyawati, MS.,Sp.Ok

2008 | Tesis | S2 Ilmu Kesehatan Kerja (Kesehatan Kerja)

Penyelenggaraan Kesehatan dan Keselamatan Kerja (K3) di rumah sakit sangat perlu mendapat perhatian yang serius. Sampai saat ini belum banyak peraturan K3 yang dikembangkan bagi para tenaga kerja di rumah sakit. Di Surabaya kejadian infeksi nosokomial pada tenaga medis sebanyak 73,3% menduduki peringkat pertama di Indonesia. Tujuan penelitian adalah untuk mengetahui hubungan antara pengetahuan sanitasi dan hygiene, sikap K3 dan perilaku K3 dengan infeksi nosokomial pada pramuresik di rumah sakit Dr. Soetomo Surabaya. Penelitian ini menggunakan metode survey analitik dengan pendekatan cross sectional. Penelitian ini dilakukan di Rumah Sakit Umum (RSU) Dr. Soetomo Surabaya. Subyek penelitian adalah pramuresik RSU Dr. Soetomo Surabaya. Instrumen penelitian adalah kuesioner tentang pengetahuan sanitasi dan higiene, sikap K3, dan perilaku K3, serta kuesioner yang berisi pertanyaan terbuka tentang riwayat penyakit responden selama bekerja sebagai pramuresik di RSU Dr. Soetomo selama 2 bulan terakhir (Juli-Agustus 2007). Data yang diperoleh dianalisis dengan menggunakan SPS-2000 modul analisis korelasi parsial. Hasil analisis data; 1) Ada hubungan sangat signifikan antara pengetahuan sanitasi dan hygiene dengan infeksi nosokomial, p<0,05; 2) Ada hubungan sangat signifikan sikap K3 dengan infeksi nosokomial, p<0,05; 3) Ada hubungan sangat signifikan perilaku K3 dengan infeksi nosokomial, p<0,05. 4) Ada hubungan sangat signifikan pengetahuan sanitasi dan hygiene; sikap K3 dan perilaku K3 dengan infeksi nosokomial, p<0,05.

The implementation of occupational health and safety in hospital needs serious management. Nowdays many rules of occupational health and safety are not developed for manpower in hospital. In Surabaya, nosocomial infection on health care provider was 73,3% which is the first rank in Indonesia. The objective of this research was to find out the relationship between knowledge of sanitation and hygiene, attitude of occupational health and safety, behavior of occupational health and safety, and nosocomial infection in the cleaning service workers of dr. Soetomo hospital in Surabaya. The research was an analytic survey that used cross sectional design. This was conducted in RSU Dr. Soetomo Surabaya. The research subject were cleaning service workers of RSU Dr. Soetomo Surabaya. The instrument was questionnaire on the knowledge of sanitation and hygiene, attitude of occupational health and safety, and behavior of occupational health and safety, as well as questionnaire that consisted of open questions regarding the disease history of respondents who worked as cleaning service workers in hospital during in the past 2 months (July – August 2007). The data was analyzed using SPS-2005 with parsial correlation analysis module. The result of data analysis showed that ; 1) there was a high significant relationship between knowledge of sanitation and hygiene and nosocomial infection, p < 0,05; 2) there was a high significant relationship between attitude of occupational health and safety and nosocomial infection, p < 0,05; 3) there was a high significant relationship between behavior of occupational health and safety, and nosocomial infection, p < 0,05; 4) there was a high significant relationship between knowledge of sanitation and hygiene, attitude of occupational health and safety, and behavior of occupational health and safety, and nosocomial infection, p < 0,05.

Kata Kunci : Kesehatan Kerja, Sikap K3, Infeksi Nosokomial, nosocomial infection, knowledge of sanitation and hygiene; attitude of occupational health and safety and behavior of occupational health and safety