Strategi pengelolaan diri untuk mengembangkan proaktivitas mahasiswa dalam mencegah beban radiasi pada pasien di instalasi radiologi :: Studi eksperimen pada mahasiswa Atro Depkes Semarang

KATILI, Mohamad Irwan, dr. Arif Faisal, Sp.Rad

2001 | Tesis | S2 Ilmu Kesehatan Masyarakat

Pemanfaatan Radiasi dalam Instalasi Radiologi perlu dipertimbangkan risiko yang akan tejadi pada pasien maupun keturunannya, oleh karenanya diperlukan upaya menekan dosis radiasi rendah-rendahnya yang akan diterima oleh pasien. Banyaknya pengulangan dalam pembuatan radiograf yang dibuat oleh mahasiswa membuktikan kurang proaktiiya mahasiswa dalam mencegah beban radiasi pada pasien. Tujuan penelitian ini untuk (1) mengetahui perbedaan proaktivitas mahasiswa dalam mencegah beban radiasi pada pasien antara yang melakukan pengelolaan diri dan yang tidak melakukan, (2) mengetahui efek program setelah 3 bulan dan (3) mengidentifikasi determinan yang menghambat proaktivitas. Subyek penelitian adalah mahasiswa semester V ATRO Depkes Semarang. Jumlah sampel baik kelompok perlakuan maupun kelompok kontrol adalah 30 mahasiswa. Jenis Penelitian quasi experiment dengan rancangan Non Equivalent Group Time Series yang digunakan dalam penelitian ini, sebelumnya dilakukan program pengelolaan diri terhadap kelompok perlakuan. Evaluasi program dilakukan sebelum mendapatkan pelatihan, segera setelah mendapatkan pelatihan dan 3 bulan setelah pelatihan. Dengan uji beda mean (t - test) terdapat perbedaan yang bermakna tingkat proaktivitas dalam mencegah beban radiasi pada pasien antara mahasiswa yang melakukan pengelolaan diri dan yang tidak melakukan (p

The use of radiation in the radiology installation needs to consider any risk that will occur towards patients or their family. Therefore, there is need to suppress the radiation dosage as lowest as possible. Repetition in making radiograph that made by student showed that students were not really proactive in preventing the burden of radiation of the patients. The purpose of this research was (1) to investigate the difference of proactive of student in preventing the burden of radiation toward patients who implemented self-management and who did not (2) to investigate the effect of the programme after 3 months and (3) to identifjr determinant that hamper proactivity. The subjects of this research were students of 5* semester of ATRO Department of Health Semwang, and there were 30 students of both treatment and control groups. This research was using quasi experiment with Non Equivalent Group Time Series design, and program of self-inanagement was implemented for treatment group previously. Program evaluation was done before training, soon after training and 3 months after training. The test of mean differences (t-test) showed that there was a significant difference of proactive level of students preventing the burden of radiation towards patients who implemented self-management and who did not (p<0.05). In conclusion, students who implemented self management was more proactive compared with those who did not. After 3 months evaluation, behavior change of treatment group could not sustained in the high level. Habit of students when give service to patients, policy of radiological installation that has relationship with repetition in radiograph creation, hospital facility that was not fulfill service standard and role of clinical instructor that determine the skill of students were considered as determinants that hamper students’ proactive development.

Kata Kunci : Perilaku Sehat,Mahasiswa Kesehatan,Beban Radiasi Pasien, self management, proactive, burden of radiation