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Program Promosi Kesehatan adalah suatu usaha untuk melindungi dan meningkatkan tingkat kesehatan pekerja yang bergantung pada komitmen management perusahaan dan peran sorta pekerja untuk peduli terhadap kesehatan mereka. Model program promosi kesehatan yang dikembangkan oleh Netherland Institute for Health Promotion and Disease Prevention (NIGZ) terdiri dari 8 elemen dengan sub elemen didaiamnya, yaitu Kondisi Kontekstuai dan Kelayakan, Anaiisis Perrnasalahan, Analisis Psikologis, Perilaku dan Lingkungan, Kelompok Target, Penentuan Tujuan, Perencanaan Program, lmpiementasi Program dan Evaluasi. Setiap pegawai PT X setiap tahun wajib mengikuti Pemeriksaan Medis Tahunan (AMCU »- Annual Medical Check Up) yang dilakukan oleh klinik di Kantor Balikpapan maupun di Rumah Sakit. Pekerja yang masuk dalam kategori lit (berisiko rendah) wajib mengikuti program promosi kesehatan olah raga rehabilitasi. Apabila kondisinya tidak membaik sehingga membahayakan keselamatannya maka pegawai tersebut akan diminta untuk pindah ke Kantor Balikpapan sehingga memudahkan akses ke fasilitas medis yang lebih lengkap. Dari data keikutsertaan rata-rata di perusahaan PT X pada tahun 2006, diketahui terdapat perbedaan tingkat partisipasi dalam kegiatan Promosi Kesehatan Rehabilitasi yang dilakukan secara rutin setiap minggu antara pekerja Kantor(11%) dan di Iapangan (CPU : 25%, NPU : 42 % , CPA : 56%). Penelitian diiakukan untuk mengetahui hubungan antara pelaksanaan elemen pengeiolaan program promosi kesehatan dan tingkat partisipasi peserta oiah raga rehabiiitasi pada pekerja Kantor dan Pekerja Lapangan (CPU. NPU dan CPA) di Perusahaan PT X pada Tahun 2006. Penelitian secara kualitatif dengan metode Grounded Theory diketahui bahwa elemen program yang memberikan hubungan kontekstual dengan tingkat partisipasi adalah elemen Kondisi Kontekstual clan Kelayakan dan elemen Analisa Permasa|ahan_ Elemen program yang memberikan hubungan pengaruh dengan tingkat partisipasi adalah elemen Anaiisa Psikologis, Perilaku dan Lingkungan dan elemen Kelompok Target. Elemen program yang merupakan hubungan strategi aksi/reaksi adalah elemen Penentuan Tujuan, elemen Perencanaan program dan elemen lmlementasi Program. E|Temen Program Promosi Kesehatan yang berhubungan Iangsung dengan tingkat partisipasi pekerja adalah interaksi antara Penentuan Tujuan, Perencanaan Program dan lmplementasi Program, sedangkan Kondisi Konstekstual dan Kelayakan, Analisis Masalah, Kelompok Target dan Analisis Psikoiogis, Perilaku dan Lingkungan berhubungan secara tidak langsung. Elemen Kondisi Kontekstual dan Kelayakan dan Elemen Perencanaan Program diduga memberikan pengaruh kepada tingkat partisipasi peserta program promosi kesehatan olah raga rehabilitasi di PT X pada tahun 2006. Disarankan agar perusahaan menerapkan waktu pelaksanaan program olah raga rehabilitasi yang fleksibel disesuaikan dengan kondisi di masing - masing lokasi, melibatkan kelompok penghubung dalam tahap-tahap pemilihan strategi program, menentukan target tingkat partisipasi yang diharapkan dari kelompok penghubung dalam proses penyusunan program, memasukan keberhasilan program promosi kesehatan olah raga rehabilitasi sebagai salah satu indikator ketercapaian program manajemen lini pemsahaan (KPI - key performance indicator).
Healt Promotion Program is an effort to protect and improve workers health status which builds upon company and management commitment and workers involvement in their health. Netherland institute for Health Promotion and Disease Prevention (NIGZ) has developed a Health Promotion Program models which consists of 8 elemens and sub elements : Contextual Condition and Feasibility, Problem Analysis, Detemiinant of psychological / behavior problem and environment, Target Group, Objective, Intervention Development, Implementation, and Evaluation. All employee of PT X must undergo an Annual Medical Check Up at companys medical fasility or at the appointed hospital. Any employee whose health status categorized at any risk must follow rehabilitation sport program untill the condition is suitable with his/her workload, otherwise he/she shall be transferred to other site or to Balikpapan Base where medical fasilities are more complete. Data on average participation rate of rehabilitation sport program for the year of 2006 vary between Baiikpapan Base (11%) and operational sites. (CPU : 25%, NPU : 42 %, CPA : 56 %). Research was performed to find relation between implementation of health promotion elemen and participation rate of rehabilitattion sport program on employee working at Balikpapan Base and Operational sites (CPU, CPA, NPU) in year of 2006. Using Grounded Theory qualitative research method, it is found those elements which give a contextual relation to participation rate are Contextual Condition and Feasibility and Problem Analysis. Elements which give contribution relation to participation rate are Psychological/behavior Analysis and Environment and Target Group. Elements which give interaction relation to participation rate are Objective, Intervention Development and Implementation. Health Promotion Program elements which are directly connected to participation rate are Objective, intervention Development, and Implementation. While Contextual Condition and Feasibility, Problem Analysis, Psychological/behavior Analysis and Environment and Target Group are connected to participation rate ind irectly. Based on similar trend between participation rate and semi quantitative result of element assessment (NIGZ questionnaire, 2003) it is suspected that Contextual Condition and Feasibility and intervention Development as dominant contributing factor to participation rate of rehabilitation sport program at TOTAL E&P Indonesia in year 2006. It is suggested to management of PT X to be more flexible in setting the timing of sport activity that suitable with each location, to involve and set up target for intennediaries in Intervention Development, to include achievement of health promotion program as Key Performance Indicator of line hierarchy.
Prevalensi Penyakit Jantung Koroner (PJK) di seluruh dunia dari tahun ke tahun terus meningkat. PJK telah menjadi penyebab kematian di beberapa negara di dunia dan diprediksi akan menjadi penyebab kematian nomor satu di dunia. Di kalangan Kontraktor Production Sharing (KPS) penyebab kematian diantara para pekerja KPS adalah penyakit kardiovaskuler. Tujuan penelitian ini adatah untuk mengetahui faktor risiko PJK yang kemudian dihubungkan dengan program Promosi Kesehatan Pekerja di PT X dari tahun 2005 - 2007, Penelitian ini menggunakan subjek pekerja pada PT X. Penelitian ini dilakukan di Pulau Kalimantan pada bulan Oktober 2008. Desain penelitian yang dilakukan adalah cross sectional dengan pendekatan secara kuantitatif dan kualitatif Tehnik sampling yang digunakan yaitu purposive sampling. Medical Department PT X bertanggung jawab untuk masalah kesehatan karyawan secara komprehensif meliputi pelayanan yang bersifat promotive, preventive, curative dan rehabilitative. Budget perusahaan terbesar diberikan ke Medical Department untuk pelayanan yang bersifat curative dan rehabilitative. Prevalensi hipertensi pada tahun 2005 diketahui 11,4%, tahun 2006 meningkat menjadi 16,5% dan tahun 2007 terjadi peningkatan sebesar 17,36%. Prevalensi DM pada tahun 2005 diketahui 8,97%, tahun 2006 meningkat menjadi 9,72% dan tahun 2007 terjadi peningkatan sebesar 12,13%. Prevalensi dislipidemia pada tahun 2005 diketahui 5,34%, tahun 2006 meningkat menjadi 6,67% dan tahun 2007 terjadi peningkatan sebesar 8,09%. Prevalensi hipertensi dari tahun 2005-2007 terus mengalami peningkatan, prevalensi diabetes melitus dari tahun 2005-2007 terus mengalami peningkatan, prevalensi dislipidemia dari tahun 2005-2007 terus mengalami peningkatan. Promosi Kesehatan Pekerja yang dikembangkan PT X dikembangkan berdasarkan model dari Ottawa Charter 1986. Kebijakan perusahaan berkaitan dengan masalah kesehatan karyawan sudah ada walaupun dalam pelaksanaannya masih kurang baik. Budget terbesar perusahaan saat ini adalah untuk penanganan kasus-kasus yang bersifat curative dan rehabilitative untuk para karyawan dan keluarganya (dependent). Promotion & prevention harus menjadi prioritas utama seperti; Kebijakan hari Rabu sebagai hari olahraga hams dilaksanakan sehingga tidak boleh ada kegiatan lain setelah pulcuI 16.00 selain kegiatan olahraga dengan melakukan sosialisasi ulang, prornosi kesehatan rneIalui media intranet (health desk) hams lebih disosialisasikan, perlu adanya seorang murisionist di camp service sehingga kadar gizi para karyawan dapat terkontrol, dalam merumuskan kebijakan yang berkaitan dengan promosi kesehatan harus melibatkan seluruh karyawan sehingga program-rogram yang dilaksanakan dapat lebih efektif dan efisien.
Hearth Disease (CHD) in the world from year to year has been increased. CHD has been dead caused at several countries in the world and get predicted will be the first dead caused in the world. At Kontraktor Production Sharing (KPS) dock dead caused among KPS worker is cardiovascular diasease. Research was performed to find risk factor arD and then related with Work Health Promotion program at PT X year 2005 - 2007. The research subject was worker at PT X. The research was held on October 2008 at Kalimantan island. the research design of this study is cross sectional with kuantitative and kualitative approach. Sampling technique that used was purposive sampling. Medical Department get responsible for employees health problem in komprehensif including promotive, preventive, curative and rehabilitative services. The biggest budget only for curative and rehabilitative. The study defined that the prevalence of hypertension year 2005 is 11,4%, year 2006 increase to 16,5% and year 2007 increase to 17,36%. Prevalence of Diabetes Mellitus (DM) year 2005 is 8,97%, year 2006 increase to 9,72% and year 2007 increase to 12,13%. Prevalence of dislipidemia year 2005 is 5,34%, year 2006 increase to 6,67% and year 2007 increase to 8,09%. Prevalence of hypertension year 2005 -2007 has been increased, prevalence of DM year 2005 - 2007 has been increased, prevalence of dislipidemia year 2005 - 2007 has been increased. Work Health Promotion at PT X was developed based on Ottawa Charter 1986. The company policies about work health is good enough although shortage in implementation. The biggest budget only for curative and rehabilitative for employees and their dependents. Promotion and prevention have to become a priority such as; the policy that decided Wednesday as a sport day must be realized so no more activity after 4 pm except sport. Health promotion by intranet media has to socialized. There's need a nutisionist at camp service to control worker nutrition status. In ascertain policy be related with health promotion must involved worker so the policy can be more effective.
This study aims to analyze the relationship between noise intensity and blood pressure of construction workers in project A PT. X in 2022 with confounding variables in the form of worker characteristics (age, hereditary history, years of service, Body Mass Index (BMI), and stress) and worker behavior (smoking behavior, salt consumption, and use of PPE). The study used quantitative research methods with a cross-sectional study design. The number of samples in this study were 175 workers. Noise intensity data obtained from direct measurements using a sound level meter. Blood pressure data was obtained using primary data using a digital sphygmomanometer. Based on the chi-square test, there is a significant relationship between noise intensity and worker?s blood pressure (P-value = 0.001 OR = 5.772 ). Other variables observed did not show a significant relationship with blood pressure.
Cardiovascular disease (CVD) is the leading cause of death globally and remains the most common cause of mortality worldwide. CVD has a significant impact on both workers and companies, potentially leading to increased healthcare costs, reduced worker productivity, and even premature death. This study aims to analyze the reduction in healthcare costs and employee productivity following the implementation of a workplace health intervention program at X company in 2024. This research employs a quantitative method with a quasi-experimental design (one-group pre-test and post-test design). The intervention methods consisted of health education and exercise activities. The results showed statistically significant improvements (p<0.05) in body mass index (p<0.000), blood pressure (p<0.000), blood lipid levels (p<0.000), blood glucose levels (p<0.000), outpatient costs (p<0.000), inpatient costs (p<0.000), absenteeism rates (p<0.009), and total healthcare costs (p<0.000). It is recommended that companies regularly evaluate their existing health programs and consider implementing more comprehensive and sustainable interventions. These should go beyond basic health education and physical activity to include smoking cessation, healthy eating programs, and stress management. Such comprehensive approaches will enhance the effectiveness of workplace health initiatives and provide long-term benefits for both employees and the organization.
Disease hypercholesterolemia, hypertension and smoking behavior is a risk factorfor coronary heart disease (CHD), which became the number one killer disease inthe world (Dilley: 2000). Based on experimental research, epidemiology, andclinical states that the role of high cholesterol, and smoking habits affect theincidence of coronary heart disease (Allen: 2001). Based on data from the healthexamination at company PT ZA compared with South Kalimantan condition thatCHD risk factors (total cholesterol, smoking and blood pressure) is still highenough to do health promotion interventions. This intervention aims to determinethe degree of reduction in risk of coronary heart disease (CHD) after the mediahealth promotion intervention group A and group B media in miners in SouthKalimantan PT ZA Year 2014. Kind of research is quantitative quasi-experimental research design.These results are a significant decrease between total cholesterol measurementresults before the intervention to after intervention in group A, a significantdecrease between the results of measurements of changes in smoking behaviorbefore the intervention to after intervention in group A and in group B, there wasno reduction significant in systolic blood pressure before and after theintervention in group A, whereas no significant reduction in systolic bloodpressure sebelumm and after intervention in group B, a significant decreasebetween the results of measurements of diastolic blood pressure changes betweenthe pre-intervention to post-intervention in group A and group B, a significantdifference in the reduction in CHD risk factors between the before to afterintervention in group A and B batches, there are significant differences betweenthe use of a more effective medium than in medium B in the intervention and riskfactor reduction in total cholesterol reduction. Health promotion interventionsusing media booklet, counseling, nutrition counseling, health seminars able todeliver positive changes in health behavior changes.
High dust exposure in the workplace, particularly PM2.5 dust, can increase the risk of respiratory disorders among workers. PT X, as a fertilizer manufacturer, has a high potential for dust exposure, especially during several stages of the production process. This study aims to analyze the relationship between PM2.5 dust concentration and respiratory symptoms among workers at the NPK Granulation fertilizer plant. This research employed a cross-sectional design involving 96 respondents from three factories: NPK II, III, and IV. The independent variables included PM2.5 5 concentration, duration of exposure, age, length of employment, history of respiratory illness, smoking habits, and the use of personal protective equipment (PPE). The dependent variable was the presence of respiratory symptoms. Data collection was carried out using two methods: PM2.5 concentration was measured with a DustTrak device, while information on other variables including exposure duration, age, work history, respiratory illness history, smoking habits, PPE use, and respiratory symptoms was gathered through a questionnaire completed by the respondents. The results showed that PM2.5 concentrations in all three plants exceeded the Threshold Limit Value (TLV) set by the Indonesian Ministry of Health Regulation No. 70 of 2016. Furthermore, 59.4% of the respondents reported experiencing respiratory symptoms, indicating a potential health hazard for workers. However, among all the variables analyzed, only smoking habits showed a statistically significant association with respiratory symptoms (p = 0.003). Other variables, such as PM2.5 concentration, exposure duration, age, length of employment, history of respiratory illness, and use of PPE, did not demonstrate a significant statistical relationship. Based on these findings, it can be concluded that smoking habits are the primary risk factor associated with respiratory disorders among workers. Nevertheless, the fact that PM2.5 levels exceeded the TLV highlights that the work environment still poses a serious health risk. Therefore, PT X should strengthen its efforts in smoking control and education within the workplace. In addition, regular monitoring of PM2.5 dust exposure and strict supervision of PPE compliance must be consistently enforced to prevent other potential health risks.