Abstrak: Noise Induced Hearing Loss (NIHL) merupakan kejadian yang cukup banyakterjadi pada industry manufaktur yang diakibatkan oleh pajanan kebisingan. PadaPT NGK Busi Indonesia, Jakarta terdapat bahaya kebisingan yang bersumber dari mesin dan peralatan kerja. Penelitian dilakukan secara Cross-sectional ataupotong lintang terhadap dosis pajanan bising harian dan keluhan gangguan pendengaran dengan melibatkan faktor perancu berupa usia, masa kerja, APT,merokok, hoby menembak, memakai head-set, menonton konser music rock,mengunjungi diskotik, riwayat penyakit telinga, obat oto/neurotoksik, danpenyakit degeneratif. Dengan metode pengukuran dosis pajanan bisisng harian dan pengisian kuisioner. Berdasarkan analisis hubungan dua variable hanyakebisaan merokok yang memiliki perbedaan yang nyata dengan keluhan gangguanpendengaran dengan nilai p-value < 0,05. Perlu ditingkatkan pelaksanaan HearingLoss Prevention Program berupa audit awal, identifikasi dan analisi sumberbising, peningkatan pengawasan penggunaan APT, audiometry berkala, program motivasi dan edukasi, dokumentasi dan audit program HLPP.
Kata Kunci: bising, keluhan gangguan pendengaran

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Noise Induced Hearing Loss (NIHL) is the most event that happen in industrial ofmanufacture. This event mostly associated by noise exposure. Many noise hazardin PT. NGK Busi Indonesia, Jakarta that sourced from machinery and otherworking equipment. This study designed by cross-sectional method againts dailynoise dose exposure and hearing loss complaints that there are confoundingfactors such as working period, ear protective equipment, smoking, shootinghobby, listening music with head-set, watching rock concert, discotic, history ofhearing illness, neurotoxic drugs, and degenerative illness. This study was usingtools such as result of daily noise dose exposure measurement and fullfillmentquestionaire. According to relationship analysis of two variable there is onlyfactor of smoking habit that have strongly associated with hearing loss complaintswith p-value <0,05. This should be improvement of Hearing Loss PreventionProgram Implementation such as initial audit, identification and analize noisesource, supervise enhancement of ear protective equipment utilization, periodicalaudiometry, education and motivation programs, documentation and programaudit of hearing loss prevention program.
Keywords: Noise, Hearing Loss Complaints

Abstrak: Bising di tempat kerja dapat menimbulkan dampak terhadap sistem auditory maupun sistem non-auditory. PT X merupakan industri manufaktur yang mempunyai proses produksi yang menghasilkan bising. Penelitian ini bertujuan untuk mengetahui hubungan dosis pajanan bising harian, usia, masa kerja, dan pemakaian alat pelindung telinga (APT) dengan gangguan non-auditory. Pengumpulan data dilakukan dengan pengukuran dosis pajanan bising harian secara langsung di lapangan dan gangguan non-auditory melalui wawancara terstruktur. Hasil pengukuran dosis pajanan bising harian diketahui seluruh unit kerja yang diukur berada diatas NAB (Nilai Ambang Batas). Di samping itu, hasil pengukuran gangguan non-auditory dari 52 responden diperoleh tingkat gangguan non-auditory berat sebanyak 59,6% dan gangguan non-auditory ringan sebanyak 40,4%. Analisis rata-rata dosis pajanan bising harian dengan gangguan non-auditory menggunakan uji t diketahui bahwa terdapat perbedaan yang signifikan antara pekerja yang mengalami tingkat gangguan non-auditory. Sedangkan analisis antara variabel usia, masa kerja, dan pemakaian APT dengan gangguan non-auditory diperoleh hubungan yang tidak signifikan. Berdasarkan hasil penelitian dapat disimpulkan gangguan non-auditory yang dialami oleh pekerja lebih disebabkan oleh dosis pajanan bising harian. Rekomendasi yang diberikan yaitu mengendalikan gangguan non-auditory dengan menurunkan dosis pajanan bising harian yang ada hingga di bawah NAB.
Kata Kunci: Dosis Pajanan Bising, gangguan non-auditory, manufaktur

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Occupational Noise can cause either auditory system or non-auditory system disorder. PT X is a manufacturing industry which has production process that produces noise. The purpose of this study is to observe the relationship between daily noise exposure dose, age, working time and utilization of hearing protection to nonauditory disorders. Data collection was done by direct measurement for daily noise exposure dose and structural interview for non-auditory disorders. The result from measurement of daily noise exposure dose in all working units showed the value above the Threshold Limit Value (TLV). In the other hand, the result for nonauditory disorder measurement showed 59.6% of 52 respondents suffered severe nonauditory disorders and 40.4% suffered mild non-auditory disorders. Analysis using TTest resulted in significant difference on means value of daily noise exposure dose between non-auditory disorders levels. Furthermore, analysis of age, working time, and utilization of hearing protection to non-auditory disorder resulted in insignificant relationship. Based on the result of the study, it could be concluded that non-auditory disorder suffered by workers was mostly caused by daily noise exposure dose. Hence, the recommendation to control the non-auditory disorders is to reduce daily noise exposure dose until lower than TLV.
Key words: daily noise exposure dose, non-auditory, manufacture

Abstrak: Abstrak

Gangguan pendengaran pada pekerja minyak dan gas bumi merupakan penyakit akibat kerja utama sampai saat ini. Gangguan pendengaran antara lain disebabkan oleh pajanan bahaya fisik berupa bising. Penelitian ini bertujuan untuk mengetahui gambaran pajanan bising dan fungsi pendengaran pada pekerja di Platform KE-5 Kodeco Energy. Jenis penelitian adalah penelitian observasional dengan rancangan cross sectional yaitu meneliti sekaligus variabel independen, variabel dependen, dan vaiabel perancu pada waktu yang bersamaan. Analisis data adalah tabel dengan menggunakan analisis data univariat.

Didapatkan gambaran tingkat bising di platform KE-5 yang melebihi NAB yaitu pada rentang 81 dBA sampai dengan 103 dBA, dan tingkat pajanan bising di platform KE-5 melebihi NAB dengan dosis pajanan bising yang diterima pekerja terdapat di bawah NAB yaitu pada rentang 70,4 dBA sampai dengan 77,5 dBA, serta didapatkan tujuh pekerja dengan gangguan fungsi pendengaran.

Hearing impairment in oil and gas workers is the main occupational diseases. Hearing impairment, among others caused by exposure to physical hazards of noise. This study aims to know the description of noise exposure and hearing impairment in workers at KE-5 Kodeco Energy Platform. The type of research is observational with cross sectional design which examined as well as the independent variable, dependent variable, and confounding variable at the same time.

Obtained noise level at KE-5 Platform which exceeds the TLV is in the range of 81 dBA to 103 dBA, noise dose of exposure that received by workers are still under the TLV is still in range of 70.4 dBA to 77.5 dBA, the level of noise exposure in KE-5 Platform exceeds the TLV by noise dose exposure that received by workers less than the TLV and obtained seven workers with impaired hearing function.

Abstrak: Paparan kebisingan merupakan penyebab paling umum gangguan pendengaran, menyebabkan noise induced hearing loss (NIHL). Penelitian ini mengevaluasi gangguan pendengaran yang berhubungan dengan pajanan bising dikaitkan dengan usia, masa kerja, lama pajanan, pemakaian alat pelindung diri, kebiasaan merokok, hobi berhubungan kebisingan dan penyakit Diabetes Mellitus, hyperlipidemia dan hipertensi pada pekerja. Ini adalah penelitian observational cross sectional meneliti variabel independen, variabel dependen dan variabel perancu pada waktu bersamaan. Menggunakan data sekunder perusahaan melalui pengamatan, pengukuran dan questioner. Hasil pengukuran kebisingan area berpotensi kebisingan menunjukan potensi kebisingan terendah adalah 63 dBA dan tertinggi 110, 6 dBA,tingkat kebisingan area field berkisar 84.88 - 93 dBA. Kebisingan di area nonfield tertinggi 79.5 dBA. Pajanan bising efektif di bawah 80 dBA, baik di area field maupun nonfield; 7.1% pekerja bekerja > 20 tahun, didapatkan hubungan antara masa kerja > 20 tahun, terjadinya gangguan pendengaran pekerja sebanyak 5.6%, 40.5% pekerja berusia > 40 tahun, didapatkan hubungan antara usia pekerja dengan kejadian gangguan pendengaran. 42.9% pekerja memiliki kebiasaan merokok, tidak didapatkan hubungan antara perilaku merokok dengan gangguan pendengaran. Tingkat pemakaian APT pada pekerja didapatkan sebanyak 90.5% pekerja yang selalu memakai APT, tidak ada hubungan antara pemakaian APT dengan gangguan pendengaran. Tidak didapatkan hubungan antara hobi dengan terjadinya gangguan pendengaran Tidak didapatkan hubungan antara status kesehatan berupa profil lipid pekerja (kolesterol total, HDL, LDL, dan trigliserida), kadar glukosa darah pekerja dan tekanan darah dengan gangguan pendengaran.
Kata Kunci: gangguan pendengaran, pajanan kebisingan, usia, masa kerja, pekerja industri

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Exposure to noise is the most common cause of hearing loss, leading to noise induced hearing loss (NIHL). This study evaluated hearing loss associated with noise exposure related to age, length of employment, length of exposure, the use of personal protective equipment, smoking habits, hobbies associated noise and diabetes mellitus, hyperlipidemia and hypertension in workers. This is a cross-sectional observational study examined the independent variable, the dependent variable, and confounding variables at the same time. Using the company secondary data, through observation, measurement and questionnaire. Noise measurement results indicate that the potential area of potential noise is 63 dBA as the lowest noise and the highest is 110, 6 dBA, field noise level area ranging from 84.88 - 93 dBA. Nonfield noise area 79.5 dBA. Exposure effective noise below 80 dBA, either in the field or nonfield area; 7.1% of workers worked > 20 years, working life > 20 years, the hearing loss of workers 5.6%, workers aged > 40 years 40 is 5%. 42.9% of workers have a smoking habit, not found a relationship between smoking behavior with hearing loss. HPD consumption levels in workers earned as much as 90.5% of the workers who always wear APT, there is no relationship between the use of HPD with hearing loss. There were no relationship between hobby with hearing loss. As well as no relationship found between workers health status such as lipid profile (total cholesterol, HDL, LDL, and triglycerides), worker glucose blood levels and blood pressure with hearing loss.
Keywords: hearing loss, noise exposure, age, years of service, industry workers