TRAUMA SURVEY DUE TO WORK IN THE LUMAJANG DISTRICT AGRICULTURE AREA

Arista Maisyaroh*, Eko Prasetya W*, Dewi Rokhmah **

*D3 Keperawatan Fakultas Keperawatan UNEJ.
** Fakultas Kesehatan Masyarakat UNEJ
aristamaisyaroh@unej.ac.id

ABSTRACT

Introduction : As an effort improve farmer’s safety and security so that productivity increases, it is
necessary to have policies and standards for safety procedures for the farmer, but information about the
incidence of injuries in this sector is still rare

Method : The research with survey method for a certain period with cross-sectional data through a
questionnaire was carried out 362 farmers with a survey of the types of injuries, that caused trauma and
farmer actions toward injury in Lumajang Regency.

Result : The most common types of trauma in agricultural areas are injury cause of sharp tool by 19%
followed by chemical exposure to pesticide poisoning and animal both with 10% each, and the lowest
incidence of trauma is the fall of objects and injuries due to agricultural machinery with each
occurrence of 1%. The sequence of causes of trauma occurring are chemical exposure of 29%
ergonomic position errors and sharp objects with 27% and 19% respectively and the least frequent due
to blunt and due to agricultural machinery by 3% and 1%. Farmers actions against injuries in the area
are 72% handled by themselves and 26% taken to health services.

Conclusion : Based on the results above the ability of farmers to detect the risk of traumatic events is
still low, so that health education and training for farmers needed for early treatment of injuries, to
minimize the risk of harm and complications due to trauma in the agricultural area.

KEYWORDS
Keywords : trauma, farmer, agriculture
INTRODUCTION
The trauma is the third major cause of death and disability worldwide, especially the fourth age of
decades in developing countries. 1-3 more than 5 million people die of trauma in 2002, more than
90% occurred in the country. The most injuries the session in musculoskeletal injuries are a
constraint of strains, sprays, dislocations, sub suction, and fractures (Noor 2016). Included one of
them is injured in the agriculture areas, being a contributor of incidence of trauma that can cause
disability and death. The majority of Indonesian workers work in the informal sector in the
countryside of the industry of agriculture.
Lumajang Regency is one of the districts located in East Java Province. Geographically Lumajang
Regency located at 7º 52º to 8º 23' south latitude and 112º 50 ‘to 113º 22' east longitude with an area
reaching 1, 790.90 km2. Topographically Lumajang regency is divided into four regions namely
mountain area, mountains, fluvial plains, and alluvial plains. For the second category, Ranuyoso,
Tempursari, around Mt. Semeru, around Mt. Tengger and Mt. Lemongan. The District which falls
into the third category is Lumajang, Sumbersuko, and Sukodono. For the last category,
Rowokangkung, Jatiroto, Yosowilangun and along the coast from Yosowilangun to Tempursari.
Lumajang regency consists of fertile plains because of flanked by three volcanoes namely Mt.
Semeru (3.676 m), Mt. Bromo (3.292 m) and Mt.Lemongan. the southern region is very fertile
because it gets sediment deposits from the rivers flowing in the area, namely Glidik, Rawan, Gede,
Regoyo, Rejali, Besuk sat, Mujur and Bondoyudo
The height of the Lumajang district varies from 0 to above 2000 m above sea level, with the broadest
area being 100 - 500 m above sea level (asl) 63,109.15 Ha (35.24%) and the narrowest is at an
altitude of> 2,000 m above sea level, which is 6,889.4 Ha or 3.85% of the area of Lumajang
Regency. According to the Department of Public Works for Irrigation in Lumajang Regency, there is
a southern fertility area which is very fertile because in the south of a region of Lumajang Regency
there are river rivers that flow in the area. Several streams that flow in this area, namely Glidik ,
Rawan, Gede, Regoyo, Rejali, Besuk sat, Mujur and Bondoyudo (BPS Lumajang Regency, 2017).
The factors that cause emergencies in farmers are three factors, cause of human, agricultural
facilities and infrastructure. Risks that can be caused by humans are physical, cognitive and
psychomotor conditions. From infrastructure facilities, chemicals (pesticides, fertilizers, other
chemicals) and non-chemicals (agricultural equipment) cause the risk. Based on research conducted
d by Bell, A., Zhang, W., & Nou, K. (2016) in the State of Cambodia, it was shown that Pesticides
were imported from neighboring Thailand and Vietnam without translation to local Khmer
characters in the user manual, so fill in the package partially large is unknown to farmers (Jensen et
al., 2011; Sodavy et al., 2000) in Bell, A., Zhang, W., & Nou, K. (2016), making farmers more refer
to chemicals with bottle colors. The literature on the effects of pesticide use by Cambodian farmers
is rare, but 88% of farmers surveyed in one study reported experiencing acute pesticide poisoning
(Jensen et al., 2011) in Bell, A., Zhang, W., & Nou, K. (2016). Farmers' knowledge and practices
related to pesticides are still under-studied and undocumented. However, our observations in the
field revealed that some Cambodian farmers dumped containers at the site after they were used and
other farmers threw pesticide containers into water bodies (rivers, rivers, lakes, etc.). Some farmers
think that pesticides are toxic only when they enter the mouth by drinking or swallowing, not
knowing that pesticides can contaminate the body through the skin or breathing. Also, most farmers
are not aware of the risk of chronic poisoning exposed to pesticides for months or years (Bell, Zhang,
& Nou, 2016). Moderate poisoning in agriculture in East Java in 2009 was 21% (Prawitra, 2011).
The impact of exposure to pesticides on health depends on the type and ingredients of pesticides, in
general pesticides are grouped based on their active ingredients (chemical classification) and their
mechanism of action example carbamates, organochlorines, organophosphates and piretroit (Weis
etall, 2004). Riskesdas 2013 type of trauma incidence of 6.9% occurred in agricultural areas
(Riskesdas, 2013).
The use of machinery and heavy equipment such as tractors, harvesting machines, planting tools and
so on in the agricultural sector is a source of danger that can lead to injuries and fatal workplace
accidents. Also, the use of pesticides can cause critical poisoning or disease, and dust from animals
and crops can cause allergies and respiratory dysfunction. Because Indonesia is a tropical country,
workers in agriculture are at risk of getting sunburn and heat. The situation will get worse if there is
no or less available clean water to drink and inadequate sanitation so that it can cause infectious
diseases. Other hazards include all types of muscle pain due to sprains due to lifting or carrying
weights, doing the same work over and over again and working with wrong postures, and various
psychosocial problems. The risk of being exposed to toxic or dangerous plants, wild animal attacks,
insect and snake bites is also a risk that is well known.
Information on the incidence of injuries in agricultural areas is rare and difficult to find. Planning for
effective prevention and evaluation strategies is caused by a lack of a good evaluation system.
Several institutions and organizations have provided some data. Although their summation is a
general picture of conditions in the field, a critical review of the database is currently presented.
Literature is also reviewed trying to characterize agricultural injuries. This characterization is
classified into case descriptions, discussed of general articles on agricultural hazards, and reviewed
agricultural trauma surveys. The summary of available literature still leaves a rather superficial
understanding of all images of overall agricultural trauma. A new approach to evaluation is needed
to overcome shortcomings in the past. The survey method approach is get to an idea of the incidence
of injuries in agricultural areas, especially in the work area of the Lumajang District Agriculture
Office.
Healthy organizational measures that have emerged since the 1990s have outstripped financial
success to include a healthy workplace concept that not only protects workers from physical trauma
but also protects psychological well-being in the workplace, while simultaneously pursuing
organizational goals. In this context, a healthy workplace is an approach that aims to reduce medical
 conditions and injuries when they occur. Intended for individuals and both require active
management commitment (McHugh, 2016).
Based on research conducted by Kosny, A., et al in 2018 in British Columbia concerning the role of
health care providers for workers who will return to work after trauma stated that Health Care
Providers could play describe role in Injured Workers and in the disability management process in
when they will return to work (Return To Work). As part of the compensation process for workers,
health care providers (HCP) are often asked to provide information about Injured Worker conditions
(IW), determine work-related injuries, determine a treatment course and provide recommendations
on the ability of workers to return to work (Kosny, A., et al, 2018). From different studies conducted
by Athanasou, J. (2008) the overall percentage of cases that can be compensated for not returning to
work is 29% (all round percentages); the percentage that returned to work for some time was only
36%, and the percentage that had the ability to return to work at the time of interview was 35%
(Athanasou, J., 2008).
Occupational health and safety nursing in agriculture focus on promotion, prevention of diseases
caused by agriculture and rehabilitation for farmers to realize a conducive work environment for
farmers. Occupational health and safety nursing in agriculture have the main activities which include
the identification and prevention of diseases related to agricultural consequences. Occupational
health and safety nursing in agriculture use case based surveillance methods that become the basis
for identifying work risk factors and programs that can be developed to improve the health status of
farmers (Oakley, 2008).

MATERIALS AND METHODS

Metode Sampling
This study uses descriptive quantitative design was chosen as an approach because this study
provides an overview of the incidence of illness due to working in the agricultural area, both the type
of trauma, the cause of trauma and the actions taken by farmers when trauma occurs in the work area
of the Lumajang District Agriculture Office. This method is used to make observations where the
indicator of the incidence of injuries due to working at the farm is the answer to the questions given
to respondents both verbally and in writing. Surveys are usually done once. Researchers do not try to
regulate or master the situation. So changes in variables are the result of events that occur by
themselves.
The population in this study were farmers who were members of farmer groups in the working area
of the Lumajang District Agriculture Office, amounting to 1009 farmer groups. The sample in this
study will be referred to as the respondent. The sampling technique in this study uses simple random
sampling, namely the technique of determining data samples by randomly selecting respondents to
be studied (Sugiyono, 2013). The method that will be carried out is from 1009 farmer groups
randomly selected as many as 362 farmers in Lumajang Regency. This research will be carried out in
several stages for four months.

Data collection using a survey method for a certain period with cross- sectional data through
questionnaires, and interviews. This research has been submitted for permission to the research
ethics commission of the Faculty of Dentistry, University of Jember Number 147 / UN5.8 / KEPK /
DL / 2018.
Research setting
Geographically Lumajang Regency is located at 112 ° 53 '- 113 ° 23' East Longitude and 7 ° 54 '- 8 °
23' South Latitude. The total area of Lumajang Regency is 1790.90 km2. Lumajang Regency consists
of fertile plains because it is flanked by three volcanoes, namely Mount Semeru (3,676 m), Mount
Bromo (2,392 m) and Mount Lamongan (1,668 m). The topography of Lumajang Regency with a
slope: 0-15% (65% of the total area) is a good area for annual crop agriculture, 15-25% (6% of the
total area) is a better area for plantation agriculture, 25-40% (11% of the total area) is a good area for
agricultural plantations and forestry using the principle of conversion, 40% up (18% of the total area)
is an area that must absolutely be forested as a protection of natural resources. Based on data from the
Lumajang District Agriculture Office in 2018 there were 1009 farmer groups in Lumajang, with
170,760 members.

Analisis data
In this study using descriptive analysis. Data from questionnaires are collected and presented in the
form of tables which are then analyzed and interpreted to mean the data.

RESULTS
Karakteristik Responden
Based on table 1 shows that the respondent characteristics were more than half 65%) male sex and
most (36%) of the crop's commodities is rice / food crops. Most work as farmers (65%) for 10-20
years. Most land slope (72%) <300.
Table 1 Characteristic Distribution of Respondents
Frequency Percentage
No Characteristics
(person) (%)
1.        Gender Man 237 65
  Woman 125 35
2.        Plant Banana 53 15
commodities Coffee 46 13
Vegetables 65 18
Rice 132 36
    corn 66 18
3.        Long time
farming <10 years 23 6
10 - 20 years 237 65
    > 20 years 102 28
4.        slope of land < 300 261 72
300 - 450
93 26
    > 450
8 2
Type of trauma

Table 2 shows that the most prevalent type of trauma in agricultural areas is sharp trauma due to
19%, followed by chemical exposure dermatitis, poisoning and bite of animals by 10% each, and the
least trauma occurring in agricultural areas are objects and injuries caused by agricultural machinery
with each occurring at 1%.

Tabel 2 Types of injuries at the Agriculture Area

Type of trauma N %
Back trauma 80 9
Neck trauma 30 3
Hip trauma 28 3
Knee trauma 32 4
Dislocated 62 7
Metacarpal syndrome 55 6
Chemical exposure dermatitis 89 10
Chemical poisoning 83 10
 Respiratory disorders 78 9
Fall trauma 38 4
Falling objects 5 1
Sharp objects 167 19
Trauma due to agricultural machinery 10 1
Animal bites 87 10
Abrasion 21 2
Cause of trauma
Based on table 3, it was found that the most common cause of trauma in agricultural areas was
due to chemical exposure of 29% followed by ergonomic position errors and sharp objects with 27%
and 19% respectively. The most rare cause is due to blunt objects and due to agricultural machinery by
3% and 1%.
.
Tabel 3 Causes of Trauma

Causes of Trauma N %
Chemical exposure 250 29
Ergonomic position error 232 27
Sharp objects 167 19
Animal bites 87 10
Repetitive movements 55 6
Fall down 38 4
Blunt object 26 3
Agricultural machinery 10 1

Farmers' actions against injuries in the agricultural area

Based on table 4 the results show that the parameters of farmers' action on injuries in the
agricultural area are mostly carried out independently by 71% while under the health service only
29%.

Tabel 4 farmers action against injuries in the agricultural area

Farmer's actions against trauma n %

Handle alone 256 71
To the health service 106 29

DISCUSSION
Types of Trauma

Farmers are one of the jobs occupied by the people of Indonesia. Working as a farmer
certainly requires considerable energy to be able to cultivate agricultural land. Farmers spend every
day in the fields, even if only to monitor the fields or hoe and plant. Hoeing or planting is an
activity that influences the work position. In manually plowing fields and planting rice, farmers do
their work in a bent position using their backs as the main support. All of these activities involve
various muscle groups, especially the spinal brace muscles that function to maintain good posture,
balance and balance coordination (Malonda et al., 2016).

The table above mentions several types of injuries from existing parameters, including back
trauma with a percentage of 9%, neck trauma with a percentage of 3%, hip trauma with a
percentage of 3%, and knee trauma with a percentage of 4%. This shows that the level of trauma
that occurs to farmers due to working in the agricultural area contributes to the aspect of the health
of farmers who have to get a quick handler so that the trauma that appears does not turn into an
trauma with a fatal level, because farmers in working on agricultural land need energy great for
heavy work in the agricultural area.

In the table the types of trauma that occur in agricultural areas also cause various types of
trauma parameters that occur, including sprained 7%, metacarpal syndrome with a percentage of
6%, chemical exposure dermatitis with a percentage of 10%, chemical poisoning with a percentage
of 10%, respiratory problems with a percentage %, falling trauma with a percentage of 4%, falling
objects with a percentage of 1%, sharp object trauma with a percentage of 19%, trauma to
agricultural machines with a percentage of 1%, animal bites with a percentage of 10%, and
abrasion with a percentage of 2%. Various types of trauma occur because the impact used due to
work in the agricultural area, Meyrs (1998) in Haerani (2010) explains that, "The use of machinery
and heavy equipment such as tractors, harvesting machines, planting tools and so on in the
agricultural sector is a source of danger that can result in injuries and fatal work accidents. Other
than that, the use of pesticides can cause serious poisoning or disease, and dust from animals and
crops can cause allergies and respiratory diseases.

In this problem, the highest number was recorded in the form of sharp object trauma due to
work in the agricultural area. The occurrence of trauma due to sharp objects can be caused by
negligence of farmers in working on agricultural land, such as being exposed to clits, hoes, knives,
and other sharp objects. Besides being due to negligence of farmers this can arise due use of
personal protective equipment. Markkanen (2004) explains that, "Hazard risks faced in the
workplace include noise, vibration, heat radiation, lack of lighting, installation of dangerous
equipment without using Personal Protection Equipment (PPE) for aspects of safety, inhaling dust
and being exposed to hazardous chemicals , and poor ergonomics ". The use of PPE needs to be
applied to prevent the occurrence of various types of trauma including trauma due to sharp objects
due to work in the agricultural area, because it covers farmers' health and safety issues in
developing important aspects as supporting welfare and increasing work productivity of farmers
who are considered to reduce the risk of work trauma in the agricultural area.

From the aspect of using pesticides used by farmers without the use of personal protective
equipment it can also form other types of trauma as mentioned in the table that chemical exposure
dermatitis, chemical poisoning, and respiratory disorders reach a percentage of 10% of the incidence
of this type of trauma. Meanwhile, chemical pesticides are inputs that are considered to be the most
effective in controlling pest diseases by most farmers. This has encouraged excessive use of
pesticides ". Unwise use of pesticides can cause various negative impacts for both humans and the
environment (Dismuskes & Vandeveer, 2001). So to reduce exposure to pesticides that have an
impact on the health and safety of farmers who use pesticides there is a need for an understanding of
the correct use of pesticides regarding the dosage, use and storage of pesticides.

Another factor that triggers accidents in agriculture is the limited time available to complete a
work caused by climate constraints. This resulted in the rush of workers in completing work, which
led to indifference to his safety. In addition, the use of agricultural tools and machines designed to
carry out several jobs at once, resulted in the demand for operators to have high levels of skill and
concentration that could result in fatigue that leads to accidents (Kuye et al., 2006). Parameters of
dislocated trauma with a percentage of 7%, 6% metacarpal syndrome, 9% falling trauma, 1% fall in
objects, 10% gigigitan animals, and 2% abrasion, also contributing to the incidence of trauma due to
work in agriculture, natural factors that are not uncertain, and the geographical conditions related to
the slope of various agricultural lands determine the level of effectiveness of farmers in working.
 The level of slope and conditions of agricultural land that are less able to cause the risk of dislocated
farmers and even fall. This was explained by Staur et al. (2016) "Knowledge and low motivation
about the use of PPE on farmers can cause workplace accidents in the workplace. Workplace
accidents that occur in the form of falls, crushed, poisoning, sandwiched by objects, radiation
exposure, the influence of high temperatures, bite of wild animals, direct contact with hazardous
materials or other radiation ". In addition, the weather also influences the emergence of various
animals that nest on agricultural land, so farmers also have to take into account the effects of animal
bites that can occur when working on agricultural land. Animal bite incidents vary throughout the
world. Bites tend to occur in the summer months because people interact with animals or go out in
the countryside. Bites may be single or numerous and may affect other body parts. Wounds may
become contaminated with infectious agents from saliva and other parts such as teeth or dirt. Deeper
such structures as tendons, nerves, and muscles may become injured or inoculated with bacteria.
Bones may become cracked, destroyed, or inoculated with bacteria. Transfer of zoonotic infections is
possible (Lessenger, 2006).

Causes of Trauma

Increasing the agricultural sector requires a variety of supporting facilities so that satisfying
results can be achieved and especially in terms of fulfilling national needs in the field of food /
clothing and increasing the national economy by exporting products abroad. The facilities that
support increased yields in agriculture are agricultural equipment, fertilizers, chemicals included in
it are pesticides (Sofia, 2001). In the table of causes of trauma it is stated that chemical exposure
with a percentage of 29% reached the highest rating of the causes of trauma that occurred in the
agricultural work area. According to SNI 7313 (2008) states that, "Pesticides are substances,
chemical compounds (growth regulator substances and growth stimulants), microorganisms, viruses
and other substances used to protect plants or parts of plants". Chronic poisoning is more difficult to
detect because it is not immediately felt and does not cause specific symptoms and signs. However,
chronic poisoning over a long period of time can cause health problems. Some health problems that
are often associated with the use of pesticides include eye and skin irritation, cancer, miscarriage,
defects in the baby, as well as nerve, liver, kidney and respiratory disorders. Humans can be exposed
to pesticides directly and indirectly. Direct exposure of pesticides can occur when setting on
agricultural land, due to work and at home. Exposure to pesticides indirectly occurs through
drinking water, air, dust and food. Indirect exposure to pesticides is more common than direct
exposure.

The agricultural sector is one type of work that has a high risk for workers, extreme
environmental conditions and the way and use of technology in managing land that is still lagging
behind determines the level of health and safety of the farmer. One of the health and safety problems
that is often experienced by workers such as farmers is ergonomic problems. Ergonomics seeks that
this pressure is still within tolerance, satisfactory performance results, and workers' health and
welfare can increase if the pressure experienced by workers is excessive or overuse, unwanted things
can happen, such as errors, accidents, injuries, or increase in physical and mental burden (Payuk et
al., 2011). Ergonomics problems in the table above are ranked 2 with a percentage of 27% of the
causes of trauma due to work in the agricultural area after trauma due to chemical exposure.
Ergonomics problems often arise due to erratic farmer's work activities, the cause of excessive work,
wrong work positions. According to Suma'mur (2013), "Ergonomics is the application of biological
sciences regarding humans which coincides with the science of technology and technology in order
to achieve conformity with one another optimally from humans to their work, where the benefits of
these are measured based on efficiency and work welfare" .
 In addition to chemical exposure and ergonomic problems, the causes of trauma mentioned in
the table above include sharp objects with a percentage of 19%, animal bites with a percentage of
10%, repetitive movements with a percentage of 6%, falling with a percentage of 4%, blunt objects
with a percentage of 3%, and agricultural machinery with a percentage of 1%. This arises due to the
activities and needs of farmers in agricultural land related to the use of Alinta, the use of pesticides
to kill agricultural pests both plants and animals, activities during harvest activities, and other
activities in the agricultural area. Serah (2014) describes the development of the use of agricultural
technology very rapidly in an effort to improve the quality and quantity of production along with the
advancement of science and technology to fulfill food as one of the basic needs of human life that
continues to grow. The application of agricultural technology in both pre-harvest and post-harvest
activities is a determinant in achieving food sufficiency both in quantity and quality of production.
Agricultural technology has a role to improve the efficiency and productivity of food commodity
farming in developed countries and countries developing including Indonesia. The population of the
use of agricultural tools and machinery is growing rapidly among farmers, especially in farming
activities in land processing, harvesting and post-harvesting. Hand tractor or two-wheel tractor is
one of the tools and technology of agricultural machinery that has been widely used by farmers in
processing paddy fields as a substitute for human power and livestock power.

In this case, of course farmers in working on agricultural land are required to continue to
develop the use of tools and machines that develop in the agricultural sector, the ability to use the
equipment is sharpened so that the risk of sharp objects, animal bites, repetitive movements without
tools, fall during work activities on agricultural land, being exposed to blunt objects, and being
exposed to agricultural machinery can occur if the farmers do not consider the procedures for using
the food properly and cause the safety and health of farmers to be threatened so as to reduce
productivity generated from the agricultural sector.

Agricultural Measures Against Trauma in the Agricultural Area

Activities in the agricultural sector are very diverse related to the activities of farmers on
agricultural land. Various types of actions are carried out by farmers whether they are related to
chemicals, alms, or other farmers' activities. All pose an impact risk that can be prevented by using
the capabilities of the farmers obtained. In the table above mentioned the actions of farmers in
dealing with trauma in agricultural areas with parameters handled by themselves as much as 72%
and to health services as much as 29%. This shows that the level of ability of farmers needs to be
fully appreciated in addressing the impacts of activities on agricultural land related to the correct
implementation when the impact arises. Efforts to protect workers against the hazards that arise are
basic needs. UU no. 36 of 2009 concerning Health, stating that occupational health is carried out so
that every worker can work in a healthy manner without endangering the surrounding community in
order to obtain optimal productivity. Health is a very important factor for productivity and increasing
labor productivity as human resources. Good health conditions are the potential to achieve good
work productivity. Jobs that require high work productivity can only be done by workers with
excellent health conditions. Conversely, the condition of illness or workers who experience health
problems cause workers not or less productive in doing their jobs (Suma’mur, 2013).

Workers who are sick and do not work cause the person concerned to be unproductive as long
as he is sick and does not work. Workers who are sick or experiencing health problems who are still
doing work usually do not show the results of work as a result if the workers are healthy or are not
usually disturbed by their health (Suma'mur, 2009). being taken to a health facility is still not proven
by the percentage of 29%. This can be assessed in relation to farmers' awareness of the need for
control of health services. The agricultural sector is one of the sectors that has positive and negative
impacts on the work process. The negative impact is because the workforce always interacts with
 their work and work environment which contains many threats and risks.

CONCLUSIONS
The types of injuries that most often occur in the agricultural area of Lumajang Regency are
due to sharp objects, chemical dermatitis, pesticide poisoning and animal bites, while the cause of
the trauma is due to chemical exposure, ergonomic position errors and due to sharp objects. For the
treatment that is carried out the most is handled by the farmers themselves, so that in the future
health education and training for farmers is needed for the initial treatment at the time of trauma so
as to minimize the risk of harm and complications due to improper or late management.

CONFLICT OF INTEREST
The researcher declare that there was no conflict of interest in this study

ACKNOWLEDGEMENT
Thank you to the Department of Agriculture, Lumajang District Health Office, Combined
Farmers Group (Gapoktan) of Lumajang Regency, Lumajang District Extension Officer (PPL),
LP2M University of Jember and related parties.

REFERENCES
Athanasou, J. (2008). A Report on the Return- to-Work Rates Following Compensatable Accident or
Trauma. International Journal of Disability Management, 3(2), 54-60.
doi:10.1375/jdmr.3.2.54.
Arsyad, M and Yoshio Kawamura. (2010). Reducing Poverty of Cocoa Smallholders in Indonesia: Is
Agricultural Economic Activity Still the Pioneer?. Economics and Finance in Indonesia 2010 Vol.
58 (2), Page 217 – 238.
Bell, A., Zhang, W., & Nou, K. (2016). Pesticide Use and Cooperative of Natural Enemy habitat in a
framed field experiment. Agricultural Systems 143 1- 13. doi : 10.1016/j.agsy.2015.11.012
Boswell C. (2000) The Agricultural Notebook, 19th edition. London: Blakwell Science. Candra, S.
(2014). Penatalaksanaan Fisioterapi Pada Kasus Pasca Operasi Fraktur Kruris.
Christina E. Malonda, Pail A.T Kawaru, Diana Vanda Doda. 2016. Gambaran Posisi Kerja Dan
Keluhan Gangguan Musculoskeletal pada Petani Padi di Desa Kiawa 1 Barat Kecamatan
Kawangkoan Utara. Jurnal Ilmiah Farmasi UNSRAT Vol. 5 No. 4 November 2016. 267-268.
Dinas Pertanian Provinsi Jawa Timur. 2009. Produk Perlindungan Tanaman Secara Aman. Jawa
Timur: Departemen Pertanian.
Dinaspertanian. 2013. Dinas Pertanian dan Ketahanan Pangan Provinsi Jawa Timur. Retrieved
Desember 07, 2019, from http://pertanian.jatimprov.go.id/in ex.ph p/komoditas/sentra-
hortikultura/1-kab- lumajang.
Dismuskes R and M. Vandeveer. 2001. Farm Risk Management : Risk in Agriculture.
Haerani. (2010). Penerapan Keselamatan Dan Kesehatan Kerja Di Bidang Pertanian Di Indonesia.
Jurnal MKMI, Juli 2010, hal 180-184, 180-184.
Kaligis, Pinontoan & Kawatu. 2015. Hubungan Pengetahuan, Sikap, Dan Masa Kerja Dengan
Penggunaan Alat Pelindung Diri Petani Saat Penyemprotan Pestisida Di Kelurahan Rurukan
Kecamatan Tomohon Timur. Manado: Fakultas Kesehatan Masyarakat Universitas Sam Ratulangi
Manado.
Kosny, A., Lifshen, M., Yanar, B., Tonima,S., MacEachen, E., Furlan, A., . . . Neis, B. (2018). The
Role of Healthcare Providers in Return to Work. International Journal of Disability Management,
13, E3. doi:10.1017/idm.2018.4
Kurniadi, D., & Maywita, E. 2018. Faktor- faktor yang Berhubungan dengan Keluhan Kesehatan
Akibat Paparan Pestisida pada Petani Holtikultura di Desa Siulak Deras Mudik Kabupaten
Kerinci. Vol. VII Jilid II No.80 Februari 2018 , 13.
Kurniasih, S. A., Setiani, O., & Nugrahaeni, S. A. 2013. Faktor-Faktor Yang Terkait Paparan
Pestisida Dan Gubungannya Dengan Kejadian Anemia Pada Petani Holtikultura Di Desa
Gombong Kecamatan Belik Kabupaten Pemalang Jawa Tengah. Jurnal Kesehatan Lingkungan
 Indonesiaa Vol. 12 No. 2 Oktober 2013. 132-136.
Kuye R., et al. 2006. Agriculture Health In The Gambia II : Asistemic Survey Of Safety And Injuries
In Production Agriculture. Ana Agri Environmed (AAEM) Journal. 2006 ; 13 : 119-128.
Lessenger, JE. 2006. Agricultural Medicine. a Practical Guide. USA: Springer. American Association
Of Occupational Health Nurses Journal. ISSN 2165 0799. 52(9):391-6.
Markkanen, P. K. 2004. Kesehatan dan Keselamatan Kerja di Indonesia (Health and Work Safety in
Indonesia). Manila, Philippines: Iternational Labour Organization, Subregional office for South-
East Asia and the Pacific.
McHugh, G. (2016). Measuring Dimensions of a Healthy Workplace Climate: A User- Friendly
Assessment Tool. International Journal of Disability Management, 11, E1.
doi:10.1017/idm.2016.1
Noor, Z. (2016). Buku Ajar Gangguan Muskuloskeletal . Jakarta: Salemba Medika.
Oakley, K. 2008. Occupational Health Nursing. New. York: John.
Pawitra, AS. 2011. Pemakaian Pestisida Kimia terhadap Kadar Enzim Cholinesterase dan Residu
Pestisida dalam Tanah. Skripsi Universtas Airlangga.
Payuk, Djajakusli, & Wahyuni. (2011). “Hubungan Faktor Ergonomis Dengan Beban Kerja Pada
Petani Padi Tradisional Di Desa Cogo Kecamatan Marioriwawo Kabupaten Soppeng. Jurnal
Unhas. Vol.1.
Riskesdas. 2013. Riset Kesehatan Dasar. Badan Penelitian Dan Pengembangan Kesehatan
Kementerian Kesehatan RI.
Sofia, D. 2001. Pengaruh Pestisida dalam Lingkungan Pertanian Fakultas Pertanian. Universitas
Sumatera Utara.
Staur, S., Wantiya, & R. H. 2016. Pengaruh Pendidikan Kesehatan Metode Demonstrasi terhadap
Tingkat Pengetahuan dan Motivasi Penggunaan Alat Pelindung Diri (APD) pada Petani Desa
Wringin Telu Kecamatan PugerKabupaten Jember. e-Jurnal Pustaka Kesehatan, vol.4
(no.1), Januari, 2016 , 97.
Sugiyono (2013). Metode Penelitian Kuantitatif, Kualitatif dan R & D. Bandung: Alfabeta.
Suma’mur PK. 2013. Keselamatan Kerja dan Pencegahan Kecelakaan. Cetakan Pertama. CV. Jakarta:
Haji Mas Agung. Vol. 1 2013.1.
Topobroto HS. 2002. Kebijakan dan Kondisi Keselamatan dan Kesehatan Kerja di Indonesia. Jakarta:
ILO
Weis B, Amler S, and Amler RW. 2004. Pesticides. Pediatrics 113:1030-1036.
Widana, I. K. (2013). Redesain Traktor Capung Meningkatkan Kesehatan dan Kepuasan Petani di
Subak Teba Mengwi Badung. Jurnal Energi dan Manufaktur Vol.6, No.2, Oktober 2013, 95-205.
 SURAT PERNYATAAN

Sehubungan dengan fasilitasi pendampingan dalam penulisan manuskrip untuk publikasi international
yang diadakan oleh Klinik Publikasi International di Lembaga Penelitian dan Pengabdian (LP2M)
Universitas Jember. Dengan ini, maka saya yang bertanda tangan di bawah ini:

Nama : Arista Maisyaroh, S.Kep., Ners., M.Kep

NIDN : 3428058201
Prodi/Fakultas : D3 Keperawatan Fakultas Keperawatan UNEJ
Judul manuskrip : Trauma Suvey Akibat Kerja di Area Pertanian Kabupaten Lumajang

Menyatakan kesanggupan dan bersedia mengikuti kegiatan pendampingan dalam penuliasan

manuskrip publikasi ilmiah international tersebut dengan ketentuan sebagai berikut:

Pembuatan time table pengerjaan manuskrip bersama fasilitator

Penyelesaian akhir manuskrip bersama fasilitator (Penulisan, Translation/ Proof English/ Editing/
Submission)

Demikian surat pernyataan saya buat. Semoga dapat dipergunakan sebagai mana mestinya.

Menyetujui, Jember, September 2018

Fasilitator, Penulis

Dr. Dewi Rokhmah, S.KM, M.Kes Arista Maisyaroh, S.Kep., Ns., M.Kep

NIP. 19780807 200912 2 001 NIP. 198205282011012013

Mengetahui, Menyetujui,

Ketua LP2M, Ketua Klinik Publikasi International,

Prof. Ir. Achmad Subagio, M.Agr., Ph.D. Ns. Tantut Susanto, S,Kep.,M.Kep.,Sp,Kom.,Ph.D.

NIP. 196905171992011001 NIP. 198001052006041004