Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist)

PENGARUH MEDIA KOMIK TERHADAP PENGETAHUAN DAN SIKAP PEMILIHAN MAKANAN JAJANAN PADA ANAK SEKOLAH DASAR ISLAM SWASTA AS SHOLIHAH KOTA MEDAN

2023-10-24T07:57:28+07:00

Introduction : Snacks have a role in providing energy and other nutritional intake for school-aged children. Snacks can contribute energy and other nutrients that are useful for children's growth. Children's knowledge and attitudes about choosing snacks are very important so that the snacks they choose are healthy snacks. Objective: to determine the influence of comic media on knowledge and attitudes towards choosing snacks among As Sholihah Primary School students. Design : quasi experimental, namely pre-test and post-test with control group design. The sample was four class student who were divided into 2 groups, each group consisting of 30 people, divided into groups with comic intervention and groups without treatment. Data analysis used the independent t-test to assess each variable, namely knowledge and attitudes towards choosing snack foods. Results : A significant difference was found in the average knowledge between the treatment group and the control group, with p-value = 0,012 < 0,05. Meanwhile, in the statistical test on the attitude category, the value obtained was p = 0,000 < 0,05. This means that there is a difference in the average score of students' attitudes regarding the choice of snacks between the treatment group and the control group. Conclusion : Counseling using comic media has an effect on increasing the knowledge and attitudes of As Sholihah Primary School students.

GAMBARAN PENGETAHUAN MAHASISWA PRODI D3 KEPERAWATAN TENTANG BANTUAN HIDUP DASAR (BHD) DISTIKes SANTAELISABETH MEDAN TAHUN 2023

2023-10-24T08:03:53+07:00

Knowledge is the result of what happens when a person senses an object, sensing occurs through the five human senses, namely, the senses (hearing, sight, smell, feeling, and touch). Basic Life Assistance (BHD) is one of the emergency relief measures that must be known by a nursing student and medical personnel, because this action is given to someone who has no awareness if not getting first aid can threaten someone's life then this action must be understood by nursing students. Before providing first aid, proper knowledge is needed, so nursing students must know. This study aims to determine the level of knowledge of D3 Nursing study program students at STIKes Santa Elisabeth Medan about Basic Life Support (BHD). This study uses a quantitative method in which data is collected by distributing questionnaires with 18 questions so as to be able to explore the knowledge of D3 Nursing students. This type of research is descriptive with a total population of 100 people. Sampling was done by total sampling technique, with a total of 100 respondents. The results show that the knowledge of D3 Nursing students at STIKes Santa Elisabeth Medan is in the good category as many as 80 respondents (80.0%) with sufficient category as many as 12 respondents (12.0%) and with less category as many as 2 respondents (2.0%) ). It was concluded that D3 Nursing study program students were in the "good" category in knowing about basic life support. It is hoped that students will be active in participating in emergency seminars like this and can continue to be carried out on an ongoing basis organized by STIKes Santa Elisabeth Medan.

THE INFLUENCE OF ANIMATED VIDEO MEDIA ON PREGNANT WOMEN'S KNOWLEDGE ABOUT DANGER SIGNS OF PREGNANCY

2023-10-24T08:09:25+07:00

Dangers in pregnancy need to be recognized and detected early so that they can be handled properly because every danger sign in pregnancy can result in complications in pregnancy. the aim of this research is to study the effect of animated video media on pregnant women's knowledge about the danger signs of pregnancy. pregnant in the working area of the Telaga Dewa Community Health Center, Bengkulu city. This research method uses a pre-test approach using one group pre-test and post-test design. The population of this study was only pregnant women, all pregnant women at the Telaga Dewa Community Health Center, Bengkulu City from January to April 2023, totaling 176 pregnant women. The sample consisted of 33 pregnant women whose samples were taken purposively. Data collection uses secondary and primary data. Data analysis was carried out using univariate tests, data normality tests, bivariate tests, and Wilcoxon tests. The search results obtained were: (1) Average knowledge before being given health education was 46.09; (2) The average knowledge after being given health education is 82.97. Research conclusions There is an influence of animated video media about danger signs in pregnancy in the work area of the Medan Telaga Dewa Community Health Center, Bengkulu City

GAMBARAN PENGETAHUAN MAHASISWA TINGKAT II TENTANG LAUDATO SI DI STIKES SANTA ELISABETH MEDAN TAHUN 2023

2023-10-24T08:17:37+07:00

Knowledge is the result of knowing through sensory processes, especially the eyes and ears of objects. Knowledge is a very important domain for the formation of open behavior. Laudato Si is the care of our common home, taking care of nature's house is the original vocation of humans since humans are created. This understanding influences human life behavior in treating nature as a home. The love for nature changed the way of life for Franciscus Assisi by repenting and making peace with nature. The Encyclical Laudato Si is written by Pope Francis, the figure who inspired him is Franciscus Assisi. The research objective is to find out the level II student's knowledge about Laudato Si at STIKes Santa Elisabeth Medan 2023. The research used a qualitative method where data collection is carried out using an interview technique of 4 questions so that they are able to dig deeper about Laudato Si's knowledge. The sampling technique used purposive sampling of 5 participants. The data analysis technique used is thematic analysis. The results of the study were: Laudato Si is environmental care, awareness of love for the environment in preserving the earth or the environment both from small things such as disposing of trash in its place, Laudato si can be said to be handling various types of waste that can transmit disease, Laudato si can be seen from the way of sorting and packaging various kinds of infectious and non-infectious waste, Laudato Si is waste handling by separating waste according to its type.

HUBUNGAN INFEKSI SOIL TRANSMITTED HELMINTH (STH) TERHADAP KARAKTERISTIK MASYARAKAT LINGKUNGAN SEKITAR PETERNAKAN DI DAERAH KLUMPANG KAMPUNG KECAMATAN HAMPARAN PERAK

2023-10-25T04:01:03+07:00

Worm disease is a common people disease commonly encountered in areas, infections can occur simultaneously by several types of worms atonce. For children, the worm disease will have an inmpact for the impaired learning ability, and for adult will decreasing the work productivity. At the North Sumatra, especially Medan City, prevalence of worms in children around (60-70%) of all cases. Research on Soil Transmitted Helminth (STH) Infectious Relationship to Characteristic of Livestock Environment Community in Klumpang Kampung Kecamatan Hampatan Perak, conducted on March-June 2023 at Parasitology Laboratory Poltekkes Medan the department of the medical laboratory technology of Health with using eosin 2% method, with population of 26 samples . The research was analytic observational using cross sectional design. The data obtained were analyzedusing chi-square test at 95% confidence level (?= 0,05). Based on study about Connection Infection Soil Transmitted Helminth (STH) Against Characteristics of Environmental Societies Around Livestock in Klumpang Kampung District Silver Obstacle , obtained results of the 26 samples identified 5 infected samples were found worm Ascaris lumbricoides (20%), with connection STH infection against age 19.2 % only experienced by children just . There's a relationship STH infection against type gender . There's a relationship between education with STH infection . There's a relationship between work with STH infection

GAMBARAN POLA MAKAN PADA PASIEN HIPERTENSI DI RUMAH SAKIT SANTA ELISABETH MEDAN TAHUN 2023

2023-10-25T04:02:34+07:00

Diet is one of the efforts in overcoming hypertension sufferers so they can control their habits by adjusting the amount of food, type of food, meal schedule and balance nutritional intake. A balanced menu needs to be started and well known so that controllable eating habits will be formed. Hypertension is a non-communicable disease that can cause blood pressure to increase where systolic and diastolic are above normal limits. Factors that can cause hypertension are genetic factors (heredity), gender, age. The aim of the study is to find out the eating patterns of hypertensive patients. The research uses a quantitative method where data collection is carried out using a questionnaire of 25 questions so as to be able to dig deeper into the diet of hypertensive patients. The sampling technique uses random sampling of 53 respondents. The data analysis technique uses is descriptive. The results of the study are: eating patterns of hypertensive patients based on the amount of food in good category 45 respondents (84.9%). The eating pattern of hypertensive patients based on the type of food is in good category, 43 respondents (81.1%). The eating pattern of hypertensive patients based on the frequency of eating was in good category, 44 respondents (83.0%). Researcher's suggestion: It can be used as a recommendation for one of the non-pharmacological management of hypertensive patients by providing health education about diet, and used as information to maintain eating patterns in hypertensive patients.

PENGARUH MENGKONSUMSI TUAK TERHADAP EROSI GIGI PADA MASYARAKAT TAMBUNAN LUMBAN GAOL KABUPATEN TOBA SAMOSIR

2023-10-25T04:30:46+07:00

Tuak is a typical drink of Batak Toba society made from Nira which is fermented with raru, yeast, a kind of bark of tree.Erosion of teeth is defined as the loss of the hard tissue of the teeth as a result of chemical processes that does not involve bacteria. This research method of this study is analytic method with cross sectional study design, the sample of this study is 60 people of Tambunan Lumban Gaol of Toba Samosir District. The samples were taken by using purposive sampling technique. The collection of the data was done by direct examination and questionnaire filled out by the respondents. Data analysis was processed by statistical test using chi-square. This study showed that the weekly frequency of consuming tuak and the duration of drinking tuak had a significant effect on tooth erosion that can be seen from the data of p = 0,0001 and p = 0,002, there were 30 respondents (50%) had severe dental erosion, 13 respondents (21.6%) had moderate dental erosion, 12 respondents (20%) had mild dental erosion 5 respondents (8.3%) had healthy dental erosion. The result of chi-square test shows that the null hypothesis (HO)is tuak and the duration of consuming tuak towards the erosion of teeth in Tambunan Gaol Community of Toba Samosir District. This study concluded that the weekly frequency of drinking of tuak and the duration of consuming tuak gives effects to the dental erosion.

UJI EFEKTIVITAS KONSENTRASI KOMBINASI CAMPURAN EKSTRAK DAUN KEMANGI DENGAN DAUN PANDAN WANGI SEBAGAI PENOLAK LALAT RUMAH

2023-10-25T04:44:25+07:00

Vector borne disease spreads widely and rapidly every year. House flies can act as vectors for various diseases namely typhoid, stomach ache such as dysentery, cholera, diarrhea and skin diseases that can cause death in many countries. Therefore the effective and safe control is needed, one of which is biological control. Among other things, biological control can use plants as a repellent. This thesis have a goals to known the effectivenness test of combination kemangi leaf concenterate (Ocimum basilicum forma citartum) with pandan wangi (Pandanus amaryllfolius Roxb) as a flies repellent. This thesis using true experiment design with 360 flies as a sample that taking from Wonodadi traditional market, with 6 cycle and 15 minute observation. The research doing in Dinas Lingkungan Hidup Kuburaya Regency Laborotary. The researcer using One Way Anova with 95% (?=0,05) signification as a statistic test. The result of this research show that there are some significant different amount of the flies that pearch to the bait before and after the treatment with 5%, 10%, and 15% dose control. The researcher wish this research can be the alternatif to repellent the flies at house.

KARAKTERISTIK DAN KEPATUHAN DIET DASH PADA PASIEN HIPERTENSI DIRUANG RAWAT INAP RUMAH SAKIT SANTA ELISABETH TAHUN 2023

2023-10-25T04:45:30+07:00

Characteristics mean different things about a person, place, or thing that describes them. Compliance, which was originally known as "compliance", has a definition as the extent to which a patient's behavior (in terms of taking medication, following a diet, or making other lifestyle changes) must be appropriate according to clinical prescriptions. the DASH diet (Dietary Approach To Stop Hypertension) which is a vegetable and fruit diet that contains a lot of dietary fiber, which is 30 grams per day and certain minerals, namely potassium, magnesium and calcium while salt intake is limited, which is only 3 grams per day. The research objective was to determine the characteristics and adherence to the DASH diet in hypertensive patients at Santa Elisabeth Hospital Medan in 2023. Research Methods: This type of research is descriptive with a population of 120 hypertensive patients. The sampling technique in this study was random sampling in hypertensive patients with 53 people as a collection instrument. data using a questionnaire with 9 question items. The results of the study: The characteristics of respondents aged 56-60 years were 20 people (37.7%). Most of the female sex as many as 32 people (60.4%). Most of the duration of the patient suffering from hypertension 1-5 years as many as 36 people (67.9%). Most of the respondents to adherence to the hypertension diet found that 15 patients (28.3%) did not feel it. Conclusion: There are 20 people (37.7%) aged 56-60 years. Most of the female sex as many as 32 people (60.4%). Most of the duration of the patient suffering from hypertension 1-5 years as many as 36 people (67.9%). Most of the respondents to adherence to the hypertension diet found that 15 patients (28.3%) did not feel it. Suggestions for people with hypertension respondents are expected to be able to maintain and regulate a balanced diet with the DASH diet information to avoid hypertension.

JENIS MAKANAN YANG MEMPENGARUHI TERJADINYA KARIES GIGI PADA ANAK KELAS V SD NEGERI 102078 KECAMATAN BANDAR KHALIFAH KABUPATEN SERDANG BEDAGAI

2023-10-25T04:48:24+07:00

Caries tooth is disease network hard marked teeth _ with happen demineralization / dissolution of the layer outside teeth . Caries children 's teeth Still high , here caused Because consume destructive food _ health tooth ie sweet and sticky food , all- round food sour , food in the form of substance flour , hard foods , hot foods _ _ extreme and drink soft drinks For look after health his teeth . Study This aim For know connection type food to happen caries children 's teeth class V SD Negeri 102078 District . Bandar Khalifah Regency . Serdang Bedagai . As for types research used _ is study descriptive with method survey. Study done to children class V SD Negeri 102078 with population taken _ is all over child Class V of SD Negeri 102078 has 84 people and those who are sample ie whole amount population namely 84 people. Research results showing many kid who likes it consume related foods _ to damage tooth namely those who consume oranges 84.5% amount caries 9.6%, who consume pineapple 67.9% the amount of caries 9.4%, who consume water guava 55.9% amount caries 7.9%, who consume watermelon 52.4% amount caries 6.9%, who consume kedongdong 35.7% total caries 5.2%, who consume vegetables 29.8% total caries 2.9% and those who consume destructive food _ health teeth and mouth namely those who consume sweet and sticky foods 78.6% of the amount caries 10.9%, who consume all -round food acid 27.4% amount caries 4.3%, who consume food in the form of starch_73.8 % amount caries 9.8%, who consume food accounts for 60.7% of the amount caries 8.7%, who consume hot food _ extreme 77.4% amount caries 10.3%, who consume drink soft drinks 63.1% amount caries 7.9%.

PENGETAHUAN DAN SIKAP IBU HAMIL TENTANG SENAM HAMILTAHUN 2022

2023-10-25T04:49:24+07:00

Pregnant women are expected to have good health by knowing about pregnancy exercise (which is useful for facilitating the birthing process). Good quality of pregnant women's health will reduce maternal mortality. In the birth process there are three factors that cause prolonged labor, namely: energy, birth canal and fetus. One way to control problems such as energy problems is by doing pregnancy exercises. This type of research is descriptive analytical with a cross sectional study design. Sampling was carried out using total sampling, which is a sample determination technique when all members of the population are used as samples with a sample size of 40 people. The research period was April – September 2022. Data was collected from respondents using a questionnaire. The data analysis used was univariate (Frequency Distribution. The research results showed that there were 27 people (67.5%) pregnant women who had good knowledge about pregnancy exercise and there were 23 people (57.5%) pregnant women who had a positive attitude about pregnancy exercise. Conclusion: Description of knowledge and attitudes of pregnant women about pregnancy exercise, namely 67% and 57.5%. Suggestion: Health promotion at the Muliorejo Community Health Center, Deli Serdang Regency regarding pregnancy exercise is further improved with the hope that pregnant women will do pregnancy exercise at their respective homes so that the delivery was smooth.

DAMPAK PEMBERIAN MEDIA LEAFLET DAN BERMAIN ULAR TANGGA TERHADAP PENINGKATAN PENGETAHUAN TENTANG CARA MENYIKAT GIGI

2023-10-25T04:51:35+07:00

The problem of dental caries is one of the most common health problems experienced by school-age children, so an understanding of good and correct tooth brushing and maintaining oral health must be instilled from an early age. This research aims to determine the impact of giving leaflet media and playing snakes and ladders on increasing knowledge about how to brush their teeth in students. This study used a quasy experiment method with a non-randomized pretest-posttest control group design. The research location was at SDN 065015 Medan Tuntungan Subdistrict. The research time started from January - May 2023. The subjects of this study were all third-grade students of SDN 065015 Medan Tuntungan District, totaling 30 people. The sample size was used as a total sampling of 30 people. The subjects of this study were divided into two groups, namely the intervention group of 15 people and the control group of 15 people. The intervention in this study was the provision of leaflet media and playing snakes and ladders. For the intervention and control groups, a pre-test was conducted before the subjects were given leaflet media and played snakes and ladders. Furthermore, both groups were given a post-test after being given leaflet media and playing Snakes and Ladders. Data collection was carried out by distributing questionnaires before and after being given leaflet media and playing snakes and ladders. Data analysis using paired t-test and unpaired t-test. The results showed that the average knowledge of students about how to brush their teeth in the intervention and control groups both experienced a significant increase in knowledge. There is a difference in the average score of students' knowledge before and after being given intervention through leaflet media and playing snakes and ladders (p = <0.05). To the teacher of SDN 065015 Medan Tuntungan to collaborate with the Puskesmas to provide socialization in the form of routine counseling to students about how to brush their teeth.

PENGARUH BAURAN PEMASARAN (MARKETING MIX) TERHADAP LOYALITAS PASIEN UMUM DI POLIKLINIK RAWAT JALAN RSU DELIMA MEDAN

2023-10-25T04:59:39+07:00

ABSTRACT

Due to the intense rivalry among hospitals, the administration of hospitals is always striving to create patient loyalty in order to ensure patients refrain from getting treatment elsewhere. This rivalry indirectly impacts the hospital's core purpose of sustaining the target market, thus the hospital needs to work hard to maintain its service consumers loyal. This study aimed to analyze the influence of marketing mix on general patient loyalty at outpatient polyclinic of Delima Hospital Medan. This is a combination study using the Concurrent Mix Method. According to the inclusion criteria, the population of this study was general patients who had used BPJS and returned between March 1 and March 18, 2023, with a total sample of 47 persons who were then processed using univariate, bivariate, and multivariate statistical tests. The results of all elements of marketing mix and patient loyalty in the sufficient category. There was a significant influence of Product with a Sig value. 0.004, Price with a Sig value. 0.003, Place with a Sig value. 0.001, Promotion with a Sig value. 0.002, People with a Sig value. 0.000 and Process with a Sig value. 0.003, there was no effect of Physical Evidence marketing mix on general patient loyalty with a Sig value. 0,840. All elements of marketing mix had a simultaneous influence on general patient loyalty at the Hospital with a Sig value. 0,000. Neither all marketing mixes have a substantial effect on general patient loyalty on their own, but all aspects of the marketing mix have a simultaneous affect on general patient loyalty at Delima Hospital Medan.

Keywords : Marketing Mix; General Patient Loyalty

ABSTRAK

Ketatnya persaingan antar rumah sakit mendorong manajemen rumah sakit agar selalu berupaya untuk meningkatkan loyalitas pasien sehingga pasien tidak berpaling ke rumah sakit lain. Persaingan tersebut secara tidak langsung mempengaruhi rumah sakit untuk mempertahankan tujuan utamanya yaitu mempertahankan target pasar, sehingga rumah sakit harus bekerja keras menjaga loyalitas pengguna jasanya. Penelitian ini bertujuan untuk menganalisis Pengaruh Bauran Pemasaran (Marketing Mix) terhadap Loyalitas Pasien Umum di Poliklinik Rawat Jalan RSU Delima Medan. Penelitian ini adalah penelitian kombinasi, dengan Concurrent Mix Methode. Populasi penelitian ini adalah pasien umum yang pernah menggunakan BPJS yang melakukan kunjungan ulang pada 1 Maret sampai 18 Maret 2023 sesuai kriteria inklusi, dengan jumlah sampel sebanyak 47 orang yang selanjutnya diolah menggunakan uji statistik. Hasil penelitian ini adalah seluruh elemen bauran pemasaran dan loyalitas pasien dalam kategori cukup. Terdapat pengaruh signifikan bauran pemasaran Product dengan nilai Sig. 0,004, Price dengan nilai Sig. 0,003, Place dengan nilai Sig. 0,001, Promotion dengan nilai Sig. 0,002, People dengan nilai Sig. 0,000 dan Process dengan nilai Sig. 0,003, tidak terdapat pengaruh bauran pemasaran Phisical Evidence terhadap loyalitas pasien umum bauran pemasaran dengan nilai Sig. 0,840. Seluruh elemen bauran pemasaran memiliki pengaruh simultan terhadap loyalitas pasien umum di RSU Delima Medan dengan nilai Sig. 0,000. Kesimpulan penelitian ini adalah tidak seluruhnya bauran pemasaran secara individu berpengaruh signifikan terhadap loyalitas pasien umum seperti bauran pemasaran Physical Evidence, namun seluruh elemen bauran pemasaran memiliki pengaruh simultan terhadap loyalitas pasien umum di RSU Delima Medan.

Kata Kunci : Bauran Pemasaran; Marketing Mix; Loyalitas Pasien Umum

GAMBARAN TINGKAT PENGETAHUAN TENTANG MENYIKAT GIGI SEBELUM DAN SESUDAH PENYULUHAN DENGAN MEDIA SENI MONTASE PADA SISWA/I KELAS III SDN 067247 KEC. MEDAN TUNTUNGAN

2023-10-25T05:00:48+07:00

Dental and oral health is an inseparable part of overall body health. Currently, dental health problems are still a second priority, especially for Indonesian people, even though a seemingly trivial toothache can trigger a number of dangerous diseases, and dental disease has even been reported to cause death. To increase knowledge, this can be done through counseling, one of the outreach media used is Montage Art.

The research aims to determine the level of knowledge about brushing teeth before and after being given counseling using montage art media. The type of research used in this research is descriptive with a survey method which aims to determine the description of the level of knowledge about brushing teeth before and after being given counseling using montage art media to students of Class III Sdn 067247 Kec. Field of Benefits. The total research sample was 30 people. The results of the research obtained the level of knowledge about brushing teeth before being given counseling using montage art media, namely good criteria for 16 people (53.3%), medium criteria for 12 people (40%), and bad criteria for 2 people (6.7%) . Meanwhile, the level of knowledge after being given counseling using montage art media was good criteria for 25 people (83.3%), medium criteria for 5 people (16.7%), and there were no bad criteria. Counseling using montage art media can change the knowledge of Class III students at SDN 067247 Kec. Medan Tuntungan by carrying out LGTC (Look, Cut, Stick, and Tell Again) activities about tooth brushing knowledge. It is hoped that students will apply good and correct methods of brushing their teeth in life according to the recommendations of researchers.

PENGETAHUAN DAN SIKAP IBU TERHADAP PERAWATAN PAYUDARA PADA IBU HAMIL

2023-10-25T05:02:11+07:00

Breast care during pregnancy is an important part that must be considered in preparation for breastfeeding. Breast care is very important so that complications do not occur when breastfeeding the baby later. The aim of this research is to identify mothers' knowledge and attitudes towards breast care in pregnant women. This type of research is analytical survey research with a cross sectional approach. The population in this study was all third trimester pregnant women in the Muliorejo Community Health Center Working Area, Sunggal District, Deli Serdang Regency, totaling 30 people, sampling using total sampling technique. The instrument used is a questionnaire to determine knowledge of the number of statements in 20 questions to determine attitudes using a Liket scale for the number of statements in 10 questions. The data analysis used was univariate (Frequency Distribution. The research results showed that there were 15 people (75%) pregnant women who had good knowledge about breast care and there were 14 people (60%) pregnant women who had a positive attitude about breast care. Conclusion: Knowledge and The attitudes of pregnant women regarding breast care are 75% and 60%. Suggestions: Health promotion at the Muliorejo Community Health Center, Deli Serdang Regency regarding Breast Care is further improved with the hope that pregnant women will carry out breast care at their respective homes so that their births run smoothly.

ANALISIS PELAKSANAAN ASESMEN RESIKO PASIEN JATUH OLEH PERAWAT DI RUMAH SAKIT ISLAM MALAHAYATI MEDAN

2023-11-07T04:23:10+07:00

ABSTRACT

A patient falls is one of the most incident that occur in a hospital. The risk of patients fall is caused by many factors such as environmental factors, organizational and management factors, and communication factors. The research aims to analyze the implementation of patient fall risk assessments by nurses at the Rumah Sakit Islam Malahayati Medan. The research method of this study is using qualitative approaches, In- Depth Interview, and direct observation. The result of this study is the implementation of the risk of patients fall prevention by nurses is not optimal and there is still a lack of education about the risk of patients fall and there are patients or their family who are refuse to implement fall risk prevention by nurses. The researcher hopes that the nurses of Rumah Sakit Islam Malahayati Medan will more cooperate with patient’s family and educate the patients to reduce the risk of patients fall in Rumah Sakit Islam Malahayati Medan.

Keywords: Assessment, Prevention of the Risik of Falling Patients

ABSTRAK

Pasien jatuh adalah salah satu insiden yang paling sering terjadi dalam lingkup rumah sakit. Adapun penyebab risiko pasien jatuh yaitu dikarenakan beberapa faktor yaitu faktor lingkungan, faktor organisasi/manajeman dan faktor komunikasi. Tujuan penelitian ini adalah untuk menganalisa pelaksanaan asesmen resiko pasien jatuh oleh perawat di Rumah Sakit Islam Malahayati Medan. Metode penelitian yang digunakan dalam penelitian ini menggunakan pendekatan kualitatif, wawancara mendalam dan observasi langsung. Hasil penelitian ini disimpulkan, bahwa dalam pelaksanaan pencegahan risiko pasien jatuh yang dilakukan perawat belum berjalan optimal dan juga masih kurangnya edukasi risiko pasien jatuh serta adanya pasien atau keluarga pasien yang tidak patuh atau menolak dalam penerapan pencegahan risiko jatuh yang dilakukan perawat. Diharapkan kepada perawat pelaksana Rumah Sakit Islam Malahayati Medan lebih bekerja sama dengan keluarga pasien dan melakukan edukasi pasien untuk mengurangi timbulnya risiko pasien jatuh di Rumah Sakit Islam Malahayati Medan dan diharapkan juga untuk pihak manajeman melakukan evaluasi terhadap pemeliharaan fasilitas yang ada di Rumah Sakit Islam Malahayati Medan.

Kata kunci: asesmen, pencegahan resiko pasien jatuh

ANALISIS POLA SEBARAN FAKTOR RISIKO LINGKUNGAN DENGAN KEJADIAN MALARIA DI WILAYAH KERJA PUSKESMAS TANJUNG TIRAM KABUPATEN BATUBARA

2023-11-01T07:54:03+07:00

Malaria is an infectious disease caused by the Plasmodium parasite which lives and reproduces in human red blood cells and is naturally transmitted through the bite of female Anopheles mosquitoes. Based on data from the Simalungun District Health Service, there were 955 cases of malaria in 2021 and the highest cases were in the Tanjung Tiram health center working area with 279 cases in 2021. Malaria transmission is influenced by several factors, including parasites, humans, mosquitoes and the environment. Environmental conditions have a big influence on the incidence of malaria, because a bad environment can increase the breeding and breeding of Anopheles mosquitoes. With spatial analysis, a mapping process can be carried out to determine the geographic distribution of potential disease risks and their relationship with existing environmental risk factors. Seeing the fluctuating incidence of malaria, it is necessary to carry out research to determine the distribution pattern and risk of malaria incidence in the working area of the Tanjung Tiram Community Health Center, Batubara Regency. The aim of this research is to determine environmental risk factors and malaria distribution patterns in the Tanjung Tiram health center working area, Batubara Regency. To find out the distribution of environmental risk factors in relation to malaria incidence so that it can provide input for the health service in the context of malaria control activities. Research sampling was carried out using a non-probability sampling method and the results of bivariate data analysis used Chi square. The results of this research are that there is a relationship between environmental risk factors such as ceilings, wall types, ventilation, wall density, screens on windows, the presence of puddles, gutters and swamps around the house with a p value of 0.000 and depicted in a distribution pattern map. which is able to optimize reducing the incidence of malaria cases.

ISOLASI DAN PEMANFAATAN BAKTERI KITINOLITIK DARI CANGKANG UDANG PUTIH (PENAEUS MERGUENSIS) DALAM MENGHASILKAN ENZIM KITINASE

2023-11-01T07:55:37+07:00

Indonesia is listed as the third largest shrimp producing country in the world. Shrimp is one of the leading export commodities. Shrimp is one of the main commodities in the fishing industry. Thus encouraging Indonesia to become one of the shrimp producing countries. In the shrimp processing process, usually the heads and shells of the shrimp are thrown away or used as animal feed. Traditionally, shrimp shell waste is generally used as a mixture for making crackers, paste, shrimp paste and as additional animal feed and returned to the shrimp cultivation itself. One use of shrimp shell waste that has prospects for development and has quite high economic value is processing it into chitin, chitosan and glucosamine. The aim of this research is to obtain isolates of chitinolytic bacteria from isolation and to utilize chitinolytic bacteria from white shrimp (Penaeus merguensis) shells to produce chitinase enzymes. Chitinolytic bacteria are bacteria that produce chitinase enzymes which play a role in degrading chitin into oligomers and chitin derivative compounds. Chitinolytic bacteria can be obtained from various sources such as the rhizosphere, phyllosphere, soil or from water environments such as seas, lakes, ponds or shrimp ponds and so on. Chitin that exists in nature is easily degraded by microorganisms. There are two pathways in the chitin degradation process. First, degradation by chitinolytic which hydrolyzes the ?-1,4-glycoside bond. Second, the polymer undergoes first deacetylation and then hydrolysis by chitosanase. Chitinase has many benefits, including as a bioinsecticide and biofunctional agent in controlling plant pests and is used to process chitin waste in the shrimp and crab freezing industry. It can also be used in the medical and food fields. From the test results, three types of bacteria were obtained, namely Vibrio sp, Bacillus sp, and Pseudomonas sp.

ANALISIS IMPLEMENTASI SISTEM INFORMASI MANAJEMEN RUMAH SAKIT (SIMRS) DI RUMAH SAKIT UMUM MUHAMMADIYAH MEDAN

2023-11-07T04:30:22+07:00

In the modern era which filled by development of information technology, hospital management information implementation systems have became very important to improve efficiency, transparency and security of services provided by hospitals. With the right investment and strong commitment, information systems can give the significant benefits for patients, medical staff and hospital management so that they can improve the quality of care and services hospital being better. Minister Regulation of Health Indonesia Number 82 of 2013 concerning Hospital Management Information Systems that hospitals have to implement HMIS. Muhammadiyah Medan Public Hospital has just implemented HMIS in January 2018. HMIS didn’t work well. The purpouse of this research is to analyze the implementation of Hospital Management Information Systems at Muhammdiyah Medan Public Hospital.This research is a qualitative descriptive study using the interview method. The main respondents

in this study were 5 people including the director, head of HMIS installation, HMIS operator, registration operator and cashier, while the triangulation respondents were 3 recipients of health services.The result of the research shows that the implementation of HMIS at Muhamamdiyah Medan Public Hospital has not been optimal, because there were some problems such as uneven supply of computers, facilities and infrastructure, lack of HMIS human resources, frequent server disruptions, lack of rewards and punishment for staff, lack of training for the staff because the limited hospital management budget for HMIS. The results of the research is suggest for the hospital management allocate special budget for HMIS to complete the equipment and adjust HMIS human resources, and do the special training for HMIS human resources, giving rewards for those who carry out their duties well and punish those who neglect their duties so the quality of care and Services at Muhammadiyah Medan Public Hospital can be improved.

Keywords:Management, Information, System,Hospital

Dalam era modern yang dipenuhi dengan perkembangan teknologi informasi, sistem implementasi informasi manajemen rumah sakit menjadi sangat penting untuk meningkatkan efisiensi, transparansi, dan keamanan layanan yang disediakan oleh rumah sakit . Dengan investasi yang tepat dan komitmen yang kuat, sistem informasi dapat memberikan manfaat yang signifikan bagi pasien, staf medis, dan manajemen rumah sakit sehingga dapat meningkatkan kualitas Perawatan dan Pelayanan rumah sakit yang lebih baik. Peraturan Menteri Kesehatan Republik Indonesia Nomor 82 Tahun 2013 Tentang Sistem Informasi Manajemen Rumah Sakit menyebutkan rumah sakit sudah harus menerapkan SIMRS. RSU Muhammadiyah Medan baru menerapkan SIMRS pada Januari 2018. Sehingga penggunaan SIMRS belum maksimal. Tujuan dari penelitian ini adalah untuk Menganalisis Implementasi Sistem Informasi Manajemen di Rumah Sakit di RSU Muhammdiyah Medan.

Penelitian ini adalah deskriptif kualitatif dengan metode wawancara. Informan utama dalam penelitian ini sebanyak 5 orang meliputi direktur, kepala instalasi SIMRS, operator SIMRS, operator pendaftaran dan kasir sedangkan informan triangulasi adalah penerima pelayanan kesehatan sebanyak 3 orang . Hasil penelitian menunjukkan bahwa Implementasi SIMRS di RSU Muhamamdiyah Medan belum maksimal terkait kendala seperti tidak meratanya persediaan komputer, sarana dan prasarana, kurangnya SDM SIMRS, sering terjadinya gangguan server, tidak adanya reward dan punishment bagi staf, kurangnya pelatihan karena terbatasnya anggaran Manajemen Rumah Sakit untuk SIMRS. Dari hasil penelitian disarankan agar pihak manajemen mengalokasikan dana khusus SIMRS dalam menyediakan segala kekurangan sarana dan prasarana, melakukan menambah SDM SIMRS, memberikan pelatihan khusus untuk SDM SIMRS, memberikan reward bagi yang menjalankan tugasnya dengan baik dan punishment bagi yang melalaikan tugasnya sehingga dapat meningkatkan kualitas Perawatan dan Pelayanan RSU.Muhammadiyah Medan.

Kata kunci: Manajemen, Sistem, Rumah Sakit

HUBUNGAN PENGETAHUAN IBU RUMAH TANGGA DENGAN RESIKO STUNTING DI WILAYAH KERJA PUSKESMAS HUTABALANG KABUPATEN TAPANULI TENGAH TAHUN 2023

2023-11-03T11:01:31+07:00

Reducing the incidence of stunting is the sixth goal of The Global Nutrition Target for 2025. The prevalence of stunted toddlers for North Sumatra Province from the results of Riskesdas (2018) is 32.3%. The number of toddlers in the Hutabalang Community Health Center working area is 1,644 and there are 8 toddlers suffering from stunting. Housewives' knowledge about the risks of stunting can determine their attitude in maintaining the health of toddlers so that stunting can be prevented. This research uses a quasi-experimental method with a nonequivalent control group design approach with pretest and posttest. The research was carried out from April to September 2023. Samples were taken using purposive sampling as many as 16 housewives who had children under five. Data were analyzed univariately and bivariately. The results of the research showed that before being given treatment (counseling), the majority of respondents had poor knowledge, 10 people (62.5%) and 6 people who had good knowledge (37.5%). After being given treatment, those with good knowledge increased to 14 people (87.5%) and those with less knowledge were 2 people (12.5%). Conclusion: there is a significant increase in housewives' knowledge about the risk of stunting in toddlers after being given education using posters on the risk of stunting in toddlers. Suggestion: Efforts to increase knowledge for housewives about the risks of stunting are very necessary in the hope that housewives can carry out early detection of the risk of stunting in toddlers so that the number of stunting incidents in the Hutabalang Health Center working area can decrease.

HUBUNGAN TEKNIK MENYIKAT GIGI DENGAN GINGIVITIS PADA IBU-IBU PEDAGANG DI PASAR TRADISIONAL RINTE MEDAN

2023-11-20T14:38:14+07:00

The success of maintaining dental health depends on daily brushing techniques. Improper toothbrushing technique can cause gingival inflammation, namely gingivitis. This study was conducted to analyze correlation between tooth brushing technique with the occurrence of gingivitis on seller women at traditional market in Medan. Correlative descriptive research design with cross sectional design. The population of this study were all seller women at Rinte Traditional Market in Medan with total sample of 35 respondent’s taken by total sampling technique. Data collection tool for the accuracy of brushing technic variables used a interviews using checklist interview guidelines, while gingivitis data was measured by examining gingival condition. According to the Chi-Square test, the p value was 0.000<? (?=0.005), meaning that there was Corelation between Tooth Brushing Technique with gingivitis.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN MENARCHE DINI PADA REMAJA PUTRI

2023-12-06T06:06:40+07:00

ABSTRAK

Masa remaja adalah pubertas, periode perubahan cepat dalam kematangan fisik yang meliputi perubahan fisik dan hormonal. Dimana remaja putri akan mengalami menstruasi antara usia 10-15 tahun atau bisa terjadi lebih muda. Faktor-faktor yang menyebabkannya adalah status gizi, genetika, sosial ekonomi, paparan media massa, lingkungan, aktivitas fisik. Tujuan dari penelitian ini adalah untuk mendapatkan faktor-faktor yang mempengaruhi kejadian menarche dini pada remaja putri. Metode kajian pustaka ini ditelusuri menggunakan media elektronik menggunakan beberapa database seperti Google Scholar dan Pubmed dengan mengambil 1:2 jurnal yang membahas faktor-faktor yang berkaitan dengan kejadian menarche dini. Hasil analisis tinjauan pustaka terhadap 1:2 jurnal menunjukkan bahwa terdapat faktor-faktor yang berhubungan dengan kejadian menarche dini pada remaja putri diantaranya genetika, status gizi, lingkungan, status sosial ekonomi, paparan media massa (pornografi), IMT, aktivitas fisik dan junk food.

Kata kunci: Remaja; Menarche Awal; Faktor menarche.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PEMANFAATAN LAYANAN BPJS DI RUMAH SAKIT UMUM DAERAH PADANG LAWAS UTARA

2023-12-14T02:08:18+07:00

Health is a right for every citizen regardless of social, economic, gender, race and religion status. In Declaration of health stated that health is the most basic human right of every human being in the world (Alma, 2017). BPJS Health is a legal entity that is directly responsible to the President for managing health insurance for all Indonesian people (Ministry of Health, 2020). The health service delivery system in the world today can be thought of as a continuum that places the institutional-universal system at one point with residual-selective at another point. The method is quantitative research with using a cross sectional approach. The population is all BPJS participants in the North Padang Lawas regional general hospital. Sampling used the accidental sampling method of 94 people. The results of the research show that there are many factors relating to knowledge, such as; attitudes, distance, availability of facilities and infrastructure, information and health workers with the utilization of BPJS services at the North Padang Lawas Regional General Hospital. The Conclusion is most significantly related to the utilization of BPJS services at the North Padang Lawas regional general hospital is the Attitude factor

PERBEDAAN MENYIKAT GIGI MENGGUNAKAN BULU SIKAT SOFT DAN MEDIUM TERHADAP DEBRIS INDEKS PADA SISWA KELAS VII SMP NEGERI 4 PINELENG

2023-12-14T02:15:48+07:00

Dental health is one aspect of all health which is the result of interactions between physical, mental and social conditions. Physical aspects affect dental and oral health. The mental aspect of psychological readiness is psychological readiness, namely whether we want or not to maintain healthy teeth and mouth. Social aspects aspects that influence attitudes and behavior. Dental and oral health is very beneficial for children's well-being in the school environment so that children are free from toothache. This research uses a quasi-experiment method using a pre-test and post-test approach. The population in this research is class VII students of SMP Negeri 4 Pineleng, totaling 97 respondents, sampling using a random sampling technique, a population of 50 respondents. This research instrument uses a diagnostic tool set and an index debris assessment format. The data obtained were tabulated and analyzed using the Paired sample T-test statistical test. The results of the paired sample t-test showed the difference between brushing teeth using a medium bristle brush on debris. 2,064 df 24 with a p value = 0.000< ?0.05, while brushing your teeth with a soft bristle brush against debris. The index results show a mean before and after .8080, tcount 7,460> 2.064, df 24 with a p value = 0.000 <?0.05. It is concluded (H1) is acceptable. The results of the study showed that the average debris index before brushing medium bristle teeth was 1.68 and after 0.65 with a difference of 1.03, while before brushing soft bristle teeth it was 1.73 and after 0.92 with a difference of 0.81, resulting in a decrease in debris The index before and after using a medium bristle brush is greater than a soft bristle brush with a difference of 0.22.

HUBUNGAN KONSUMSI JUNK FOOD DAN MEDIA INFORMASI TERHADAP MENARCHE DINI PADA REMAJA PUTRI DI DESA HUTA LOMBANG KECAMATAN LUBUK BARUMUN

2023-12-15T01:30:09+07:00

Early menarche is menstruation that arrives earlier between 10-11 years. A biological sign of menarche is sexual maturity. In women who experience early menarche, their reproductive function is as rapid as that of adult women. said that the age of menarche for adolescent girls has shifted to a younger age, namely 10-11 years, but normally menarche in girls occurs at the age of 12 - 16 years with an average age of 13 years. The aim of this research is to3 find out the relationship between consumption of junk food and information media on early menarche in Puri teenagers in Huta Lombang village, Lubuk Barumun subdistrict. This research is descriptive analytical in nature which aims to find out a picture of the reality of the object studied objectively regarding the relationship between junk consumption. food and information media on early menarche in adolescent girls in Huta Lombang village, Lubuk Barumun subdistrict. This research was conducted starting in July with a population of 63 and a sample of 63 respondents and sampling using the Simple Random Total Sampling technique using a questionnaire. Data management by means of editing, coding, tabulating and data entry. Research results: the majority of menarche is early consumption, 40 (63.5%) consume junk food very often, 42 (66.7%) information media, 43 (68.3%), research results on the relationship between junk consumption food against early menarche obtained (OR) 0.105. 95% CI=0.022-0.510 and P value 0.004<0.05, the relationship between information media and early menarche was obtained (OR) = 6.129. 95% CI=1.842-19.543 and P value 0.003 <0.05. Young women in particular maintain a balanced diet and reduce consumption of junk food which has an impact on early menarche by maintaining a nutritious and natural diet and reducing access to information media and seeing positive and more useful things in the media.

EDUKASI TERHADAP PENGETAHUAN IBU HAMIL TENTANG HIPERTENSI DALAM KEHAMILAN

2024-01-09T04:50:29+07:00

From North Sumatra Sectoral Statistics data (2021), it is known that from 2018 to 2021 the incidence of hypertension in pregnancy has increased by 25 cases caused by late early detection. This delay is caused by inadequate education and knowledge of pregnant women about hypertension in pregnancy. The purpose of this study was to determine the effect of education on pregnant women's knowledge about hypertension in pregnancy in the working area of the Dalu Sepuluh Health Center. This research is a quasi-experimental study with nonequivalent control group design, examined 46 respondents, obtained through accidental sampling technique, and divided into two groups, 23 respondents in the intervention group and 23 others in the control group, and used a knowledge questionnaire with 20 questions as measuring instrument and then analyzed with the Paired Sampling T-Test. Through research, the results were obtained that: the average knowledge of the intervention group on the first day was 12.82, while on the seventh day it was 15.47 with a mean difference of 2.65 with p-value = 0.000 <0.05, so H1 was accepted; whereas in the control group the average knowledge on the first day was 11.65 while on the seventh day it was 12.91 with a mean difference of 1.26 where p-value = 0.092> 0.05, then H1 was rejected. It is expected that the health workers at the Dalu Sepuluh Health Center will provide education while giving dissemination to increase mothers' knowledge, presented in various media, such as leaflets.