Institut Kesehatan Medistra Lubuk Pakam Open Journal System
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Efforts to Improve Female Adolescents’ Knowledge of Breast Self-Examination (BSE) through Health Promotion Activities at Trisakti Junior High School, Lubuk Pakam
No full textBreast cancer is one of the leading causes of death among women, making early detection through breast self-examination (BSE or SADARI) a simple yet crucial preventive strategy. Surveys conducted in several secondary schools revealed that most adolescent girls lack awareness of the importance of SADARI and have never practiced it. This low level of knowledge is influenced by factors such as embarrassment, the perception that breast cancer only affects adults, and limited health education in schools. Therefore, educational interventions through school-based health promotion are necessary to enhance adolescents’ understanding of BSE.This Community Service Program aimed to improve adolescent girls’ knowledge of SADARI through structured health promotion activities at SMP Trisakti Lubuk Pakam. The program employed a one-group pretest-posttest design, involving 20 female students selected using purposive sampling. Instruments included a BSE knowledge questionnaire, educational media such as presentations, leaflets, and visual aids, as well as activity monitoring sheets. Implementation stages comprised preparation, pretest, educational intervention, posttest, and follow-up activities.The results showed a significant increase in mean knowledge scores from 5.2 (low category) before the intervention to 8.1 (high category) after the intervention, with a gain of 2.9 points. The distribution of knowledge categories also shifted positively: the proportion of participants in the good category increased from 25% to 70%, the very good category from 5% to 25%, while the moderate category decreased from 65% to 5%, and no participants remained in the poor category. In conclusion, this health promotion program effectively enhanced adolescent girls’ knowledge of SADARI, supporting early breast cancer detection independently and sustainably
Education On Optimization Of Referral System For Cardiovascular Emergency Handling: Training And Simulation For Health Workers
Full text linkEducation on optimizing the referral system for cardiovascular emergencies is crucial for healthcare workers to improve the quality of medical services. This community service program aims to enhance healthcare workers' knowledge and skills through training and scenario-based simulations. The methods used include interactive lectures, workshops, and emergency simulations. Evaluations were conducted using pre-tests and post-tests to assess participants' knowledge improvement. The results showed a significant increase in participants' understanding and skills in handling cardiovascular emergency referrals. In conclusion, this training contributes to the readiness of healthcare workers in providing fast and accurate referral services. Additionally, the education provided increases awareness among healthcare workers regarding the importance of coordination between healthcare facilities to ensure optimal patient care. The implementation of this program is expected to serve as a model for improving a more efficient referral system, particularly in cardiovascular emergency cases
The Relationship Of Mother's Knowledge And Attitude In Giving Stimulation Of Infant Growth And Development
Full text linkChild growth and development is the result of the interaction process of hereditary factors, hereditary constitution and environmental factors at the prenatal stage or at the postnatal stage. Growth and development occur simultaneously. This research aims to determine the relationship between knowledge and attitudes of mothers in providing stimulation for baby growth and development in the Viktory Clinic Work Area, South Nias in 2024. The type of research used is quantitative with a cross sectional approach. The sample in this study was all mothers who had babies aged 0-12 months in the Viktory Clinic Working Area, South Nias, totaling 40 people. with total sampling technique. Data analysis was carried out univariate and bivariate using the chi square test. The research results showed that of the 40 respondents, the majority did not stimulate baby growth and development, 28 respondents (70%). Most mothers' knowledge about stimulating baby growth and development was sufficient, 18 respondents (45%) and a good minority, 8 respondents (20%). The majority of mothers' attitudes regarding stimulating baby's growth and development were negative, as many as 29 respondents (72.5%). There is a relationship between maternal knowledge and stimulation of baby growth and development with a p-value of 0.000 (p<0.05). There is a relationship between maternal knowledge and stimulation of baby growth and development with a p-value of 0.001 (p<0.05). The conclusion of this research is that there is a relationship between knowledge and attitudes of mothers in providing stimulation for baby growth and development
The Relationship of the Incident of Obesity and Early Providing MPASI to Babies at the Juli Puskemas Juli District, Bireuen District
Full text linkChildhood obesity is defined as excessive accumulation of body fat, which can trigger various diseases. Exclusive breastfeeding is very important to prevent babies from gaining weight too quickly. The purpose of this study was to determine the relationship between obesity and early complementary feeding in infants. This study used an analytical approach with a cross-sectional study type. The sample in this study were respondents who met the established criteria. Sampling in this study used accidental sampling, with a sample of 42 respondents. The results showed that the majority of respondents were aged > 18 - 24 months, namely 14 respondents (33.33%) and were male, namely 25 respondents (59.52%). The majority of infants' weight was in the normal category, namely 41 respondents (97.62%). The majority of early complementary feeding was not given, namely 22 respondents (52.35%). Statistical analysis using Chi-square test obtained a value of ? (0.300) > ? (0.05), so there was no significant relationship between the provision of early complementary foods and the incidence of obesity in infants. The conclusion of this study is that there is no relationship between the incidence of obesity and the provision of early complementary foods. By increasing the knowledge of mothers about complementary foods through cooperation between educators and health institutions, it is expected to improve the nutritional quality of infants and support their optimal growth and developmen
Factors Affecting the Implementation of OSH in Nurses in the Emergency Department of RSUD dr. Soedarso West Kalimantan Province in 2025: FAKTOR YANG MEMENGARUHI PENERAPAN KESELAMATAN DAN KESEHATAN KERJA (K3) PADA PERAWAT DI INSTALASI GAWAT DARURAT (IGD) RUMAH SAKIT UMUM DAERAH DOKTER SOEDARSO PROVINSI KALIMANTAN BARAT TAHUN 2025
No full textBackground: Occupational Safety and Health (OSH) is a crucial aspect of workforce management to create a safe, healthy, and productivity-supporting work environment. In the healthcare sector, the implementation of OSH is particularly vital, especially for health workers such as nurses who often face various occupational risks. Objective: This study aims to identify the factors influencing the implementation of OSH among nurses in the Emergency Department of Dr. Soedarso Regional Public Hospital. Research Method: This study used an analytical survey method with a cross-sectional approach. The sample consisted of 34 nurses working in the Emergency Department, selected using total sampling technique. Data analysis was performed using the chi-square test and multivariate analysis through logistic regression. Results: The study showed that the predisposing factor of work experience was not significantly associated with OSH implementation (0.300 > 0.05), while predisposing factors such as knowledge (0.007 < 0.05) and attitude (0.037 < 0.05), as well as the enabling factor of facilities (0.037 < 0.05), were significantly associated with OSH implementation. The hospital is expected to select nurses with longer work experience in accordance with their expertise, organize seminars and training, conduct supervision, provide supporting Occupational Safety and Health (OSH) facilities, and carry out regular evaluations. These steps aim to improve the quality of nursing staff and encourage better and more positive OSH implementation in the hospital's emergency department
Improving the Standardization of Human Resource Quality in Clinical Services
Full text linkBackground: Health Human Resources (HRH) include professional health workers, strategic personnel, non-professional staff, and supporting personnel who contribute to healthcare management and delivery to achieve the highest possible standard of public health. The quality of HRH is a key determinant of healthcare service quality, particularly at the clinic level. Objectives: To assess the quality of HRH at Santa Maria Palipi Clinic, identify the barriers to improving HRH quality, and describe the efforts made to enhance HRH standards. Research Methods: This study employed a descriptive qualitative approach involving 15 informants: 2 key informants, 6 staff members of Santa Maria Palipi Clinic, and 7 patients or their families. Data were collected through observation and in-depth interviews. Results: The study found that the quality of HRH at Santa Maria Palipi Clinic has not fully met the established standards. Major challenges include difficult-to-change individual characteristics, lack of compliance with existing regulations, limited personnel, and poor collaboration among clinic staff. Efforts to address these issues include regular evaluations and training provided by both the clinic leadership and supporting foundations. Conclusion: Santa Maria Palipi Clinic must continue to improve HRH quality to meet service standards. Strong commitment, continuous training, and better teamwork among health workers are essential strategies for enhancing healthcare service quality
Analysis of the Implementation of Environmental Risk Factor Monitoring in Tuberculosis Management
Full text linkBackground: Tuberculosis (TB) remains a major health issue in Indonesia, closely linked to environmental risk factors such as poor ventilation and inadequate sanitation. Objective: This study aimed to analyze the implementation of environmental risk factor monitoring in TB control efforts at Hutabaginda Health Center, North Tapanuli District. Research Methods: a qualitative approach with a case study design was used. Data were collected through in-depth interviews, participatory observations, and document reviews, and analyzed thematically with data triangulation. Results: The study found that although policies for controlling environmental risks exist, implementation faces challenges including limited trained personnel, inadequate sanitation facilities, weak supervision, and suboptimal coordination with local governments. Conclusion: the health service management system at Hutabaginda Health Center has not yet been optimal in controlling environmental risk factors for TB. It is recommended that the health center strengthen healthcare worker training, improve sanitation facilities, enhance internal supervision, and intensify cross-sectoral coordination to improve TB control effectiveness
Counseling on the Negative Impacts of Frequent Glue Sniffing Behavior in Children and Adolescents
Full text linkRepeatedly sniffing glue can cause serious negative impacts, both physically, psychologically, and socially. Medically, chemicals in glue such as toluene or other solvents can damage the central nervous system, cause respiratory disorders, liver and kidney damage, and reduce cognitive function. In the long term, this habit can have an impact on decreased learning ability, emotional disorders, and even a tendency towards criminal acts. Education and socialization about the negative impacts of sniffing glue need to be carried out continuously as a preventive measure. Therefore, the author conducted educational activities in the form of counseling about the negative impacts of frequent glue sniffing behavior on children and adolescents at LKP Universal Technology Computer. This activity is a community service activity that aims to provide children with an understanding of the dangers of using glue as a substance that is abused, as well as to encourage the formation of a healthy and safe environment for children's growth and development. Counseling activities are carried out using the lecture method as the main approach in delivering the material. The percentage value of the questionnaire acquisition of the counseling participants before being given the material exposure is still in the low to moderate range where the most in the low value group with the percentage value of the questionnaire acquisition achieved from the low value group is 85% (17 participants), the moderate value group is 15% (3 participants), while the high value group is 0%. (0 participants). Furthermore, the percentage value of the questionnaire acquisition of the counseling participants after being given the material exposure obtained an increase in knowledge, namely in the moderate to high range, where the most in the high value group, with the low value group being 0% (0 participants), in the moderate value group being 45% (9 participants), then in the high value group being 55% (11 participants). This shows that the counseling activities carried out are able to increase the knowledge of counseling participants about the negative impacts of the behavior of often sniffing glue. Furthermore, it is hoped that with the delivery of this material, counseling participants can avoid and not engage in deviant behavior such as often sniffing glue (ngelem)
Relationship between the Utilization of Maternal and Child Health Books and Compliance with Antenatal Care (ANC) Visits in Pregnant Women at the Tanjung Tiram Batu Bara Health Center
No full textand child health. The KIA book is useful in providing information and guidance for mothers and children. In addition, the KIA book plays a role in monitoring fetal development during pregnancy, so that more effective referrals can be obtained. ANC examination is an examination carried out during pregnancy to ensure the health of the mother and fetus. The aim is to detect early potential dangers that may occur to the mother and fetus and to improve the physical and mental health of pregnant women. The examination is processed periodically with a minimum of six times during pregnancy. The type of research uses a quantitative research design in the form of an observational analytical survey through a cross-sectional approach which aims to identify the Relationship between the Utilization of the KIA Book and Compliance with ANC Visits of Pregnant Women. The number of samples was 32 pregnant women in the third trimester who were determined by total sampling. The results prove that most respondents do not utilize the KIA book so that they are less compliant in making ANC visits. In addition, the p value of 0.011 means that there is a close relationship between the utilization of the KIA book and the compliance of pregnant women in attending ANC visits. It is necessary to increase the interest of pregnant women to always use the KIA book correctly so that they will routinely comply with attending ANC visits and can improve the health of mothers and babies
Application of Shaker Exercise Therapy to Reduce Swallowing Disorders in Stroke Patients with the RAPIDS Scale
Full text linkStroke can cause swallowing disorders (dysphagia) which have an impact on the patient's quality of life. This study aims to analyze the effect of shaker workout therapy on swallowing ability in stroke patients with dysphagia. The RAPIDS scale (Royal Adelaide Prognostic Index for Dysphagia Stroke) was used to measure the level of swallowing difficulty before and after therapy. Four stroke patients who met the inclusion criteria underwent shaker exercise therapy for three consecutive days. The results showed an increase in RAPIDS scores in all respondents, which indicated improved swallowing ability. In patients who previously experienced moderate to severe dysphagia, this therapy was successful in reducing the level of difficulty swallowing and increasing tolerance to food. This study concluded that shaker exercise is effective in improving swallowing function in stroke patients with dysphagia, and can be used as rehabilitation therapy to reduce the risk of aspiration and speed up recovery