Direktori Jurnal Elektronik Universitas Imelda Medan
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DOCKING SINERGIS ALLICIN, ALLIIN, DAN DIALLYL SULFIDE TERHADAP RESEPTOR ESTROGEN ALFA PADA KANKER PAYUDARA
GAMBARAN PENERAPAN DAN KELENGKAPAN PENGISIAN REKAM MEDIS ELEKTRONIK RAWAT JALAN DI RUMAH SAKIT TK.II UDAYANA DENPASAR
Complete medical record files can facilitate other health workers in providing patient care or treatment, and can be used as, a useful source of information for hospital management in determining the evaluation and development of health aservices. The impact of incomplete medical records is delays in the process of filing insurance claims and delays in the orderly administration process. The purpose of this study was to determine the completeness of filling out the Outpatient Electronic Medical Record at Tk.II Udayana Hospital Denpasar. The research method used is quantitative descriptive with a sample of 95 electronic medical records from July to September 2022 using the simple random samplingOmethod. The resultsashowed that 95 (100%) filled out identification completeness and 0 (0%) incomplete, 92 (96.8%) important report filling completeness and 3 (3.2%) incomplete filling, 69 (72.6%) authentication filling completeness) and 26 (27.4%) incomplete, 71 (74.7%) complete correct documentation and 24 (25.3%) incomplete. It can be concluded from the four analyses, the highest completeness of filling out outpatient RME at Tk. II Udayana Hospital Denpasar is found in important identification and reports. Based on the research above, the researchers suggest that hospitals should conduct socialization regarding the completeness of filling in RME to all health workers who are responsible for filling out electronic medical Records.Kelengkapan pengisian berkas rekam medis dapat memudahkan tenaga kesehatan lain dalam memberikan tindakan atau pengobatan pasien, dan dapat dijadikan sumber informasi yang berguna bagi manajemen rumah sakit dalam menentukan evaluasi dan pengembangan pelayanan kesehatan. Dampak ketidaklengkapan rekam medis adalah terhambatnya proses klaim asuransi yang ditimbulkan dan terhambatnya proses tertib administrasi. Tujuan penelitian ini adalah untuk melengkapi kelengkapan pengisian Rekam Medis Elektronik Rawat Jalan Di Rumah Sakit Tk.II Udayana Denpasar. Metode penelitian yang digunakan adalah deskriptif kuantitatif dengan sampel penelitian sebanyak 95 rekam medis elektronik bulan Juli-September 2022 dengan menggunakan metode simple random sampling.Hasil penelitian menunjukkan bahwa kelengkapan pengisian laporan yang penting sebanyak 95 (100%) dan tidak lengkap sebanyak 0 (0%), kelengkapan pengisian laporan yang penting sebanyak 92 (96.8%) dan ketidaklengkapan sebanyak 3 (3.2%), Kelengkapan pengisian autentifikasi sebanyak 69 (72.6% ) dan ketidaklengkapan sebanyak 26 (27,4%), kelengkapan pengisian pendokumentasian yang benar sebanyak 71 (74,7%) dan ketidaklengkapan sebanyak 24 (25,3%). Dapat disimpulkan dari analisis keempat, kelengkapan pengisian tertinggi RME rawat jalan di Rumah Sakit Tk.II Udayana Denpasar yaitu terdapat pada identifikasi dan laporan yang penting.Berdasarkan penelitian diatas peneliti memberikan saran agar rumah sakit sebaiknya melakukan sosialisasi mengenai kelengkapan pengisian RME kepada seluruh tenaga kesehatan yang bertanggung jawab terhadap pengisian rekam medis elektronik
PENGARUH PRENATAL GENTLE YOGA PADA IBU HAMIL TRIMESTER III TERHADAP KEJADIAN RUPTUR PERINEUM PADA PERSALINAN NORMAL
In West Nusa Tenggara Province, the leading cause of maternal death was bleeding, with 27 cases. Perineal rupture or laceration is an obstetric tear that occurs in the perineal area, caused by the inability of the pelvic muscles and soft tissue to accommodate the birth of the baby. Prenatal gentle yoga can help in many ways, one of which is preventing long-term damage to the body and helping the birthing process. The aim of this study was to prove the effect of prenatal gentle yoga in third trimester pregnant women on the incidence of perineal rupture during normal delivery. Another study conducted to identify perineal rupture during childbirth showed that the group who did yoga during pregnancy did not experience perineal rupture. The research method that will be used is One Shot Case Study. The product that will be produced from this research is a Prenatal Gentle Yoga Module which contains prenatal gentle yoga movements for pregnant women in the third trimester to prevent perineal rupture during normal childbirth. 1 as many as 5 people (16.66%) and experienced 2nd degree perineal rupture as many as 2 people (6.66%) while respondents who did yoga 4 times during the third trimester of pregnancy did not experience perineal rupture as many as 18 people (60%) and experienced There were 5 people (16.66%) with grade 1 perineal rupture, but there were no respondents who experienced grade 2 perineal rupture. It can be concluded that there is a significant influence between prenatal gentle yoga and the incidence of perineal rupture in normal delivery with a p value of 0.000
HUBUNGAN PENGETAHUAN DAN SIKAP DENGAN KEJADIAN KEPUTIHAN PADA REMAJA PEREMPUAN DI SMA PASUNDAN 1 KOTA BANDUNG
According to the World Health Organization (WHO), around 75% of women in the world experience vaginal discharge at least once in their lives, and 45% experience it twice or more. Factors that influence are lack of knowledge and attitudes in maintaining the cleanliness of the feminine area. Some adolescent girls sometimes take this vaginal discharge problem lightly. Thus, efforts are needed to improve knowledge and attitudes about the problem of vaginal discharge. This study uses descriptive correlation with a cross-sectional approach, the sample used was 98 female adolescents in grade XI IPA. The researcher's goal is to determine the relationship between the level of knowledge and attitudes with the incidence of vaginal discharge in adolescent girls. Statistical tests using the Fisher Exact Probability Test with the highest frequency of knowledge, namely the good category of 78 respondents (79.6%), attitude, namely the good category of 75 respondents (76.5%), it is known that the knowledge value is (p = 0.119 > ? = 0.005) meaning that there is no relationship between knowledge and the occurrence of vaginal discharge, while attitude is (p = 0.003 < ? = 0.005) meaning that there is a relationship between attitude and the occurrence of vaginal discharge
PENGARUH PENGGUNAAN TEKNIK VISUALISASI TERHADAP PENINGKATAN PERSEPSI IBU TENTANG PEMENUHAN GIZI ANAK DALAM PENCEGAHAN STUNTING
Background: Stunting remains a major public health problem in low- and middle-income countries, including Indonesia, where maternal age, education, knowledge, and perception play pivotal roles in child nutrition and growth outcomes. Objective: This study aimed to assess maternal characteristics, knowledge, and perceptions related to breastfeeding and nutrition, and to evaluate the effect of visualization techniques on improving maternal perception of child nutrition in the prevention of stunting. Methods: A cross-sectional design was applied involving 100 mothers as respondents. Data were collected on maternal age, education, employment status, knowledge of breastfeeding and stunting, and perception of child nutrition. An intervention using visualization techniques was conducted, and its effect on maternal perception was analyzed using chi-square tests and risk estimates with 95% confidence intervals. Results: Nearly half of the respondents were adolescent mothers (<18 years, 48%), while 45% had only basic education. A majority of mothers demonstrated good knowledge about breastfeeding and stunting (68%) and positive perceptions of nutrition (65%). However, knowledge and perception gaps remained among those with lower education. The use of visualization techniques significantly improved maternal perception of nutrition (p = 0.003), with mothers in the intervention group being four times more likely to report good perception compared to controls (OR = 4.0; 95% CI: 1.647–9.715). Conclusion: Maternal characteristics, particularly young age and low educational attainment, remain challenges for effective stunting prevention. Visualization-based education is an effective strategy to improve maternal perception and should be integrated into community health programs. Strengthening maternal nutrition literacy through innovative, accessible, and interactive interventions is essential to reduce stunting prevalence
PENYULUHAN KESEHATAN PADA MASYARAKAT YANG BERISIKO MENGALAMI BATU SALURAN KEMIH (BSK)
Pendahuluan: Batu saluran kemih (BSK) merupakan salah satu masalah kesehatan urologi tersering di dunia, dengan prevalensi bervariasi menurut faktor geografis, iklim, pola makan, dan genetik. Risiko kekambuhan BSK sangat tinggi dan berkaitan erat dengan modifikasi gaya hidup, hidrasi, serta pengetahuan masyarakat mengenai pencegahan. Edukasi kesehatan merupakan strategi penting untuk meningkatkan pengetahuan dan kemampuan masyarakat dalam mengurangi risiko pembentukan dan kekambuhan BSK. Tujuan: Penelitian pengabdian masyarakat ini bertujuan menganalisis pengaruh penyuluhan kesehatan tentang BSK terhadap peningkatan pengetahuan masyarakat berisiko di Kelurahan Martubung, Kecamatan Medan Labuhan. Metode: Kegiatan dilaksanakan pada Juni–Juli 2025 menggunakan desain pre–post test tanpa kontrol. Sebanyak 31 partisipan mengikuti dua tahap kegiatan, yaitu observasi dan wawancara awal menggunakan kuesioner tertutup mengenai karakteristik, riwayat kesehatan, serta pengetahuan BSK; kemudian penyuluhan melalui metode ceramah dan tanya jawab. Setelah intervensi, dilakukan pengukuran ulang untuk menilai perubahan pengetahuan. Analisis data menggunakan uji paired t-test. Hasil: Mayoritas partisipan berada pada rentang usia pra-lansia (58,1%) dan berjenis kelamin perempuan (74,2%). Sebelum penyuluhan, 70,9% partisipan memiliki tingkat pengetahuan kategori cukup, dan hanya 29,1% kategori baik. Setelah penyuluhan, pengetahuan meningkat signifikan, dengan 74,2% berada pada kategori baik. Terdapat perbedaan bermakna rerata skor pengetahuan sebelum dan sesudah intervensi (p = 0,001), menunjukkan efektivitas penyuluhan dalam meningkatkan pengetahuan. Kesimpulan: Penyuluhan kesehatan terbukti efektif meningkatkan pengetahuan masyarakat berisiko mengenai pencegahan BSK. Intervensi edukatif seperti ini perlu dilakukan secara rutin untuk mendorong perilaku hidup sehat, mengurangi kejadian BSK, serta mencegah kekambuhan pada individu dengan riwayat penyakit tersebut
PERBEDAAN TINGKAT KESEMBUHAN ULKUS DIABETIK MENGGUNAKAN PENCUCI LUKA NACL 0,9% DENGAN PIPER CROCATUM
Diabetic wounds, a condition experienced by diabetics due to impaired blood flow, neuropathy, prolonged inflammation, and excessive bacterial infection can result in tissue death (necrosis) which increases the risk of amputation. The wound washing process plays a very important role in determining the quality of wound healing. Piper Crocatum leaf contains flavonoids, saponins, alkaloids, tannins, and essential oils as antidiabetics and antibacterials. There are not many clinical studies that directly compare the effectiveness of NaCl 0.9% and Piper crocatum in healing diabetic ulcers. This study aims to analyze the difference in wound healing rates in diabetic ulcer patients before and after treatment, which involves the use of NaCl and piper crocatum decoction. This type of research is quasi-experimental with accidental sampling technique with the criteria of controlled blood sugar levels and non-smoking in 5 diabetic ulcer patients who underwent wound washing treatment using 0.9% NaCl, and 5 diabetic ulcer patients who received wound washing treatment with piper crocatum decoction. The results of the paired t-test (p<0.000) showed that there was an effect of wound washing using 0.9% NaCl and piper crocatum on the healing rate of diabetic ulcers in each group. The healing rate was measured using Bates Jensen Wound Assessment Tool.Diabetes Melitus didefinisikan sebagai suatu kelompok penyakit metabolik yang memiliki karakteristik kelebihannya kadar gula dalam darah atau hiperglikemia yang terjadi akibat kelainan sekresi insulin atau kerja insulin atau kedua-duanya. Tujuan penelitian ini untuk mengetahui perbedaan tingkat penyembuhan luka pre test dan post test pada pasien ulkus diabetik yang dirawat menggunakan NaCl dengan Rebusan Piper Crocatum. Jenis penelitian ini adalah penelitian eksperimen semu (quasi eksperimental) yaitu penelitian eksperimen yang dilaksanakan pada satu kelompok saja tanpa ada kelompok pembanding atau kelompok kontrol. Sampel pada penelitian ini sebanyak 6 orang yang mendapat perlakukan pencucian luka dengan NaCl 0,9% dan 6 orang yang mendapat perlakukan pencucian luka dengan rebusan piper crocatum. Hasil penelitian menunjukkan perawatan pencucian luka ulkus diabetikum dengan piper crocatum lebih cepat penyembuhan luka-nya dibandingkan dengan NaCl 0,9% yang diukur dengan Bates Jensen Wound Assesment Tool.
 
DATA MINING PENYAKIT TERBANYAK BERDASARKAN DECISION TREE ALGORITMA C4.5 DI RSUD PANDAN ARANG BOYOLALI
Top 10 disease data is data on diseases that often appear and occur most often. Data collection of the top 10 diseases is used to determine disease patterns in the community. Decision tree classification method is a model that maps observations of an item so that a conclusion is obtained about the target value of an item described in the form of a tree model. The C4.5 algorithm is method for creating a decision tree based on the training data that has been provided. The purpose of this research is to result in the classification of the most diseases based on the C4.5 decision tree algorithm of Pandan Arang Boyolali Hospital using excel and RapidMiner. This research design is descriptive observational. The data collection technique in this study was observation, with a total net data of 3449 data. The results of this research, there are no differences in results between excel and RapidMiner which results in the classification of the most diseases, which are blocks A00-B99, Z00-Z99, I00-I99, O00-O99, J00-J99, and E00-E90, and 18 rules are obtained. Evaluation of the performance of the C4.5 algorithm decision tree classification model using confusion matrix produces an accuracy value of 25.14%.Data 10 besar penyakit adalah data penyakit yang sering muncul dan paling sering terjadi. Pendataan 10 besar penyakit digunakan untuk mengetahui pola penyakit yang ada di Masyarakat. Metode klasifikasi Decision tree atau pohon keputusan merupakan salah satu model yang memetakan observasi-observasi suatu item sehingga diperoleh suatu kesimpulan tentang nilai target dari suatu item yang digambarkan dalam bentuk pohon model. Algoritma C4.5 adalah salah satu metode untuk membuat decision tree berdasarkan training data yang telah disediakan. Tujuan penelitian ini adalah menghasilkan klasifikasi penyakit terbanyak berdasarkan decision tree Algoritma C4.5 RSUD Pandan Arang Boyolali menggunakan excel dan RapidMiner. Rancangan penelitian ini adalah Observasional deskriptif. Teknik pengumpulan data dalam penelitian ini adalah observasi, dengan jumlah data bersih yaitu 3449 data. Hasil penelitian ini menunjukkan tidak terdapat perbedaan hasil antara excel dan RapidMiner yang menghasilkan klasifikasi penyakit terbanyak yaitu blok A00-B99, Z00-Z99, I00-I99, O00-O99, J00-J99, dan E00-E90, dan diperoleh 18 rule. Evaluasi kinerja model klasifikasi decision tree algoritma C4.5 menggunakan confusion matrix menghasilkan nilai akurasi sebesar 25.14%. 
PENDEKATAN PENTA HELIX BERBASIS KEARIFAN LOKAL TERHADAP PENINGKATAN PENGGUNAAN TABLET TAMBAH DARAH (TTD) SEBAGAI PENCEGAHAN STUNTING DI KABUPATEN TAPANULI SELATAN
Stunting remains a major issue in South Tapanuli (15.6% in 2023). One direct cause is anemia from iron deficiency, linked to low adherence of pregnant women to iron–folic acid (IFA) tablets due to limited knowledge and negative attitudes.This study aims to explore the effect of a penta helix approach based on local wisdom on improving pregnant women’s use of iron tablets to help prevent stunting. Research method: This is a quantitative study using a pre-experimental design, specifically the one-group pretest-posttest design, as the goal is to compare pretest and posttest results within the intervention group. The sample was determined using purposive sampling, consisting of 60 pregnant women from the working areas of Pargarutan and Simarpinggan Health Centers, South Tapanuli Regency. Results: The findings of this study demonstrate a significant influence of the penta helix approach on enhancing knowledge, attitudes, and compliance with IFA among pregnant women as a preventive measure against stunting in South Tapanuli Regency. This is supported by the results of statistical analysis, which yielded a p-value of 0.001 (p < 0.005), indicating a statistically significant relationship. Conclusion: The penta helix approach has an effect on improving knowledge, attitudes, and compliance with IFA use among pregnant women to prevent stunting in South Tapanuli Regency
EFEKTIVITAS METODE BREAST CARE PROLAKTIN ACCUPRESSURE DAN OXYTOCIN MASSAGE DALAM MENINGKATKAN PRODUKSI ASI PADA IBU POST PARTUM
Breast milk is the best nutrition for babies, especially during the first six months of life, playing an important role in boosting immunity, preventing stunting, and accelerating postpartum recovery in mothers. However, exclusive breastfeeding coverage remains low, with one of the causes being barriers to milk production during the early postpartum period. Non-pharmacological interventions such as breast care, prolactin acupressure, and oxytocin massage can stimulate hormones involved in breast milk production and ejection, but comprehensive studies comparing the three methods are still limited. This study aims to evaluate and compare the effectiveness of breast care, prolactin acupressure, and oxytocin massage in increasing breast milk volume in postpartum mothers. This study is a quasi-experimental study with a post-test control group design. The sample consisted of 60 postpartum mothers aged 0–7 days who met the inclusion criteria, then divided into four groups with 15 respondents each. The intervention was conducted over three days using standard procedures for breast care, prolactin acupressure, and oxytocin massage. Breast milk volume was measured on the fourth postpartum day using an electric pump for 15 minutes. Data analysis included normality tests, one-way ANOVA, and post hoc Tukey HSD. The results showed significant differences between groups (F = 86.342, p < 0.01). Oxytocin massage resulted in the highest breast milk volume and was significantly different compared to breast care (p < 0.001) and prolactin acupressure (p = 0.019), while breast care and prolactin acupressure were not significantly different (p = 0.561). These findings emphasize the importance of oxytocin stimulation in the let-down reflex and recommend oxytocin massage as the primary non-pharmacological intervention to support breast milk production