Direktori Jurnal Elektronik Universitas Imelda Medan
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EDUKASI EMPAT PILAR DIABETES MELLITUS KEPADA MASYARAKAT DI KELURAHAN LABUHAN DELI KEC. MEDAN MARELAN
Get PDFDiabetes militus (DM) merupakan salah satu penyakit tidak menular dengan sekumpulan gejala yang timbul pada individu sebagai akibat dari adanya kadar glukosa individu tersebut berada diatas normal). Hingga saat ini diabetes melitus belum dapat disembuhkan, memerlukan biaya perawatan yang tinggi bila sudah semakin parah, serta dapat menimbulkan berbagai bentuk komplikasi bahkan kematian. Peserta PkM yang terlibat pada kegiatan PkM yaitu sebanyak 37 peserta dengan pemilihan sampel berdasarkan purposive sampling (Notoatmodjo, 2014). Pengabdian masyarakat ini dilaksanakan pada bulan Januari 2022 dengan terapkan protokol kesehatan 3M (pakai masker, cuci tangan dan jaga jarak). Metode yang dipergunakan dalam proses pengabdian ini terdiri dari Metode ceramah dan diskusi dengan memberikan edukasi tentang empat pilar diabetes mellitus dan monitoring dan evaluasi peserta memahami dengan menggunakan lembar kuisioner ceklist. Hasil pelaksanaan kegiatan PkM menunjukkan diperoleh bahwa terjadi peningkatan peserta PkM tentang empat pilar diabetes mellitus pada masyarakat Kelurahan Labuhan Deli Kecamatan Medan Marelan yang mana sebelum dilakukan edukasi pengetahuan masyarakat mayoritas kurang sebanyak 37 orang (45.94%), dan setelah dilakukan edukasi mayoritas pengetahuan peserta PkM adalah baik sebanyak 25 orang (67.57%)
TRADISI SINAMOT DALAM ADAT PERKAWINAN SUKA BATAK TOBA DI KABUPATEN SIMALUGUN
Get PDFThis research aims to examine the Sinamot Tradition in the marriage custom of the Toba Batak tribe in Simalungun Regency. Marriage customs are an integral part of the life of the Toba Batak community, and the Sinamot Tradition is one of the distinctive and important aspects of their marriage procession. The research method used is a descriptive approach with data collection through participatory observation, in-depth interviews, and documentation studies.The results showed that the Sinamot Tradition is a series of rituals and customary procedures carried out before, during, and after a Toba Batak wedding. This ritual involves the families of the bride and groom as a form of approval for the marriage. The procession begins with a meeting between the two sides of the family to discuss issues such as dowry (property or money), the terms of marriage, as well as formal approval from the man to the prospective wife. In addition, the Sinamot Tradition also includes ceremonies such as rap pejabat (respect for traditional elders), mangulosi bulung (giving gifts as an expression of gratitude), and the implementation of marriage events in accordance with local traditions. The whole procession has a deep symbolic meaning for the Toba Batak community as a manifestation of their social, cultural and religious values.Penelitian ini bertujuan untuk mengkaji Tradisi Sinamot dalam adat perkawinan suku Batak Toba di Kabupaten Simalungun. Adat perkawinan merupakan bagian integral dari kehidupan masyarakat Batak Toba, dan Tradisi Sinamot menjadi salah satu aspek yang khas dan penting dalam prosesi pernikahan mereka. Metode penelitian yang digunakan adalah pendekatan deskriptif dengan pengumpulan data melalui observasi partisipatif, wawancara mendalam, serta studi dokumentasi.Hasil penelitian menunjukkan bahwa Tradisi Sinamot merupakan serangkaian ritual dan tata cara adat yang dilakukan sebelum, saat, dan setelah pernikahan suku Batak Toba. Ritual ini melibatkan keluarga kedua mempelai sebagai bentuk persetujuan atas pernikahan tersebut. Prosesi dimulai dengan pertemuan antara kedua belah pihak keluarga untuk membahas masalah-masalah seperti mahar (harta benda atau uang), syarat-syarat pernikahan, serta persetujuan secara resmi dari pihak laki-laki kepada calon istri.Selain itu, Tradisi Sinamot juga mencakup upacara-upacara seperti rap pejabat (rasa hormat kepada para tetua adat), mangulosi bulung (pemberian hadiah sebagai ungkapan rasa terima kasih), serta pelaksanaan acara perkawinan sesuai dengan tradisi lokal. Seluruh rangkaian prosesi ini memiliki makna simbolis yang dalam bagi masyarakat Batak Toba sebagai manifestasi dari nilai-nilai sosial, budaya, dan religius yang mereka anut
PENGEMBANGAN APLIKASI PELAYANAN ANTENATAL CARE BAGI IBU HAMIL DI ERA PANDEMI COVID -19 BERBASIS ANDROID DI KAB.BANGKA
Get PDFThe emergence of the COVID-19 pandemic has had an impact on the health service delivery system. The impact of COVID-19 could be greater on vulnerable populations including pregnant women. Pregnant women are afraid to go to health facilities for fear of contracting Covid, suggestions to postpone pregnancy checks and classes for pregnant women, as well as service uncertainty in terms of personnel and infrastructure including personal protective equipment. The aim of this research is to develop an Android-based ANC Service Application for Pregnant Women in the Pandemic Era. This research was carried out at PKM Kenangan, Bangka Regency in May-October 2021. The informants in this study were village midwives and pregnant women. This type of research is qualitative with a research and development approach. The data used in this study are secondary and primary data through Focus Group Discussion with purposive sampling. This research method is RnD (research and development sequential explanatory mixed methods, the first stage is quantitative research then qualitative research is carried out to strengthen the quantitative results. The data used in the quantitative research is secondary data from perinatal mortality and OVP recapitulation, while in qualitative research with interviews in depth by taking purposive sampling. The results showed that information related to the Corona Virus in pregnant women was still minimal and difficult to access, so it was necessary to have a special application related to information related to the Corona Virus in pregnant women. Based on these results, a blue print application model was created and the initial product was in the form of Android-based application regarding guidelines for prenatal care for pregnant women during the COVID-19 pandemic. The conclusion in this study is that information related to antenatal care for pregnant women during the Covid pandemic era is less sick. i antenatal care services for pregnant women during the Corona Virus pandemic 19
HUBUNGAN PEKERJAAN, PENDIDIKAN IBU NIFAS TERHADAP SIKAP PEMBERIAN AIR SUSU IBU (ASI) DI PRAKTEK MANDIRI BIDAN NURYANTI
Get PDFBreast milk is a natural food that contains nutrients needed by babies in the first six months. Breast milk can meet the nutritional needs of infants during the first year to the second year of life. Breastfeeding is the first immunization of children, providing protection from respiratory tract infections, diarrheal diseases, and other potentially life-threatening diseases. Breastfeeding also has a protective effect against obesity and non-communicable diseases. Objective: This study was to examine the relationship between employment, education of postpartum mothers on breastfeeding attitudes in the Independent Practice of Midwives Nuryanti in 2022. Methods: The research design was cross sectional with a population of all postpartum mothers who Maternity in the Independent Practice of Midwives Nuryanti with a sample of 45 people. Results: Analysis using the Square-Test, the results of the research that got a job, the education of postpartum mothers on breastfeeding attitudes with a value (p value = 0.000). Conclusion: where it can be concluded that there are the relationship between work, education of postpartum mothers on breastfeeding attitudes
BEBAN DAN PSYCHOLOGICAL WELL BEING PADA KELUARGA PASIEN YANG MENJALANI HEMODIALISIS
Get PDFThe psychological needs of the family as caregivers are often ignored and not fulfilled by health workers, this is because caregivers are not fully planned in patient care management. This can have a negative impact on the treatment process for HD patients. There is still little information about the burden and phychological well-being of HD patients in Indonesia because some studies only focus on the burden on HD patients. Therefore this study focuses on assessing the burden and psychological well-being of caregivers of hemodialysis patients. This study aims to assess the burden and psychological well-being and its relationship with the demographic characteristics of hemodialysis patients. This study used a cross-sectional and analytic descriptive design involving 197 family caregivers of hemodialysis patients. Data collection was carried out at two hemodialysis centers in the city of Bekasi, from July to August 2022. A consecutive sampling technique was used to select research respondents. Data collection used a demographic characteristic questionnaire, Zarit Burden Interview (ZBI) and Ryff's Psychological Well-Being Scale – 18 Items (RPWB-18). Demographic characteristics data is presented in the form of frequency, mean percentage and standard deviation. Spearman rank test is used to see the correlation of variables. The results showed that the average ZBI score was 47.87 ± 12.16 and the PWB score was 70.20 ± 10.37, the correlation coefficient was -0.756, the P-value was 0.0001, indicating that there is a significant negative correlation between family burden and psychological well-being, which means that the greater the score family burden, the lower the psychological well-being score. Based on the results of this study, the needs of the family as caregivers need to be one of the focuses of providing nursing care by nurses.Kebutuhan psikologis keluarga sebagai caregiver seringkali diabaikan dan tidak terpenuhi oleh tenaga kesehatan, hal ini dikarenakan caregiver tidak sepenuhnya direncanakan dalam manejemen asuhan pasien. Ini dapat berdampak negatif pada proses perawatan pasien HD. Masih sedikit informasi tentang beban dan Phychological well-being pada pasien HD di Indonesia karena sebagian studi hanya berfokus pada beban pada pasien HD nya. Oleh karena itu penelitian ini berfokus untuk menilai Beban dan Psychological well- being pada caregiver pasien hemodialisis. Penelitian ini bertujuan untuk menilai beban dan psychological well-being dan hubungannya dengan karakteristik demografi pasien Hemodialisis. Penelitian ini dengan rancangan cross sectional dan deskritif analitik melibatkan 197 family caregivers pasien hemodialisis. Pengambilan data dilakukan pada dua pusat hemodialisis di kota Bekasi, Pada Bulan Juli – Agustus 2022. Tehnik consecutive sampling digunakan untuk memilih responden penelitian. Pengumpulan data menggunakan kuesioner karakteristik demografi, Zarit Burden Interview (ZBI) dan Ryff’s Psychological Well-Being Scale – 18 Items (RPWB-18). Data karakteristik demografi disajikan dalam bentuk frekuensi, persentase mean dan standar deviasi. Uji spearman rank test digunakan untuk melihat korelasi variabel. Hasil penelitian didapatkan rerata Skor ZBI 47.87±12.16 dan Skor PWB 70.20±10.37, nilai koefisien korelasi sebesar -0,756, P-value 0,0001, menunjukkan bahwa ada korelasi negative yang bermakna antara beban keluarga dengan psychological well-being yang berarti semakin besar skor beban keluarga maka skor psychological well-being semakin rendah. Berdasarkan hasil penelitian ini, maka kebutuhan keluarga sebagai caregiver perlu menjadi salah satu fokus pemberian asuhan keperawatan oleh perawat
PENGETAHUAN DAN SIKAP KESIAPSIAGAAN MASYARAKAT TERHADAP BENCANA TANAH LONGSOR DI DESA GUNUNG TUA KECAMATAN TANAH PINEM KABUPATEN DAIRI
Get PDFResidents and settlements in Gunung Tua District, Tanah Pinem, Dairi Regency have a high risk of landslides. If an area has a high vulnerability to landslides, it is necessary for the community to have knowledge and attitudes in order to increase community preparedness in dealing with landslide disasters. The purpose of this study is to analyze disaster knowledge and preparedness attitudes as well as preparedness for land slide disasters. The method used in this research is quantitative. The sample in this study is the community of 90 respondents taken from each village. Data collection techniques using questionnaires / questionnaires and documentation studies. The data analysis technique is a percentage analysis technique. Based on the results of the study, it was found that of the 90 respondents, the majority of respondents had sufficient knowledge, 59 respondents (65.6%), and a minority with less knowledge, namely 6 respondents (6.7%). The preparedness attitude of the majority of respondents has sufficient attitude as many as 66 respondents (73.3%), and the minority attitude is lacking, namely 6 respondents (6.7%). This research is useful for the community, local government, and educational practitioners and scientific practitioners in the field of natural landslide disasters to be developed and perfected in further research related to knowledge and attitudes towards preparedness for landslide disasters.Penduduk dan permukiman di Desa Gunung Tua Kecamatan Tanah Pinem Kabupaten Dairi mempunyai risiko tinggi terhadap bencana longsor. Jika suatu wilayah memiliki kerentanan longsor tinggi, maka perlunya masyarakat memiliki pengetahuan dan sikap agar dapat meningkatkan kesiapsiagaan masyarakat dalam menghadapi bencana longsor lahan. Tujuan penelitian ini yaitu untuk menganalisis pengetahuan kebencanaan dan sikap kesiapsiagaan serta untuk kesiapsiagaan menghadapi bencana longsor lahan. Metode yang digunakan pada penelitian yaitu kuantitatif. Sampel pada penelitian ini yaitu masyarakat sebanyak 90 responden di Desa Gunung Tua Kecamatan Tanah Pinem Kabupaten Dairi. Teknik pengumpulan data dengan menggunakan angket/kuisioner dan studi dokumentasi. Teknik analisis data berupa teknik analisis persentase. Berdasarkan hasil penelitian diperoleh bahwa dari 90 responden mayoritas responden berpengetahuan cukup sebanyak 59 responden (65.6%), dan minoritas berpengetahuan kurang yaitu 6 responden (6.7%). Sikap kesiapsiagaan mayoritas responden memiliki sikap yang cukup sebanyak 66 responden (73.3%), dan minoritas sikap kurang yaitu 6 responden (6.7%). Kesimpulan dari penelitian ini adalah masyarakat mempunyai tingkat pengetahuan cukup baik dan sikap kesiapsiagaan cukup baik. Penelitian ini bermanfaat untuk masyarakat, pemerintah setempat, dan praktisi pendidikan dan praktisi keilmuan dalam bidang bencana alam longsor untuk dapat dikembangkan dan disempurnakan pada penelitian-penelitian selanjutnya yang berkaitan dengan pengetahuan dan sikap terhadap kesiapsiagaan menghadapi bencana longsor lahan
ANALISIS DRPs STATIN DAN ESTIMASI RISIKO ATHEROSCLEROTIC CARDIOVASCULAR DISEASE (ASCVD) PASIEN DIABETES MELITUS TIPE 2 RAWAT JALAN DI RS “X” SAMARINDA
Get PDFAtherosclerotic Cardiovascular Disease (ASCVD) is the main cause of death in patients with diabetes mellitus with a cardiovascular risk that will increase 2-4 times higher than non-diabetic patients. The statin group is a class of drugs recommended by ACC/AHA 2018 in reducing cardiovascular risk in patients with type 2 diabetes mellitus. This study aims to analyze Drug Related Problems (DRPs) of statin drugs in patients with type 2 diabetes mellitus and calculate the estimated risk for the next 10 years. The research was conducted using a non-experimental descriptive analytic method. Data collection was carried out retrospectively through a population of 194 type 2 diabetes mellitus patients at "X" Samarinda Hospital for the period January-September 2022, 11 patient medical record data were obtained through the Total Sampling technique whose sampling complied with the inclusion and exclusion criteria. The results showed that the most commonly prescribed statins were simvastatin 20 mg in 9 patients (82%), and atorvastatin 20 mg in 2 patients (18%). The results of the DRPs analysis showed that there were 4 cases of DRPs consisting of 1 case of underdose (25%), and 3 cases of drugs not being indicated for the existing medical profile (75%). The total risk level of ASCVD based on the calculation of the ASCVD calculator found that 3 patients (27%) had low risk, 4 patients (36%) medium risk, and 4 patients (36%) high risk
Analisis Kebutuhan Tenaga Rekam Medis Berdasarkan Beban Kerja Dengan Metode WISN Di Bagian Filling RSU Mitra Sejati Medan
Get PDFAnalysis of the medical record workload is very necessary in improving health services in a hospital. This aims to determine which workloads need to be streamlined. In addition, with the analysis or measurement of workloads, scientific evidence-based decision making can be made. Seeing the large role of medical records in health services in hospitals, it is necessary what things are needed to improve the best quality in medical record installations. The purpose of this study was to determine the need for medical record personnel based on the workload in the filling section of Mitra Sejati General Hospital Medan. This type of research is descriptive with a cross sectional approach with a population of 4 medical record officers. The place where the research was conducted was at Mitra Sejati General Hospital Medan because the hospital had problems regarding work requirements in the filling section. The available working time is based on the number of effective working hours in the medical record section, which is 2200 hours/year, in 1 day working hours are 8 hours. The above regulation is based on the number of working hours of medical record officers at Mitra Sejati Hospital Medan, the number of outpatient visits is 6098 patients/year and for inpatients is 14789 patients/year while the standard time allowance for officers is 0.01 minutes. Based on the results of the calculation of the need for filling officers using the WISN method, the total human resource requirements in the outpatient filling unit were 2.89 or 3 officers while the outpatient filling unit officers at Mitra Sejati General Hospital Medan were 2 people. Meanwhile, the total human resource requirements for the inpatient filling unit are 3.11 or 3 officers, while the inpatient filling staff at Mitra Sejati General Hospital Medan are 2 people, so there is still a need for additional medical records officers specifically in the filling section.Analisis beban kerja rekam medis sangat diperlukan dalam meningkatkan pelayanan kesehatan di suatu rumah sakit. Hal ini bertujuan untuk menentukan beban kerja mana yang perlu dirampingkan. Selain itu, dengan analisis atau pengukuran beban kerja, pengambilan keputusan berbasis bukti ilmiah dapat dilakukan. Melihat besarnya peran rekam medis dalam pelayanan kesehatan di rumah sakit, maka diperlukan hal-hal apa saja yang diperlukan untuk meningkatkan mutu terbaik di instalasi rekam medis. Tujuan dari penelitian ini adalah untuk mengetahui kebutuhan tenaga rekam medis berdasarkan beban kerja di bagian filling RSU Mitra Sejati Medan. Jenis penelitian ini adalah deskriptif dengan pendekatan cross sectional dengan populasi 4 petugas rekam medis. Tempat penelitian dilakukan di Rumah Sakit Umum Mitra Sejati Medan karena pihak rumah sakit mengalami kendala mengenai persyaratan kerja di bagian filling. Waktu kerja yang tersedia didasarkan pada jumlah jam kerja efektif di bagian rekam medis yaitu 2.200 jam/tahun, dalam 1 hari jam kerja adalah 8 jam. Peraturan tersebut di atas berdasarkan jumlah jam kerja petugas rekam medis di RS Mitra Sejati Medan, jumlah kunjungan rawat jalan sebanyak 6098 pasien/tahun dan untuk pasien rawat inap sebanyak 14789 pasien/tahun sedangkan tunjangan waktu standar petugas adalah 0,01 menit. Berdasarkan hasil perhitungan kebutuhan petugas pengisian dengan metode WISN maka total kebutuhan SDM di unit pengisian rawat jalan adalah 2,89 atau 3 petugas sedangkan petugas unit pengisian rawat jalan RS Mitra Sejati Medan sebanyak 2 orang. Sedangkan total kebutuhan SDM untuk unit pengisian rawat inap adalah 3,11 atau 3 orang petugas, sedangkan staf pengisian rawat inap RSU Mitra Sejati Medan sebanyak 2 orang, sehingga masih diperlukan penambahan petugas rekam medis khusus di bagian filling
Tinjauan Pelaksanaan Audit Koding Berkas Pengklaiman Pasien Peserta BPJS Kesehatan di Rumah Sakit Umum Imelda Pekerja Indonesia Tahun 2021
Get PDFThe coding audit is a review to ensure that the results of the diagnosis and treatment coding produced by the clinical coder are accurate, consistent and timely when compared to the information contained in the patient's medical record. The purpose of this study was to determine the implementation of the coding audit and to find out the efforts made to minimize the non-compliance of claims to the BPJS Health at Imelda Pekerja Indonesia Hospital in 2021. The type of research used was qualitative research with the number of informants as many as three coders who took Total Sampling. The research instrument used was an interview guide with qualitative descriptive data analysis techniques. Based on the results of the study, it was found that the level of knowledge of coding audit officers about coding audits is quite good but coding audits are still carried out post-claims and there are no instruments in implementing coding audits while the person in charge of coding audits at Imelda General Hospital is the Medical Committee, Verifier Internal, Quality Control and Cost Control Teamand Koder. Suggestions from researchers should Imelda Pekerja Indonesia Hospital socialize the coding audit SPO, then the coding audit is carried out pre-claim and in its implementation a coding audit instrument is made
PENGARUH PENYULUHAN DENGAN FILM ANIMASI TERHADAP PENGETAHUAN SISWA SDN 70 KENDARI TENTANG CUCI TANGAN
Get PDFBackground The World Health Organization (WHO) designated COVID-19 as a Pandemic. Hand washing behavior using soap is an effort that has a major impact in preventing infectious diseases such as diarrhea and ARI, as well as a Preventive Effort in Breaking the Chain of COVID-19 Spread, but hand washing is still not a habit in society, especially children. The purpose of this study was to determine the effect of counseling through animated film media on increasing students' knowledge about handwashing behavior with soap as a preventive effort in breaking the chain of the spread of COVID-19. Method This research is Pre-Experimental using the One group Pretest-Posttest Design without a control group. This research was conducted at SDN 70 Kendari in April 2021, while the instrument used was a questionnaire made by researchers. The population in this study was 182 students. The sampling technique used consecutive sampling with a total sample size of 120 students. Results The t-value is -22.514 with a p value of 0.000 <0.05 so it can be concluded that there is an effect of counseling through animated film media on increasing student knowledge about hand washing with soap behavior as a preventive effort in breaking the chain of COVID-19 spread. Conclusion There is an Effect of Counseling Through Animated Film Media on Increasing Student Knowledge Regarding Handwashing Behavior Using Soap as a Preventive Effort in Breaking the Chain of COVID-19 Spread.Latar belakang : pandemi COVID-19, diakui secara global oleh Organisasi Kesehatan Dunia, memperlihatkan pentingnya perilaku cuci tangan menggunakan sabun sebagai upaya utama dalam pencegahan penyakit menular, termasuk diare dan Infeksi Saluran Pernapasan Akut (ISPA). Meskipun memiliki dampak signifikan dalam memutus rantai penyebaran COVID-19, praktik mencuci tangan belum sepenuhnya menjadi kebiasaan di kalangan masyarakat, terutama anak-anak. Fenomena ini menunjukkan perlunya lebih mendalam memahami faktor-faktor yang mempengaruhi adopsi perilaku mencuci tangan. Oleh karena itu, penelitian ini bertujuan untuk menilai pengaruh penyuluhan melalui media film animasi terhadap peningkatan pengetahuan siswa mengenai perilaku mencuci tangan dengan Sabun sebagai upaya preventif dalam memutus rantai penyebaran COVID-19. Metodologi : jenis penelitian yang digunakan dalam penelitian ini adalah Pra-Eksperimen dengan menggunakan rancangan one group pretest-posttest design tanpa kelompok kontrol. Penelitian ini dilaksanakan di SDN 70 Kendari pada April 2021, adapun instrumen yang digunakan adalah kuesioner yang dibuat oleh peneliti. Populasi dalam penelitian ini sebanyak 182 siswa. Teknik pengambilan sampel secara consecutive sampling dengan jumlah sampel sebanyak 120 siswa. Hasil penelitian : didapatkan nilai t sebesar -22.514 dengan p value 0.000 < 0.05 sehingga dapat disimpulkan bahwa adanya pengaruh penyuluhan melalui media film animasi terhadap peningkatan pengetahuan siswa mengenai perilaku mencuci tangan pakai sabun sebagai upaya preventif dalam memutus rantai penyebaran COVID–19. Kesimpulan: ada pengaruh penyuluhanmelalui media film animasi terhadap peningkatan pengetahuan siswa mengenai perilaku mencuci tangan pakai sabun sebagai upaya preventif dalam memutus rantai penyebaran COVID–19