Direktori Jurnal Elektronik Universitas Imelda Medan
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HUBUNGAN LAMA MENJALANI HEMODIALISA DENGAN STATUS DEPRESI PASIEN GAGAL GINJAL KRONIK DI RUMAH SAKIT UMUM IMELDA PEKERJA INDONESIA MEDAN
Get PDFHemodialysis is one of the treatments that can be carried out in patients with chronic kidney failure where hemodialysis can be a replacement therapy for kidney function. However, a long period of undergoing hemodialysis can affect a person's psychosocial factors due to dependence and limitations in carrying out activities. The aim of this study was to determine the relationship between the length of time undergoing hemodialysis and the depression status of chronic kidney failure patients at the Imelda Workers Indonesia General Hospital, Medan. This type of research is quantitative research with correlational methods and a cross-sectional approach design. This research was conducted in July-August 2023 in the Hemodialysis Room at the Imelda General Hospital for Indonesian Workers in Medan. This research used a Probability sampling technique using the Multistage Sampling method, namely the stratified sampling method in the first stage then the Quota sampling method in the next stage. second, so that the total research sample is 60 respondents. The instrument used in this research is a questionnaire that refers to the Beck Depression Inventory (BDI-II) to determine depression status. Data analysis used univariate and bivariate analysis with statistical tests (Chi-Square Test) in the SPSS application. The research results in this study show the results of the Chi-Square statistical test with a significant (p) value of 0.001 or p<0.05, meaning it exists. There is a relationship between the length of time undergoing hemodialysis and depression status in chronic kidney failure patients at the Imelda Workers Indonesia General Hospital, Medan. The conclusion that we got was that the tendency for depression increased in clients who had just undergone hemodialysis. The longer you undergo hemodialysis, the lower your depression status.Hemodialisa adalah salah satu penanganan yang dapat dilakukan pada pasien gagal ginjal kronik dimana tindakan hemodialisa dapat menjadi terapi pengganti fungsi ginjal. Namun, lama menjalani hemodialisa dapat mempengaruhi factor psikososial pada seseorang akibat ketergantungan dan keterbatasan dalam melakukan aktivitas. Tujuan penelitian ini adalah untuk mengetahui hubungan lama menjalani hemodialisa dengan status depresi pasien gagal ginjal kronik di Rumah Sakit Umum Imelda Pekerja Indonesia Medan. Jenis penelitian ini adalah penelitian kuantitatif dengan metode korelasional dan rancangan pendekatan Cross Sectional. Penelitian ini dilakukan pada bulan Juli-Agustus tahun 2023 di Ruangan Hemodialisa Rumah SakitUmum Imelda Pekerja Indonesia Medan. Penelitian ini menggunakan teknik pengambilan sampel Probability sampling dengan menggunakan metode sampling bertahap (Multistage Sampling) yaitu metode stratified sampling pada tahap pertama kemudian metode kuota sampling di tahap kedua, sehingga total sampel penelitian sebanyak 60 responden. Instrument yang digunakan pada penelitian ini adalah kuesioner yang mengacu pada Beck Depression Inventory (BDI-II) untuk mengetahui status depresi. Analisa data menggunakan analisa univariat dan bivariate dengan uji statistik (Uji Chi-Square) di aplikasi SPSS. Hasil penelitian pada penelitian ini menunjukan hasil uji statistik Chi-Square dengan nilai signifikan (p) value sebesar 0,001 atau p< 0,05, artinya ada hubungan antara lama menjalani hemodialisa dengan status depresi pada pasien gagal ginjal kronik di Rumah Sakit Umum Imelda Pekerja Indonesia Medan. Kesimpulan yang kami dapatkan kecendrungan depresi meningkat pada klien yang baru menjalani hemodialisa. Semakin lama menjalani hemodialisa semakin rendah status depresinya
HUBUNGAN UPAYA PREVENTIF DALAM SEKSUAL MENYIMPANG PADA REMAJA DENGAN RESIKO PEYIMPANGAN SEKSUAL DI SMA IMELDA MEDAN
Get PDFSexual deviant behavior is also called abnormal or unnatural sexual behavior and has a tendency to lead to sexual crimes (Suherman, 2013). Deviant sexual behavior in question includes homosexuality (gays and lesbians), transexualism, sadism, masochism, sodomy, exhibitionism, voyeurism, bestialism, fetishism, incest, necrophilia, transvestism, sexualism, pedophilia, saliromania, frottage, mysophilia, and telephone scatologia. This study aims to analyze the relationship between preventive efforts (sex education) in sexual deviance in adolescents and the risk of sexual deviance at Imelda High School, Medan. The type of research used is descriptive correlation with a cross sectional study design. The research was conducted in July 2020. The population in this study was all students in class XI and XII of SMA Imelda Medan totaling 175 people. The sampling technique in this study was a proportional stratified random sampling technique, so the number of samples in this study was 30 people. The results of the research show that there is a relationship between preventive efforts for sexual deviance in adolescents and the risk of sexual deviance at Imelda High School, Medan. This is proven by the results of the chi square statistical test which obtained a significant number or probability value (0.031) which is lower than the significant standard of 0.05. It is hoped that teenagers understand the risks of sexual deviance and can control themselves with prevention efforts that have been provided through schools, families and communities in the form of sex education so that they do not easily fall into sexual deviant behavior that will harm themselves.Perilaku menyimpang seksual (sexual deviation) disebut juga perilaku seksual yang abnormal atau tidak wajar dan memiliki kecenderungan dapat mengarah ke kejahatan seksual (Suherman, 2013). Perilaku seksual menyimpang yang dimaksud, diantaranya homoseksual (gay dan lesbian), transexualist, sadism, masochis, sodomi, exhibisionism, voyeurism, bestialism, fetishism, incest, necrophilia, transvestis, sexualorism, pedophilia, saliromania, frottage, mysophilia, dan skatologia telephone. Penelitian ini bertujuan untuk menganalisis hubungan upaya preventif (pendidikan seks) dalam seksual menyimpang pada remaja dengan resiko penyimpangan seksual di SMA Imelda Medan. Jenis penelitian yang digunakan adalah deskriptif korelasi dengan rancangan studi cross sectional. Penelitian dilakukan pada bulan Juli tahun 2020. Populasi dalam penelitian ini adalah semua siswa/i kelas XI dan XII SMA Imelda Medan berjumlah 175 orang. Tehnik sampling pada penelitian ini adalah tekhnik proportional stratified random sampling dengan demikian jumlah sampel pada penelitian ini sebanyak 30 orang. Hasil penelitian menunjukkan bahwa ada hubungan upaya preventif dalam seksual menyimpang pada remaja dengan resiko penyimpangan seksual di SMA Imelda Medan. Hal ini dibuktikan dengan hasil uji statistik chi square diperoleh angka signifikan atau nilai probabilitas (0,031) lebih rendah dari standart signifikan 0,05. Diharapkan remaja memahami tentang resiko penyimpangan seksual dan dapat mengontrol diri dengan upaya pencegahan yang sudah diberikan melalui sekolah, keluarga dan masyarakat berupa pendidikan seks agar tidak mudah terjerumus kedalam perilaku penyimpangan seksual yang akan merugikan dirinya sendiri
Analisis Kesiapan Implementasi Rekam Medis Elektronik Menggunakan Instrumen CAFP (California Academy of Family Physicians) di Puskesmas Kartasura
Get PDFMinistry of Health Indonesia Regulation No. 24 of 2022 about Medical Records confirms that all health service facilities are required to maintain Electronic Medical Records (EMR) no later than December 31, 2023. The Kartasura Health Center is one of the health centers in Sukoharjo Regency which has not yet implemented EMR. The CAFP instrument is used for evaluating First Level Health Facilities in transitioning to EMR so as to improve service quality and workflow efficiency. The purpose of this study is to determine the readiness of implementing EMR on management capacity, finance & budgeting, operations, technology, and organizational alignment. This research is descriptive quantitative research. The population is 108 people with a sample of 9 people selected by stratified random sampling. Collecting data using interviews and documentation studies. The results showed that management capacity was in range II with a value of 9.3; financial capacity and budget are in range III with a value of 5.2; operational capacity is in range III with a value of 3.5; technology capacity is in range III with a value of 9.4; and organizational alignment capacity is in range II with a value of 17.3. Overall readiness for EMR implementation at the Kartasura Health Center is in range II. Increasing financial & budgetary, operational, and technological capacity needs to be improved with the IT team, EMR training, and EMR outreach to all potential users.Indonesian Ministry of Health Regulation No. 24 of 2022 on Medical Records requires all healthcare facilities must implement Electronic Medical Records (EMR) no later than December 31, 2023. Kartasura Primary Healthcare is one of the healthcare in Sukoharjo Regency that has not implemented EMR yet. A readiness analysis of EMRS is required to to improve service quality and workflow efficiency. CAFP instrument can be used for evaluating primary healthcare in transitioning to EMR. The purpose of this study is to determine the readiness of implementing EMR on management capacity, finance & budgeting, operations, technology, and organizational alignment. This was a descriptive-quantitative- research. Sample was 9 people who selected by stratified random sampling. Data collection used interviews and documentation studies. Results showed that management capacity was in range II with average score 9.3; financial capacity and budget were in range III with average score 5.2; operational capacity was in range III with average score 3.5; technology capacity was in range III with average score 9.4; and organizational alignment capacity was in range II with average score 17.3. Overall readiness for EMR implementation at Kartasura Primary Healthcare was in range II. To increase financial & budgetary, operational, and technological capacity, it is suggested to recruit IT team, EMR training, and EMR socialization to all potential users
HUBUNGAN PENGETAHUAN DAN EFIKASI DIRI PASIEN PENYAKIT GINJAL KRONIK YANG MENJALANI HEMODIALISIS
Get PDFBackground: Good knowledge will help patients with chronic kidney disease undergoing hemodialysis have good efikasi diri to overcome the symptoms and complaints experienced to improve their quality of life. This study aimed to determine the knowledge and efikasi diri of chronic kidney disease patients undergoing hemodialysis and the relationship. Method: This study is a descriptive correlational study in which 131 chronic kidney disease patients undergoing hemodialysis in Padang City became research respondents. The study was conducted in two hemodialysis units in the city of Padang, namely, the hospital. M. Jamil Padang and Tk III Hospital Reksodiwiryo. The sampling technique was purposive sampling, taking into account the inclusion criteria. The study was conducted in April 2022. Spearman correlation test was used to see the relationship between knowledge and efikasi diri of chronic kidney disease patients undergoing hemodialysis. Result: The results showed that the average value of knowledge of patients undergoing hemodialysis was 17.94 (2,968) (range 0-25), and the average value of efikasi diri was 43.57 (9.89) (range 6-60). The correlation test results showed a significant positive relationship between education and efikasi diri with a p-value of 0.000 (p <0.05). Conclusion: It is expected that health workers have a structured educational program to increase knowledge of chronic kidney disease patients undergoing hemodialysis so that patients can increase efikasi diri in overcoming the symptoms they feel.
Latar belakang: Pengetahuan yang baik akan membantu pasien penyakit ginjal kronik yang menjalani hemodialisis memiliki efikasi diri yang baik dalam mengatasi gejala dan keluhan yang dialami untuk meningkatkan kualitas hidupnya. Penelitian ini bertujuan untuk mengetahui pengetahuan dan efikasi diri pasien penyakit ginjal kronik yang menjalani hemodialisis serta hubungannya. Metode: Penelitian ini merupakan penelitian deskriptif korelasional dengan 131 pasien penyakit ginjal kronik yang menjalani hemodialisis di Kota Padang menjadi responden penelitian. Penelitian dilakukan di dua unit hemodialisis yang ada di Kota Padang yaitu Rumah Sakit. M. Jamil Padang dan RS Tk III Reksodiwiryo. Teknik pengambilan sampel adalah purposive sampling dengan memperhatikan kriteria inklusi yaitu menjalani hemodialisis secara rutin minimal tiga bulan; pasien dewasa berusia 18-65 tahun; mampu membaca dan menulis bahasa Indonesia; dan bersedia untuk berpartisipasi. Penelitian dilakukan pada bulan April 2022. Uji korelasi Spearman digunakan untuk melihat hubungan pengetahuan dengan efikasi diri pasien penyakit ginjal kronik yang menjalani hemodialisis. Hasil: Hasil penelitian menunjukkan bahwa nilai rata-rata pengetahuan pasien yang menjalani hemodialisis adalah 17,94 (2.968) (rentang 0-25), dan nilai rata-rata efikasi diri adalah 43,57 (9,89) (rentang 6-60). Hasil uji korelasi menunjukkan adanya hubungan positif yang signifikan antara pendidikan dengan efikasi diri dengan p-value <0,0001. Kesimpulan: Diharapkan tenaga kesehatan memiliki program edukasi yang terstruktur untuk meningkatkan pengetahuan pasien penyakit ginjal kronik yang menjalani hemodialisa sehingga pasien dapat meningkatkan self efficacy dalam mengatasi gejala yang dirasakannya
PENGARUH KOMPRES HANGAT TERHADAP PENURUNAN TEKANAN DARAH PADA PASIEN HIPERTENSI DI RUMAH SAKIT UMUM IMELDA PEKERJA INDONESIA MEDAN TAHUN 2022
Get PDFHypertension is often called the "silent killer" because hypertension sufferers often never experience health problems due to the disease they suffer from. Hypertension or high blood pressure is a chronic condition characterized by increased blood pressure on the walls of the arteries. The initial symptoms of hypertension are usually asymptomatic, only characterized by an increase in blood pressure. The aim of this research is to find out whether there is an effect of giving warm compresses on reducing hypertension. This research method uses a quasi experiment by giving warm compresses to hypertension sufferers. The sample used in this research was 36 people using purposive sampling technique. Inclusion criteria were willing to become participants, sufferers suffering from grade 1 hypertension, communicative and cooperative, no other comorbidities. The instruments created were demographic sheets and observation sheets and were analyzed univariately and bivariately. With the Wilcoxon test, the p-value was 0.01 (P-value <0.05). It can be concluded that the effect of warm compresses on reducing blood pressure in patients can be used to prevent stroke and improve health in the community.Hipertensi sering disebut “silent killer”karena penderita hipertensi sering tidak pernah mengalami gangguan kesehatan atas penyakit yang dideritanya. Hipertensi atau penyakit tekanan darah tinggi adalah suatu keadaan kronis yang ditandai dengan meningkatnya tekanan darah pada dinding pembuluh darah arteri. Gejala awal hipertensi biasanya adalah asimtomatik, hanya ditandai dengan kenaikan tekanan darah. Tujuan penelitian ini yaitu untuk mengetahui apakah ada pengaruh dalam pemberian kompres hangat terhadap penurunan hipertensi. Metode penelitian ini menggunakan quasi experiment dengan pemberian kompres hangat pada penderita hipertensi. Sampel yang digunakan dalam penelitian ini sebanyak 36 orang dengan teknik purposice sampling. Kriteria inklusi bersedia menjadi partisipan, penderita menderita hipertensi grade 1, komunikatif dan kooperatif, tidak ada penyakit penyerta lainnya. Instrumen yang dibuat adalah lembar demografi dan lembar observasi dan dianalisa univariat dan bivariat. Dengan uji wilcoxon didapatkan hasil p-value 0,01 (P-value <0,05). Dapat disimpulkan bahwa pengaruh kompres hangat terhadap penurunan tekanan darah pada pasien dapat digunakan untuk mencegah stroke dan meningkatkan kesehatan di masyarakat
Analisis Standard Keamanan Wisata Alam Di Pelaruga
Get PDFPelaksanaan event Festival Pesona Aekhula Tahun 2022 lolos seleksi menjadi salah satu dari 110 Kharisma Event Nusantara (KEN) di seluruh Indonesia. Peneliti mengajukan rumusan masalah “ Bagaimana pelaksanaan event wisata Pesona Aekhula Kabupaten Nias Barat Tahun 2022”. Teori yang digunakan dalam penelitian ini berdasarkan Peraturan Menteri Pariwisata Republik Indonesia Nomor 7 Tahun 2017. Dengan indikator Input, Output, dan Outcome.Teknik pengumpulan data menggunakan metode wawancara, observasi, dan dokumentasi. Hasil dari penelitian ini menunjukkan bahwa event festival pesona Aekhula Kabupaten Nias Barat sukses terselenggara dengan baik, namun ada beberapa program yang tidak terealisasi dikarenakan kurangnya anggaran dan dukungan sumber daya manusia yang mumpuni pada dinas pariwisata. Saran pada penelitian ini ialah Dinas Kebudayaan dan Pariwisata Nias Barat sebaiknya mengadakan penyeleksian untuk mencari panitia pelaksana sesuai dengan kompetennya masing-masing. Dan kemudian, hendaknya dinas pariwisata lebih berperan aktif dalam memberikan informasi terkait penginapan dan lainnya untuk mendukung jalannya eventPesona Aekhula di Tahun mendatang
SISTEM INFORMASI ANGGARAN PENDAPATAN DAN BELANJA PADA SMP SWASTA AL-IHSAN MEDAN
Get PDFRevenue and Expenditure Budget Information System at Al-Ihsan Private Middle School Medan. The purpose of making this final project is to create an effective, efficient, and structured computer-based budgeting system so that it can assist agencies/schools in budgeting. This Budget Information System refers to the preparation and management of budget data at Al-Ihsan Private Middle School Medan. Methods of data collection carried out by writing include observation and interviews. Design of a simulation of calculating the profitability of Visual Basic.Net 2010 and MYSQL as the database
Comparison of Community Satisfaction with Health Services at Accredited Health Centers in North Sumatra
Get PDFCommunity Health Centers must be managed properly and be able to carry out their functions optimally starting from the resources used, service processes to service performance. Thus, producing health services that are safe and of good quality, and according to the needs of the community. This study aims to determine the relationship between community satisfaction with health services at accredited health centers in North Sumatra. This study used a quantitative method with a cross sectional design. The results of the statistical test with the t test conducted by the researcher showed a p value of 0.000 (p <0.05) so that Ho was rejected and Ha was accepted, this means that there is a comparison between the level of community satisfaction and the accreditation of the puskesmas. From research conducted by researchers, it can be concluded that there is a relationship between community satisfaction with health services at Accredited Health Centers in North Sumatra. It is hoped that the puskesmas that have received accreditation will continue to maintain their quality.
Puskesmas harus dikelola dengan baik serta dapat menjalankan fungsinya secara maksimal mulai dari sumber daya yang digunakan, proses pelayanan hingga kinerja pelayanan. Dengan demikian, menghasilkan pelayanan kesehatan yang aman dan bermutu, serta sesuai kebutuhan masyarakat. Peneliitian ini bertujuan untuk mengetahui hubungan kepuasan masyarakat terhadap pelayanan kesehatan di puskesmas yang terakreditasi di Sumatera Utara. Penelitian ini menggunakan metode kuantitatif dengan desain cross sectional. Hasil uji statistic dengan uji t yang dilakukan oleh peneliti menunjukkan p value 0,000 (p < 0,05) sehingga Ho ditolak dan Ha diterima, hal ini berarti terdapat komparasi antara tingkat kepuasan masyarakat dengan akreditasi dari puskesmas. Dari penelitian yang dilakukan oleh peneliti, dapat disimpulkan bahwa terdapat hubungan kepuasan masyarakat terhadap pelayanan kesehatan di Puskesmas Terakreditasi di Sumatera Utara. Diharapkan kepada puskesmas-puskesmas yang telah mendapatkan akreditasi, agar tetap menjaga kualitas mutunya
PENGARUH TERAPI AKUPRESUR TERHADAP PENURUNAN KADAR GULA DARAH PADA PASIEN DM TIPE II DI POLIKLINIK RUMAH SAKIT UMUM IMELDA PEKERJA INDONESIA MEDAN TAHUN 2022
Get PDFDiabetes Mellitus (DM) is a chronic disease in the form of a metabolic disorder characterized by blood sugar levels that exceed normal limits. Diabetes Mellitus is known as a silent killer because it is often not realized by the person and when it is known that complications have occurred. This study aims to determine the effect of acupressure therapy on reducing blood sugar levels in Type II DM patients. The research was conducted at the Polyclinic of Imelda General Hospital, Indonesian Workers Medan, from July 2022 to August 2022. The research method used in this study is the Quasy Experiment research method using a pre test and post test approach with control group design. The population in this study were 40 respondents and the sample in this study were 20 respondents who were taken by purposive sampling. And analyzed Univariate and Bivariate using Wilcoxon and Mann Whitney tests to determine the difference between the two groups on the effect of acupressure therapy. The results showed that the effect of acupressure therapy on lowering blood sugar levels was p-value = 0.005 <0.05, it can be concluded that there is an effect of acupressure therapy on lowering blood sugar levels in Type II DM patients at the Imelda General Hospital Polyclinic, Indonesian Workers Medan. It is suggested that the results of this study are expected as information for patients with diabetes mellitus to carry out acupressure therapy independently and for the Indonesian workers imelda hospital to include elements of acupressure therapy as a study material in the management of type II diabetes mellitus patients.Penyakit Diabetes Melitus (DM) adalah penyakit menahun (Kronis) berupa gangguan metabolik yang ditandai dengan kadar gula darah yang melebihi batas normal. Diabetes Melitus dikenal sebagai silent killer karna sering tidak disadari oleh penyandangnya dan saat diketahui sudah terjadi komplikasi. Penelitian ini bertujuan untuk mengetahui Pengaruh Terapi Akupresur terhadap penurunan kadar gula darah pasien DM Tipe II. Penelitian dilakukan di Poliklinik Rumah Sakit Umum Imelda Pekerja Indonesia Medan, pada bulan Juli 2022 sampai Agustus 2022. Metode penelitian yang digunakan dalam penelitian ini adalah metode penelitian Quasy Eksperiment ini menggunakan pendekatan pre test and post test with control group design. Populasi pada penelitian ini adalah 40 responden dan sampel dalam penelitian ini adalah 20 responden yang diambil secara purposive sampling. Dan dianalisis secara Univariat dan Bivariat menggunakan uji wilcoxon dan Mann Whitney untuk mengetahui perbedaan antara dua kelompok terhadap pengaruh terapi akupresur. Hasil penelitian menunjukan bahwa pengaruh terapi akupresur terhadap penurunan kadar gula darah adalah p-value = 0,005 < 0,05 dapat disimpulkan adanya pengaruh terapi akupresur terhadap penurunan kadar gula darah pasien DM Tipe II di Poliklinik Rumah Sakit Umum Imelda Pekerja Indonesia Medan. Disarankan kepada hasil penelitian ini diharapkan sebagai informasi bagi pasien diabetes melitus untuk melakukan secara mandiri terapi akupresur dan bagi rumah sakit imelda pekerja indonesia untuk memasukan unsur terapi akupresur sebagai bahan kajian dalam pengelolaan pasien diabetes melitus tipe II
UJI AKTIVITAS SEDIAAN SALEP DARI EKSTRAK ETANOL KULIT BUAH PISANG BARANGAN (Musa Acuminata colla) TERHADAP BAKTERI PENYEBAB INFEKSI LUKA (Staphylococus aureus)
Get PDFSkin Fruit Banana goods (Musa acuminate Colla) can used as ingredient blocker bacteria. Research this aim for knowing activity antibacterial preparation ointment from extract skin fruit banana goods (Musa acuminate colla) against Staphylococcus aureus. Method Study this conducted Experimental, extract obtained with use method maceration with solvent 96% followed after that the extract was concentrated with rotary evaporator. Ethanol obtained tested Phytochemicals. The results of screenings showed that all of the extracts from skin fruit banana contained flavonoid, alkaloid, steroid, terpenoid and tannin, then made preparation ointment using Vaseline Album base, Adeps Lanae, Paraffin Liquid, Setyl Alcohol and preparation ointment Extract Skin Fruit Banana goods have Concentration 4%, 6%, 8%. Results this show that skin fruit banana goods (Musa acuminate Colla) can formulated as preparation Ointment and Fulfill requirements test quality preparation ointment among them Test Organoleptic, Test Homogeneity, Ph Test, Test Power spread. The results ofthe antibacterial activity test were analyzed using a sumuran method show that formulation preparation ointment extract skin fruit banana goods (Musa acuminate cola ) with concentration 4%, 6%, 8%. Not could hinder growth bacteria and power block. Concluded that the more increase concentration extract, so power a given block the more big to get zone good inhibit _ in growth bacteria (Staphylococcus aureus)