Direktori Jurnal Elektronik Universitas Imelda Medan
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    Hubungan Pengetahuan Terminologi Medis Petugas Koding Dengan Ketepatan Kode Diagnosis di Puskesmas Dinoyo

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    A coder's lack of knowledge of medical terminology results in inaccuracies in the diagnosis code made on medical record documents. Therefore, this study aims to analyze the relationship between knowledge of coding officers' terminology and the accuracy of the diagnosis code at the Dinoyo Health Center in Malang City. The method used in this research is quantitative with a cross sectional research design. Data processing techniques using statistical software, namely SPSS. The analysis technique used is univariate and bivariate analysis. The test used in this study was the chi-square. The sample was taken using simple random sampling technique with a probability sampling of 99 samples. The results of the relationship between the coding officer's knowledge of medical terminology and the accuracy of the diagnosis code showed a value that was not correlated, namely 0.541, with a value below 0.05, there was only a correlation between the two. The results showed that the accuracy of the diagnosis code was 43.43% incorrect and 56.56% correct, for the percentage of very good knowledge of medical terminology 16.7% and 83.3% good. It is expected to increase the accuracy of the diagnosis code in order to maintain the Dinoyo Health Center coder value.A coder's lack of knowledge of medical terminology results in inaccuracies in the diagnosis code made on medical record documents. Therefore, this study aims to analyze the relationship between knowledge of coding officers' terminology and the accuracy of the diagnosis code at the Dinoyo Health Center in Malang City. The method used in this research is quantitative with a cross sectional research design. Data processing techniques using statistical software, namely SPSS. The analysis technique used is univariate and bivariate analysis. The test used in this study was the chi-square. The sample was taken using simple random sampling technique with a probability sampling of 99 samples. The results of the relationship between the coding officer's knowledge of medical terminology and the accuracy of the diagnosis code showed a value that was not correlated, namely 0.541, with a value below 0.05, there was only a correlation between the two. The results showed that the accuracy of the diagnosis code was 43.43% incorrect and 56.56% correct, for the percentage of very good knowledge of medical terminology 16.7% and 83.3% good. It is expected to increase the accuracy of the diagnosis code in order to maintain the Dinoyo Health Center coder value

    PERAN TEKNIK MANAJEMEN STRES DALAM MENINGKATKAN KESELAMATAN IBU DAN PENGALAMAN PERSALINAN POSITIF: SEBUAH STUDI DI LAYANAN KESEHATAN INDONESIA

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    Maternal safety and childbirth experience are critical aspects of prenatal care, impacting both mother and infant health. This study investigates the effectiveness of stress management techniques on enhancing maternal safety and promoting positive childbirth experiences in a rural Indonesian healthcare setting. Conducted in collaboration with Puskesmas Pangkalan Brandan, Kabupaten Langkat, the study evaluates the use of structured stress management programs aimed at reducing labor-related anxiety, enhancing mental and physical readiness, and ultimately fostering safer childbirth outcomes. Data analysis techniques used in this study include several statistical methods and qualitative analysis. The study was conducted at the Pangkalan Brandan Health Center, Langkat Regency. The sample used in this study were mothers giving birth at the Pangkalan Brandan Health Center, Langkat Regency, totaling 51 respondents. The sample in this study was drawn using a non-probability sampling technique - Accidental sampling. The results indicate a positive correlation between stress management interventions and improved maternal health metrics, highlighting implications for broader maternal healthcare practices. Overall, the results of this study indicate that stress management therapy methods, coupled with adequate social support, can contribute significantly to better childbirth experiences and higher safety for pregnant women at Pangkalan Brandan Health Center

    PENGARUH PELAYANAN KEFARMASIAN TERHADAP KEPUASAN PELANGGAN APOTEK DI WILAYAH KAMPUNG TENGAH KECAMATAN KERAMAT JATI, JAKARTA TIMUR TAHUN 2024

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    Service quality is considered a significant strategy tosatisfy the customer and encourage repeated service whichattracts loyal customers. The purpose of this study is to determine the influence of pharmaceutical services on visitor satisfactionin community pharmacies Kampung Tengah, Keramat Jati District, East Jakarta. The method of this research is descriptive research using quantitative techniques through questionnaires conducted as part of a survey. The population of this study is visitors in community pharmacies in Kampung Tengah, Keramat Jati District, East Jakarta in May 2024. Samples taken from the population used purposive sampling. The results of the calculation using the Slovin technique formula are known that the required sample is 189 respondents. The data analysis technique used a univariate analysis and a bivariate analysis. Based on the results of the study, it shows that there is a strong and significant relationship between the assurance provided by the service provider and the level of visitor satisfaction. There is a significant relationship between empathy and visitor satisfaction. Response time and visitor pleasure are significantly correlated. Visitor pleasure and consistency are significantly correlated. Visitor pleasure and tangible facilities are significantly correlated. The conclusion of the study shows that the profile of pharmaceutical services in apotek is quite good, as indicated by the presence of pharmacists every day at the pharmacy and the active role of pharmacists in pharmaceutical services at the apotek

    Kesadaran dan Kesiapsiagaan Bencana pada Masyarakat Pesisir Kalimantan Utara

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    The role of disaster awareness and preparedness in improving disaster preparedness in the community is vital. The relationship between disaster awareness and disaster preparedness in coastal communities has not been directly ascertained, so research is needed to assess the problem. The purpose of this study was to identify the relationship between disaster awareness and disaster preparedness in coastal communities. This study is a correlational and cross-sectional study. This study involved 100 respondents using an convenience sampling technique. This research was conducted in one of the coastal sub-districts of Tarakan City, North Kalimantan Province. The data collection process was carried out from October to November 2024. The disaster awareness and preparedness assessment instrument used a questionnaire from previous research. The Chi-Square test was used to see the relationship between disaster awareness and disaster preparedness. The results showed that most respondents were female (58%), worked as farmers/fishermen (33%), graduated from high school/vocational school (41%), the average age of respondents was 37.33 years with an average income of Rp1,626,000 per month. Most respondents with low disaster awareness also had low disaster preparedness (53%). The results of the Chi-Square test showed that there was a relationship between disaster awareness and disaster preparedness (p = 0.001). The low disaster awareness and disaster preparedness in coastal communities, it is necessary to provide disaster education to the community so that the community is ready to face disaster conditions, especially in coastal areas.Peran disaster awareness dan preparedness dalam meningkatkan kesiapan terhadap bencana di masyarakat sangat penting. Hubungan disaster awareness terhadap disaster preparedness pada masyarakat pesisir masih belum dapat dipastikan secara langsung, sehingga diperlukan penelitian untuk menilai masalah tersebut. Tujuan dari penelitian ini untuk mengidentifikasi hubungan antara disaster awareness dan disaster preparedness pada masyarakat pesisir. Penelitian ini merupakan penelitian korelasional dengan cross sectional. Penelitian ini melibatkan 100 responden dengan teknik sampling convenience sampling. Hasil penelitian menunjukkan bahwa sebagian besar responden berjenis kelamin perempuan (58%), bekerja sebagai petani/nelayan (33%), lulusan SMA/SMK (41%), rata-rata usia responden adalah 37,33 tahun dengan rata-rata penghasilan Rp 1.626.000,- setiap bulan. Sebagian besar responden dengan disaster awareness yang rendah, memiliki disaster preparedness yang rendah juga (53%). Hasil uji Chi-Square menunjukkan bahwa terdapat hubungan antara disaster awareness dengan disaster preparedness (p=0.001). Rendahnya disaster awareness dan disaster preparedness pada masyarakat pesisir, maka perlu dilakukan edukasi kebencanaan pada masyarakat agar masyarakat siap menghadapi kondisi bencana terutama di area pesisir

    Intervensi RIZAL (Reminder Informasi Zealous Support Assistance Lifestyle Monitoring)Berbasis Keluarga Terhadap Kemandirian Pasien Hipertensi

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    Di Indonesia, situasi hipertensi menunjukkan pola yang mengkhawatirkan. Khusus di wilayah kerja Puskesmas Ciranjang, data tahun 2024 menunjukkan prevalensi hipertensi mencapai 23.158 atau 80% dari total populasi dewasa dengan tingkat kepatuhan pengobatan sebesar 25.842 (Profil Kesehatan Puskesmas Ciranjang, 2024). Penerapan Intervensi RIZAL (Reminder Informasi ZealousSupport Assistance Lifestyle Monitoring) adalah  salah satu metode untung meningkatkan kemandirian pasien dengan melibatkan peran keluarga. Tujuan : Menganalisis dan mengukur pengaruh intervensi RIZAL berbasis keluarga terhadap kemandirian pasien hipertensi di wilayah kerja Puskesmas Rawat Inap Ciranjang. Metode : Jenis penelitian yang digunakan adalah penelitian kuantitatif dengan desain quasi eksperimental, dengan rancangan penelitian menggunakan one group pretest-posttest  dengan total sampel sebanyak 35 orang. Hasil : Hasil penelitian menunjukkan bahwa sebelum intervensi RIZAL diberikan, mayoritas responden berada pada tingkat kemandirian I (54,3%) dan tingkat kemandirian II (34,3%), yang menunjukkan bahwa bahwa pasien hipertensi sering memiliki kemandirian rendah dalam pengelolaan penyakitnya, terutama terkait pengetahuan tentang kondisi dan kepatuhan pengobatan, sedangkan setelah dilakukan intervensi RIZAL terjadi perubahan signifikan pada tingkat kemandirian pasien hipertensi. Mayoritas responden berada pada tingkat  kemandirian III (51,428%), diikuti tingkat kemandirian II (25,714%), dan tingkat kemandirian IV (20,0%). Ini menunjukkan adanya peningkatan kemampuan pasien dalam mengelola penyakit hipertensinya secara mandiri. Kesimpulan : berdasarkan hasil penelitian didapatkan pengaruh yang signifikan terhadap peningkatan kemandirian pasien hipertensi di wilayah kerja Puskesmas Rawat Inap Ciranjang. Hal ini dibuktikan dengan hasil uji Wilcoxon Signed Rank Test yang menunjukkan nilai p=0,000 (p<0,05), dengan 88,6% responden mengalami peningkatan tingkat kemandirian setelah intervensi diberikan

    KEPATUHAN PENDERITA TUBERKULOSIS MINUM OBAT ANTI TUBERKULOSIS SECARA MANDIRI

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    Health is a state of well-being, physically, mentally, spiritually and socially that enables everyone to live a socially and economically productive life. Pulmonary tuberculosis is a global health problem that can impact productivity and quality of life. According to WHO, there are an estimated 1,020,000 new TB cases per year (399 per 100,000 population) with 100,000 deaths per year (41 per 100,000 population). Compliance of pulmonary tuberculosis patients in taking medication is key to the success of tuberculosis treatment. This study aimed to explore patients' perceptions of pulmonary tuberculosis and medication adherence. This study is a qualitative study with a phenomenological approach. Data were collected using in-depth interviews and then analyzed by content analysis. The informants in this study consisted of eight tuberculosis patients. The results of this study found three themes, namely (1) understanding of tuberculosis disease, (2) the impact of tuberculosis disease, (3) patients' perceptions of tuberculosis disease. It was concluded that a better understanding of tuberculosis disease and treatment adherence can contribute to treatment success. It is suggested that patients can be aware and encouraged to take medication regularly.Kesehatan adalah keadaan sehat, baik secara fisik, mental, spiritual maupun sosial yang memungkinkan setiap orang untuk hidup produktif secara sosial dan ekonomis. Pulmonary tuberculosis is a global health problem that could impact on productivity and quality of life. jumlah kasus TB di Indonesia menurut WHO, diperkirakan ada 1.020.000 kasus TB baru pertahun (399 per 100.000 penduduk) dengan 100.000 kematian pertahun (41 per 100.000 penduduk). The adherence of pulmonary tuberculosis patients in taking medication is the key for successfull tuberculosis treatment. The aims of this study to explore the perception of patients related to pulmonary tuberculosis and adherence medication. This is a qualitative study with a phenomenological approach. Data collection using in-depth interviews and then analyzed by content analysis. The informants in this study consisted of eight tuberculosis patients. The results of this study found three themes, namely (1) pemahaman tentang penyakit tuberkulosis, (2) Dampak penyakit tuberkulosis, (3) Persepsi penderita tentang tuberkulosis. It was concluded that a better understading about tuberculosis disease and adherence treatment could contribute to the succesfull of treatment. It was suggested that patient could be aware and encourage to take adherence medication

    EFFECTIVENESS OF PROGRESSIVE MUSCLE RELAXATION (PMR) WITH MOZART’S CLASSIC MUSIC ON BLOOD PRESSURE TO PATIENT CHRONIC KIDNEY DISEASE (CKD) WITH INTRADIALYTIC HYPERTENSION (IDH)

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    Chronic kidney disease (CKD) can develop into end stage renal disease (ESRD), requiring hemodialysis therapy. However, this can cause complications such as intradialytic hypertension (IDH), defined as a pre-HD blood pressure >140/90 mmHg or a post-HD blood pressure > 130/80 mmHg. Therefore, the combination of PMR with mozart classical music is recommended. This study aims to analyze the effectiveness of this combined therapy on blood pressure. The research design is quasi experimental using descriptive tests, paired t tests and independent t tests. With a purposive sampling technique, a sample of 38 respondents was divided into intervention and control groups in the hemodialysis unit of RSUD Tarakan. The results showed a significant effect on SBP (p value <0.001) and DBP (p value <0.001) in the intervention group, SBP (p value <0.001) and DBP (p-value = 0.003) in the control group, and significant differences in post-dialysis SBP (p-value = 0.001) and DBP (p value <0.001) between the two groups. In the intervention group, there was a decrease in SBP and DBP, whereas in the control group, there was an increase in SBP and DBP. Therefore, this combined therapy can be a complementary treatment for CKD patients with IDH to stabilize blood pressure, especially during intradialysis.Penyakit gagal ginjal kronis (GGK) dapat berkembang menjadi end stage renal disease (ESRD) yang memerlukan terapi hemodialisis. Akan tetapi, dapat menimbulkan komplikasi intradialytic hypertension (IDH) dimana suatu keadadaan tekanan darah pre-HD >140/90 mmHg atau tekanan darah post-HD >130/80 mmHg. Oleh sebab itu, direkomendasikan penggabungan terapi PMR dengan  musik klasik mozart. Tujuan penelitian ini adalah menganalisis efektivitas pada terapi kombinasi tersebut terhadap tekanan darah. Desain penelitian menggunakan quasi experimental dengan uji deskriptif, paired t test dan independent t test. Dengan teknik purposive sampling didapatkan sample didapatkan sample sebanyak 38 responden dengan dibagi ke kelompok intervensi dan kontrol di unit hemodialisis RSUD Tarakan. Hasil penelitian didapatkan signifikan berpengaruh terhadap SBP (p value <0.001) dan DBP (p value <0.001)  pada kelompok intervensi, SBP (p value <0.001) dan DBP (p value = 0.003) pada kelompok kontrol, serta terdapat perbedaan SBP post-HD (p value <0.001) dan DBP post-HD (p value <0.001) terhadap terapi PMR dengan musik klasik mozart pada kedua kelompok. Pada kelompok intevensi, terjadi penurunan SBP dan DBP, sedangkan pada kelompok kontrol terjadi peningkatkan SBP dan DBP. Oleh karena itu, terapi kombinasi ini dapat menjadi terapi komplementer pada pasien GGK dengan IDH untuk menstabilkan tekanan darah terutama saat intradialisis

    Analisis Faktor Yang Mempengaruhi Kejadian Stunting Pada Balita Umur 24-59 Bulan Di Puskesmas Biak Muli Kabupaten Aceh Tenggara

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    A multifactorial determinant analysis was conducted to identify contributions to the incidence of stunting-a condition of linear growth involution caused by chronic nutritional deficiencies and exposure to repeated infections-in children aged 24-59 months in the Biak Muli Health Center area, Southeast Aceh District, in 2023. This study adopted a cross-sectional survey design with a quantitative approach and descriptive-correlational design involving 85 mothers of toddlers as subjects. Data processing was conducted through univariate analysis, bivariate test using Chi-Square, and multivariate test with multiple logistic regression to identify significant determinants. Results showed that birth weight history (p=0.019; OR=4.051; CI 95%: 1.359-12.070), exclusive breastfeeding (p=0.009; OR=4.900; CI 95%: 1.571-15.285), parenting (p=0.012; OR=4.592; CI 95%: 1.475-14.298), and parental income level (p=0.024; OR=4.044; CI 95%: 1.303-12.557) were significantly correlated with stunting prevalence, while the variables of maternal knowledge (p=0.487), history of infection (p=0.101), and access to health services (p=0.095) did not show statistical significance. Family income was identified as the dominant predictor of stunting incidence in the child population in this region. Based on these findings, recommendations are directed at intensifying education to mothers of toddlers on comprehensive stunting prevention, including optimal nutrition interventions, environmental sanitation, and promotion of exclusive breastfeeding in the crucial period of early life, to reduce the risk of growth retardation in preschool.Analisis determinan multifaktorial telah dilakukan untuk mengidentifikasi kontribusi terhadap insidensi stunting—suatu kondisi involusi pertumbuhan linear yang disebabkan oleh defisiensi nutrisi kronis dan paparan infeksi berulang—pada anak usia 24-59 bulan di wilayah Puskesmas Biak Muli, Kabupaten Aceh Tenggara, tahun 2023. Studi ini mengadopsi rancangan survei cross-sectional dengan pendekatan kuantitatif dan desain deskriptif-korelasional yang melibatkan 85 ibu balita sebagai subjek. Pengolahan data dilakukan melalui analisis univariat, uji bivariat menggunakan Chi-Square, serta uji multivariat dengan regresi logistik berganda untuk mengidentifikasi determinan signifikan. Hasil menunjukkan bahwa riwayat berat badan lahir (p=0,019; OR=4,051; CI 95%: 1,359–12,070), pemberian ASI eksklusif (p=0,009; OR=4,900; CI 95%: 1,571–15,285), pola asuh anak (p=0,012; OR=4,592; CI 95%: 1,475–14,298), serta tingkat pendapatan orang tua (p=0,024; OR=4,044; CI 95%: 1,303–12,557) berkorelasi signifikan dengan prevalensi stunting, sedangkan variabel pengetahuan ibu (p=0,487), riwayat infeksi (p=0,101), dan akses layanan kesehatan (p=0,095) tidak menunjukkan signifikansi statistik. Variabel pendapatan keluarga diidentifikasi sebagai prediktor dominan terhadap insidensi stunting pada populasi anak di wilayah ini. Berdasarkan temuan tersebut, rekomendasi diarahkan pada intensifikasi edukasi kepada ibu balita mengenai pencegahan stunting secara komprehensif, mencakup intervensi nutrisi optimal, sanitasi lingkungan, serta promosi pemberian ASI eksklusif pada periode krusial awal kehidupan, guna mengurangi risiko retardasi pertumbuhan pada masa prasekolah

    PENYULUHAN KESEHATAN HAJI CALON JAMAAH HAJI LANSIA DI KECAMATAN MEDAN HELVETIA TAHUN 2025

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    Pendahuluan. Haji merupakan rukun islam ke-5 yang wajib dilaksanakan oleh seorang muslim yang mampu untuk melaksanakannya. Ibadah haji merupakan ibadah yang memerlukan kesehatan fisik dan mental yang baik. Berdasarkan data dari Kemenkes RI 2024, jamaah haji Indonesia yang paling banyak adalah kategori umur lansia (usia > 60 tahun). Untuk itu, diperlukan penyuluhan kesehatan haji yang baik agar jamaah haji lansia dapat memiliki pengetahuan kesehatan dalam melaksanakan ibadah haji. Tujuan. Adapun tujuan pengabdian kepada masyarakat ini adalah untuk meningkatkan pengetahuan dan pemahaman calon jamaah haji lansia mengenai kesehatan haji meliputi penyakit menular, pengelolaan stress, dehidrasi dan risikonya dan edukasi tentang kesehatan ramah lansia. Metode. Metode yang digunakan adalah ceramah, pemutaran video, diskusi dan tanya jawab. Pelaksanaan penyuluhan kesehatan haji di Kecamatan Helvetia berjalan dengan lancar. Penyuluhan ini diikuti oleh 50 orang peserta calon jamaah haji lansia. Hasil. Peserta sangat aktif mengikuti penyuluhan, terlihat banyak saat sesi tanya jawab banyak peserta yang mengajukan pertanyaan. Dari hasil pre test diperoleh pengetahuan calon jamaah haji lansia tentang kesehatan haji sebelum mengikuti penyuluhan dalam kategori kurang sebanyak 39 orang (78%) dan setelah mengikuti penyuluhan dan dievaluasi kembali didapatkan hasil post test sebagian besar mengerti tentang pengetahuan kesehatan haji yitu pada kategori baik sebanyak 42 orang (84%). Kesimpulan. Diharapkan setelah mengikuti edukasi kesehatan haji ini, calon jamaah haji lansia Kecamatan Medan Helvetia semakin mengerti tentang kesehatan haji dan dapat menjalankan ibadah haji dengan sehat dan mabrur

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