System publikasi Jurnal Ilmiah Berbasis OJS (Open Journal System) Institut Kesehatan DELI HUSADA Deli Tua
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HUBUNGAN PERSONAL HYGIENE DENGAN GEJALA DERMATITIS KONTAK IRITAN PADA PEKERJA LAUNDRY KONVENSIONAL DI KELURAHAN SUMBER JAYA KECAMATAN SIANTAR MARTOBA
The changing lifestyle of people who prefer laundry services to cleaning their own dirty clothes has made this business grow very rapidly, especially in big cities. Irritant contact dermatitis is an inflammatory skin condition caused by disruption of the skin barrier combined with activation of the innate immune response by external or environmental factors. Irritant contact dermatitis ranks first with 80%, allergic contact dermatitis ranks second with 14% to 20%. This study aims to determine the relationship between personal hygiene and symptoms of irritant contact dermatitis in conventional laundry workers in Sumber Jaya village, Siantar Martoba sub-district in 2024. This type of research is quantitative research with an analytical survey design with a cross-sectional study. The sample in this study were 66 laundry workers. The instrument used in this study was a questionnaire. Based on the results of the chi-square test conducted, the results of this study reveal that, there is a relationship between Personal Hygiene and symptoms of irritant contact dermatitis with a p-value = 0.009 (p <0.05) with OR = 4.418 which means the relationship between the two variables is weak. Laundry workers are expected to better maintain personal hygiene after and before carrying out activities
ANALISIS TRANSFORMASI MUTU LAYANAN TERHADAP KEPUASAN PASIEN JKN DI RUANGAN RAWAT INAP RSU GRANDMED LUBUK PAKAM
One of the most critical aspects of providing patients with quality health care is ensuring their contentment. Direct evidence, dependability, responsiveness, assurance, and empathy are the pillars upon which hospitals must build their top-notch health care services. The study's overarching goal is to draw conclusions about the impact on inpatient happiness in 2024 of the Grandmed Lubuk Pakam Hospital's service quality reform. Analytical surveys are utilized in this study to conduct quantitative research. One thousand nine hundred individuals enrolled in the National Health Insurance (JKN) program were the subjects of this study. A total of ninety-five participants were selected at random for this investigation. Direct evidence (P Value=0.846), responsiveness (P Value=0.03), reliability (P Value=0.03), assurance (P Value=0.011), and empathy (P Value=0.884) were the outcomes of studies that utilized the chi-square statistical test method. Being responsive, reliable, and providing a guarantee are three of the five factors that impact patient satisfaction. In a multiple linear regression analysis, collateral is the primary independent variable. Exp (B) yields 3,250, indicating that the guarantee influences the satisfaction of JKN inpatients at Grandmed Hospital in 2024 by a factor of 3.25. Patients with National Health Insurance who are inpatients at Grandmed Hospital should feel even more secure with the following suggestions, and we can only hope that future studies will take advantage of the ample opportunity to conduct in-depth interviews
GAMBARAN IMPLEMENTASI SISTEM INFORMASI MANAJEMEN RUMAH SAKIT (SIMRS) DI RUMAH SAKIT UMUM SEMBIRING DELI TUA TAHUN 2024
Sistem Informasi Manajemen Rumah Sakit (SIMRS) diterapkan untuk meningkatkan efisiensi operasional, mempercepat pencatatan serta akses data pasien, dan mendukung pengambilan keputusan berbasis data yang akurat. Di RSUD Sembiring Deli Tua, SIMRS telah digunakan sejak tahun 2021, namun integrasinya masih terbatas di beberapa unit. Penelitian ini bertujuan untuk menganalisis penerapan SIMRS, khususnya di unit rawat jalan, guna mengeval_uasi efektivitas sistem dan dampaknya terhadap kualitas layanan kesehatan. Penelitian ini bersifat observasional dan dilakukan di RSUD Sembiring Deli Tua dengan melibatkan karyawan serta pasien sebagai responden. Hasil penelitian mengungkapkan bahwa sebagian besar responden memberikan penilaian positif terhadap implementasi SIMRS, dengan 83,3% karyawan dan 97,3% pasien menyatakan kepuasan mereka. Meski demikian, masih terdapat beberapa aspek yang perlu diperbaiki, terutama dalam hal teknologi dan sumber daya manusia. Sebanyak 26,7% karyawan dan 14,9% pasien menilai bahwa teknologi yang digunakan dalam SIMRS masih kurang optimal, sementara proporsi yang sama juga menilai bahwa kompetensi sumber daya manusia dalam menjalankan sistem ini. Hasil penelitian ini menyimpulkan bahwa penerapan SIMRS di RSUD Sembiring Deli Tua telah berkontribusi dalam meningkatkan mutu layanan kesehatan, meskipun masih terdapat kendala yang perlu diselesaikan. Oleh karena itu, disarankan agar rumah sakit memperkuat infrastruktur teknologi, mengadakan pelatihan berkala bagi karyawan, serta mengoptimalkan sistem agar lebih mudah digunakan. Dengan perbaikan tersebut, diharapkan efektivitas SIMRS dapat terus meningkat, sehingga pelayanan kesehatan menjadi lebih efisien dan berkualitas
PENYULUHAN GIZI SEIMBANG UNTUK MENINGKATKAN PENGETAHUAN IBU BALITA DI PERUMAHAN MARENDAL TERATAI III PATUMBAK KABUPATEN DELI SERDANG SUMATERA UTARA
Balanced nutrition is a daily diet that contains nutrients in types and amounts that are appropriate to the body's needs, while still paying attention to food variety, physical activity, cleanliness, and ideal body weight. Based on Riskesdas data from the Ministry of Health regarding the Indonesian Nutritional Status (SSGI) in 2022, the stunting rate in Indonesia decreased by 2.8% from 2021 to 2022. This achievement is in accordance with the annual target of the Ministry of Health, which is around 2.7% per year. This study was conducted in November-December 2023 at the Marendal Teratai III Patumbak Housing Complex, Deli Serdang Regency, North Sumatra. The sample in this study was 20 mothers who had toddlers. The level of knowledge of mothers about toddler nutrition that was the most was a moderate level of knowledge, namely 11 people (55%) and a low level of knowledge, namely 7 people (35%), while the least was a high level of knowledge, namely 2 people (10%). Most of the mothers' knowledge about balanced nutrition in toddlers in the Marendal Teratai III Patumbak housing complex had sufficient knowledge about nutrition
EFEKTIVITAS PELAKSANAAN INOVASI TOR-TOR LIBAS TB DALAM UPAYA PENINGKATAN KEBERHASILAN PROGRAM DI UPTD PUSKESMAS PANYABUNGAN JAE KABUPATEN MANDAILING NATAL TAHUN 2022
According to the World Health Organization (Global TB Report, 2021), Indonesia is still the country with the third largest burden of tuberculosis in the world after India and China and only 47% of cases are reported. and handled well. TOR Innovation TOR LIBAS TB is an innovation that aims to increase the scope of case finding and the success of TB treatment, the implementation of which involves cooperation from health workers, networks and networks, cross-program and sectoral and involves TB cadres in villages and sub-districts. The purpose of this study was to analyze the Effectiveness of Implementing TOR-TOR LIBAS TB Innovations in Efforts to Increase Program Success at UPTD Puskesmas Panyabungan Jae in 2022. The research design used the Mix-Method method with a Sequential Explanatory model. The number of informants was 14 people. Methods of data collection by in-depth interviews, focus group discussions, observation and review of documents and data analysis using triangulation were then integrated. Quantitative research results show the effectiveness of the coverage of TB case detection rates, namely with an average of 108 cases (37.56%) with Less Effective criteria, while the effectiveness of TB treatment success rate with an average of 70 cases (77.45%) with Effective criteria. Qualitative results show that the accuracy of program targets, achievement of program objectives, program monitoring, and satisfaction with the program are still not optimal, especially in the implementation of program socialization both to program implementers and the community. Regarding input availability of human resources, funds and infrastructure, it is still inadequate. Regulations/Standard Operational Procedures have been implemented, but have not been socialized properly. It is hoped that the puskesmas, cross-sectoral, the Health Service, will provide a role, support and increase cooperation and empower the community for the success of the program
PENGARUH PEMBERIAN JUS BUAH NANAS (ANANAS COMOSUS) TERHADAP PENYEMBUHAN LUKA PERINEUM PADA IBU NIFAS DI KLINIK SUMIARIANI MEDAN JOHOR KABUPATEN DELI SERDANG TAHUN 2025
Perineal wounds are one form of trauma that is often experienced by postpartum mothers, both those that occur naturally or due to episiotomy. The wound healing process is influenced by varios factors, one of which is nutritional intake. The bromelain enzyme in pineapple (Ananas Comosus) is know to have anti-inflammatory, analgesic, and antibacterial properties, so it can accelerate wound healing. This study aims to determine the effects of giving pineapple juice on the healing process of parineal wounds in postpartum mothers at the Sumaiariani Clinic, Medan Johor, Deli Serdang Regency. The method used in this study was quantitative with a pre-experimental design and a one group pretest-posttest approach, involving 20 postpartum mothers as respondents with grade l and ll perineal wounds. Pineapplke juice was given for seven consecutive days, twice a day. Data were collected using an observation sheet based on the REEDA score to evaluate Changes in wound healing conditions between before and after the intervention was given. Data alanysis was carried out using the Wilcoxon test to see significant differences between conditions before and after pineapple juice administration. The results showed a siginificant difference in REEDA scores before and after the intervention, with a p value <0.005. This indicated that pineapple juice it has effectiveness in supporting the acceleration perineal wound recovery. Thus, the administration of pineapple juice demonstrates real effectiveness in supporting healing process, and it can be used as safe natural therapy opyion without the use of drugs to plays a role in supporting the regeneration of perineal wound tissue
eval_UASI PENGGUNAAN ANTIBIOTIK DENGAN METODE GYSSENS PADA PASIEN DEMAM TIFOID DI INSTALASI RAWAT INAP RSUD HAJI MAKASSAR PERIODE JUNI-DESEMBER 2024
Typhoid fever is a common infectious disease in Indonesia, especially among productive age groups. The improper use of antibiotics in its treatment may lead to antibiotic resistance. This study aims to eval_uate the rational use of antibiotics in hospitalized typhoid fever patients at RSUD Haji Makassar using the Gyssens method. A descriptive observational study with a cross-sectional retrospective approach was conducted, using purposive sampling of 125 patient medical records from June to December 2024. Data were analyzed descriptively and statistically using Chi-square tests. Results showed that ceftriaxone was the most commonly used antibiotic (66%), followed by ciprofloxacin (22.8%). Rational use (category 0) was found in 59 cases (47.2%), while irrational use occurred in 66 cases (52.8%), predominantly in category III B (inappropriate duration). A significant association was found between gender and antibiotic rationality (p = 0.030), but no significant correlation was observed with age or length of stay. However, a highly significant correlation was found between the duration of antibiotic administration and rationality (p < 0.001). This study emphasizes the need for regular clinical audits and adherence to updated national treatment guidelines to prevent irrational antibiotic use and resistance
FOOD BASKETS DAN EDUKASI KESEHATAN LINGKUNGAN DALAM PENINGKATAN GIZI PENDERITA TUBERKULOSIS PARU DI KOTA MEDAN
Pulmonary tuberculosis (TB) remains a major public health problem in Indonesia, including in Medan City. Malnutrition among TB patients worsens prognosis and delays recovery. Nutrition-based interventions such as Food Baskets combined with environmental health education are expected to improve nutritional status while preventing TB transmission at the household level. This study applied a quasi-experimental design with a pre-post test control group. A total of 30 pulmonary TB patients were enrolled and divided into an intervention group (n=15; received Food Baskets + environmental health education) and a control group (n=15; standard care). Data collected included body weight, energy intake, protein intake, hemoglobin, albumin, knowledge score, and environmental health behavior score. Data were analyzed using paired t-tests and independent t-tests, with significance set at p < 0.05. The intervention group showed a significant increase in body weight (+2.6 ± 0.9 kg) compared to the control group (+1.0 ± 0.8 kg, p < 0.001). Energy intake increased by +370 kcal/day in the intervention group versus +110 kcal/day in the control (p < 0.001). Protein intake increased by +15 g/day in the intervention group versus +4 g/day in the control (p < 0.001). Knowledge scores improved from 58 to 82, while environmental health behavior scores increased from 60 to 83 (p < 0.001). Food Baskets combined with environmental health education are proven effective in improving nutritional status, knowledge, and health behavior of pulmonary TB patients. This intervention can serve as an additional strategy in community-based TB control programs
ANALISIS PERBANDINGAN TINGKAT KEPUASAN PASIEN POLI GIGI ANTARA LAYANAN APLIKASI MOBILE JKN ON SITE PADA PESERTA BPJS KESEHATAN DI RSU BUNDA THAMRIN MEDAN DENGAN METODE SURVQUAL (SERVICE QUALITY)
Bunda Thamrin General Hospital, Medan, is a type C private hospital that offers various types of care, including dental care. In the digital era, the Mobile JKN application was introduced to simplify the registration and patient care process. However, many patients still experience difficulties using it. This study aims to analyze the comparison of patient satisfaction levels between the Mobile JKN application and the on-site service at Bunda Thamrin General Hospital, Medan, using the SERVQUAL approach, which encompasses five dimensions: Tangibles, Reliability, Responsiveness, Assurance, and Empathy. This study used a quantitative approach with a survey method and a purposive sampling technique. The sample consisted of 56 respondents, namely BPJS dental care patients who registered through Mobile JKN and on-site. Data analysis was performed using a bivariate statistical test, with a significance value of p < 0.05 as an indicator of significant differences between services. The results showed that overall satisfaction levels were higher among users of the Mobile JKN service (mean = 0.70) compared to users of the on-site service (mean = 0.14), with a p = 0.000. The dimensions of Reliability, Responsiveness, Assurance, and Empathy showed significant differences favoring Mobile JKN. However, no significant difference was found in the Tangibles aspect (p = 0.173), indicating that ease of access remains a challenge for both services. It can be concluded that Mobile JKN provides a more satisfactory service overall than On-Site, particularly in terms of trustworthiness, response speed, security, and empathy for patients
IMPLEMENTASI PIJAT LAKTASI SEBAGAI PRAKTIK KOMPLEMENTER KEBIDANAN UNTUK OPTIMALISASI ASI EKSKLUSIF DI DESA MEKAR SARI TAHUN 2025
Kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pengetahuan dan kesiapan ibu hamil dalam menyukseskan pemberian ASI Eksklusif melalui edukasi dan praktik pijat laktasi. ASI Eksklusif merupakan faktor penting dalam meningkatkan kesehatan dan tumbuh kembang bayi hingga usia dua tahun. Namun, masih banyak ibu hamil yang belum memahami teknik perawatan payudara dan pijat laktasi untuk mendukung produksi ASI. Oleh karena itu, kegiatan ini dilaksanakan melalui penyuluhan menggunakan media leaflet serta demonstrasi pijat laktasi dengan media pantom. Kegiatan dilaksanakan di Desa Mekar Sari, Kecamatan Deli Tua, Kabupaten Deli Serdang dengan sasaran seluruh ibu hamil yang hadir pada pertemuan tersebut.
Metode pelaksanaan meliputi tiga tahap utama, yaitu pemberian edukasi mengenai ASI Eksklusif, pendampingan praktik pijat laktasi secara langsung, serta sesi diskusi dan tanya jawab untuk menggali pemahaman peserta. Kegiatan ini terlaksana dengan dukungan bidan koordinator dari Puskesmas Deli Tua, para kader kesehatan desa, tim pendokumentasian, serta perangkat desa yang membantu pelaksanaan acara. Selama kegiatan, ibu hamil tampak aktif dalam berdiskusi dan menunjukkan ketertarikan untuk mempraktikkan pijat laktasi.
Hasil kegiatan menunjukkan bahwa peserta memperoleh peningkatan pemahaman mengenai manfaat ASI Eksklusif, teknik pijat laktasi, serta langkah-langkah yang dapat dilakukan untuk mendukung produksi ASI sejak masa kehamilan. Selain itu, kegiatan ini memberikan dampak positif berupa meningkatnya kesiapan ibu hamil dalam memPersiapkan pemberian ASI setelah melahirkan. Edukasi dan praktik langsung yang diberikan diharapkan dapat berkontribusi pada meningkatnya keberhasilan program ASI Eksklusif di wilayah tersebut. Secara keseluruhan, kegiatan pengabdian kepada masyarakat ini dinilai bermanfaat dan dapat dijadikan model dalam upaya peningkatan pengetahuan kesehatan ibu dan anak di lingkungan masyarakat