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    ANALISA KUALITATIF PENGARUH KUALITAS PELAYANAN TERHADAP LOYALITAS PASIEN DI RUANG RAWAT INAP PADA RUMAH SAKIT TK II PUTRI HIJAU KESDAM I/BB MEDAN TAHUN 2018

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    The importance of health service for each population, make a hospital has an important role in health services. By oriented to the service quality, the hospital will be able to provide a satisfaction for the patients. The good quality of service will make patients feel confident when they being in a treatment or having hospitalization, so that the patient will become loyal to the hospital. This purpose of this research is to analyze whether there is an effect of service quality to the patient’s loyality in hospitalization at Putri Hijau Hospital TK II Kesdam I/BB Medan 2018. The type of this research is qualitative research with using case study method. The sample of this research was five peoples based on a particular consideration which has made by the researcher, based on the trait and the population’s character. The results showed that the service of quality consisting dimensions of physical evidence in the form of building feasibility, completeness of equipment, cleanliness of the room and environment and the appearance of health workers were good, the dimensions of reliability in the form of punctuality, ability to provide services and administrative processes were good, the responsiveness dimension in the form of willingness and responsiveness in helping patients were good, the assurance dimension in the form of friendly attitude were good, and the empathy dimension in the form of equal service and communication were good, so that affect the patient's loyalty in the inpatient room TK II Putri Hijau Hospital Kesdam Medan. Suggested to Putri Hijau Hospital TK II in Medan, to further improve the quality of health services. Because health is the initial capital for the community to be carrying on life

    FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN TINGKAT PARTISIPASI MASYARAKAT DALAM PENGELOLAAN KESEHATAN LINGKUNGAN DI KECAMATAN BILAH HULU TAHUN 2017

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    Environmental Maintenance is a working program of Labuhanbatu Regency Environmental Office 2018 and the aims are to improve the quality of the community environment in all districts located in the district. The Healthy Behavior Movement that has been introduced previously considered more with statistics, especially regression multivariate type "regression category" with data source 105 respondents in 3 villages selected purposively. The each residential village is represented by 35 respondents. The independent variables that are used Knowledge, Attitudes, Education and Employment variables connected with the Society Participation dependent variable. The result shows that all independent variables have significant influence (p 0.05) The conclusion of the study showed that there is a significant influence of the variables of Knowledge, Education, Attitude and Work on the achievement of Society Participation is participating in the cooperation of maintaining environmental health in Bilah Hulu Sub-district of Labuhanbatu District. The coefficient of influence varies with the value of the knowledge constant of 0,001, the attitude of 0,000; Education of 0,002 and Employment of 0,025. It is suggested to the Environmental Management in Bilah Hulu District to increase the value of Education to be higher especially in the case of the Environment because this variable that turned out to give positive value increase of Participation of Society in Bilah Hulu District

    STUDI KUALITATIF POLA KONSUMSI MIE INSTAN PADA REMAJA PUTRI DI SMP NEGERI 8 SIPORI-PORI TANJUNG BALAI TAHUN 2018

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    Keadaan gizi remaja umumnya dipengaruhi oleh perilaku konsumsi makanan yang berakibat pada tingkat konsumsi zat gizi. Perilaku konsumsi makanan yang salah pada masa remaja menyebabkan ketidak seimbangan antara konsumsi gizi dengan kecukupan gizi yang dianjurkan. Pola konsumsi yang keliru akan merugikan kesehatan apabila tidak diarahkan pada pola konsumsi makanan yang sehat. Makanan mie instan pada umumnya mengandung tinggi protein, tinggi kalori (terutama lemak dan gula sederhana), tinggi garam, bumbu masak, zat pengawet dan pewarna serta rendah serat. Jika hal ini dibiasakan akan mengawali terjadinya penyakit degeneratif. Penelitian ini bertujuan untuk mengetahui pola konsumsi remaja putri dalam memilih makanan mie instan di SMP Negeri 8 Sipori-pori Tanjungbalai Tahun 2018. Jenis penelitian ini yaitu deskriptif kualitatif. Subjek dalam penelitian ini sebanyak 4 orang remaja putri, guru piket dan penjaga kantin. Penelitian dilaksanakan di SMP Negeri 8 Sipori-pori Tanjungbalai. Hasil penelitian diketahui bahwa pola konsumsi remaja terhadap mie instan yaitu siswi mengkonsumsi mie instan sebanyak 5 kali dalam seminggu di sekolah, lain halnya di luar sekolah. Faktor penyebab remaja putrid mengkonsumsi mie instan yaitu faktor rasa yang enak dan gurih, penyajian yang praktis dan cepat, serta harga murah dan mengenyangkan. tidak sempat sarapan serta faktor iklan atau sponsor. Orangtua dan guru melakukan kontrol terhadap pola konsumsi remaja dalam memilih makanan mie instan melalui anjuran membiasakan sarapan pagi serta nasihat mengurangi jajan di SMP Negeri 8 Sipori-pori Tanjungbalai Tahun 2018. Disarankan kepada siswi di SMP Negeri 8 Sipori-pori Tanjungbalai untuk lebih selektif dalam memilih dan mengkonsumsi makanan. Kepada pihak sekolah diharapkan dapat memberikan siswi berbagai informasi mengenai makanan sehat dan bergizi bagi siswi dan dalam pengolahan mie instan agar mencampurkan mie instan dengan penambahan sayur dan sumber protein. Serta kepada orangtua perlu adanya kontrol orangtua dilakukan melalui anjuran membiasakan sarapan pagi dan nasihat mengurangi jajan serta menyediakan bekal ke sekolah

    ANALISIS FAKTOR-FAKTOR YANG MEMENGARUHI KEPATUHAN PERAWAT DALAM PENERAPAN HAND HYGIENE DI INSTALASI RAWAT INAP RSUD GUNUNGSITOLI KABUPATEN NIAS TAHUN 2018

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    Hospitals as health service agencies that deal directly with patients must prioritize safe, quality, anti-discrimination and effective health services by prioritizing the interests of patients in accordance with hospital service standards. The purpose of this study was to analyze the factors that influence nurse compliance in the application of hand hygiene. The study design used the Alitic survey method with a cross sectional approach. The study was conducted at the inpatient installation of Gunungsitoli District Hospital. Nias Year 2018. The population in this study was 165 people. The sample was set as many as 117 respondents. Data analysis was univariate, bivariate and multivariate using Chi Square test at 95% confidence level (P <0.05) and logistic regression. The results showed that there was a knowledge relationship with a value of 0.042 and a motivation with a value of 0.028 significantly on the nurses' compliance in carrying out hand hygiene. The results of the logistic regression test analysis showed that the most dominant variables affecting nurses' adherence in doing hand hygiene were the motivation variables at the odds value ratio (B) 2,363. The conclusion of the study that the variables that most dominantly influence nurses' adherence in doing hand hygiene are motivation variables. It is recommended to the hospital to be able to provide support and rewards for nurses who carry out hand hygiene compliance so that it is more compliant in doing hand hygiene

    HUBUNGAN STATUS GIZI DENGAN USIA MENARCHE PADA REMAJA PUTRI DI SMP NEGERI 1 LABUHAN DELI KABUPATEN DELI SERDANG TAHUN 2018

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    Menarche is the first age of menstruation, currently tends to be earlier when compared to the previous generation and applies to all teenagers. Early age of menarche will have an increased risk of cancer and cause early pregnancy. In the United States, The average age of menarche was more than 14 years before 1900 and between 1988 and 1994 decreased to 12.43 years. The purpose of this study to determine the relationship between nutritional status and average menarche in tenagegirls in SMP Negeri 1 Labuhan Deli Deli Serdang District in 2018. The research design was an analytical survey with a cross sectional approach which aim to determine the relationship between nutritional status and tenage girls of menarche in SMP Negeri 1 Labuhan Deli in 2018. The population was 137 female students who experienced menarche. Sampling in this study use the total of population, The entire population of 137 female students. The results showed that the majority of nutritional status was found in the normal category (> 18.0-25.0), the majority of menarche was obtained at the age of 11-13 years and the chi-square test results obtained p = 0.000 (p <0.05) . So that there is a relationship between nutritional status and age of menarche. The conclusion of this study there is a relationship between nutritional status and age of menarche. For health workers are expected to provide information to young women to know good nutrition and enough to be consumed by their bodies. Nutritional status is said to be good if the nutrients needed for protein, fat, carbohydrates, minerals and vitamins and water are used as needed

    HUBUNGAN PEMBERIAN IMUNISASI TETANUS TOXOID PADA IBU HAMIL DENGAN KEJADIAN INFEKSI TETANUS PADA BAYI BARU LAHIR DI PUSKESMAS SOSOPAN KECAMATAN SOSOPAN KABUPATEN PADANGLAWAS TAHUN 2018

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    The WHO data in 2017, the global occurrence of tetanus in the world roughly ranges from 0.5 to 1 million cases and neonatal tetanus accounts for around 50% of tetanus deaths in developing countries. Immunization during pregnancy is very important to prevent diseases that can cause maternal and fetal death. Administration of Tetanus Toxoid (TT) immunization means giving immunity to tetanus to pregnant women and their babies. The aim of this study was to determine the relationship between tetanus toxoid immunizations in pregnant women with the occurrence of tetanus infection in neonatal at Sosopan Health Center, Sosopan Sub District of Padang Lawas District. The research method of this stidy uses an analytical survey design with a cross sectional approach. The populations of this study were all pregnant women who received TT immunization and those who did not receive TT immunization at Working Area of Sosopan Health Center as many as 270 respondents. The sampling technique used the Slovin formula in getting a total of 73 respondents. The data collection techniques used secondary data or medical records. The data analysis techniques was tested by using chi-square α = 0.05 The results of the study were from 73 respondents who received TT immunization as many as 31 respondents and who did not get TT immunization as many as 42 respondents. Infants affected by 16 respondents and those who were not infected 57 respondents. The chi-square test results were p value = 0,000. The conclusion of this study shows that there is a significant relationship between TT immunizations in pregnant women with the occurrence of tetanus infection in neonatal at Sosopan Health Center, Sosopan Sub District of Padang Lawas District. It is expected to the health workers to provide knowledge and counseling to pregnant women about TT immunization regarding the side effects and risks that can occur if it is not given

    PENGARUH PIJAT OKSITOSIN TERHADAP PENINGKATAN PRODUKSI ASI PADA IBU POST PARTUM DI KLINIK NIAR TAHUN 2018

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    The World Health Organization (WHO) in 2015 resulted in a percentage of infants who were exclusively breastfed for 6 months from 2007-2014 in the African region 36%, in the Eastern Mediterranean region 40%, and in the Wester Pacitic region 20%. The way to improve milk ramificcation was by doing massage oxytocin to stimulate hypophysis and posterior hemorrhage so that it released hormone- oxytocin, concluding that the oxytocin was used to increase the production of beast milk and for uterine contractions after birth in preventing postpartum bleeding. The porpose of this study is to find out the differece before the average and after massege massage is an increase in breastmilk in Medan clinic in 2018 The design of the study used the medhod of your experiment (Quasi Experiment) with the approach used in this study is the design of interpretation and posttes without control group. The sampling technique uses purposive sampling with the number of respondents 20 hours of part-time to 4 -40 days. Univariate and bivariate data analysis. The results showed that the value before massage was 16.50 while the value after massage was 32.00. The average value of breastmilk produce before the test (massage) with a p value of 0,05 with an average number of .00. While after the oxytocin massage test the p value was 10.00 with an average number of 190.00. The conclusion of this study showed that the experimental test results have a significant probability value of sig p = 0.000 or < sig value α = 0.05. This proves that there is a significant difference in milk production between before and after oxytocin massage. It is advisable for health workers, especially at the Niar clinic so that this research becomes an input in efforts to increase breast milk production in newborns

    FAKTOR YANG BERHUBUNGAN DENGAN KUNJUNGAN K4 DI PUSKESMAS LAWE PERBUNGA KECAMATAN BABUL MAKMUR KABUPATEN ACEH TENGGARA TAHUN 2018

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    The basis for pregnancy is normally normal, and resulting in a normal birth, sometimes it is incompatible with what is expected. Pregnancy can be a major problem for thousands of health checks and inadequacies are carried out, starting from K1 examination to K4 examination. Antenatal Care visits (ANC) are needed by the body for growth and development and growth is required for the development of a peaceful pregnancy to deal with the danger or complication of the massacre. According to the World Health Organization (WHO), in 2015 all over the world there were estimated deaths of 303,000 or around 216 / 100,000 live births (KH). The purpose of this is to determine the relationship between factors of K4 visits in pregnant women. The research design uses cross-sectional approach. The population of this study was third trimester pregnant women which performs K4 visit at Lawe Parbunga Health Center. The sampling used a total sampling technique. The data was processed by using univariate analysis and bivariate analysis, and the samples were 30 people. The results of the study were obtained by factors related to K4 visits at Lawe Perbunga Health Center, Babul Makmur Sub District, Southeast Aceh District, which was viewed from basic education 6 people (20.0%), intermediate 11 (36.7%), height 13 (43.3%), factors of good knowledge 3 people (10.0%), just 1 person (36.7%), less than 16 people (53.3%), from the support factor of husbands who supported as many as 9 people (30.0%), did not support 21 people (70.0%). The conclusion of this study shows that there is a significant relationship between education, knowledge, and husband's support with K4 visits in pregnant women of the third trimester. It is suggested to the health personnel to improve counseling and extension of life regarding its importance to carry out visits to the third trimester of pregnancy

    HUBUNGAN KEBIASAAN MAKAN DENGAN STATUS GIZI BALITA USIA 36-59 BULAN DI POSYANDU ANGGREK DESA PALU MANIS KECAMATAN GEBANG KABUPATEN LANGKAT TAHUN 2018

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    Status gizi memiliki pengaruh yang sangat besar dalam mewujudkan sumber daya manusia yang berkualitas dimasa yang akan datang. Status gizi berhubungan dengan kecerdasan anak. Pembentukan kecerdasan pada masa usia dini tergantung pada asupan zat gizi yang diterima. Semakin rendah zat gizi yang diterima, semakin rendah pula status gizi dan kesehatan anak.Gizi buruk, kurang dan baik pada masa bayi dan anak-anak terutama pada umur di bawah 5 tahun dapat mengakibatkan terganggunya pertumbuhan jasmani dankecerdasan anak.Tujuan penelitian ini adalah untuk mengetahui kebiasaan makan dengan status gizi balita usia 36-59 bulan di posyandu anggrek desa paluh manis kecamatan gebang kabupaten langkat tahun 2017. Jenis penelitian dalampenelitian ini adalah survey analitik kuantitatif dengan menggunakan desain studi cross sectional study.Jumlah populasi sebanyak 40 responden dengan sampel yang akan diteliti sebanyak 35 responden dengan menggunakan desain penelitian survei analitik dan tehnik pengambilan asidental sampling. Dari hasil penelitian 35 responden, sebagian besar responden memiliki gizi kurang yaitu sebanyak 20 responden (57,1%), status gizi buruk yaitu sebanyak 1 reponden (2,9%) dan status gizi baik yaitu sebanyak 14 responden (40,0%). Hasil uji statistic dengan menggunakan Chi-Squre di dapatkan nilai p-value 0,000<0,05. Kesimpulan penelitian ini bahwa ada hubungan kebiasaan makan dengan status gizi balita usia 36-59 bulan. Disarankan bagi tenaga kesehatan agar memberikan penyuluhan tentang pentingnya kebiasaan makan dengan status gizi pada balita usia 36-59 bulan

    HUBUNGAN PENGETAHUAN DAN SIKAP REMAJA PUTRI DENGAN PENANGANAN NYERI HAID (DISMENOREA) DI SMP PAB 2 HELVETIA MEDAN TAHUN 2018

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    Reproductive health problems in adolescents are still a problem that needs attention especially during menstruation, menstrual pain often occurs (dysmenorrhea). In the United States, the incidence of dysmenorrhea reaches 45% - 90%, while in Indonesia it ranges from 43% - 93%. Dysmenorrhea can be caused due to lack of knowledge and attitude of the Young Women in carrying out the treatment when experiencing menstrual pain. The purpose of this study was to determine the relationship between knowledge and attitudes of young women with menstrual pain management (dysmenorrhea) in SMP PAB 2 Helvetia Medan in 2018. The design of this study was an analytical survey with a cross sectional approach. The population in this study were all female adolescents of SMP PAB 2 who experienced dysmenorrhea during menstruation totaling 43 people. Sampling used the entire population, and the data used are primary data, the analysis used univariate and bivariate analysis. The results showed that of 43 young women carried out data analysis with Chis-quare results obtained that at the level of knowledge there is a p-value of .001 (p < α = .05), the attitude there is a p-value of .045 (p < α = .05). The conclusion of this study there is a relationship between knowledge and attitudes of young women with treatment of dysmenorrhea in SMP PAB 2 Helvetia Medan in 2018. It is expected for young women to increase their knowledge and seek information about the treatment of dysmenorrhea, so that they can help young women to deal with dysmenorrhea

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