37 research outputs found
SK dan BA Ujian Proposal An. Rotua Sumihar Sitorus
Full text linkSK dan BA Ujian Proposal An. Rotua Sumihar Sitoru
SK dan BA Ujian Prelim An. Rotua Sumihar Sitorus
Full text linkSK dan BA Ujian Prelim An. Rotua Sumihar Sitoru
Basic Training on Patient Fall Risk Assessment to Improve Patient Safety at Pamela Tebing Tinggi Hospital
No full textPatient safety is key indicator of hospital service quality, one of which related to tprevention falls, which are still common in inpatient units. Falls can cause injury, prolong the length of stay, and increase service costs, thus requiring systematic prevention efforts. One of the main prevention strategies assessing risk of falling patients using standardized instruments, but its implementation is highly dependent on the competence of healthcare workers. This community service activity aims to improve the knowledge and skills of nurses in conducting fall risk assessments through basic training at Pamela Hospital, Tebing Tinggi. The activity method uses an educational training design with a one-group pretest–posttest approach. The activity was carried out through interactive lectures, discussions, and simulations using the Morse Fall Scale, with 30 inpatient nurses participating. Evaluation was carried out using pre-tests and post-tests to measure knowledge gains, as well as practical observations during the simulation. The results of activity showed significant increase in knowledge, where good knowledge category increased from 20% (6 people) in pre-test to 73.3% (22 people) in post-test. Conversely, knowledge category decreased from 33.3% (10 participants) to 0%, and the knowledge category decreased from 46.7% (14 participants) to 26.7% (8 participants). Furthermore, participants demonstrated improved skills and confidence in systematically assessing patient falls. Basic training in patient falls risk assessment has been shown to effectively improve nurse competency and has the potential to support improved patient safety. This activity is recommended ongoing implementation as part of the hospital's quality and patient safety program
HUBUNGAN POLA HIDUP DENGAN HIPERTENSI PADA PASIEN HIPERTENSI DI LINGKUNGAN III SEI PUTIH TIMUR II WILAYAH KERJA PUSKESMAS RANTANG MEDAN
No full textPatterns and lifestyles in the community such as being overweight due to lack of exercise, smoking at the age of 40 years into the causes of impaired blood pressure so it does not smoothly circulate throughout the body. It becomes the cause of high blood pressure or hypertension is often referred to. The purpose of this study to determine the relationship of lifestyle with hypertension in patients with hypertension in the Environment III Sei East White II Puskesmas Rantang Medan 2014. This research is analytic survey with cross sectional design. The population in this study were all patients with hypertension in the third as many as 30 people. The samples in this research is to use a total sampling of 30 people. The results of the study based on the age of the calculation results obtained are X²hitung 8.892> 5.591 X²tabel then Ha accepted. Based on the results of the calculation of the weight gained is X²hitung 0.436 <X²tabel 5.991, then Ha rejected. Based on the obtained results of the calculation are smoke X²hitung 18.182 <X²tabel 16.919, then Ha accepted. The conclusion is that there is a relationship between the age and rerokok against hypertension and no correlation between body weight against the occurrence of hypertension in the Environment III Sei East White II Puskesmas Rantang Medan Year 2014. It is expected for the elderly in order to improve healthy lifestyles and exercise reduce fatty foods in order to prevent the occurrence of hypertension
The Effectiveness of Nutrition Education by Health Workers on Improving Knowledge and Attitudes of Pregnant Women in Stunting Prevention
Full text linkBackground: Stunting remains a major public health issue in Indonesia, with long-term effects on children’s development. Nutrition education for pregnant women is a crucial early intervention strategy for stunting prevention. Objective: This study aimed to analyze the effectiveness of nutrition education by health workers in improving pregnant women’s knowledge and attitudes toward stunting prevention. Research Methods: A quantitative study with a cross-sectional approach was conducted among 96 pregnant women in the Lubuk Pakam Health Center area. Data were collected through questionnaires and analyzed using chi-square tests and multivariate logistic regression. Results: Most participants received good nutritional education (60.42%), had high knowledge (54.17%), and showed positive attitudes (64.58%). Good nutrition education significantly increased the odds of having high knowledge (OR = 2.90; p = 0.004) and positive attitudes (OR = 3.29; p = 0.002). Conclusion: Nutrition education is effective in improving knowledge and attitudes of pregnant women regarding stunting prevention. Structured and accessible nutrition education should be strengthened in antenatal care services
Perilaku Masyarakat dalam Pencegahan Penyakit Demam Berdarah Dengue di Puskesmas Medan Johor Kota Medan Tahun 2009
No full textSince the prevention of Dengue Hemorrhage Fever (DHF) is based on breaking the spreading chain of this disease, community's participation is needed very much to be able to increase the success in the implementation of breaking the spreading chain of DHF. This community's participation is influenced very much by the individual's knowledge and attitude. The purpose of this qualitative study with phenomenological method conducted in the working area of Medan Johor Community Health Center in Medan from February to May 2009 is to analyze the behavior of 6 (six) families in their attempt to prevent the DHF. The informants for this study were the fathers, mothers and the children belonged to the research subject, head of neighborhood, health cadres, and the health workers who were directly involved in the DHF prevention program. The data for this study were the obtained through observation and depthinterviews. The data obtained were analyzed through ?on-going analysis" technique. The result of the study shows that knowledge and attitude toward the DHF prevention in the activities of cleaning the house and its environment as well as using mosquito repellent. If any of the members of a family is suffering from DHF, fogging is regarded one of the activities that can kill the mosquitoes spreading the DHF. The knowledge and attitude belong to a family are still influenced by various factors that can impede the family to take action according to the knowledge they have. Community's participation supported by the involvement of health cadres, head of neighborhood, Family Welfare Education (PKK), public figures, religious leaders, and inter-sectoral relationship supports the success of DHF prevention program very much.Pecegahan penyakit demam berdarah didasarkan atas pemutusan rantai penularan penyakit ini. Peran serta masyarakat sangat diperlukan untuk dapat meningkatkan keberhasilan pelaksanaan kegiatan pemutusan rantai penularan penyakit DBD. Keterlibatan masyarakat sangat dipengaruhi oleh pengetahuan dan sikap yang dimiliki masing-masing individu. Penelitian ini dilakukan dalam bentuk penelitian kualitatif dengan metode fenomenologi pada enam keluarga yang pernah dan belum pernah menderita penyakit demam berdarah pada wilayah kerja Puskesmas Medan Johor Kota Medan. Adapun tujuan penelitian ini untuk perilaku keluarga dalam pencegahan penyakit demam berdarah dengue. Tehnik pengumpulan data dilakukan dengan cara pengamatan dan wawancara mendalam. Penelitian dilakukan selama Februari ? Mei 2009. Informan dalam penelitian ini ayah, ibu dan anak-anak dari subjek penelitian, kepala lingkungan, kader kesehatan, dan petugas kesehatan yang terlibat secara langsung dalam program pencegahan penyakit DBD. Penganalisisan data dilakukan dengan tehnik ?on going analysis?. Hasil penelitian menunjukkan bahwa pengetahuan dan sikap tentang kegiatan pencegahan penyakit demam berdarah pada kegiatan membersihkan rumah dan lingkungan sekitar rumah serta penggunaan anti nyamuk. Jika ada anggota keluarga yang terkena penyakit ini, maka penyemprotan/fogging dianggap merupakan suatu kegiatan yang dapat mematikan nyamuk penyebab penyakit demam berdarah. Pengetahuan dan sikap keluarga masih dipengaruhi oleh berbagai faktor yang dapat menghambat keluarga untuk bertindak sesuai dengan pengetahuan yang dimilikinya. Peran serta masyarakat, dengan didukung oleh keterlibatan kader, kepala lingkungan, PKK, tokoh masyarakat, tokoh agama dan lintas sektor sangat menunjang keberhasilan program PSN-DBD.88 HalamanTesis Magiste
HUBUNGAN FAKTOR INTRINSIK DAN EKSTRINSIK DENGAN RISIKO JATUH LANSIA DI WILAYAH KERJA PUSKESMAS MEDAN SUNGGAL
No full textElderly people are prone to risk falling due to morphological changes in muscles, causing muscle functional changes. Elderly residing in the working area of Puskesmas Medan Sunggal at risk of falling can be influenced by intrinsic factors, namely the history of the disease and extrinsic factors such as the condition of the home environment. The purpose of this study was to determine the relationship of intrinsic and extrinsic factors with the risk of falling elderly in the working area of Puskesmas Medan Sunggal. This type of analytic research with cross sectional approach. The population is all elderly aged ≥60 years 143 people and and the sample is 60 people. The sampling technique was purposive sampling. Data were analyzed with the Spearman correlation test. The results showed intrinsic factors so that the elderly avoid the risk of falling are categorized as good (38.5%) and extrinsic factors are sufficient category (53.3%) and low risk of elderly falls (40%). The statistical results show that there is a relationship between intrinsic and extrinsic factors with the risk of falling elderly with a strong enough relationship, that is r = 0.483; r = 0.404 (Strong enough) and p values of 0.000 <0.05 and 0.001 <0.05. It can be concluded that relationship between intrinsic and extrinsic factors with the risk of falling elderly so that nurses provide education to the elderly and family about environmental conditions or a healthy and safe home page, the elderly's daily activities and maintaining and health care related to generative disease
Influence of Health Promotion on Infant and Young Child Feeding (IYCF) Behavior by Mothers of Toddlers
Full text linkBackground: Malnutrition in infants and young children, especially stunting, remains a major public health challenge in Indonesia. Health promotion is believed to improve appropriate Infant and Young Child Feeding (IYCF) practices. Objective: To analyze the influence of health promotion on IYCF behavior among mothers of toddlers in the working area of Lubuk Pakam Health Center. Research Methods: This was a quantitative analytic study with a cross-sectional design. A total of 120 mothers with children aged 6–24 months were selected using purposive sampling. Data were collected through structured questionnaires and analyzed using Chi-square tests. Results: About 70% of respondents had received health promotion, mainly through Posyandu (60.7%). Most mothers (62.5%) demonstrated good IYCF practices. A significant relationship was found between health promotion and IYCF behavior (p=0.0001). Conclusion: Health promotion significantly influences improved IYCF practices. Strengthening community-based health promotion, improving maternal nutrition literacy, and optimizing primary health care services are crucial for enhancing IYCF practices and reducing stunting rates
MODEL EDUKASI CERDAS DIGITAL RoSi BAGI KADER SEBAGAI UPAYA PENCEGAHAN DINI KEJADIAN STUNTING PADA BALITA
Full text linkTubuh pendek (stunting) merupakan masalah gizi yang dihadapi di Indonesia. Hal ini menjadi penting karena menyangkut sumber daya manusia dimasa yang akan datang. Dampak stunting tidak hanya segi kesehatan tetapi juga memengaruhi tingkat kecerdasan anak.Saat ini, pemerintah berusaha menanggulangi stunting dengan upaya intervensi gizi spesifik. Agar program tersebut dapat berjalan dengan efektif maka upaya pencegahan dini kejadian stunting pada balita penting untuk dilakukan dengan melibatkan kader melalui edukasi. Melalui penelitian ini, ditawarkan model edukasi bagi kader yaitu model edukasi cerdas digital RoSi dalam bentuk Modul dan website stunting untuk meningkatkan kemampuan kader dalam memprediksi ibu berisiko melahirkan balita stunting, dan ibu balita memiliki balita stunting. Penelitian bertujuan untuk mengetahui faktor-faktor yang memengaruhi ibu berisiko melahirkan balita stunting, mengetahui faktor yang paling dominan, mengetahui pelaksanaan tugas kader dalam gerakan 1000 HPK dalam upaya pencegahan dini kejadian stunting pada balita, mendeskripsikan penerapan model edukasi cerdas digital RoSi dan mengetahui perubahan perilaku kader setelah penerapan model edukasi cerdas digital RoSi. Penelitian ini menggunakan metode mix method, paduan pendekatan kualitatif dan kuantitatif dengan pendekatan case control survei ibu dan quasi experiment survei kader. Pengumpulan data melalui penyebaran kuesioner, wawancara dan observasi. Tahapan penelitian terdiri: tahap I survei ibu dan kader, tahap II pembangunan model RoSi, tahap III operasional model RoSi dan tahap IV evaluasi penerapan model RoSi. Sampel survei ibu adalah 30 orang kasus (balita stunting) dan 30 orang kontrol di Puskesmas Sering Kecamatan Medan Tembung. Metode analisis secara univariat, bivariat dan multivariat menggunakan uji regresi logistik berganda. Hasil penelitian: tahap I diperoleh pengetahuan ibu pada kelompok kasus kurang (60,5%) lebih banyak dibandingkan pada kelompok kontrol (39,5%). Sikap ibu pada kelompok kasus negatif (62,5%) lebih banyak dibandingkan pada kelompok kontrol (37,5%). Tindakan ibu pada kelompok kasus kurang baik (59,5%) lebih banyak dibandingkan pada kelompok kontrol (40,5%). Pendapatan keluarga ibu pada kelompok kasus di bawah nilai UMR (62,5%) lebih banyak dibandingkan pada kelompok kontrol (37,5%). Dukungan keluarga ibu pada kelompok kasus kurang mendukung (63,4%) lebih banyak dibandingkan pada kelompok kontrol (36,6%). Dukungan tenaga kesehatan pada ibu kelompok kasus kurang mendukung (60,5%) lebih banyak dibandingkan pada kelompok kontrol (39,5%). Dukungan kader posyandu pada ibu kelompok kasus kurang mendukung (62,2%) lebih banyak dibandingkan pada kelompok kontrol (37,8%). Pengetahuan, sikap, pendapatan keluarga, dukungan keluarga, dukungan kader berpengaruh terhadap ibu berisiko melahirkan balita stunting. Dukungan keluarga kurang baik berpeluang 12,644 kali ibu berisiko melahirkan balita stuntingsebagai faktor dominan. Sampel survei kader 84 orang di Puskesmas Sering dan Puskesmas Medan Deli dipilih secara berimbang. Data dianalisis secara univariat dan bivariat menggunakan uji Cohen’s Kappa. Pelaksanaan tugas kader dalam gerakan 1000 HPK sebagai upaya pencegahan dini kejadian stunting pada balita dilaksanakan sesuai deskripsi tugas pada meja 1, 2, 3 dan 4 kecuali meja 5 dikelola bidan, tetapi kasus balita stunting di daerah penelitian masih
iv
tinggi karena penyuluhan ke masyarakat belum merata. Hasil penelitian penerapan model edukasi cerdas digital RoSi bagi kader dilakukan melalui ceramah, diskusi dan demonstrasi. Hasil perubahan perilaku kader setelah penerapan model RoSi mengalami perubahan, dari 42,9% pengetahuan baik meningkat 65,5% setelah intervensi, 36,9% sikap postif meningkat 63,1%, 36,9% tindakan baik meningkat 64,3%. Hasil uji statistik diperoleh ada kebermaknaan antara pengetahuan (p 0,003), sikap (p 0,037) dan keterampilan kader (p 0,004) sebelum dan sesudah penerapan model edukasi cerdas digital RoSi. Hasil evaluasi model RoSi ada beberapa kelemahan yaitu butuh jaringan internet, harus memiliki smartphone dan ibu tidak rutin berkunjung. Kelebihannya mudah diakses, memudahkan tugas kader memprediksi ibu yang berisiko, model mudah dipahami karena disertai buku petunjuk operasional. Kesimpulan: bahwa model edukasi cerdas digital RoSi mampu meningkatkan perilaku kader dalam upaya pencegahan dini kejadian stunting pada balita. Disarankan kepada pemerintah dan pihak-pihak terkait semakin meningkatkan pelaksanaan dan pengawasan upaya pencegahan dini kejadian stunting pada balita semaksimal mungkin
PENYULUHAN TENTANG POLA HIDUP SEHAT DI KELURAHAN TANJUNG GUSTA
No full textA healthy lifestyle is the effort of everyone who wants to be healthy, namely by paying attention to a healthy lifestyle so that the body is always protected from various diseases. But also have to practice it. With a healthy lifestyle, your body will always be healthy and look fresh and fit. The general objective of this counseling is to help people improve their health status by instilling a healthy lifestyle. The method used in the activity goes through a series of stages, including counseling / education. This program is very useful and brings results for people, especially those who have not implemented a healthy lifestyle. The results achieved by this program began with data collection, deliberations with community leaders and also checking the location to continue to motivate the community to keep the spirit of improving their health. Many people support this program so that it motivates them to improve their health
