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THE ANALYSIS PREPAREDNESS SEMBIRING GENERAL HOSPITAL DELI TUA, DELI SERDANG REGENCY FOR FACING DISASTER Afrilius Simanjuntak; Herlina J. El-Matury; Megawati Sinambela; Jon Piter Sinaga; Saiful Batubara
Jurnal Penelitian Kesmasy Vol 4 No 1 (2021): Jurnal Penelitian Kesmasy
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpksy.v4i1.755

Abstract

Indonesia as a country with a high risk of disaster needs to prepare hospital health facilities with an optimal level of preparedness. This study aims to analyze the preparedness of the Sembiring Deli Tua General Hospital in dealing with disasters based on the 2nd edition of the Hospital Safety Index (HSI) instrument issued by WHO in 2015 in Indonesian language which is validated. This study uses a mixed method, which combines quantitative and qualitative methods to answer the research objectives. The key informants in this study were the Deputy Director of the Sembiring Deli Tua Hospital in the field of General Administration and Human Resources, and tough informants from a number of hospital employees who were related to the research topic. The research begins with an assessment of the preparedness of the Sembiring Deli Tua Hospital with the HSI instrument. The results of the assessment are analyzed based on Structural Elements, Non-Structural Elements, and Elements of Emergency and Disaster Management. Further analysis is carried out by verifying the results of the assessment with observational data, in-depth interviews, and reviewing documents to reveal things that are considered important to answer research problems.Based on the analysis of Structural Safety Elements with an HSI score of 1 including level A (ready to face disasters), Non-Safety Structural Elements with a score of 0.952 including level A (ready to face disasters), and Emergency and Disaster Management Elements with an HSI score of 0.763 including the level category A (ready to face disaster). Based on the analysis of these three elements, it was found that the Sembiring Deli Tua General Hospital had a total HSI score of 0.938, including the level A category (ready to face disasters).
PENGARUH INHALASI SEDERHANA MENGGUNAKAN AROMATERAPI DAUN MINT (MENTHA PIPERITA) TERHADAP PENURUNAN SESAK NAFAS PADA PASIEN TUBERCOLOSIS PARU DI PUSKESMAS Vitrilina Hutabarat; Stefani Anastasia Sitepu; Megawati Sinambela
JURNAL ILMIAH DHDT - KEBIDANAN Vol 2 No 1 (2019): Jurnal Penelitian Kebidanan & Kespro
Publisher : Fakultas Kebidanan Institut Kesehatan Deli Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpk2r.v2i1.101

Abstract

Background: Simple inhalation is a method of treatment by giving the drug in the form of vapor directly to the respiratory tract to the lungs. Shortness of breath in pulmonary tuberculosis will be found in advanced disease, where the filtration is half the lung. This symptom is found in the lung parenchymal damage is extensive. Therefore found a way to reduce shortness of breath, one of them with simple inhalation using aromatherapy mint leaves (Mentha Piperita). This study aims to determine the effect of simple inhalation using aromatherapy mint leaves (Mentha Piperita) on decreasing shortness of breath in pulmonary tuberculosis patients. Method: This study uses one group pre-test and post-test design. In this study, the data were analyzed by the T-independent test. Result: Based on the T-independent test results, the treatment group shows that there is a simple inhalation using aromatherapy mint leaves (Mentha Piperita) to decrease breathlessness in pulmonary tuberculosis patients. Looking at the results of this study, simple inhalation using aromatherapy mint leaves (Mentha Piperita) can be used as a non-pharmacological therapy to reduce clinical symptoms of tuberculosis, namely shortness of breath.
PENGARUH TEKNIK RELAKSASI HYPNOBIRTHING TERHADAP PENURUNAN RASA NYERI KALA I PERSALINAN NORMAL PADA PRIMIPARA DI RUMAH SEHAT KASIH BUNDA KEC MEDAN SELAYANG TAHUN 2019 Eka Sriwahyuni; Andani Barus; Megawati Sinambela
JURNAL ILMIAH DHDT - KEBIDANAN Vol 2 No 1 (2019): Jurnal Penelitian Kebidanan & Kespro
Publisher : Fakultas Kebidanan Institut Kesehatan Deli Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpk2r.v2i1.111

Abstract

Hypnobirthing is one of the hypnosis techniques (self-hypnosis), which is a natural effort to instillpositive intentions/suggestions into the soul / subconscious mind during pregnancy and childbirthpreparation. Primipara is a woman who gives birth for the first time and tends to experience moreintense pain than multiparas. The only practice of midwives in the city of Medan that useshypnobirthing is Rumah Sehat Kasih Bunda. This study was conducted to determine the effect ofhypnobirthing relaxation techniques on decreasing pain in the first stage of normal labor inprimipara in Rumah Sehat Kasih Bunda in 2019. This study was a Quasi Experiment with thePretest-Postest design with a control group. The number of samples was ten people, namely fiverespondents as experiments and five respondents as controls. The sampling procedure uses anaccidental sampling technique — retrieval of data using questionnaires. Data analysis carried outby univariate and bivariate with the t-independent test. The results showed that there was aneffect of hypnobirthing relaxation techniques on normal labor because there was a decrease inpain in the first stage of normal labor in primiparas after hypnobirthing did. We recommend thatpregnant women and mothers who will give birth take classes for pregnant women who not onlyfocus on pregnancy but also about hypnobirthing and are advised to use hypnobirthing relaxationtechniques to reduce pain in the first stage of labor.
ANALISI FAKTOR YANG BERHUBUNGAN DENGAN PENERIMAAN IBU TERHADAP IMUNISASI MR PADA MURID SEKOLAH DASAR Erni Aisyah Hasibuan; Megawati Sinambela
JURNAL ILMIAH DHDT - KEBIDANAN Vol 2 No 2 (2020): Jurnal Penelitian Kebidanan & Kespro
Publisher : Fakultas Kebidanan Institut Kesehatan Deli Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpk2r.v2i2.242

Abstract

The promotion of Measles Rubella immunization campaign is a government strategy to achieve elimination of measles and rubella by 2020. This immunization is targeting all Indonesian children between the ages of nine months and 15 years and will aim to reach 95% immunization coverage. Not all parents receive the MR immunization program. Air Merah Village is one of the villages that reject high immunization. This study is aimed to analyze the factors associated with mother’s acception of measles rubella immunization at primary school children of 112245 primary school at Air Merah Village, Kampung Rakyat Sub-district, South Labuhanbatu Districts. This study is a quantitative study with descriptive analytics method. This study uses Consecutive sampling techniques and the data are collected using questionnare with interview method. Data analysis procedure of this study used univariat, bivariat and multivariat with chi-square test. The result shows that 73,3% respondents did not received measles rubella immunization. The result of chi-square test show that variabel education level, job status, knowledge about measles rubella immunization, perceived susceptibility, perceived severity, perceived benefit, perceived barriers, and family supports are significantly associated with the acceptance of measles rubella immunization (p-value < 0,05). While age variableare not significantly associated with acceptance of measles rubella immunization (v-value > 0,05). Sugestion from this study, it needs to give more education about the importance of measles rubella immunization from related parties to the parents, especially for mother, to improve their awareness to join measles immunization
PENGARUH PEMBERIAN TERAPI MUSIK TERHADAP PENURUNAN INTENSITAS NYERI PADA PASIEN POST SECTIO CAESAREA Herri Novita Br Tarigan; Megawati Sinambela; Reka Novrina
Jurnal Penelitian Keperawatan Medik Vol 2 No 2 (2020): Jurnal Penelitian Keperawatan Medik
Publisher : Fakultas Keperawatan Institut Kesehatan Deli Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpkm.v2i2.210

Abstract

The World Health Organization (WHO) sets the average standard of sectio caesarean delivery in a country to be around 5-15 percent per 1000 births in the world.In Indonesia, the results of Basic Health Research in 2013 showed births with a caesarean section of 9.8% out of a total of 49,603 births from 2010 to 2013. Nursing problems that often arise in cases of post sectio caesarea are pain caused by trauma to the tissue due to tissue damage and direct irritation to the receptors. The nurse's independent action to control the pain felt by the patient is to do pain management with non-pharmacological techniques, namely music therapy. The purpose of this study was to determine the effect of music therapy on pain intensity reduction in post sectio caesarea patients. This study used a quasi-experimental design method with a non equivalent control group design. The sampling technique uses accidental sampling technique with a total sample of 32 respondents, 16 experimental groups and 16 control groups. This study used the Wilcoxon non-parametric test. The results of this study indicate the P-value (0.001) <α (0.05). The conclusion of this study is that there is an effect of music therapy on the decrease in pain intensity in post-sectio caesarea patients in the hybrid room Sembiring General Hospital.
FAKTOR-FAKTOR YANG MEMPENGARUHI HIPERTENSI PADA KEHAMILAN Megawati Sinambela; Nur Mala Sari
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol 1 No 1 (2018): Jurnal Keperawatan & Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (211.651 KB) | DOI: 10.35451/jkf.v1i1.7

Abstract

Hypertension is a state of elevated blood pressure that can lead to various complications, such as stroke, and kidney failure. Hypertension in pregnancy is a blood pressure higher than 140/90 mmHg that caused by pregnancy itself, and it has the potential to cause serious disruption in pregnancy.This study aims to determine the factors that affect hypertension in pregnancy in the Working Area of Public Center Of Pancur Batu, Pancur Batu Sub-District, Deli Serdang District In 2018, with type of quantitative research, analytie case control design. The population in this study is the total number of pregnant women who experience hypertension consisting of case and control group of 72 people. Sampling technique used Total Sampling. Data was collected by interview by using questionnaire. Data analysis was done by bivariate with Chi-Square test at 95% confidence level, α=5%.The result showed that there was influence between age (p=0,016), parity (p=0,028), obesity (p=0,018), descent (p=0,000), physical activity (p=0,000), excessive food comsumption (p=0,001), stress (p=0,031) on hypertension in pregnancy. Multivariate analysis results that the risk level of hypertension in pregnancy is affected by heredity, physical activity and excessive food consumption of 99,5%.For Pancur batu Community Health Center, Pancur Batu Subdistrict, Deli Serdang Regency, to make policy in order to give information about hypertension problem in pregnancy, danger, and how to overcome hypertension in pregnant women.
Analysis of Factors That Influence Hypertension in Community Ages 20-40 Years in The Work Area of The Habinsaran Public Health Center, Toba Regency Megawati Sinambela
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 4 No. 2 (2022): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v4i2.956

Abstract

Hypertension is often referred to as "The Silent Killer" or the silent killer which is now more common in young people. For the occurrence of hypertension, it is necessary to play the role of these risk factors together (common underlying risk factors), in other words, one risk factor alone is not sufficient to cause hypertension. The purpose of this study was to analyze the factors that influence the occurrence of hypertension in people aged 20-40 years in the work area of the Habinsaran Public Health Center, Toba Regency in 2020. This type of research is an observational study with a case control study design with a total of 46 people in the case group and 46 people in the control group. The analysis used in this research is univariate, then the bivariate test using the Chi Square test and the multivariate test using multiple logistic regression tests. The results showed that the educational factor with an OR value of 3.276 (95% CI: 1.310– 8.194) and smoking habits with an OR value of 2.788 (95% CI: 1.145– 6.788) were significant factors affecting the incidence of hypertension in people aged 20-40. Year. The factor that most influences the incidence of hypertension in people aged 20-40 years in the work area of Puskesmas Habinsaran, Toba Regency in 2020 is the factor of education. It is advisable to activate Posbindu PTM and Prolanis in the community by conducting early detection and capturing people who have a family history of hypertension so that cases can be known and handled early, especially in young people. As well as improving existing preventive programs so that they can recruit more hypertension sufferers at Habinsaran Community Health Center.
ANALISIS PEMANFAATAN FASILITAS PELAYANAN KESEHATAN KEBIDANAN PADA IBU BERSALIN Megawati Sinambela; Siti Marlina
JURNAL KEBIDANAN KESTRA (JKK) Vol 1 No 2 (2019): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (246.617 KB) | DOI: 10.35451/jkk.v1i2.123

Abstract

Health Service is a tool and or place that used to conduct health care efforts whether promotion, prevention, curation, or rehabilitation which conducted by central government, local government, and or community (PPRI No. 47 thn 2016). Observational research Methods is crossectional research design approach. The research was conducted in the Working Area Community Health Center of Kolang Tapanuli Tengah Regency. The population in this study were all maternity mothers between June to December 2017 in the work area of Health Center of Kolang Central Tapanuli Regency as many as 256 people, this research use Slovin formula, so the amount of research sample is 156 respondase.The result of Bivariate study showed that there was a significant relationship between: a) maternal age with utilization of midwifery care facility (p-= 0,001), b) there was a significant correlation between maternal education with utilization of midwifery care facility (p-= 0,001), c) there is a significant correlation between maternal job with utilization of midwifery care facility (p-= 0,002), d) there is a significant correlation between mother attitude with utilization of midwifery care facility (p-v= 0,002), e) exist (p- = 0.000,), there is a significant correlation between travel time and the utilization of health care facility of midwifery (p-= 0,000), f) there is a significant relationship between support families with utilization of midwifery care facilities (p- = 0,000), g) there is a significant relationship between means infrastructure with utilization of midwifery care facility (p-= 0,002), officer attitude factor is the most influencing factor in the utilization of midwifery health services. The supportive attitude of the officers will have a likelihood of 121 times in improving the utilization of maternal services in maternal mothers rather than the supportive attitude of the less supportive officers of maternity mothers.It is hoped that health workers community Health Center of Kolang Tapanuli Tengah can provide more information about the utilization of midwifery health service facilities to improve patient's health status and patient independence in order to utilize midwifery health care facilities Health Center of Kolang Tapanuli Tengah Regency
HUBUNGAN DUKUNGAN KELUARGA DENGAN TINGKAT KECEMASAN IBU HAMIL MENGHADAPI PROSES PERSALINAN DI KLINIK PRATAMATANJUNG KEC DELITUA KAB DELI SERDANG TAHUN 2019 Megawati Sinambela; Reisy Tane
JURNAL KEBIDANAN KESTRA (JKK) Vol 2 No 2 (2020): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (194.411 KB) | DOI: 10.35451/jkk.v2i2.378

Abstract

Family emotional support is an important factor for successful delivery time. A woman who has a harmonious relationship whith her husband will have fewer effects of emotional, physical symptoms, and complications during delivery time and adjust post-partum. Anxiety functions as a barometer to measure the level of social support. The purpose of this research is to know the relationship between the anxiety of pregnant women and the family support for delivery time at the Pratama Tanjung Clinic, Kec. Deli Tua, Kab. Deli Serdang. The method of this research is a servei analitik with cross sectional and technique for collecting sample is Aksidental sampling. The results test that showed there was a significant relationship between family support with the anxiety of pregnant women with P value = 0,020 (P < 0,05) of this research is using the chi-square conclusion the result showed that trere was a significant relationship between the anxiety of pregnant women and the family support for delivery time at pratama tanjung clinic suggestion pregnant women must always control her pregnance and expected to her families to accompany both at home and at the time for checking her pregnancy.
ANALISIS FAKTOR - FAKTOR YANG MEMPENGARUHI IBU HAMIL TERHADAP PEMERIKSAAN ANTENATAL CARE (ANC) SELAMA PANDEMI COVID-19 DI PUSKESMAS TALUN KENAS TAHUN 2020 Megawati Sinambela; Eva Solina
JURNAL KEBIDANAN KESTRA (JKK) Vol 3 No 2 (2021): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v3i2.604

Abstract

Pemeriksaan Antenatal Care (ANC) merupakan pemeriksaan dengan tujuan mengoftimalkan kesehatan mental dan fisik ibu hamil untuk menghadapi persalinan, masa nifas, menyusui sampai kembalinya kesehatan reproduksi. Khususnya pada masa pendemi Covid-19 pemeriksaan Antenatal Care (ANC) harus tetap dilaksakan untuk memantau kesehatan ibu dan bayi. Dalam pemeriksaan Antenatal Care (ANC) ini ada faktor yang mempengaruhinya yaitu : umur, pendidikan, pekerjaan, pemgetahuan, dan sikap. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang mempengaruhi ibu hamil terhadap pemeriksaan Antenatal Care (ANC) selama pandemi Covid-19 di Puskesmas Talun Kenas Tahun 2020. Jenis penelitian kuantitatif dengan pendekatan cross sectional yang bertujuan untuk menganalisis faktor-faktor yang mempengaruhi antara variabel bebas dan variabel terikat dalam melakukan pemeriksaan Antenatal Care (ANC) selama pandemi Covid-19 di Puskesmas Talun Kenas Tahun 2020. Populasi penelitian ini adalah seluruh ibu hamil TM 3 yang berada di Pusksmas Talun Kenas berjumlah 153 orang, sampel berjumlah 60 orang dengan menggunakan kuesioner. Hasil penelitian didapat variebel yang berpengaruh terhadap pemeriksaan Antenatal Care (ANC) selama pandemi Covid-19 adalah : umur (p value = 0,002), pendidikan (p value = 0,004), pekerjaan (p value = 0,002), pengetahuan ( p value = 0,000), sikap (p value = 0,001). Disarankan kepada responden agar tetap melakukan pemeriksaa Antenatal Care (ANC) selama pandemi Covid-19 dengan mematuhi protokol kesehatan dan bagi tenaga kesehatan agar tetap melakukan pemantauan dan kunjungan rumah ibu hamil