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Pulmonary Tuberculosis and Influential Factors in the Working Area of Puskesmas Darul Imarah Kabupaten Aceh Besar 2015-2016 Rosdiana, Eva; Ginting, Daniel; G., Vierto Irennius
JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Vol 4, No 1 (2018): April 2018
Publisher : Universitas Ubudiyah Indonesia

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Tuberculosis is one of the ten causes of death throughtout the world. Indonesia is ranked the third of tuberculosisin 2015 after China and India. It is still abigÂ problem in the developing countries. The results of the survey in Darul Imarah Puskesmas in 2016 found that the case increased from the previous year to 42 cases in which 2 of them were relapse cases, 2 of the died and one of them extra pulmonary tuberculosis. The objective of the research was to find out some factors which influenced the incidence of pulmonary tuberculosis the research used mixed method (quantitative-qualitative) with case-control design. The samples were 41 respondents in case group dan 41 respondents in control group (the ratio of 1:1), taken by using simple random sampling technique. Chi square test was used for statistic test at the significance level of 95%; the data were analyzed by using multivariate analysis with logistic regression test. The result of the research showed that there was the influence of the variable of ventilation at p-value = 0.008 and OR = 3.801 (95%CI: 1.345-12.393) and the variable of smoking habit at p-value = 0.004 and OR = 10.676 (95%CI: 2.120-53.748). The result of multivariate analysis showed that the variable which the most dominant influence was smoking habit at p-value = 0.008 and OR = 9.822 (95%CI: 1.833-52.614) which indicated that a person who had smoking habit, and ventilation and lighting which had not fulfilled the requirement would have 81.9% of the opportunity to have the risk for being affected by tuberculosis. It is recommended that the health care providers at Puskesmas provide counseling about tuberculosis and eliminate peopleâs stigma about tuberculosis and help DOTS program in finding new case in tuberculosis in society so that the incidence of tuberculosis can be handled properly.Keywords: pulmonary tuberculosis, ventilation, Â smoking habit

Determine the Effect of Counseling on the Behavior and Motivation of CPA about Contraceptive Implants at Medan Sunggal Health Center in 2018 Bangun, Adriana; Ginting, Daniel; Sembiring, Rinawati
Proceeding - Sari Mutiara Indonesia International Conference on Health Vol 1 No 1 (2018): Sari Mutiara Indonesia International Conference on Health
Publisher : Sari Mutiara Indonesia University Press

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Family Planning is an effort to control the childbirth in order to realize a quality family. Implants are a means of contraception that the couples of productive age (CPA) are not interested in. Based on data obtained at Medan Sunggal Health Center, implant is the lowest after IUD. This is because there are still many CPA who are afraid to use implants because of their lack of knowledge. The Purpose of this study was to determine the effect of counseling on thee behavior and motivation of CPA about contraceptive implants at Medan Sunggal Health Center. The sampling technique was determined by Accidental Sampling method with 66 respondents. Research type was quasi-experiment with one group pretest posttest design. The results of research obtained by using T test were the value of knowledge, attitude and motivation (P value <0.001). It can be concluded that there is influence of counseling to behavior and motivation of CPA on contraceptive implants.

Increased Demand Determinants Analysis of Patient Care Class BPJS (Operator Of Social Security Agency) Non PBI (Beneficiaries Fee) Royal Prima Hospital Year 2018 Tarigan, Antje Irmella; Ginting, Daniel; Brahmana, Netti Etalia
Proceeding - Sari Mutiara Indonesia International Conference on Health Vol 1 No 1 (2018): Sari Mutiara Indonesia International Conference on Health
Publisher : Sari Mutiara Indonesia University Press

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The decision to choose the promotion of the next treatment is a petition which shows up to the health care in the National Health Insurance Indonesian era. The stipulation to promote to the next level of treatment is regulated by Presidential Regulation Number 12 in 2013 about health insurance chapter 24. In this research, the researcher found roommates Several factors influence the petition of health care. This research aims to determine the petition of the promotion to the next level of treatment to the BPJS non PSB Patients at the Royal Hospital Prima in 2018. This research uses cross sectional approach to 90 respondents. The result of this research shows us the which the significant factors influence the selection of the promotion to the next level such as the treatment of hospital facilities, the service facilities, the cost, the ease of information and the perception toward the diseases. The hospital facilities are the most decisive factor toward the petition of the promotion to the next level of treatment to the BPJS non PBI Patients at Royal Prima in 2018. It means that the facilities of the Royal Prima hospital will influence 3697 times of increasing the petition of BPJS non PBI Patients at Royal Prima hospital in 2018. In conclusion, the hospital facilities are the most decisive factor of increasing the petition of BPJS non PBI Patients to the next level of treatment at the Royal Prima Hospital in 2018. The researcher suggests to the management of hospital to provide affordable prices of VIP class.

Analysis of inhibitors of cataract surgery using phacoemulsification method At Smec Medan Hospital in 2018 Nasution, Fajarudin; Ginting, Daniel; Tarigan, Frida Lina
Proceeding - Sari Mutiara Indonesia International Conference on Health Vol 1 No 1 (2018): Sari Mutiara Indonesia International Conference on Health
Publisher : Sari Mutiara Indonesia University Press

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Cataracts are a major cause of vision and blindness not only in Indonesia but also in the world (Ministry of Health, 2015). It is estimated that more than 50% of blindness is caused by cataracts. Phacoemulsification today is more widely used because the most recent cataract surgery method and is preferred because it uses a small incision technique, this causes the incidence of complications related to lower incision wounds, faster healing and visual rehabilitation than procedures that require incisions. the greater one. Tana's research in 2009 stated that the rate of cataract surgery in Indonesia was still low, namely for the Sumatra region as much as 14%. The study aimed to analyze the inhibitors of cataract surgery using phacoemulsification method at SMEC Medan Hospital in 2018. The study was designed using a cross sectional approach in 84 respondents. The results showed that there were significant relationships between work, fearful behavior of operations, access to health services, and access to ease of information with cataract surgery with phacoemulsification methods at Smec Hospital in 2018. There was a significant relationship between behaviors feeling no need for surgery with cataract surgery procedures Phacoemulsification at Smec Hospital in 2018. Feeling afraid of surgery is the main obstacle to cataract surgery with phacoemulsification method at Smec Hospital in 2018. It is recommended for cataract patients who will be able to improve their knowledge and prepare mentally and physically well in dealing with cataract surgery, so as to reduce patient anxiety about cataract surgery better.

The Influence of Leadership Style on Inner Paramedic Commitments Implementation of Delia Hospital Accreditation Wahyudi, Harry; Ginting, Daniel
Proceeding - Sari Mutiara Indonesia International Conference on Health Vol 1 No 1 (2018): Sari Mutiara Indonesia International Conference on Health
Publisher : Sari Mutiara Indonesia University Press

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Delia Langkat Hospital is a private hospital whose owner is PT Delia Oka Arjuna and is a class C hospital. Article 40 paragraph (1) Law number 29 concerning Hospitals is stated that in an effort to improve the quality of hospital services periodic accreditation must be at least three once a year. The Delia Hospital accreditation team was formed but many paramedics refused to become members of the accreditation team. Therefore, a leadership design is needed to support the formation of paramedic commitments in accreditation activities. This study aims to analyze the influence of leadership style on paramedic commitment in the implementation of Delia Hospital accreditation in 2018. The study was designed with a cross sectional approach with a total sample of 79 paramedics. The collected data were analyzed using correlation, simple linear regression and multiple linear regression. The results showed that there were significant relationships between steering leadership style, supportive leadership style, role leadership style, achievement-oriented leadership style, caregiver leadership style with paramedic paramedic commitment in the implementation of accreditation at Delia Langkat Hospital in 2018. The conclusion of the study was leadership style achievement-oriented which has the most influence on paramedic commitment in the implementation of accreditation at Delia Langkat Hospital in 2018. It is recommended that leaders and management of hospitals need to pay attention to other factors that can influence the work spirit of paramedics such as: organization, paramedic activities, friends of the work environment itself (peer), the concept of self, personal needs, nature and work. So as to create a high commitment to paramedics.

PERBEDAAN EFEKTIFITAS METODE CERAMAH DENGAN METODE SIMULASI TERHADAP PENGETAHUAN DAN SIKAP SISWA TENTANG KESEHATAN REPRODUKSI REMAJA DI SMA NEGERI 1 BANDAR KABUPATEN SIMALUNGUN TAHUN 2015 Siregar, Linda; Ginting, Daniel; Tarigan, Frida Lina
Jurnal Kesehatan Masyarakat dan Lingkungan Hidup Vol 1 No 2 (2016): JURNAL KESEHATAN MASYARAKAT DAN LINGKUNGAN HIDUP
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

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Pada masa remaja informasi tentang masalah seksual sudah seharusnya mulai diberikan supaya remaja tidak mendapatkan informasi yang salah dari sumber yang tidak jelas.Berdasarkan wawancarayang dilakukan pada 10 orang siswa 8 orang tidak mengerti tentang kesehatan reproduksi remaja dan 2 orang mengatakan mengerti tentang kesehatan reproduksi remaja tetapi tidak dapat memberikan penjelasan. Penelitian ini bertujuan untuk mengetahui perbedaan efektifitas metode ceramah dengan metode simulasi terhadap pengetahuan dan sikap siswa tentang kesehatan reproduksi remaja. Jenis penelitian adalah eksperimen dengan rancangan Nonequivalent Control Group Design, desain ini kelompok eksperimen maupun kelompok kontrol tidak dipilih secara random. Penelitian ini  dilakukan di SMA Negeri 1 Bandar Kabupaten Simalungun dari Oktober 2014-Mei 2015. Besar sampel sebanyak 62 orang, menggunakan metode Judgemental Sampling. Pengumpulan data menggunakan data primer dan dianalisis dengan menggunakan uji-t. Hasil penelitian ini bahwa ada perbedaan efektifitas yang bermakna antara metode ceramah dengan metode simulasi terhadap peningkatan pengetahuan dan sikap siswa, Efektifitas metode ceramah terhadap pengetahuan siswa meningkat sebesar 22,48%. Dan metode ceramah terhadap sikap siswa meningkat sebesar 16,35%. Efektifitas metode simulasi terhadap pengetahuan siswa tentang kesehatan reproduksi remaja nilai rerata sebelum perlakuan dan sesudah perlakuan meningkat sebesar 25%. Sedangkan terhadap sikap siswa meningkat sebesar 27,99%. Disarankan bagi Dinas Kesehatan dapat memanfaatkan metode simulasi dalam memberikan penyuluhan, pendidikan, informasi kepada siswa SMA.Bagi Sekolah dapat menggunakan metode simulasi untuk meningkatkan pengetahuan dan perbaikan sikap siswa tentang kesehatan reproduksi remaja.Bagi siswa diharapkan lebih berhati-hati dalam bergaul dan dapat menjaga kesehatan reproduksinya sendiri dengan tidak melakukan hubungan seksual sebelum menikah. Bagi peneliti selanjutnya dapat menjadi bahan masukan untuk melakukan penelitian yang berkaitan dengan kesehatan reproduksi remaja dalam masalah yang berbeda atau karakteristik responden yang berbeda atau membangdingkannya dengan metode-metode lain.

HUBUNGAN SUPERVISI KEPALA RUANGAN DENGAN KINERJA PERAWAT PELAKSANA DI RUANG RAWAT INAP RUMAH SAKIT UMUM DAERAH DR. DJASAMEN SARAGIH PEMATANGSIANTAR Ginting, Daniel; Manurung, Meida
Jurnal Publikasi Kesehatan Masyarakat Indonesia Vol 4, No 1 (2017): Jurnal Publikasi Kesehatan Masyarakat Indonesia
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jpkmi.v4i1.3431

AbstrakÂ Pelaksanaan kinerja perawat di ruang rawat inap RSUD DR. Djasamen Saragih Pematangsiantar menunjukkan bahwa hasil pelaksanaan standar kepedulian perawat pada pasien yang dirawat pada tahun 2015 di bawah 90%, berdasarkan hasil penilaian rata-rata kinerja yaitu 70.56%, perawatan diagnosis 75.14%, perencanaan 76.86% dari 74 total tindakan (97%) dan evaluasi sebanyak 74.2%. Tujuan penelitian ini adalah untuk menentukan hubungan pengawasan oleh kepala ruangan dengan kinerja perawat. Penelitian ini dilakukan di RSUD DR. Djasamen Saragih Pematangsiantar pada bulan Agustus 2016. Populasi penelitian ini sebanyak 151 orang, dan seluruhnya dijadikan sampel. Analisis data dilakukan dengan uji product moment sebelum melakukan product moment peneliti terlebih dahulu mendeskripsikan p-value melalui tabulasi silang antar variabel. Berdasarkan hasil penelitian menunjukkan bahwa pengawasan kepala ruangan secara signifikan berhubungan dengan kinerja perawat di RSUD DR. Djasamen Saragih Pematangsiantar yaitu pengorganisasian (p=0.037 ), membimbing (p=0.000), melatih (p=0.000), pengawasan (p=0.000), dan kontrol (p=0.000). Variabel tidak terkait, perencanaan kerja (p=0.151), mengarahkan (p= 0.216), evaluasi (p=0.034), pencatatan dan pelaporan (p=0.198 ). Variabel paling kuat hubungannya dengan kinerja perawat adalah monitoring. Disarankan untuk kepala ruangan di RSUD DR. Djasamen Saragih Pematangsiantar untuk menjelaskan kepada perawat pelaksana agar menerapkan prosedur asuhan keperawatan. Kepala ruangan juga perlu mengawasi setiap pagi dan pergantian shift untuk selalu melakukan pengawasan, membimbing dan melatih perawat untuk dalam meningkatkan asuhan keperawatan pada pasien.Â Kata-kata kunci: Supervise kepala ruangan, kinerja perawat pekaksanaÂ AbstractÂ Implementing Nurse Performance in room patient RSUD DR. Djasamen Saragih Pematangsiantar, seen the results of the implementation of standards of nursing care in patients hospitalized in 2015 still reached below 90% is based on the average performance assessment 70.56%, 75.14% nursing diagnosis, planning 76.86%, a total of 74 actions, 97%, evaluation as much as 74.2%). The purpose of this study to determine the relationship of supervision of head room with the performance of nurses. The study was conducted in RSUD DR. Djasamen Saragih Pematangsiantar. The study was conducted in August 2016. The population of as many as 151 people, and the whole sampled. The data were analyzed test product moment before doing product moment researchers first described the p-value through cross-tabulation between variables. Based on the results showed that the chief of room supervision variables significantly associated with performance of nurses in RSUD DR. Djasamen Saragih Pematangsiantar namely organizing (p=0.037), guiding (p=0.000), training (p = 0.000), monitoring (p = 0.000), and control (p = 0.000). Variables are not related, work planning (p = 0.151), directing (p = 0.216), recording and reporting (p = 0.198). The variables most strongly correlated with the performance of nurses is monitoring. Suggested to Head room in RSUD DR. Djasamen Saragih Pematangsiantar to explain the procedures of nursing care to the nurses room every morning so that nurses still felt cared for and supervised so as to perform the job in earnest. Head room is also need to supervise every morning and shift to always provide supervision, training, and guiding nurses to improve the quality of nursing care to patients.Â Keywords: Supervision Head Room, Executive Nurse Performance

Determinants of diabetes in prolanis patients Nababan, Donal; Sembiring, Rulihta; Ginting, Daniel
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 2: June 2023
Publisher : Universitas Aisyah Pringsewu

Diabetes is a major health problem because nearly half a billion people live with diabetes worldwide. The purpose of this study was to analyze the determinants of diabetes in prolanis patients in the working area of Tigapanah Public Health Center, Karo district. This research is an analytical research. The population of this study were 72 people and the number of samples was 42 people. Data was collected using a questionnaire and then analyzed by univariate, bivariate, and multivariate. The chi-square test showed family history (p-value = 0.021), diet (p-value = 0.009), physical activity (p-value = 0.006), and knowledge (p-value = 0.015). The dominant independent variable was diet (p-value = 0.010 (p less than 0.025); POR = 1.618; CI = 1.49 – 1.79). The conclusion of the study is that there is a relationship between family history, diet, physical activity, knowledge and diabetes mellitus. Suggestions for respondents to be able to adopt a healthy and balanced diet. Abstrak: Diabetes merupakan masalah kesehatan utama karena hampir setengah miliar orang hidup dengan diabetes di seluruh dunia. Tujuan penelitian ini adalah untuk menganalisis determinan diabetes pada pasien prolanis di wilayah kerja puskesmas Tigapanah kabupaten Karo. Penelitian ini adalah penelitian analitik. Populasi penelitian ini sebanyak 72 orang dan jumlah sampel sebanyak 42 orang. Pengumpulan data dilakukan dengan menggunakan kuesioner kemudian dianailisis secara univariat, bivariat, dan multivariat. Uji chi-square menunjukkan riwayat keluarga (p-value = 0.021), pola makan (p-value = 0.009), aktivitas fisik (p-value = 0.006), pengetahuan (p-value = 0.015). Variabel independen yang dominan adalah pola makan (p- value = 0.010 (p kurang dari 0.025); POR = 1.618; CI = 1.49 – 1.79). Kesimpulan dari penelitian adalah ada hubungan riwayat keluarga, pola makan, aktivitas fisik, pengetahuan dengan penyakit diabetes mellitus. Saran agar responden mampu menerapkan pola makan sehat dan seimbang.

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