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Universitas Sari Mutiara Indonesia
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Analysis of Drug User Compliance in Tuberculosis Patients on Therapy Successat Puskesmas Medan Deli Medan City year 2022 Putra Jaya Hulu; Masdalina Pane; Mido Ester J Sitorus; Kesaktian Manurung; Janno Sinaga
Science Midwifery Vol 10 No 5 (2022): December: Science Midwifery
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v10i5.1016

Abstract

According to WHO data, there were 6.3 million new pulmonary TB cases, this figure is the same as 61% of the incidence of tuberculosis in the world with a value of 10.4 million. The number of patients with TB increased the number of tuberculosis cases from the previous year, which was 9.6 million people. In addition, the number of deaths caused by tuberculosis worldwide is 40 people per 100,000 of the world's population. The aim of the research was to analyze the adherence of drug users in TB patients to the success of therapy at the Medan Deli Health Center in 2022. The population consisted of 112 pulmonary tuberculosis patients who were treated with a total sampling technique with a total of 112 respondents. The results showed that there was a relationship between adherence and successful therapy for TB patients (p = 0.000), there was a relationship between knowledge and successful therapy for TB patients (p = 0.000), there was no relationship between age and successful therapy for TB patients (p = 0.280), there was no gender relationship with successful therapy for TB patients (p= 0.856), there is a relationship between education and successful therapy for TB patients (p= 0.200), there is a relationship between work and successful therapy for TB patients (p= 0.003), there is a relationship between family support and successful therapy for TB patients (p = 0.010) and multivariate analysis that lack of compliance, lack of knowledge and not working has an effect on the failure of therapy.
Faktor-Faktor Perilaku Cuci Tangan Pakai Sabun (CTPS) pada Siswa SDN 177040 Desa Siabal-Abal I Tahun 2022 Ida Royani Simorangkir; Kesaktian Manurung; Rinawati Sembiring
JURNAL KESEHATAN POLTEKKES KEMENKES RI PANGKALPINANG Vol 10, No 2 (2022): JKP Desember 2022
Publisher : Poltekkes Kemenkes Pangkalpinang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32922/jkp.v10i2.577

Abstract

Latar belakang: Riskesdas tahun 2018 menjelaskan bahwa terjadi peningkatan proporsi mencuci tangan menggunakan sabun dari hasil studi pendahuluan diketahui bahwa 7 dari 10 siswa di SD N 177040 masih belum melakukan perilaku CTPS. Kurangnya perilaku ini disebabkan oleh faktor pengetahuan, sikap, sarana prasarana, dukungan teman sebaya dan faktor lainnya.Tujuan: Untuk mengetahui faktor-faktor yang berhubungan dengan perilaku cuci tangan pakai sabun (CTPS) pada Siswa SDN 177040 Desa Siabal-Abal I Tahun 2022.Metode: Merupakan penelitian kuantitatif dengan desain cross sectional. Subjek penelitian siswa/siswi SDN 177040 sebesar 169 dengan teknik total sampling. Instrument penelitian menggunakan kuisioner yang akan dianalisis menggunakan analisis Univariat, Bivariat dan Multivariat.Hasil: Berdasarkan hasil uji Chi-square diketahui bahwa ada hubungan antara peran guru (ρ value 0,000), dukungan teman sebaya (ρ value 0,026), pengetahuan (ρ value 0,012), sikap (ρ value 0,043), dan sarana prasarana (ρ value 0,044). Hasil uji multivariate diketahui bahwa pengetahuan adalah faktor yang paling berhubungan dengan perilaku CTPS.Kesimpulan: Dari enam faktor yang berhubungan diketahui bahwa peran guru, dukungan teman sebaya, pengetahuan, sikap serta sarana prasarana merupakan faktor yang berhubungan dengan perilaku cuci tangan pakai sabun. Pengetahan merupakan faktor yang paling berhubungan dengan perilaku CTPS.
FAKTOR RESIKO KEJADIAN OSTOARTHRITIS LUTUT PADA PASIEN YANG BEROBAT DI POLI ORTOPEDI DI RUMAH SAKIT BHAYANGKARA TK. II MEDAN Evi Melva Frida Manurung; Donal Nababan; Mido Ester J. Sitorus; Kesaktian Manurung; Evawani Martalena Silitonga
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 6 No. 3 (2022): DESEMBER 2022
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v6i3.7046

Abstract

The specific purpose of this study was to determine the distribution of risk factors (age, gender, body mass index, family history, history of knee injury, hypertension, diabetes mellitus, hypercholesterolemia, smoking, occupation and physical activity) in knee joint OA patients at the Orthopedic Home Clinic. Sick Bhayangkara TK. II Medan from February to June 2022. This study used an observational analytic method with a cross sectional study design. The study was carried out from February to August 2022. The population of this study were knee osteoarthritis patients who were treated at the Orthopedic Poly, Bhayangkara TK Hospital. II Medan totaled 127 people. The sample of this study was knee OA patients with inclusion criteria and willing to be included in the study. Sampling was done by purposive sampling. The number of samples obtained by the slovin formula was obtained as many as 56 respondents. The results of the bivariate analysis showed that there was a significant relationship between age and knee OA (p = 0.010), there was a relationship between gender and knee OA, there was a relationship between body mass index and knee OA (p = 0.027), there was a relationship between a history of knee injury and OA. knee, physical activity was p = 0.004 indicating that there was a relationship between physical activity and knee OA, there was no relationship between diabetes and knee OA (p = 0.279), there was no relationship between hypercholesterolemia and knee OA p = 0.107, there was no relationship between habit smoking with knee OA (p = 0.304), there is no significant relationship between work and knee OA p = 0.269. The results of multivariate analysis showed that the independent variables that influenced knee OA were age (p=0.015) and history of knee injury (p=0.001). The OR value for the age variable is 2.220, this indicates that the risk of knee OA in elderly patients (>45 years) is 2 times greater than in adolescent-adult patients (?45 years). While the OR value on the variable history of knee injury is 0.045. To the Community Further research is needed on other risk factors such as growth disorders (Perthes disease, CDH, CTEV) and multigravida, Further Research Further research is needed on risk factors and the degree of pain on the severity of knee OA based on radiological examination.
KAJIAN KUALITAS, HIGIENE SANITASI DAN PENGAWASAN DEPOT AIR MINUM ISI ULANG (DAMIU) DI WILAYAH KERJA UPT PUSKESMAS SUNGAI PAKNING Chairani Putri; Kesaktian Manurung; Henny Arwina Bangun; Donal Nababan; Mido Ester J Sitorus
HUMAN CARE JOURNAL Vol 8, No 1 (2023): Human Care Journal
Publisher : Universitas Fort De Kock

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/hcj.v8i1.2347

Abstract

Clean water is a basic human need. Based on data on the number of DAMIUs, there were 19 depots. Supervision was carried out, checking the quality of depot water both physically, chemically and microbiologically. From all DAMIUs it was found that the output quality of bacteriologically treated water and pH exceeded the threshold. This study aims to determine the quality of refill drinking water in the working area of the UPT Puskesmas Sungai Pakning Kec Bukit Batu in 2022. Qualitative research results of qualitative analysis to answer the quality of refill drinking water and see data on the results of water quality in the physical, chemical and microbiological laboratories as well as data from observations of depot sanitation hygiene through IKL and E-Monev applications with descriptive statistics to describe through measuring instruments and processed according to their functions. The results of the research are from the results of water quality analysis both physically, chemically and microbiologically at 19 DAMIU, 2 depots that have not met the requirements, namely for hardness and manganese and when viewed from environmental sanitation Hygiene inspections from April to June, even though the entire depot has met IKL requirements, there are several variables in the Hygiene questionnaire which are assumed to affect water quality such as inadequate equipment at some depots for example expired microfilters and suboptimal backwash systems which result in a decrease in water quality. From the results of supervision by officers through IKL-Emonev contamination through operators at work such as not washing hands before serving consumers. The lack of implementation of socialization activities and direct guidance by the relevant agencies for all operators and not understanding how to apply good sanitation hygiene in water treatment can result in physical, chemical and microbiological water quality in drinking water not meeting quality standards.
HYPERTENSION AND RISK FACTORS: A CASE CONTROL STUDY Fernando Lumbangaol; Myrnawati Crie Handani; Taruli Rohana Sinaga; Kesaktian Manurung; Jasmen Manurung
Jurnal Ilmiah Keperawatan Vol 6 No 2 (2023): JURNAL MUTIARA NERS
Publisher : Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jmn.v6i2.4229

Abstract

Hypertension is a global health issue. It is the leading cause of morbidity and mortality. Therefore, the management and reduction of risk factors are essential to prevent and control the incidence of hypertension. The research aims to find out the risk factors associated with the incidence of hypertension in Puskesmas Matiti, Humbang Hasundutan District. This study is a correlation analytic study with a case control approach.. The population case is all the people with hypertension and the population control is the people without hypertension at Puskesmas Matiti. The research samples are composed of 32 people with hypertension and 64 people without hypertension. The samples are obtained using simple random sampling technique. Data are collected using questionnaires and analyzed using logistic regression test. The result indicates that sodium consumption (0.007<0.05) and obesity (0.025<0.05), both have a significant correlation with the incidence of hypertension. While smoking (0.054>0.05) and alcohol consumption (0.558>0.05), both have no significant correlation with hypertension incidence. The research concludes that the risk factors associated with the incidence of hypertension in Puskesmas Matiti are sodium consumption and obesity, with sodium consumption being the dominant factor. It is recommended to practice a healthy lifestyle by limiting the consumption of high sodium foods and maintaining the ideal weight by exercising and maintaining a healthy diet.
STRES KERJA PADA DOKTER UMUM IGD Imelda Saragih; Donal Nababan; Lia Rosa Veronika Sinaga; Kesaktian Manurung; Laura Mariati Siregar
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 7 No. 2 (2023): AGUSTUS 2023
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v7i1.18195

Abstract

Stres di tempat kerja merupakan sebuah masalah yang sangat sering dirasakan oleh karyawan, dimana para karyawan menemui kondisi-kondisi kelebihan kerja, ketidaknyamanan kerja, tingkat kepuasan kerja yang rendah. Stres ditempat kerja juga dapat mengakibatkan pengaruh yang merusak kesehatan, dan kesejahteraan karyawan, seperti halnya dapat berpengaruh negatif terhadap produktivitas dan keuntungan ditempat kerja. Tujuan penelitian ini adalah menggali lebih dalam tentang semua hal yang terkait dengan terjadinya stres pada Dokter Umum IGD di RS dr. Hadrianus Sinaga Kabupaten Samosir. Penelitian ini merupakan penelitian kualitatif. Instrumen penelitian adalah peneliti sendiri yang bersifat subyektif, maka data yang diperoleh diperiksa keabsahannya dengan teknik triangulasi, yaitu, triangulasi sumber, triangulasi teknik dan triangulasi waktu. Informan adalah dokter umum yang bekerja di Ruang Instalasi Gawat Darurat, perawat IGD dan pihak manejemen rumah sakit. Analisis data dilakukan dengan metode Miles dan Hubberman. Hasil penelitian menunjukkan bahwa memang benar telah terjadi stres pada dokter umum IGD di RS dr. Hadrianus Sinaga Kabupaten Samosir. Penyebabnya adalah beban kerja dan waktu kerja, keterbatasan fasilitas di ruangan terutama obat, pekerjaan emergency, pengembangan karir belum maksimal dan dibebani urusan keluarga, kejenuhan kerja terkait masa kerja di atas 10 tahun sehingga menyebabkan kelelahan yang berlebihan. Stres yang terjadi menunjukkan gejala yang ringan. Stres yang terjadi pada Dokter Umum IGD berdampak pada menurunnya prestasi kerja, Kinerja dan kepuasan kerja. Untuk mengurangi stress yang timbul, dokter melakukan meditasi , menonton tv, tidur, bercerita kepada teman atau keluarga, berlibur, merawat tanaman dan hewan peliharaan. Adapun upaya yang dilakukan manejemen rumah sakit untuk mengurangi stress pada Dokter Umum IGD adalah dengan penambahan tenaga dokter sebayak 3 orang dan melakukan pertukaran jadwal dengan dokter lain bilamana mereka membutuhkan istirahat..
DETERMINAN HIPERTENSI PADA PEDAGANG PASAR TRADISIONAL PETISAH DI KOTA MEDAN TAHUN 2023 Parlaungan Siregar; Kesaktian Manurung; Janno Sinaga; S. Otniel Ketaren; Mido Ester J. Sitorus
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 7 No. 2 (2023): AGUSTUS 2023
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v7i1.18197

Abstract

Berdasarkan data WHO menunjukkan sekitar 1,13 miliar orang menyandang hipertensi, artinya 1 dari 3 orang di dunia terdiagnosis hipertensi, pada tahun 2025 diperkirakan akan ada 1,5 miliar orang yang terkena hipertensi, dan diperkirakan setiap tahunnya 10,44 juta orang meninggal akibat hipertensi dan komplikasinya, kasus penderita hipertensi di kota Medan menempati posisike2 tertinggi dengan jumlah kasus sebanyak 89.333 jiwa dengan persentase 18,03%. Tujuan penelitian ini untuk mengetahui determinan hipertensi pada pedagang pasar tradisional Petisah dikota Medan tahun 2023. Penelitian ini menggunakan pendekatan studi crossectional, dengan sampel 94 responden dengan teknik pengambilan accidental sampling, pengolahan data bivatiate menggunakan uji chi-square. Hasil uji statistik menunjukkan tidak ada hubungan kualitas tidur dengan kejadian hipertensi pada pedagang (P-value0,119), ada hubungan stres kerja dengan kejadian hipertensi pada pedagang (P-value0,000), ada hubungan merokok dengan kejadian hipertensi pada pedagang (p-value 0,000), ada hubungan antara obesitas dengan kejadian hipertensi dengan (p-value 0,002), diharapkan kepada dinas kesehatan bekerja sama dengan PD pasar dalam melakukan menyuluhan dan edukasi guna meningkatkan pengetahuan pedagang sehingga dapat meminimalisir kejadian hipertensi pada pedagang
HUBUNGAN STANDAR KOMPETENSI PERAWAT DENGAN REWARD YANG DIBERIKAN MANAJEMEN RSUD JAYAPURA Hizkia Simaremare; Mindo Tua Siagian; Taruli Rohana Sinaga; Kesaktian Manurung; Frida Lina Tarigan
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 7 No. 3 (2023): DESEMBER 2023
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v7i3.19349

Abstract

Perawat rumah sakit selalu menjadi ujung tombak dan berada di garda terdepan dalam memberikan pelayanan ketika pasien masuk ke rumah sakit. Tenaga kesehatan khususnya perawat Rumah Sakit yang mendapatkan reward yang layak akan berdampak pada kualitas pelayanan kesehatan secara khusus kepada pasien yang sedang rawat inap dan berobat jalan. Tujuan penelitian ini adalah untuk mengetahui hubungan antara standar Kompetensi Perawat dengan Reward yang diberikan Manajemen RSUD Jayapura. Penelitian ini menggunakan metode mixed methods research design di mana menggunakan 2 (dua) tahapan penelitian kegiatan yaitu pengumpulan data secara Kuantitatif dengan menggunakan analisis data  dan dengan pendekatan kualitatif melalui teknik wawancara langsung kepada beberapa perawat. Penelitian ini menghasilkan temuan bahwa tidak ada hubungan antara Standar Kompetensi Perawat dengan reward yang diberikan manajemen RSUD Jayapura dengan nilai (p Value = 0.553) dan ada hubungan antara masa kerja perawat dengan reward yang diberikan oleh Manajemen RSUD Jayapura dengan nilai (p Value = 0.021). Setelah melakukan wawancara mendalam, peneliti menemukan jenis-jenis reward yang diterima perawat diluar gaji bulanan antara lain, Jasa Medis berupa BPJS, KPS(Kartu Papua Sehat), dan Swasta. Kemudian peneliti juga menemukan fakta bahwa pemberian reward tidak hanya tergantung pada lamanya seorang perawat berkerja, namun juga status perawat (Perawat tetap atau tidak tetap) dimana sebagian besar yang sudah menjadi perawat tetap sudah berkerja cukup lama sebagai tenaga perawat. Lebih lanjut, berdasarkan informasi yang diperoleh dari perawat, peneliti menemukan bahwa pemberian reward seperti gaji dan jasa medis yang menjadi hak perawat sering mengalami keterlambatan pembayaran. Dengan adanya temuan ini maka diharapkan pihak Manajemen RSUD Jayapura terus meningkatkan kompetensi perawat terutama untuk lebih memperhatikan kesejahteraan semua tenaga kesehatan terutama perawat.
Determinants of Stunting Incidents in Dolok Tolong Village, Sumbul District, Dairi Regency in 2022 Evanata Lina Sinaga; Kesaktian Manurung; Taruli Rohana Sinaga
Jurnal Info Sains : Informatika dan Sains Vol. 13 No. 02 (2023): Jurnal Info Sains : Informatika dan Sains , Edition September  2023
Publisher : SEAN Institute

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Abstract

Stunting is one of the problems currently being faced by Indonesia. Stunting is a problem of malnutrition caused by a lack of adequate intake over a long period of time which will cause difficulties in achieving optimal physical and cognitive development in the future, which is indicated by the value z-score Height/Length by Age less than -2SD. The incidence of stunting is influenced by various factors, namely history of exclusive breastfeeding, family income, maternal education, maternal height and parity. The general objective of this research is to determine the determinants of stunting events in Dolok Tolong Village, Sumbul District, Dairi Regency in 2022. The type of research used is observational comparative study research, the research method is a survey with a case control approach where research is carried out by comparing two groups of cases. and control group. The population in this study were all mothers who had toddlers who were not stunted and experienced stunting in Dolok Tolong Village. The population of children under five who are stunted is 67 people and 67 people who are not stunted. Based on the research results, it was found that there was a relationship between a history of exclusive breastfeeding and stunting (ρ-value = 0.000), there was a relationship between family income and stunting (ρ-value = 0.001), there was a relationship between maternal education and stunting (ρ-value = 0.029), there was a relationship between parity and stunting (ρ-value = 0.000), there was a relationship between maternal height and stunting (ρ-value = 0.000). The factor most associated with stunting in this study was maternal height, with Ods Ratio=5.9762. There is a need to increase health promotion and education to the public about the importance of good parenting patterns and fulfilling nutrition, especially in the first 1000 days of life, starting from when mothers are pregnant until children are 2 years old. Interventions during the first 1000 days of life are urgently needed to prevent stunting as a result of the intergenerational cycle of malnutrition.
Behavioral Determinants Of Internal Pulmonary Tb Patients Prevention Of Transmission To Families In Work Area Pb Selayang II Medan Puskesmas 2022 Jujur Baktiar Pandiangan; Kesaktian Manurung; Jasmen Manurung
Jurnal Info Sains : Informatika dan Sains Vol. 13 No. 02 (2023): Jurnal Info Sains : Informatika dan Sains , Edition September  2023
Publisher : SEAN Institute

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Abstract

Tuberculosis is a direct infectious disease caused by TB germs (Mycobacterium tuberculosis) which is still a large family of the genus Mycobacterium. The most important source of infection is the sputum of smear-positive pulmonary TB patients. Transmission occurs through sputum splashes (droplet infection) when the patient coughs, speaks or spits. Factors that cause the incidence of tuberculosis include age, education, occupation, gender, knowledge, nutritional status, occupancy density and the role of health workers. Behavior is an activity or activity of the organism concerned. Behavior is a person's response or reaction to a stimulus (external stimulus). So, it can be concluded that behavior is the activity and reaction of living things to external stimuli. The type of research used is an analytic study with a cross-sectional study design. In this study, the determinants of the behavior of pulmonary TB patients in preventing transmission to the family were examined using instruments in the form of questionnaires and medical records. This research was conducted in the work area of the PB Selayang II Health Center in Medan City with the reason for choosing the research location because there were pulmonary TB sufferers in the family. The sample used in this study was a total sample of 80 people. The results show that age is associated with a P-value of 0.002, gender is associated with a P-value of 0.000, education is associated with a P-value of 0.004, employment is associated with a P-value of 0.000, nutritional status is associated with a P-value -value of 0.000, Knowledge is associated with a P- value of 0.000, occupancy density is associated with a Pvalueof 0.003, the role of health workers is associated with a P-value of 0.010 and the most dominant factor related is gender with xp (B)106,648.
Co-Authors Chairani Putri DONAL NABABAN Evanata Lina Sinaga Evawani Martalena Silitonga Evi Melva Frida Manurung Fernando Lumbangaol Frida Lina Tarigan Henny Arwina Bangun Hizkia Simaremare Ida Royani Simorangkir Imelda Saragih Janno Sinaga Jasmen Manurung Johansen Hutajulu Jujur Baktiar Pandiangan Juni Asnita Tarigan Laura Mariati Siregar Masdalina Pane Mido Ester J Sitorus Mido Ester J. Sitorus Mindo Tua Siagian Mindo Tua Siagian Muhammad Iqbal Alrasyad Myrnawati Crie Handani Nelly Yanti Parlaungan Siregar Putra Jaya Hulu Rinawati Sembiring S. Otniel Ketaren Siahaan, Julia Mahdalena Sinaga, Lia Rosa Veronika Sinar Otniel Ketaren Sri Handayani Taruli Rohana Sinaga Taruli Rohana Sinaga Yunida Octavia Turisna