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Jurnal Medika Nusantara
Published by Sekolah Tinggi Ilmu Kesehatan Kesdam IV, Diponegoro
ISSN : 29867878     EISSN : 29867061     DOI : 10.59680
Core Subject : Health,
Health Professions Nursing Public Health
Jurnal Medika Nusantara mencakup artikel di bidang ilmu kesehatan dan Kedokteran. Kami menyediakan akses terbuka (open access) bagi para akademisi dan praktisi serta mahasiswa kesehatan yang ingin mendapatkan artikel dalam Jurnal Jurnal Medika Nusantara
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 103 Documents
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Analisis Peran Promosi Kesehatan Dalam Mendukung Keberhasilan Program Pencegahan Penyakit Tidak Menular Di Indonesia Keren Stelin Maliangkay; Ummi Rahma; Safanny Putri; Novita Dwi Istanti
Jurnal Medika Nusantara Vol. 1 No. 2 (2023): Mei: Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v1i2.284

Abstract

Non-Communicable Diseases (NCD) are chronic and non-communicable diseases that cannot be transmitted from one person to another in any form. Currently PTM is a serious global health problem, which is marked by the emergence of new cases and deaths from Non-Communicable Diseases (NCD) every year. Prevention and management of PTM must be done as early as possible considering that PTM sufferers have a low quality of life, causing the burden of health costs to increase thereby increasing the mortality rate. One effective strategy to prevent an increase in the number of PTM sufferers is to carry out health promotion programs. Health promotion is carried out to empower individuals and communities to consciously involve themselves in adopting healthy living habits. This study uses the Systematic Literature Review (SLR) method. Data collection was carried out by analyzing various reading sources or literature relevant to the research topic. A literature search was carried out using the Google Scholar electronic site in the form of a search engine with the keywords health promotion, prevention programs and Non-Communicable Diseases (PTM). There are 6 articles related to the role of health promotion in supporting the success of non-communicable disease prevention programs. Based on the analysis conducted, it can be concluded that the role of health promotion is needed to support the success of non-communicable disease prevention programs in Indonesia. Because one of the effective strategies to prevent the increasing number of PTM sufferers is to carry out health promotion programs.
Tantangan SIMRS dalam Penerapan Rekam Medis Elektronik Berdasarkan Permenkes 24 Tahun 2022: Literature Review Rabiah Demlinur Putri; Dety Mulyanti
Jurnal Medika Nusantara Vol. 1 No. 1 (2023): Februari : Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v1i1.288

Abstract

The government through the Ministry of Health of the Republic of Indonesia took a big step by issuing Regulation of the Minister of Health Number 24 of 2022 concerning Electronic Medical Records, whereby through this regulation health service facilities start from independent practice locations for doctors, dentists and/or other health workers, health centers, clinics , hospitals, pharmacies, health laboratories, centers and other Health Service Facilities determined by the Minister are required to implement Electronic Medical Records. Of course, this is a big breakthrough considering that currently the implementation of Electronic Medical Records in Indonesia is said to be not going too well and can even be said to be advanced compared to other countries. This is of course directly related to the infrastructure owned by Health Service Facilities in Indonesia. One of the considerations is the readiness of the Electronic System to be used later, both electronic systems prepared by health care facilities themselves to electronic systems prepared by third parties. There are several important things that must be considered by the electronic system to be able to carry out electronic medical records including the registration of the system as an electronic system operator, having minimum capabilities in accordance with Permenkes No. 24 of 2022 and the ability to maintain data security and protection. Some of these things are a challenge for Electronic Systems or Hospital Information Systems to be able to run Electronic Medical Records according to the provisions that have been set. If this cannot be done, it is likely that the system will receive sanctions up to the revocation of the operating permit.
Pemberian Terapi Guided Imagery terhadap Pasien dengan Nyeri dan Ansietas Post Operasi Fraktur Collum Humerus Azizah Nur Khasanah; Syahruramdhani Syahruramdhani
Jurnal Medika Nusantara Vol. 1 No. 2 (2023): Mei: Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v1i2.289

Abstract

Background: After the fracture surgery procedure, the patient who initially received anesthesia and a few hours later disappeared, usually the patient will feel pain, apart from pain, anxiety will arise related to changes in daily activity, where these two things are interconnected. An increased response to pain is often caused by a feeling of anxiety or vice versa the response to pain can cause anxiety. Nonpharmacological therapy that can be done by nurses to reduce pain as well as postoperative anxiety is guided imagery therapy. Purpose: This case study aims to determine the effectiveness of guided imagery therapy for pain and anxiety in patients with postoperative humeral collum fractures. Methods: The method used in writing is a case report with guided imagery therapy intervention carried out for 3 days. Results: The results of this case study show that after guided imagery intervention for 3 days there was a decrease in the Numeric Pain Scale from 7 (moderate pain) to 3 (mild pain) and a decrease in the Beck Anxiety Inventory score from 11 (mild anxiety disorder) to 5 (minimal anxiety disorder). Conclusion: Guided imagery is effective in reducing pain and anxiety in postoperative humeral collum fracture patients.
Pengukuran Dan Evaluasi Risiko Ergonomi Pada Pekerja Angkat Angkut Di Ekspedisi Dengan Metode Rapid Entire Body Assesment (REBA) Novira Alifia Putri; Afrilia Dwi Maharani; Putri Dwi Rohmahwati; Safira Afni Syahbilla; Denny Oktavina Radianto
Jurnal Medika Nusantara Vol. 1 No. 2 (2023): Mei: Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v1i2.290

Abstract

Human labor is still widely used in many sectors or fields in Indonesia, especially work in the field of lifting and carrying. In the lifting and carrying work system, what often happens is complaints of musculoskeletal pain which is the most common complaint experienced by workers worldwide (Agistha Novta Auliya et al., 2021). This research was conducted at PT. Jaya Mas with the object of research, namely 2 lift workers on the expedition. The method used by researchers in this study is a quantitative method by collecting interview data and a survey of complaints of skeletal muscle disorders referring to SNI 9011-2021. And using REBA to identify the risks of MSDs in workers. The results of the GOTRAK questionnaire recapitulation showed high risk category values for 5 body parts, namely the lower back, right hip, left hip, right leg, and left leg. Whereas the REBA method produces a value of 5 which belongs to the medium hazard risk category. Recommendations that can be given to lift workers at PT. Jaya Mas is moving heavy loads using a machine or troller, using a table that can go up and down, and reducing large workloads using the help of gravity such as making manual slides with wooden plywood.
Penerapan Budaya Kaizen (5R) Sebagai Upaya Peningkatan Mutu Pelayanan Di Rumah Sakit Leo Pratama Agung; Dety Mulyanti
Jurnal Medika Nusantara Vol. 1 No. 1 (2023): Februari : Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v1i1.291

Abstract

Quality health services is one measure of satisfaction effect on the patient's desire to return to the institution that provides it effective health services. To meet the needs and desires of patients so that satisfaction can be obtained in the end can increase trust in the hospital through excellent service. One of the important issues to answer the strategy in the midst of a situation of decreased public trust in hospital services is "What is the operational strategy in improving quality, service value, patient satisfaction, cost efficiency, service process effectiveness, reducing "waste", and cultural management in hospitals ?”. So what can be a mindset approach to implementing this is "Kaizen (5R)". This approach can be a tool for cultivating a culture of change directed at increasing the value of patient care (customer value) simultaneously with efficiency efforts. The implementation of 5R can be carried out in line with increasing discipline in the environment around the workplace, starting with simplifying the storage of the equipment needed in the work environment, tidying up the arrangement, cleaning, caring for and caring for it and doing it continuously will make it a pleasant workplace through the formation of work discipline.
Profil Kadar Asam Urat Pada Penderita Diabetes Melitus Tipe 2 Terkontrol Mutmainnah Abbas; Rosdiana Mus; Thaslifa Thaslifa; Olvyani Tira Layuk
Jurnal Medika Nusantara Vol. 1 No. 2 (2023): Mei: Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v1i2.292

Abstract

Type 2 Diabetes Mellitus (DM) is a metabolic disorder characterized by an increase in blood glucose due to decreased insulin secretion by pancreatic beta cells and or impaired insulin function (insulin resistance). Controlled Type 2 Diabetes Mellitus is a type 2 DM patient who takes preventive measures to avoid complications and death, such as adhering to medication, doing physical activity, controlling blood glucose levels to remain stable and implementing a healthy diet. Controlled type 2 diabetes mellitus aims to prevent complications, one of which is kidney function. One of the examinations to determine kidney function is uric acid which affects the increase in insulin levels. Uric acid is one of the metabolic that the amount should not be excessive in urine and blood. The purpose of this study was to determine uric acid levels in patients with controlled type 2 diabetes mellitus. The method in this study is a cross sectional study design with probability sampling technique. The results of the study of 30 research subjects with the lowest value of uric acid 2.29 mg/dL and the highest value of uric acid 6.92 mg/dL. The average uric acid value obtained in the research subjects was 4.58 mg/dL. These levels are still within normal levels, this can be influenced by controlling blood glucose levels, routinely doing physical activity, consuming food and drinks regularly and as recommended (healthy diet) and routinely consulting or taking medication so that the uric acid levels obtained are normal.
Efektivitas Modul Modifikasi Penyusunan Strategi Komunikasi Perubahan Perilaku Terhadap Perilaku Tim Konvergensi Stunting Di Kabupaten Kampar Tahun 2022 Herman S; Asriwati Asriwati; Miskah Afriany
Jurnal Medika Nusantara Vol. 1 No. 1 (2023): Februari : Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v1i1.295

Abstract

The importance of behavior change communication, as shown in Pillar 2 (two) of the National Behavior Change Strategy, has been mentioned in many Government policies. Pillar 2 aims to increase public knowledge and awareness so as to trigger the implementation of positive behaviors to prevent stunting in the 1000 HPK period. The stunting convergence team of Kampar Regency has not succeeded in documenting the KPP strategy, one of which is because the KPP has not been understood so well that it is considered not to have discussed priorities. One alternative to increase capacity is to provide a modification module for the KPP strategy, it is necessary to conduct a study aimed at whether the provision of a modified module for the formulation of the KPP strategy is effective in improving the behavior of the stunting convergence team. The treatment hypothesis in this study is that the provision of a modification module for the formulation of the KPP strategy is effective in increasing the behavior of the stunting convergence team. This type of research is a Quasi Experimental Nonequivalent Control Group Design with a sample of 30 respondents (15 treatments and 15 controls) members of the stunting convergence team. Data collection techniques with pre and post. Data analysis was carried out by normality test, homogeneity test, independent t test and Normalize Gene test (N-Gain score) if there was a significant difference in the posttest value of the treatment with the control group, data presentation, and drawing conclusions. From the results of the study, the authors conclude that: there is a significant difference in the data before and after the level of knowledge from 13 respondents (43.3%) to the category of high knowledge 10 (33.3%), negative attitude changes are 14 respondents (46). ,7%) to the category of positive attitude which is 12 (40%) and the category of negative behavior is 13 (43.3%) to the category of positive attitude which is 10 (33.3%). The provision of a modified module for the formulation of an effective KPP strategy in increasing the knowledge of the stunting convergence team with the value of Sig. 0.045 and OR 0.022, presenting a modification module for the formulation of an effective KPP strategy in changing the attitude of the stunting convergence team with a Sig value. 0.022 and OR 0.063, presenting a modified module for KPP strategy formulation that is not effective in changing the behavior/actions of the stunting convergence team with a Sig value. 0.135 and OR 3.250. Modification module for the preparation of the KPP strategy can be an alternative in increasing knowledge, attitudes, but it is necessary to provide regular assistance and measurement to respondents so that changes in behavior can be seen more clearly. The limitations of the study in terms of time due to changes in behavior required measurements, longer observations and a larger number of samples to be able to see optimal results.
Efektivitas Penerapan Relaksasi Benson Dalam Menurunkan Kecemasan Pada Pasien Pre-Operasi: Studi Kasus Atha Rahma Talitha; Ambar Relawati
Jurnal Medika Nusantara Vol. 1 No. 1 (2023): Februari : Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v1i1.297

Abstract

The pre-operative period is strongly associated with increased anxiety levels amongst patients, resulting in emotional, cognitive, or physiological responses. Anxiety in patients that is not managed properly can cause psychological and physical changes, namely an increase in sympathetic nerve work associated with increased breathing frequency, heart rate, blood pressure, and cold sweats. The Benson relaxation method is one of the nursing interventions in the form of relaxation that focuses the mind by combining the beliefs of each individual. Benson relaxation is a subjective stress management method that can have the effect of reducing anxiety levels, mood disorders, improving sleep quality, and reducing pain. This case study aims to determine the effectiveness of the application of Benson relaxation in reducing anxiety in pre-operative patients. The methodology utilised in this paper is a case study that examined the application of Benson relaxation interventions before surgery during 2 sessions of 20-35 minutes applying the Hamilton Anxiety Rating Scale (HAM-A) instrument to assess the patient's anxiety level. The results of this case study indicate that the provision of Benson relaxation therapy to both respondents proved effective in reducing anxiety levels before surgery as evidenced by the average decrease in HAM-A scores for both respondents of 6.5 from moderate to mild anxiety.
Analisis Faktor-Faktor Yang Memengaruhi Perilaku Pencarian Pelayanan Kesehatan Pada Program JKN Di Indonesia Risma Pertiwi; Aghniya Choirunnisa; Zahra Septina; Riswandy Wasir; Novita Dwi Istanti
Jurnal Medika Nusantara Vol. 1 No. 2 (2023): Mei: Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v1i2.298

Abstract

The National Health Insurance (JKN) program aims to improve access to health services and achieve universal health coverage for all Indonesians. However, there are still several issues related to access and quality of health services that have not been resolved, one of which is health service seeking behavior, which is one of the important principles of the JKN program. The method used in this research is a literature study by collecting and processing previous research data with a range of 2018-2022, consisting of 5 national articles and 1 international article. The search process was carried out through the Central Bureau of Statistics database, Google Scholar, and PubMed. The results of this study are the factors that influence people's behavior in seeking health services in the JKN program in Indonesia are divided into 3 main factors, namely predisposing factors, enabling factors, and need factors. In addition, there are other factors such as sociocultural beliefs, perceptions of disease and its causality, cost, and accessibility and availability of health services, especially in rural areas.
Faktor yang Memengaruhi Mutu Pelayanan Medik di RSUD Pidie Jaya Rizki Kamalia; Arifah Devi Fitriani; Mappeaty Nyorong
Jurnal Medika Nusantara Vol. 1 No. 1 (2023): Februari : Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v1i1.299

Abstract

Health services are one's expectations of the quality obtained in accordance with the desired expectations, such as health services, there are services in hospitals that include customers, such as patients for treatment from doctors in hospitals where patients get the best service from the hospital. The aim of the study was to determine the factors that influence the quality of service at the Pidie Jaya Hospital, Pidie Jaya Regency. The research design uses a quantitative method which is carried out by an analytical survey with a Cross Sectional Study approach. The population in this study were all outpatients with a total of 6,685 patients. The sample used random sampling technique as many as 99 patients. Data analysis used univariate, bivariate and multivariate analysis. The results showed that there was an effect of technical competence p = 0.000, efficiency p = 0.000, effectiveness p = 0.000, satisfaction p = 0.000 and patient safety p = 0.000 on the quality of service in Pidie Jaya Hospital, Pidie Jaya Regency. While the most dominant factor is satisfaction p = 0.000 and 95% CI = 5,389-316,539 with OR = 41,154.The conclusion from this study is that there is an influence of technical competency, efficiency, effectiveness, satisfaction, and patient safety on service quality in Pidie Jaya Hospital, Pidie Jaya Regency. It is recommended for the hospital to adopt policies in order to improve the quality of hospital services in order to produce optimal performance such as conducting training for health workers in hospitals based on their competence and conducting supervision and monitoring so that implementation in the field can run optimally.

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