Jurnal Kesehatan Sejahtera (JKS) adalah jurnal kesehatan yang diterbitkan sebanyak 2X1 Tahun pada setiap bulan Juni dan Desember. Proses penyerahan naskah terbuka sepanjang tahun. Jurnal Kesehatan Sejahtera meliputi literatur, artikel penelitian serta studi kasus yag berfokus pada bidang ilmu kebidanan, keperawatan, Kesehatan masyarakat, Perekam dan Informasi Kesehatan, Farmasi dan ilmu Kedokteran.
Analisis Faktor Dominan yang Memengaruhi Pemilihan Fasilitas Kesehatan Tingkat Pertama (FKTP) oleh Peserta BPJS Kesehatan di Kabupaten Tob
Optimizing the function of Primary Health Facilities (FKTP) as gatekeepers for the National Health Insurance (JKN) in rural areas, such as Toba Regency, still faces the challenge of unequal utilization. This quantitative cross-sectional study analyzed the dominant factors influencing BPJS Kesehatan participants' preferences in selecting FKTPs. The study sample included 391 respondents selected using a proportionate random sampling technique. Data were collected using a structured questionnaire and then analyzed univariately, bivariately using the Chi-Square test, and multivariately using Multiple Logistic Regression. The bivariate test results showed that all independent variables were significantly associated with FKTP selection (p-value <0.05). Based on the multivariate analysis, perceived service quality was the most dominant factor, with the highest Odds Ratio (OR) of 4.12 (95% CI: 2.34–7.25). The next dominant factors were the availability of health workers and medicines (OR = 2.85), and waiting time for services (OR = 2.11). In conclusion, participant preferences are largely determined by subjective assessments of the quality of clinical services and medical support facilities. Therefore, local governments and the BPJS Kesehatan (Social Security Agency for Health) need to standardize service quality and ensure equitable distribution of medication and healthcare workers across rural primary care facilities (FKTP) to prevent patient congestion.
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Epidemiologi Perilaku dan Kesehatan Mental Mahasiswa Urban: Analisis Korelatif Tingkat Stres terhadap Kualitas Tidur Komunitas Akademik di Kota Medan
Academic pressures and psychosocial transitions in urban higher education environments place students at risk of mental distress. Poorly managed stress directly contributes to circadian rhythm disruption and decreased sleep hygiene. This study aimed to analyze the relationship between stress levels and sleep quality among active university students in Medan. This quantitative study used an observational analytical design using a cross-sectional approach. This study involved 150 active university students in Medan selected using a proportionate stratified random sampling technique. Data collection used a standardized questionnaire, the Perceived Stress Scale (PSS-10) to measure stress levels and the Pittsburgh Sleep Quality Index (PSQI) to measure sleep quality. Data were analyzed univariately and bivariately using the Spearman Rank correlation test and cross-table analysis with an Odds Ratio (OR) parameter at a significance level of α = 0.05. The results of the univariate analysis showed that the majority of students experienced moderate (53.3%) and high (26.7%) levels of stress. A sleep quality evaluation revealed that 73.3% of respondents reported poor sleep quality. Bivariate analysis revealed a significant and positive association between stress levels and poor sleep quality in college students (p < 0.001; r = 0.584). Respondents with high stress levels were 4.8 times more likely to experience poor sleep quality compared to those with low stress levels (OR = 4.82; 95% CI = 2.15 - 10.81). High stress levels are strongly correlated with decreased sleep quality among college students in Medan. The development of an integrated early detection system for mental health and preventive health promotion services within the campus environment is needed.
DETERMINASI PERILAKU SEHAT: ANALISIS DESKRIPTIF PENGETAHUAN, SIKAP, DAN PERSEPSI RISIKO MASYARAKAT PEDESAAN TERHADAP DAMPAK KONSUMSI TEMBAKAU
Tobacco consumption remains a significant global epidemiological burden, particularly in rural areas with limited access to structured health information. Comprehensive knowledge and responsive attitudes are crucial foundations for reducing smoking prevalence at the community level. This study aims to analyze the level of knowledge, attitudes, smoking status, information sources, and community risk perceptions regarding the dangers of smoking in Nambiki Village, Langkat Regency. The quantitative research design used a descriptive cross-sectional approach. The study population included all residents aged ≥ 17 years and over in Nambiki Village. A sample of 100 respondents was selected using a simple random sampling technique. Data collection was conducted through structured interviews using a questionnaire that had been tested for validity and reliability. Data analysis used a descriptive univariate approach to generate frequency distributions and percentages. The majority of respondents had sufficient (45.0%) and insufficient (30.0%) knowledge. 58.0% of respondents expressed negative attitudes toward smoking control efforts. Active smoking status was recorded at 52.0%, with the majority of smokers smoking indoors. Social media (38.0%) and peers (25.0%) are the dominant sources of information compared to official health care channels (15.0%). Perception of the risk of degenerative diseases caused by smoking remains low, particularly in the perceived susceptibility dimension. Smoking behavior in rural areas is conditioned by low health literacy, permissive attitudes, and minimal penetration of health promotion by local medical authorities. Repositioning health promotion strategies based on local wisdom and optimizing digital channels is needed to change community risk perceptions.
Dinamika Perilaku Preventif: Analisis Kritis Persepsi, Kepercayaan, dan Pola Konsumsi Obat Tradisional dalam Menjaga Stamina Masyarakat Desa Sei Beras Sekata Sunggal
The use of traditional medicines (herbs) to support the stamina of independent work is very prevalent in suburban areas, but the variation in public perception of the effectiveness and safety of its preparations has not been comprehensively mapped. This study aims to analyze univariately demographic characteristics, knowledge level, benefit perception, safety perception, trust level, frequency of use, and perception of the effectiveness of herbal medicines in maintaining stamina in adult communities in Sei Beras Sekata Village, Sunggal District. This type of research is quantitative with a cross-sectional descriptive design. The research was conducted in Sei Beras Sekata Village with a sample of 150 adult respondents selected through simple random sampling techniques. Data were collected using a valid and reliable structured questionnaire, then processed using univariate analysis of frequency distribution. The results of the study showed that the majority of respondents had a good level of knowledge (58.7%), a high perception of benefits (64.0%), and a strong sociocultural belief (61.3%) in the existence of herbs. Conversely, perceptions of clinical safety aspects are in the hesitation/less safe zone (54.7%). The pattern of herbal use was dominated by occasional/incidental frequency (48.0%) with the level of perception of post-consumption effectiveness that was considered quite effective (56.0%). The adult community in Sei Beras Sekata Village has high optimism and dependence on herbal medicines to maintain stamina, but is still overshadowed by uncertainty over the standardization of the safety of preparations. Integrative community pharmacy education is very urgent to ensure the safe, rational, and evidence-based use of herbs (evidence-based traditional medicine).
Hubungan Pengetahuan, Sikap, dan Ketersediaan Sarana dengan Perilaku Cuci Tangan Pakai Sabun (CTPS) pada Remaja di Lingkungan Sekolah Menengah Atas
Handwashing with Soap (HWWS) is a cornerstone in preventing infectious diseases in school environments, particularly among adolescents who exhibit high mobility and intense social interactions. However, the implementation of HWWS in schools is frequently hindered by cognitive, affective, and structural factors. This study aims to analyze the relationship between knowledge, attitudes, and the availability of facilities with HWWS behavior among students at Karya Bakti High School, Selesai District. This quantitative study employed a descriptive cross-sectional approach. The research was conducted at Karya Bakti High School, Selesai District. The study population comprised all students, with a sample size of 132 respondents selected using a simple random sampling technique. Data were gathered via structured questionnaires that had undergone validity and reliability testing, and subsequently analyzed using univariate and bivariate analyses with the Chi-Square test. The findings indicated that the majority of respondents possessed good knowledge (54.5%), demonstrated supportive attitudes (51.5%), and perceived the school's HWWS facilities as adequate (56.1%). Nevertheless, 48.5% of the students still exhibited poor HWWS practices. Statistical tests revealed a significant relationship between knowledge (p = 0.002), attitude (p = 0.001), and the availability of facilities (p < 0.001) with students' HWWS behavior. Students' HWWS behavior is simultaneously influenced by internal factors (knowledge and attitude) and external factors (infrastructure/facilities). The school administration is expected to enhance the supervision and maintenance of sanitation facilities and integrate sustainable health education in a multidimensional manner.
PERAN PENGETAHUAN, DUKUNGAN KELUARGA, DAN EFEK SAMPING TERHADAP KEPATUHAN SUPLEMENTASI ZAT BESI PADA IBU HAMIL
Iron deficiency anemia remains a major public health problem and contributes significantly to maternal morbidity and adverse birth outcomes. In Indonesia, the prevalence of anemia among pregnant women reached 48.9% in 2018 despite high coverage of iron tablet distribution. Low medication adherence remains a key barrier to program effectiveness. This study aimed to analyze factors associated with adherence to iron supplementation among pregnant women at the Midwifery Clinic of RSUD Maluku. An analytic observational study with a cross-sectional design was conducted among 60 pregnant women in their second and third trimesters. Data were collected using structured questionnaires and pill count methods, and analyzed using Chi-Square test. The results showed significant associations between adherence and knowledge (p = 0.002), family support (p = 0.001), and perceived side effects (p = 0.014). Pregnant women with good knowledge and strong family support were more likely to adhere to iron supplementation, while discomfort from side effects acted as a barrier. Strengthening health education and involving family members as treatment supervisors are recommended to improve adherence and reduce anemia prevalence
PENGARUH MODUL HIPERTENSI BERBASIS MODEL IMB (INFORMATION, MOTIVATION, AND BEHAVIORAL SKILL) DALAM MENINGKATKAN KEPATUHAN MINUM OBAT PADA PASIEN HIPERTENSI
Medication adherence is a critical determinant in the successful management of hypertension, yet it remains significantly low in Indonesia, leading to increased risks of cardiovascular complications. This study aims to evaluate the effectiveness of an educational intervention using a Hypertension Module based on the Information, Motivation, and Behavioral Skills (IMB) model in improving medication adherence among primary hypertension patients. A quasi-experimental research design with a non-equivalent control group was employed. The sample included [Insert Number] participants, divided into an intervention group and a control group. Data were collected using the 8-item Morisky Medication Adherence Scale (MMAS-8) and clinical blood pressure measurements. Statistical analyses were performed using Paired T-Tests and Independent T-Tests. The results demonstrated a significant increase in medication adherence scores within the intervention group following the module's implementation (<span data-math="p < 0.05" data-index-in-node="148">p < 0.05), which correlated with improved blood pressure control. In contrast, the control group showed no substantial change in adherence behavior. The findings indicate that integrating information, personal/social motivation, and practical behavioral skills within a structured module effectively enhances patients' self-efficacy and long-term treatment management. This study concludes that the IMB-based module is a superior educational tool compared to conventional verbal education. It is recommended that primary healthcare facilities adopt this model-based module as a standardized part of chronic disease management programs to reduce hypertension-related morbidity and mortality
DAMPAK KONSUMSI MINUMAN KEMASAN TINGGI GULA TERHADAP KESEHATAN FISIK DAN KONSENTRASI BELAJAR SISWA SEKOLAH DASAR
This study examines the impact of sugar-sweetened beverage (SSB) consumption on Body Mass Index (BMI) and learning concentration among elementary school students. Using a quantitative cross-sectional design, the research involved 98 students in grades IV–VI selected through stratified random sampling. Data were collected using a validated Food Frequency Questionnaire (FFQ), anthropometric measurements based on BMI-for-age standards, and cognitive assessments through the Digit Span Test and Grid Test. Statistical analysis included descriptive tests, normality tests, correlation analysis, and simple linear regression. The findings indicate a significant positive correlation between frequent SSB consumption and increased BMI (p < 0.05). Additionally, a significant negative correlation was found between sugar intake and post-break concentration levels, suggesting that high glycemic load contributes to decreased sustained attention due to reactive hypoglycemia. The study highlights that obesogenic school environments and low nutritional literacy intensify health and cognitive risks among children. These findings emphasize the urgent need for school-based nutrition regulation and integrated health education programs to prevent obesity and support optimal academic performance in primary education settings
PENGARUH PROBIOTIK BAGI KESEHATAN USUS (STUDI KASUS: PROBIOTIK TEH KOMBUCHA)
This study aims to investigate the effects of routine kombucha tea consumption on gut health, specifically focusing on the modulation of intestinal microbiota and the reduction of functional gastrointestinal symptoms. Using a quasi-experimental approach with a pre-test and post-test design, 30 adult respondents with mild digestive complaints were selected via purposive sampling. The participants were intervened with 200 ml of standardized kombucha tea (containing $10^7$ to $10^8$ CFU/ml of Lactic Acid Bacteria) daily for 21 days. Data were collected using the Gastrointestinal Symptom Rating Scale (GSRS) to measure digestive discomfort and the Bristol Stool Chart to evaluate bowel movement frequency and stool consistency. The results demonstrated a significant reduction in GSRS scores, particularly in dimensions of bloating and abdominal pain. Furthermore, 70% of respondents reported a transition toward ideal stool types (Type 3 and 4) on the Bristol Stool Chart, indicating an improvement in intestinal transit time and peristaltic activity. The symbiotic relationship between the live microorganisms in the SCOBY (Symbiotic Culture of Bacteria and Yeast) and the tea polyphenols proved effective in suppressing pathogenic bacteria and restoring gut homeostasis. This study concludes that kombucha tea serves as a potent non-dairy probiotic alternative that significantly enhances digestive function. These findings advocate for the integration of traditional fermented beverages into modern diets as a preventive strategy against functional gastrointestinal disorders
STUDI RASIONALITAS PENGGUNAAN OBAT ANTIDIABETES PADA PASIEN DIABETES MELITUS TIPE 2 DI RSU IMELDA PEKERJA INDONESIA
Diabetes Mellitus (T2DM Type 2 is a chronic metabolic disorder characterized by hyperglycemia due to insulin resistance and impaired insulin secretion. The management of T2DM requires rational pharmacological therapy to achieve optimal glycemic control and prevent complications. This study aimed to evaluate the rationality of antidiabetic drug use in T2DM patients at RSU Imelda Pekerja Indonesia, including aspects of appropriate indication, appropriate drug, appropriate dose, appropriate patient, and appropriate route of administration, as well as to identify the patterns of antidiabetic drug use. This research employed a descriptive observational design with a retrospective approach. Data were collected from the medical records of T2DM outpatients during the period of May–July 2025 with a total sample of 46 patients, selected using purposive sampling. Data were analyzed descriptively by referring to the Indonesian PERKENI 2024 guideline. The pattern of antidiabetic drug use showed that metformin was the most frequently prescribed agent, either as monotherapy or in combination with sulfonylureas (glimepiride/gliclazide MR). The evaluation of rationality demonstrated: appropriate indication (100%), appropriate drug (93.5%), appropriate dose (91.3%), appropriate patient (95.6%), and appropriate route of administration (100%). Overall, the use of antidiabetic drugs at RSU Imelda Pekerja Indonesia was rational. The use of antidiabetic drugs in T2DM patients at RSU Imelda Pekerja Indonesia has been rational according to the five parameters of rationality. These findings support the study hypothesis that antidiabetic drug use is in accordance with therapeutic standards.
PELAYANAN INFORMASI OBAT PADA TENAGA VOKASI KEFARMASIAN DI APOTEK KESHIA FARMA
This study aims to evaluate the quality of Drug Information Services (DIO) provided by vocational pharmacy personnel (Pharmacy Assistants/Pharmacy Technical Personnel) at Keshia Farma Pharmacy. Accurate, comprehensive, and easy-to-understand DIO is crucial to ensure rational and optimal drug use by patients. The research method used is descriptive qualitative, with data collection through direct observation, in-depth interviews with vocational pharmacy personnel, and patient simulations to assess DIO responses in various scenarios. The data is also supplemented with a review of standard operating procedure (SOP) DIO documents at Keshia Farma Pharmacy. Data analysis was carried out using triangulation techniques to compare information from various sources. The expected results show a comprehensive picture of the level of knowledge of vocational personnel, communication skills, and the availability of drug information sources used. Potential obstacles in the implementation of DIO, such as workload or lack of ongoing training, will also be identified. This study is expected to provide valuable input for Keshia Farma Pharmacy in improving the quality of DIO, which ultimately contributes to increasing patient safety and compliance in drug use.
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DRP (DRUG RELATED PROBLEM) MENURUT KLASIFIKASI CIPOLLEPADA PENYAKIT DIABETES TIPE 2 + HIPERTENSI
Drug Related Problems (DRP) are a significant challenge in the management of patients with comorbidities, potentially affecting therapeutic efficacy and clinical outcomes. This study aims to identify and classify DRP based on the Cipolle Classification in patients with Type 2 Diabetes Mellitus (T2DM) and Hypertension in health facilities (mention the type or name of the facility, e.g.: Hospital X or Health Center Y) in [mention the location, e.g.: City/Regency Z]. The study design is descriptive observational with a retrospective approach using medical record data from patients who meet the inclusion criteria (patients with T2DM and hypertension) during the period [mention the time range, e.g.: January 2024–June 2025]. The study sample will involve [number of samples, e.g.: 150] relevant patient medical records. DRPs will be identified from demographic data, medication history, physical examination results, and laboratory data, then categorized based on the Cipolle Classification, covering issues such as the need for additional therapy, ineffective drugs, too low or high doses, drug side effects, drug interactions, and patient non-compliance. The expected results will show the prevalence and types of DRPs most frequently found in this patient population, especially related to the complexity of the drug regimen, interactions of antihypertensive and antidiabetic drugs, and dose adjustments. This study is expected to provide crucial information for health workers, especially pharmacists, in optimizing pharmacotherapy management, improving patient safety, and ultimately improving the quality of life of T2DM patients with hypertension complications.
DRP (DRUG RELATED PROBLEM) MENURUT KLASIFIKASI CIPOLLE PADA PENYAKIT CKD (CHRONIC KIDNEY DISEASE) + PNEUMONIA
Drug Related Problem (DRP) is a significant issue in clinical practice that can have a serious impact on patient outcomes, especially in complex cases with comorbidities. This study aims to identify and classify DRP according to the Cipolle Classification in patients with Chronic Kidney Disease (CKD) and pneumonia in the hospital (hospital name, if any). The design of this study is descriptive observational with retrospective data collection from medical records of CKD patients who were also diagnosed with pneumonia during the period (eg) January 2023 - December 2024. The study sample involved (number of samples) patients who met the inclusion and exclusion criteria. DRP data will be identified from medical records, including treatment history, laboratory results, and medical records, then classified using the Cipolle system, which includes DRPs such as the need for additional drugs, ineffective drugs, too low doses, too high doses, drug side effects, drug interactions, and non-compliance. The expected results show the prevalence and specific types of DRPs that most often occur in this patient population, with a focus on drug interactions and drug dose adjustments due to decreased kidney function. This study is expected to provide important information for health workers, especially clinical pharmacists, to optimize drug therapy, minimize the risk of DRP, and improve the quality of life of CKD patients with pneumonia complications.
Evaluasi Pengelolaan Obat Hipertensi Pada Tahap Pengadaan Dan Perencanaan di Gudang Farmasi Apotek Varia GATSU
Effective and efficient drug management is a crucial element in ensuring the availability of medications, especially for chronic diseases such as hypertension. This study aims to evaluate the management system of antihypertensive drugs during the planning and procurement stages at the pharmaceutical warehouse of Varia Pharmacy, located on Gatot Subroto Street (Gatsu). The main focus of this research is to identify the extent to which drug needs planning and procurement systems are appropriately implemented to support optimal pharmaceutical services. This study uses a descriptive qualitative method through direct observation, interviews with warehouse staff and pharmacists, as well as document reviews related to drug procurement and planning. The evaluation results indicate that the planning process for antihypertensive drugs is not entirely based on actual usage data but still relies on routine estimations that do not consider fluctuations in patient demand. Furthermore, there are challenges in procurement, such as delays in supplies from distributors and lack of synchronization between service units and the pharmaceutical warehouse. These issues have resulted in stockouts during certain periods, potentially disrupting the continuity of hypertension treatment. Therefore, it is recommended to implement a planning system based on historical data and to digitize the logistics process to improve efficiency. This research provides valuable insights for pharmacy managers to enhance drug management quality and patient service
Comparative Case Report: Divergent Outcomes in Two Pregnant Women with Intracerebral Hemorrhage Associated with Preeclampsia
Preeclampsia is a pregnancy complication that can lead to various serious cerebrovascular complications, including intracerebral hemorrhage (ICH). Although the incidence of ICH in pregnancy is relatively low, this complication can cause high mortality and morbidity. Early diagnosis and rapid intervention are crucial for improving patient prognosis. This report aims to compare two cases of pregnant women with preeclampsia who experienced ICH, to highlight significant differences in clinical outcomes based on the timing of diagnosis and medical intervention. Two cases of ICH in pregnant women with preeclampsia are reported. The first case was diagnosed quickly, and surgical intervention, such as a craniectomy, was performed immediately after diagnosis. In the second case, the diagnosis was delayed, and a more conservative management approach was applied. The clinical outcomes of these two cases are compared, focusing on the time of diagnosis, therapy, and patient outcome. The first case showed a better outcome, with almost complete recovery and minimal disability, after prompt and aggressive medical intervention. Conversely, the second case experienced delays in diagnosis and intervention, which led to the patient's death after undergoing intensive care. Significant differences in the time from symptom onset to diagnosis were found in both cases, contributing to the differing clinical outcomes. Early detection and rapid medical intervention are crucial in managing ICH in pregnant women with preeclampsia. Delays in diagnosis and management can increase the risk of long-term disability or death. Therefore, vigilance for neurological signs in preeclampsia patients and immediate management in a well-equipped facility are highly necessary to improve clinical prognosis.
Tinjauan Kelengkapan Pengisian Formulir Informed Consent Pada Pasien Pra Operasi Katarak di Rumah Sakit Khusus Mata SMEC
Medical record is a file that contains records and documents regarding identity, examination, treatment, action, and other services that have been provided to patients. The purpose of this study was to determine the percentage of completeness of the informed consent form in pre cataract surgery patients. This type of research is quantitative research that only describes the state of the object, there is no intention to generalize the results. The time of this research was carried out in June-July 2021 at the Medan SMEC Eye Specialist Hospital in 2021. In conducting this study, the researchers took a sample of 60 files. Based on the results of research conducted at the SMEC Eye Specialist Hospital, Medan, the provision of medical information was carried out entirely by authorized officers. But in providing medical information, some officers did not explain in its entirety, such as only providing 9 medical information out of 11 medical information that should be given to patients. The conclusion of this study is that the completeness of filling out the informed consent form in the medical record file at the SMEC Eye Specialist Hospital has not reached 100% complete, according to the results of the study, namely the average percentage of completeness of the types of information in the complete informed consent form is 40 (67%). and incomplete 20 (33.3%). It is hoped that the Director will conduct training on the importance of completing the informed consent form for officers
FAKTOR-FAKTOR PENYEBAB KLAIM PENDING PASIEN RAWAT INAP PADA PENGKLAIMAN BPJS DI RSU IMELDA PEKERJA INDONESIA MEDAN TAHUN 2023.
Pelayanan kesehatan pada Jaminan Kesehatan Nasional (JKN) menyebutkan bahwa jaminan kesehatan adalah jaminan berupa perlindungan kesehatan agar peserta memperoleh manfaat pemeliharaan kesehatan dan perlindungan dalam memenuhi kebutuhan dasar kesehatan yang diberikan kepada setiap orang yang telah membayar iuran atau iurannya dibayar oleh pemerintah. Setiap orang yang memiliki kartu BPJS dan membayarkan iurannya, maka biaya kebutuhan dasar kesehatannya akan ditangguhkan oleh BPJS melalui proses klaim yang diajukan oleh pihak rumah sakit kepada BPJS untuk dipergunakan dalam memfasilitasi biaya penanganan medis (Menkes RI, 2013).
ANALISIS DRUG RELATED PROBLEMS (DRPS) PADA PASIEN PENYAKIT GAGAL GINJAL KRONIK DI INSTALASI RAWAT INAP RUMAH SAKIT UMUM IMELDA PEKERJA INDONESIA MEDAN
Chronic kidney disease (CKD) has become a growing global public health priority associated with high morbidity, mortality, and healthcare costs. Patients with chronic disease often require a combination of several drugs. The administration of these drug combinations is generally expected to have a beneficial effect, but in some cases drug interactions are found that result in ineffective treatment and the emergence of unexpected events and cause quite adverse effects both on clinical and on treatment costs. This study aims to determine the incidence of Drug Relate Problems (DRPs) in CKD patients at the Inpatient Installation of Imelda Workers General Hospital Medan. This study was a non-experimental study with descriptive observation that data collection was done retrospectively and analysed with descriptive methods. The sampling technique used the Slovin formula with a total of 60 patients during the January - March 2024 period. Analysis of drug interaction data based on Drug Interaction Checker and Drug Interaction Fact and classification of Drug Relate Problems (DRPs) according to Cipolle et.2012. The results showed that there were 3 occurrences of DRPs in CKD patients, namely: Too Low Drug Dosage 30 patients (68.18%), Unnecessary Drug Therapy there were 10 patients (22.73%) and Patient Non-Compliance there were 4 patients (9.09%). Interaction Based on Severity Major 27 cases, Moderate 202 cases, Minor 46 cases. Interaction based on mechanism of action Pharmaceutics 1 case, Pharmacokinetics 9 cases, and Pharmacodynamics 23 cases
TINJAUAN KELENGKAPAN FORMULIR RESUME MEDIS BERDASARKAN ELEMEN PENILAIAN MIRM 15 STANDAR NASIONAL AKREDITASI RUMAH SAKIT (SNARS) DI RSU IMELDA PEKERJA INDONESIA
Incompleteness in filling out medical resumes will greatly affect the assessment of Hospital accreditation. This study aims to determine the completeness of filling out medical resume forms based on the MIRM 15 SNARS Edition 1.1 assessment elements at RSU Imelda Buruh Indonesia Medan. This study uses quantitative and qualitative methods, with a population of all medical resume forms at RSU Imelda Buruh Indonesia Medan. A sample of 93 medical resumes was rounded up to 100 medical resume forms. Based on the results of the study, it was found that the completeness of the medical resume forms was 76 medical resume forms (70%) and 30 medical resume forms (30%) were incomplete. Based on the SNARS Edition 1.1 assessment score, the number of complete medical resume forms was 76% with a score of 5 (partially fulfilled) because the achievement range was 29% -79%. The highest completeness of the medical resume form at RSU Imelda Buruh Indonesia is found in the components of patient history, diagnostic examination, diagnosis, therapy procedures and actions, drugs given and drugs when the patient is discharged from the hospital, patient health condition (current status) and follow-up instructions as much as (100%) medical resume forms and the lowest completeness is found in physical examination (15%) indications for patient hospitalization (6%), comorbidities (12) and patient/family signatures as much as (24%) medical resume forms. The researcher's suggestion is that continuous socialization should be held to increase knowledge for medical personnel about filling out the completeness of the medical resume form according to SNARS at RSU Imelda Buruh Indonesia Medan
TINJAUAN KOMPETENSI CODER TERHADAP KEAKURATAN DAN KETEPATAN PENGKODEAN MENGGUNAKAN ICD 10 DI RUMAH SAKIT IMELDA PEKERJA INDONESIA MEDAN
Decree of the Minister of Health Number 377/MenKes/SK/III/2007 concerning the Professional Standards of Medical Recorders and Health Information states that one or the competencies that must be possessed by medical recorders is the classification and coding of diseases, health-related problems and medical actions. The purpose of this study was to determine how the influence of competence as a coder on the accuracy and precision of coding. This type of research uses qualitative research, namely research conducted with the aim of describing or analyzing the results of a state of research objectively. This research was conducted with a cross-sectional approach. In this study, the sampling technique used was Purposive sampling. With a total of 7 informants as coders at the Imelda Buruh Indonesia General Hospital. The coder staff already had a D-III education background in Recording and Health Information. The coder staff already had a D-III education background in Recording and Health Information. Medical resumes that were included in the category of incorrect diagnosis codes were 10 (31%) and the correct ones were 22 (69%). Based on the results of the study, all officers have a D-III education background in Health Recording and Information. The age of officers ranges from 21-30 years and the length of service ranges from 8 months to 6 years, and of the 7 informants, 3 respondents have good knowledge and 4 other respondents have sufficient knowledge
GAMBARAN FAKTOR-FAKTOR YANG MEMPENGARUHI TERJADINYA DEHIDRASI PADA BALITA DI RUMAH SAKIT IMELDA PEKERJA INDONESIA (RS IPI) MEDAN
Didunia, Dehidrasi yang disebabkan diare merupakan penyebab kematian utama pada bayi dan balita (Huang,et al 2009). Dehidrasi terjadi jika kehilangan air dan elektrolit ini tidak diganti. Kematian dapat mengikuti dehidrasi berat jika cairan dan elektrolit tidak diganti baik melalui larutan oral rehydration salts (ORS) atau melalui infus menurut (WHO, 2009). Pada sekitar 70% penderita kehilangan air dan natrium. Menurut (WHO pada tahun 2017). Angka kematian anak di seluruh dunia 760.000 setiap pertahun, di asia 38%, di indonesia 45%, di kecamatan 21%, kabupaten 18,3%, tetapi dehidrasi menyebabkan morbiditas atau kesakitan yang signifitan (Fredman, 2008). Jenis penelitian ini menggunakan metode penelitian deskriptif. Penelitian ini tentang faktor-faktor yang mempengaruhi terjadinya dehidrasi pada balita yang berada di Rumah Sakit Imelda Pekerja Indonesi (RSU IPI) Medan, sampel penelitian ini adalah 30 balita. Pada penelitian ini menggunakan data perimer dengan membagikan kuesioner untuk mengumpulkan data. Karekteristik responden yang diteliti adalah faktor-faktor yang mempengaruhi terjadinya dehidrasi dengan kategori lingkungan yang panas berjumlah 1 responden (33%), kategori diare berjumlah 15 responden (50%), kategori muntah berjumlah 12 responden (40%), kategori kekurangan asupan air/cairan berjumlah 2 responden (6,6). Dari hasil penelitian, dapat disimpulkan bahwa faktor-faktor terjadinya dehidrasi pada balita masih banyak responden belum mengenali faktor-faktor terjadinya dehidrasi
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PERAN KELUARGA DALAM KEPATUHAN DIET DIABETES MELITUS DILINGKUNGAN V DESA YOUNG PANAH HIJAU KELURAHAN LABUHAN DELI KECAMATAN MEDAN MARELAN
Keselamatan dan Kesehatan Kerja (K3) merupakan isu yang sangat penting di berbagai industri di seluruh dunia. Kurangnya kesadaran dan pemahaman tentang pentingnya K3 di kalangan karyawan dan manajemen perusahaan juga menjadi salah satu faktor kurangnya program K3 di industri di Indonesia. Penelitian ini bertujuan untuk megevaluasi implementasi program Keselamatan dan Kesehatan Kerja (K3) di PT. Kreasi Lutvi. Metode penelitian yang digunakan adalah pendekatan kualitatif. Adapun metode yang digunakan yaitu metode wawancara dan observasi. Populasi penelitian ini merupakan pekerja di PT. Kreasi Lutvi. Sampelnya sebanyak 5 orang. Hasil penelitian diperoleh Program K3 di PT. Kreasi Lutvi mencakup pelatihan keselamatan dan kesehatan kerja, prosedur keselamatan, dan pelatihan operasional. Namun, beberapa area yang perlu diperbaiki, seperti peningkatan kesadaran bahaya dan risiko, pelaksanaan audit K3, serta penggunaan APD yang lebih baik. Kesimpulan penelitian ini adalah tidak ada tindakan penyadaran yang jelas dari perusahaan terkait risiko bahaya yang ada di tempat kerja. Namun, Kecelakaan kerja yang terjadi belum sampai menimbulkan kecacatan ataupun kematian, sehingga belum adanya tindakan dalam pelaporan serta investigasi kecelakaan kerja
GAMBARAN SELF EFFICACY TERHADAP KUALITAS HIDUP PASIEN INFARK MIOCARD DI RUMAH SAKIT IMELDA PEKERJA INDONESIA MEDAN
Pasien yang mengalami penyakit kardiovaskular infark miocard dapat mengalami perubahan dalam berbagai dimensi kehidupan yang berakibat menurunnya kualitas hidup. Pasien PGK harus menjalani perawatan mandiri seperti yang dianjurkan oleh tim medis supaya kualitas hidupnya tidak semakin rendah. Peran efikasi diri dalam perawatan mandiri pasien infark miocard menentukan tinggi rendahnya kualitas hidup pasien. Tujuan dari penelitian ini adalah untuk mengetahui gambaran antara efikasi diri dengan kualitas hidup pasien infark miocard yang menjalani pengobatan di Rumah Sakit Imelda Pekerja Indonesia Medan. Penelitian ini merupakan penelitian deskriptif yang melibatkan 30 responden. Penelitian ini menggunakan teknik Non Probability Sampling yaitu Purposive Sampling yang melibatkan pasien Infark Miocard yang memiliki criteria inklusi dan ekslusi. Kuesioner yang digunakan dalam penelitian ini adalah kuesioner Efikasi Diri dengan 32 item dan WHOQoL dengan 26 item. Hasil penelitian menunjukkan responden yang memiliki efikasi diri baik sebanyak 29 responden dengan (96,67%), dan yang memiliki self efficacy buruk sebanyak 1 responden (3,33%). Sedangkan yang memiliki tingkat kualitas baik dari 30 responden sebanyak 29 responden (96,67%), dan yang memiliki kualitas hidup buruk sebanyak 1 responden (3,33%). Hal ini dapat diketahui dengan menilai dari beberapa aspek dari tingakatan umur , jenis kelamin, tingkat pendidikan, lama rawatan, dan mekanisme koping. Hasil penelitian ini diharapkan perawat dapat melakukan skrining berkala dan intervensi untuk meningkatkan efikasi diri dalam pengelolaan pasien Infark Miocard yang menjalani pengobatan sehingga kualitas hidupnya pun akan meningkat
PROGRAM KESELAMATAN DAN KESEHATAN KERJA DI INDUSTRI PT KREASI LUTVI
KAJIAN PENERAPAN KESELAMATAN DAN KESEHATAN KERJA PADA PEKERJA DI PUSKESMAS NARUMONDA KECAMATAN SIANTAR NARUMONDA KABUPATEN TOBA
Kajian Penerapan Program Kesehatan dan Keselamatan Kerja di Puskesmas Narumonda Tahun 2021 untuk mengkaji bagaimana Penerapan Program Perilaku Kesehatan dan Keselamatan Kerja di Puskesmas Narumonda .Untuk mengetahui outputdari penerapan program pembudayaan perilaku Kesehatan dan keselamatan kerja yaitu terlaksananya program pembudayaan perilaku Kesehatan dan keselamatan kerja bagi Tenaga Kerja Sebagai bahan masukan bagi Puskesmas Narumonda dalam menentukan langkah-langkah Perencanaan Penerapan Program K3 dalam upaya pengembangan puskesmas di Bidang Kesehatan Kerja dimasa mendatang.Jenis penelitian yang dilakukan adalah penelitian kualitatif Fenomenal, yaitu studi yang mencakup pengalaman yang dirasakan individu. Tujunnya adalah untuk mendeskripsikan akurasi pengalaman dari fenomena yang ditelitiBerdasarkan penelitian tentang Penerapan Kesehatan dan KeselamatanKerja bagi petugas Puskesmas Narumonda Tahun 2021, didapatkan beberapa kesimpulan Penerapan Program Kesehatan dan Keselamatan Kerja di Puskesmas Narumonda hanya sebatas terprogram saja tetapi penerapan dan pelaksaan belum teralisasi dengan baik. Penyebaran media komunikasi dan informasi Kesehatan dan Keselamatan Kerja hanya tentang larangan merokok dan belum ada secara khusus untuk tenaga kerja mengenai K3 Diharapkan kepada seluruh tenaga kerja di Puskesmas Narumonda Kecamatan Siantar Narumonda untuk lebih konsisten dalam melaksanakan Kesehatan dan Keselamatan Kerja (K3) demi keamanan petugas kesehatan sehingga dapat membantu tercapainya Program K3 dan meningkatkan derajat kesehatan bagi tenaga pekerja sehingga angka kecelakaan kerja menjadi berkurang. Diharapkan agar menyusun dan melaksanakan kegiatan program tentang K3 bagi tenaga kerjasetiap unit di Puskesmas Narumonda
Penerapan program kesehatan dan keselamatan kerja
Pembudayaan perilaku kesehatan dan keselamatan kerja