Jurnal Kesehatan, Rekam Medis dan Farmasi (JUK-Medifa)

The Relationship Of Exclusive Asi Status With The Stunting Events In Ages 24-36 Months In The Belawan Village

2023-02-24T01:26:28+00:00

In infancy, the problem of stunting can be a serious problem if it’s not treated properly. Impacts that can be caused by stunting problems are metabolic disorders, decreased immunity, decreased cognitive abilities, impaired physical growth, and uncompetitive quality of work. Exclusive breastfeeding is one of the factors that can influence the prevalence of stunting because the nutrients contained in breast milk are one of the important factors that determine the period of development of children. This study aims to determine the relationship of exclusive breastfeeding with the incidence of stunting in toddlers aged 24-36 months in Belawan village. This type of research is a descriptive correlational study that is quantitative with a cross sectional approach. Sampling using a purposive sampling technique with a total of 44 respondents. This research instrument uses a questionnaire and microtoise/tape measure. Bivariate analysis using the chi square test. The history of exclusive breastfeeding in this study reached 56.8% or 25 children, and the majority of children in this study tended not to experience stunting. Children who get exclusive breastfeeding tend to experience stunting of 23 children (52.3%). The results of the chi square test obtained a value of p = 0,000 (p value <0.05) and r value = 0.609. The conclusion is that there is a relationship between exclusive breastfeeding and the incidence of stunting in toddlers aged 24-36 months in the Belawan village

Case Study: Midwifery Care of Trimester III Pregnant Women with Back Pain at Nana Diana Clinic, Medan City

2023-02-24T01:26:57+00:00

Pain in the back during pregnancy is often felt by most pregnant women who are entering the third trimester of pregnancy. Complaints of back pain causedbecause the enlargement of the uterus causes a strain on the muscles causing back pain. The purpose of this study was to carry out midwifery care through a comprehensive Varney midwifery care management mindset approach to pregnant women with complaints of back pain.The method used is a case study to explore the problem. The research subject is Mrs.N G1P0A0. This research was conducted in May 2021, at the Nana Diana clinic, Jl. Veteran, Pasar VIII, Medan City. Data collection techniques include primary data in the form of physical examination, interviews, observations, and secondary data in the form of literature and documentation studies. Data analysis was carried out by compiling a resume from interviews and examinations using Varney's 7-step management format, as well as development data in the form of SOAP. Midwifery care in Mrs. N's case, namely the third trimester pregnant woman with complaints of back pain used the Varney management principle and the care provided discussed the differences and gaps between theory and practice

Systematic Review Relationship Between Cesarean Section Delivery And Asphycia Incidence

2023-03-03T08:07:36+00:00

We reviewed the outcome for 211 women undergoing a planned en caul (within intact membranes) cesarean section and for 836 control women with conventional lower segment section, in the period 2001–2010 at a university-affiliated hospital in China, where the former technique has been practiced. Of the intended en caul sections there were 141 successful deliveries (66.8%), and 70 that failed and were converted to conventional lower segment cesarean section. Maternal blood loss was similar for both operation types, but the rate of asphyxia was significantly lower among preterm infants delivered by the en caul method than in the control cases. Multivariate logistic regression revealed that the volume of amniotic fluid, a low Bishop score and high birthweight were associated with failed en caul deliveries. Cesarean section en caul can be a safer option than lower segment section when preterm delivery is required. Aretrospective cohort study was conducted inasingle tertiary center, between January 1st, 2007, and December 31st, 2017. The study included 62330 singleton pregnancies delivered after 24 0/7 weeks gestation. Multivariable analyses compared trauma atbirth cesarean sectin, birth hypoxia and birth asphyxia interm and preterm deliveries, stratified by mode ofbirth, VD versus CS. Main outcome measure was trauma atbirth including intracranial laceration and haemorrhage, injuries toscalp, injuries tocentral and peripheral nervous system, fractures toskeleton, facial and eye injury.

The Relationship Between Mother's Knowledge And Attitude About High Risk Pregnancy In Pulo Brayan Medan Health Center

2023-03-07T07:21:16+00:00

Some complications that may occur in high-risk pregnancies, especially women who are pregnant at the age of more than 35 years, include the fetus in the womb experiencing genetic problems and congenital abnormalities. According to a number of theories, women at a greater age are at greater risk of having a baby born with genetic disorders. The purpose of this study was to analyze the relationship between knowledge and attitudes with a high risk of pregnancy at the age of more than 35 years in the working area of the Pulo Brayan Health Center, Medan.

This type of research is an analytic survey using a cross-sectional approach by means of observation and data collection at one time. The statistical test used was the chi square test with a significance degree of p value 0.05

The results showed that 80% of mothers with less knowledge and 85% of negative attitudes experienced high-risk pregnancies, namely pregnant at age > 35 years.

There is a significant relationship between knowledge and the risk of pregnancy over 35 years, p value 0.001 and there is an attitude relationship with the risk of pregnancy over 35 years, p value 0.000. Suggestions for the Puskesmas to optimize health education and proper handling of high-risk pregnancies

Review Of SIMRS Implementation In RSUD Dr. Pirngadi, Medan City

2023-03-27T07:53:05+00:00

PERMENKES No. 82 of 2013 Articles 3 and 4 state that hospitals are obliged to carry out SIMRS and every hospital must carry out management and development of SIMRS. The purpose of this study was to find out how the obstacles in the implementation of SIMRS in RSUD Dr. Pirngadi Medan City. This study uses descriptive qualitative research with a retrospective approach where data collection is carried out by interviewing from June to September 2022 to the head of the ICT installation at Dr. RSUD. Pirngadi Medan City. Based on the research that in the implementation of SIMRS in RSUD Dr. Pirngadi Medan City experienced obstacles, namely man (lack of human resource knowledge), mechinness (network that sometimes errors) and money (money). The conclusion is RSUD Dr. Pirngadi Medan City in implementing SIMRS is still experiencing obstacles that interfere with officers in carrying out. Based on this, it is suggested to the hospital to continue to conduct training and socialization to employees regarding the understanding and use of information systems and to find sufficient sources of funds to overcome the implementation of SIMRS in RSUD Dr. Pirngadi City and the existence of a special team to handle the occurrence of network errors

Test The Activity Of A Mouthwash Preparation From The Extract Senggani Leaf Ethanol (Melastoma Malabatricum l.) Against The Fungi Candida Albicans

2023-09-11T07:06:09+00:00

The Candida albicans fungus is one of the factors that causes canker sores. Several researchers have proven that senggani leaves (Melastoma malabatricum L) have antifungal activity. The ethanol extract of senggani leaves is made by maceration. Formulated in mouthwash preparations with concentrations of 2%, 4% and 6%, then tested for antifungal activity against Candida albicans. The results of the antifungal activity test of the ethanol extract of senggani leaves obtained a Minimum Inhibition concentration at a concentration of 2%. The results of the antifungal activity of mouthwash preparations showed an average zone of inhibition. -average at a concentration of 2% 12.8 mm; 4% 13.4 mm and 6% 16.6 mm. Mouthwash preparations using ethanol extract of senggani leaves have been proven to have antifungal activity against Candida albicans which causes canker sores.

Description Of Sleep Quality In Patients With Chronic Obstructive Pulmonary Disease At Imelda Pekerja Indonesia General Hospital Medan

2023-09-19T09:45:54+00:00

Sleep quality is the sleep that a person gets which is useful for getting freshness and fitness when waking up from sleep and can be assessed by the number of hours of sleep. Chronic Obstructive Pulmonary Disease (COPD) is a chronic inflammation that leads to long-lasting narrowing of the airways caused by destruction of the alveolar walls. The aim of the research is to determine the description of the sleep quality of patients with chronic obstructive pulmonary disease (COPD) at the Imelda Pekerja IndonesiaGeneral Hospital, Medan in 2021. This research uses a descriptive method, a cross sectional approach with a sampling technique using nonprobability sampling with a sampling method, namely consecutive sampling involving 31 respondents. The instrument used was the Pittsburgh Sleep Quality Index (PSQI) sleep quality questionnaire. The results of this study were based on the sleep quality of 31 COPD patients in the orchid room at the Imelda Pekerja IndonesiaGeneral Hospital, Medan. The majority of respondents had poor sleep quality, 21 people (67.7%) and the minority had good quality, 10 people (32, 3%). It is hoped that it can be used for basic data and developed for subsequent research by adding respondents, conducting research on the description of patients with chronic obstructive pulmonary disease (COPD) in improving sleep quality, and before conducting interviews so that researchers can better understand the material. 7%) and minorities have good qualities as many as 10 people (32.3%). It is hoped that it can be used for basic data and developed for subsequent research by adding respondents, conducting research on the description of patients with chronic obstructive pulmonary disease (COPD) in improving sleep quality, and before conducting interviews so that researchers can better understand the material. 7%) and minorities have good qualities as many as 10 people (32.3%). It is hoped that it can be used for basic data and developed for subsequent research by adding respondents, conducting research on the description of patients with chronic obstructive pulmonary disease (COPD) in improving sleep quality, and before conducting interviews so that researchers can better understand the material.

The Relationship Between Diabetes Self-Management And The Stress Level Of Diabetes Mellitus Patients Undergoing A Diet At The Puskesmas Kota Rantau Prapat

2023-11-06T03:10:38+00:00

Diabetes Mellitus (DM) is a chronic disease characterized by blood glucose levels exceeding normal and disturbances of carbohydrate, fat and protein metabolism caused by relative or absolute deficiency of the hormone insulin. If this is left uncontrolled, it can lead to acute metabolic complications and long-term vascular complications, both microangiopathy and macroangiopathy (Darmono in Hasdianah, 2012). Knowledge is needed by DM patients to improve self diabetes management to prevent acute complications and reduce risk long term complications. People with DM must have a fairly strict diet. This can be boring and stressful because the patient has to follow the recommended diet during his lifetime. Methods: This study aims to determine the existence of The relationship between diabetes self-management and stress levels on a diet for DM patients at the Rantau Prapat Public Health Center. This study used a cross sectional design. Respondents were selected from five Puskesmas in Puskesmas Rantau Prapat using purposive sampling method. A total of 37 respondents with DM participated in the study. Data were collected using a diabetes diet knowledge questionnaire, diet self-management questionnaire, and a stress level questionnaire undergoing a DM diet, and then the data were analyzed using the Chi Square test with a significance level of <0.05. Results: The results showed that there was a relationship between diabetes self-management and the stress level of undergoing a DM diet (p=0.004). Future research is expected to be able to use respondents with a wider area and use better measuring tools.

The Relationship of Knowledge of Diabetes Mellitus Patients with Diabetes Mellitus Diet Adherence at RSUD.Rantau Prapat, Labuhan Batu District, North Sumatra Province in 2022

2023-11-06T03:13:45+00:00

Diabetes Mellitus (DM) is a chronic disease characterized by blood glucose levels exceeding normal and impaired carbohydrate, fat and protein metabolism caused by relative and absolute lack of the hormone insulin. If this is left uncontrolled it can become an acute metabolic complication as well as a long-term vascular complication of both microangiopathy and macroangiopathy (Darmono in Hasdianah, 2012). Method: This study aims to determine the relationship between diabetes self-management and the level of stress undergoing a diet of DM sufferers at the Rantau Prapat Health Center. This study used a cross sectional design. Respondents were selected from five Puskesmas in Puskesmas Rantau Prapat using the purposive sampling method. A total of 37 DM sufferers participated in the study. Data were collected using DM knowledge questionnaire, then data were analyzed using Chi Square test with significance level <0.05. Results: The results showed that and there was a relationship between knowledge of diabetes mellitus patients with DM diet adherence (p = 0.017), which Conclusion: There was a relationship between diabetes self-management and the level of stress undergoing a diet of diabetics in Puskesmas Rantau Prapat. Future research is expected to use respondents with a wider area and use better measuring instruments.

Factors Related to the Level of Patient Adherence in Taking Hypertensive Medication at RSU Imelda Pekerja Indonesia Medan in 2022

2023-11-06T11:26:24+00:00

This article describes the factors related to the level of patient adherence in taking hypertension medication at RSU Imelda Pekerja Indonesia Medan. This study used quantitative methods with an analytical survey approach and the research design used in this study was Cross Sectional. The sample in this study was 35 people. The results of statistical test analysis using the Chi-Sguare statistical test where the results showed meaningful relationships for age variables (p value = 0.005), for sex variables (p value = 0.557), for knowledge variables (p value = 0.011), for officer role variables (p value = 0.007) and for family support variables (p value = 0.012).

The Effect Of Diabetic Foot Exercises On Lowering Blood Sugar Levels In Type II Patients In RSU Imelda Pekerja Indonesia Medan

2023-11-07T11:04:33+00:00

Increased prevalence of type 2 Diabetes Mellitus in developed and developing countries so that it becomes a health problem or disease global on society. Therefore type 2 Diabetes Mellitus can be prevented by regular exercise, healthy and regular life. The objectives of this study are to: knowing the effect of foot gymnastics on changes in blood sugar levels in elderly people with type 2 diabetes mellitus at RSU Imelda Pekerja Indonesia Medan. This type of research is experimental with one group pre-post test. The population in this study was 30 elderly people with type 2 Diabetes Mellitus at RSU Imelda Pekerja Indonesia Medan. The samples in this study were all elderly people suffering from type 2 diabetes mellitus at RSU Imelda Pekerja Indonesia as many as 30 elderly. The sampling technique used is total sampling. The data collection method used observation sheets before and after foot gymnastics was given. The statistical test used in this study was Wilcoxon with a α of 0.05. The results of the study found that there were changes in blood sugar levels before and after foot exercise with the mean before foot exercise was 182.80 mg / dl while the mean after foot exercise was 143.13 mg / dl. The results of Wilcoxon's analysis obtained a significance value of p-value = 0.000 < α = 0.05 meaning that there is an influence of foot gymnastics on changes in blood sugar levels of patients with type 2 diabetes mellitus at RSU Imelda Pekerja Indonesia Medan. From the results of foot exercise research can affect the decrease in blood sugar levels, besides that the age of respondents can also affect how often to do physical activity sports such as gymnastics every week.

The Relationship Between Respondents' Characteristics And Quality Of Life In Diabetes Mellitus Patients At The Sipultak Health Center, Pagaran District, North Tapanuli Regency In 2022

2024-01-17T01:06:49+00:00

Diabetes Mellitus (DM) is a set of symptoms that appear in a person caused by an increase in blood glucose levels due to a progressive decrease in insulin secretion. Diabetes Mellitus will accompany sufferers for a lifetime so that it greatly affects the quality of a person's life. Living with diabetes mellitus can affect his life circumstances which are often referred to as negative influences on the quality of life of sufferers either or without complications. The purpose of the study was to determine the relationship between respondent characteristics and quality of life in diabetes mellitus patients at the Sipultak Health Center, Pagaran District, North Tapanuli Regency in 2022. This type of research is quantitative research with cross sectional. The research was conducted at the Sipultak Health Center, Pagaran District, North Tapanuli Regency in July-August 2022. The study population of Diabetes Mellitus patients was 260 patients. The sample in this study was 73 patients using the Slovin formula. Bivariate analysis using the Chi-Square method. The age characteristics of diabetes mellitus patients are mostly aged 46-55 years as many as 34 people (46.6%). The majority of respondents with diabetes mellitus patients had a good quality of life (score 81-120) as many as 18 people aged 46-55 years with a P.Value value of 0.018<0.05. The sex characteristics of diabetes mellitus patients are mostly male as many as 58 people (79.5%). The majority of respondents with diabetes mellitus patients had a poor quality of life (score 30-80) as many as 32 people in the male sex with a P.Value value of 0.016<0.05. The characteristics of the education level of diabetes mellitus patients are the majority of high school education as many as 23 people (31.5%). The majority of respondents with diabetes mellitus patients had a poor quality of life (score 30-80) as many as 14 people at the college education level with a P.Value value of 0.015<0.05. The job characteristics of diabetes mellitus patients are that the majority work as self-employed as many as 35 people (47.9%). The majority of respondents with diabetes mellitus patients had a poor quality of life (score 30-80) as many as 23 people in the type of work as self-employed with a P.Value value of 0.004<0.05. The characteristics of long-suffering diabetes mellitus patients are the majority of long-suffering from DM for 2-5 years as many as 64 people (87.7%). The majority of respondents of diabetes mellitus patients had a poor quality of life (score 30-80) as many as 38 people who had suffered for 2-5 years with a P.Value value of 0.018<0.05.

Relationship Of Sleep Quality With Fatigue In Chronic Obstructive Pulmonary Disease (COPD) Patients At Rantauprapat Regional General Hospital

2024-01-17T09:07:06+00:00

Chronic Obstructive Pulmonary Disease (COPD) is a preventable and treatable disease characterized by persistent respiratory symptoms and airflow limitation. Disturbed sleep will not be able to restore and restore the condition of his body and cannot rest his body properly. This situation results in irritability, fatigue, dizziness, anxiety, and stress so that it will affect the quality of life of the patient. The purpose of this study was to identify the relationship between quality of life and fatigue in patients with Chronic Obstructive Pulmonary Disease (COPD) at the Rantau Prapat Regional General Hospital. The design of this study was quantitative with a cross sectional approach. The number of samples was 30 people with accidental sampling technique. The results of the study obtained the result of p value = 0.004. These figures show a very strong correlation between sleep quality and fatigue in patients COPD received. It is suggested that the results of this study can be used as policy-making material in improving health services for patients with Chronic Obstructive Pulmonary Disease (COPD).

The Relationship Between Informational Support And Emotional Support On The Quality Of Life Of Pulmonary TB Patients At The Puskesmas Kampung Pajak Labuhan Batu Utara

2024-01-17T09:54:15+00:00

Family is the main support system in maintaining health. The support provided by the family is the most important ingredient in helping individuals solve problems. Family support will also increase self-confidence and motivation to face problems and increase life satisfaction. The purpose of the study was to determine the relationship between informational support and emotional support on the quality of life of Pulmonary TB patients at the Puskesmas Kampung Pajak Labuhan Batu Utara. The research method uses quantitative research with a Cross Sectional approach. The research was carried out at the Puskesmas Kampung Pajak Labuhan Batu Utara in June-July 2021. The study population was Pulmonary TB patients who came to the Puskesmas Kampung Pajak Labuhan Batu Utara as many as 64 people, Sampling technique using Total Sampling, the number of research samples was 64 people who came to the Puskesmas Kampung Pajak Labuhan Batu Utara. Univariate and bivariate, bivariate data analysis techniques were carried out using the Chi Square Test assisted by SPSS 22 software. The results of the study there was a relationship of informational support with quality of life with a significant value of 0.002<0.05, there was a relationship of emotional support with quality of life with a significant value of 0.004<0.05. Suggestions become education to patients to involve families in helping patients to improve health through family support to patients.

Description Of The Level Of Anxiety In The Use Of Anti-Tuberculosis Drugs (OAT) In Pulmonary TB Patients At RSU. Imelda Medan

2024-01-27T13:22:31+00:00

Pulmonary TB or tuberculosis is an infectious disease caused by rod-shaped bacteria, namely Mycobacterium tuberculosis. (WHO, 2011). Pulmonary tuberculosis can spread to almost any part of the body, including the meningens, kidneys, bones, and lymph nodes. The initial infection usually occurs within 2 to 10 weeks after exposure, then it can form active disease due to a decreased or inadequate immune system response. The purpose of this study is an overview of the level of anxiety in the use of anti-tuberculosis drugs (OAT) in TB patients. Lungs in RSU. Imelda Medan. This type of research is descriptive with a total of 30 respondents. The results of the study based on age characteristics obtained the majority aged 50-54 as many as 16 respondents (53%), for the majority of male gender as many as 20 respondents (66.67%), the majority of education educated DIII as many as 14 respondents (47%). Based on the characteristics of the level of anxiety, it showed that of the 30 respondents, the majority of mild anxiety was 14 respondents (46.7%), and the minority of respondents were poorly informed as many as 2 respondents (6.7%).

The Relationship Between Diabetes Mellitus Patients' Knowledge About The Four Pillars Of Diabetes Mellitus With Self Care At RSU Imelda Medan

2024-01-27T13:52:46+00:00

Diabetes militus (DM) is a non-communicable disease with a set of symptoms that arise in individuals as a result of the individual's glucose levels are above normal. Until now diabetes mellitus has not been cured, requires high treatment costs when it gets worse, and can cause various forms of complications and even death. To improve the quality of life of diabetes mellitus patients, it is necessary to increase self-care. Self care is an action taken by individuals to manage DM, in the form of treatment and prevention of complications The purpose of the study was to determine the relationship between knowledge of diabetes mellitus patients about the four pillars of diabetes mellitus with self care at RSU Imelda Medan. This research is a quantitative research using a correlational analytical design using a cross sectional approach. This research place was at RSU Imelda Medan in August 2022 with a sample of 37 respondents. The results of the study had a positive and significant relationship between Diabetes Mellitus Patients' Knowledge About the Four Pillars of DM with Self Care in Diabetes Mellitus patients at RSU Imelda Medan with the results p = 0.000, so it can be concluded that Ha accepted that there is a meaningful relationship between there is a meaningful relationship between Diabetes Mellitus Patients' Knowledge About the Four Pillars of DM with Self Care in Diabetes Mellitus patients.

Overview Of Readiness To Implement Electronic Medical Records At RSU Imelda Indonesia In 2023 Follows Up On Minister Of Health Regulation Number 24 Of 2022

2024-01-27T13:33:47+00:00

RSU Imelda Indonesian workers plan to switch to electronic medical records, this needs to be done a readiness assessment. According to PERMENKES No.24 of 2022 states that every health service facility is required to carry out electronic medical records. Electronic medical records are the use of information technology devices for collecting, storing, managing, and accessing data stored in patient medical records in hospitals in a management system, the purpose of this study is to determine the readiness of RSU Imelda Indonesia in implementing electronic medical records. This type of research is descriptive research with a qualitative approach, the subjects in this study are medical record officers and information technology (IT) officers. The results of the study are reviewed from the Man factor, there are already officers who are responsible for processing electronic medical records as well, namely IT officers and also IT Support officers who can handle if there is a long time server system in the implementation of electronic medical records. In the Methode factor, there is no planning related to making policies and procedures regarding the application of electronic medical records. On the Money factor there is already a budget but for the budget scheme it has not yet been drawn up. In the Machine factor, facilities and infrastructure are sufficient, but it is necessary to increase the speed of the internet network in the hospital. In non-technical facilities, training and socialization have been carried out to officers related to the use of electronic medical records