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All Journal Jurnal Keperawatan dan Fisioterapi (JKF) Jurnal Kesehatan Tambusai Jurnal Kedokteran STM (Sains dan Teknologi Medik) Jurnal Pengmas Kestra (JPK) Medistra Medical Journal (MMJ)
Nisa El Hasanah
Institut Kesehatan Medistra Lubuk Pakam
Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Other

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KEPUASAN PASIEN TERHADAP PELAYANAN KESEHATAN SURVEI PADA PASIEN RAWAT INAP DI KLINIK PT. BRIDGESTONE SUMATRA RUBBER ESTATE, TAHUN 2022 Nisa El Nisa El; Masdalina Masdalina; Johansen Hutajulu; Otniel Ketaren; Dewi Risma Uli Br. Bancin
Jurnal Kesehatan Tambusai Vol. 4 No. 2 (2023): JUNI 2023
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v4i2.16068

Abstract

Kepuasan pasien merupakan tingkat keadaan yang dirasakan seseorang yang merupakan hasil dari membandingkan penampilan atau outcome produk yang dirasakan dalam hubungannya dengan harapan seseorang. Kualitas pelayanan kesehatan digunakan untuk meninjau tingkat kepuasan pasien rawat inap. Tujuan penelitian ini adalah untuk menganalisis tingkat kepuasan terhadap pelayanan kesehatan pasien rawat inap di Klinik PT. Bridgestone Sumatra Rubber Estate. Penelitian ini menggunakan metode kuantitatif dengan pendekatan cross sectional. Penelitian ini berlokasi di klinik PT. Bridgestone Sumatra Rubber Estate dengan jumlah sample 89 responden. Hasil penelitian dengan menggunakan uji chi-square menunjukkan ada hubungan bukti fisik (tanglible) (p=0.000), perhatian (p=0.044), keandalan (reliability) (p=0.021), jaminan (assurance) (p=0.000) terhadap kepuasan pasien. Dan tidak ada hubungan ketanggapan (responsiveness) (p=0.172) terhadap kepuasan pasien rawat inap di Klinik PT. Bridgestone Sumatra Rubber Estate. Dalam hal ini pihak kl.inik dapat lebih meningkatkan kepuasan pasien terutama dalam ketersediaan fasilitas fisik, keandalan serta ketanggapan dokter dan perawat untuk meningkatkan tingkat kepuasan pasien atas pelayanan kesehatan yang diperoleh di klinik.
Education About Early Detection Of Emergencies In Patients With Catastropic Diseases Through Early Warning Score Hasanah, Nisa El
JURNAL PENGMAS KESTRA (JPK) Vol. 4 No. 1 (2024): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Early detection of emergencies in patients with catastrophic diseases, such as heart disease, stroke, and kidney failure, is crucial for reducing mortality rates and improving the quality of care. The Early Warning Score (EWS) is a simple assessment method used to monitor vital signs and quickly identify potential emergencies. This community service program aims to educate the public, particularly patients' families, health cadres, and the general population, about the application of EWS. The activity involved 30 participants, utilizing a combination of material presentations, practical simulations, and evaluations through pre-tests and post-tests. The results showed an average increase in participants' knowledge of 30%, from a pre-test score of 55% to a post-test score of 85%. Furthermore, 90% of participants provided positive feedback regarding the benefits of this program. The education on EWS has proven effective in enhancing the community's preparedness for emergency situations and is expected to be implemented more widely to support healthcare services at the community level.
Implementation of Early Warning Score in Early Detection of Emergencies in Patients with Catastrophic Diseases El Hasanah, Nisa
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 6 No. 1 (2023): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v6i1.2487

Abstract

Background: Emergency management in primary healthcare centers (Puskesmas) requires effective collaboration between doctors and nurses. High workloads and inefficient collaboration can impact the quality of care. The implementation of the Early Warning Score (EWS) potentially enhances early detection in patients with catastrophic diseases, but its effect on workload and teamwork has not been fully explored. Objective: This study aims to analyze the workload and the effectiveness of doctor-nurse collaboration in managing emergency patients at Puskesmas and to evaluate the application of EWS in early detection of emergencies in patients with catastrophic diseases. Methodology: This quantitative study uses a cross-sectional approach. Data were collected through questionnaires distributed to 30 doctors and 30 nurses at Puskesmas. Univariate analysis was used to describe workload and collaboration effectiveness, while bivariate analysis with chi-square tests was used to explore relationships between variables. Results: The majority of respondents reported high workloads (67%) and ineffective collaboration (53%). Bivariate analysis showed a significant relationship between workload and collaboration effectiveness (p = 0.02) and between collaboration effectiveness and quality of patient management (p = 0.01). The application of EWS showed effective early detection, with 60% of patients identified as high-risk. Discussion: High workload reduces collaboration effectiveness, which impacts emergency management. The implementation of EWS can improve early detection, but requires adequate training and resources. Conclusion: High workload impacts doctor-nurse collaboration, while EWS can improve emergency management when implemented properly.
STROKE ISKEMIK AKUT PASCA PPCI (PRIMARY PERCUTANEOUS CORONARY INTERVENTION) : SEBUAH LAPORAN KASUS MENGENAI STEMI ANTEROEKSTENSIF: ACUTE ISCHAEMIC STROKE POST PPCI (PRIMARY PERCUTANEOUS CORONARY INTERVENTION) : A CASE REPORT ON ANTEROSEPTAL STEMI Nisa El Hasanah; Hafiz Ahmad Ikhsanul Yannas; Putri Theresia L.A Bancin; Fikra Clara Anjelita; Gita Annisa Raditra
Jurnal Kedokteran STM (Sains dan Teknologi Medik) Vol. 9 No. 2 (2026): Juli 2026
Publisher : Fakultas Kedokteran Universitas Islam Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30743/stm.v9i2.1292

Abstract

Acute ischemic stroke is a serious but rare complication following primary percutaneous coronary intervention (PPCI) in patients with ST Elevation Myocardial Infarction (STEMI). The risk increases in the presence of heavy coronary thrombus and left ventricular dysfunction. A 54-year-old man presented with left chest pain radiating to the neck, accompanied by palpitations and diaphoresis. Electrocardiography showed ST segment elevation in leads V1–V6 consistent with extensive anterior STEMI. Coronary angiography revealed subtotal occlusion and thrombus in the proximal left anterior descending artery (LAD), severe stenosis of the left circumflex artery (LCX), and chronic total occlusion (CTO) of the right coronary artery (RCA). The patient received antiplatelet therapy, statins, insulin, and underwent PPCI on the LAD. Four hours post-PPCI, the patient experienced decreased consciousness and left-sided hemiparesis. Head CT scan showed a large right temporoparietal infarct. Echocardiography showed an ejection fraction of 36% with spontaneous echo contrast (SEC) supporting cardioembolic embolism. After two weeks of intensive care, hemodynamic condition improved with residual left hemiparesis and global aphasia. In conclusion, acute ischemic stroke post-PPCI in STEMI is associated with high thrombus burden, left ventricular dysfunction, and risk of systemic embolism, thus requiring close neurological monitoring post reperfusion. AbstrakStroke iskemik akut merupakan komplikasi serius namun jarang terjadi setelah primary percutaneous coronary intervention (PPCI) pada pasien ST Elevation Myocardial Infarction (STEMI). Risiko meningkat pada kondisi trombus koroner berat dan disfungsi ventrikel kiri. Dijumpai Seorang laki-laki 54 tahun datang dengan nyeri dada kiri menjalar ke leher disertai palpitasi dan diaforesis. Elektrokardiografi menunjukkan elevasi segmen ST pada sadapan V1–V6 yang sesuai dengan STEMI anteroekstensif. Angiografi koroner menunjukkan subtotal oklusi dan trombus pada left anterior descending artery (LAD) proksimal, stenosis berat left circumflex artery (LCX), serta chronic total occlusion (CTO) right coronary artery (RCA). Pasien mendapat terapi antiplatelet, statin, insulin, dan dilakukan PPCI pada LAD. Empat jam pasca-PPCI, pasien mengalami penurunan kesadaran dan hemiparesis sinistra. CT-scan kepala menunjukkan infark luas temporoparietalis kanan. Ekokardiografi menunjukkan ejeksi fraksi 36% dengan spontaneous echo contrast (SEC) yang mendukung emboli kardioembolik. Setelah dua minggu perawatan intensif, kondisi hemodinamik membaik dengan sisa hemiparesis sinistra dan afasia global. Kesimpulannya Stroke iskemik akut pasca-PPCI pada STEMI berkaitan dengan tingginya beban trombus, disfungsi ventrikel kiri, dan risiko emboli sistemik sehingga diperlukan pemantauan neurologis ketat pasca reperfusi.
Relationship Between Family Support And Active Participation Of The Elderly Attending Elderly Health Posts In Tanjung Raja Village Deli Serdang District, 2025 Nisa El Hasanah; Andhika Budi Sentoso; Lilla Sarissa Br Ginting
Medistra Medical Journal (MMJ) Vol 3 No 1 (2025): Medistra Medical Journal (MMJ)
Publisher : Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/yk326a41

Abstract

The elderly are a group that is vulnerable to health problems, thus requiring extra attention to maintain their quality of life. One measure taken is to increase active participation in the Elderly Posyandu programs. This study aims to identify the relationship between family support and the level of participation og the elderly in Posyandu activities in Tanjung Raja Village, Deli Serdang Regency, in 2025. The study applied a quantitative approach with a cross-sectional design. The research subjects were 42 elderly  individuals selected using a total sampling technique. Data collection was conducted using questionnaires and attendance lists, and then analyzed using the Chi-square test. The study findings revealed that most respondents received family support (59,5%), but the majority of elderly were classified as less actively involved in Posyandu activities (69,0%). Statistical analysis resulted in a p-value of 0.060. Statistical analysis yielded a p-value of 0.060, indicating no significant relationship between family assistance and elderly participation. It is recommended that families continue to provide full support, while posyandu cadres reinforce education to families about the importance of elderly involvement in posyandu programs.
Mollecular Rapid Test Examination in Suspected Pulmonary Tuberculosis Patients at UPTD Puskesmas Siabu Nisa El Hasanah; Benny Sihombing; Fitri Mulyani Siregar
Medistra Medical Journal (MMJ) Vol 3 No 2 (2026): Medistra Medical Journal (MMJ)
Publisher : Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/hw6wy170

Abstract

Tuberculosis (TB) is caused by Mycobacterium tuberculosis, causing damage to many body organs, such as the lungs, bones, brain membranes, stomach membranes, intestines, and even the urinary tract. This study aims to achieve early detection of pulmonary tuberculosis cases with rapid and accurate diagnosis at the UPTD Siabu Health Center. To obtain the number of suspected pulmonary tuberculosis patients examined using the Rapid Molecular Test at the UPTD Siabu Health Center Laboratory, from April to May 2025. This type of research is a descriptive analytical study. The results of the study showed that 16.1% (30 out of 187) of patients were confirmed positive for Rifampicin-Sensitive TB through the RMT. The distribution of positive cases was higher in males (16.7%) compared to females (15.2%). The age group ≥40 years had the highest number of TB cases (76.7% of total positives). Respondents with smoking habits showed a higher proportion of TB cases (63.3%) compared to non-smokers. Work as a farmer dominates positive cases (63.3%). In conclusion, these findings support the expansion of TCM implementation in primary healthcare facilities and emphasize the importance of gender-based and socio-environmental approaches in TB control strategies.
Socialization of Laboratory Management and Screening of Sexually Transmitted Diseases in Pregnant Women at Aek Natolu Health Center Nisa El Hasanah; Rahmadani Sitepu; Nur Afni Heryanti Octavia; Elsha Sinulingga; Surya Elisabet Hasibuan
JURNAL PENGMAS KESTRA (JPK) Vol. 6 No. 1 (2026): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/xzz5e010

Abstract

A health laboratory is a healthcare facility that conducts examinations, analyses, and tests on human biological samples or non-biological materials to help identify diseases, determine the causes of health disorders, assess the health conditions of individuals or communities, and detect factors that can affect health status. Screening for sexually transmitted infections is a health check carried out to detect the presence of sexually transmitted infections in someone, even before symptoms appear, so that treatment can be done earlier to prevent complications and further transmission. For pregnant women, screening for sexually transmitted infections plays an important role in maintaining the health of both mother and baby and supporting efforts to reduce maternal and infant morbidity and mortality. The goal of this community service is to understand the relationship of health laboratory management in supporting sexual transmitted disease screening programs at pregnant women at Aek Natolu Health Center. The community service activity was carried out using a participatory approach based on health checks and education. Education was provided on the importance of laboratory tests during pregnancy, the prevention of sexually transmitted infections, and the importance of compliance with routine antenatal check-ups. This activity involved 25 participants, consisting of all pregnant women at Aek Natolu Health Center. The results of the examination showed that out of 25 respondents, 23 respondents (92%) did not have sexually transmitted infections, while 2 respondents (8%) had sexually transmitted infections. The results of this activity show that health laboratory management plays an important role in supporting early detection of sexually transmitted infections in pregnant women, which can serve as a basis for providing education, follow-up, and preventive efforts to improve the quality of maternal and child health services
Co-Authors Andhika Budi Sentoso Bancin, Dewi Rismauli Benny Sihombing Elsha Sinulingga Fikra Clara Anjelita Fitri Mulyani Siregar Gita Annisa Raditra Hafiz Ahmad Ikhsanul Yannas Hutajulu, Johansen Lilla Sarissa Br Ginting Masdalina Masdalina Nur Afni Heryanti Octavia Otniel Ketaren Putri Theresia L.A Bancin Sitepu, Rahmadani Surya Elisabet Hasibuan