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Kesaktian Manurung
Master of Public Health Study Program, Faculty of Pharmacy and Health Sciences, Sari Mutiara Indonesia University, Medan, Indonesia.
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Nursing Public Health

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Pengaruh Promosi Kesehatan Berbasis CERDIK terhadap Perubahan Perilaku Hidup Sehat Pasien Penyakit Jantung Koroner: Studi Kuasi-Eksperimental Nurhayati Marbun; Kesaktian Manurung; Johansen Hutajulu; Agnes Purba; Rahmat Alyakin Dakhi
Journal of Pharmaceutical and Sciences JPS Volume 9 Nomor 3 (2026)
Publisher : Fakultas Farmasi Universitas Tjut Nyak Dhien

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36490/journal-jps.com.v9i3.1904

Abstract

Background: Coronary heart disease (CHD) remains a major cause of morbidity and mortality, and sustained lifestyle modification is essential for secondary prevention. The Indonesian Ministry of Health promotes CERDIK, a six-component healthy-lifestyle strategy comprising regular health checks, avoidance of cigarette smoke, regular physical activity, a healthy balanced diet, adequate rest, and stress management. Evidence regarding structured CERDIK education among patients with established CHD in hospital outpatient settings remains limited. Objective: This study evaluated the effect of CERDIK-based health promotion on knowledge, attitudes, and healthy lifestyle practices among patients with CHD. Methods: A quasi-experimental two-group pretest-posttest study was conducted in the cardiac outpatient clinic of Murni Teguh Hospital, Medan. Forty patients were recruited by purposive sampling and allocated to an intervention group (n=20) and a control group (n=20). The intervention group received structured CERDIK-based health education for four weeks, whereas the control group received routine education. Outcomes were measured before and after the intervention using questionnaires assessing knowledge, attitudes, and practices. Change scores were compared between groups using the Mann-Whitney U test. Results: After the intervention, 85% of participants in the intervention group had good knowledge, 85% had positive attitudes, and 45% had good practices; the corresponding proportions in the control group were 0%, 0%, and 10%, respectively. Mean change scores were substantially greater in the intervention group than in the control group for knowledge (25.75 vs 2.95), attitudes (27.30 vs 1.85), and practices (23.35 vs 1.85). Between-group differences were statistically significant for all outcomes (all p<0.001). Conclusion: Structured CERDIK-based health promotion significantly improved short-term knowledge, attitudes, and healthy lifestyle practices among patients with CHD. The intervention may be incorporated into outpatient secondary-prevention education, although larger randomized studies with longer follow-up are needed to assess sustained behavioral effects.
Determinan Kejadian Stunting pada Anak Usia 24–59 Bulan di UPTD Puskesmas Uluidanotae Kabupaten Nias Selatan Tahun 2025 Kristian Laia; Agnes Purba; Laura M Siregar; Kesaktian Manurung; Tarulia Rohana Sinaga
Journal of Pharmaceutical and Sciences JPS Volume 9 Nomor 3 (2026)
Publisher : Fakultas Farmasi Universitas Tjut Nyak Dhien

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36490/journal-jps.com.v9i3.1814

Abstract

Stunting is a condition of growth failure in children due to chronic malnutrition, characterized by a height-for-age z-score (HAZ) of < –2 SD. This study aims to analyze the determinants of stunting in children aged 24–59 months at the UPTD Puskesmas Uluidanotae, South Nias Regency, which is the area with the highest number of stunting cases in the regency. The research method is quantitative with an analytical observational design using a cross-sectional approach. The study population consisted of 162 mothers with children aged 24–59 months, with a sample size of 115 respondents selected using a purposive sampling technique. Primary data were collected through questionnaires and observations, then analyzed using univariate, bivariate (Chi-Square), and multivariate (multiple logistic regression) analyses. The results showed that the prevalence of stunting in the study location reached 24.3%. Based on bivariate analysis, a statistically significant relationship was found between maternal education level (p=0.029), breastfeeding practices (p=0.000), and immunization status (p=0.025) with the occurrence of stunting. However, family income did not show a significant relationship (p=0.624). The multiple logistic regression test concluded that breastfeeding is the most dominant factor and serves as a protective factor against stunting (p=0.000; Exp(B)=0.142), followed by immunization status (p=0.027; Exp(B)=0.325). The maternal education variable became insignificant in the multivariate model after controlling for other health behavior variables. The conclusion of this study is that exclusive breastfeeding practices and complete basic immunization are the primary determinants of a child's linear growth status in the UPTD Puskesmas Uluidanotae working area. It is recommended that health workers strengthen lactation counseling starting from pregnancy and increase the coverage of complete basic immunization services as priority strategies to reduce stunting rates.
Faktor-Faktor Mutu Pelayanan yang Berhubungan dengan Kepuasan Pasien di Instalasi Rawat Inap RSU Stella Maris Kabupaten Nias Selatan Tahun 2025 Mesrawati Telambanua; Rahmat Alyakin Dachi; Frida Lina Tarigan; Kesaktian Manurung; Taruli Rohana Sinaga
Journal of Pharmaceutical and Sciences JPS Volume 9 Nomor 3 (2026)
Publisher : Fakultas Farmasi Universitas Tjut Nyak Dhien

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36490/journal-jps.com.v9i3.1815

Abstract

Patient-reported service evaluations provide a basis for improving inpatient care. This analytical cross-sectional study examined associations between five SERVQUAL dimensions and patient satisfaction at Stella Maris General Hospital, South Nias Regency, Indonesia. A purposive sample of 115 respondents completed a structured questionnaire. Associations were assessed using Pearson’s chi-square tests and exploratory Firth penalized logistic regression. Overall, 59 respondents (51.3%) were satisfied. All five dimensions were associated with satisfaction in unadjusted analyses (all p < 0.001). Satisfaction ranged from 90.2% to 100.0% among respondents with high service-quality ratings, compared with 1.8% to 7.4% among those with low ratings. The dimensions were strongly correlated (r = 0.808–0.966). Adjusted odds ratios ranged from 1.53 to 11.11, and all 95% confidence intervals included 1. The adjusted odds ratios were 6.55 (95% CI 0.040–184.08) for responsiveness and 1.53 (95% CI 0.008–46.66) for tangibles. A sensitivity analysis restricted to 77 respondents with a recorded stay of at least two days yielded the same pattern. Favorable ratings across all five dimensions were associated with inpatient satisfaction, whereas the adjusted analysis did not identify an independently dominant dimension. The findings support an integrated approach to service improvement encompassing timely assistance, consistent care, effective communication, and the ward environment
Determinan Minat Pasien Dialisis dalam Memilih Terapi Continuous Ambulatory Peritoneal Dialysis (CAPD) di Rumah Sakit Murni Teguh Medan Tahun 2025 Niko Pindo Duha; Kesaktian Manurung; Frida Lina Tarigan; Taruli Rohana Sinaga; Janno Sinaga
Journal of Pharmaceutical and Sciences JPS Volume 9 Nomor 3 (2026)
Publisher : Fakultas Farmasi Universitas Tjut Nyak Dhien

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36490/journal-jps.com.v9i3.1816

Abstract

Background: Continuous ambulatory peritoneal dialysis (CAPD) is a home-based option for kidney replacement therapy, but interest in this modality may depend on patients’ understanding, perceived risks, confidence, family resources, and the education they receive. Objective: To examine the associations of knowledge, perceived infection risk, family support, self-efficacy, and healthcare-provider education with interest in CAPD among patients receiving maintenance hemodialysis. Methods: This quantitative, cross-sectional correlational study was conducted at Murni Teguh Hospital, Medan, from November 2025 to February 2026. A purposive sample of 149 adults was selected from a reference population of 254 hemodialysis patients. Structured questionnaires assessed the five explanatory domains and interest in CAPD. Analyses included descriptive statistics, Pearson chi-square tests, crude prevalence ratios (PRs) with 95% confidence intervals (CIs), and exploratory simultaneous-entry binary logistic regression. Results: High interest in CAPD was reported by 59 participants (39.6%). The proportions with high interest were 90.0%, 43.8%, and 7.3% in the good-, fair-, and poor-knowledge groups, respectively. All five domains were associated with interest in unadjusted analyses (all p < 0.001). Good versus poor knowledge yielded a crude PR of 12.38 (95% CI, 4.78–32.04). No participant in the low-perception category reported high interest. The exploratory multivariable model did not converge, limiting interpretation of adjusted associations.Conclusion: Knowledge, perceived infection risk, family support, self-efficacy, and healthcare-provider education were associated with CAPD interest. These findings support individualized, family-inclusive counseling and prospective evaluation of balanced education and shared decision-making.
Determinan Kualitas Pelayanan Dan Dampaknya Terhadap Kepuasan Pasien Rawat Inap di Rumah Sakit Doloksanggul Tahun 2025 Rumondang Pandiangan; Kesaktian Manurung; Vierto Irensius Girsang; Frida Lina Traigan; Donal Nababan
Journal of Pharmaceutical and Sciences JPS Volume 9 Nomor 3 (2026)
Publisher : Fakultas Farmasi Universitas Tjut Nyak Dhien

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36490/journal-jps.com.v9i3.1817

Abstract

Patient-reported service quality can identify priorities for improving inpatient care, but its association with satisfaction must be distinguished from a causal effect. This cross-sectional study examined the five SERVQUAL dimensions and inpatient satisfaction at Doloksanggul Regional General Hospital, North Sumatra, Indonesia. A purposive sample of 245 respondents completed a structured questionnaire. Descriptive statistics, Pearson’s chi-square tests, and Cramér’s V were used, and multiple logistic regression was attempted with all five dimensions entered simultaneously. Men accounted for 50.6% of respondents; intermediate education was the largest educational category (45.3%), and 46.1% had been hospitalized for 2–5 days. Overall, 126 respondents (51.4%) were satisfied. High service-quality ratings ranged from 50.6% for assurance to 53.1% for tangibles. All five dimensions were associated with satisfaction (all p < 0.001), with Cramér’s V ranging from 0.837 for tangibles to 0.984 for assurance. Satisfaction was reported by 124/124 respondents with high assurance and 2/121 with low assurance. However, the logistic model did not converge after 20 iterations, and collinearity diagnostics indicated substantial overlap among predictors. Consequently, interpretable adjusted odds ratios and a defensible ranking of independent determinants could not be established. The findings describe strong unadjusted associations between perceived service quality and satisfaction. Assurance, responsiveness, and the substantial proportion of dissatisfied respondents warrant attention in service evaluation, but intervention priorities should be supported by verified measurement, operational indicators, and prospective assessment.
Faktor-Faktor yang Berhubungan dengan Kepatuhan Hemodialisis pada Pasien Penyakit Ginjal Kronik di Rumah Sakit Murni Teguh Medan Tahun 2025 Tiomsar Sianturi; Kesaktian Manurung; Janno Sinaga; Rahmat Alyakin Dachi; Frida Lina Tarigan
Journal of Pharmaceutical and Sciences JPS Volume 9 Nomor 3 (2026)
Publisher : Fakultas Farmasi Universitas Tjut Nyak Dhien

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36490/journal-jps.com.v9i3.1927

Abstract

Background: Hemodialysis adherence requires sustained engagement with a demanding treatment regimen. Objective: To examine factors associated with adherence at Murni Teguh Memorial Hospital, Medan. Methods: This analytical cross-sectional study included 172 purposively selected patients. Adherence was assessed using a modified six-item End-Stage Renal Disease Adherence Questionnaire. Associations were examined using chi-square tests and multivariable logistic regression. Results: Overall, 115 patients (66.9%) were adherent. Education, knowledge, and family support were associated with adherence (all p < 0.001), whereas age, sex, and dialysis duration were not (p = 0.866, 0.357, and 0.212, respectively). Adherence was 92.6% with good family support and 5.9% with poor support. Family support was the only significant adjusted term (Exp[B] = 416.36; 95% confidence interval [CI], 43.08–4024.31); sparse discordant observations and the wide interval limited precision. A post hoc unadjusted Firth analysis yielded an odds ratio of 164.10 (95% CI, 51.86–694.10). Conclusion: Family support was strongly associated with self-reported adherence. Family-centered counseling merits evaluation, but the cross-sectional design and imprecise estimates preclude causal interpretation.
Co-Authors Agnes Purba Donal Nababan Frida Lina Tarigan Frida Lina Traigan Janno Sinaga Johansen Hutajulu Kristian Laia Laura M Siregar Mesrawati Telambanua Niko Pindo Duha Nurhayati Marbun Rahmat Alyakin Dachi Rahmat Alyakin Dakhi Rumondang Pandiangan Taruli Rohana Sinaga Tarulia Rohana Sinaga Tiomsar Sianturi Vierto Irensius Girsang