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Faktor Risiko Hipertensi pada Usia 50 Sampai 70 Tahun di Wilayah Puskesmas Bahkapul Kota Pematangsiantar Nasution, Dian Permata; Napitu, Marolop Parlindungan; Purba, Yeni Trisna; Ginting, Isaharpika Br; Hendri, Hendri
Jurnal Riset Hesti Medan Vol 9, No 2 (2024): Edisi Desember
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v9i2.341

Abstract

Hypertension is a global problem, and its prevalence continues to rise to alarming levels. This condition is often referred to as the “silent killer” because patients do not experience symptoms or complaints, so they are unaware that they have hypertension, and many people only find out after complications have already developed. Hypertension is the leading cause of death worldwide each year, particularly among the elderly. This is why the WHO has set one of its global targets for non-communicable diseases as reducing the prevalence of hypertension by 33% between 2010 and 2030 (WHO, 2023). Objective: This study aims to identify the factors influencing the risk of hypertension in the elderly. Methods: A systematic literature review was conducted. Studies were identified through searches on Google Scholar and PubMed for publications from 2019 to 2023 using the keywords “Factors,” “Hypertension,” and “Elderly.” A total of 16,100 results were found on Google Scholar and 959 on PubMed, with 10 journals meeting the eligibility criteria. Results: Based on the journal review, the incidence of hypertension can be influenced by several factors, such as age, genetics, gender, excessive salt and fat intake, obesity, stress, physical activity, smoking, and alcohol and coffee consumption. Conclusion: An individual is more likely to develop hypertension if there is a family history of the condition. Additionally, individuals over the age of 65 with conditions such as obesity and kidney disease are at higher risk of developing hypertension. Once diagnosed with hypertension, an individual must adopt a healthy lifestyle as part of the management of blood pressure control. We can control hypertension risk factors through a healthy diet and lifestyle, avoiding
Kekuatan Otot Ekstremitas Bawah Memiliki Pengaruh yang Signifikan terhadap Keseimbangan Dinamis pada Surfers di Pantai Labu Muliati, Muliati; Napitu, Marolop Parlindungan; Ginting, Isaharpika Br; Arianti, Melda Putri
Jurnal Riset Hesti Medan Vol 9, No 2 (2024): Edisi Desember
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v9i2.355

Abstract

Surfing is one of the popular water sports that are popular in Bali, especially in Badung beach such as Kuta beach, Double six beach, Legian beach, and Uluwatu beach. People who played surfing called surfer and ride a surfboard, do manuever in order to stand and control the surfboard on the waves. Surfers need lower extremity muscle strength to maintain body balance on the surfboard. This is necessary to avoid the risk of injury of the body. This study aims to find out the relationship between lower extremity muscle strength and dynamic balance in surf players at Badung Beach. Study was analyzed by cross sectional analysis with the surfer population on Badung beach. A total of 35 samples were obtained to meet the inclusion riteris and exclusion criteria. The data was taken from the population on Kuta, Double Six, Legian, and Uluwatu beaches from July to September 2021 with a prepared formulir. The form consists of sample identity, measurement of lower extremity muscle strength with leg dynamometer and dynamic balance measurement with Y-Balance Test. This study showed the results of 35 samples that have been analyzed in surfers on Badung beach there is a relationship between lower extremity muscle strength and dynamic balance in surfers at Badung Beach with a P-value is 0.004. This study showed the relationship between lower extremity muscle strength and dynamic balance in surfers on Pantai Labu beach.
Hubungan Tingkat Kepuasan Pasien Rawat Jalan terhadap Pelayanan Kesehatan di Klinik Pratama Elvi Diana Kelurahan Kuala Bekala Medan Johor Nasution, Dian Permata; Napitu, Marolop Parlindungan; Purba, Yeni Trisna; Ginting, Isaharpika Br; Hasibuan, Jesicca
Jurnal Riset Hesti Medan Vol 10, No 1 (2025): Edisi Juni
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v10i1.346

Abstract

 Service quality is one of the key factors that determine patient satisfaction in healthcare services. This study aims to analyze the relationship between service quality and patient satisfaction at a Community Health Center (Puskesmas) using the five SERVQUAL dimensions: tangible, reliability, responsiveness, assurance, and empathy. This research employed a quantitative design with a cross-sectional approach. A total of 54 respondents were selected using a purposive sampling technique. Data were analyzed using the Chi- Square test.The results showed that service quality had a significant relationship with patient satisfaction across all SERVQUAL dimensions, namely tangible (p = 0.006), reliability (p = 0.015), responsiveness (p = 0.015), assurance (p = 0.006), and empathy (p = 0.004). The majority of respondents assessed the overall service quality as good (61.1%), yet dissatisfaction remained in several aspects, particularly in physical facilities, timeliness, responsiveness, and healthcare workers’ personal attention. This study concludes that service quality has a significant association with patient satisfaction, although gaps were found between patients’ perceptions of service quality and their satisfaction in some dimensions. It is recommended that the health center improve facilities and infrastructure, strengthen staff responsiveness and empathy, and optimize communication skills and professionalism among healthcare workers to enhance overall patient satisfaction.  
Analisis Faktor yang Berhubungan dengan Pemanfaatan Pelayanan Kesehatan di Wilayah Kerja Puskesmas Silalahi Nasution, Dian Permata; Napitu, Marolop Parlindungan; Purba, Yeni Trisna; Ginting, Isaharpika Br; Gultom, Calvin
Jurnal Riset Hesti Medan Vol 9, No 1 (2024): Edisi Juni
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v9i1.337

Abstract

One indicator for assessing how community health centers are utilized as healthcare facilities is the number of visits by the community to those centers. A low number of visits indicates that the community is underutilizing healthcare services. Over the past three years, from 2018 to 2020, the utilization of the Silalahi Community Health Center has seen a decline in the number of visits, from 45.8% in 2018, to 38.5% in 2019, and to 33.2% in 2020. This is attributed to the community’s misperception of illness. The objective of this study is to identify the factors associated with the utilization of health services at the Silalahi Community Health Center. This is a descriptive study using a cross-sectional design with a quantitative approach. The sample consisted of 95 respondents; cluster random sampling was used, and a questionnaire served as the data collection instrument. Data were analyzed using the Chi-Square test. The results indicate a significant association between Accessibility (p=0.001), Health Insurance Coverage (p=0.000), and Perception of Illness (p=0.000) with the utilization of health services. Age (p=0.083), Education (p=0.122), Occupation (p=0.093), and Availability of Health Personnel (p=0.368) showed no association with the utilization of health services. Recommendations are provided to the Health Office and Silalahi Community Health Center to further enhance health promotion efforts to improve public knowledge regarding the functions of the Community Health Center and perceptions of illness.
Pengaruh Senam Prolanis terhadap Penurunan Tekanan Darah pada Penderita Hipertensi di Puskesmas Raya Nasution, Dian Permata; Napitu, Marolop Parlindungan; Purba, Yeni Trisna; Ginting, Isaharpika Br; Gea, Yosni Handayani
Jurnal Riset Hesti Medan Vol 10, No 2 (2025): Edisi Desember
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v10i2.360

Abstract

The World Health Organization American Heart Association in 2015 stated that currently hypertension sufferers in the world have reached around 970 million sufferers, around 330 million are in developed countries and 640 in developing countries. The purpose of this study is to determine the effect of PROLANIS exercise on reducing blood pressure in hypertension sufferers at the Singosari Pematangsiantar Health Center. This study uses a quantitative method. The design of this study uses the Quasi Experiment method with the research design "One group pretest posttest design". The sample in this study was the elderly as many as 47 respondents. Data analysis was carried out using univariate analysis and bivariate analysis using Wilcoxon. Results: The results of the study were analyzed using a t-dependent test showing that there was an effect of PROLANIS exercise on reducing blood pressure in hypertension sufferers with a P-value of 3,000. This study is expected to maximize the implementation of the PROLANIS program so that the objectives of this activity can be achieved optimally. Conclusion: Implementation of elderly gymnastics can reduce blood pressure in hypertension patients. It can be used as a benchmark for compiling nursing interventions on the influence of PROLANIS gymnastics on reducing blood pressure in hypertension patients at Permatangsiantar Health Center in improving the quality of health services.