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Sinambela, Megawati
Institusi Kesehatan Deli Husada
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ANALYSIS DETERMINANTS OF TYPE 2 DIABETES MELLITUS: A CASE CONTROL STUDY: Analisis Determinan Kejadian Diabetes Mellitus Tipe 2: Studi Case Control Sirait, Reni Aprinawaty; Hulu, Victor Trismanjaya; Sitorus, Rotua Sumihar; Susanti, Dewi; Handayani, Sri; Sinambela, Megawati; Rahmi, Nurfadhilah
Jurnal Berkala Epidemiologi Vol. 13 No. 3 (2025): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V13I32025.272-279

Abstract

Background: Type 2 Diabetes Mellitus (type 2 DM) is a chronic disease in adults due to the body's resistance to insulin. Purpose: This study aims to analyze the determinants of the incidence of type 2 DM. Methods: The study design was a case-control study. The case population in this study was patients with type 2 DM who had been diagnosed by doctors based on data available in the medical records of Bintang Bayu Health Center. In contrast, the control population was patients who did not suffer from type 2 DM. The study's sample size was 138 people, with a ratio of cases to controls of 1:2. The case group consisted of 46 people, and the control group comprised 92 people. The sampling technique used was nonprobability sampling, namely, consecutive sampling. Questionnaire distribution was the primary method of data collection. The frequency distribution of each variable was calculated before analyzing the data using Chi-square and logistic regression. Results: Diet (p=0.001; OR=4.7; 2.231–10.154), knowledge (p=0.033; OR=2.3; 1.129–4.785), physical activity p = 0.010; OR = 2.8; 1.342 – 6.032), hypertension (p=<0.001; OR=4.9; 2.089–11.784) were significant to the incidence of type 2 DM. The most dominant variable was hypertension, p=<0.001; OR=7.3 (2.581-20.680). Conclusions: Poor diet, poor knowledge, light physical activity, and hypertension were significant factors in the incidence of type 2 DM.
Tera Gymnastics for the Elderly: Community Empowerment in Controlling Hypertension Through Routine Physical Activity in Dusun III, Sidodadi Village, Biru-Biru District, Deli Serdang Regency Rosaulina, Meta; Manik, Maria Hermita; Sinambela, Megawati; Hasian, Muhammad Tsawaby; Siregar, Ripai
Jurnal Pengabdian Masyarakat Putri Hijau Vol 6 No 1 (2025): Jurnal Pengabdian Masyarakat Putri Hijau (JPMPH)
Publisher : INSTITUT KESEHATAN DELI HUSADA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpmph.v6i1.2805

Abstract

Hypertension is a chronic medical condition in which blood pressure in the arteries increases persistently above normal values, namely ≥140 mmHg for systolic pressure and/or ≥90 mmHg for diastolic pressure. Hypertension is defined as a persistent increase in blood pressure that can be caused by various factors such as age, unhealthy lifestyle, stress, and lack of physical activity. This condition is generally found in the elderly group, due to changes in the function of aging organs and blood vessels. Indonesian Tera Gymnastics is a form of breathing exercise and slow movements, similar to Tai Chi, aimed at improving physical health and relaxation. For people with hypertension, this exercise helps lower blood pressure by improving heart function, breathing, and relaxation. The partners of this community service activity are villagers in Dusun III, Sidodadi Village, Biru-Biru District, Deli Serdang Regency. The method of this community service is counseling and Tera gymnastics. The results of the community service carried out through Tera gymnastics The results of blood pressure measurements carried out before and after the implementation of Tera gymnastics showed a tendency to decrease blood pressure.
ANALISIS KEBIJAKAN PROGRAM PENANGGULANGAN TUBERKULOSIS DI ERA PANDEMI COVID-19 PADA PUSKESMAS DI KABUPATEN ACEH UTARA TAHUN 2021 Fridessia Ardiani; Jon Piter Sinaga; Megawati Sinambela
Kapital Deli Sumatera Vol 1 No 1 (2022): Artikel Riset Volume 1 Nomor 1 Juli 2022
Publisher : LPPM Universitas Deli Sumatera

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

Abstract

Upaya pengendalian tuberkulosis di Indonesia dapat dikatakan menemui banyak tantangan, di antaranya munculnya pandemi COVID-19 sehingga fokus program kesehatan tergeser ke penanganan pandemi. Penelitian ini merupakan penelitian kualitatif mengenai aspek input, proses dan output implementasi Kebijakan Pengendalian Tuberkulosis pada Era Pandemi Covid-19 di Puskesmas Kabupaten Aceh Utara. Mulai November 2021 sampai Maret 2022. Informan penelitian adalah 7 orang yang terdiri dari 2 orang pelaksana dan pengelola program tuberkulosis, 2 pasien tuberkulosis, 1 orang kader tuberkulosis, kepala Puskesmas Nisam dan pemegang program tuberkulosis di Lhoksukon, Dinas Kesehatan Aceh Utara. Daerah. jumlah dan jenis SDM TB telah memenuhi persyaratan minimal; Sumber anggaran berasal dari APBK, BOK, dana global dan swadaya desa; Sarana pembuangan sampah dari pemeriksaan laboratorium belum memadai, OAT selalu tersedia, skrining TB dilakukan dengan metode door to door, pelaporan dilakukan secara manual dan online melalui laman SI TB, kurangnya koordinasi dengan desa, dan lintas sektor internal di Puskesmas terkait pengendalian TB, Kurangnya alat transportasi tenaga kesehatan ke lapangan, Minimnya anggaran untuk memberikan gaji kader TB, Penemuan kasus baru positif TB menurun selama Pandemi, Keberhasilan pengobatan diatas 90%. Pendampingan pembentukan desa swadaya di seluruh wilayah kerja Puskesmas di Kabupaten Aceh Utara, Penyampaian anggaran pengadaan sarana transportasi petugas lapangan, Penguatan Peran Kepala Puskesmas terkait pembuatan SOP koordinasi pelaksanaan program pengendalian TB dengan KIA, Promkes dan Surveilans. Kata kunci: Pandemi Covid-19, program pengendalian tuberkulosis, kebijakan.
The Influence of Health Education with Video Media on Stunting Prevention on Mothers' Knowledge Rotua Sumihar Sitorus; Reni Aprinawaty Sirait; Megawati Sinambela
Jurnal Keperawatan Priority Vol. 8 No. 1 (2025)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v8i1.6299

Abstract

Stunting is a chronic malnutrition condition experienced by a person since pregnancy and early childhood, failure to thrive in children (Stunting) is a challenge in the development of a quality Indonesian society. This study aims to determine the effect of health education with video media on preventing stunting. This study is a quantitative study with a quasi-experimental method. The study was conducted in the work area of the Laut Tador Health Center, Batu Bara Regency in January 2024. The population in this study were all stunted babies totaling 171 people, a sample of 47 respondents was obtained. The results of the study showed that out of 47 respondents, aged 25-30 years (61.3%) and 31-35 years (38.3%). Based on education with Senior High School education (53.2%), Elementary School education (6.4%), Junior High School education (8.5%), and Diploma/Bachelor education (31.9%), while based on occupation with jobs as IRT (Housewife) (53.2%), employees (25.5%), and teachers (21.3%). The results of the paired sample test obtained an average value before and after counseling of 13.085 with a standard deviation of 17.306 with a t value of -5.183. The significance value of the p-value is 0.000 (<0.05), so it can be concluded that there is an influence of providing video media on respondents' knowledge in preventing stunting before and after.
Effectiveness of Health Promotion Media (Posters) on Reducing Blood Sugar Levels in Diabetes Mellitus Patients Rotua Sumihar Sitorus; Megawati Sinambela; Reni Aprinawaty Sirait; Herlina Herlina
Jurnal Keperawatan Priority Vol. 9 No. 1 (2026)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v9i1.7695

Abstract

Diabetes Mellitus is a chronic metabolic disorder characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both. Health promotion plays a pivotal role in enhancing patient knowledge and self-management behaviors. Among various educational tools, posters are considered effective media due to their ability to convey complex health messages visually and concisely. This study aimed to evaluate the effectiveness of poster-based health promotion interventions in reducing blood glucose levels among patients with Diabetes Mellitus at the Bandar Khalifah Public Health Center. This research employed a quantitative method utilizing a quasi-experimental design with a one-group pretest-posttest approach. A sample of 52 respondents was selected using a random sampling technique. Data were analyzed using the Paired Sample t-test to determine the statistical significance of the intervention. The statistical analysis revealed a significant difference in blood glucose levels before and after the intervention, with a p-value of 0.006 (p < 0.05). These findings indicate that the implementation of visual health education significantly contributed to the reduction of blood glucose levels among the respondents. It is concluded that poster-based media is an effective tool for supporting glycemic control in patients with Diabetes Mellitus. Therefore, it is recommended that healthcare providers utilize and develop diverse visual health promotion media regularly to sustain public awareness and foster long-term healthy behaviors.
Deteksi Dini Mencegah Komplikasi Kehamilan Untuk Kehamilan Sehat Bagi Calon Pengantin Megawati Sinambela; Stefani Anastasia Sitepu; Jon Piter Sinaga
Health Community Service Vol. 3 No. 2 (2025): Nopember 2025
Publisher : Information Technology and Science (ITScience)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47709/hcs.v3i2.8135

Abstract

prakonsepsi melalui edukasi, skrining faktor risiko, dan tindak lanjut dini terhadap temuan kesehatan. Masa sebelum kehamilan merupakan jendela intervensi yang penting karena banyak faktor yang memengaruhi luaran maternal dan neonatal sudah ada sebelum konsepsi terjadi, seperti anemia, hipertensi, kelebihan berat badan, gangguan glukosa, perilaku gizi yang kurang baik, serta keterlambatan mengonsumsi asam folat. Kegiatan pengabdian kepada masyarakat ini bertujuan meningkatkan pengetahuan dan kesiapan catin dalam mewujudkan kehamilan sehat melalui edukasi kesehatan reproduksi dan deteksi dini. Metode yang digunakan ialah pendekatan deskriptif dengan rangkaian pretest, penyuluhan, skrining kesehatan, konseling singkat, dan posttest pada 50 calon pengantin yang terdaftar di wilayah kerja puskesmas. Materi edukasi menekankan gizi prakonsepsi, suplementasi asam folat, pencegahan anemia, pengendalian penyakit kronis, serta tanda bahaya kehamilan. Hasil kegiatan menunjukkan pengetahuan baik peserta meningkat dari 46% menjadi 81% setelah intervensi. Skrining juga menemukan 18% peserta mengalami anemia ringan, 10% memiliki IMT ?25 kg/m², 8% mempunyai tekanan darah ?140/90 mmHg, dan 6% memiliki gula darah sewaktu ?200 mg/dL yang memerlukan evaluasi lanjutan. Temuan ini menunjukkan bahwa edukasi dan skrining prakonsepsi efektif sebagai strategi promotif dan preventif untuk mengidentifikasi faktor risiko sebelum kehamilan. Integrasi program kesiapan catin ke pelayanan primer perlu diperkuat agar pencegahan komplikasi kehamilan dapat dilakukan lebih dini dan lebih sistematis.
Pencegahan Anemia Pada Ibu Hamil Melalui Biskuit Biwa Stevani Anastasya Sitepu; Megawati Sinambela; Jon Piter Sinaga
Health Community Service Vol. 3 No. 2 (2025): Nopember 2025
Publisher : Information Technology and Science (ITScience)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47709/hcs.v3i2.8136

Abstract

Anemia pada ibu hamil masih menjadi masalah kesehatan yang penting karena berhubungan dengan peningkatan risiko kelelahan, perdarahan, kelahiran prematur, dan berat badan lahir rendah. Secara global, anemia masih memengaruhi sekitar 37% ibu hamil, sedangkan di Indonesia prevalensi anemia pada ibu hamil. Selain suplementasi tablet tambah darah, diperlukan inovasi pangan lokal yang praktis dan mudah diterima untuk mendukung pencegahan anemia. Biwa (Eriobotrya japonica) memiliki kandungan mineral, vitamin C, karotenoid, dan senyawa fenolik sehingga berpotensi dikembangkan menjadi pangan fungsional. Kegiatan pengabdian ini bertujuan meningkatkan pengetahuan ibu hamil tentang pencegahan anemia sekaligus mengenalkan pengolahan biwa menjadi biskuit sebagai pangan selingan pendukung. Metode kegiatan meliputi edukasi, demonstrasi pembuatan biskuit biwa, diskusi gizi kehamilan, serta evaluasi pre-test dan post-test. Hasil kegiatan menunjukkan peningkatan pemahaman peserta mengenai anemia, dan pemanfaatan pangan local biwa. Pengembangan biskuit biwa layak dipertimbangkan sebagai inovasi pangan pendamping yang praktis, mudah diterima, dan dapat diintegrasikan dengan edukasi gizi serta konsumsi tablet tambah darah pada ibu hamil.
Tera Gymnastics for the Elderly: Community Empowerment in Controlling Hypertension Through Routine Physical Activity in Dusun III, Sidodadi Village, Biru-Biru District, Deli Serdang Regency Meta Rosaulina; Maria Hermita Manik; Megawati Sinambela; Muhammad Tsawaby Hasian; Ripai Siregar
Jurnal Pengabdian Masyarakat Putri Hijau Vol. 6 No. 1 (2025): Jurnal Pengabdian Masyarakat Putri Hijau (JPMPH)
Publisher : INSTITUT KESEHATAN DELI HUSADA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpmph.v6i1.2805

Abstract

Hypertension is a chronic medical condition in which blood pressure in the arteries increases persistently above normal values, namely ≥140 mmHg for systolic pressure and/or ≥90 mmHg for diastolic pressure. Hypertension is defined as a persistent increase in blood pressure that can be caused by various factors such as age, unhealthy lifestyle, stress, and lack of physical activity. This condition is generally found in the elderly group, due to changes in the function of aging organs and blood vessels. Indonesian Tera Gymnastics is a form of breathing exercise and slow movements, similar to Tai Chi, aimed at improving physical health and relaxation. For people with hypertension, this exercise helps lower blood pressure by improving heart function, breathing, and relaxation. The partners of this community service activity are villagers in Dusun III, Sidodadi Village, Biru-Biru District, Deli Serdang Regency. The method of this community service is counseling and Tera gymnastics. The results of the community service carried out through Tera gymnastics The results of blood pressure measurements carried out before and after the implementation of Tera gymnastics showed a tendency to decrease blood pressure.
Breast Cancer Patients’ Experiences Undergoing Radiotherapy: A Qualitative Study Fahrizal Alwi; Mery Silvia Harahap; Winingsih Frihafni; Siti Marlina; Rini Debora Silalahi; Nur Mala Sari; Megawati Sinambela; Meta Rosaulina; Hien Thi Nguyen; Shujen Chen
Jurnal Berita Ilmu Keperawatan Vol. 19 No. 2 (2026): July
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v19i2.16870

Abstract

Breast cancer is a chronic condition that often requires long-term treatment, including radiotherapy, which may affect patients physically, psychologically, socially, and spiritually. Although previous studies have documented the side effects of radiotherapy, limited evidence exists regarding the lived experiences of breast cancer. This study aimed to explore the lived experiences of women with breast cancer undergoing radiotherapy. A qualitative study with a phenomenological approach was conducted. Ten women diagnosed with breast cancer who had undergone at least five sessions of radiotherapy and were able to communicate their experiences were purposively recruited. Data were collected through semi-structured, in-depth interviews and supported by field notes. Interviews were audio-recorded, transcribed verbatim, and analyzed using the Colaizzi method to identify significant statements, formulate meanings, cluster themes, and describe the essential structure of the participants' lived experiences. The essence of the participants' lived experiences reflected a journey from fear and uncertainty toward acceptance and hope, supported by interpersonal relationships and spirituality. This experience was expressed through six interconnected themes: (1) initial perceptions of radiotherapy, (2) perceived physical and emotional impacts, (3) challenges during treatment, (4) coping strategies, (5) social support throughout the treatment process, and (6) motivation and expectations for recovery. Participants described radiotherapy as a complex experience involving fear, uncertainty, physical discomfort, and emotional distress, while gradually developing resilience through family support, compassionate healthcare providers, adaptive coping strategies, and spiritual beliefs. The findings demonstrate that the lived experiences of breast cancer patients undergoing radiotherapy are multidimensional, highlighting the importance of holistic, patient-centered care that addresses physical, psychological, social, and spiritual needs. Clinical interventions should strengthen therapeutic communication, facilitate family involvement, provide spiritual support according to patients' beliefs and preferences, and promote adaptive coping throughout radiotherapy. Future studies are recommended to employ quantitative or mixed-methods approaches to further examine the relationships among patient experiences, coping strategies, social support, spiritual well-being, and quality of life.
PERAN KOMITE MUTU DALAM MENINGKATKAN KUALITAS PELAYANAN DI RUMAH SAKIT UMUM DAERAH DRS. H. AMRI TAMBUNAN LUBUK PAKAM Devi Riana Sagala; Megawati Sinambela; Nur Mala Sari; Tio Ranti Sari Br Sembiring; Emmenita Carina
Deli Medical and Health Science Journal Vol. 3 No. 2 (2026): Deli Medical And Health Science Journal (JDMHC)
Publisher : Fakultas Kedokteran, Institut Kesehatan Deli Husada Deli Tua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jdmhc.v3i2.3224

Abstract

Penelitian ini bertujuan untuk menganalisis peran Komite Mutu dalam meningkatkan kualitas layanan di RSUD Drs. H. Amri Tambunan. Dengan menggunakan pendekatan kualitatif, penelitian ini mengkaji berbagai aspek terkait pelaksanaan kebijakan manajemen, pemantauan indikator mutu, audit mutu, pengelolaan Indikator Kinerja Utama (KPI), serta pelatihan staf. Data dikumpulkan melalui wawancara mendalam dengan anggota Komite Mutu, manajemen rumah sakit, dan staf yang terlibat dalam proses-proses tersebut.Hasil penelitian menunjukkan bahwa Komite Mutu berperan aktif dalam memastikan pelaksanaan kebijakan manajemen rumah sakit sesuai dengan standar yang ditetapkan, serta melakukan pemantauan dan evaluasi berkala terhadap indikator mutu. Selain itu, audit mutu yang dilakukan membantu mengidentifikasi permasalahan dan memperbaiki prosedur layanan, sementara pengelolaan KPI berfokus pada peningkatan mutu secara berkelanjutan. Komite Mutu juga terlibat dalam program pelatihan staf yang bertujuan untuk meningkatkan kompetensi dan keterampilan tenaga medis maupun non-medis.Temuan ini mengindikasikan bahwa peran Komite Mutu di RSUD Drs. H. Amri Tambunan sangat krusial dalam menjaga dan meningkatkan kualitas layanan rumah sakit secara keseluruhan. Penelitian ini diharapkan dapat berkontribusi pada pengembangan praktik layanan bermutu di bidang kesehatan, khususnya dalam konteks rumah sakit pemerintah.
Co-Authors Afrilius Simanjuntak Alwi, Fahrizal Andani Barus Aprilius Simanjuntak Ariescha, Putri Ayu Yessy Batubara, Saiful Br Bukit, Herawati Devi Riana Sagala Dewi Susanti Dewi Susanti Eka Sri Wahyuni Elda Yusefni Emmenita Carina Erdiwan Erdiwan Erika Revida Erlina Hayati Erni Aisyah Hasibuan Eva Solina Evi Erianty Hasibuan FAHDI, FIRDAUS Fridessia Ardiani Handayani, Sri Hariati Hariati Hasian, Muhammad Tsawaby Hengky Frengki Manulang Herlina H Herlina J. EL- Matury Herri Novita Herri Novita Br Tarigan Herviani Sari Hien Thi Nguyen Hutabarat, Vitrilina Jon Piter Sinaga Jon Piter Sinaga Kristin Natalia Maria Hermita Manik Mery Silvia Harahap Nur Mala Sari Nurwijayanti Raden Mohamad Herdian Bhakti Rahmad Gurusinga Rahmi Andrita Yuda Rahmi, Nurfadhilah Reisy Tane Reka Novrina Reysi Tane Rini Debora Silalahi Ripai si regar Rosaulina, Meta Rostio Girsang Rotua Sumihar Sitorus Shintya Handayani Shujen Chen Sirait, Reni Aprinawaty Siregar, GF Gustina Sitepu, Marlen Sadrina Sitepu, Stefani Anastasia Siti Marlina Tamba, Vera Wati Tampak Linggom Tasnim tio ranti sari br sembiring Victor Trismanjaya Hulu Winingsih Frihafni