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A Combination of eye exercises and warm compresses against eye fatigue in computer user employees Octavariny, Raisha; Widyaningsih, Fadlillah; Rambey, Harris; Farhana, Jahirah
JURNAL KEBIDANAN KESTRA (JKK) Vol. 6 No. 2 (2024): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v6i2.2136

Using computers for long periods of time can cause various health problems, especially the eyes. According to the American Optometric Association (AOA), the symptoms mentioned, such as eye strain and difficulty focusing, are common in people who frequently use computers for more than 2 hours at work. Therefore, it is important for workers who use computers as a primary aid to take steps to protect their eye health. This type of research is a type of quantitative research, namely quasi-experimental pre-test post-test one group design. This design uses only one group, namely the Experiment group without the Control group. Pre-test and post-test techniques will be carried out on employees using computers at BPJS Claims. The flow of this research is that the researcher conducts a pretest on the sample then is given treatment, after being given treatment then a post test is carried out. Based on the results of the Nonparametric Test using the Wilcoxon Test, the p value (0.001) ? (0.05) can be concluded that the hypothesis in the study is accepted, meaning that there are differences in the level of eye fatigue before and after Eye Exercises and Warm Compresses for Computer User Employees at Grandmed Lubuk Pakam Hospital . Based on the measurement results using the observation sheet, most of the employees experienced moderate eye fatigue as many as 12 people, therefore it is expected that computer users can apply the interventions provided and become input and increase workers' knowledge about occupational diseases that arise due to work and are also expected to reduce the level of eye fatigue that occurs in workers.

HEALTH COUNSELING ON HYPERTENSION DIET WITH HYPERTENSION PATIENTS IN SUGIHARJO VILLAGE, BATANG DISTRICT, DELI SERDANG DISTRICT AREA: HEALTH COUNSELING ON HYPERTENSION DIET WITH HYPERTENSION PATIENTS IN SUGIHARJO VILLAGE, BATANG DISTRICT, DELI SERDANG DISTRICT AREA Panjaitan, Raini; Manurung, Jelita; Oktavariny, Raisha; Rambey, Harris
JURNAL PENGMAS KESTRA (JPK) Vol. 2 No. 2 (2022): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Hipertensi merupakan faktor utama risiko jantung coroner, stroke, gagal jantung maupun gagal ginjal. Penyebab kejadian hipertensi tidaklah spesifik, namun hipertensi merupakan respon meningkatnya tekanan perifer. Adapun faktor-faktor penyebab terjadinya hipertensi yaitu usia, jenis kelamin, obesitas, merokok, genetik dan aktivitas fisik. Salah satu pencegahan dan pengendalian menurunkan kejadian hipertensi yaitu dengan mengatur asupan makanan sehari-hari sebagai terapi. Tujuan pengabdian masyarakat ini adalah untuk meningkatkan pengetahuan dan pemahaman bahwa pentingnya perilaku diet bagi penderita hipertensi di Desa Sugiharjo Kecamatan Batang Kuis. Pelaksanaan kegiatan ini dilakukan dengan tiga tahap terdiri dari tahap pertama dengan melakukan pelatihan kepada mahasiswa agar program yang dilakukan sesuai dan tepat sasaran. Untuk tahap kedua tim dosen dan mahasiswa melakukan penyuluhan kesehatan diet. Tahap ketiga dilakukan monitoring dan evaluasi bagi peserta. Hasil kegiatan pelatihan ini memberikan pengalaman belajar bagi mahasiswa, melatih rasa percaya diri, meningkatkan keterampilan mahasiswa dan menambah pengetahuan mahasiswa tentang penyuluhan diet hipertensi. Hasil evaluasi kegiatan menunjukkan bahwa tingkat pengetahuan peserta meningkat sebesar 45%. Berdasarkan kegiatan penyuluhan kesehatan ini dapat disimpulkan bahwa seluruh tim pengabdi masyarakat beserta peserta bekerja sama dengan baik. Hasil evaluasi menunjukkan bahwa tingkat pengetahuan peserta meningkat sebesar 45%.

Evaluation of the implementation of SMK3 at the Grandmed Lubuk Pakam Hospital in 2024 Sofia Diaz, Aya; Rambey, Harris; Tarigan, Layari
JURNAL KESMAS DAN GIZI (JKG) Vol. 7 No. 1 (2024): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkg.v7i1.2322

SMK3 has been regulated in the guidelines for occupational safety and health in hospitals, but its implementation may face various challenges. Various factors such as the dynamics of the work environment, regulatory changes, and aspects of organizational culture can affect the effectiveness of SMK3 implementation. Permenkes No.66 of 2016 Article 4 states that SMK3 Hospitals include the determination of K3RS policies, K3RS planning, implementation of K3RS plans, monitoring and evaluation of K3RS, review and improvement of K3RS. This qualitative study aims to evaluate the implementation of SMK3 at Grandmed Lubuk Pakam Hospital. The informants were 5 people by conducting in-depth interviews equipped with a voice recorder. The research variables are K3RS policies, facilities and infrastructure, and human resources. The results of the study are that Grandmed Hospital has implemented the K3RS policy by having a commitment to implementing K3, but in its application to workers it has not been implemented properly, establishing a K3RS organization that plays a role in minimizing the risk of accidents and occupational diseases, providing complete K3 facilities and infrastructure in accordance with SOP, and only having one human resource expert as K3 personnel at the hospital. The suggestion given is that Grandmed Hospital Lubuk Pakam is expected to be able to improve professional human resources in the field of K3RS not only General K3, can build awareness of the importance of K3 through regular communication campaigns, plan monthly activity agendas such as role plays on the importance of K3 culture. Keywords: SMK3; K3RS Policy; Facilities and infrastructure; Human resources.

A The Impact of Interprofessional Collaboration on Emergency Referral Decisions for Chronically Ill Patients: The Impact of Interprofessional Collaboration on Emergency Referral Decisions for Chronically Ill Patients RAMBEY, HARRIS
JURNAL KESMAS DAN GIZI (JKG) Vol. 6 No. 1 (2023): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkg.v6i1.2490

The Impact of Interprofessional Collaboration on Emergency Referral Decisions for Chronically Ill Patients

The The Influence of Role Clarity in Interprofessional Teams on the Speed of Emergency Response to Catastrophic Diseases: The Influence of Role Clarity in Interprofessional Teams on the Speed of Emergency Response to Catastrophic Diseases RAMBEY, HARRIS
JURNAL KESMAS DAN GIZI (JKG) Vol. 6 No. 2 (2024): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkg.v6i2.2511

Background:Catastrophic diseases, such as heart attacks, strokes, and acute respiratory failure, require a rapid and appropriate emergency response. In emergency situations, interprofessional teams play a crucial role in ensuring effective coordination. Role clarity within these teams is a key factor that can influence the speed of response to emergency conditions. Objective:This study aims to analyze the impact of role clarity within interprofessional teams on the speed of emergency response in patients with catastrophic diseases. Methodology:This study employs a quantitative design with a cross-sectional approach. Data were collected from healthcare professionals in the emergency departments (ED) of several referral hospitals. The independent variable is role clarity within the interprofessional team, measured using a structured questionnaire. The dependent variable is the speed of emergency response, assessed based on the time taken by the team to manage patients from triage to initial intervention. Data analysis was conducted using univariate and bivariate statistical tests, including Pearson or Spearman correlation tests, as well as linear regression to examine deeper relationships. Results and Discussion: Univariate analysis showed that the majority of respondents had a high level of role clarity (72.5%) and a fast emergency response time (68.3%). Bivariate analysis indicated a significant positive correlation between role clarity within the interprofessional team and the speed of emergency response (r = 0.65, p < 0.01). Linear regression results showed that role clarity contributed 42% to the variation in response speed (R² = 0.42), after controlling for other variables such as work experience and team size. These findings confirm that the clearer the roles within the team, the faster the response to patients’ emergency conditions

Determinan kepatuhan penggunaan alat pelindung diri pada perawat Rifai, Achmad; Bangun, Sri Melda Br.; Widyaningsih, Fadlilah; Kasim, Felix; Rambey, Harris; Sari, Indry Purnama
Haga Journal of Public Health (HJPH) Vol. 2 No. 2 (2025): Maret 2025
Publisher : YAYASAN VICTORY HAGA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62290/hjph.v2i2.48

Latar belakang: Alat Pelindung Diri (APD) merupakan elemen penting dalam sistem perlindungan bagi tenaga medis, terutama perawat, yang berinteraksi langsung dengan pasien dan berada di lingkungan dengan risiko tinggi penularan penyakit. Penelitian ini bertujuan untuk mengetahui determinan kepatuhan penggunaan APD pada perawat. Metode: Penelitian ini menggunakan desain cross-sectional dan dilaksanakan di Rumah Sakit Grandmed Lubuk Pakam pada tahun 2024. Subjek yang terlibat dalam penelitian ini adalah seluruh perawat yang bekerja di Rumah Sakit Grandmed Lubuk Pakam, khususnya perawat yang bertugas di instalasi bedah sentral, dengan jumlah 57 orang. Teknik pengambilan sampel yang digunakan adalah total sampling. Data dikumpulkan melalui penyebaran kuesioner kepada perawat. Analisis data dilakukan dengan menghitung distribusi frekuensi dan melakukan pengujian hipotesis menggunakan uji chi-square dengan tingkat signifikansi α = 0,05. Hasil: Kepatuhan penggunaan APD pada perawat sebesar 19,3%. Pengetahuan perawat (p = <0,001), sikap perawat (p = 0,003), pengawasan (p = 0,004), ketersediaan APD (p = <0,001) berpengaruh signifikan terhadap kepatuhan penggunaan APD. Kesimpulan: Pengetahuan perawat yang kurang baik, sikap perawat yang negatif, pengawasan yang tidak baik, ketersediaan APD yang tidak memadai berpengaruh signifikan terhadap kepatuhan penggunaan APD.

Prevalensi dan determinan kepatuhan konsumsi obat pada penderita hipertensi: studi cross-sectional Rifai, Achmad; Kasim, Felix; Widyaningsih, Fadlilah; Rambey, Harris; Bangun, Sri Melda Br; Indriani, Restutri
Haga Journal of Public Health (HJPH) Vol. 2 No. 3 (2025): Juli 2025
Publisher : YAYASAN VICTORY HAGA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62290/hjph.v2i3.56

Latar belakang: Rendahnya kepatuhan dalam mengonsumsi obat antihipertensi menjadi hambatan bagi keberhasilan pengendalian tekanan darah, serta berkontribusi pada peningkatan risiko komplikasi kardiovaskular dan beban pelayanan kesehatan. Penelitian ini bertujuan untuk mengidentifikasi determinan kepatuhan konsumsi obat pada penderita hipertensi. Metode: Studi ini menggunakan desain potong lintang (cross-sectional). Populasi penelitian mencakup seluruh pasien hipertensi yang berobat di Puskesmas Klinik Pratama Polkes 01.10.02 Lubuk Pakam pada tahun 2025, dengan jumlah 95 orang. Seluruh populasi dijadikan sampel penelitian melalui teknik total sampling. Pengumpulan data dilakukan menggunakan kuesioner yang disebarkan kepada pasien hipertensi, sedangkan analisis data dilakukan dengan uji Chi-Square pada tingkat signifikansi α = 0,05. Hasil: Sebanyak 65,3% responden diketahui tidak patuh dalam mengonsumsi obat, sedangkan 34,7% responden patuh dalam konsumsi obat. Faktor-faktor seperti tingkat pendidikan yang rendah, pengetahuan yang kurang, jarak tempat tinggal ≥1 km, minimnya dukungan keluarga, lama konsumsi obat, serta tidak adanya paparan edukasi kesehatan terbukti berhubungan signifikan dengan kepatuhan konsumsi obat. Kesimpulan: Kepatuhan konsumsi obat pada penderita hipertensi dapat dipengaruhi oleh aspek pendidikan, pengetahuan, jarak tempat tinggal, dukungan keluarga, durasi konsumsi obat, dan edukasi kesehatan.

The Relationship Between Cross-Program and Cross-Sectoral Support and the Achievement of Nutrition Programs in Stunting Reduction Rambey, Harris
JURNAL KEBIDANAN KESTRA (JKK) Vol. 7 No. 2 (2025): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/4bmb9t26

Background: Stunting remains a major public health challenge in Indonesia. One of the factors influencing the success of nutrition programs for stunting prevention is cross-program and cross-sectoral support, which significantly affects intervention effectiveness at the primary healthcare level. Objective: This study aimed to analyze the relationship between cross-program and cross-sectoral support and the achievement of nutrition programs for stunting prevention at Batang Kuis Health Center, Deli Serdang Regency. Research Methods: A quantitative approach with a descriptive analytic design was employed. A total of 50 respondents, including health workers, health cadres, and representatives from education and social sectors, were selected through purposive sampling. Data were collected using questionnaires and in-depth interviews and analyzed with Pearson correlation and chi-square tests. Results: The study revealed a significant relationship between cross-program and cross-sectoral support and nutrition program achievements (p=0.003; r=0.65). Sector coordination, budget allocation, and monitoring were found to be suboptimal, contributing to an increase in stunting prevalence from 12.5% to 14.3% in 2022. Conclusion: Cross-sectoral and cross-program support plays a crucial role in the success of nutrition programs to combat stunting. Strengthening sectoral coordination, increasing nutrition program budgets, and empowering communities are recommended to accelerate stunting reduction efforts.

Association Between the Managerial Capacity of Nutrition Personnel and the Achievement of Specific Nutrition Interventions for Stunting Prevention Rambey, Harris
JURNAL KESMAS DAN GIZI (JKG) Vol. 7 No. 2 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/298hcw76

Background: Stunting remains a serious public health issue in Indonesia, with a prevalence rate of 24.4% according to SSGI 2021. Specific nutrition interventions require strong managerial capacity among nutrition personnel. Objective: This study aimed to analyze the relationship between the managerial capacity of nutrition personnel and the achievement of specific nutrition interventions at community health centers (puskesmas) in Deli Serdang Regency. Research Methods: This was a quantitative study with a cross-sectional design. A total of 41 nutrition personnel were selected using proportional random sampling. Data were collected through structured questionnaires and reports on specific nutrition interventions, and analyzed using chi-square tests with a significance level of p<0.05. Results: Most nutrition personnel (63.4%) demonstrated good managerial capacity, and 68.3% achieved high outcomes in specific nutrition interventions. Statistical analysis showed a significant relationship between managerial capacity and intervention achievement (p=0.001), where those with better managerial skills achieved higher intervention targets.Conclusion: Managerial capacity significantly influences the achievement of specific nutrition interventions for stunting prevention. Strengthening managerial skills through continuous training is essential to enhance the effectiveness of nutrition programs at the primary healthcare level.

SOSIALISASI POTENSI ASTAXANTHIN DALAM MEMBANTU PENGENDALIAN TEKANAN DARAH DI UPTD PUSKESMAS LHOK BEURINGEN Wasliati, Balqis; Kasim, Felix; Rambey, Harris; Rifai, Achmad
Indonesian Collaboration Journal of Community Services (ICJCS) Vol. 4 No. 3 (2024): Indonesian Collaboration Journal of Community Services
Publisher : Yayasan Education and Social Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53067/icjcs.v4i3.177

Hypertension is a significant public health issue and has shown a notable increase in prevalence in Indonesia in recent years. According to the 2018 Basic Health Research (RISKESDAS), the prevalence of hypertension in Indonesia reached 34.1%, up from 25.8% in 2013. The impact of hypertension is substantial, contributing to 45% of deaths from heart disease and 51% of deaths from stroke. Astaxanthin, a natural carotenoid antioxidant found in various aquatic organisms, has shown potential as a blood pressure regulator through various mechanisms. Research indicates that astaxanthin is effective in reducing blood pressure and improving cardiovascular health. This community service program aims to increase public knowledge about astaxanthin at UPTD Puskesmas Lhok Beuringen through socialization and lectures. The results of the activities showed an increase in understanding and interest in astaxanthin among the community, as well as indications of changes in health behavior. The village of Meunasah Beuringen has shown a commitment to continuing this health education program, hoping to become a successful example for other villages in improving public health through effective education

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