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All Journal JBIO: jurnal biosains (the journal of biosciences) Journal of Biomedicine and Translational Research Indonesian Journal of Pharmaceutical Science and Technology Majalah Obat Tradisional Sistemasi: Jurnal Sistem Informasi BIOLINK (Jurnal Biologi Lingkungan, Industri, Kesehatan) Equilibrium: Jurnal Ilmiah Ekonomi, Manajemen dan Akuntansi Jurnal Profesi Medika: Jurnal Kedokteran dan Kesehatan Jurnal Penelitian Pendidikan IPA (JPPIPA) Jambura Journal of Health Sciences and Research Jurnal Kesehatan Global Journal of Health Sciences JURNAL KEBIDANAN KESTRA (JKK) Jurnal Maternitas Kebidanan Jurnal Pendidikan dan Konseling Contagion: Scientific Periodical Journal of Public Health and Coastal Health Jurnal Ners Journal of Telenursing (JOTING) INFOKUM Jurnal Penelitian Pendidikan, Psikologi Dan Kesehatan (J-P3K) PROFESSIONAL HEALTH JOURNAL PRIMER (Prima Medical Journal) Jurnal Ekonomi Multidiciplinary Output Research for Actual and International Issue (Morfai Journal) JUMANTIK (Scientific Journal of Health research) Sehat Rakyat: Jurnal Kesehatan Masyarakat International Journal of Health and Pharmaceutical (IJHP) International Journal of Science and Environment Cerdika: Jurnal Ilmiah Indonesia Eduvest - Journal of Universal Studies Health Research Journal of Indonesia Media Penelitian dan Pengembangan Kesehatan Malahayati International Journal of Nursing and Health Science Jurnal Ragam Pengabdian Jurnal Kesehatan Masyarakat Proceeding of The International Conference on Health Sciences and Nursing
Ermi Girsang
Universitas Prima Indonesia
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Determinants of Antenatal Care Visit Compliance among Pregnant Women in Kualuh Hulu District, North Labuhanbatu Regency Nova Larysca Manik; Ermi Girsang; Sri Lestari Ramadhani Nasution
PROFESSIONAL HEALTH JOURNAL Vol. 8 No. 1 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v8i1.1473

Abstract

Background: Antenatal care (ANC) is a core strategy for reducing maternal and neonatal mortality through early detection and management of pregnancy complications. However, ANC coverage in Kualuh Hulu District, North Labuhanbatu Regency, remains suboptimal, with fluctuating maternal and infant death rates signaling persistent service gaps. Identifying the local determinants of ANC compliance is essential for designing targeted interventions. Methods: A cross-sectional study was conducted among 153 second- and third-trimester pregnant women recruited through total sampling from four public health centers in Kualuh Hulu District. Data were collected using a structured, validated questionnaire. Analysis included univariate description, bivariate analysis using Chi-square tests, and multivariate binary logistic regression to identify independent determinants. Results: High ANC compliance was observed in 65.4% of participants. Bivariate analysis showed significant associations with six factors: knowledge (p<0.001; OR=4.97), attitude (p<0.001; OR=7.52), decision-making autonomy (p<0.001; OR=6.01), perceived service quality (p=0.002; OR=3.89), availability of staff and facilities (p=0.014; OR=2.90), and transportation and examination costs (p=0.006; OR=2.36). After multivariate adjustment, only knowledge (AOR=5.25; 95% CI: 2.17–12.68), attitude (AOR=4.38; 95% CI: 1.72–11.12), and decision-making autonomy (AOR=4.57; 95% CI: 1.87–11.16) remained significant independent predictors. Conclusions: Knowledge, attitude, and decision-making autonomy are the dominant determinants of ANC compliance in this rural setting. Interventions should prioritize continuous health education, awareness-building counseling, and empowerment of women in health-related decisions, while service quality improvements and cost support serve as essential enabling factors.
Karakteristik dan Perilaku Manajemen Diri pada Penderita Diabetes Mellitus Tipe 2 di Kota Lhokseumawe Muammar Muammar; Ermi Girsang; Sunarti Sunarti
Jurnal Ragam Pengabdian Vol. 3 No. 2 (2026): Mei-Agustus, Sustainable Development Goals (SDGs): Multidisciplinary Perspectiv
Publisher : Lembaga Teewan Journal Solutions

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62710/vr1ky520

Abstract

Type 2 Diabetes Mellitus (T2DM) is a chronic disease with an increasing prevalence and has become a major public health concern in Lhokseumawe City. Effective diabetes management depends not only on medical treatment but also on patients' ability to perform self-management. This study aimed to describe the characteristics and self-management behavior of patients with T2DM in Lhokseumawe City. A descriptive analytic study with a cross-sectional design was conducted at primary healthcare centers in Lhokseumawe City in 2026. A total of 64 respondents were selected using purposive sampling. Data were collected using questionnaires on respondents' characteristics and diabetes self-management and analyzed descriptively. The results showed that all respondents were Muslims and belonged to the Acehnese ethnic group. Most respondents had completed senior high school (48.4%) and had a monthly income below IDR 2,700,000 (75.0%). More than half of the respondents (51.6%) had poor self-management, while 48.4% demonstrated good self-management. Poor self-management was associated with educational level, economic status, cultural factors, and limited understanding of and adherence to diabetes management. Socio-cultural characteristics influence self-management behavior among patients with T2DM. Therefore, culturally appropriate health education and family support are needed to improve diabetes self-management and optimize health outcome. 
Karakteristik Dan Kepatuhan Pada Penderita Diabetes Mellitus Tipe 2 Di Kota Lhokseumawe Linda Adriani; Ermi Girsang; Tiarnida Nababan
Jurnal Ragam Pengabdian Vol. 3 No. 2 (2026): Mei-Agustus, Sustainable Development Goals (SDGs): Multidisciplinary Perspectiv
Publisher : Lembaga Teewan Journal Solutions

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62710/rnwn1206

Abstract

Type 2 Diabetes Mellitus (T2DM) is a chronic disease with an increasing prevalence and has become a major public health problem in Lhokseumawe City. The successful management of T2DM is influenced by patients' characteristics and their level of adherence to treatment and self-care practices. This study aimed to identify the characteristics and adherence of patients with T2DM in Lhokseumawe City. A descriptive analytic study with a cross-sectional design was conducted in the working areas of community health centers (Puskesmas) in Lhokseumawe City in 2026. A total of 64 respondents were selected using purposive sampling. Data were collected using questionnaires on respondents' characteristics and adherence to T2DM management. The results showed that the respondents had a mean age of 69.95 years. Most respondents had completed senior high school education (53.1%), had a monthly income of less than IDR 2,700,000 (75.0%), and all respondents were Muslims and belonged to the Acehnese ethnic group. Regarding treatment adherence, the majority of respondents (81.3%) were categorized as adherent, while 18.8% were categorized as non-adherent. Adherence was influenced by several factors, including educational level, family support, cultural values, economic conditions, and patients' understanding of diabetes management. The study concludes that the socio-cultural characteristics of the community play an important role in influencing adherence among patients with T2DM. Therefore, culturally tailored health education and strengthened family support are recommended to improve diabetes management and optimize patient outcomes.
The Influence of Quality of Work Life (QWL) Performance on Employee Performance Through Organizational Citizenship Behavior (OCB) at Royal Prima Hospital in 2025 Darnedy Fatwa Mely Santy; Ermi Girsang; Sri Lestari Ramadhani Nasution; Irza Haicha Pratama
Jurnal Penelitian Pendidikan, Psikologi Dan Kesehatan (J-P3K) Vol 6, No 4 (2025): J-P3K
Publisher : Yayasan Mata Pena Madani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51849/j-p3k.v6i4.861

Abstract

Voluntary work behavior that goes beyond formal employee responsibilities (OCB) cannot develop optimally without attention to Quality of Work Life (QWL). QWL reflects the organization's efforts in creating a work environment that supports the physical, psychological, and social well-being of employees, which ultimately impacts on improving individual and organizational performance. The formulation of the problem of this research is how does Quality of Work Life (QWL) influence employee performance through Organizational Citizenship Behavior (OCB) at Royal Prima Hospital in 2025? This study uses a quantitative approach. The results of the study There is no significant influence between the variable of tenure and performance at Royal Prima Hospital Medan. There is a significant influence between the variable of Quality of Work Life (QWL) and performance at Royal Prima Hospital Medan. There is a significant influence between the variable of Organizational Citizenship Behavior (OCB) and performance at Royal Prima Hospital Medan. There is a significant influence between the variable of Leadership and performance at Royal Prima Hospital Medan. There is a significant influence between the variable of Satisfaction and performance at Royal Prima Hospital Medan. There is a significant influence between the variable of encouragement and performance at Royal Prima Hospital Medan. The most dominant variable with the greatest influence on performance is motivation because it has an Exp B value of 7.348.
Factors influencing self-awareness with blood glucose level among patients with type 2 diabetes Carles Carles; Ermi Girsang; Ali Napiah Nasution
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 2 (2025): Volume 8 Number 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i2.619

Abstract

Background: Type 2 diabetes mellitus is a global health problem with increasing prevalence, especially in urban areas. Management of the disease requires patient self-awareness of factors such as physical activity, balanced diet, stress control, and medication adherence. Purpose: To analyze the influence of physical activity, balanced diet, stress control, and medication adherence on patients' self-awareness behavior in controlling blood sugar levels in urban communities of Riau Province. Method: Quantitative research with a cross-sectional design involved 105 respondents aged 40-65 years who were registered as type 2 DM patients at a health center in an urban area of Riau Province. Data were collected using a questionnaire and analyzed using the chi-square test and odds ratio. Results: Insufficient physical activity increased the risk of low patient self-awareness by 2.8 times (p=0.016). Unbalanced diet increased the risk by 3.5 times (p=0.004). Poor stress control increased the risk by 4.5 times (p=0.0001). Meanwhile, lack of medication adherence increased the risk by 3.2 times (p=0.007). Conclusion: Physical activity, balanced diet, stress control, and medication adherence significantly influenced patients' self-awareness in diabetes management. Community-based interventions are needed to improve the management of this disease.
Co-Authors Agung Abadi Kiswandono Ahmad Affandi Ahmad Fuadi Nasution Ahmad Raif Albert Albert Aldi Tambunan Ali Nafiah Nasution Ali Napiah Nasution Almina Rospitaria Tarigan Amalia Hasibuan Aparna dutt Ariyani Ariyani Arum Grahini Kusumadewi Astari Wardiah Axel Valerian Ayu Anggraini Bangun Batara Sanjaya Harahap Candra Ahmadi Carles Carles Cendy Juliana Chairunnisa Nasution Chandra Susanto Chrismis Novalinda Ginting Christine Yennyanti Cindy Stefanie Sinaga Cory Oriensia Siahaan Cyintia Ginting Darnedy Fatwa Mely Santy Dewi Dio Damara Handoyo Dwi Apriany Edy Fachrial Efratiwi Marpaung Eka Lolita Pakpahan Elis Anggeria Elis Anggeria Elsi Rahmini Erna Dame Juliyanti Sihombing Ernawati Hondro Ervineco Limestan Evelyn Angie Evizal Abdul Kadir Fadillah, Qori Febby Maulina firdha amelia Fithri Ananda Frans Judea Samosir Friska SR Gempita cahya aulia tambunan Hafiz Hawari Siregar Hainun Nisa Hartono Hartono Hartono Helga Kurniawati Tandungan I Nyoman Ehrich Lister I. Nyoman Ehrich Lister IKHTIARI, REFI Imelda Lingga Ira Gracela irza Haicha Pratama Jennifer Tiosanna Jeri Yuliansyah Jerry Fidelio Susanto Johannes Bastira Ginting Juli Elisabet Mayen br Meliala kewin gozali Khainir Akbar Landi Kurnia Daeli Lenni Dianna Putri Liena Linda Adriani Linda Chiuman Linda Chiuman Lisa Yunita Marnas Maco Chan Adnan Mangatas Silaen Masryna Siagian Megasilvia Sinaga Muammar Muammar Muhammad Anugerah Ramadhan Hasibuan Muhammad Maulidin Muhammad Rinaldy Muliate Tarigan Nadya Nazimuddin Putri Nasution, Ali Napiah Nova Larysca Manik Nurhafizah Nurhafizah Nurul Apla Wizaya Syahputri Ongky Harianto Ongky Harianto Oscar Dirgantara Putranto Manalu Randa Aqila Lubis Randy Frananta Ginting Rapael Ginting Resmi Pangaribuan Restin Julianti Zebua Riri Virzan Putri Robertus Idealistis Bago Ronel Polin Sihombing Santy Deasy Siregar Sarah Dhiba Naibaho Saud Parulian Harianja sayra nadhifa Siti Khumairah Azzahra Sri Lestari Nasution Sri Lestari Rahamdhani Nasution Sri Lestari Ramadhani Nasution Sri Rezeki Sunarti Sunny Puspita Susi Susanti Tan Suyono Tiara Nabila Nabati Tiarnida Nababan Tri Suci Vermona Marbun Veronica Veronica Wahyu Widowati Widiya Nisa Widya Yanti Sitohang Yogie Chandra