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FOOD BASKETS DAN EDUKASI KESEHATAN LINGKUNGAN DALAM PENINGKATAN GIZI PENDERITA TUBERKULOSIS PARU DI KOTA MEDAN Novrika Silalahi; Pitto Pratiwi Malau; Elmina Tampubolon; Rizka Annisa
Jurnal Penelitian Kesmasy Vol. 8 No. 1 (2025): Jurnal Penelitian Kesmasy
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpksy.v8i1.2592

Abstract

Pulmonary tuberculosis (TB) remains a major public health problem in Indonesia, including in Medan City. Malnutrition among TB patients worsens prognosis and delays recovery. Nutrition-based interventions such as Food Baskets combined with environmental health education are expected to improve nutritional status while preventing TB transmission at the household level. This study applied a quasi-experimental design with a pre-post test control group. A total of 30 pulmonary TB patients were enrolled and divided into an intervention group (n=15; received Food Baskets + environmental health education) and a control group (n=15; standard care). Data collected included body weight, energy intake, protein intake, hemoglobin, albumin, knowledge score, and environmental health behavior score. Data were analyzed using paired t-tests and independent t-tests, with significance set at p < 0.05. The intervention group showed a significant increase in body weight (+2.6 ± 0.9 kg) compared to the control group (+1.0 ± 0.8 kg, p < 0.001). Energy intake increased by +370 kcal/day in the intervention group versus +110 kcal/day in the control (p < 0.001). Protein intake increased by +15 g/day in the intervention group versus +4 g/day in the control (p < 0.001). Knowledge scores improved from 58 to 82, while environmental health behavior scores increased from 60 to 83 (p < 0.001). Food Baskets combined with environmental health education are proven effective in improving nutritional status, knowledge, and health behavior of pulmonary TB patients. This intervention can serve as an additional strategy in community-based TB control programs.
HUBUNGAN PENERAPAN SMK3 DENGAN ANGKA KEJADIAN KECELAKAAN KERJA DI PT PUPUK ISKANDAR MUDA TAHUN 2025 Tampubolon, Elmina
Jurnal Inovasi Kesehatan Masyarakat Vol. 6 No. 2 (2025): Jurnal Inovasi Kesehatan Masyarakat (JIKM)
Publisher : Fakultas Kesehatan Masyarakat, Institut Kesehatan Deli Husada Deli Tua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jikm.v7i1.2522

Abstract

Occupational Safety and Health (K3) is a crucial aspect in the world of work to protect workers from the risk of accidents and occupational diseases. The development of the industrial world, the world of work is always faced with new challenges. Various new challenges emerge along with the development of the era. However, this development is always accompanied by new problems, one of which is work accidents. The Occupational Safety and Health Management System (SMK3) regulated in PP No. 50 of 2012 is designed to increase the effectiveness of K3 protection in a planned and measurable manner. However, the implementation of SMK3 in various industrial sectors still faces various obstacles. This study aims to Analyze the Relationship between the Implementation of SMK3 and the Number of Occupational Accidents at PT Pupuk Iskandar Muda in 2025. This study uses a quantitative descriptive research method. The study population is all employees at PT Pupuk Iskandar Muda. The total population of PT Pupuk Iskandar Muda workers as of January 2025 was 547 with a sample size of 85 people. Data were analyzed using the chi-square test and logistic regression. Based on the results of the study, there is a relationship between Policy (P-Value 0.007), Planning (P-Value 0.005), Plan Implementation (P-Value 0.007), Performance Monitoring and eval_uation (P-Value 0.02), Performance Review and Improvement (P-Value 0.04) with the number of work accidents. Based on the results of the multivariate analysis, it was found that the most dominant factor related to the Number of Work Accidents is Plan Implementation with a p-value of 0.01 where the Exp (B) value is 3.6. It is hoped that the Management of PT Pupuk Iskandar Muda can strengthen the implementation of the K3 plan that has been prepared by ensuring that all K3 work programs are carried out according to schedule, not just stated in formal documents.
ANALISIS PENGARUH PEMBERIAN EDUKASI SDIDTK PADA IBU TERHADAP TUMBUH KEMBANG BALITA DI WILAYAH KERJA PUSKESMAS PINTU RIME KECAMATAN PINING KABUPATEN GAYO LUES PROVINSI ACEH TAHUN 2024 Zuliarni Lubis; Elmina Tampubolon; Peny ariani
Jurnal Kajian Kesehatan Masyarakat Vol. 6 No. 2 (2026): JURNAL KAJIAN KESEHATAN MASYARAKAT
Publisher : Fakultas Kesehatan Masyarakat, Institut Kesehatan Deli Husada Deli Tua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jk2m.v6i2.1823

Abstract

SDIDTK is growth and development during the first 5 years of life. The aim of the research is for all toddlers aged 0-5 years and preschool children aged 5-6 years to grow and develop optimally. The writing aims to determine the effect of providing primary education to mothers on the growth and development of toddlers in the working area of ​​Pintu Rime Health Center, Pining District, Province. Aceh last year, the type of the research used quantitative with a quasi-experimental pre and post-test design, a population of 35 respondents in the Pintu Rime Community Health Center area, Pining District, Aceh Province, with consecutive technique, data sampling obtained from the results interviews by distributing questionnaires that have been prepared by researchers. The Data of analysis was carried out univariate and bivariate using the independent t-test with an alpha (a) value of 0.05. The results of research using the independent t-test obtained a significance value of 0.000, so it can be concluded that there was an influence of providing SDIDTK education to the mothers on the growth and development of toddlers in the Pintu Rime Health Center Working Area, Pining District, Aceh Province last year.
The Impact of a Structured Physical Exercise Program on Physical Function and Quality of Life among Patients with Chronic Kidney Disease Undergoing Hemodialysis Friska Ernita Sitorus; Alprindo Sembiring Meliala; Hariati Hariati; Jekson Martiar Siahaan; Rostiodertina Girsang; Bahtera Bindavid Purba; Putri Ayu Yessy Ariecha; Nurul Aini Siagian; Peny Ariani; Tetty Junita Purba; Elmina Tampubolon
Nursing and Health Sciences Journal (NHSJ) Vol. 6 No. 2 (2026): June 2026
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v6i2.677

Abstract

Chronic kidney disease is a progressive condition characterized by a permanent decline in kidney function and requires renal replacement therapy, one of which is hemodialysis. Patients with chronic kidney disease undergoing hemodialysis often experience decreased physical function and quality of life due to activity limitations, fatigue, and psychological impacts. One non-pharmacological therapy that can be applied to address these problems is a physical exercise program. This study aims to determine the effect of a physical exercise program on physical function and quality of life among patients with chronic kidney disease undergoing hemodialysis at Sembiring General Hospital Deli Tua in 2026. This study used a quasi-experimental design using a one-group pretest–posttest approach. Sampling was conducted using a purposive sampling technique, resulting in a total sample of 54 respondents. Data analysis was performed using the Wilcoxon test with a significance level of α=0.05. The results showed that the mean score of physical function before the intervention was 54.56 and increased to 57.50 after the intervention. Similarly, the mean score of quality of life increased from 56.83 before the intervention to 58.93 after the intervention. The Wilcoxon test analysis revealed a p-value of 0.000<α=0.05 for both physical function and quality of life. The conclusion shows that the physical exercise program had a significant effect on improving physical function and quality of life among patients with chronic kidney disease undergoing hemodialysis at Sembiring General Hospital Deli Tua in 2026. It is recommended that physical exercise program can be implemented for patients with chronic kidney disease to enhance their physical function and quality of life.
ANALISIS FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PENGGUNAAN ALAT PELINDUNG DIRI PADA PETUGAS DI INSTALASI KESEHATAN LINGKUNGAN DI DINAS KESEHATAN UPTD PUSKESMAS PONED AEK KOTA BATU KECAMATAN NA IX-X TAHUN 2025 Reza Pahlevi Muliadi; Elmina Tampubolon; Selamat Ginting
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.v3i2.3222

Abstract

Keselamatan dan kesehatan kerja petugas kesehatan lingkungan sangat penting untuk mencegah terjadinya kecelakaan kerja dan penularan penyakit akibat kerja. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang berhubungan dengan penggunaan Alat Pelindung Diri (APD) pada petugas di Instalasi Kesehatan Lingkungan Dinas Kesehatan UPTD Puskesmas PONED Aek Kota Batu Kecamatan Na IX-X Tahun 2025. Jenis penelitian ini adalah deskriptif kuantitatif dengan pendekatan cross sectional. Populasi berjumlah 105 orang dan sampel sebanyak 83 orang ditentukan menggunakan teknik simple random sampling. Data dikumpulkan melalui kuesioner dan wawancara kemudian dianalisis menggunakan uji chi-square. Hasil penelitian menunjukkan bahwa sebagian besar responden memiliki pengetahuan cukup baik, namun kepatuhan dalam penggunaan APD masih belum maksimal. Hasil uji statistik menunjukkan terdapat hubungan yang signifikan antara pengetahuan, sikap, ketersediaan APD, dan kebijakan dengan perilaku penggunaan APD (p-value < 0,05). Faktor pengetahuan merupakan faktor predisposisi yang paling dominan memengaruhi perilaku petugas dalam menggunakan APD. Oleh karena itu, peningkatan pengetahuan, pembinaan sikap positif, ketersediaan APD yang memadai, dan penegakan kebijakan perlu ditingkatkan untuk mendukung keselamatan kerja. Hasil penelitian ini diharapkan dapat menjadi bahan evaluasi bagi manajemen Puskesmas dalam meningkatkan program keselamatan dan kesehatan kerja di lingkungan kerja.
FAKTOR FAKOR YANG MEMPENGARUHI KETEPATAN WAKTU PEMBERIAN OBAT PADA PASIEN RAWAT INAP DI RSU SEMBIRING Henni Fatwa; Bahtera Bindavid Bin david; Elmina Tampubolon; tio ranti sari br sembiring
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.v3i2.3223

Abstract

Pemberian obat merupakan salah satu prosedur yang paling sering dilakukan oleh perawat dan merupakan bagian penting dari peran kolaboratif perawat. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor yang memengaruhi ketepatan waktu pemberian obat. Jenis penelitian ini adalah penelitian kuantitatif dengan desain *cross-sectional*. Responden dalam penelitian ini berjumlah 57 perawat. Berdasarkan hasil penelitian, ditemukan bahwa ketepatan waktu pemberian obat di Rumah Sakit Umum Sembiring sudah berjalan dengan baik. Kesimpulannya adalah terdapat pengaruh pengetahuan, sikap, pengalaman kerja, SOP (Standar Operasional Prosedur), dan motivasi kerja terhadap ketepatan waktu pemberian obat, sedangkan pelatihan kerja tidak memiliki pengaruh terhadap ketepatan waktu pemberian obat. Variabel yang memiliki pengaruh paling signifikan terhadap ketepatan waktu pemberian obat adalah variabel sikap (nilai p = 0,000 < 0,05). Rekomendasi yang diberikan adalah agar petugas, khususnya di unit rawat inap Rumah Sakit Umum Sembiring, diharapkan dapat melakukan evaluasi, meningkatkan kesadaran, serta mempertahankan sikap disiplin dalam menerapkan ketepatan waktu pemberian obat.
OPTIMALISASI KUALITAS LINGKUNGAN RUMAH SEHAT PADA KELUARGA PASIEN TUBERKULOSIS Novrika Silalahi; Pitto Pratiwi Malau; Elmina Tampubolon; Rizka Annisa; Novarianti Marbun
Jurnal Pengabdian Masyarakat Putri Hijau Vol. 6 No. 4 (2026): Jurnal Pengabdian Masyarakat Putri Hijau
Publisher : INSTITUT KESEHATAN DELI HUSADA

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

Abstract

Tuberculosis (TB) remains one of the major infectious diseases and continues to be a significant public health concern. TB transmission is influenced not only by individual factors but also by residential environmental conditions, particularly the quality of ventilation, humidity, and lighting. Families of TB patients are at higher risk of exposure due to close and prolonged contact with patients; therefore, empowering families to create a healthy home environment is essential as part of TB prevention efforts. This community service activity aimed to improve the knowledge and awareness of TB patients’ families regarding the optimization of healthy home environmental quality to support TB transmission prevention. The activity was conducted in the working area of Glugur Darat Primary Health Center, Medan Perjuangan District, Medan City, using an approach involving health education, observation of home environmental conditions, and family assistance for TB patients. Evaluation was carried out using pre-test and post-test methods to measure participants’ knowledge improvement regarding the role of ventilation, humidity, and lighting in TB control. The results showed an increase in the average knowledge score from 78.67 before the education session to 96.58 after the intervention, representing an improvement of 17.91 points or 22.77%. This activity demonstrated that environmental health education and family assistance were effective in improving TB patients’ families’ understanding of the importance of implementing a healthy home environment. This program is expected to support family-based TB control efforts and contribute to sustainable improvement in community health quality.