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Using Progressive Muscle Relaxation for Reducing Fatigue among Truck Drivers Deasy Siregar, Santy; Judea Samosir, Frans; Isabella Silalahi , Marlinang; Aditya Kurnia , Muhammad; Manalu , Putranto; Sweeta Silaban , Ray; Sabarina Tarigan , Rimma
Journal of Health Education Vol. 9 No. 1 (2024)
Publisher : Universitas Negeri Semarang

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Abstract

Background: Long working hours, poor working conditions, and irregular sleep patterns increase the risk of burnout in freight truck drivers. Progressive muscle relaxation (PMR) is a procedure to relax muscles. This study aims to analyze the effectiveness of progressive muscle relaxation on truck drivers. Methods: This research is a quasi-experimental study with one group pretest-posttest design. 60 truck drivers working in Belawan Port were given PMR video tutorials and underwent PMR therapy for two months. The researcher used the standard KAUPKK questionnaire to measure subject fatigue. The data were tested using the Wilcoxon Signed-Rank test. Results: With a z score (-5.798) greater than the z-table value (-1.645) and a p-value of 0.000, it can be concluded that there are differences in complaints of fatigue among truck drivers before and after PMR. Conclusions: The results of this study indicate that the fatigue of truck drivers can be reduced by PMR therapy.
Barriers to Stunting Intervention at a Community Health Center: A Qualitative Study Ginting, Rapael; Girsang, Ermi; Sinaga, Megasilvia; Manalu, Putranto
Jurnal Penelitian Pendidikan IPA Vol 9 No 10 (2023): October
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v9i10.4656

Abstract

Stunting is one of Indonesia's most prevalent nutritional problems, with a prevalence rate of 24.4%. In Samosir Regency, the prevalence of stunting remains relatively high at 28.4%. Community health centers are crucial in the community's efforts to accelerate stunting reduction. This study aimed to explore the barriers a community health center faces in implementing the stunting reduction acceleration program. Method: Using a qualitative case study design, the study was conducted at Buhit community health center in Samosir Regency from August to December 2022. The key informants for this study included the community health center leader, head of administration, nutritionist, and midwife. Data were collected through in-depth interviews and document review. The results identified several barriers to the implementation of the Accelerated Stunting Reduction Programme. These barriers encompassed limited staff resources and concurrent positions, the availability and suitability of anthropometric tools, a lack of coordination in planning activities between management and program officers, families' fear of the negative stigma associated with stunting, and low levels of community participation. Farmers who do not comply with safe behavior will have a higher health risk because of the toxicity of pesticides that can be directly inhaled and enter through the pores of the farmers' skin
Evaluating the Implementation of the Stunting Prevention Program at the Regional Technical Unit of Binjai Estate Health Center in Binjai City Putranto Manalu; Margaretha Febrina Br Ginting; Ermi Girsang
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 1 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i1.24225

Abstract

Stunting remains a critical public health issue affecting the quality of human resources, particularly in Indonesia, where its prevalence remains high across various regions. According to the 2021 Indonesia Nutritional Status Survey (SSGI), the national stunting prevalence was 24.4%, with North Sumatra reporting 30.11% and Binjai City 21.7%, all of which exceed the WHO target of below 20%. These statistics underscore the urgent need for effective prevention strategies, particularly through nutritional interventions at the primary healthcare level. This study aims to evaluate the implementation of the stunting prevention program at the Regional Technical Implementation Unit of the Binjai Estate Community Health Center in Binjai City. The program components include nutrition education, regular monitoring of pregnant women and toddlers, and the provision of supplementary feeding. A qualitative descriptive approach was employed, utilizing in-depth interviews with healthcare personnel and field observations conducted in 2023. Findings indicate that although the program is generally well-implemented, several challenges persist. These include low community participation in outreach activities and persistent cultural myths that impede proper understanding of stunting. Nonetheless, there has been a noticeable increase in awareness regarding balanced nutrition among pregnant women and caregivers of toddlers. Monitoring is routinely conducted via the SIMPUS and SIP systems; however, long-term impact evaluation remains insufficient. In conclusion, while the stunting prevention program demonstrates promising outcomes, further improvements are necessary in enhancing community engagement, strengthening communication strategies, and developing a more robust evaluation system. Strengthening human resource capacity, improving inter-sectoral coordination, and expanding public access to accurate nutritional information are recommended to more effectively combat stunting Keywords: Stunting, Program Implementation, Primary Health Care, Nutrition Education, Monitoring and Evaluation
Determinant Analysis Of Completeness Of Bpjs Patients' Does On Returning Bpjs Claim Status To The Royal Prima Medan General Hospital In 2022 Aditya Jamin, Muhammad; Lestari Ramadhani, Sri; Manalu, Putranto; Girsang, Ermi
International Journal of Health and Pharmaceutical (IJHP) Vol. 2 No. 3 (2022): August 2022
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (140.824 KB) | DOI: 10.51601/ijhp.v2i3.20

Abstract

The history of insurance in Indonesia has a very long process until finally, we can feel its benefits easily this time. Getting to know the history of insurance is very necessary so that we know very well the ins and outs of insurance that many we meet now. The purpose of the study is to find out the relationship factors Completeness of patient Files BPJS Outpatient Against Returns the Status of the claim by the BPJS Health city of Medan To Hospital Royal Prima type B Field the year 2019. The research was conducted in January of 2019. As for the population in this research, the status of the patient in the November 2018 BPJS party discharged as many as 50 patients. No relationship SEP BPJS Outpatient Patients Against Returns the Status of a claim, there is a relationship of the medical record of patients Towards Outpatient BPJS returns, there is a connection INT CBG's BPJS Outpatient Patients Against Returns the Status of a claim, there is a relationship of KIS BPJS Patients Outpatient Against Returns The Status Of The Claim. It is hoped the hospital should still pay close attention to and improve it so that the creation of quality service and high-quality in the hospital Royal Prima Medan.
Recommendations For Improving Exclusive Breast Milk For Working Mothers With Health Action Process Approach (Hapa) In Batu Bara District Fahliza Ismar, Elza; Putri Anggraini, Herisa; Girsang, Ermi; Napiah Nasution, Ali; Manalu, Putranto
International Journal of Health and Pharmaceutical (IJHP) Vol. 3 No. 1 (2022): February 2023
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (156.745 KB) | DOI: 10.51601/ijhp.v3i1.139

Abstract

Mother's Milk (ASI) is the main and best food for babies that have no equal. The benefits of exclusive breastfeeding are enormous, especially for the baby's growth and development, immunity, psychology, and the economy of the baby's parents. Even though the benefits of exclusive breastfeeding are clear for mothers and their babies, the coverage of exclusive breastfeeding for babies is still low. The purpose of this study was to analyze the increase in exclusive breastfeeding for working mothers using the Health Action Process Approach (HAPA) in Batu Bara Regency. The sample of this research is working mothers who have babies 0-6 months in Batu Bara Regency. The sampling technique is Non-Probability Sampling using Total Sampling, where the number of samples is the same as the population of 100 people. The data processing method used Univariate, Bivariate, and Multivariate tests. Theresults showed that self-efficacy, outcome expectations, risk perception, planning, the effect of intention, maintenance, and planning strategies to overcome barriers had a significant effect on breastfeeding practices for working mothers in Batu Bara Regency as evidenced by the p-value of each variable 0.000 <0.05. The multivariate test results show that together the independent variables have a significant effect on the dependent variable, with the most dominant variable being the maintenance variable with an average value of 10.66. The frequency of exclusive breastfeeding and the duration of breastfeeding has no effect on the practice of breastfeeding for working mothers in Batu Bara Regency.
Analysis Of Factors Affecting Nurse Anxiety Levels In Covid-19 Patients At RSU Royal Prima Medan Grace Rezeki, Naomi; Girsang, Ermi; Manalu, Putranto
International Journal of Health and Pharmaceutical (IJHP) Vol. 3 No. 2 (2023): May 2023
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v3i2.149

Abstract

Since the emergence of the first confirmed case of Covid19 in Wuhan at the end of 2019, much attention has been focused on how the patient's health care system to the development of vaccines. However, the discussion about how the struggle of health workers, especially nurses, seems to have received less attention. Therefore, this study was conducted to find out how the anxiety level of nurses for Covid-19 patients is in terms of the influence of organizational support, social support, workload and personal resilience. The results showed that workload and personal resilience had a positive and significant effect on anxiety levels (p < 0.005) but organizational support and social support had no significant effect on anxiety levels (p > 0.005). From the results of the multivariate test, it was found that the p value was 0.000 (p < 0.005) which stated that together or simultaneously, the independent variables in this study had a significant influence on the dependent variable, namely the level of anxiety.
The Role of Quality of Academic Information Systems and Facilities on Student Loyalty Sianipar, Milka Rositi; Pakpahan, Efendy; Manalu, Putranto
Jurnal Manajemen Bisnis Vol. 13 No. 2: September 2022
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mb.v13i2.13641

Abstract

Abstract:  The growth of quality standards, as well as, higher student demands has implications for higher education to improve service quality to be able to provide satisfaction that leads to increased student loyalty.Research aims: This study determines the effect of academic information systems and facilities on student loyalty at the Faculty of Economics, Universitas Prima Indonesia through satisfaction as an integral variable.Design/Methodology/Approach: Data analysis using path analysis, and feasibility test of the model with the Smartpls 3.0 program. The population in this study were all 5th term students of Management Undergraduate Degree and Accounting Undergraduate Degree. The number of samples was determined using the Krejcie-Morgan table so that 291 people were selected.Research findings:  The results showed that the academic information system had a significant positive effect on student loyalty through satisfaction, so that the satisfaction variable  mediates the academic information system on student loyalty (t-statistic = 2.131 (> t-table): p-value = 0.034). Likewise, the effect of facilities on student loyalty through satisfaction as an intervening variable that shows a significant value (t-statistic = 2,220 (> t-table): p-value = 0.027).Theoretical contribution/Originality:. The novelty of this research is that increasing student loyalty can be done by improving academic information system services and adequate campus facilities.Practitioner/Policy implication:  The university management must provide quality facilities and infrastructure to increase student loyalty.
ENCOUNTERING BARRIERS: INSIGHTS ON HEALTH PROMOTION IMPLEMENTATION IN COMMUNITY HEALTH CENTERS Nasution, Sri Lestari Ramadhani; Girsang, Ermi; Manalu, Putranto; Anggita, Nindi Dwi; Febrianty, Novita Dwi; Sianipar, Milka Rositi
Jurnal Ilmiah Ilmu Terapan Universitas Jambi Vol. 10 No. 1 (2026): Volume 10, Nomor 1, February 2026
Publisher : LPPM Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jiituj.v10i1.32537

Abstract

Community Health Centers (Puskesmas) are crucial in promoting health and empowering communities to maintain their health independently. Despite their importance, health promotion programs have faced significant challenges, leading to suboptimal implementation. This study aims to analyze the implementation of health promotion programs at Puskesmas and identify the barriers faced by implementers. Qualitative research with a case study design was conducted at four Community Health Centers in Serdang Bedagai Regency from December 2021 to March 2022. In-depth interviews involved the heads of the Community Health Centers, the responsible individuals for health promotion programs at the centers, and community health cadres. A total of 12 participants underwent in-depth interviews to deeply explore information regarding policy aspects, funding, facilities, and human resources. Additionally, data were collected through observation and documentation. Data analysis followed the protocol developed by Miles and Huberman. The study results indicate that implementing health promotion at Community Health Centers has not been optimal due to barriers such as program funding availability, inadequate supporting facilities, and a shortage of competent human resources. This research contributes to the existing literature by providing a detailed examination of the specific challenges faced by Puskesmas in implementing health promotion programs. It emphasizes the need for targeted interventions to strengthen these centers' operational capabilities. To ensure optimal outcomes, stakeholders must focus on adequate budget allocation, the provision of supporting facilities, and training for program implementers.
Co-Authors Achmad Rifai Addin Amrulah Aditya Bastanta Guru Singa Aditya Jamin, Muhammad Aditya Kurnia , Muhammad Ali Napiah Nasution Aminuyati Anggita, Nindi Dwi Asri Noor Aulia, Yuli Binarwan Halim Boas, Richie Ray Barry Buenita Sinurat Buenita, Buenita Butar-Butar, Erika Fatrecia Marsaulina Chinintya, Dwi Putri Chrismis Novalinda Ginting Chrismis Novalinda Ginting Damanik, Marco Frans Hernandes Dameria Dameria DAMERIA DAMERIA Dameria Gultom Dameria Gultom Deasy Siregar, Santy Desi Lustiyani Putri Ndruru Efendy Pakpahan Ellista Anatasia Sinaga Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Eva Ellya Sibagariang Fadilla Ripta Fahliza Ismar, Elza Fahmi Syahpreza Tarigan Febrianty, Novita Dwi Frans Judea Samosir Ginting, Chrismis Novalinda Ginting, Tarianna Girsang, Ermi Girsang, Ermi Grace Rezeki, Naomi Gunarto Sinaga Hafizah, Nandani Zakia Hakim, Mia Amara Hamdi, Sintiya Harahap, Emira Nadiah Hartono Hartono Hartono Hartono Hasibuan, Nadilla Hutagalung, Priscilla Grace J irza Haicha Pratama Isabella Silalahi , Marlinang Janas, Dhyta Nurhasanah Jeremia Chandra Partogi Siallagan Judea Samosir, Frans Kalimah, Kalimah Lestari Ramadhani, Sri Linda Suryani Sihaloho Maler, Tangge Mangatas Silaen Margaretha Febrina Br Ginting Masryna Siagian Meyliana Ginting Milka Rositi Sianipar Mita Sahara Nadapdap, Marshall Jeremia Napiah Nasution, Ali Nasution, Ali Napiah Nurhafsyah Daulay Pakpahan, Efendy Pane, Putri Yunita Panjaitan, Hajijah I. L. Perry Boy Chandra Siahaan Putri Anggraini, Herisa Putri Marlinang Manalaksak Hutajulu Putri Yunita Pane Putri Yunita Pane Putri, Faradiba Fatillah Rambe, Fadilah Ummul Choiriyah Rapael Ginting Reh Malem Br Karo Ribka Rusiani Pardede Ripta, Fadilla Rizki Luthfita Sari Rizky, Muhammad Irvan Sabarina Tarigan , Rimma Samosir, Frans Judea Santy Deasy Siregar Sembiring , Jessyca Siagian, Masryna Sijabat, Vina Helsa Laora Silalahi, Marlinang I. Simangunsong, Pahala Maringan J. Simangunsong, Pahala Maringan Jubel Sinaga, Megasilvia Sinaga, Suharni Pintamas Sindy Andari Sinurat, Jhon Patar Sitanggang, Rido Aliberto Sri Lestari Ramadhani Nasution Sri Lestari Ramadhani Nasution Subrata, Mariany Puspita Suhartina Sweeta Silaban , Ray Tan Suyono Tan Suyono Tarigan, Nita Kastrina Thomson Parluhutan Nadapdap, Thomson Parluhutan Ulina Karo Karo Ulina Karokaro Vera Prianggi Hutabarat Victor Trismanjaya Hulu Villia Sitepu Vina Helsa Laora Sijabat Virgin Tursulawati Panggabean Wau, Herbert Wela Tresia Nababan Wicaksana, Praja Dwi Widya Yanti Sihotang Wulan Indah Damanik Yani Sri Ningsih Yolanda Eliza Putri Lubis Yoridha Aulia Sinuraya Zalukhu, Fitri Kristianis Zendrato, Victorwan Novri