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Faktor Risiko yang Berkaitan dengan Insidensi TB Paru Manullang, Melisa; Rara Vyani Adistira; Siregar, Santy Deasy; Manalu, Putranto
Surya Medika: Jurnal Ilmiah Ilmu Keperawatan dan Ilmu Kesehatan Masyarakat Vol. 20 No. 2 (2025)
Publisher : STIKes Surya Global Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32504/sm.v20i2.1192

Abstract

Latar Belakang: Tuberkulosis adalah penyakit menular yang menjadi penyebab utama masalah kesehatan yang disebabkan oleh Mycobacteria tuberculosis dan merupakan salah satu penyebab utama kematian di seluruh dunia. Tujuan penelitian ini adalah untuk menentukan faktor risiko yang terkait dengan insidensi tuberkulosis paru di Kabupaten Deli Serdang. Metode: Penelitian ini merupakan penelitian kuantitatif dengan desain cross sectional yang melibatkan 140 responden yang dipilih menggunakan teknik accidental sampling. Data dianalisis menggunakan aplikasi SPSS dengan Uji Fisher Exact. Hasil: Hasil penelitian menunjukkan bahwa variabel yang memiliki hubungan signifikan adalah usia (p-value = 0.001), jenis kelamin (p-value = 0.030), pekerjaan (p-value = 0.024), jarak dari rumah ke fasilitas kesehatan (p-value = 0.038), dan status gizi (p-value = 0.027). Namun, tidak terdapat hubungan yang signifikan antara kepatuhan pengobatan (p-value = 0,219), pendapatan (p-value = 0,723), dan kepadatan penduduk (p-value = 0,710) terhadap insidensi TB paru.  Kesimpulan: Hasil penelitian menunjukkan bahwa faktor usia merupakan faktor yang paling dominan dalam insidensi TB paru. Disarankan agar kualitas layanan kesehatan kepada masyarakat ditingkatkan dengan memberikan informasi dan pendidikan tentang bahaya penyakit TB paru.
Exploring the Role of Psychosocial Factors in Medication Compliance among Gonorrhea Patients Maler, Tangge; Hamdi, Sintiya; Manalu, Putranto; Girsang, Ermi; Suhartina
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 37 No. 2 (2025): AUGUST
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikkk.V37.2.2025.98-105

Abstract

Background: Gonorrhea is a globally prevalent sexually transmitted infection (STI) that continues to present a serious public health challenge, particularly in light of the increasing threat of antimicrobial resistance. Effective disease management depends significantly on patient adherence to prescribed treatments. However, suboptimal adherence is frequently reported, which undermines control efforts and contributes to the emergence of drug-resistant Neisseria gonorrhoeae strains. Purpose: This study aimed to identify factors influencing medication adherence among patients diagnosed with gonorrhea. Methods: A cross-sectional study was conducted involving 74 participants. Data were collected through structured questionnaires assessing five variables: knowledge of gonorrhea, family support, perceived stigma, self-efficacy, and treatment adherence. Univariate analysis using descriptive statistics was performed to summarize demographic characteristics and key variables. Chi-square tests were used to determine the association between predictor variables and treatment adherence. Results: The findings showed that 86.5% of participants had good knowledge regarding gonorrhea, while 56.6% reported insufficient family support. Most respondents (81.1%) did not experience perceived stigma, and 64.9% reported high self-efficacy. Overall, 64.9% of participants adhered to their treatment regimen. Bivariate analysis revealed significant associations between treatment adherence and knowledge (p = 0.007; OR = 6.111), family support (p = 0.008; OR = 4.821), perceived stigma (p = 0.001; OR = 7.571), and self-efficacy (p = 0.001; OR = 7.200). Conclusion: The results underscore the importance of psychosocial factors in enhancing medication adherence. Targeted interventions addressing knowledge, family support, stigma, and self-efficacy are essential to improving treatment outcomes and reducing gonorrhea transmission.
Dampak Kualitas Udara Dalam Ruangan Terhadap Kejadian ISPA di Kecamatan Medan Denai, Kota Medan Nasution, Sri Lestari Ramadhani; Girsang, Ermi; Butar-Butar, Erika Fatrecia Marsaulina; Hafizah, Nandani Zakia; Manalu, Putranto
Jurnal Kesehatan Lingkungan Indonesia Vol 24, No 3 (2025): Oktober 2025
Publisher : Master Program of Environmental Health, Faculty of Public Health, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkli.70451

Abstract

Latar Belakang: Tingginya angka kejadian Infeksi Saluran Pernapasan Akut (ISPA) di Kecamatan Medan Denai diduga kuat berkaitan dengan buruknya kualitas udara dalam ruangan, khususnya di kawasan padat penduduk. Penelitian ini bertujuan untuk menganalisis hubungan antara berbagai parameter kualitas udara dalam ruangan dengan kejadian ISPA di wilayah tersebut.Metode: Penelitian ini menggunakan desain observasional analitik dengan pendekatan cross-sectional. Sampel terdiri dari 300 responden dari rumah-rumah di area padat penduduk Kecamatan Medan Denai yang dipilih menggunakan teknik purposive sampling. Data mengenai parameter fisik dan kimia kualitas udara serta status ISPA dikumpulkan melalui pengukuran langsung, kuesioner, dan observasi. Data dianalisis menggunakan uji chi-square.Hasil: Ditemukan hubungan signifikan antara kejadian ISPA dengan suhu udara, kelembapan, laju ventilasi, kadar SO2, NO2, CO, dan paparan asap rokok (p<0,05). Hasil analisis menunjukkan bahwa laju ventilasi yang buruk meningkatkan risiko ISPA sebesar 26,4 kali (RR=26,430), kelembapan yang tidak sesuai standar meningkatkan risiko 43,8 kali (RR=43,84), dan paparan asap rokok meningkatkan risiko 5,5 kali (RR=5,550). Sementara itu, tingkat pencahayaan, kadar timbal (Pb), formaldehida (HCHO), dan volatile organic compounds (VOC) tidak menunjukkan hubungan yang signifikan.Simpulan: Kualitas udara dalam ruangan yang tidak memenuhi standar, terutama laju ventilasi yang buruk, secara signifikan meningkatkan risiko kejadian ISPA di Kecamatan Medan Denai. Pemilik rumah direkomendasikan untuk secara aktif meningkatkan sirkulasi udara dengan cara membuka jendela dan pintu secara teratur untuk memastikan pertukaran udara yang memadai. Selain itu, penting untuk mengendalikan sumber polusi di dalam rumah, seperti tidak merokok di dalam ruangan, serta menjaga suhu dan kelembapan pada tingkat yang ideal untuk meminimalkan risiko penyakit pernapasan. Edukasi dan pemantauan berkala oleh pemerintah juga diperlukan untuk meningkatkan kesadaran masyarakat. ABSTRACT Title: The Impact of Indoor Air Quality on the Incidence of Acute Respiratory Infections (ARIs) in Medan Denai Sub-district, Medan CityBackground: The high incidence of Acute Respiratory Infections (ARIs) in the Medan Denai Sub-district is strongly suspected to be associated with poor indoor air quality, particularly in densely populated areas. This study aimed to analyze the relationship between various indoor air quality parameters and the incidence of ARIs in the region.Method: This research employed an analytical observational design with a cross-sectional approach. The sample comprised 300 respondents from households in densely populated areas of Medan Denai Sub-district, selected using purposive sampling. Data on physical and chemical air quality parameters and ARI status were collected through direct measurements, questionnaires, and observations. The data were analyzed using the chi-square test.Result: A significant relationship was found between the incidence of ARIs and air temperature, humidity, ventilation rate, levels of SO₂, NO₂, CO, and exposure to tobacco smoke (p < 0.05). The results indicate that poor ventilation increases the risk of ARIs by 26.4 times (RR = 26.43), non-standard humidity increases the risk by 43.8 times (RR = 43.84), and exposure to tobacco smoke increases the risk by 5.5 times (RR = 5.55). Conversely, lighting levels, lead (Pb), formaldehyde (HCHO), and volatile organic compounds (VOCs) showed no significant association.Conclusion: Substandard indoor air quality, especially poor ventilation, significantly increases the risk of ARIs in Medan Denai Sub-district. Homeowners are advised to actively improve air circulation by regularly opening windows and doors to ensure adequate air exchange. Furthermore, controlling indoor pollution sources, such as refraining from smoking indoors, and maintaining optimal temperature and humidity levels are crucial to minimizing the risk of respiratory diseases. Public education and regular monitoring by government agencies are essential to raise awareness and promote healthier indoor environments.
Improving Inpatient Services with the Quality Function Deployment Method Sembiring , Jessyca; Girsang, Ermi; Manalu, Putranto
TEKNOLOGI MEDIS DAN JURNAL KESEHATAN UMUM Vol 9 No 2 (2025): Medical Technology and Public Health Journal September 2025
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mtphj.v9i2.5806

Abstract

Improvements in the quality of inpatient care are needed to reduce overcrowding, increase patient engagement, make care more efficient, and empower patients toward self-care. These improvements can result in better patient outcomes, increased patient satisfaction, and more efficient delivery of healthcare. This is a quantitative study involving 98 respondents who have used inpatient services at the Royal Prima Hospital between December 2022 and January 2023. Data collection was based on the Servqual method and Kano models. The analysis results show that the smallest gap score (-0.12) is attributed to the number of medical personnel in the reliability dimension, whereas the largest gap score (0.09) is attributed to the physical appearance of doctors and staff in the tangibles dimension. Of the 23 attributes analyzed, 3 belonged to category A (attractive), 15 belonged to category O (one-dimensional), and 5 belonged to category M (must-be). The main technical responses that need to be addressed to improve service quality are hospital development, increased cooperation, and organizing education and training.
ANALYSIS OF PHARMACY SERVICE QUALITY ON KIDNEY PATIENT SATISFACTION AT ROYAL PRIMA HOSPITAL Simanjuntak, Mafe Robbi; Zega, Nensi Febriani; Manalu, Putranto
Abdi Dosen : Jurnal Pengabdian Pada Masyarakat Vol. 9 No. 2 (2025): JUNI
Publisher : LPPM Univ. Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/abdidos.v9i2.2812

Abstract

High-quality pharmacy services are a crucial component in supporting patient satisfaction, particularly for kidney patients who require continuous medication monitoring and management. This study aims to analyze the relationship between pharmacy service quality including physical facilities, reliability, responsiveness, assurance, and empathy and the satisfaction level of kidney patients at Royal Prima Hospital in Medan City. A quantitative approach with a cross-sectional design was employed, using a structured questionnaire administered to 100 respondents. The results indicate that all dimensions of pharmacy service quality are significantly associated with patient satisfaction (p < 0.05). These findings suggest that comprehensive improvements in pharmacy services contribute to enhanced satisfaction among kidney patients. Therefore, hospitals are encouraged to prioritize and optimize pharmaceutical care as an integral part of quality healthcare delivery.
Improvement of Patients’ Knowledge, Attitude, and Practice on Tuberculosis Treatment Using Video and Leaflet Dameria, Dameria; Hulu, Victor Trismanjaya; Siregar, Santy Deasy; Manalu, Putranto; Samosir, Frans Judea; Rambe, Fadilah Ummul Choiriyah; Hasibuan, Nadilla
Jurnal Promosi Kesehatan Indonesia Volume 18 No.2 Agustus 2023
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.18.2.79-88

Abstract

Background: The effectiveness of Tuberculosis (TB) treatment outcomes for patients is currently suboptimal, posing a significant challenge to comprehensive efforts aimed at eradicating the disease. To address this problem, several studies have proposed that the implementation of health education initiatives have the potential to enhance treatment adherence and behavior of patients. Therefore, this study aims to assess the efficacy of health education programs using video and leaflet modalities.Method: This was a quasi-experimental study with a non-randomized pretest-posttest control group design. The sample population consisted of 85 TB patients at the Kenanga Health Center, Tegal Sari Mandala II, Medan Denai District, Medan City in 2022. Furthermore, the samples size was obtained using a purposive sampling method, involving 64 patients, which were evenly divided into two groups, namely intervention and control. The controls and intervention groups were educated using leaflet and video media, respectively. Pre-test and post-test were given to all the participants using the same instrument. A post-test was administered on the twenty-fifth day, where the materials were the same as those used at the pre-test stage. The data collected in this study were analyzed using the Wilcoxon, Mann-Whitney, and N-Gain tests.Results: There were significant differences between knowledges, attitudes, and practices of the participants before and after being given the interventions. Furthermore, knowledges, attitudes, and practices scores increased after the interventions were administered. Based on the results, health education using video (N-Gain score of 76.82) improved behavior of TB patients compared to the use of leaflet (N-Gain score of 49.74). After being educated, people with TB were expected to exhibit higher treatment adherence and adoption of healthy lifestyles.
Co-Authors ACHMAD RIFAI Addin Amrulah Aditya Bastanta Guru Singa Aminuyati Aulia, Yuli Binarwan Halim Boas, Richie Ray Barry Br Ginting, Margaretha Febrina 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 Desi Lustiyani Putri Ndruru Efendy Pakpahan Ellista Anatasia Sinaga Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Eva Ellya Sibagariang Fadilla Ripta Fahmi Syahpreza Tarigan Frans Judea Samosir Frans Judea Samosir Ginting, Chrismis Novalinda Ginting, Rapael Girsang, Ermi Girsang, Ermi Gunarto Sinaga Hafizah, Nandani Zakia Hajijah I. L. Panjaitan Hakim, Mia Amara Hamdi, Sintiya Harahap, Emira Nadiah Hartono Hartono Hartono Hartono Hasibuan, Nadilla Herbert Wau Hulu, Victor Trismanjaya Hutagalung, Priscilla Grace J Ikadawaty Hutabarat Janas, Dhyta Nurhasanah Jeremia Chandra Partogi Siallagan Kalimah, Kalimah Linda Suryani Sihaloho Maler, Tangge Mangatas Silaen Manullang, Melisa Masryna Siagian Masryna Siagian Megasilvia Sinaga Meyliana Ginting Milka Rositi Sianipar Mita Sahara Muhammad Aditya Kurnia Nadapdap, Marshall Jeremia Nasution, Ali Napiah Nasution, Sri Lestari Ramadhani Noor, Asri Nurhafsyah Daulay Perry Boy Chandra Siahaan Pratama, Irza Haicha Putri Marlinang Manalaksak Hutajulu Putri Yunita Pane Putri Yunita Pane Putri Yunita Pane Putri, Faradiba Fatillah Rambe, Fadilah Ummul Choiriyah Rapael Ginting Rapael Ginting Rara Vyani Adistira Ray Sweeta Silaban Reh Malem Br Karo Ribka Rusiani Pardede Rimma Sabarina Tarigan Ripta, Fadilla Rizki Luthfita Sari Rizky, Muhammad Irvan Samosir, Frans Judea Santy Deasy Siregar Santy Deasy Siregar Sembiring , Jessyca Siagian, Masryna Sijabat, Vina Helsa Laora Silalahi, Marlinang I. Simangunsong, Pahala Maringan J. Simangunsong, Pahala Maringan Jubel Simanjuntak, Mafe Robbi Sinaga, Suharni Pintamas Sindy Andari Sinurat, Jhon Patar Sitanggang, Rido Aliberto Sri Lestari Ramadhani Nasution Subrata, Mariany Puspita Suhartina Suyono, Tan Tan Suyono Tarianna Ginting 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 Zega, Nensi Febriani Zendrato, Victorwan Novri