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Pengaruh Breathing Exercise Terhadap Level Fatigue Pada Pasien Gagal Ginjal Yang Menjalani Hermodialisa Di Rumah Sakit Umum Sembiring Deli Tua Tahun 2025 Daniel Suranta Ginting; Hengki Frengki Manullang; Adi Arianto
BEST Journal (Biology Education, Sains and Technology) Vol 8, No 1 (2025): Juni 2025
Publisher : Program Studi Pendidikan Biologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30743/best.v8i1.11651

Abstract

Gagal Ginjal Kronik (GGK) atau Chronic Kidnery Diseraser (CKD) adalah kondisi yang ditandai olerh pernurunan fungsi ginjal, yang berrperran pernting dalam mernjaga kerserhatan tubuh . Kerlerlahan (Fatiguer) adalah sernsasi subjerktif yang tidak mernyernangkan, merliputi perrasaan lerlah, lermah, dan pernurunan ernerrgi, dan serring mernjadi kerluhan utama bagi pasiern yang mernjalani dialisis. Hermodialisis adalah suatu berntuk terrapi yang digunakan untuk mernggantikan fungsi ginjal dalam prosers permberrsihan darah serrta pernghilangan produk sisa yang tidak diinginkan dari tubuh. Salah satu terrapi non farmakologi untuk mernurunkan kerlerlahan adalah Brerathing Exerrciser derngan latihan perrnapasan merrangsang sisterm saraf parasimpatik, yang dapat merningkatkan produksi erndorfin, mernurunkan dernyut jantung, mermperrluas kapasitas paru-paru, dan mermbuat otot-otot mernjadi lerbih rilerks yang dilakukan serlama 15 mernit .Tujuan pernerlitian ini berrtujuan untuk merngertahui Perngaruh Brerathing Exerrciser terrhadap lerverl fatiguer pada pasiern gagal ginjal yang mernjalani hermodialisa di Rumah Sakit Umum Sermbiring. Mertoder pernerlitian mernggunakan dersain pernerlitian prer-erksperrimerntal derngan pernderkatan oner group prerterst-postterst dan perngambilan samperl sercara purposiver sampling serbanyak 18 orang, serrta derngan perngolahan data mernggunakan uji wilcoxon. Alat yang digunakan adalah Lermbar obserrvasi. Hasil pernerlitian pernurunan lerverl fatiguer rerspondern serberlum perrlakuan dikertahui bahwa dari 18 rerspondern rata- rata merngalami kerlerlahan berrat derngan hasil 30.33, serdangkan rata-rata lerverl fatiguer sersudah perrlakuan yaitu 49.83 dan terrdapat perngaruh yang signifikan antara permberrian interrvernsi brerathing erxerrciser terrhadap kerlerlahan (Fatiguer) derngan hasil (p = 0,000) (a = < 0,05). Kersimpulan pernerlitian terrdapat perngaruh brerathing erxerrciser terrhadap lerverl fatiguer pada pasiern gagal ginjal yang mernjalani Hermodialisa di Rumah Sakit Umum Sermbiring
RANCANG BANGUN SISTEM INFORMASI PUSKESMAS BERBASIS WEBSITE MENGGUNAKAN METODE RAPID APPLICATION DEVELOPMENT (RAD) DI UPTD PUSKESMAS TIGA BALATA TAHUN 2025 Andreas Lewis Ginting; Hengki Frengki Manullang; Desmayanti Br Surbakti; Bachtiar Wahab
JOURNAL OF SCIENCE AND SOCIAL RESEARCH Vol. 9 No. 3 (2026): June 2026
Publisher : Smart Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54314/jssr.v9i3.6495

Abstract

Abstract: Effective and efficient healthcare services are essential to improving the quality of life in society. However, many community health centers (Puskesmas) still rely on manual data recording, including UPTD Puskesmas Tiga Balata. Manual systems can lead to recording errors, reporting delays, and difficulties in data integration. This study aims to design and develop a web-based health information system using the Rapid Application Development (RAD) method, which emphasizes fast iterations between developers and users. The research involved stages of requirements planning, system design, construction, and cutover. The results indicate that the developed system successfully facilitates patient registration, medical procedure recording, medication management, and accurate health reporting. The system was tested using the Blackbox method and user satisfaction evaluation, showing that the system functions well and is accepted by users. In conclusion, this system improves operational efficiency, data accuracy, and simplifies health reporting, and can serve as a model for other community health centers in developing their information systems. Keywords: Information System, Puskesmas, Website, Rapid Application Development (RAD), Service Efficiency Abstrak: Pelayanan kesehatan yang efektif dan efisien sangat penting untuk meningkatkan kualitas hidup masyarakat. Namun, banyak puskesmas (pusat kesehatan masyarakat) masih mengandalkan pencatatan data manual, termasuk UPTD Puskesmas Tiga Balata. Sistem manual dapat menyebabkan kesalahan pencatatan, keterlambatan pelaporan, dan kesulitan dalam integrasi data. Penelitian ini bertujuan untuk merancang dan mengembangkan sistem informasi kesehatan berbasis web menggunakan metode Rapid Application Development (RAD), yang menekankan iterasi cepat antara pengembang dan pengguna. Penelitian ini melibatkan tahapan perencanaan kebutuhan, desain sistem, konstruksi, dan transisi. Hasil penelitian menunjukkan bahwa sistem yang dikembangkan berhasil memfasilitasi pendaftaran pasien, pencatatan prosedur medis, manajemen pengobatan, dan pelaporan kesehatan yang akurat. Sistem ini diuji menggunakan metode Blackbox dan evaluasi kepuasan pengguna, menunjukkan bahwa sistem berfungsi dengan baik dan diterima oleh pengguna. Kesimpulannya, sistem ini meningkatkan efisiensi operasional, akurasi data, dan menyederhanakan pelaporan kesehatan, serta dapat menjadi model bagi puskesmas lain dalam mengembangkan sistem informasi mereka. Kata kunci: Sistem Informasi, Puskesmas, Website, Pengembangan Aplikasi Cepat (RAD), Efisiensi Layanan  
SOCIOECONOMIC FACTORS AND MID-UPPER ARM CIRCUMFERENCE–BASED RISK OF CHRONIC ENERGY DEFICIENCY AMONG WOMEN OF REPRODUCTIVE AGE: A NARRATIVE REVIEW Hengki Frengki Manullang; Rizka Annisa; Fithri Handayani Lubis; Fitri Handayani
Jurnal Penelitian Kesmasy Vol. 9 No. 1 (2026): 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/k3y0p345

Abstract

Chronic energy deficiency (CED) remains a nutritional concern among women of reproductive age, shaped in part by socioeconomic circumstances and access to adequate food. Identifying CED risk through mid-upper arm circumference (MUAC) measurement is particularly important during the preconception period. This review aimed to examine the associations of education, income, employment, and household food security with CED risk among non-pregnant women aged 15–35 years. A narrative literature review was conducted using eight primary research articles. Findings were descriptively analyzed and synthesized across four socioeconomic determinants, considering population characteristics, MUAC-based indicators, and variations in reported associations. Several studies reported significant associations between educational attainment, employment, household food security, and CED risk or low MUAC. Lower educational attainment and household food insecurity were generally associated with greater odds of CED, whereas findings regarding income varied across study settings. Differences in participant characteristics and outcome definitions limited direct comparisons of effect estimates. Socioeconomic factors are associated with CED risk among women of reproductive age, although the consistency of evidence varies across determinants. Preconception nutrition strategies should integrate nutrition literacy, economic circumstances, employment conditions, and household food access. Further research using more consistent population criteria and MUAC-based definitions is needed to strengthen the evidence specifically for non-pregnant women aged 15–35 years.
Program Management Functions and Complete Basic Immunization Coverage: A Literature Review Hengki Frengki Manullang; Syafrina Ulfah; Fitri Handayani
JURNAL KESMAS DAN GIZI (JKG) Vol. 9 No. 1 (2026): 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.v9i1.3999

Abstract

Complete basic immunization coverage among children is influenced not only by individual and family factors but also by the quality of immunization program management. This literature review aims to analyze the role of program management functions in achieving complete basic immunization coverage. A search was conducted for articles published between 2015 and 2025 using PubMed, Scopus, ScienceDirect, and Google Scholar. A total of 11 articles that met the criteria were analyzed narratively and thematically. The findings were grouped into four main functions: planning; organizing and coordinating; implementation or mobilization of resources; and supervision, monitoring, and evaluation. The review results indicate that data-driven planning, microplanning, cross-actor coordination, capacity building for health workers, logistical support, supportive supervision, data utilization, and tracking of children who have dropped out are associated with improved program performance and increases in various immunization coverage indicators. However, the magnitude of these changes varies across regions, and not all studies allow for causal conclusions. Strengthening management functions as an integrated and adaptive cycle tailored to the local context is necessary to support the improvement and equitable distribution of complete basic immunization coverage.