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All Journal Journal of Biomedicine and Translational Research The Indonesian Biomedical Journal Jurnal Kesehatan Komunitas JURNAL PENDIDIKAN TAMBUSAI Jurnal Keperawatan dan Fisioterapi (JKF) JURNAL KEBIDANAN KESTRA (JKK) Jurnal Kesmas dan Gizi (JKG) NURSING UPDATE JURNAL ILMIAH ILMU KEPERAWATAN Jurnal Kebidanan Harapan Ibu Pekalongan Jurnal Aisyah : Jurnal Ilmu Kesehatan JURNAL PENELITIAN KEBIDANAN & KESPRO JURNAL PENELITIAN KEPERAWATAN MEDIK Jurnal Pengmas Kestra (JPK)
Rahmad Gurusinga
Institut Kesehatan Medistra Lubuk Pakam
Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Healthy Lifestyle Education for Prevention of Pulmonary TB at Sialang Health Center Gurusinga, Rahmad
JURNAL PENGMAS KESTRA (JPK) Vol. 5 No. 1 (2025): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/95yyy829

Abstract

Pulmonary Tuberculosis is a contagious infectious disease caused by the bacteria Mycobacterium tuberculosis and attacks the lungs. Pulmonary TB is spread through phlegm droplets that come out when the sufferer coughs, sneezes, or talks. This disease is characterized by the main symptoms of a cough with phlegm that lasts for more than two weeks, sometimes accompanied by blood, fever, night sweats, weight loss, and weakness. Pulmonary TB is a serious public health problem because of its high transmission rate and can cause serious complications if not treated properly. Prevention and control of Pulmonary TB can be done through early detection, regular and complete treatment, and the implementation of clean and healthy living behaviors. Educational activities on healthy living behavior for the prevention of Pulmonary Tuberculosis were carried out at the Sialang Health Center, involving families and Pulmonary TB sufferers. The implementation of the activity used lecture methods, discussions, and the provision of educational media on the prevention of Pulmonary Tuberculosis. From the results of the activity, there was an increase in public knowledge about the prevention of Pulmonary Tuberculosis, namely from 55% before education to 85% after education. This increase was also accompanied by improvements in the attitudes and behavior of participants, such as being more active in using masks when coughing, maintaining home ventilation, maintaining personal hygiene, and seeking health services earlier if symptoms suspected of Pulmonary Tuberculosis appear. Participants also showed a better understanding of symptoms, transmission methods, and the importance of maintaining healthy living behavior in the family and community environment. This proves that education that is carried out in a structured and interactive manner can be an effective means of increasing public awareness and knowledge. Thus, education is an important and inexpensive approach that can improve the quality of life and create a healthy, independent, and prosperous society.
Analisis Sistem Administrasi Klinik Fisioterapi Sultan dalam Meningkatkan Pelayanan dan Kepuasan Pelanggan di Kota Sungai Penuh Provinsi Jambi Melani, Hafzah; Samran, Samran; Gurusinga, Rahmad
Jurnal Pendidikan Tambusai Vol. 9 No. 2 (2025): Agustus
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai, Riau, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jptam.v9i2.30443

Abstract

Sistem administrasi yang efektif merupakan elemen penting dalam mendukung pelayanan kesehatan yang berkualitas. Penelitian ini bertujuan untuk menganalisis pengaruh sistem administrasi terhadap tingkat kepuasan pasien di Klinik Fisioterapi Sultan Kota Sungai Penuh, Provinsi Jambi. Penelitian menggunakan pendekatan kuantitatif dengan desain cross-sectional. Data dikumpulkan melalui kuesioner menggunakan model SERVQUAL dan melibatkan 35 responden yang dipilih dengan teknik purposive sampling. Hasil penelitian menunjukkan bahwa sebagian besar responden menilai sistem administrasi sudah cukup baik, terutama pada indikator keramahan petugas, kerapihan rekam medis, dan kemudahan pendaftaran. Namun, beberapa aspek seperti kecepatan pelayanan administrasi dan kejelasan informasi masih memerlukan perbaikan. Uji chi-square menunjukkan terdapat hubungan yang signifikan antara efektivitas sistem administrasi dan kepuasan pasien dengan nilai χ² = 11,707 dan p = 0,0035 (p < 0,05). Kesimpulan dari penelitian ini adalah sistem administrasi yang efektif berkorelasi dengan meningkatnya kepuasan pasien. Oleh karena itu, penguatan sistem administrasi melalui digitalisasi proses pendaftaran, pelatihan petugas, serta penyusunan standar operasional prosedur (SOP) yang konsisten perlu dilakukan untuk meningkatkan mutu pelayanan. Penelitian ini diharapkan menjadi referensi dalam pengembangan layanan fisioterapi yang berorientasi pada kenyamanan dan kepuasan pasien.
Butterfly Pea and Roselle Combination Extracts Reduce V-CAM, ICAM, and IL-6 Levels in High Fat Atherogenic Diet Rats Harefa, Karnirius; Ritonga, Ahmad Hafizullah; Safitri, Riri; Aritonang, Barita; Gurusinga, Rahmad; Irmayani, Irmayani; Wulan, Sri
The Indonesian Biomedical Journal Vol 16, No 6 (2024)
Publisher : The Prodia Education and Research Institute (PERI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18585/inabj.v16i6.3361

Abstract

BACKGROUND: Atherosclerosis, driven by inflammation and oxidative stress, increases the risk of coronary heart disease (CHD). Flavonoids in butterfly pea and roselle are known for their potent antioxidant and anti-inflammatory properties. While their individual effects on cardiovascular health have been studied, no studies have explored the combined impact on atherosclerosis biomarkers, including vascular cell adhesion molecules (VCAM)-1, intercellular adhesion molecule (ICAM)-1, and interleukin (IL)-6. Therefore, this study was performed to evaluate the synergistic effects of butterfly pea and roselle combination extracts (BPRCE) on these biomarkers.METHODS: A study with a post-test control group design using 36 male white rats was performed. The rats were randomly assigned to 6 groups; 1 group was fed with standard feed, while 5 groups were fed with a high-fat atherogenic diet (HFAD) to create atherosclerosis rat models. The HFAD rats were given either no treatment, sodium carboxymethylcellulose (Na-CMC), 300, 400, or 500 mg/kgBW BPRCE. Serum levels of VCAM-1, ICAM-1, and IL-6 of rats were measured using enzyme-linked immunosorbent assay (ELISA) methods.RESULTS: Increasing doses of BPRCE resulted in a significant reduction in VCAM-1, ICAM-1, and IL-6 compared to the other groups. The group with the highest dose, 500 mg/kgBW BPRCE, showed the greatest reduction of VCAM-1 level (32.73±3.57 pg/mL), ICAM-1 level (5.68±1.17 ng/mL), and IL-6 levels (21.49±4.62 pg/mL).CONCLUSION: Administration of BPRCE in atherosclerosis rats model reduces VCAM-1, ICAM-1, and IL-6 in a dose-dependent manner. This study showed that using BPRCE as a traditional remedy for preventing and treating CHD at an optimal dose of 500 mg/kgBW might be a potential future application in reducing atherosclerosis biomarkers.KEYWORDS: VCAM-1, ICAM-1, IL-6, butterfly pea, rosella, atherosclerosis
Strategy to Improve Exclusive Breastfeeding Coverage Through Optimizing the Role of Posyandu Cadres in the Working Area of Sibande Community Health Center, Pakpak Bharat Regency, 2025 Eriyanti, Syafrida; Gurusinga, Rahmad; Ginting, Desideria Yosepha
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (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: 10.35451/6sc8nw40

Abstract

Exclusive breastfeeding during the first six months of life is an important indicator of maternal and infant health. However, the coverage of exclusive breastfeeding in the working area of the Sibande Community Health Center, Pakpak Bharat Regency, is still not optimal. One of the factors contributing to the improvement of exclusive breastfeeding coverage is the role of Posyandu cadres as the frontline of community-based health services. This study aims to describe the role of Posyandu cadres, identify the obstacles they face, and formulate strategies to improve exclusive breastfeeding coverage through the optimization of the role of Posyandu cadres. This study employed a qualitative approach with a phenomenological study design. Informants were selected purposively and consisted of 12 participants, including Posyandu cadres, breastfeeding mothers with infants aged 0–6 months, and health workers from the Sibande Community Health Center. Data were collected through in-depth interviews, observation, and documentation studies, and were subsequently analyzed using thematic analysis. The results showed that Posyandu cadres play roles as educators, motivators, companions, and intermediaries between breastfeeding mothers and health workers. However, these roles have not been performed optimally due to limited knowledge and counseling skills related to breastfeeding, the influence of local cultural practices, and the lack of continuous guidance and support. The discussion indicates that optimizing the role of cadres through exclusive breastfeeding counseling training, continuous mentoring, the provision of educational media, and strengthened cross-sector coordination has the potential to improve exclusive breastfeeding coverage. The conclusion of this study highlights that optimizing the role of Posyandu cadres is an important strategy for increasing exclusive breastfeeding coverage. It is recommended that the Community Health Center regularly conduct exclusive breastfeeding counseling training and strengthen supervision and support for Posyandu cadres.
Factors Associated with Husbands' Participation in the Family Planning Program Yustina, Eka; Gurusinga, Rahmad; Raisha Octavariny; Karnirius Harefa; Reni Aprinawaty Sirait
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (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/wa4z5t57

Abstract

Husband participation in family planning (FP) programs is a key factor in the success of population control and the improvement of family reproductive health. However, the level of husband involvement in FP programs in Indonesia remains relatively low and is influenced by various factors. This study aims to analyze the relationship between knowledge, attitudes, the role of health workers, and sociocultural factors with husband participation in family planning programs. This study employs a quantitative research design with a cross-sectional approach. The study population consists of married couples of reproductive age, with the sample selected using purposive sampling. Data collection was conducted using a structured questionnaire. Data analysis was performed using univariate and bivariate methods with the chi-square test, as well as multivariate analysis using multiple logistic regression to identify the dominant factors influencing husbands’ participation in family planning programs. The results indicate a significant relationship between knowledge, attitudes, and sociocultural factors and husbands’ participation in family planning programs (p < 0.05). Meanwhile, health workers did not show a significant association with husbands’ participation (p > 0.05). The knowledge variable was the factor most strongly associated with husbands’ participation in the family planning program, with a 1.65-fold higher likelihood of participating compared to husbands with lower knowledge levels, whereas attitudes and sociocultural factors did not show a significant influence after controlling for other variables. This study indicates that husbands’ participation in family planning programs is influenced by individual and environmental factors, particularly husbands’ knowledge regarding family planning. Therefore, efforts to enhance education and outreach focused on husbands, as well as sociocultural approaches involving families and communities, are needed to increase men’s involvement in family planning programs.
Evaluation of Nurses’ Readiness at the Puskesbun Clinic of PTPN IV Langkat in Managing Medical Emergencies among Plantation Workers Harsya, Ridwanul Hakim; Gurusinga, Rahmad; Lubis, Basyariah
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (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: 10.35451/1j5n8w64

Abstract

Medical emergencies represent a significant occupational health risk frequently encountered by plantation workers due to the physically demanding nature of their work, the use of work equipment, and exposure to specific environmental conditions. Nurses’ readiness in managing emergency situations is strongly influenced by their level of knowledge, first aid skills, and the availability of healthcare service support. Therefore, this study aimed to examine the readiness of nurses in plantation clinics in dealing with medical emergencies by considering the existing clinical service support.  This study employed a qualitative design with a thematic approach and was conducted at the Puskesbun Clinic of PTPN IV Langkat. The research informants consisted of plantation workers, clinic healthcare personnel, and clinic managers selected through purposive sampling. Data were collected through in-depth interviews, field observations, and document reviews. Data analysis was carried out using thematic analysis, which included data reduction, data display, and conclusion drawing.  The findings indicated that most nurses in plantation clinics possess basic readiness in identifying medical emergency conditions; however, their first aid skills remain limited. Clinical service support plays a significant role in enhancing nurses’ readiness, particularly through the availability of healthcare personnel, initial emergency care services, and medical referral systems. The identified challenges include limited emergency training for nurses, inadequate facilities and infrastructure, and long distances and travel time to referral healthcare facilities.  In conclusion, the readiness of nurses in plantation clinics to manage medical emergencies is not yet optimal and requires further improvement through continuous training, enhancement of clinical facilities, and the development of more effective referral coordination systems.
The Role of Drug Swallowing Supervisors (PMO) in the Success of Pulmonary Tuberculosis Treatment in the Work Area of ​​Community Health Center X Gurusinga, Rahmad
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (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/zn0fzw42

Abstract

Tuberculosis (TB) is an infectious disease that remains a global health problem, with treatment success heavily influenced by patient compliance in taking medication. One effort to improve compliance is through the role of Drug Supervisors (PMOs). This study aims to determine the relationship between the role of PMOs and the success of TB treatment. This study used an analytical design with a cross-sectional approach. The sample size was 43 respondents who were TB patients. Data were collected using observation sheets and analyzed using the chi-square test. The results showed that most respondents with a good PMO role had a treatment success rate of 88.0%, while those with a sufficient PMO role had a treatment success rate of 50.0% and those with a poor PMO role had a treatment success rate of 33.3%. Overall, the treatment success rate reached 69.8%. The statistical test results showed a p-value of 0.007 (p < 0.05), indicating a significant relationship between the role of PMOs and the success of TB treatment. The conclusion of this study is that the role of PMOs is significantly related to the success of TB treatment. Therefore, improving the quality of the PMO role is essential to support patient compliance and improve the success of TB therapy.
Analysis Of Response Time In The Comprehensive Emergency Obstetric Neonatal Care (PONEK) Unit At Sultan Sulaiman Regional General Hospital In 2026 Samsinar; Rahmad Gurusinga; Novita Br Ginting
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (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/fqm6vd64

Abstract

Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) remain significant challenges in Indonesian healthcare. The speed of medical intervention, or response time, in the PONEK unit is a critical factor in saving the lives of mothers and newborns. As a 24-hour PONEK service provider, Sultan Sulaiman Regional General Hospital must ensure that emergency response times meet established standards to prevent fatal complications. This study aims to analyze the implementation of response time in the Comprehensive Emergency Obstetric Neonatal Care (PONEK) unit at Sultan Sulaiman Regional General Hospital in 2025, examined through aspects of human resource availability, competence, shift distribution, and specialist coordination. This research employs a descriptive qualitative method. Data collection was conducted through in-depth interviews with key informants (ER doctors, PONEK midwives, nurses) and triangulation informants (Head of Medical Services, Head of PONEK). Data analysis was performed thematically to provide an in-depth overview of the supporting and inhibiting factors of response time. The study identified that response time is influenced by the availability of 24-hour on-call specialists, the number of team members on each shift, and the effectiveness of coordination between the ER and the PONEK unit. Identified obstacles include unbalanced workloads at certain times and the need for regular competency training updates for the PONEK team.
Co-Authors - Afrizal Adang Bachtiar Ade Muliani Ahmad Hafizullah Ritonga Anita Sri Gandaria Purba Anita Sri Gandaria Purba Aprilius Simanjuntak Arfah May Syara Arfah May Syara Arif Sujatmiko Aritonang, Barita Beny Irawan, Beny Bunga Br Saragih Elsaria Br Sembiring Eriyanti, Syafrida Erlina Burhan Fadlilah Widyaningsih Felix Kasim Firdawati, Firdawati Fredy Kalvin Tarigan Ginting, Desideria Yosepha Harsya, Ridwanul Hakim Herlina Barus Herlina Herlina Herlina J. EL- Matury Ika Nur Saputri Indah Pratiwi Irmayani Irmayani Iskandar Markus Iskandar Markus Sembiring Jendrius Jendrius Kardina Hayati Karnirius Harefa Karokaro, Tati Murni Kuat Sitepu Latifatul Robbaniyah Lubis, Basyariah Marudin, Mangapoh Ferry Megawati Sinambela Melani, Hafzah Mila Gustia Munthe, Novita Br Ginting Nababan, Saroha Ingot Hatoguan Novita Br Ginting Nurmailaini Friska Putra, Tomy Raisha Octavariny Reni Aprinawaty Sirait Rima Semiarty Riri Safitri Risky Yulanda Rizanda Machmud Ruth Margaretha Sitanggang Samran, Samran Samsinar Sari Desi Esta Ulina Sitepu Sari Desi Esta Ulina Sitepu Sarmana . Sarmana Sarmana Sembiring, Hedni Febrianty Shintya Handayani Sitepu, Abdi Lestari Sri Wulan Sri Wulan, Sri Syatriawati Suhaimi Syatriawati Syatriawati Tarigan, Koko Prananda Widya . Winda Ardyana Hutagaol Yunus, Albrianto Yustina, Eka