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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
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.
Workload Analysis of Pharmacists at Tanjung Selamat General Hospital, Langkat, 2025 Nemas Adelina Lubis; Rahmad Gurusinga; Chandra Pranata
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/r470a461

Abstract

Pharmaceutical personnel play a crucial role in ensuring the quality of healthcare services in hospitals. A high workload, if not properly managed, can negatively affect performance, patient safety, and service quality. This study aims to analyze the workload of pharmacists at the Pharmacy Installation of Tanjung Selamat General Hospital, Langkat, focusing on four main variables: the type and number of tasks, limitations in human resources, duration and work shift patterns, and work adjustment strategies.This study employed a qualitative approach using a descriptive method. Data were collected through in-depth interviews with one key informant (Head of the Pharmacy Installation) and three triangulation informants (Pharmaceutical Technical Personnel and Pharmacy Assistants). Data analysis was conducted through data reduction, data presentation, and conclusion drawing.The results indicate that pharmacists and pharmaceutical personnel at Tanjung Selamat General Hospital handle various types of tasks, including administrative and non-clinical duties such as medical waste management. The limited number of staff leads to task overlap, uneven shift distribution, and an increased risk of work fatigue. The 24-hour shift system has not been optimally implemented due to the disproportionate distribution of personnel. Work adjustment strategies, such as task prioritization and teamwork, have been applied; however, they remain individual-based and are not yet supported by a structured managerial system.In conclusion, the workload of pharmaceutical personnel is considered high and complex. The hospital needs to increase staffing levels, evaluate the shift system, and strengthen supporting systems such as standard operating procedures (SOPs) and information technology. Adjustments in human resource management policies are essential to maintain work efficiency and the quality of pharmaceutical services
Comparison of the Implementation of the Role of the Family Assistance Team (TPK) in the Prevention and Reduction of Stunting in Pulau Simardan and Bunga Tanjung Villages, Datuk Bandar Timur District, Tanjungbalai City in 2024 Aisiyah Hasibuan; Rahmad Gurusinga; Ahmad Hafizullah Ritonga
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/z0j4pf03

Abstract

This study aims to compare the implementation of the role of the Family Assistance Team (TPK) in the prevention and reduction of stunting in Pulau Simardan and Bunga Tanjung Villages, and to identify the supporting and inhibiting factors in its implementation. The study employed a qualitative approach with a comparative phenomenological design. Data were collected through observation, document review, and in-depth interviews with 13 informants consisting of TPK cadres, target families, Family Planning Field Officers (PLKB), and neighborhood heads. Data were analyzed thematically and validated through source and method triangulation.The results indicate that TPK has carried out its mentoring functions routinely and systematically, including nutrition and health education, surveillance of at-risk families, facilitation of health service and social assistance referrals, psychosocial support, as well as recording and reporting through the Elsimil application. Home visits were conducted one to three times per month. Differences in regional characteristics influenced implementation strategies, where collective-based approaches were more effective in areas with strong social cohesion, while individual approaches were more suitable in areas with high population mobility. Supporting factors included basic training, the use of digital applications, and support from community leaders. The main obstacles were limited facilities and infrastructure, low incentives, and uneven digital literacy. This study recommends strengthening the technical and institutional capacity of TPK and integrating cross-sector coordination based on local data to enhance the effectiveness of stunting reduction acceleration programs.
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 Syafrida Eriyanti; Rahmad Gurusinga; Desideria Yosepha 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: 10.35451/6sc8nw40

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 the Utilization of the National Health Insurance Mobile Information System Virta Filantropi Zebua; Rahmad Gurusinga; Barita Aritonang
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: 10.35451/43zrp107

Abstract

Mobile JKN is a digital application developed by BPJS Kesehatan to facilitate participants in accessing various administrative services and information related to the National Health Insurance program, such as participant registration, updating membership data, and obtaining information on healthcare services at primary healthcare facilities and referral hospitals. Although the application was designed to improve access to healthcare services, its utilization among participants remains relatively low. This study aimed to analyze factors associated with the utilization of the Mobile JKN information system among National Health Insurance participants at Grandmed Hospital. This study used a quantitative approach with a cross-sectional design. The study population consisted of 100.040 National Health Insurance participants registered at Grandmed Hospital, and a sample of 100 respondents was determined using the Lemeshow formula. Data were analyzed using univariate analysis, bivariate analysis with the Chi-square test, and multivariate analysis using multiple logistic regression. The results show that the majority of respondents (60%) have not utilized the Mobile JKN application. Bivariate analysis shows significant associations between the utilization of Mobile JKN and system quality, information quality, service quality, frequency of use, and net benefits (p < 0.05). Multivariate analysis shows that information quality is the most dominant factor associated with the utilization of Mobile JKN after controlling for system quality and service quality. These findings indicate that improving the quality of information within the applicati on and strengthening outreach to participants are necessary to enhance the utilization of Mobile JKN and improve access to healthcare services.
Factors Associated with Husbands' Participation in the Family Planning Program Eka Yustina; Rahmad Gurusinga; 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.
Analysis of the Quality of Healthcare Services in the Emergency Department of Permata Hati Hospital, Asahan Regency, 2026 Dewi Ramayani; Rahmad Gurusinga; Sri Melda Br Bangun
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/pys2xp97

Abstract

The Emergency Department (ED) is an essential unit within hospital services that plays a crucial role in handling patients experiencing emergency situations. The quality of care provided in the ED greatly influences patient safety, the satisfaction of patients’ families, and the overall reputation of the hospital. This study aimed to examine the quality of healthcare services in the Emergency Department of Permata Hati Hospital, Asahan Regency, in 2026 by applying the five SERVQUAL dimensions, namely tangible, reliability, responsiveness, assurance, and empathy. This research used a quantitative method with a cross-sectional study design. The population consisted of family members who accompanied patients in the Emergency Department of Permata Hati Hospital during the research period. A sample of 97 respondents was obtained through probability sampling using an accidental sampling technique. Data collection was conducted using a structured questionnaire, and the data were analyzed using univariate analysis, bivariate analysis with the chi-square test, and multivariate analysis through logistic regression. The findings indicated that the majority of respondents considered the quality of healthcare services in the Emergency Department to be good. The bivariate analysis showed that reliability, responsiveness, assurance, and empathy were significantly associated with the quality of healthcare services, while the tangible dimension did not demonstrate a significant relationship. Furthermore, the multivariate analysis identified responsiveness as the most influential factor affecting the quality of healthcare services in the Emergency Department. In summary, the quality of healthcare services in the Emergency Department of Permata Hati Hospital is determined by several dimensions of service quality, particularly the responsiveness of healthcare professionals. Therefore, hospital management is encouraged to improve service responsiveness, strengthen effective communication, and foster empathetic attitudes among healthcare staff in order to continuously enhance the quality of emergency care services.