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All Journal Jurnal Bios Logos Jurnal Farmasi Sains dan Terapan (Journal of Pharmacy Science and Practice) Jurnal Keperawatan dan Fisioterapi (JKF) Jurnal Kesmas dan Gizi (JKG) JURNAL FARMASIMED (JFM) Jurnal Dunia Farmasi Science Midwifery Jurnal Penelitian Farmasi dan Herbal Jurnal Antara Abdimas Keperawatan Jurnal Pengmas Kestra (JPK) Jurnal Pengabdian Masyarakat Ilmu Kesehatan
Romaulianna Theresia Marbun
Institut Kesehatan Medistra Lubuk Pakam
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary Other

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The Influence of Inpatient Service Quality on Patients' Decisions to Go Home at Their Own Request (Paps) at The Mayjen H.A Thalib Regional Hospital, Sungai Penuh City Putri, Puji Audina; Romauli Anna Teresia Marbun; Tati Murni Karokaro
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 1 (2025): 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: 10.35451/3nn67r29

Abstract

"Discharge at Own Request (PAPS)" is one of the indicators used to assess the quality of inpatient care services. Based on direct interviews with several PAPS patients in the inpatient ward of a particular regional public hospital (RSUD), several factors were identified as triggers for their decision to leave, including the waiting time for treatment and the condition of the treatment room and walls, which appeared uncomfortable—especially for patients who did not yet have a BPJS National Health Insurance) card.The high incidence of patients discharging themselves at their own request (PAPS) has an impact on the hospital, including a potential decrease in service efficiency, as indicated by a reduction in the length of stay (LOS). This study aims to identify and analyze the influence of inpatient service quality on the decision of patients to discharge themselves at their own request (PAPS) at RSUD Mayjen H.A. Thalib, Sungai Penuh City, in 2025.This is a quantitative study using a cross-sectional study design. The research was conducted at RSUD Mayjen H.A. Thalib, Sungai Penuh City, from November 2024 to April 2025. The sample consisted of 125 patients hospitalized in the inpatient ward of RSUD Mayjen H.A. Thalib, Sungai Penuh City. The sampling technique used was accidental sampling.The research findings indicate a correlation between patient satisfaction—based on the aspects of tangibles, reliability, Responsiveness , assurance, and empathy—and the decision to discharge themselves at their own request (PAPS) at RSUD Mayjen H.A. Thalib, Sungai Penuh City, in 2025. Therefore, it is recommended that regular training be provided to all medical personnel and hospital staff to enhance their competence and ability to deliver optimal healthcare services.
Evaluation Of Medicine Procurement Policies On Health Administration And Medicine Demand at X Community Health Center, Deli Serdang Regency In 2025 Meirizal Jefrinaldi; Romauli Anna Teresia Marbun; Basyariah Lubis
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: 10.35451/7v0hjk62

Abstract

Background: The 2020–2024 health development agenda emphasizes strengthening primary health services and the utilization of technology, making drug availability an important indicator of service quality. Proper drug management through planning, procurement, distribution, and stock control—supported by competent human resources, adequate funding, and reliable information systems, is essential to prevent stockouts and ensure service continuity. Objective: To analyze and evaluate drug procurement policies in relation to health administration and drug demand at X Public Health Center, Deli Serdang Regency, in 2025 using a qualitative approach. Methods: This study employed a qualitative research design aimed at analyzing and evaluating drug procurement policies and their impact on health administration and drug demand at X Public Health Center, Deli Serdang Regency, in 2025. Results: The findings indicate that drug management is supported by structured policies, competent personnel, relatively adequate though limited budgets, and the use of SIMO, which improves data accuracy. However, policy flexibility and system reliability still need improvement. The procurement process has followed the stages of planning, submission, and distribution with fairly good interdepartmental coordination. Remaining challenges include delays in distribution, slow financial administration processes, and discrepancies between physical stock and system records. Overall, drug procurement has had a positive impact on health administration and service fulfillment, as reflected by relatively stable drug availability. Nevertheless, improvements in procurement speed, supply accuracy, and e-logistics system stability are still required to optimize service quality. Conclusion: Drug management and procurement have been implemented relatively well, supported by structured policies, competent personnel, budget allocation, and the SIMO system, resulting in relatively stable drug availability. However, challenges remain in distribution delays, financial administration, stock discrepancies, and e-logistics system stability, which need to be addressed to further enhance service quality.
Analysis of Factors Influencing Medication Adherence among Patients in the Back-Referral Program at Pagar Jati Health Center, Lubuk Pakam Novitasari Sihaloho; Romauli Anna Teresia Marbun; Novita Ginting Munthe
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/ykh8d832

Abstract

Background: The Back-Referral Program (PRB) is a health service for National Health Insurance participants with stable chronic diseases who still require long-term treatment, implemented at primary health care facilities to improve service effectiveness, access convenience, and medication availability. The success of PRB implementation is strongly determined by patient adherence to medication collection, as non-adherence can disrupt treatment continuity, worsen health conditions, and increase health care costs. Medication adherence is influenced by various factors, including patient knowledge and trust, service facilities and costs, the role of health care workers, medication availability, family support, and ease of access to health services. Objective: This study aimed to identify the factors influencing medication collection adherence among PRB patients at Pagar Jati Lubuk Pakam Community Health Center in 2025. Methods: This study employed a quantitative design with a cross-sectional approach, in which measurements of independent and dependent variables were conducted once at a single point in time. Data were collected by distributing questionnaires to PRB patients. The study was conducted at Pagar Jati Lubuk Pakam Community Health Center. Results: The results showed that all examined factors were significantly associated with medication collection adherence among PRB patients at Pagar Jati Lubuk Pakam Community Health Center (p-value < 0.05). However, multivariate analysis identified patient knowledge as the most dominant factor, with the highest level of adherence and the strongest statistical significance compared to other variables. Conclusion: Factors such as patient trust, service facilities, the role of health care workers, medication availability, family support, service costs, and ease of access contribute to supporting adherence; however, improving patient knowledge is the key factor in enhancing medication collection adherence among PRB patients. Therefore, patient education interventions should be prioritized and supported by comprehensive improvements in the health care service system.
Evaluation of Drug Procurement Policy on Health Administration and Drug Demand at Lubuk Pakam Community Health Center Meirizal Jefrinaldi; Romauli Anna Teresia Marbun; Basyariah Lubis
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/pyfz2d97

Abstract

Background: Drug availability is an important indicator in ensuring service continuity and the quality of primary healthcare facilities. An effective drug management system can improve community access to medicines through the strengthening of primary healthcare services. Accurate needs planning, stock control, and procurement processes are key factors in maintaining the continuity of healthcare services. This study aimed to evaluate the drug procurement policy in relation to health administration and drug demand at Lubuk Pakam Public Health Center.  Methods: This study employed a qualitative approach with a descriptive evaluative design. Data were collected through in-depth interviews, observation, and document review. The main informants consisted of the Head of the Public Health Center, the responsible pharmacist, and a pharmaceutical management officer (TTK). Triangulation informants included the treasurer, e-logistics system officer (SIMO), and a nurse.  Results: The findings showed that drug procurement had been implemented relatively well and systematically through the stages of planning, submission through SIMO, distribution, recording, and periodic evaluation. Coordination among staff was carried out through routine meetings and internal communication, which supported stock monitoring and the handling of drug needs. The SIMO system facilitated recording and drug needs planning, although technical obstacles such as network disruptions and slow synchronization were still encountered. Other challenges included budget limitations, delayed fund disbursement, delayed distribution, discrepancies between requested and received medicines, and differences between physical stock and system data. Drug availability greatly influenced service quality, and when shortages occurred, drug substitution was carried out based on pharmacist recommendations.  Conclusion: The drug procurement policy at Lubuk Pakam Public Health Center has had a positive impact on health administration and the fulfillment of drug needs. However, improvements are still needed in procurement flexibility, acceleration of financial administration, supply accuracy, and the reliability of the e-logistics system to further optimize healthcare service quality.
Testing the Activity of Chitosan Nanohydrogel from Belut Sawah (Monopterus albus) Extract as a Future Anti-Aging Candidate Ratih anggraeni; Romauli Anna Teresia Marbun
Jurnal FARMASIMED (JFM) Vol 8 No 1 (2025): Jurnal Farmasimed (JFM)
Publisher : Fakultas Farmasi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/x4nw7q34

Abstract

Background: Premature aging has become a serious concern, especially among women. The aging process can occur at any time and progress rapidly. This condition may be caused by exposure to sunlight, which induces the formation of Reactive Oxygen Species (ROS) in the skin. When the amount of ROS exceeds the antioxidant defense capacity of skin cells, it can lead to dryness, thinning, loss of elasticity, wrinkles, and even skin cancer. The swamp eel (Monopterus albus) is commonly used as food by the community. Previous studies have shown that eel extract has been used to treat incision wounds, gastric ulcers, and anemia. It contains vitamin A, vitamin B, and selenium. This species is abundantly found in rice fields and muddy ponds in the Lubuk Pakam area. The formulation of the extract into nan chitosan derived from shrimp shells has been reported to improve the delivery of antioxidant effects into the skin layers. Objective: This study aimed to analyze the activity of a hydrogel combining swamp eel extract with nanochitosan, evaluate its antioxidant activity, and assess the physical stability of the hydrogel formulation as an anti-aging preparation. Methods: Extraction was carried out using the maceration method. The nanochitosan-based hydrogel formulation was designed to enhance the delivery of the eel’s active compounds. Antioxidant activity was tested using the 2,2-Diphenyl-1-picrylhydrazyl (DPPH) method, and the physical stability of the hydrogel was evaluated. Results: The physical evaluation showed that the nanochitosan hydrogel containing swamp eel extract maintained good stability during storage. Organoleptic tests indicated a consistent yellowish-white color, characteristic aroma, and uniform texture (homogeneity) from day 0 to day 4. The pH value remained stable at 5.2 throughout weeks 0 to 4, within the physiological range of skin pH. Viscosity measurements were 10,350 cps for F1, 11,750 cps for F2, and 23,650 cps for F3. These findings suggest that the formulation possessed good physical stability and an appropriate consistency for topical application. Conclusion: Skin elasticity and biological activity tests showed an increase in skin firmness, likely due to the collagen, flavonoid, and antioxidant content in the swamp eel extract. Irritation and panelist preference tests confirmed its safety and user acceptability. Therefore, this hydrogel shows potential to be developed as a natural, safe, and consumer-friendly anti-aging formulation.
Anti-Aging Activity Test and Physical Stability Evaluation of NanoCream  Containing Ethanolic Extract of Binara Herb (Artemisia vulgaris L.) Romauli Anna Marbun; *, Yanna Rotua Sihombing; Ratih Anggraeni
Jurnal FARMASIMED (JFM) Vol 8 No 2 (2026): Jurnal Farmasimed (JFM)
Publisher : Fakultas Farmasi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/xecp6c81

Abstract

Background: Antioxidants are compounds that neutralize free radicals or prevent their formation by slowing oxidative reactions, thereby helping to inhibit premature skin aging. Binara herb (Artemisia vulgaris L.) is one of the plants with potential antioxidant properties. Previous studies have shown that binara herb contains flavonoids and exhibits moderate to strong antioxidant activity. Objective: This study aimed to formulate a stable and effective nanoCream  preparation containing binara herb extract (Artemisia vulgaris L.) as an anti-aging agent. Methods: This study employed an experimental research design. The pH test results met the acceptable range (4.5–7), and the viscosity test results complied with the required standard (2,000–5,000 cps). Results: The ethanolic extract of binara herb (Artemisia vulgaris L.) demonstrated very strong antioxidant activity with an IC₅₀ value of 40.36 ± 1.21 µg/mL. The nanoCream  formulation showed good physical stability during storage, as indicated by stable organoleptic characteristics, pH values within the skin-compatible range (6.6–6.8), and viscosity increasing with higher extract concentrations. The irritation test revealed that the 10% nanoCream  formulation was safe and did not cause irritation in volunteers. These findings indicate that the nanoCream  containing ethanolic extract of binara herb has potential for development as a herbal-based anti-aging preparation. Conclusion: The ethanol extract of binara herb showed very strong antioxidant activity (IC₅₀ 40.36 ± 1.21 µg/mL). The formulated nanoCream  was physically stable, had a skin-compatible pH (6.6–6.8), showed increased viscosity with higher extract concentrations, and caused no irritation up to a 10% concentration. Therefore, this nanoCream  has potential as a stable, safe, and effective herbal anti-aging formulation.
The Relationship between the Availability of Essential Medicines and Outpatient Satisfaction in the Pharmaceutical Installation Romauli Anna Marbun
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 7 No. 2 (2025): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/q2549a92

Abstract

Background: The availability of essential medicines is a critical factor influencing the quality of pharmaceutical services and greatly affects patient satisfaction. A lack of essential medicines can worsen patient conditions and reduce trust in hospital services. Objective: This study aimed to analyze the relationship between the availability of essential medicines and outpatient satisfaction at the Pharmaceutical Installation of Grandmed Hospital Lubuk Pakam. Research Methods: A quantitative approach with a descriptive correlational design was used. A total of 150 outpatients were randomly selected. Data were collected using a questionnaire and analyzed using Pearson correlation tests to assess the strength and direction of the relationship between variables. Results: The findings revealed a strong and statistically significant positive relationship between the availability of essential medicines and patient satisfaction, with a correlation coefficient (r) of 0.76 and a p-value of 0.0001. Patients who received the required medicines reported higher satisfaction levels than those who did not. Conclusion: The higher the availability of essential medicines in the pharmaceutical installation, the greater the patient satisfaction with pharmaceutical services. Hospital management is encouraged to strengthen the procurement and distribution system, improve inventory management, and enhance communication with patients to sustain and improve satisfaction levels.
Socialization and Education on the Utilization of Binara Herb (Artemisia vulgaris L.) as a Herbal Anti-Aging Cosmetic Ingredient Romauli Anna Marbun; Ratih Anggraeni; Yanna Rotua Sihombing; Novidawati Boru Situmorang; Cucu Arum Dwi Cahya
JURNAL PENGMAS KESTRA (JPK) Vol. 6 No. 1 (2026): 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: 10.35451/40epy157

Abstract

Background: Premature aging is a common skin health problem caused by exposure to ultraviolet radiation, pollution, and free radicals. Antioxidants play an important role in preventing skin damage by neutralizing free radicals that contribute to premature aging. Binara herb (Artemisia vulgaris  L.) is known to contain flavonoids and other bioactive compounds with strong antioxidant activity. Previous studies have shown that the ethanolic extract of binara herb formulated as a Nanocream exhibits high antioxidant activity, good physical stability, and is safe for topical application. However, information regarding the potential of binara herb as a herbal anti-aging candidate remains limited among the public and students. Objective: his community service activity aimed to provide socialization and education regarding the utilization of Nanocream containing binara herb extract as a safe and innovative natural-based anti-aging product candidate. Methods: The activity was conducted through an online educational program involving students of the Pharmacy Study Program at the Medistra Institute of Health, Lubuk Pakam. Participants’ knowledge was evaluated using pre-test and post-test questionnaires. Results: The educational materials covered the antioxidant benefits of binara herb, the concept of Nanocream, findings from anti-aging activity studies, product safety, and the potential development of herbal cosmetic products based on nanotechnology. The evaluation results showed that more than 90% of participants understood the benefits of binara herb as a natural antioxidant source and recognized the potential of Nanocream as a future anti-aging formulation. The success indicator of the activity was achieved, with more than 80% of participants obtaining post-test scores above 75. Conclusion: The educational and socialization program successfully improved students’ knowledge regarding the utilization of Nanocream containing binara herb extract as a natural-based anti-aging candidate. The students also demonstrated interest in conducting further research related to the development of herbal cosmetics and nanotechnology applications in the pharmaceutical field.
Co-Authors *, Yanna Rotua Sihombing Aminah Aminah Aminah Syarifudin Aritonang, Barita AROFATUL HIDAYAH Br Situmorang, Novidawati Cahya, Cucu Arum Dwi Dalimunthe, Juliana Dewi Kartika Dewi Kartika Dewi, Ayu Puspita Dicky Yuswardi Wiratma Elliya Siswanti Fatima, Nurdilla Friska Novita Pasaribu Harahap, Hasni Yaturramadhan Imelda Oktaviani Br Sihombing Juniaro Virgilius Dakhi Karmayanti Karokaro, Tati Murni Klara Jeina Br Tarigan Koto, Rahmadona Krisdianilo, Visensius Kristian Cahayani Zebua Kristian Cahayani Zebua Lenni Rismayanti Lestari, Dayana Loraetta Brety Sebayang Lubis, Amelia Hasana Lubis, Basyariah Lulu Atikah Maharani, Anisa Mega Silalahi Meirizal Jefrinaldi Meirizal Jefrinaldi Monica Marpaung, Dorima Montysory Silalahi Munthe, Novita Br Ginting Nainggolan, Hotdoriska Naro Ida Sari G. Manihuruk Nopita Sari Manalu, Dian Novidawati Boru Situmorang Novidawati Br Situmorang Novidawati Br Situmorang Novidawati Situmorang Novita Ginting Munthe Novitasari Sihaloho Octavian Ashido Nababan Octora, Debi Dinha Parinduri, Anggi Isnani Pranata, Chandra Purba, Novandi Putri, Puji Audina Radika Bella Fista Ginting Rahayu, Asvia Ratih Anggraeni Ratih Anggraeni Ratih Anggraeni Ratih anggraeni S, Aminah. SAADAH SIREGAR Sebayang, Loraetta Brety Siagian, Hartika Samgryce Sihombing, Yanna Sihombing, Yanna Rotua Sinaga, Falentina Sinurat, Jhon Patar Siregar, Sa’adah Siska, Fitri Siti Wahyuni Situmorang, Novidawati Br Sri Wahyuni Syarifuddin, Aminah Nur Syarifuddin, Shofian Vincentia Ade Rizky Yanna Rotua Sihombing Zantrie, Rezky Zebua, Kristian Cahayani