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All Journal Jurnal Keperawatan dan Fisioterapi (JKF) Jurnal Kesmas dan Gizi (JKG) Jurnal Pengmas Kestra (JPK)
Abdi Lestari Sitepu
Institut Kesehatan Medistra Lubuk Pakam
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The Effect of Modern Dressing Moist Wound Healing Technique on the Wound Healing Process in Diabetic Ulcer Patients Tati Murni Karokaro; Abdi Lestari Sitepu; Fredy Kalvind Tarigan; Dray Kelvin Pandiangan
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/jkf.v7i2.2646

Abstract

Background: The main goal in treating diabetic ulcers is to achieve optimal wound healing. So far, many people assume that wounds can heal quickly due to the drying process. However, in fact, a balanced moist environment in the wound actually supports the growth of new cells. Therefore, a wound care method based on the principle of moisture, or known as moist wound healing, is the main key in modern dressing. Moist wound healing is maintaining a moist wound environment using a moisture-retaining dressing. Objective: The aim is to determine the effect of modern moist wound healing dressing on the wound healing process in diabetic ulcers in the inpatient room 4 in front of Grandmed Hospital Lubuk Pakam. Method: The research design used was a Quasy Experiment using a Pretest posttest One Group Design research design with 37 patients as respondents using the Slovin formula. Results: The average value of diabetic ulcer condition in patients before and after Modern Dressing with Moist Wound Healing technique was obtained, namely 601 with a Standard Deviation of 1,163, with the results of the simple Paired T-Test obtained ? 0.05) obtained P value 004 where P value 0.05, then there is an average difference. This means that there is a difference in wound condition in diabetic ulcer patients before and after modern dressing with moist wound healing technique. Conclusion: The modern dressing technique with the principle of moist wound healing aims to maintain wound moisture in the ulcer healing process. Increased exudate production is a natural part of the inflammatory phase in the wound healing process. Based on the results of the research observation, it shows that before Modern Dressing with Moist Wound Healing Technique was carried out, the Mean value was obtained on the sixth day of treatment of 40.30 with a Standard Deviation of 3.302. Meanwhile, after the Modern Dressing Moist Wound Healing technique was carried out, the Mean value obtained on the sixth day of treatment was 31.90 with a Standard Deviation of 2.601, so it is recommended that nurses use the Modern Dressing Moist Healing technique for the wound healing process when treating wounds.
The Effect of Insulin Injection Time on Blood Glucose Levels 2 Hours After Meals in Type II Diabetes Mellitus Patients at Grandmed Hospital Lubuk Pakam Pitriani an; Kardina Hayati; Elsa Sumitra Tamba; Abdi Lestari Sitepu
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/jkf.v7i2.2661

Abstract

Increased blood sugar levels in the body are one of the characteristics of type II diabetes mellitus. Controlling blood sugar levels can be done by checking blood glucose levels. This study aims to analyze blood glucose levels two hours after eating with insulin injection 11-20 minutes before eating and blood glucose levels two hours after eating with insulin injection 0-10 minutes after eating. This study uses a quantitative method with a Cross-Sectional design. Data were collected using a total sampling technique, with a sample size of 18 respondents. The results of the statistical test showed a probability of 0.001, which is smaller than the significance level (? = 0.05). This shows a significant difference between blood glucose levels two hours after eating in patients who received insulin injections 11-20 minutes before eating (Pretest) and those who received insulin injections 0-10 minutes after eating (Posttest). Thus, it can be concluded that the time of insulin injection affects blood glucose levels two hours after eating in patients with type II diabetes mellitus at Grandmed Hospital Lubuk Pakam.
Factors Influencing the Quality of Services at the Pharmacy Installation of Pagar Jati Public Health Center Nurainun Badriani; Barita Aritonang; Abdi Lestari Sitepu
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/ays36v19

Abstract

The quality of pharmaceutical services plays a vital role in supporting effective healthcare delivery at the primary care level. High quality pharmacy services contribute to patient safety, treatment effectiveness, and overall satisfaction with healthcare experiences. This study aims to analyze the factors influencing the quality of pharmacy services at the Pharmacy Installation of Puskesmas Pagar Jati, specifically examining human resources, infrastructure, drug management, and patient satisfaction.This research applied a quantitative approach with a cross-sectional design. A total of 96 respondents were selected using purposive sampling. Data were collected using a closed-ended Likert-scale questionnaire and analyzed through multiple linear regression and logistic regression tests.The results show that drug management has the most dominant influence on service quality (p = 0.002; OR = 15.984), followed by human resources (p = 0.036; OR = 3.767). Patient satisfaction showed a nearly significant influence (p = 0.058), while infrastructure did not show a statistically significant effect (p = 0.728). The study concludes that the improvement of pharmacy service quality is more determined by process-related aspects, particularly drug management systems and the competency of pharmacy personnel
Analysis of Head Nurse Leadership Style on Nursing Service Quality in the Intensive Care Unit at the Hospital Romi Syahputra Tarigan; Karnirius Harefa; Tati Murni Karo Karo; Abdi Lestari Sitepu
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/mwqpvv54

Abstract

Background: Pneumonia is one of the leading causes of death in children under five in Indonesia. Pneumococcal Conjugate Vaccine (PCV) immunization is a preventive measure, yet coverage in Serdang Bedagai Regency remains low. Factors such as knowledge, education, occupation, attitude, belief, health service accessibility, and family support are suspected to influence PCV utilization. Research Objectives: This study aimed to analyze the factors influencing PCV immunization utilization at Sei Rampah Health Center, Serdang Bedagai Regency. Research Methods: This research employed an analytic survey with a cross-sectional design. The population consisted of 900 mothers with children aged 11–12 months, and a sample of 262 mothers was selected using simple random sampling. Data were collected through questionnaires and secondary data from PWS-KIA. Univariable, bivariate (Chi-square), and multivariable analyses (multiple logistic regression) were performed to identify the dominant factors. Results: Bivariate analysis indicated that education (p=0.002; OR=6.882), occupation (p=0.000; OR=6.088), and knowledge (p=0.000; OR=15.400) were significantly associated with PCV utilization. Multiple logistic regression revealed knowledge as the dominant factor (p=0.000; Exp(B)=13.063), followed by occupation, attitude, belief, and family support. Age, health service accessibility, and education did not show a significant effect. Conclusion: Parental knowledge is the key factor influencing PCV immunization utilization. Efforts to increase immunization coverage should focus on continuous education by health workers and family involvement to improve parents’ awareness and compliance with child immunization schedules.
Improving Knowledge and Skills of Early Mobilization among Post-Cesarean Section Mothers as an Effort to Accelerate Postoperative Recovery Anita Sri Gandaria Purba; Pitriani Pitriani; Dian Anggriyanti; Ria Aprilia Waruwu; Abdi Lestari Sitepu
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/w5b1fd02

Abstract

The increasing rate of Sectio Caesarea (SC) deliveries has highlighted the need for effective postoperative care to minimize complications and promote maternal recovery. Early mobilization is a recommended intervention; however, its implementation is often limited by inadequate maternal knowledge and practical skills. This community service program aimed to improve the knowledge and skills of post-Sectio Caesarea mothers regarding early mobilization to accelerate postoperative recovery, reduce the risk of complications, and enhance maternal independence during the postpartum period. The program adopted an educational-participatory approach incorporating health education, demonstrations, hands-on practice, and direct mentoring. Program effectiveness was evaluated using a one-group pretest-posttest design involving 20 post-Sectio Caesarea mothers at Grandmed Hospital, Lubuk Pakam. Participants' knowledge was assessed using structured questionnaires administered before and after the educational intervention, while practical skills were evaluated through direct observation using a standardized checklist. Participant satisfaction was also measured through a feedback questionnaire. The findings demonstrated a substantial improvement in participants' knowledge, with the proportion of mothers categorized as having good knowledge increasing from 15.0% before the intervention to 80.0% afterward, whereas the proportion with poor knowledge declined from 50.0% to 0%. Furthermore, 45.0% of participants achieved a very good skill level and 40.0% achieved a good skill level, indicating that 85.0% successfully performed early mobilization according to the recommended procedures. Participant satisfaction was highly positive, with 70.0% reporting being very satisfied and 30.0% satisfied with the program. In conclusion, an educational-participatory approach integrating health education, educational media, demonstrations, practical training, and mentoring effectively improved maternal knowledge, practical skills, and readiness to perform early mobilization safely, thereby supporting faster postoperative recovery and improving the quality of postpartum care.
Co-Authors Anita Sri Gandaria Purba Aritonang, Barita Dian Anggriyanti Dian Anggriyanti Dray Kelvin Pandiangan Elsa Sumitra Tamba Evan Suheri Harahap Fredy Kalvind Tarigan Hariati Hariati Juni Mariati Simarmata Kardina Hayati Karnirius Harefa Karokaro, Tati Murni Kuat Sitepu Nurainun Badriani Peni Rio Ginting Pitriani an Pratiwi Christa Simarmata Raini Panjaitan Rawaty Sitorus Ria Aprilia Waruwu Ria Fitri Anggrareni Rita Ayu Butar-butar Romi Syahputra Tarigan Ruttama Hutauruk Safril Matua Harahap Sari Desi Esta Ulina Sitepu Sari Desi Esta Ulina Sitepu Sari Desi Esta Ulina Sitepu sitepu SELAMAT TUAHTA SIPAYUNG Selamat Tuahta Sipayung Syatriawati Syatriawati Tati Murni Karo Karo Wina Novita Br Purba Winardi Silaen