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Perbandingan antara Rasio Neutrofil Limfosit dan Trombosit pada Kebocoran Plasma Anak Sembiring Meliala, Fransisco Aditia; Silaen, Johan Christian; Simanjuntak, Novita Hasiani
Nommensen Journal of Medicine Vol 7 No 1 (2021): Nommensen Journal of Medicine: Edisi Agustus
Publisher : Universitas HKBP Nommensen

Background: Dengue virus infection is a global health problem. Dengue Hemorrhagic Fever (DHF) has become a global attention because of children death due to plasma leakage. Plasma leakage is a symptom of critical phase in children that occurs on the 3rd to 5th day. Neutrophil lymphocyte (NL) ratio and platelet count change can be seen in critical phase of plasma leakage which can help process of patient’s therapy. Objective: This study aimed to compare the NL ratio and platelets count on plasma leakage in children with DHF. Methods: This study was an analytical study with cross-sectional design. The sample was children with DHF at RSUD Dr.Pirngadi Medan. The data of this study were analyzed by computer software, used an unpaired t test with p <0.05. Results: This study found that the most age of DHF was 6-10 years old, most gender are male and DHF grade 1. Unpaired t test found the average difference between NL ratio and platelet with value of p = 0.043 (p<0.05). Conclusion: Plasma leakage average on NL ratio is higher than plasma leakage average on platelets that occurs in children with DHF at RSUD Dr.Pirngadi Medan.

Perbandingan Efektivitas Penyuluhan Demam Berdarah Dengue dengan Metode Role Play dan Metode Permainan Simulasi terhadap Perilaku Ibu tentang DBD di Kecamatan Medan Deli Simanjuntak, Novita Hasiani
Nommensen Journal of Medicine Vol 7 No 1 (2021): Nommensen Journal of Medicine: Edisi Agustus
Publisher : Universitas HKBP Nommensen

Background: Dengue Hemorrhagic Fever (DHF) in Indonesia is a “re-emerging infectious disease”. DHF can be prevented by vector control. Human behavior is very influential on dengue vector control, namely the cleanliness of the house and activities. In 2017, DHF cases in Indonesia were 59,047 cases. In North Sumatra Province, there were 5,327 cases, in Medan City as many as 1216 cases, with Medan Deli District as the sub-district with the most cases, with 100 cases. Objective: This study aims to see the improvement of mother's behavior by using the roleplay method and simulation games. Methods: The research is a quasi-experimental non-equivalent group design. The target population is mothers who live in Medan Deli District. The selection of research subjects by purposive sampling, with the number of subjects in each group is 15 people. This study uses the method of role play and games as a comparison method, with a questionnaire as a measuring tool. Paired t-test to see the increase in the mean of each group, and unpaired t-test to see the difference in the mean value. Results: The results of the paired t-test data analysis found that these two methods showed significant results, with p values of 0.000 and 0.001 with a mean increase in the role play method of 1.40 and the game method of 1.53. The unpaired t-test was found to have a significant difference between the average post-test scores between the role play method and the game method, the mean post-test score for the role-play method was found to be lower than the post-test score for the game method. Conclusions: Counseling using the role play method and games provides significant results in increasing maternal behavior about DHF. The game method shows a greater average increase than the role play method.

Analisis Tingkat Pengetahuan Masyarakat Terhadap Perilaku Pencegahan COVID-19 di Kota Medan Simanjuntak, Novita Hasiani
Nommensen Journal of Medicine Vol 8 No 1 (2022): Nommensen Journal of Medicine: Edisi Agustus
Publisher : Universitas HKBP Nommensen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36655/njm.v8i1.740

Infeksi Covid masih menjadi pandemik, dan masih menunjukkan peningkatan secara global. Gugus Tugas Percepatan Penanganan COVID-19 Nasional melaporkan bahwa kasus positif COVID-19 di Indonesia secara kumulatif 63.749 kasus, angka kesembuhan 29.105 dan angka kematian 3.171. Mengacu pada latar belakang di atas maka peneliti tertarik untuk meneliti mengenai hubungan antara tingkat pengetahuan dengan perilaku masyarakat tentang COVID-19. Penelitian berupa cross sectional design. Penelitian ini dilakukan secara daring kepada populasi terjangkau, yaitu kepala keluarga dari keluarga mahasiswa Fakultas Kedokteran Universitas HKBP Nommensen Medan. Penelitian ini memakai kuesioner dengan googleform sebagai alat ukur untuk semua variabel, Rerata digunakan sebagai cut-off point nilai baik dan buruk. Variabel bebas adalah tingkat pengetahuan tentang COVID-19, variabel terikat adalah perilaku terhadap COVID-19, yaitu sikap dan tindakan dalam pencegahan penularan COVID-19. Analisa univariat dipakai untuk memperlihatkan distribusi frekuensi masing-masing karakteristik, dan variabel. Analisa bivariat yang dipakai adalah tabulasi silang antara karaketeristik responden dengan tingkat pengetahuan dan perilaku tetntang COVID-19, kemudian untuk melihat hubungan tingkat pengetahuan dengan perilaku masyarakat tentang COVID-19 digunakan uji Chi Square. Dari analisa univariat, frekuensi tertinggi adalah kelompok usia 50-59 tahun (51.8%), perempuan (64.9%), pendidikan terakhir perguruan tinggi (71.6%), pekerjaan pegawai negeri sipil (43.5%), dan tidak memiliki penyakit (72.2%). Dari analisa Chi Square didapatkan nilai p 0.00, lebih kecil dari 0.05. Kesimpulan hasil penelitian adalah terdapat hubungan yang signifikan antara antara tingkat pengetahuan dengan perilaku tentang COVID-19.

Perilaku Pencegahan COVID-19 Pre dan Pasca Vaksinasi RSUP H. Adam Malik Medan Simanjuntak, Novita Hasiani
Nommensen Journal of Medicine Vol 8 No 2 (2023): Nommensen Journal of Medicine: Edisi Februari
Publisher : Universitas HKBP Nommensen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36655/njm.v8i2.866

Background: Subramanian stated, countries with vaccination coverage of 75% of the population have a higher increase in COVID-19 cases compared to countries with vaccination coverage of 10% of the population. Prevention of COVID-19 is not enough just by vaccination, the 5M health protocol should still be carried out.Objective: The purpose of this study was to determine the relationship between COVID-19 prevention behavior (5M) before and after vaccination with COVID-19 vaccination in the community at H. Adam Malik General Hospital Medan. In addition to 5M's behavior, the frequency of AEFI COVID-19 was also seen.Methods: This is a cross sectional study with a survey approach. This research was conducted at the H. Adam Malik General Hospital Medan. The population is people 18 years and over who have not and have had 1st and 2nd vaccinations for COVID-19. Consecutive sampling techniques were used, as many as 200 people. Measuring with a questionnaire, 3 times, namely pre-1st vaccination, pre-2nd vaccination, and post-2nd vaccination. Non-parametric comparative analysis using the Friedman test, and Post Hoc analysis on mask wearing behavior.Results: Significant differences were found between the behavior of wearing masks pre1stvaccination nd pre2nd vaccination with p 0.008. The results of the analysis with the Friedman test on the behavior of wearing masks showed a significant relation, with p value 0.016. The most common AEFI COVID-19 that respondents complained about was muscle pain, as many as 81 people (40.5%).Conclusion: The trend shown is the increase in non-compliant behavior in carrying out 5M behavior, in each measurement.

Hubungan Tingkat Kepatuhan Physical Distancing dengan Kejadian COVID-19 di Kota Medan Sinaga, Jianni Herawaty; Simanjuntak, Novita Hasiani; Sitepu, Jenny Novina
Nommensen Journal of Medicine Vol 9 No 1 (2023): Nommensen Journal of Medicine: Edisi Agustus
Publisher : Universitas HKBP Nommensen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36655/njm.v9i1.962

Background: During the COVID-19 pandemic in Indonesia, 1086 pregnant women and 302 babies died from COVID-19 infection in 2021. The high mortality rate affecting ANC visits was seen from the decrease in ANC coverage, influenced by knowledge, attitudes, and anxiety. Objective: To see if there is a relationship between social distancing and the incidence of COVID-19. Methods: This study was an analytical study with a cross-sectional design. The sample selection used the snowball sampling method, and 222 samples were obtained which were assessed using an online questionnaire via google form. Results: The 83,3% of respondents did not obey physical distancing and 11,7% of respondents were classified as COVID-19 incidents. Data analysis with Fisher's exact test obtained p value = 0,089 (p> 0,05). Conclusion: There is no relationship between the level of compliance with physical distancing and the incidence of COVID-19 in Medan. Keywords: COVID-19, level of compliance, incidence of COVID-19

Hubungan Tingkat Pengetahuan, Sikap, dan Kecemasan Ibu Hamil terhadap Kunjungan Antenatal Care pada Masa Pandemi COVID-19 di Puskesmas Glugur Darat, Kecamatan Medan Timur Siahaan, Gerald Osson Fransiska; Simanjuntak, Leo; Simanjuntak, Novita Hasiani
Nommensen Journal of Medicine Vol 9 No 1 (2023): Nommensen Journal of Medicine: Edisi Agustus
Publisher : Universitas HKBP Nommensen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36655/njm.v9i1.1013

Background: During the COVID-19 pandemic in Indonesia, 1086 pregnant women and 302 babies died from COVID-19 infection in 2021. The high mortality rate affecting ANC visits was seen from the decrease in ANC coverage, influenced by knowledge, attitudes, and anxiety. Purpose: To determine the relationship between knowledge, attitudes, and anxiety towards ANC visits during the COVID-19 pandemic at Glugur Darat Health Center, East Medan Anxiety. Methods: The analytic observation with cross-sectional study was conducted at Glugur Darat Health Center, Medan Timur District using a total sampling technique that fulfill the inclusion criteria. The sample was third-trimester pregnant women who were recorded as having ANC. Data analysis used Chi-square with alternative fisher's exact test and backward multiple logistic regression Results: From the 66 respondents, it was found that pregnant women who performed ANC well were 46 respondents (69.7%), with high knowledge were 59 respondents (89.4%), with a positive attitude 65 respondents (98.5%), and had anxiety as many as 55 respondents (83.3%). Result data showed that knowledge related to ANC visits (p= 0,023) with OR = 5.6, anxiety related to ANC visits (p= 0,014) with OR = 4,6 and attitude not related to ANC visits (p= 0,303) Conclusion: There is a relationship between pregnant women's knowledge and anxiety about ANC visits and no relationship between pregnant women's attitudes towards ANC visits during the COVID-19 pandemic at Glugur Darat Health Center and the most influencing variable is anxiety.

Analisis Pengaruh Faktor Kepatuhan Kontrol Terhadap Pasien Tuberkulosis Paru Resisten Obat di Kota Medan Simanjuntak, Novita Hasiani; Pane, Grace Chyntia; Gurning, Poltak Poida B.
Jurnal Ners Vol. 7 No. 2 (2023): OKTOBER 2023
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v7i2.26005

Resistensi mycobacterium tuberculosis terhadap obat anti tuberkulosis dapat terjadi akibat pengobatan yang tidak tepat ataupun penularan secara langsung dari pasien tuberkulosis resisten obat. Multi Drug Resistant Tuberculosis (TB MDR) ditemukan sebanyak 132.000 kasus pada tahun 2020 dan sekitar 25.681 kasus untuk Extensively Drug Resistant Tuberculosis (TB XDR). Tujuan Penelitian ini bertujuan untuk mengetahui pengaruh faktor kepatuhan kontrol pada pasien tuberkulosis paru resisten obat di Medan. Metode Penelitian ini merupakan penelitian analitik dengan desain cross sectional dan consecutive sampling. Pengambilan data dilakukan dengan menggunakan kuesioner pada 73 subjek penderita tuberkulosis paru resisten obat di Medan. Hasil Penelitian ini menunjukkan Sebagian besar penderita tuberkulosis paru resisten obat adalah pria dalam kelompok usia dewasa, dan merupakan tuberkulosis sekunder. Mayoritas subjek memiliki pengetahuan baik (97,0%), dukungan keluarga baik (97,1%), pelayanan kesehatan baik (98,6%), dan peran pendamping baik (94,0%). Variabel yang paling berpengaruh terhadap kepatuhan kontrol pasien tuberkulosis paru resisten obat di kota Medan berdasarkan analisis multivariat yaitu pelayanan kesehatan (p-value 0,001) dengan nilai OR 204,00. Hasil analisis bivariat menunjukkan adanya pengaruh pengetahuan (p?0,044), dukungan keluarga (p?0,007), dan pelayanan kesehatan (p?0,000) terhadap kepatuhan kontrol. Peran pendamping tidak memiliki pengaruh terhadap kepatuhan kontrol. Kesimpulannnya yaitu Pengetahuan, dukungan keluarga dan pelayanan kesehatan merupakan faktor yang mempengaruhi kepatuhan penderita tuberkulosis paru resisten obat di Medan untuk kontrol. Disarankan kepada petugas kesehatan untuk mengoptimalkan faktor-faktor tersebut sehingga kesembuhan tuberkulosis paru resisten obat di Medan meningkat.

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