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Analysis of Efficiency Of KDT-OAT and Removal Preparations on The Recovery of Pulmonary Tuberculosis Kristin Berlianta Duha; Sri Lestari Ramadhani Nasution; Ermi Girsang; Tan Suyono
International Journal of Health and Pharmaceutical (IJHP) Vol. 2 No. 2 (2022): May 2022
Publisher : CV. Inara

Background: Tuberculosis is one of the 10 most common causes of death and is the single most common cause of infection and causes illness every year in millions of people. The etiology of tuberculosis is the bacteria Mycobacterium tuberculosis and Mycobacterium bovis. These germs have a size of 0.5-4 microns x 0.3-0.6 microns with thin rods, straight or slightly bent, granular or have no sheath, but have a thick outer layer consisting of lipoids (especially mycolic acid). Based on data from the Riset Kesehatan Dasar in 2018 conducted by the Kementerian Kesehatan RI, the prevalence rate of pulmonary TB by doctors in Indonesia in 2018 was the same as in 2013 which was 0.4%. Based on the OAT guidelines used in Indonesia, there are two OAT drug preparations, namely OAT-KDT or (FDC) and the Kombipak package. Comparison of the efficacy of this drug in curing pulmonary TB also varies. Objective: To determine the efficacy of KDT-OAT and removal preparations on the cure rate of pulmonary TB. Methods: This type of research is a retrospective cohort study, which is a time-period approach. This study was conducted in October-November 2020. Results: There was no significant difference in treatment outcomes in pulmonary TB patients who received OAT-KDT or OAT-release preparations.

Factors Affecting The Performance of Health Officers in The Care of Covid-19 Patients at Murni Teguh Memorial Hospital Bangbang Buhari; Sri Lestari Ramadhani Nasution; Ermi Girsang; Chrismis Novalinda Ginting
International Journal of Health and Pharmaceutical (IJHP) Vol. 2 No. 2 (2022): May 2022
Publisher : CV. Inara

Covid-19 is a respiratory infection caused by the SARS-CoV-2 virus. COVID-19 is transmitted through close physical contact and respiratory droplets and can be transmitted airborne during aerosol procedures. In Indonesia as of January 21, 2021, there have been 951,651 cases with the result that 772,790 patients recovered and 27,203 people died.Nurses treat patients directly at close distances and are often directly exposed to the SARS-CoV-2 virus and have a high risk of experiencing COVID-19 disease (Hope et al, 2011). Preliminary reports suggest that the rate of COVID-19 infection among nurses is higher than during the SARS pandemic (Huang et al, 2020). The World Health Organization reports that more than 22,000 medical workers spread across 52 countries and regions have been infected with the corona virus (Covid-19). This research purpose to find out the factors that affect the performance of health workers in treating Covid-19 patients at Murni Teguh Memorial Hospital. This type of research isquantitative research with a cross sectional approach.This research was conducted in November 2021. There arethe influence of individual factors and organizational factors on the performance of health workers in treating Covid-19 patients at Murni Teguh Memorial Hospital.

Factors Affecting Health Worker Anxiety in Covid-19 Prevention at Murni Teguh Memorial Hospital Lilies Lingkaran; Sri Lestari Ramadhani Nasution; Ermi Girsang; Chrismis Novalinda Ginting
International Journal of Health and Pharmaceutical (IJHP) Vol. 2 No. 2 (2022): May 2022
Publisher : CV. Inara

The incidence of Covid-19 is a pandemic that has hit the whole world. Health workers who treat Covid-19 patients are a group with a very high risk of exposure. The psychological response experienced by health workers to infectious disease pandemics is increasing because it is caused by feelings of anxiety. This study analyzes what factors influence the anxiety of health workers in preventing Covid-19 at Murni Teguh Memorial Hospital. This research is a quantitative analytic study with a cross sectional approach. The research population is health workers who are limited to doctors and nurses who are tasked with preventing, handling and caring for Covid-19 patients in the emergency room installation and isolation room at Murni Teguh Memorial Hospital Medan. Samples were taken using the Taro Yamane formula as many as 61 people. Methods of data collection through the distribution of questionnaires and documentation. The data analysis method consisted of univariate, bivariate and multivariate using multiple logistic regression equations. The results of the study showed the influence of workload, community stigma, family status, knowledge and availability of personal protective equipment (PPE) for health workers' anxiety in preventing Covid-19 in the Emergency Room and Pure Isolation Room of Teguh Memorial Hospital. The conclusion of the study is that the factors that influence the anxiety of health workers are workload, community stigma, family status, knowledge about Covid-19 prevention and the availability of PPE and workload is the dominant variable affecting the anxiety of health workers.

Integrated Marketing Communication Strategy To Increase The Number Of Outcoming Visits At Royal Prima Hospital Annisa Soraya; Sri Wahyuni Nasution; Ermi Girsang; Chrismis Novalinda Ginting
International Journal of Health and Pharmaceutical (IJHP) Vol. 2 No. 2 (2022): May 2022
Publisher : CV. Inara

Competition in a healthy hospital business lies in how to maintain patient trust as consumers or how to grow trust in prospective patients as consumers so that they want to seek treatment at the hospital. Integrated Marketing Communication (IMC) has great potential in influencing business performance, to give hospitals a competitive advantage. This study aims to analyze making a strategy to create an Integrated Marketing Communication strategy in order to increase the number of outpatient visits at the Royal Prima Hospital. This type of research is a qualitative research. The location of this research was conducted at the Royal Prima Hospital. Research informants are 1 head of outpatient installation, 3 medical staff, 3 old patients, 3 new patients. Data were collected by FGD, questionnaire, observation. The results show that the advertising strategy as part of increasing the number of outpatient visits at the Royal Prima Hospital has been carried out by the marketing department both with print media and electronic media, the personal selling strategy as part of increasing the number of outpatient visits at the Royal Prima Hospital has not been implemented. optimally, the public relations strategy as part of increasing the number of outpatient visits at the Royal Prima Hospital has been implemented well, the direct marketing strategy as part of increasing the number of outpatient visits at the Royal Prima Hospital in writing is good but verbal delivery is not optimal , the word of mouth strategy as part of increasing the number of outpatient visits at the Royal Prima Hospital in writing has been good but the verbal implementation has not been carried out properly. The results of this study suggest that the hospital evaluates the

Analysis Of The Relationship Of Blood Sugar Control In Patients With Diabetes Mellitus With Compliance To Take Medicine In Balimbingan Hospital In 2019 Erni Karmila; Sri Lestari Ramadhani Nasution; Ermi Girsang; Ali Napiah Nasution
International Journal of Health and Pharmaceutical (IJHP) Vol. 2 No. 3 (2022): August 2022
Publisher : CV. Inara

Diabetes mellitus is a major public health problem because of its short-term and long-term complications. Diabetes Mellitus (DM) is a disease that involves pancreatic endocrine hormones, including insulin and glucagon. The main manifestations include disturbances of lipid, carbohydrate, and protein metabolism, which in turn stimulates hyperglycemia. This hyperglycemic condition will develop into diabetes mellitus with various forms of complications. Adherence is very important, especially in long-term treatment. In general, the level of compliance in each patient is described by the percentage of the number of drugs taken and the time of taking the drug within a certain period of time. This study aims to determine the relationship between controlled blood sugar in patients with diabetes mellitus with medication adherence at Balimbingan Hospital. The design of this study was cross sectional, with a quantitative approach with a sample of 56 patients. The data collection method in this study used a questionnaire and data on visits to patients with diabetes mellitus at Balimbingan Hospital.

Implementation Of Hospital Management Information System (SIMRS) At Royal Prima Hospital Desy Lailani Ferdianti; Sri Lestari Ramadhani Nasution; Ermi Girsang; Tan Suryono
International Journal of Health and Pharmaceutical (IJHP) Vol. 2 No. 3 (2022): August 2022
Publisher : CV. Inara

The health information system is part of the national health system (SKN), therefore the health system in Indonesia and health information are needed by hospitals. This concept is needed for the development of a hospital management information system (SIMRS), a puskesmas information system (SIP) and a clinicalinformation system (Handayani, 2020). The purpose of this study was to determine the analysis of theapplication of hospital management information systems (SIMRS) at RSU Royal Prima. The method in this research is qualitative. The population in this study amounted to 10 respondents. The results of the study show that SIMR is very influential on patient care, HR can use the SIMRS application and there is management support in theuse of SIMRS at Royal Prima Hospital Medan. Based on the results of research on the analysis of the application of hospital management information systems (SIMRS) at Royal Prima Hospital, it can be concluded that the quality of the system is still not good in the quality of the system in the field because the internet network problem is not good, the quality of system information has been very helpful for service, the quality of service is very good. , HR is different, new employees are the same as the old ones, if new employees haven't, so new employees should want to learn with old employees, and old employees are proficient in using SIMRS, management supports it because this is indeed a program from management, SIMRS Royal Prima Medan is there The advantages are in patient care and the quality of information systems, all service data at RSU Royal Prima Medan can be stored properly and nicely. It is hoped that the hospital will pay more attention to and improve the quality of the SIMRS internet network at RSU Royal Prima and provide training to all employees, especially for new employees on how to use SIMRS so that services at RSU Royal Prima Medan runsmoothly and well.

Analysis That Influences The Quality of Nursing Services in Installations of Colonel Abunjani Hospital, Bangko in 2019 Juang Abdi Eliezer Dakhi; Sri Lestari Ramadhani Nasution; Ermi Girsang; Tan Suryono
International Journal of Health and Pharmaceutical (IJHP) Vol. 2 No. 3 (2022): August 2022
Publisher : CV. Inara

The implementation of hospital health services in Indonesia currently faces increasingly complex challenges. The improvement of hospital quality must be improved in accordance with the development of the needs and demands of the community, accompanied by an increase in efficiency and productivity in the field of management, in accordance with the hospital's minimum service standards, professional standards, and standard operating procedures. The study aims to determine the relationship of knowledge, skills, behavior, education, experience, and motivation of nurses with the quality of nursing services at the kolonel abunjani bangko Hospital in 2019. This observational analytic study uses a Cross Sectional design. Chi square statistical test and multiple logistic regression regression were used to analyze data. The population and sample size in this study were 92 nurses where data collection was taken from the results of the questionnaire. The results of the bivariate analysis showed that there was a relationship of knowledge, skills, behavior, potential, education, experience, and motivation with the quality of nursing services at the kolonel abunjani bangko Hospital in 2019. The results of multivariate analysis showed that experience was the most dominant variable affecting quality service. Conclusions obtained are the relationship of knowledge, skills, behavior, potential, education, experience, and motivation of nurses with the quality of nursing services in kolonel abunjani bangko Hospital in 2019. It is recommended to the hospital, to continue to improve knowledge, skills, behavior, education, experience, and continuous motivation. By increasing competence and continuous performance, the nurse's weaknesses and strengths can be known. Thus, good nurse competency can give satisfaction to patients and provide job promotion so as to improve the work performance of nurses so that they can increase the quality of health services.

The Effect Of Sbar Communication On Nurse Attitude In Increasing Patient Safety In Krmt Wongsonegoro Hospital, Semarang Melyala Cristy Sembiring; Sri Lestari Ramadhani Nasution; Ermi Girsang
International Journal of Health and Pharmaceutical (IJHP) Vol. 2 No. 4 (2022): November 2022
Publisher : CV. Inara

Background: WHO officially published the Nine Life Saving Patient Safety, which one is correct communication during handover using the SBAR method. SBAR is considered a clear sign and secure method of communication for problem solving among various disciplines in the medical environment and a simple way of sharing patient information with other medical professionals. Objective: to determine the effect of SBAR communication on the attitudes of nurses in improving patient safety. Methods: This research is a quasi-experimental study with a pretest-posttest design with control group design, the results of the research were processed using paired sample t-test. The data collection of this research uses a checklist of observation sheets to assess the ability attitudes of nurses to communicate SBAR using a questionnaire. Results: this study showed a significant difference in the attitudes of nurses in improving patient safety after being given SBAR communication materials with p-value < 0.05. Conclusion: This study showed significant differences in the attitudes of nurses after being given SBAR communication training in the intervention group. Meanwhile, the control group showed a non-significant difference. This showed that SBAR communication materials affect the attitudes of nurses in improving patient safety.

Implementation Of The Covid 19 Vaccine At The Royal Prima Marelan Hospital In 2022 Natasha Rismayana Wijayanti; Sri Lestari Ramadhani Nasution; Ermi Girsang; Ali Napiah Nasution
International Journal of Health and Pharmaceutical (IJHP) Vol. 2 No. 4 (2022): November 2022
Publisher : CV. Inara

One of the most effective ways is the provision of vaccines for every Indonesian citizen. The implementation of the vaccination program aims to reduce the transmission/transmission of Covid-19, reduce morbidity and mortality due to Covid-19, achieve group immunity in the community (herd immunity) and protect the community from Covid-19. The purpose of this study is to implement the implementation of the Covid-19 vaccine at the Royal Marelan Hospital 2022. This type of research is a qualitative research with an analytical descriptive design. The data collection technique was carried out by conducting interviews with staff involved in the implementation of the Covid-19 vaccination stages 1, 2 and 3 regarding the evaluation process for the implementation of the Covid-19 vaccination starting from the planning stage, stages 1, 2 and 3. conducted by researchers on 12 officers involved in the Covid-19 vaccination program, information was obtained that the implementation of the Covid-19 Vaccine phase 1 at the Royal Prima Marelan Hospital in stages 1, 2 and 3 went well and achieved the targets set by the hospital. . The community has also greatly benefited from the implementation of the Covid-19 vaccine.

Analysis That Influences The Quality Of Nursing Services In Installations Of Colonel Abunjani Hospital, Bangko In 2019 Juang Abdi Eliezer Dakhi; Sri Lestari Ramadhani Nasution; Ermi Girsang; Tan Suryono
International Journal of Health and Pharmaceutical (IJHP) Vol. 2 No. 4 (2022): November 2022
Publisher : CV. Inara

The implementation of hospital health services in Indonesia currently faces increasingly complex challenges. The improvement of hospital quality must be improved in accordance with the development of the needs and demands of the community, accompanied by an increase in efficiency and productivity in the field of management, in accordance with the hospital's minimum service standards, professional standards, and standard operating procedures. The study aims to determine the relationship of knowledge, skills, behavior, education, experience, and motivation of nurses with the quality of nursing services at the kolonel abunjani bangko Hospital in 2019. This observational analytic study uses a Cross Sectional design. Chi square statistical test and multiple logistic regression regression were used to analyze data. The population and sample size in this study were 92 nurses where data collection was taken from the results of the questionnaire. The results of the bivariate analysis showed that there was a relationship of knowledge, skills, behavior, potential, education, experience, and motivation with the quality of nursing services at the kolonel abunjani bangko Hospital in 2019. The results of multivariate analysis showed that experience was the most dominant variable affecting quality service. Conclusions obtained are the relationship of knowledge, skills, behavior, potential, education, experience, and motivation of nurses with the quality of nursing services in kolonel abunjani bangko Hospital in 2019. It is recommended to the hospital, to continue to improve knowledge, skills, behavior, education, experience, and continuous motivation. By increasing competence and continuous performance, the nurse's weaknesses and strengths can be known. Thus, good nurse competency can give satisfaction to patients and provide job promotion so as to improve the work performance of nurses so that they can increase the quality of health services.

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