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All Journal PREPOTIF : Jurnal Kesehatan Masyarakat
Mido Ester J. Sitorus
Universitas Sari Mutiara Indonesia
Public Health

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PENGARUH KEPEMIMPINAN DAN MOTIVASI KERJA TERHADAP KINERJA PERAWAT DI RS TK II PUTRI HIJAU DENGAN SIKAP KERJA SEBAGAI VARIABEL MODERATING Agnes Febri Roman Putri Mendrofa; Donal Nababan; Mido Ester J. Sitorus; Rahmat Alyakin Dachi
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 6 No. 2 (2022): AGUSTUS 2022
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v6i2.4950

Abstract

Penelitian ini bertujuan untuk pengaruh kepemimpinan dan motivasi kerja terhadap kinerja perawat secara parsial dan secara bersama-sama dan kemampuan sikap kerja memoderasi hubungan antara kepemimpinan dan motivasi kerja terhadap kinerja perawat. Jenis penelitian adalah kuantitatif yang dilaksanakan di RS TK II Putri Hijau Medan. Populasi dalam penelitian ini adalah semua perawat yang bekerja di rumah  sakit. Sampel yang digunakan sebanyak 62 responden. Teknik sampling yang dipakai penulis adalah teknik pengambilan sampel random sederhana (simple random sampling). Teknik yang digunakan dalam pengumpulan data adalah kuesioner yang bertujuan untuk mendapatkan data mengenai pengaruh kepemimpinan dan motivasi kerja terhadap kinerja perawat rumah sakit dan kemampuan sikap kerja memoderasi hubungan antara kepemimpinan dan motivasi  kerja terhadap kinerja perawat. Analisis data dilakukan secara univariat dan multivariat (regresi linear berganda). Sebagian besar responden menyatakan kepemimpinan sangat baik (89%), variabel          motivasi kerja sangat baik (100%), variabel sikap kerja responden sangat baik (97%), dan variabel kinerja responden sangat baik (95%). Analisis multivariat menunjukkan nilai p-value (0,381) > 0,05 yang artinya Kepemimpinan dan Motivasi Kerja secara bersama-sama berpengaruh signifikan terhadap Kinerja Perawat. Nilai R Square sebelum variabel moderasi adalah 0,217 dan nilai R Square setelah memasukkan variabel moderasi adalah 0,301. Dengan demikian diketahui terjadi peningkatan R Square dari 0,217 atau 21,7% meningkat menjadi 0,301 atau 30,1%, maka dapat disimpulkan bahwa dengan Sikap Kerja sebagai variabel moderasi akan memperkuat hubungan antara Kepemimpinan dan Motivasi Kerja terhadap Kinerja Perawat.
ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN KEPATUHAN BEROBAT PENDERITA HIPERTENSI RAWAT JALAN USIA PRODUKTIF PADA MASA PANDEMI COVID 19 DI PUSKESMAS PARANGINAN Yuhelen Sidabutar; Donal Nababan; Rinawati Sembiring; Lukman Hakim; Mido Ester J. Sitorus
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 6 No. 3 (2022): DESEMBER 2022
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v6i3.6969

Abstract

Penyebab kepatuhan berobat pada penderita Hipertensi sangat sulit ditentukan karena penderita hipertensi sekitar 40 persen orang dewasa yang berusia 25 tahun keatas. Tujuan Penelitan ini adalah mengetahui Faktor Yang Berhubungan Dengan Kepatuhan Berobat Penderita Hipertensi Rawat Jalan Usia Produktif Pada  Masa Pandemi Covid 19 di Puskesmas Paranginan. Jenis penelitian adalah survei analitik kuantitatif dengan menggunakan desain crossectional. Populasi adalah pasien penderita hipertensi di Puskesmas Paranginan sebanyak 216 orang dengan teknik pengambilan sampel menggunakan random sampling dengan jumlah 68 responden. Data yang digunakan meliputi data primer dan data sekunder. Analisa data menggunakan pendekatan bivariat dan multivariate dengan menggunakan uji statistik chi square. Hasil penelitian menunjukan bahwa ada hubungan Pengetahuan dengan nilap p=0.01, dukungan keluarga p= 0.00, peran tenaga kesehatan terhadap Kepatuhan Berobat Penderita Hipertensi Rawat Jalan Usia Produktif Pada Masa Pandemi Covid 19 dengan nilai p value 0.015<0.05, tidak ada hubungan pekerjaan p=0.449, jarak p=0.549, lama menderita terhadap kepatuhan berobat penderita hipertensi rawat jalan usia produktif pada masa pandemic covid-19 p=0.304>0.05, dan faktor yang paling dominan adalah dukungan keluarga 16 kali cendrung mempengaruhi kepatuhan berobat penderita hipertensi. Petugas Kesehatan Paranginan untuk lebih meningkatkan lagi promosi dan edukasi tentang pemeriksaan kondisi penderita hipertensi sesuai dengan anjuran dokter, dan untuk datang melakukan pemeriksaan sesuai dengan anjuran dokter dan menggunakan protokol kesehatan sesuai dengan anjuran pemerintah dan peraturan puskesmas.
STRATEGI DOTS DALAM PROGRAM PENANGGULANGAN TUBERKULOSIS DI PUSKESMAS MATITI KECAMATAN DOLOKSANGGUL KABUPATEN HUMBANG HASUNDUTAN Hertati Nababan; Wisnu Hidayat; Mido Ester J. Sitorus; Netty Brahmana
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 6 No. 3 (2022): DESEMBER 2022
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v6i3.6990

Abstract

Tuberculosis (TB) is a global public health problem caused by Mycobacterium tuberculosis and is one of the top 10 causes of death worldwide. DOTS is a very effective strategy to treat TB patients. One of the success factors for TB control is the availability of sufficient human resources, both in terms of quantity and quality. Objective to identify the implementation of the DOTS Strategy component in the TB control program at the Matiti Health Center, Doloksanggul District. This type of research is a qualitative research with analytical descriptive approach, through in-depth interviews and taking research subjects using purposive sampling method. The main foundation of this research is the phenomenology of design. There were eight informants in this study consisting of key informants, main informants and additional informants. Data analysis was carried out with three streams of activities that occurred simultaneously, namely data condensation, data display and conclusions: drawing and verifying. Result there is no political commitment in the form of local regulations. The TB program implementers at the Puskesmas have not been fully trained. Case finding has not been carried out actively, still and intensively. Case detection rate and success rate has not met the national indicators. Planning for the availability of OAT has been included with reference to the number of cases and the type of patient. PMO has contributed to the control of patient's drug ingestion. The SITB application has not been carried out optimally so that the evaluation of program implementation is not carried out properly. Conclusion Implementation TB control program at the Matiti Health Center is still not optimal and the coverage of patient findings is still low.
FAKTOR RESIKO KEJADIAN OSTOARTHRITIS LUTUT PADA PASIEN YANG BEROBAT DI POLI ORTOPEDI DI RUMAH SAKIT BHAYANGKARA TK. II MEDAN Evi Melva Frida Manurung; Donal Nababan; Mido Ester J. Sitorus; Kesaktian Manurung; Evawani Martalena Silitonga
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 6 No. 3 (2022): DESEMBER 2022
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v6i3.7046

Abstract

The specific purpose of this study was to determine the distribution of risk factors (age, gender, body mass index, family history, history of knee injury, hypertension, diabetes mellitus, hypercholesterolemia, smoking, occupation and physical activity) in knee joint OA patients at the Orthopedic Home Clinic. Sick Bhayangkara TK. II Medan from February to June 2022. This study used an observational analytic method with a cross sectional study design. The study was carried out from February to August 2022. The population of this study were knee osteoarthritis patients who were treated at the Orthopedic Poly, Bhayangkara TK Hospital. II Medan totaled 127 people. The sample of this study was knee OA patients with inclusion criteria and willing to be included in the study. Sampling was done by purposive sampling. The number of samples obtained by the slovin formula was obtained as many as 56 respondents. The results of the bivariate analysis showed that there was a significant relationship between age and knee OA (p = 0.010), there was a relationship between gender and knee OA, there was a relationship between body mass index and knee OA (p = 0.027), there was a relationship between a history of knee injury and OA. knee, physical activity was p = 0.004 indicating that there was a relationship between physical activity and knee OA, there was no relationship between diabetes and knee OA (p = 0.279), there was no relationship between hypercholesterolemia and knee OA p = 0.107, there was no relationship between habit smoking with knee OA (p = 0.304), there is no significant relationship between work and knee OA p = 0.269. The results of multivariate analysis showed that the independent variables that influenced knee OA were age (p=0.015) and history of knee injury (p=0.001). The OR value for the age variable is 2.220, this indicates that the risk of knee OA in elderly patients (>45 years) is 2 times greater than in adolescent-adult patients (?45 years). While the OR value on the variable history of knee injury is 0.045. To the Community Further research is needed on other risk factors such as growth disorders (Perthes disease, CDH, CTEV) and multigravida, Further Research Further research is needed on risk factors and the degree of pain on the severity of knee OA based on radiological examination.
FAKTOR YANG BERHUBUNGAN PERILAKU KELUARGA TERHADAP BUANG AIR BESAR SEMBARANGAN DI DESA LUMBAN BARAT KECAMATAN PARANGINAN Ernananti Manalu; Donal Nababan; Rinawati Sembiring; Sonny Priajaya Warouw; Mido Ester J. Sitorus
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 6 No. 3 (2022): DESEMBER 2022
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v6i3.7117

Abstract

Kondisi sanitasi yang buruk akan berdampak buruk pada banyak elemen kehidupan, mulai dari kerusakan lingkungan hidup masyarakat, pencemaran sumber air minum masyarakat, peningkatan kasus diare, dan timbulnya berbagai penyakit. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan perilaku keluarga tentang buang air besar sembarangan (BABS). Desain penelitian yang digunakan adalah crossectional. Populasi penelitian adalah seluruh kepala keluarga yang ada di Desa Lumban Barat Kecamatan Paranginan Kabupaten Humbang Hasundutan sebanyak 418 KK. Besar sampel sebanyak 100 orang dengan teknik simple random sampling. Pengumpulan data dilakukan dengan menggunakan instrument kuesioner dan observasi. Analisis data menggunakan analisis data univariat, bivariat dengan uji chi square dan mulitivariat dengan uji regresi logistik. Hasil penelitian menunjukkan bahwa tidak ada hubungan umur responden terhadap perilaku keluarga buang air besar sembarangan (p=0,617;PR=1,2). Ada hubungan pendidikan (p=0,002;PR=1,7), pengetahuan (p=<0,001; PR=3,8), sikap (p= 0,002; PR=1,8), ketersediaan jamban (p= 0,009; PR=1,6;95) terhadap perilaku keluarga terhadap buang air besar sembarangan. Variabel yang dominan berhubungan terhadap perilaku keluarga tentang buang air besar sembarangan berdasarkan analisis regresi logistik adalah variabel pengetahuan (p= <0,001;PR=9,7). Dengan demikian kepada tenaga kesehatan diharapkan dapat meningkatkan sosialisasi tentang manfaat jamban bagi keluarga.
HUBUNGAN PENDIDIKAN, KONSELING, PEMBERIAN MAKANAN TAMBAHAN (PMT) DENGAN STATUS GIZI BALITA DI PUSKESMAS TELUK KARANG KOTA TEBING TINGGI Vivia Ningsih; Evawani Martalena Silitonga; Donal Nababan Nababan; Frida Lina Tarigan; Mido Ester J. Sitorus
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 6 No. 1 (2022): April 2022
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v6i1.2913

Abstract

Lack of nutritious food will cause stunted growth of children and excessive food is also not good because it causes obesity. Adequacy of feeding children is very important because lack of energy/nutrients can interfere with optimal growth, and can also cause nutritional disorders, both curable or not. This study aims to determine the relationship between maternal education, counseling and supplementary feeding on the nutritional status of children under five. This study used a cross-sectional design. The research population was all mothers of children under five who were in the Teluk Karang Health Center in the city of Tebing Tinggi in 2021. The research sample was 56 people obtained by accidental sampling technique. Data was collected by distributing questionnaires to mothers of children under five.  The data processing process starts from editing, coding, entry, cleaning and tabulating. Analysis of research data consisted of univariate and bivariate analysis with chi square test, multivariate with logistic regression test. The results showed that there was a relationship between maternal education (p=0.010), counseling (p=0.004; PR=2,3;95%CI 1.245-4.588), supplementary feeding (p= <0.001; PR=3.6;95 %CI 1.758-7.417) with the nutritional status of children under five. The results of multivariate analysis showed that the dominant variable related to the nutritional status of toddlers was the provision of additional food (p = <0.001; PR = 7.5; 95%CI 3.768-64.441), meaning that toddlers who did not get additional food had 7.5 times the tendency to experience nutritional status is not normal compared with toddlers who get additional food. Thus, mothers of toddlers should actively visit the puskesmas and often consult with doctors, nurses and nutritionists regarding the foods needed by children under five to obtain normal nutritional status.  
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PEMBERIAN ASI EKSKLUSIF DI PUSKESMAS BUHIT SAMOSIR TAHUN 2023 Seriyana Sijabat; Mindo Tua Siagian; Seri Asnawati Munthe; Donal Nababan; Mido Ester J. Sitorus
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 7 No. 2 (2023): AGUSTUS 2023
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v7i1.18196

Abstract

Breast milk is the ideal nutrition for babies which contains nutrients that are best suited to the needs of babies as well as protective substances to fight disease. The success of exclusive breastfeeding is influenced by many factors. The aim of the research is to find out the factors related to exclusive breastfeeding at Buhit Samosir Health Center in 2023. Quantitative research method with a cross sectional approach. The research was carried out at the Buhit Samosir Health Center in November 2022-July 2023. The study population was 30 people, the total sampling technique was 30 people. Bivariate analysis of chi-square test and multivariate multiple logistic regression test. The results of the study showed that 10 people (33.3%) who gave exclusive breastfeeding were mostly 25-35 years old and 17 people (56.7%) who did not exclusively breastfeed were 25-35 years old. The majority of breastfeeding mothers have good knowledge (score 23-30) of 24 people (80%), the majority of mothers who give exclusive breastfeeding have good knowledge (score 23-30) of 8 people (26.7%) and the majority of mothers who do not give exclusive breastfeeding good knowledge (score 23-30) as many as 16 people (53.3%). The majority of breastfeeding mothers have a fairly good attitude (score 49-55) as many as 15 people (50%), the majority of mothers who give exclusive breastfeeding have a good attitude (score 56-75) as many as 5 people (16.7%) and the majority of mothers who do not exclusively breastfeed attitude is quite good (score 49-55) as many as 12 people (40%). The majority of breastfeeding mothers had no history of illness as many as 22 people (73.3%), the majority of mothers who gave exclusive breastfeeding had no history of illness as many as 11 people (36.7%) and mothers who were not exclusively breastfed the majority had no history of disease as many as 11 people ( 36.7%). The majority of breastfeeding mothers with first parity gave birth or parity > 4 as many as 18 people (60%), the majority of mothers who gave exclusive breastfeeding with first parity gave birth or parity > 4 as many as 7 people (23.3%) and mothers who were not exclusively breastfed the majority with first parity gave birth or parity> 4 as many as 11 people (36.7%). The dominant factor in exclusive breastfeeding is the attitude factor with a significance value of 0.001 <0.005. Keywords: Exclusive breastfeeding, age, knowledge, attitudes, medical history, parity
DETERMINAN HIPERTENSI PADA PEDAGANG PASAR TRADISIONAL PETISAH DI KOTA MEDAN TAHUN 2023 Parlaungan Siregar; Kesaktian Manurung; Janno Sinaga; S. Otniel Ketaren; Mido Ester J. Sitorus
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 7 No. 2 (2023): AGUSTUS 2023
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v7i1.18197

Abstract

Berdasarkan data WHO menunjukkan sekitar 1,13 miliar orang menyandang hipertensi, artinya 1 dari 3 orang di dunia terdiagnosis hipertensi, pada tahun 2025 diperkirakan akan ada 1,5 miliar orang yang terkena hipertensi, dan diperkirakan setiap tahunnya 10,44 juta orang meninggal akibat hipertensi dan komplikasinya, kasus penderita hipertensi di kota Medan menempati posisike2 tertinggi dengan jumlah kasus sebanyak 89.333 jiwa dengan persentase 18,03%. Tujuan penelitian ini untuk mengetahui determinan hipertensi pada pedagang pasar tradisional Petisah dikota Medan tahun 2023. Penelitian ini menggunakan pendekatan studi crossectional, dengan sampel 94 responden dengan teknik pengambilan accidental sampling, pengolahan data bivatiate menggunakan uji chi-square. Hasil uji statistik menunjukkan tidak ada hubungan kualitas tidur dengan kejadian hipertensi pada pedagang (P-value0,119), ada hubungan stres kerja dengan kejadian hipertensi pada pedagang (P-value0,000), ada hubungan merokok dengan kejadian hipertensi pada pedagang (p-value 0,000), ada hubungan antara obesitas dengan kejadian hipertensi dengan (p-value 0,002), diharapkan kepada dinas kesehatan bekerja sama dengan PD pasar dalam melakukan menyuluhan dan edukasi guna meningkatkan pengetahuan pedagang sehingga dapat meminimalisir kejadian hipertensi pada pedagang
Co-Authors Agnes Febri Roman Putri Mendrofa DONAL NABABAN Donal Nababan Nababan Ernananti Manalu Evawani Martalena Silitonga Evawani Martalena Silitonga Evi Melva Frida Manurung Frida Lina Tarigan Hertati Nababan Janno Sinaga Kesaktian Manurung Lukman Hakim Mindo Tua Siagian Munthe, Seri Asnawati Netty Brahmana Parlaungan Siregar Rahmat Alyakin Dachi S. Otniel Ketaren Sembiring, Rinawati Seriyana Sijabat Sonny Priajaya Warouw Vivia Ningsih WISNU HIDAYAT Yuhelen Sidabutar