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All Journal HAYATI Journal of Biosciences Media Kesehatan Masyarakat Indonesia Jurnal Kesehatan Lingkungan indonesia JURNAL PROMOSI KESEHATAN INDONESIA Jurnal Kedokteran Brawijaya Majalah Kedokteran Bandung Indonesian Journal of Urology Prosiding Pendidikan Sains Berkala Ilmu Kesehatan Kulit dan Kelamin Biology, Medicine, & Natural Product Chemistry JIMKesmas (Jurnal Ilmiah Mahasiswa Kesehatan Masyarakat) Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Jurnal Penelitian Pendidikan IPA (JPPIPA) Syntax Literate: Jurnal Ilmiah Indonesia Buletin Farmatera Jurnal Kesehatan Medika Saintika Window of Health : Jurnal Kesehatan SCIENTIA JOURNAL Jambura Journal of Health Sciences and Research Journal of Humanities and Social Studies Jurnal Kesehatan Medical Technology and Public Health Journal Poltekita : Jurnal Ilmu Kesehatan JURNAL MUTIARA KESEHATAN MASYARAKAT Jurnal Kesehatan Masyarakat dan Lingkungan Hidup Jurnal Kesmas Prima Indonesia Contagion: Scientific Periodical Journal of Public Health and Coastal Health Health Information : Jurnal Penelitian PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Prima Medika Sains Jurnal Doppler Jurnal Ners Indonesian Journal of Pharmaceutical and Clinical Research Journal of Telenursing (JOTING) Jurnal Aisyah : Jurnal Ilmu Kesehatan Science Midwifery TIN: TERAPAN INFORMATIKA NUSANTARA Babali Nursing Research Jurnal Penelitian Pendidikan, Psikologi Dan Kesehatan (J-P3K) Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences Jurnal Abdimas Ilmiah Citra Bakti (JAICB) International Journal Of Science, Technology & Management (IJSTM) JOURNAL LA MEDIHEALTICO MAHESA : Malahayati Health Student Journal Jurnal Kesehatan Saintika Meditory PROFESSIONAL HEALTH JOURNAL INTERNATIONAL JOURNAL OF CULTURAL AND SOCIAL SCIENCE International Journal of Islamic Education, Research and Multiculturalism (IJIERM) JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan) Buletin Kedokteran dan Kesehatan Prima Indonesian Journal of Cancer Pharmaceutical Sciences and Research (PSR) International Journal of Health and Pharmaceutical (IJHP) Jurnal Pendidikan Indonesia (Japendi) Cerdika: Jurnal Ilmiah Indonesia Eduvest - Journal of Universal Studies Jurnal Mahasiswa Ilmu Kesehatan Haga Journal of Public Health (HJPH) Media Penelitian dan Pengembangan Kesehatan Malahayati International Journal of Nursing and Health Science Holistik Jurnal Kesehatan Jurnal Info Kesehatan Folia Medica Indonesiana

Girsang, Ermi

Faculty of Public Health, University of Prima Indonesia

Author-ID : 569465

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Risk Factor Analysis Of Nurse’s Depression Level Using The Beck Depression Inventory Method In The Isolation Room For Covid-19 Patients Royal Prima Medan In 2022 Leoditta Sitinjak, vivian; Girsang, Ermi; Napiah Nasution, Ali
International Journal of Health and Pharmaceutical (IJHP) Vol. 2 No. 4 (2022): November 2022
Publisher : CV. Inara

This Corona Virus has been named SARS-CoV 2 and this virus moves from human to human through direct contact and has symptoms ranging from mild to severe. Nurses can experience psychological disorders in the form of depression because they are directly involved in treating Covid-19 patients. The purpose of this study was to analyze risk factors (working time, risk of exposure, workload, stigma, and social support) on the level of depression of nurses using the Beck Depression Inventory method in the isolation room for Covid-19 patients at Royal Prima Hospital Medan in 2022. The type of research used is an analytical study with a cross-sectional approach with primary and secondary data collection in February - March 2022. The number of research samples is 95 nurses who work in the Covid-19 isolation room. The data were analyzed univariately to see a descriptive picture, bivariate using the product-moment test, and multivariate by using the multiple logistic regression test. The results of this study are; based on age the most in the age group 20-30 years (93.7%), gender, dominated by women (73.7%). Based on education, it was found nurses with a Diploma education (75.8%), work 1-2 years (50.5%). Based on marital status, predominately single (76%). In the bivariate analysis, there was a relationship between risk factors and the level of depression of nurses in the Covid-19 isolation room at Royal Prima Hospital Medan in 2022. In the multivariate analysis, working time (0.007), risk of exposure (0.003), workload (0.002), stigma (0.024) ), and social support (0.012). The conclusion of this study is that there is an influence of risk factors on the level of depression of nurses in the Covid-19 isolation room at Royal Prima Hospital Medan in 2022.

Analysis That Influences The Quality Of Nursing Services In Installations Of Colonel Abunjani Hospital, Bangko In 2019 Abdi Eliezer Dakhi, Juang; Lestari Ramadhani Nasution, Sri; Girsang, Ermi; Suryono, Tan
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.

Cost And Utilization Analysis In Increasing Cost Recovery Rate (CRR) In Rsu Royal Prima Medan 2022 Wijaya, Franks; Girsang, Ermi; Suyono, Tan
International Journal of Health and Pharmaceutical (IJHP) Vol. 3 No. 3 (2023): August 2023
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v3i3.186

Cost Recovery Rateat the Royal Prima Medan Hospital, there was a surplus every year below 5% and even decreased in 2018 to less than 100%. The CRR surplus is still below 5% and the CRR decline is related to costs, tariffs and utilization. This study aims to analyze tariffs, costs and utilization in increasing the Cost Recovery Rate (CRR) at RSU Royal Prima Medan. This type of research is quantitative and qualitative research is descriptive analytic. The population and sample were the Director, Director of Medical Services, Head of Finance Subdivision, Head of Accounting and Marketing Subdivision at RSU Royal Prima Medan, totaling 5 informants. Data collection with primary and secondary data and data analyzed by data reduction, data display and data verification. The results of the study show that there is a change in the Cost Recovery Rate (CRR) every year, how to determine service product rates at RSU Royal Prima Medan and compare them to rates at competing hospitals in Medan, the number of sick people totaling 4222 people was only about 53 people who came out dead for various reasons, not because of the disease they suffered when they entered and the strategy carried out by RSU Royal Prima Medan in increasing CRR is to carry out promotions for several superior service products. It is recommended that because this research is limited to using only quantitative descriptive methods with a qualitative approach, the authors suggest that the leadership can re-examine the success of this research by opening other researchers using different methodologies and employees need to increase motivation and quality of service from year to year so as to make RSU Royal Prima Medan is indeed a hope for the wider community.

The Effect Of Cognitive Behavioral Therapy (CBT) Application On Lifestyle In Hypertension Patients At Royal Prima Marelan Hospital 2022 Kurniawan Purba, Abdi; Girsang, Ermi; Silaen, Mangatas
International Journal of Health and Pharmaceutical (IJHP) Vol. 3 No. 3 (2023): August 2023
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v3i3.187

Hypertension is still a health problem in the elderly group. As a result of rapid development and a prosperous standard of living and health services can increase life expectancy, so that the number of elderly people increases every year. This increase in age is often followed by an increase in degenerative diseases and other health problems in this group. Psychological interventions are believed to be able to change a person's behavior towards a better direction in disease control and prevention. This study measures the impact of cognitive behavioral therapy (CBT) interventions on self-care management of hypertensive patients.This type of research is a quasi-experimental design with a pretest-posttest and control group design. The research subjects were divided into two groups, namely the intervention group (35 people) and the intervention group (35 people). control group (35 people). The research was conducted at the Royal Prima Marelan Hospital in 2022. Data were analyzed using the t-dependent test (α = 0.05).The results showed that in the intervention group there were differences in self-care management of hypertensive patients before and after being given CBT which included diet (p <0.001; 95% CI -6.663-(-4.796)), physical activity (p<0.001; 95 %CI -5.344-(-4.370)), and attitude (p=<0.001; 95%CI -13.086-(-10.115)). In the control group, there was no difference in self-care management of hypertensive patients, including diet n (p= 0.083; 95% CI -0.183-0.012), physical activity (p= 0.058; 95% CI- 0.291-0.005), and attitude T2DM patients (p = 0.094; 95% CI -0.225-0.003). This means that CBT is effective in improving self-care management of Hypertension patients.It is suggested to the Management of Royal Prima Marelan Hospital to implement routine physical activities such as hypertension gymnastics in order to prevent hypertension among young people.

Identification of risk factors associated with occupational fatigue among employees at PT. XYZ Anggraini, Tri Lidya; Girsang, Ermi; Nasution, Sri Lestari Ramadhani
Jurnal Kesmas Prima Indonesia Vol. 10 No. 1 (2026): January Edition
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jkpi.v10i1.7719

This study aimed to identify factors associated with fatigue among employees of PT. XYZ in Medan, a futures brokerage firm where preliminary observations indicated a high prevalence of exhaustion and decreased alertness among employees. This study aimed to identify factors associated with fatigue. A descriptive analytic study with a cross-sectional design was conducted using a total population sample of 45 employees. Data were collected on workload (measured as %CVL), work duration, work environment (assessed through a questionnaire), and occupational fatigue (measured using the IFRC questionnaire). Univariate, bivariate (Chi-square), and multivariate statistical analyses were performed. The results showed that 33.3% of participants experienced fatigue. Bivariate analysis demonstrated statistically significant associations between fatigue and workload (p=0.015), work duration (p=0.001), and work environment (p=0.006). Multivariate analysis further quantified these relationships, identifying the work environment as the most dominant risk factor (OR=3.18), followed by work duration (OR=2.4) and heavy workload (OR=2.4). In conclusion, an unsafe work environment, long work duration, and heavy workload are significant and quantifiable risk factors for occupational fatigue, with the work environment serving as the strongest predictor.

Combined physical exercise and mindfulness therapy for psychophysiological and glycemic regulation in type 2 diabetes mellitus: A systematic review Bangun, Henny Arwina; Girsang, Ermi; Siregar, Santy Deasy
Jurnal Kesmas Prima Indonesia Vol. 10 No. 1 (2026): January Edition
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jkpi.v10i1.7903

Type 2 Diabetes Mellitus (T2DM) is a chronic metabolic disorder with substantial psychophysiological components. Integrated therapeutic approaches combining physical exercise and mindfulness practices may address both glycemic and psychological aspects, yet comprehensive evidence remains limited. This systematic review evaluated the effectiveness of combined physical exercise and mindfulness interventions on glycemic regulation and psychophysiological outcomes in patients with T2DM. A systematic search of PubMed, ScienceDirect, and Google Scholar identified experimental and quasi-experimental studies published between 2021 and 2025. Eligible studies included adult patients with T2DM who received combined physical exercise and mindfulness interventions. Outcomes assessed included glycemic control (HbA1c, fasting blood glucose) and psychophysiological parameters (stress, depression, quality of life). Narrative synthesis and comparison tables were used for qualitative analysis, and risk of bias was evaluated using the Cochrane RoB 2 tool and the Newcastle–Ottawa Scale. Five studies met the inclusion criteria (n = 386 participants). Combined interventions produced greater improvements than single-component or control conditions. Mean HbA1c reduction ranged from 0.7% to 1.1%, fasting blood glucose decreased by 12.5 to 23.07 mg/dL, and depression or stress scores declined by 20% to 45%. Additional benefits included better nerve conduction velocity, self-efficacy, medication adherence, and quality of life. Proposed mechanisms involved modulation of the hypothalamic-pituitary-adrenal axis, enhanced insulin sensitivity, and increased neuroplasticity. In conclusion, combined physical exercise and mindfulness interventions demonstrate superior effectiveness over single-modality or standard care approaches in improving glycemic control and psychophysiological well-being in T2DM. This integrated strategy represents a promising adjunct for T2DM management. Further randomized controlled trials with larger cohorts and extended follow-up are needed to substantiate clinical recommendations.

Co-Authors ., Saprilliani A.F. 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