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All Journal Jurnal Keperawatan dan Fisioterapi (JKF) Jurnal Kesmas dan Gizi (JKG) Jurnal Pengmas Kestra (JPK)
Abdi Lestari Sitepu
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PENGARUH LATIHAN FISIK TERSTRUKTUR TERHADAP PENURUNAN KADAR KOLESTROL PADA PASIEN HIPERTENSI DI RS GRANDMED LUBUK PAKAM Miftahul Zannah; Tati Murni Karo-karo; Ida Yolanda; Rosita Ginting; Abdi Lestari Sitepu
JURNAL PENGMAS KESTRA (JPK) Vol 1 No 1 (2021): 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 | Full PDF (550.059 KB) | DOI: 10.35451/jpk.v1i1.704

Abstract

Hypertension and elevated cholesterol are two continuous conditions. Cholesterol level in the body is one of the most important factors to determine a person's risk of suffering from heart artery disease. Therefor it is necessary to provide Structured Physical Exercise in the form of regular exercise, in addition to reducing stress, it can also lose weight, burn more fat in the blood, and strengthen the heart muscle. To be able to do light exercise, you don't need to come to a special training ground, because the best program is one that you enjoy and can take place regularly. Methods: This study used a quantitative experimental method using post-test design with a control group (pretest-posttest with control group) with a sample size of 15 people. Sampling was used with purposive sampling technique using the Isac and Mikael formulas, the study was used in April 2021. Results: From the research results found in the experimental group the p value was 0.000 ≤ 0.05 and in the control group the p value was 0.001 ≤ 0.05. So it can be concluded that the experimental group gives a better effect than the control group on hypertension patients at Grandmed Lubuk Pakam Hospital in 2021. Therefor it is hoped that nurses at Grandmed Lubuk Pakam Hospital can improve services in non-pharmacological fields, especially for hypertension patients who suffering from hypercholesterolemia which can be overcome by giving intervention in the form of structured physical exercise.
PENINGKATAN MEKANISME KOPING PADA PASIEN KANKER PAYUDARA DI RUMAH SAKIT GRANDMED LUBUK PAKAM Tati Murni Karokaro; Rahmad Gurusinga; Dian Anggriyanti; Rosita Ginting; Mila Gustia; Mif Zannah; Abdi Lestari Sitepu
JURNAL PENGMAS KESTRA (JPK) Vol 1 No 1 (2021): 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 | Full PDF (294.6 KB) | DOI: 10.35451/jpk.v1i1.749

Abstract

The success of the coping mechanism in patients with breast cancer depends not only on early detection but also an understanding of the mechanisms that cause it. Psychological impact experienced by each patient, especially breast cancer which underwent different treatment depending on the level of severity (stage). The differences before and after being given education can affect the coping mechanism of the individual itself. One of the conditions that can cause anxiety is the process of implementing chemotherapy treatment. The purpose of this study was to determine the increase in coping mechanisms in breast cancer patients at Grandmed Lubuk Pakam Hospital. Counselling was carried out to see an increase in coping mechanisms, namely by directly informing breast cancer patients about coping mechanisms with education, distributing leaflets and analyzing data before and after education. Data analysis was performed using the Paired Sample T-Test with a confidence level of 95% and a value of α = 0.05. The results obtained from this study have shown a change in the coping mechanism of the patient before and after being given education on the application of the coping mechanism with a p-value = 0.001 (α> 0.05). In conclusion, there is an increase in coping mechanisms in breast cancer patients who are carried out according to standards, for health institutions there is a need for supervision and counselling to the public about the importance of maintaining health, especially for breast cancer patients at Grandmed Lubuk Pakam Hospital.
Effect Of Level 1 Progressive Mobilization On Oxygen Saturation In Patients With Decreased Consciousness Karokaro, Tati Murni; Abdi Lestari Sitepu
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 7 No. 1 (2024): 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.v7i1.2282

Abstract

Background: Patients in the intensive care unit are individuals who are in critical condition due to failure of function of one or more organs, with hemodynamic instability. They require special care and intensive monitoring, in the hope that their condition can improve through appropriate medical action (Setiyawan, 2016). The incidence of stroke is increasing every year, there are 11 million stroke cases in the world, especially in low-income countries, especially in South Asian states and it causes 4 million deaths every year, around 30% of them in Southeastern countries. In addition, stroke is one of the leading causes of death and disability in adults in the United States. Every year, nearly 795,000 people in the country experience a stroke, either new or recurrent, and this causes approximately 130,000 deaths annually. (WHO, 2016). Research Objective: To understand the effect of level 1 progressive mobilization on changes in oxygen saturation in patients with decreased consciousness. Methodology: This research uses quantitative methods. The approach is quasi-experimental with a utilitarian design, where the intervention is applied to one group, then observations are made on the independent variables. Research Results and Discussion: Before progressive mobilization measures were carried out, the level 1 oxygen saturation value in patients with impaired consciousness at Grandmed Lubuk Pakam Hospital, of the 24 respondents, 2 respondents had oxygen saturation of 92% (8.3%), 4 respondents 93% (16, 7%), 7 respondents 94% (29.2%), 7 respondents 95% (29.2%), 3 respondents 96% (12.5%) and 7 respondents had oxygen saturation 98% (4.2%) . Conclusion: The average O2 saturation value in patients with decreased consciousness before doing level 1 progressive exercise was 93.33, whereas after it increased it was 95.67.
Factors Influencing the Quality of Services at the Pharmacy Installation of Pagar Jati Public Health Center Badriani, Nurainun; 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.
Co-Authors Aritonang, Barita Badriani, Nurainun Dian Anggriyanti Ida Yolanda Karnirius Harefa Karokaro, Tati Murni Mif Zannah Miftahul Zannah Mila Gustia Rahmad Gurusinga Romi Syahputra Tarigan Rosita Ginting