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All Journal Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Jurnal Berkala Epidemiologi Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) Journal of Health Sciences Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan JURNAL KEBIDANAN KESTRA (JKK) Jurnal Kesmas dan Gizi (JKG) Jurnal Maternitas Kebidanan Jurnal Keperawatan Priority Jurnal Kesmas Prima Indonesia JURNAL PENELITIAN PERAWAT PROFESIONAL FORTE JOURNAL JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan) Public Health and Safety International Journal (PHASIJ) Jurnal Pengmas Kestra (JPK)
Rotua Sumihar Sitorus
Institut Kesehatan Medistra Lubuk Pakam, Deli Serdang, Indonesia
Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Education on the Role of Electrolytes in Maintaining Heart Health for Students Al-Azhar Medan Private High School Ritonga, Ahmad Hafizullah; Harefa, Karnirius; Herlina, Herlina; Sitorus, Rotua Sumihar; Harahap, Fitri Ramadani
JURNAL PENGMAS KESTRA (JPK) Vol. 4 No. 2 (2024): 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 | DOI: 10.35451/jpk.v4i2.2385

Abstract

Cardiac health is influenced by the balance of electrolytes in the body, such as sodium, potassium, calcium, and magnesium, which support cardiovascular functions, including heart rhythm and blood pressure regulation. Electrolyte imbalance increases the risk of heart disease, particularly among adolescents with unbalanced diets and low physical activity. Education about the role of electrolytes is essential for early prevention. This community service activity aimed to enhance the understanding of Al-Azhar Medan Private High School students as participants about the role of electrolytes in cardiac health and encourage them to adopt a healthy lifestyle. The methods included interactive counseling through presentations, discussions, and practical activities. The materials covered the types of electrolytes, their functions, signs of imbalance, and ways to maintain electrolyte balance through a healthy diet and adequate hydration. Visual aids and real-life case examples were utilized to clarify the participants' understanding. The evaluation results showed a significant improvement in the participants' knowledge of electrolyte functions and the importance of electrolyte balance for cardiac health. Most participants expressed an intention to pay more attention to their diet and electrolyte intake, and the program was effective in increasing knowledge and awareness of the importance of electrolytes for heart health. Proper education is expected to encourage adolescents to adopt a healthy lifestyle early, reducing the risk of heart disease in the future.
EKSTRAK KULIT KAYU MANIS ALTERNATIF PENGGANTI EDTA SEBAGAI ANTIKOAGULAN ALAMI Herlina Herlina; Barita Aritonang; Rotua Sumihar Sitorus; Asvia Rahayu
FORTE JOURNAL Vol 4 No 2 (2024): Edisi Juli 2024
Publisher : Universitas Haji Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51771/fj.v4i2.973

Abstract

Kayu manis, dengan kandungan kumarin dan transcinnamaldehyde yang signifikan, telah menarik minat dalam penelitian sebagai agen antikoagulan alami. Kumarin, salah satu komponen utamanya, telah terbukti menghambat sintesis protrombin, menghasilkan efek antikoagulan yang menjanjikan. Penelitian ini bertujuan untuk mengeksplorasi efek antikoagulan dari ekstrak kulit kayu manis secara eksperimental. Hasil menunjukkan bahwa penambahan ekstrak dengan berbagai volume ke dalam darah menghasilkan variasi dalam morfologi sel darah merah. Ekstrak kulit kayu manis dengan volume 80 µL, 120 µL, dan 160 µL pada 1 ml darah di dapatkan sel darah masih berkelompok dan berbentuk bulat tidak sempurna. Sedangkan pada ekstrak kulit kayu manis volume 180 µL didapatkan hasil sel yang sempurna. Meskipun ekstrak kayu manis tidak dapat sepenuhnya menggantikan peran EDTA sebagai antikoagulan, namun memiliki kemampuan dalam menghambat proses pembekuan darah. Kesimpulan dari penelitian ini mengindikasikan bahwa ekstrak kulit kayu manis dapat berfungsi sebagai antikoagulan yang memperlambat proses pembekuan darah, memberikan landasan untuk penelitian lebih lanjut dalam bidang ini.
STUDY OF HEAD OF MEDICAL SERVICE SUPERVISION AND INPATIENT NURSE PERFORMANCE ON PATIENT SAFETY AT AEK KANOPAN HOSPITAL NORTH LABUHAN BATU Sarasani, Theresia; Sitorus, Rotua Sumihar; Karo-karo, Tati Murni
JURNAL KESMAS DAN GIZI (JKG) Vol. 6 No. 1 (2023): 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/jkg.v6i1.1843

Abstract

The problem of nurse performance is still an issue in various countries. The performance of nurses always attracts attention in Indonesia. The Province of North Sumatra even stated that the performance of nurses decreased, from 0.52 in 2013 to 0.48 in 2014, and continued to decline until 2015. Good nurse performance is a determining factor for the reputation of a hospital before the community in achieving success. Supervision by the head of the nurse's work unit is a problem related to the nurse's performance appraisal process. This study uses a quantitative approach, observational, with a cross-sectional design. The research sample consisted of 64 nurses in the Inpatient Installation of Aek Kanopan Hospital who were selected according to the criteria. The research data obtained were analyzed using univariate analysis which aims to describe the frequency distribution related to supervision data, Nurse Work Performance, and Patient Safety Implementation. Bivariate analysis which aims to prove the relationship between supervision and nurse performance on the implementation of patient safety uses Pearson's correlation with a 95% confidence level. There is a relationship between clinical supervision on the overall performance of nurses with a Pearson Chi-Square value = 5.146 and a p = 0.023 (p <0.05). In addition, there is also a relationship between the overall performance of inpatient nurses on the implementation of inpatient safety, with a Pearson Chi-Square value of 12.292 and a value of p = 0.000* (p <0.05). The better the performance of the nurse in the inpatient room, the implementation of inpatient patient safety will also be better.
a KESIAPAN TENAGA KESEHATAN DALAM PRAKTIK KOLABORASI INTERPROFESIONAL UNTUK KEGAWATDARURATAN NEUROLOGIS DI PUSKESMAS: KESIAPAN TENAGA KESEHATAN DALAM PRAKTIK KOLABORASI INTERPROFESIONAL UNTUK KEGAWATDARURATAN NEUROLOGIS DI PUSKESMAS Sumihar, Rotua
JURNAL KESMAS DAN GIZI (JKG) Vol. 6 No. 1 (2023): 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/jkg.v6i1.2492

Abstract

KESIAPAN TENAGA KESEHATAN DALAM PRAKTIK KOLABORASI INTERPROFESIONAL UNTUK KEGAWATDARURATAN NEUROLOGIS DI PUSKESMAS
The Implementation of Technology in Facilitating Interprofessional Team Communication in Emergency Cases: Implementation of Technology in Facilitating Interprofessional Team Communication in Emergency Cases Sumihar, Rotua
JURNAL KESMAS DAN GIZI (JKG) Vol. 6 No. 2 (2024): 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/jkg.v6i2.2513

Abstract

The implementation of technology in interprofessional team communication in emergency cases plays a crucial role in ensuring effective and timely coordination. Technological advancements such as telemedicine, mobile applications, and artificial intelligence-based decision support systems significantly enhance information exchange, decision-making, and patient care outcomes. This article discusses various technological tools utilized in emergency situations and their impact on interprofessional communication in the healthcare sector. Additionally, this paper explores challenges in implementing technology and strategies to optimize its use. This research employs a literature review approach, examining various studies on technology in medical team communication in emergency settings. Data were collected from scientific journals, research reports, and publications from health organizations. The study results indicate that technologies such as telemedicine, mobile communication applications, and artificial intelligence-based decision support systems have improved the speed and accuracy of interprofessional communication in healthcare facilities. The use of electronic health records (EHR) also provides benefits by facilitating real-time access to patient information. In conclusion, the implementation of technology in interprofessional team communication in emergency cases has a positive impact on improving coordination effectiveness and patient safety. However, optimizing the use of technology still requires support from various stakeholders, including medical personnel, healthcare institutions, and policymakers.
Analysis of Determinants of Anemia Incidence in Third Trimester Pregnant Women Sinambela, Megawati; Syahri, Alfi; Sitorus, Rotua Sumihar
Jurnal Ilmiah Kesehatan Vol 18 No 02 (2025): Jurnal Ilmiah Kesehatan (Journal of Health Science) 
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhs.v18i02.7063

Abstract

Anemia in third-trimester pregnant women increases the risk of pregnancy complications such as preterm labor and low birth weight. Contributing factors include adherence to iron tablet consumption, maternal age, parity, nutritional status, and compliance with antenatal care (ANC) visits. This study aims to analyze the determinants of anemia in third-trimester pregnant women at the Gunung Selamat Labuhan Batu Health Center. This cross-sectional study involved 96 third-trimester pregnant women selected using consecutive sampling. Data were collected through interviews, hemoglobin level examinations, and evaluations of iron tablet adherence, nutritional status, and ANC visits. Data analysis used bivariate (chi-square) and multivariate (logistic regression) tests. Bivariate analysis showed a significant relationship between anemia and iron tablet adherence (p=0.00; PR=5.95), maternal age (p=0.00; PR=5.11), parity (p=0.00; PR=4.95), nutritional status (p=0.00; PR=7.55), and ANC visit compliance (p=0.00; PR=8.55). Multivariate analysis identified nutritional status (p=0.00; Exp(B)=16.69) and ANC visit compliance (p=0.00; Exp(B)=14.51) as the most dominant factors influencing anemia. Nutritional status and ANC visit compliance are key determinants of anemia in third-trimester pregnant women. Interventions focusing on nutritional education, ANC service optimization, and increased adherence to iron supplementation are essential to reduce anemia prevalence among pregnant women
Analysis of the implementation of the exclusive breastfeeding policy in the working area of Panombean Panei Health Center Rika Maya Sari Saragih; Sitorus, Rotua Sumihar; Ginting, Desideria Yosepha
JURNAL KESMAS DAN GIZI (JKG) Vol. 6 No. 2 (2024): 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/jkg.v6i2.1782

Abstract

Abstract According to Government Regulation No. 33 of 2012 it is stated that Exclusive Breast Milk, hereinafter referred to as Exclusive Breast Milk, is breast milk given to babies from birth for 6 (six) months, without adding and/or replacing it with other food or drinks. . The impact if the mother does not give exclusive breastfeeding, the baby will be at risk of experiencing health problems and being susceptible to infection. This research is a descriptive qualitative research. The research was conducted at the Panombean Panei Health Center. The research informants were 7 people, the samples were taken by snowballing. Data were analyzed in depth in narrative form by means of data reduction, data presentation, drawing conclusions/verification.The results of the study show that the implementation of the exclusive breastfeeding program at the Panombean Panei Health Center has not been maximized, for the last 4 years the average <40% is still far from the national target of 85%. Bureaucratically, the parties responsible for and involved in the exclusive breastfeeding program are the head of the Puskesmas, the MCH program holder, the nutrition program holder, and the village midwife. Recording and reporting is carried out by the village midwife every month and the health center reports to the Simalungun District Office at the beginning of the month. The resources of health personnel in promoting the exclusive breastfeeding program are sufficient. ASI corner is available but not utilized. Facilities and infrastructure for counseling are still lacking such as leaflets and booklets. The source of funds comes from Health Operational Assistance (BOK) combined with other MCH programs. There is no charge for the implementation of the exclusive breastfeeding program. The disposition or attitude of health workers is good and friendly in providing counseling about exclusive breastfeeding, providing information that is easily understood by mothers. Not all mothers can attend posyandu because of work. Supervision is not carried out specifically and the sanctions are only in the form of a warning. Communication in the implementation of the exclusive breastfeeding program was carried out by health workers by going into the field providing counseling or education by cooperating with the village midwife by forming a class for pregnant women and a class for babies. The frequency of counseling is not routine because the area of the Panombean Panei Health Center is wide. Keywords: Application of Policy, Exclusive Breastfeeding Program, Health Center
The Role Of Health Promotion in Achieving Household Clean And Healthy Living Behavior (Phbs) With Polling Mothers At UPT Puskesmas Balige Simangunsong, Lindawati; Rotua Sumihar Sitorus; Monika Helen Sinaga
JURNAL KESMAS DAN GIZI (JKG) Vol. 7 No. 2 (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/jkg.v7i2.2265

Abstract

Background: The postpartum period is the period that every woman goes through after giving birth. This period lasts from the time the placenta is born until 6 weeks after birth or 42 days after birth. Household Clean and Healthy Living Behavior (PHBS) is carried out to achieve a healthy household. In the household, the primary target must be practicing behavior that can create a PHBS household, which includes giving birth assisted by health workers, giving babies exclusive breast milk, weighing toddlers every month, using clean water, washing hands with clean water and soap, using a toilet. Objectives: to determine the role of health promotion in the achievement of household PHBS with postpartum mothers at the UPT Puskesmas Balige in 2024.Research method: This type of research uses descriptive qualitative.Results: the Clean and Healthy Living Behavior Program (PHBS) for households at the Balige Community Health Center seen from the activity coverage figures. The PHBS program in 2024 has a coverage of (64%) and has not yet reached the target of (70%). In the PHBS program, the household system will be implemented well if all the activity service systems are implemented well and there is a link between the system and the activity implementers and the activity facilities, namely Cadres, Village Midwives and the Community in the household system as well as activity support facilities such as leaflets, posters, flip sheets, booklets and so on provided by the community health center. Apart from that, indicators of the success of the household PHBS program can be seen by the active role of community leaders and community organizations in assessing household PHBS, which can increase the percentage of households implementing PHBS.Conclusion: household PHBS program will be implemented well if all activity service systems are implemented well and there is a link between the system and the activity implementers and activity facilities, namely Cadres, Village Midwives and the Community. It is recommended to enhance coordination and active participation among program managers, village midwives, and the community to ensure the optimal implementation of the PHBS Family Arrangement Program.
Analysis Of Healthcare-Associated Infections (HAIs) Surveillance System At RSUD Drs. H. Amri Tambunan Regional Hospital Deli serdang Regency: Analysis Of Healthcare-Associated Infections (HAIs) Surveillance System At Drs. H. Amri Tambunan Regional Hospital Deli serdang Regency Sirait, Reni Aprinawaty; Arum Puspita Sari; Rotua Sumihar Sitorus
JURNAL KESMAS DAN GIZI (JKG) Vol. 7 No. 2 (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/jkg.v7i2.2690

Abstract

Surveillance of Health Care Associated Infections (HAIs) is a dynamic and continuous process of collecting, identifying, analyzing, and interpreting health data. This study aims to analyze the HAIs surveillance system based on input, process, and output components using a mixed-method approach. Phase I (quantitative) assessed input (human resources and infrastructure) and output (epidemiological data and HAIs incidence rates) using secondary data analyzed univariately. Phase II (qualitative) explored input and process components through interviews and FGDs with the IPC team (IPCN and IPCLN), analyzed using thematic analysis. Results from Phase I showed the highest HAIs cases in patients over 41 years, with VAP incidence in February (32.5 ‰) exceeding the standard. Other peaks included non-SC IDO in February (1.58 ‰), SC IDO in April (5 ‰), and phlebitis in March (1.11 ‰). Phase II revealed issues in HR quality, incomplete SOPs, limited infrastructure, and lack of indicators to assess data completeness and accuracy
The Effectiveness of Nutrition Education by Health Workers on Improving Knowledge and Attitudes of Pregnant Women in Stunting Prevention Sitorus, Rotua Sumihar
JURNAL KESMAS DAN GIZI (JKG) Vol. 7 No. 2 (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/jkg.v7i2.2738

Abstract

Background: Stunting remains a major public health issue in Indonesia, with long-term effects on children’s development. Nutrition education for pregnant women is a crucial early intervention strategy for stunting prevention. Objective: This study aimed to analyze the effectiveness of nutrition education by health workers in improving pregnant women’s knowledge and attitudes toward stunting prevention. Research Methods: A quantitative study with a cross-sectional approach was conducted among 96 pregnant women in the Lubuk Pakam Health Center area. Data were collected through questionnaires and analyzed using chi-square tests and multivariate logistic regression. Results: Most participants received good nutritional education (60.42%), had high knowledge (54.17%), and showed positive attitudes (64.58%). Good nutrition education significantly increased the odds of having high knowledge (OR = 2.90; p = 0.004) and positive attitudes (OR = 3.29; p = 0.002). Conclusion: Nutrition education is effective in improving knowledge and attitudes of pregnant women regarding stunting prevention. Structured and accessible nutrition education should be strengthened in antenatal care services.
Co-Authors Aritonang, Barita Arum Puspita Sari Asvia Rahayu Br Ginting Munthe, Novita Debi Meilani Dewi Sartika Munthe Dewi Sartika Munthe Dewi Susanti Eva Latifah Nurhayati Fahik, Agustinus Ginting, Desideria Yosepha Ginting, Joe Cresnando Handayani, Sri Harahap, Fitri Ramadani Harahap, Hasni Yaturramadhan Herlina . Herlina H Herlina Herlina Hulu, Victor Trismanjaya Karnirius Harefa Karo-karo, Tati Murni Lidya Natalia Br Sinuhaji Megawati Sinambela Mei Krismon Laoli Melda Bangun, Sri Monika Helen Sinaga Nurlela Petra Saragih Octavariny, Raisha Putri Novi Yanti Halawa Rahmi, Nurfadhilah Rika Maya Sari Saragih Rosmianti Ge’e Rustiani, Rustiani Samsider Sitorus Sarasani, Theresia Setia Alberkat Zalukhu Silalahi, Kristina L Simangunsong, Lindawati Sinambela, Megawati Sirait, Reni Aprinawaty Suprianto Suprianto Syahri, Alfi Tetti Seriati Situmorang Triwanda Putri Hutagalung Washliati, Laily Wasliati, Balqis Yusnidar Laia