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Analysis Of Nursing Service Quality On Inpatient Satisfaction At Madani General Hospital, Medan Rustiani, Rustiani; Sitorus, Rotua Sumihar; Br Ginting Munthe, Novita
Jurnal Kesmas Prima Indonesia Vol. 9 No. 2 (2025): July Edition
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Patient satisfaction is one of the important indicators that must be considered in nursing services. Patient satisfaction is the result of patient assessment of nursing services by comparing what is expected with the reality of nursing services received in a hospital. The purpose of the study was to analyze the quality of nursing services on the satisfaction of inpatients at RSU. Madani Medan. The type of research used in this study is quantitative using an observational approach. The research design used is cross-sectional. The population in this study includes inpatients at RSU. Madani Medan in January 2025 to February 2025 as many as 300 people. The number of samples to be studied according to Slovin was 175 people. Data analysis was carried out using univariate, bivariate and multivariate analysis. The statistical tests used were the chi square test and logistic regression. The results of the chi square test showed a significant relationship between Direct Evidence, Reliability, Responsiveness, Assurance and Empathy of nursing services on inpatient satisfaction at RSU. Madani Medan, where the p-value = 0.000. From the results of the multivariate analysis, the most influential variables in this study were the Assurance variable with an OR value of 66.738, and the Empathy variable with an OR value of 22.142. Conclusion of the study; the majority of patients with respondent characteristics aged 27-38 years, female gender, high school education level, housewife occupation. The quality of nursing services Direct Evidence, Reliability, Responsiveness, Assurance and Empathy can be seen from the attitudes of nurses in providing nursing services carried out for the satisfaction of inpatients at RSU. Madani Medan.

Influence of Health Promotion on Infant and Young Child Feeding (IYCF) Behavior by Mothers of Toddlers Sitorus, Rotua Sumihar
JURNAL KEBIDANAN KESTRA (JKK) Vol. 7 No. 2 (2025): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/ta46w316

Background: Malnutrition in infants and young children, especially stunting, remains a major public health challenge in Indonesia. Health promotion is believed to improve appropriate Infant and Young Child Feeding (IYCF) practices. Objective: To analyze the influence of health promotion on IYCF behavior among mothers of toddlers in the working area of Lubuk Pakam Health Center. Research Methods: This was a quantitative analytic study with a cross-sectional design. A total of 120 mothers with children aged 6–24 months were selected using purposive sampling. Data were collected through structured questionnaires and analyzed using Chi-square tests. Results: About 70% of respondents had received health promotion, mainly through Posyandu (60.7%). Most mothers (62.5%) demonstrated good IYCF practices. A significant relationship was found between health promotion and IYCF behavior (p=0.0001). Conclusion: Health promotion significantly influences improved IYCF practices. Strengthening community-based health promotion, improving maternal nutrition literacy, and optimizing primary health care services are crucial for enhancing IYCF practices and reducing stunting rates.

ANALYSIS DETERMINANTS OF TYPE 2 DIABETES MELLITUS: A CASE CONTROL STUDY: Analisis Determinan Kejadian Diabetes Mellitus Tipe 2: Studi Case Control Sirait, Reni Aprinawaty; Hulu, Victor Trismanjaya; Sitorus, Rotua Sumihar; Susanti, Dewi; Handayani, Sri; Sinambela, Megawati; Rahmi, Nurfadhilah
Jurnal Berkala Epidemiologi Vol. 13 No. 3 (2025): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V13I32025.272-279

Background: Type 2 Diabetes Mellitus (type 2 DM) is a chronic disease in adults due to the body's resistance to insulin. Purpose: This study aims to analyze the determinants of the incidence of type 2 DM. Methods: The study design was a case-control study. The case population in this study was patients with type 2 DM who had been diagnosed by doctors based on data available in the medical records of Bintang Bayu Health Center. In contrast, the control population was patients who did not suffer from type 2 DM. The study's sample size was 138 people, with a ratio of cases to controls of 1:2. The case group consisted of 46 people, and the control group comprised 92 people. The sampling technique used was nonprobability sampling, namely, consecutive sampling. Questionnaire distribution was the primary method of data collection. The frequency distribution of each variable was calculated before analyzing the data using Chi-square and logistic regression. Results: Diet (p=0.001; OR=4.7; 2.231–10.154), knowledge (p=0.033; OR=2.3; 1.129–4.785), physical activity p = 0.010; OR = 2.8; 1.342 – 6.032), hypertension (p=<0.001; OR=4.9; 2.089–11.784) were significant to the incidence of type 2 DM. The most dominant variable was hypertension, p=<0.001; OR=7.3 (2.581-20.680). Conclusions: Poor diet, poor knowledge, light physical activity, and hypertension were significant factors in the incidence of type 2 DM.

Analysis Of Nursing Service Quality On Inpatient Satisfaction At Madani General Hospital, Medan Rustiani, Rustiani; Sitorus, Rotua Sumihar; Br Ginting Munthe, Novita
Jurnal Kesmas Prima Indonesia Vol. 9 No. 2 (2025): July Edition
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jkpi.v9i2.7053

Patient satisfaction is one of the important indicators that must be considered in nursing services. Patient satisfaction is the result of patient assessment of nursing services by comparing what is expected with the reality of nursing services received in a hospital. The purpose of the study was to analyze the quality of nursing services on the satisfaction of inpatients at RSU. Madani Medan. The type of research used in this study is quantitative using an observational approach. The research design used is cross-sectional. The population in this study includes inpatients at RSU. Madani Medan in January 2025 to February 2025 as many as 300 people. The number of samples to be studied according to Slovin was 175 people. Data analysis was carried out using univariate, bivariate and multivariate analysis. The statistical tests used were the chi square test and logistic regression. The results of the chi square test showed a significant relationship between Direct Evidence, Reliability, Responsiveness, Assurance and Empathy of nursing services on inpatient satisfaction at RSU. Madani Medan, where the p-value = 0.000. From the results of the multivariate analysis, the most influential variables in this study were the Assurance variable with an OR value of 66.738, and the Empathy variable with an OR value of 22.142. Conclusion of the study; the majority of patients with respondent characteristics aged 27-38 years, female gender, high school education level, housewife occupation. The quality of nursing services Direct Evidence, Reliability, Responsiveness, Assurance and Empathy can be seen from the attitudes of nurses in providing nursing services carried out for the satisfaction of inpatients at RSU. Madani Medan.

The Influence Of Occupational Safety and Health Training On Worker Safety Behavior at the UPTD Sungai Puar Community Health Center Batang Hari Regency Jambi Humayroh; Rotua Sumihar Sitorus; Rahmad Gurusinga
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/bjtac897

Occupational Safety and Health (OSH) training is designed to enhance employees' understanding and awareness of potential hazards in the workplace, as well as to impart knowledge regarding safety standards, operational procedures, and the proper use of Personal Protective Equipment (PPE). This training plays a vital role in influencing behaviors related to occupational safety and health. The objective of this research was to investigate the impact of various factors—such as knowledge, educational background, disciplinary measures, regulations, support from supervisors, peer encouragement, availability of safety equipment, and duration of employment—on the safety practices of workers at the UPTD Sungai Puar Community Health Center in Batang Hari Regency, Jambi. Utilizing qualitative research methods, the study involved observations and interviews with 12 participants both prior to and following the training. The findings indicated that knowledge, education, disciplinary actions, regulations, support from superiors, peer motivation, availability of safety equipment, and tenure significantly affected the safety behaviors of the workers at the health center. Ultimately, the study concluded that education and support from supervisors emerged as the most significant determinants of Occupational Safety and Health behaviors.

Analysis of Factors Affecting The Implementation Of Health Promotion Programs For Pulmonary Tb Patients At Grandmed Hospital Lubuk Pakam In 2024 Jansfianti, Mira; Rotua Sumihar Sitorus; Basyariah Lubis
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/ma0ctf15

Tuberculosis (TB) is still a major health problem globally, due to serious health disorders in the community and the incidence of this disease increases every year. Currently, it is estimated that 1 in every 3 TB cases have not been detected by the Case Detection Rate (CDR) program, which is known from national data showing that CDR in Indonesia from 2012-2014 has decreased, namely case discovery in 2012 was 61%, and in 2014 the case discovery rate was 46%. The purpose of this study was to Analyze Factors Influencing the Implementation of the Pulmonary TB Patient Health Promotion Program at the Grandmed Lubuk Pakam Hospital in 2024. This study is a qualitative descriptive study. The results of this study are that the implementation of the pulmonary TB patient health promotion program in hospitals is influenced by various interrelated factors, namely individual factors, the environment, health systems, policies, and health workers. Individual factors such as knowledge, socio-economic conditions, and treatment compliance determine the extent to which patients can accept and carry out health recommendations. Environmental factors, including social stigma and family or community support, also influence patient motivation and openness to health education. From the health system side, the existence of an effective information system and guaranteed drug availability are crucial technical supports. Meanwhile, the success of the program is highly dependent on management policies and the design of a structured and sustainable promotion program. The conclusion is that the role of health workers through quality communication and education greatly determines the effectiveness of information delivery and changes in patient behavior. Therefore, optimal implementation of health promotion requires a comprehensive and collaborative approach from all of these factors to support sustainable TB control efforts in hospitals.

Correlation of Education Level with Mother's Knowledge About the Nutritional Status of Stunted Toddlers Sitorus, Rotua Sumihar; Suprianto, Suprianto
Jurnal Keperawatan Priority Vol. 7 No. 1 (2024)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v7i1.4472

Chronic malnutrition due to prolonged malnutrition resulting in stunted growth and development. Educated and knowledgeable mothers have a big influence on the pattern of regulating balanced food needs for the growth and development of toddlers. The research was directed at determining the correlation between educated and knowledgeable mothers on the nutritional status of stunted toddlers in the Namorambe Community Health Center work area. Quantitative descriptive research was conducted cross-sectionally. The population was 32 mothers who had stunted toddlers (0-59 months) and the total was the sample. Univariate and bivariate analyzes were carried out to describe the frequency distribution of respondents' characteristics and determine the correlation between educated and knowledgeable mothers regarding the nutritional status of stunted toddlers. The results showed that mothers ranged from 20-30 years old and had upper secondary education as many as 25 (78.1%) and 21 (65.6%); toddler age 37-60 months, male gender, stunted toddler, and poor maternal knowledge were 16 (50%), 17 (53.1%), 22 (68.8%) and 23 (71.9%); and as many as 21 (65.6%) and 12 (37.5%) respondents had high school education and poor knowledge; as well as the Chi-square analysis results of p-value = 0.038, respectively. In the research, there was a correlation between educated and knowledgeable mothers on the nutritional status of stunted toddlers in the Namorambe Community Health Center work area.

Factors That Increase The Risk of A Mother Giving Birth to A Stunting Toddler Sitorus, Rotua Sumihar; Suprianto, Suprianto; Herlina, Herlina
Jurnal Keperawatan Priority Vol. 7 No. 2 (2024)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v7i2.5302

Stunting is a condition where linear growth is disturbed so that the body height is not normal, also known as being short or dwarf in comparison to the standard age. This matter is caused by nutrition and health in the poor pre- and post-natal period. An educated and knowledgeable mother has a significant role in overcoming, managing, and organizing family resources to meet nutritional needs. The study was directed at analyzing factors that increase the risk of mothers giving birth to stunted toddlers in work areas at the Public Health Center Namorambe. The study uses a descriptive-analytical approach using a cross-sectional model, where data collection is conducted in a single instance.Thirty mothers were studied as study subjects with toddlers ages 0–60 months with stunting conditions and living in the work area of the Public Health Center Namorambe. The study results show that the possibility of mothers giving birth to stunted toddlers is affected by their knowledge, attitudes, and actions.

The Influence of Health Education with Video Media on Stunting Prevention on Mothers' Knowledge Sitorus, Rotua Sumihar; Sirait, Reni Aprinawaty; Sinambela, Megawati
Jurnal Keperawatan Priority Vol. 8 No. 1 (2025)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v8i1.6299

Stunting is a chronic malnutrition condition experienced by a person since pregnancy and early childhood, failure to thrive in children (Stunting) is a challenge in the development of a quality Indonesian society. This study aims to determine the effect of health education with video media on preventing stunting. This study is a quantitative study with a quasi-experimental method. The study was conducted in the work area of the Laut Tador Health Center, Batu Bara Regency in January 2024. The population in this study were all stunted babies totaling 171 people, a sample of 47 respondents was obtained. The results of the study showed that out of 47 respondents, aged 25-30 years (61.3%) and 31-35 years (38.3%). Based on education with Senior High School education (53.2%), Elementary School education (6.4%), Junior High School education (8.5%), and Diploma/Bachelor education (31.9%), while based on occupation with jobs as IRT (Housewife) (53.2%), employees (25.5%), and teachers (21.3%). The results of the paired sample test obtained an average value before and after counseling of 13.085 with a standard deviation of 17.306 with a t value of -5.183. The significance value of the p-value is 0.000 (<0.05), so it can be concluded that there is an influence of providing video media on respondents' knowledge in preventing stunting before and after.

Effectiveness of Health Promotion Media (Posters) on Reducing Blood Sugar Levels in Diabetes Mellitus Patients Sitorus, Rotua Sumihar; Sinambela, Megawati; Sirait, Reni Aprinawaty; Herlina, Herlina
Jurnal Keperawatan Priority Vol. 9 No. 1 (2026)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v9i1.7695

Diabetes Mellitus is a chronic metabolic disorder characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both. Health promotion plays a pivotal role in enhancing patient knowledge and self-management behaviors. Among various educational tools, posters are considered effective media due to their ability to convey complex health messages visually and concisely. This study aimed to evaluate the effectiveness of poster-based health promotion interventions in reducing blood glucose levels among patients with Diabetes Mellitus at the Bandar Khalifah Public Health Center. This research employed a quantitative method utilizing a quasi-experimental design with a one-group pretest-posttest approach. A sample of 52 respondents was selected using a random sampling technique. Data were analyzed using the Paired Sample t-test to determine the statistical significance of the intervention. The statistical analysis revealed a significant difference in blood glucose levels before and after the intervention, with a p-value of 0.006 (p < 0.05). These findings indicate that the implementation of visual health education significantly contributed to the reduction of blood glucose levels among the respondents. It is concluded that poster-based media is an effective tool for supporting glycemic control in patients with Diabetes Mellitus. Therefore, it is recommended that healthcare providers utilize and develop diverse visual health promotion media regularly to sustain public awareness and foster long-term healthy behaviors.

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