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FAKTOR RESIKO PENYAKIT TB (TUBERKULOSIS) DI KECAMATAN KABANJAHE KABUPATEN KARO TAHUN 2021 Tanbunan, Helfi Nolia; Tanjung, Risnawaty; Sihombing, Nurmala Hayati; Sinaga, Jernita
Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) Vol. 16 No. 2 (2021): Jurnal Ilmiah PANNMED Periode Mei - Agustus 2021
Publisher : Poltekkes Kemenkes Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (345.086 KB) | DOI: 10.36911/pannmed.v16i2.1132

Abstract

Tuberculosis (TB) is a direct infectious disease caused by TB (mycobactic tuberculosis) germs. The disease is still in the attention of the world and until now, there are no one neither country free from TB. Deli Serdang regency is an regency with the highest Tuberculosis case discovery in North Sumatra Province. This study was observational research with the design of study control cases, in order to determine the characteristics of the patient and the risk factor for the tuberculosis incident. The number of samples is 45 cases and 45 controls. The characteristic association and risk factors with the incidence of tuberculosis were analyzed in univariat and bivariat, Analysis is carried out using cross-con 2x2 to calculate the value of prevalen ratios and confidence values (CI). Statistical test used for analysis is chi square at the trust rate 95% (? = 5%). The results of the lighting study are obtained from the value of OR 0.348, CI 0.144 - 0.840 and p-value 0,031. Residence density obtained from the OR 0.35 CI 0.142 - 0.700 p-value 0.020 and Venting obtained from the OR 0,348 CI 0,144 – 0,840 p-value 0.031. Lighting, venting, and residence density have a relation with the incident TB in Kabanjahe District, while the variables with no relation are temperature, moisture and house floor condition.
Determinants of Risk Factors on the Event of Lung Tb Susanti br Perangin-Angin; Nurmala Hayati Sihombing
Eduvest - Journal of Universal Studies Vol. 2 No. 5 (2022): Journal Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2814.814 KB) | DOI: 10.59188/eduvest.v2i5.441

Abstract

Pulmonary tuberculosis (TB) is one of the most prevalent infectious diseases in the world. Based on a report by the World Health Organization (WHO, 2012) one third of the world's population, which is around two billion people infected with Mycobacterium Tuberculosis. More than 8 million populations get active TB every year and around 2 million die. More than 90% of TB cases and deaths come from developing countries, one of which is in Indonesia. This research is an observational analytic study with a case control study design that aims to determine the effect of risk factors for pulmonary TB events using a retrospective approach. The results of this study indicate that the most dominant variable TB incidence in high school education cases is down to 45 people (97.8%) and the smallest House Density is 25 people (54.3%) and the most dominant control variable is no comorbidities namely as many as 47 people (97.9%) and the smallest Respondents' House Density fulfilled the requirements of 26 people (56.5%). Factors that significantly influence the incidence of pulmonary tuberculosis are nutritional status (p = 0,000, OR = 31,263), respondent employment (p = 0,000, OR = 21.77), comorbidities (p = 0,000, OR = 0.022), Ventilation (p = 0.001, OR = 4,680) and House Humidity (p = 0,000, OR = 9,625). The results of the study concluded that the variable that most influenced the incidence of pulmonary TB was Nutrition Status (p = 0.002, Exp (B) = 2.334).
Analysis of Distribution Patterns of Environmental Risk Factors with Malaria Incidents in the Working Area of the Tanjung Tiram Community Health Center, Batu Bara Regency Nurmala Hayati Sihombing; Theodorus Teddy Bambang Soedjadi; Deli Syaputri; Samuel Marganda Halomoan Manalu; Desy Ari Apsari
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 6, No 1 (2024): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v6i1.17839

Abstract

Environmental conditions have a big influence on the incidence of malaria because a bad environment can increase the breeding and proliferation of Anopheles mosquitoes. The aim of this research is to determine environmental risk factors and distribution patterns of malaria in the Tanjung Tiram Community Health Center working area, Batubara Regency. This research method is analytical observational with a case control research design and an ecological approach. This research was conducted in the working area of the Tanjung Tiram Health Center, Batu Bara Regency, which was carried out from April to July 2023. Population 40,604 people. The sampling technique was purposive sampling so that the research sample was 100 people. Data collection uses questionnaires and observation sheets. Data analysis using the bivariate Chi square test on SPSS version 20 software and Analysis of malaria case distribution mapping using the Geographic Information System (GIS) application to describe the distribution pattern of malaria in Batubara Regency. The results of the study show that there is a relationship between environmental risk factors such as ceilings (p-value=0.000), wall type (p-value=0.000), ventilation (p-value=0.000), wall density (p-value=0.000), partitions on windows (p-value=0.000), the presence of puddles (p-value=0.000), gutters (p-value=0.000) and swamps around the house (p-value=0.000). The distribution of Malaria cases in Tanjung Tiram District, Batubara Regency is not spread across all areas in the district, this means that the highest number of malaria cases occur in mixed plantation areas. By depicting the distribution pattern in the form of a map, it can optimize the reduction in the incidence of malaria cases. Keywords: Environment, Geographic Information System, Malaria
ANALISIS POLA SEBARAN FAKTOR RISIKO LINGKUNGAN DENGAN KEJADIAN MALARIA DI WILAYAH KERJA PUSKESMAS TANJUNG TIRAM KABUPATEN BATUBARA Nurmala Hayati Sihombing; Th. Teddy Bambang
Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) Vol. 18 No. 3 (2023): Jurnal Ilmiah PANNMED Periode September- Desember 2023
Publisher : Poltekkes Kemenkes Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36911/pannmed.v18i3.1700

Abstract

Malaria is an infectious disease caused by the Plasmodium parasite which lives and reproduces in human red blood cells and is naturally transmitted through the bite of female Anopheles mosquitoes. Based on data from the Simalungun District Health Service, there were 955 cases of malaria in 2021 and the highest cases were in the Tanjung Tiram health center working area with 279 cases in 2021. Malaria transmission is influenced by several factors, including parasites, humans, mosquitoes and the environment. Environmental conditions have a big influence on the incidence of malaria, because a bad environment can increase the breeding and breeding of Anopheles mosquitoes. With spatial analysis, a mapping process can be carried out to determine the geographic distribution of potential disease risks and their relationship with existing environmental risk factors. Seeing the fluctuating incidence of malaria, it is necessary to carry out research to determine the distribution pattern and risk of malaria incidence in the working area of the Tanjung Tiram Community Health Center, Batubara Regency. The aim of this research is to determine environmental risk factors and malaria distribution patterns in the Tanjung Tiram health center working area, Batubara Regency. To find out the distribution of environmental risk factors in relation to malaria incidence so that it can provide input for the health service in the context of malaria control activities. Research sampling was carried out using a non-probability sampling method and the results of bivariate data analysis used Chi square. The results of this research are that there is a relationship between environmental risk factors such as ceilings, wall types, ventilation, wall density, screens on windows, the presence of puddles, gutters and swamps around the house with a p value of 0.000 and depicted in a distribution pattern map. which is able to optimize reducing the incidence of malaria cases.
KONSENTRASI ANDALIMAN SEBAGAI DAYA PENOLAKAN NYAMUK SEBAGAI VEKTOR PENYAKIT MENULAR DI KABANJAHE Nurmala Hayati Sihombing; Susanti Br. Perangin-angin
Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) Vol. 19 No. 3 (2024): Vol. 19 No. 3 (2024): Jurnal Ilmiah PANNMED Periode September - Desember 2024
Publisher : Poltekkes Kemenkes Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36911/pannmed.v19i3.2208

Abstract

Andaliman plant (Zanthoxylum acanthopodium) is one of the plants in the province of Sumatera Utara. Andaliman fruit have antioxidant activity, larvacide, analgesic, antimicrobial, and antifungal besides for maintain the color and aroma of food (Ginting et al., 2022). The compounds were flavanoid, saponin, alkaloid, and tannin, where be use cost-effective environment safety. This study aims to determine of protective power fruit andaliman extract as a natural repellent at concentrations 20 gr, 40 gr and 60 gr. The benefits is to determine the protective power of fruit andaliman extract as a repellent, so it can be input for the community and health services in efforts to control infectious diseases by mosquitoes. The research method is experimental (laboratory experiment) with control .The experimental and control groups are compared. The population was all mosquitoes. Sample was 100 mosquitoes for three repetitions; 20 gr, 40 gr and 60 gr of Andaliman fruit extract. Before becoming adult, researchers bred mosquitoes from larvae and provided containers and maintained them until they became adult. Data analysis using One way ANOVA test was conducted to determine whether there was a difference in the effect of each concentration. The results of the study show there is an effect of differences of protective power in each concentration of andaliman extract (p-value=0.000). If sorted from highest to lowest protective power are 60 gr 9 minutes, 60 gr 6 minutes, 40 gr 9 minutes, 60 gr 3 minutes, 20 gr 9 minutes, 40 gr 3 minutes, 40 gr 6 minutes, 20 gr 6 minutes and 20 gr 3 minutes. The results, fruit andaliman extract can be used as a basic igredient repellents, but further research is still needed on the content of the active substances, allergic reactions and sensitivity to skin.
The Effect of Modified Range of Motion Aids on Shoulder-Arm Muscle Strength Mobilization in Post-Mastectomy Patients at Murni Teguh Hospital Siregar, Harijun Kapabella; Sihombing, Nurmala Hayati
Jurnal Ar Ro'is Mandalika (Armada) Vol. 5 No. 3 (2025): JURNAL AR RO'IS MANDALIKA (ARMADA)
Publisher : Institut Penelitian dan Pengembangan Mandalika Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59613/armada.v5i3.5550

Abstract

This study aimed to determine the effect of a modified Range of Motion (ROM) assistive device on the mobilization and muscle strength of the shoulder and arm in post-mastectomy breast cancer patients at Murni Teguh Hospital, Medan. A quantitative experimental method with a one-group pretest–posttest design was used, involving 33 respondents selected through purposive sampling. Data collection was conducted from April to September 2025 using a goniometer to measure shoulder and arm mobility and the Medical Research Council (MRC) Scale to assess muscle strength. Statistical analysis included paired t-tests and N-gain tests to evaluate effectiveness. The results showed a significant improvement in shoulder movements (flexion, extension, abduction, and adduction) after using the modified ROM device, with all movements achieving a significance value of 0.000 (p < 0.05). In terms of effectiveness, the ROM aid was found to be most effective for abduction movements (85.18%), followed by adduction (75.11%) and flexion (74.25%), but less effective for extension (28.92%). The modified tool, made of elastic and soft fabric and rubber, provided comfort, ease of use, and adaptability to patients’ movements. These findings demonstrate that the modified ROM assistive device effectively improves shoulder joint mobility and muscle strength in post-mastectomy patients. Further development and refinement of this device are recommended to enhance its design and therapeutic efficiency in clinical settings.
Intervention to Reduce Stress and Blood Pressure in Hypertension Patients Gultom, Agustina Boru; Batubara, Arbani; Sihombing, Nurmala Hayati
Bubungan Tinggi: Jurnal Pengabdian Masyarakat Vol 7, No 4 (2025): NOVEMBER 2025
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/btjpm.v7i4.16368

Abstract

Hypertension cases at the Mulyorejo Community Health Center, Deli Serdang Regency, continue to rise. The stress experienced by hypertensive patients with high blood pressure requires appropriate management. The community health center has implemented various health initiatives, but further efforts are needed. Therefore, efforts to reduce stress and blood pressure in hypertensive patients were crucial. This community service activity used a Participatory Action Research (PAR) approach to empower hypertensive patients through a progressive muscle relaxation intervention with classical music. Topics covered included understanding hypertension, stress, the relationship between stress and blood pressure, and the implementation of the progressive muscle relaxation intervention with classical music, packaged in a booklet. Before and after the intervention, community service personnel measured stress using the Subjective Units of Distress Scale (SUDS) and blood pressure using an Omron digital sphygmomanometer. The activity was conducted from June to July 2025. The target group was 40 adult hypertensive patients, divided into two groups of 20 participants each from Pujimulyo and Payageli Villages. Results: The Wilcoxon test showed a p-value of 0.0001 for stress and blood pressure, both systolic and diastolic. Participants responded positively to this intervention and will continue it at home. It can be concluded that progressive muscle relaxation intervention with classical music can significantly reduce stress and systolic and diastolic blood pressure in hypertensive patients. These findings indicate the need to integrate this intervention into routine programs at community health centers.