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All Journal Jurnal Penelitian Kesehatan Suara Forikes Contagion: Scientific Periodical Journal of Public Health and Coastal Health Jurnal Scientia JOURNAL LA MEDIHEALTICO Ahmar Metastasis Health Journal (AMHJ) International Archives of Medical Sciences and Public Health COMSERVA: Jurnal Penelitian dan Pengabdian Masyarakat International Journal of Health and Pharmaceutical (IJHP)

Sri Wahyuni Nasution

Departemen Kedokteran Tropis, Universitas Prima Indonesia, Medan, Sumatera Utara, Indonesia

Author-ID : 6952525

Religion Humanities Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Industrial & Manufacturing Engineering Mathematics Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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The Effect of Laughter Therapy, a Low-Salt Diet, Exercise, and Physical Activity on Reducing Blood Pressure in Elderly Patients at the Sei Kepayang Timur Community Health Center, Asahan Regency RAngelin Purba, Rona; Wahyuni Nasution, Sri; Wienaldi, Wienaldi
International Journal of Health and Pharmaceutical (IJHP) Vol. 5 No. 4 (2025): November 2025 ( Indonesia - Thailand)
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v5i4.502

Hypertension is a common health problem among the elderly and carries a risk of increasing cardiovascular complications. Non-pharmacological efforts such as laughter therapy, a low-salt diet, exercise, and physical activity are important strategies in controlling blood pressure. This study aims to analyze the effectiveness of laughter therapy, a low-salt diet, exercise, and physical activity on reducing blood pressure in elderly patients at the Sei Kepayang Timur Community Health Center in Asahan Regency. The study used a quasi-experimental design with a pre-test and post-test control group approach. The number of respondents was 60 elderly people who were divided equally into an intervention group of 30 people and a control group of 30 people. Data were analyzed using comparative statistical tests (paired t-test and chi-square test) with a significance level of p < 0.05. The results showed that in the intervention group, there was a decrease in mean systolic blood pressure from 150.2 mmHg to 135.4 mmHg, with a difference of 14.8 mmHg (p = 0.000), and a decrease in diastolic blood pressure from 93.2 mmHg to 84.4 mmHg, with a difference of 8.8 mmHg (p= 0.000). Other interventions, including a low-fat diet, exercise, and physical activity, were also shown to be effective in reducing both systolic and diastolic blood pressure. In conclusion, laughter therapy, a low-salt diet, exercise, and physical activity are effective in reducing blood pressure in the elderly. Based on these study results, the elderly are advised to regularly engage in laughter therapy, maintain a low-salt diet, and increase physical activity and exercise. Health institutions need to integrate this non-pharmacological intervention program into promotive and preventive services. Future research is expected to examine long-term effectiveness and expand the sample size.

Overcoming Implementation Barriers in a Qualitative Study of the Supplementary Feeding Program for Malnourished Toddlers in Rural Indonesia Sri Wahyuni Nasution; Yerniyanti Lahagu; Chrismis Novalinda
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 1 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i1.24365

Nutritional problems among toddlers, particularly malnutrition, remain a significant public health concern in Indonesia. The Supplementary Feeding Program (PMT) is a key government initiative that utilizes local food resources to improve the nutritional status of children under five. However, the program continues to face several implementation challenges that must be addressed to ensure its effectiveness. This study aimed to identify the challenges and solutions associated with the implementation of the PMT in the Sei Mencirim Health Center area, Deli Serdang Regency. A qualitative case study design was employed, involving eight key informants comprising health workers, posyandu cadres, and parents of PMT recipients. Data were collected through in-depth interviews and analyzed thematically using the Miles and Huberman framework, which includes data reduction, data display, and verification. The findings revealed several key challenges: untimely distribution of PMT, declining food quality, budget constraints, low parental education levels, and limited parental involvement in program monitoring. To address these issues, a range of targeted solutions was implemented, including the formation of dedicated distribution teams, menu standardization, establishment of centralized food processing sites, improved data accuracy, continuous staff training, enhanced cross-sector coordination, and routine monitoring and evaluation. These interventions led to a 35% improvement in the timeliness of PMT distribution and a 50% increase in family participation, contributing positively to the nutritional outcomes of toddlers. In conclusion, targeted interventions and multisectoral collaboration significantly enhanced the effectiveness of PMT implementation in the study area. Keyword: Supplementary Feeding Program, Toddlers, Implementation Challenges, Nutritional Status, Qualitative Study.

Determinants of Social Health Insurance Administration Body Participant Satisfication with Outpatient Installation Services Marisi Malau; Ermi Girsang; Sri Lestari Ramadhani Nasution; Ali Napiah Nasution; Sri Wahyuni Nasution
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 6, No 2 (2024): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v6i2.20308

This study aims to analyze the determinants that affect the satisfaction of BPJS participants with outpatient installation services at Royal Prima Marelan Hospital. Patient satisfaction is an important indicator in assessing the quality of health services, especially in the National Health Insurance (JKN) program organized by BPJS. The research method used is observational analysis with a cross-sectional approach. The research sample consisted of 232 respondents selected through the purposive sampling method, namely BPJS participant patients who visited the outpatient installation of the Royal Prima Marelan Hospital. The variables analyzed included membership status, perception of service procedures (registration), perception of human resource services (health workers), perception of drug services (pharmacy), and perception of facilities. Data collection was carried out using a structured questionnaire that included the dimensions of these services. Data analysis involves univariate tests, bivariates with chi-square tests, and multivariates to determine dominant factors. The results showed that 83.3% of respondents were satisfied with the service, while the rest felt less satisfied. The factors that had a significant relationship with patient satisfaction were perception of service procedures (p=0.004), perception of human resource services (p=0.039), perception of drug services (p=0.000), and perception of facilities (p=0.011). The perception of drug services has the greatest influence on the satisfaction of BPJS participants. These results suggest that the accuracy, availability, and ease of access of medications greatly contribute to satisfaction rates. The conclusion of this study is that improving the quality of significant service factors, especially related to drug services and facilities, needs to be a priority for hospitals to increase the satisfaction of BPJS participants. This research is expected to be a reference for policymakers in designing strategies to improve health services, especially at the Royal Prima Marelan Hospital.Keywords: Hospital, Installation Services, Outpatient, Social Health Insurance Administration

Integrated Marketing Communication Strategy To Increase The Number Of Outcoming Visits At Royal Prima Hospital Soraya, Annisa; Wahyuni Nasution, Sri; Girsang, Ermi; Novalinda Ginting, Chrismis
International Journal of Health and Pharmaceutical (IJHP) Vol. 2 No. 2 (2022): May 2022
Publisher : CV. Inara

Competition in a healthy hospital business lies in how to maintain patient trust as consumers or how to grow trust in prospective patients as consumers so that they want to seek treatment at the hospital. Integrated Marketing Communication (IMC) has great potential in influencing business performance, to give hospitals a competitive advantage. This study aims to analyze making a strategy to create an Integrated Marketing Communication strategy in order to increase the number of outpatient visits at the Royal Prima Hospital. This type of research is a qualitative research. The location of this research was conducted at the Royal Prima Hospital. Research informants are 1 head of outpatient installation, 3 medical staff, 3 old patients, 3 new patients. Data were collected by FGD, questionnaire, observation. The results show that the advertising strategy as part of increasing the number of outpatient visits at the Royal Prima Hospital has been carried out by the marketing department both with print media and electronic media, the personal selling strategy as part of increasing the number of outpatient visits at the Royal Prima Hospital has not been implemented. optimally, the public relations strategy as part of increasing the number of outpatient visits at the Royal Prima Hospital has been implemented well, the direct marketing strategy as part of increasing the number of outpatient visits at the Royal Prima Hospital in writing is good but verbal delivery is not optimal , the word of mouth strategy as part of increasing the number of outpatient visits at the Royal Prima Hospital in writing has been good but the verbal implementation has not been carried out properly. The results of this study suggest that the hospital evaluates the

The Effect Of The Supply Of Personal Protective Equipment, Implementation Of Health Protocol, And Patient Honesty On The Safety Of Health Personnel In The Er And Infantry Room Of Pure Teguh Hospital Linawaty, Linawaty; Novalinda Ginting, Chrismis; Wahyuni Nasution, Sri; Girsang, Ermi
International Journal of Health and Pharmaceutical (IJHP) Vol. 2 No. 2 (2022): May 2022
Publisher : CV. Inara

Many health workers in the world have been exposed and some have even died from COVID-19, which is currently a global pandemic. This is thought to be influenced by the personal protective equipment used by health workers, the implementation of health protocols carried out by health workers, and the honesty of patients in conveying their complaints, contact, and travel history. This study aims to determine the effect of the supply of personal protective equipment, implementation of health protocols, and patient honesty on the safety of health workers in the emergency department and inpatient rooms at Murni Teguh Hospital. This type of research is quantitative. The research sample was 100 health workers working in the emergency room and the inpatient room at Murni Teguh Hospital. The results of the chi-square test showed that there was a significant relationship between PPE supply (p=0.000), implementation of health protocols (p=0.003), and patient honesty (p=0.000) on the safety of emergency room health workers and inpatient rooms at Murni Teguh Hospital. The most influential variable is the supply of personal protective equipment (Sig.0.000). It is recommended that hospitals continue to maintain a supply of personal protective equipment to support the safety of health workers in hospitals. Health workers are expected to increase awareness of the use of personal protective equipment and the implementation of health protocols.

Analysis Utilization Of Online Self-Assessment Application (Aladin) In The Licensing Process Of Clinical And Pharmacy Office Of Investment And One Door Integrated Service In Medan City Year 2021 Leksmana, Oki; Lestari Ramadhani Nasution, Sri; Novalinda Ginting, Chrismis; Napiah Nasution, Ali; Wahyuni Nasution, Sri
International Journal of Health and Pharmaceutical (IJHP) Vol. 2 No. 3 (2022): August 2022
Publisher : CV. Inara

The use of information and communication technology itself has grown rapidly throughout the world during the COVID-19 pandemic. Developed countries that have succeeded in reducing the number of COVID-19 cases have used various methods of using information and communication technology. Such as the use of tracking applications installed on cellular phones, payments using mobile payment applications, the installation of infrared heat detection cameras at the entrances of public places and crowds, even smart watches with applications that can collect data on heart rate, body temperature, and sleep patterns to detect signs of viral illness.The purpose of this study was to analyze the use of the Online Self-Assessment Application (Aladin) in the licensing process for clinics and pharmacies at the Medan City Investment and One Stop Integrated Service Office in 2021.This research is a descriptive type with a quantitative approach. In this survey research, a questionnaire is used as a research instrument, in the form of a sheet containing several questions with a standard structure as a research instrument. Based on the results of research from several journals using TAM analysis, it was found that perceived ease of use and perceived usefulness had a positive and significant effect on attitudes toward using and actual system use. Their research results show that perceived ease of use and perceived usefulness have a positive and significant effect on attitudes toward using and actual system use.

Implementation Of Minimum Service Standards (Mss) In The Pharmaceutical Field At Pharmaceutical Installations At Royal Prima Hospital Amelia, Firdha; Kaban, Karmila; Wahyuni Nasution, Sri; Khu, Adrian
International Journal of Health and Pharmaceutical (IJHP) Vol. 2 No. 4 (2022): November 2022
Publisher : CV. Inara

Minimum Service Standards (MSS) are provisions regarding the type and quality of basic services which are mandatory regional affairs that every citizen has the right to obtain at a minimum. Withthe preparation of MSS, it is hoped that it can help implement the implementation of Minimum Service standards in hospitals. Knowing the implementation of minimum service standards (MSS) for the pharmaceutical hospital in the pharmacy installation of Royal Prima Hospital. The type and design of this research are qualitative. The population in this study was 5 informants. The results showed that the minimum service standards consisting of medication errors, writing drugs according to the formulary, patient satisfaction, and waiting time for drugs had been carried out at Royal Prima Hospital. Based on the results of research on the implementation of minimum service standards (MSS) for the pharmacy sector at the pharmacy installation of Royal Prima Hospital, it can be concluded that the minimum service standards consist of medication errors, drug writing according to the formulary, patient satisfaction and waiting time for drugs have been carried out. at the Royal Prima Hospital.

The Effect Of Implementation Of Patient Identification Based On The Pall Accreditation Standards On Improving The Patient Safety Program At Royal Prima General Hospital In 2022 Silalahi, Yosiana; Wahyuni Nasution, Sri; Novalinda Ginting, Chrismis
International Journal of Health and Pharmaceutical (IJHP) Vol. 2 No. 4 (2022): November 2022
Publisher : CV. Inara

Patient safety is a variable to measure and evaluate the quality of nursingservices that have an impact on health services. One of the safety services inhospitals starts from the accuracy of patient identification. Patientidentification errors at the beginning of the service will continue to the nextservice error. The purpose of this study was to determine how the effect ofimplementing patient identification based on JCI accreditation standards onimproving the Patient Safety program at Royal Prima Hospital. This type ofresearch is a quantitative study with a cross-sectional design. Samplingtechnique The sampling technique in this study was to use the Slovinformula with a total sample of 124 patients. Data analysis in this study usedunivariate and bivariate analysis. The results of the study explained thatthere was an influence between the implementation of patient identificationbased on the Plenary accreditation standard to the improvement of thePatient Safety program at the Royal Prima Hospital Medan with ap value of<0.007. Through this research, it is hoped that the Royal Prima HospitalMedan can improve the quality of nursing services, especially in theimplementation of identification based on the Plenary AccreditationStandards.

Analysis Of Government Sourcing Health Financing With District Health Account (DHA) Approach In Deli Serdang Regency, 2018-2020 Haryani, Novita; Wahyuni Nasution, Sri; Novalinda Ginting, Chrismis
International Journal of Health and Pharmaceutical (IJHP) Vol. 2 No. 4 (2022): November 2022
Publisher : CV. Inara

Improving the health status of a community according to the World Health Organization (WHO) requires a minimum budget of 5% - 6% of the total state budget of a country, while to achieve the ideal health status a budget of 15% - 20% of the state budget is needed. A large enough budget is needed because health costs are quite high, while health must still be a priority because it is an investment to improve the health and productivity of its citizens. The District Health Account is a systematic, comprehensive and consistent way of monitoring the flow of funds/financing to the health system in a district/city. The purpose of this study was to analyze government-sourced health financing with a district health account (DHA) approach in Deli Serdang Regency in 2018-2020. This type of research is a quantitative study with a crosssectional design. Sampling technique The sampling technique in this study was the total population, that is, the entire population was used as the research sample. The results of the study explain that the source of health costs, health financing budget managers, health financing service providers, types of health financing activities, health financing budget items, types of health financing programs. levels of government-sourced health financing programs and beneficiaries of government-sourced health financing in Deli Serdang Regency in 2018-2020 all went well. types of health financing activities, health financing budget items, types of health financing programs. levels of governmentsourced health financing programs and beneficiaries of government-sourced health financing in Deli Serdang Regency in 2018-2020 all went well. types of health financing activities, health financing budget items, types of health financing programs. levels of government-sourced health financing programs and beneficiaries of government-sourced health financing in Deli Serdang Regency in 2018-2020 all went well.

Analysis Of Implementation Of Drug Inventory Control Using Abc-Eoq-Rop-Ss Method At Arun Hospital Lhokseumawe Asthariq, Miftah; Wahyuni Nasution, Sri; Lestari Ramadhani Nasution, Sri
International Journal of Health and Pharmaceutical (IJHP) Vol. 2 No. 4 (2022): November 2022
Publisher : CV. Inara

The pharmaceutical installation of Arun Hospital Lhokseumawe currently uses the consumption method in controlling drug supply, this method has a weakness, in the shortcomings and advantages of drugs that are difficult to rely on, but the ABC-EOQ-ROP-SS method can answer the weaknesses of the consumption method. The purpose of this study is to provide a choice of other methods for controlling drug inventory at Arun Hospital Lhokseumawe. This study is a mix-method study with retrospective data for quantitative data and primary data for qualitative data. The study was conducted at Arun Hospital Lhokseumawe from October 2021 to November 2021. The research population used was all drug items during August 2020, totaling 269 items. The ABC method is used to group drug items into 3 groups, the EOQ method is used to determine the number of drugs to be ordered in the next order, the ROP method is used to determine when to order drugs at the next time and the SS method is used to determine safety stock. The results showed the results of the ABC method group A were 59 items, B were 64 items, and C were 146 items, the results of the EOQ method group A were 414 - 159, B was 414 – 159, and C was 778 - 1407 for certain types of drugs, the results of the method The ROP of group A were 12,027 – 962, group B was 6014 – 20,045 and group C was 3007 – 200 for certain types of drugs. The results of the SS method group A were 627 – 50, B was 314 -1054, and C was 157 – 11 for certain drug groups. Suggestions for Arun Hospital Lhokseumawe to try methods of controlling drug supplies other than the consumption method so that efficiency in managing drug supplies can be increased. good and can provide training to human resources at the pharmacy installation of Arun Hospital Lhokseumawe related to controlling the supply of drug needs.

Co-Authors Ali Napiah Nasution Ali Napiah Nasution Asthariq, Miftah Ayura, Bebie Chrismis Novalinda Chrismis Novalinda Ginting Chrismis Novalinda Ginting Edwin Sani Erico Simaremare Ermi Girsang Ermi Girsang Farida Meisari Harahap Firdha Amelia, Firdha Ginting , Chrismis Novalinda Ginting, Chrismis Novalinda Girsang, Ermi Girsang, Ermi Haryani, Novita intan permata sari Kaban, Karmila Khu, Adrian Leksmana, Oki Lestari Ramadhani Nasution, Sri Linawaty, Linawaty Marisi Malau Muhammad Luthfi Napiah Nasution, Ali Nasution, Ali Napiah Nathania Pamphila Panduwinata, Widya Qori Fadillah RAngelin Purba, Rona Rapael Ginting Saud Parulian Harianja Sena Oktarida Silalahi, Yosiana Sinaga, Perwita Sari Siska Jayanthi Putri Soraya, Annisa Sri Lestari Ramadhani Nasution Timotius Girsang, Ronaldo Widya Panduwinata Wienaldi, Wienaldi Yerniyanti Lahagu

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