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Edukasi Pasien tentang Pemeriksaan Fisik untuk Menurunkan Stress pada Pasien di MCU RSU Royal Prima Medan Debora, Trionyta; Tarigan, Dewi Sartika Br; Hutapea, Dwight Mahaputera Marulitua; Kaban, Karmila Br
Jurnal Mitra Prima Vol. 7 No. 1 (2025): JURNAL MITRA PRIMA
Publisher : Mitra prima

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

Abstract

Stres merupakan respons terhadap ketidakseimbangan antara tuntutan lingkungan dan kemampuan individu untuk mengatasinya, yang dapat berdampak negatif secara kognitif, emosional, dan perilaku, serta memengaruhi kualitas tidur melalui gangguan hormonal seperti peningkatan adrenalin dan kortisol yang menghambat fase tidur penting (REM dan gelombang lambat). Salah satu upaya untuk menurunkan stres adalah dengan meningkatkan pemahaman pasien terhadap prosedur pemeriksaan fisik, dan mendorong keterlibatan aktif dalam menjaga kesehatan. Pemeriksaan fisik mencakup inspeksi, palpasi, perkusi, dan auskultasi bertujuan mengidentifikasi kondisi tubuh sebagai dasar diagnosis medis. Pasien di MCU RSU Royal Prima Medan menunjukkan kesadarang yang baik tentang pentingnya pemeriksaan fisik dalam mengelola stres. Oleh karena itu, diperlukan program penyuluhan melalui edukasi, pendidikan, dan pemberdayaan pasien, didukung pemanfaatan teknologi informasi dan kolaborasi dengan berbagai pihak. Kegiatan ini diharapkan mampu meningkatkan kesadaran pasien tentang pentingnya pemeriksaan fisik sebagai strategi efektif untuk menurunkan stres dan meningkatkan kualitas kesehatan.
Diabetes Compliance Management Revolution in Indonesia: Uncovering the Latest Trends in Continuous Glucose Monitoring (CGM) Usage Hutapea, Dwight Mahaputera Marulitua
Maneggio Vol. 2 No. 3 (2025): Maneggio-June
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/w2w1rx62

Abstract

The prevalence of diabetes in Indonesia continues to increase along with changes in the lifestyle of urban communities who are less active and consume high-sugar and fat foods. Low awareness of early detection and minimal patient compliance with blood glucose monitoring are major challenges in managing this disease. This study uses a qualitative approach with a phenomenological method to explore the subjective experiences of diabetes patients in using Continuous Glucose Monitoring (CGM) technology. The results of the study show that CGM is not only a real-time glucose monitoring tool, but also a trigger for behavioral transformation, self-empowerment, and increased patient compliance. However, structural challenges such as the high price of the device, the fact that CGM has not been guaranteed by BPJS, low digital literacy, and the gap in access between the upper and lower middle economic groups still hinder the widespread implementation of this technology. The adoption of CGM in Indonesia tends to be limited to certain groups, and has not become an integrated national strategy. Therefore, inclusive and data-based health policies, ongoing education, and financial support are needed to ensure equitable access. With a comprehensive systemic approach, CGM has the potential to revolutionize diabetes management towards a more preventive, personal, and sustainable paradigm in Indonesia..
Konseling dan Pemeriksaan Kesehatan Mata pada Pengabdian Masyarakat di Kelurahan Paal Lima Kecamatan Kota Baru Kota Jambi: Pengabdian Rica Tri Septinora; Sri Mulyati; Chrismis Novalinda Ginting; Dwight Mahaputera Marulitua Hutapea; I Nyoman Ehrich Lister
Jurnal Pengabdian Masyarakat dan Riset Pendidikan Vol. 3 No. 4 (2025): Jurnal Pengabdian Masyarakat dan Riset Pendidikan Volume 3 Nomor 4 (April 2025
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jerkin.v3i4.1362

Abstract

Eye health is often overlooked, leading to many eye diseases that, if not properly treated, can cause visual impairment. Visual impairment remains a significant health issue both globally and in Indonesia, as it can interfere with a person’s daily activities. A tangible impact of impaired visual acuity is a decline in academic performance due to difficulty seeing writing from a distance, ultimately preventing children from fully absorbing the lessons taught. This community service activity aims to increase public knowledge and awareness of eye health through health education and direct eye examinations in Kota Baru Sub-district, Jambi City. The methods used include eye examinations, counseling, and distribution of takjil. The results of this service showed strong public enthusiasm and an improvement in understanding the importance of maintaining eye health. This activity is expected to have a long-term impact on healthy lifestyle behaviors related to vision.
FAST FOOD GENERATION: THE RELATIONSHIP BETWEEN JUNK FOOD CONSUMPTION DUE TO NON-COMPLIANCE AND THE SURGE IN CHILDHOOD DIABETES CASES IN URBAN AREAS Hutapea, Dwight Mahaputera Marulitua
MSJ : Majority Science Journal Vol. 3 No. 3 (2025): MSJ-August
Publisher : PT. Hafasy Dwi Nawasena

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61942/msj.v3i3.426

Abstract

Rapid urbanization in Indonesia's urban areas has changed children's food consumption patterns, shifting from fresh and home-cooked foods to junk foods high in calories, saturated fat, sugar, and sodium. This change is driven by easy access, economic dynamics, and exposure to media and massive marketing, which shape food preferences from an early age. A food environment dominated by junk food narrows opportunities for healthy food consumption, while the busy urban pace of life encourages families to choose fast food as a practical solution. Socioeconomic factors influence the type and frequency of consumption, but dependence on junk food occurs across all levels of society. Low parental nutritional literacy, minimal promotional regulations, and the dominance of digital marketing reinforce this trend. Consequently, the risk of obesity and type 2 diabetes in children has increased significantly, exacerbated by a sedentary lifestyle and low physical activity. Physiologically, a diet high in sugar and trans fats triggers insulin resistance, chronic inflammation, and pancreatic β-cell fatigue. This phenomenon demands evidence-based, multidimensional interventions that include marketing regulations, food environment management, school-based nutrition education, and strengthening the role of families. Cross-sector collaboration and a continuous evaluation system are needed to simultaneously change socio-environmental determinants, so as to suppress the rate of the metabolic disease epidemic in urban youth.
Telemedicine in Nursing Practice: Effectiveness and Challenges in Telehealth Hutapea, Dwight Mahaputera Marulitua
Oshada Vol. 2 No. 1 (2025): Oshada Journal - February
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/fvqr4d28

Abstract

Technological advancements in healthcare, particularly through telemedicine, have significantly changed nursing practice. Telemedicine allows nursing personnel to provide consultation, monitoring, and health education remotely, increasing the accessibility of services, and reducing the burden on health facilities. Studies show that telemedicine contributes to improved service efficiency and patient adherence to treatment. However, its implementation still faces challenges, especially in infrastructure readiness, regulations, and ethical and legal aspects. Barriers such as inequality in digital access, limitations in virtual clinical assessment, and digital literacy gaps also affect the effectiveness of this service. This study used a descriptive qualitative approach with thematic analysis method to explore the benefits and challenges of telemedicine in nursing. Data were obtained from 30 nurses experienced in telemedicine services through semi-structured interviews, participatory observation, and policy document analysis. The results showed that although telemedicine improves efficiency and access to health services, challenges such as communication reliability, patient data security, and nursing personnel welfare need further attention. Therefore, an adaptive strategy is needed that includes strengthening policies, developing equitable digital infrastructure, and training health workers so that telemedicine services can be implemented optimally, ethically, and sustainably.
The Impact of Shift Work on Nurses' Mental and Physical Health: A Review of Recent Literature Hutapea, Kimberley Maharani Maulibulung; Hutapea, Dwight Mahaputera Marulitua
Oshada Vol. 2 No. 1 (2025): Oshada Journal - February
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/bvf6gj60

Abstract

Irregular work shifts in the health care system can have a significant impact on the physical and mental health of nurses. This study uses a descriptive qualitative approach to explore the experience of nurses in facing the challenges of shift work. A total of 30 nurses with at least two years of experience in night and rotation shifts were selected as participants. Data were collected through semi-structured interviews, participatory observations, and document analysis. The results showed that changes in circadian rhythm due to shift work had an impact on sleep quality, increasing the risk of fatigue, cognitive impairment, and work errors. In addition, nurses with poor sleep patterns are more prone to metabolic problems such as obesity and diabetes, as well as psychological disorders such as stress and depression. High workloads and a lack of balance between work time and rest contribute to increased burnout rates, which ultimately decreases job satisfaction as well as the quality of health care. Nurses develop individual coping strategies, such as sleep pattern setting, relaxation techniques, and healthy eating, and rely on social support from colleagues and family. Adaptive institutional policies, such as more humane shift rotation and shift duration restrictions, are needed to maintain a balance between nurses' work and personal lives. With a more flexible and healthy work system, the welfare of health workers can be improved, so that the quality of service to patients remains optimal.
Effectiveness of Mobile Health (mHealth) Use in Monitoring Patients with Chronic Diseases: A SWOT Analysis Hutapea, Lyna M. N.; Hutapea, Dwight Mahaputera Marulitua
Oshada Vol. 2 No. 1 (2025): Oshada Journal - February
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/j0qvwm49

Abstract

Chronic diseases, such as diabetes mellitus, hypertension, heart failure and COPD, are the leading causes of morbidity and mortality in Indonesia, putting a strain on the health system and patients' quality of life. Continuous monitoring and effective management are essential, but are often constrained by limited access to healthcare services. Mobile-based health technology, or Mobile Health (mHealth), offers an innovative solution to improve monitoring of patients with chronic diseases, allowing patients to self-monitor their conditions and interact with medical personnel virtually. Despite its great potential, the implementation of mHealth faces challenges such as limited digital infrastructure, access gaps, as well as low digital literacy of patients, especially the elderly and those with low education. To address these challenges, a SWOT analysis was used to identify the strengths, weaknesses, opportunities and threats faced by this technology. The strengths of mHealth lie in real-time monitoring efficiency and accessibility, while the weaknesses lie in infrastructure dependency and potential inequality of access. Opportunities for mHealth development are promising, but face threats such as weak regulations and data misuse. The implementation of mHealth requires comprehensive policies, strict regulations, and continuous education to be effective in improving the quality of chronic disease monitoring in Indonesia
Adherence Trends in the Use of Innovative Drugs for Diabetes: Evaluation of Their Effectiveness and Safety Hutapea, Dwight Mahaputera Marulitua
Oshada Vol. 2 No. 2 (2025): Oshada Journal - April
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/7474ys44

Abstract

Type 2 diabetes mellitus continues to show increasing global and national prevalence, driving the need for more effective and personalized management approaches. Innovative therapies such as SGLT2 inhibitors and GLP1 receptor agonists present as pharmacological solutions with promising cardiovascular and renoprotective benefits. However, the effectiveness of these therapies in clinical practice is determined not only by drug efficacy, but also by patient adherence and health system readiness. This study used a qualitative approach based on literature review to evaluate the challenges of adherence as well as the effectiveness and safety of innovative therapies in type 2 diabetes. The results of the analysis showed that although innovative drugs have been proven effective in clinical studies, response variability and side effects in real practice require realworld evidence (RWE)based monitoring. Obstacles such as high costs, unequal access, and low patient understanding are major barriers to widespread implementation of therapy. Adherenceenhancing strategies, technologybased education, and inclusive financing policies are needed to optimize the benefits of therapy. Thus, successful diabetes management through innovative therapies requires an integration of scientific approaches, public policies, and active patient participation in a fair and responsive health care system.
MENINGKATKAN SELF EFFICACY DAN KESIAPSIAGAAN MASYARAKAT MENGHADAPI ANCAMAN BENCANA KEBAKARAN HUTAN DAN LAHAN (KARHUTLA) Iswadi; Pratiwi, Margareta; Kaban, Karmila Br; Nababan, Tiarnida; Hutapea, Dwight M. M.
Jurnal Mitra Prima Vol. 7 No. 1 (2025): JURNAL MITRA PRIMA
Publisher : Mitra prima

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Abstract

Kebakaran hutan dan lahan (karhutla) telah menjadi bencana tahunan yang berulang di Indonesia, termasuk Provinsi Jambi. Bencana ini tidak hanya menyebabkan kerusakan alam dan lingkungan tetapi juga berdampak fatal pada kesehatan dan ancaman kehidupan masyarakat. Pengabdian ini bertujuan untuk mengidentifikasi kesiapan dan efikasi diri masyarakat menghadapi ancaman serta dampak kesehatan akibat karhutla. Dengan metode Focus Group Discussion (FGD) memberikan sosialisasi dan simulasi sebagai langkah efektif membentuk dan meningkatkan efikasi diri serta memotivasi masyarakat dalam kesiapsiagaan penanganan awal korban bencana dan edukasi preventif penyakit akibat karhutla. Pengabdian ini melibatkan tokoh masyarakat dan tim dari Badan Penanggulangan Bencana Daerah (BPBD) Provinsi Jambi, sehingga bersinergi mendukung program pemerintah meningkatkan peran kemandirian masyarakat mengatasi dampak morbiditas dan mortalitas akibat bencana karhutla.
Edukasi Pasien tentang Pemeriksaan Fisik untuk Menurunkan Stress pada Pasien di MCU RSU Royal Prima Medan Debora, Trionyta; Tarigan, Dewi Sartika Br; Hutapea, Dwight Mahaputera Marulitua; Kaban, Karmila Br
Jurnal Mitra Prima Vol. 7 No. 1 (2025): JURNAL MITRA PRIMA
Publisher : Mitra prima

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

Abstract

Stres merupakan respons terhadap ketidakseimbangan antara tuntutan lingkungan dan kemampuan individu untuk mengatasinya, yang dapat berdampak negatif secara kognitif, emosional, dan perilaku, serta memengaruhi kualitas tidur melalui gangguan hormonal seperti peningkatan adrenalin dan kortisol yang menghambat fase tidur penting (REM dan gelombang lambat). Salah satu upaya untuk menurunkan stres adalah dengan meningkatkan pemahaman pasien terhadap prosedur pemeriksaan fisik, dan mendorong keterlibatan aktif dalam menjaga kesehatan. Pemeriksaan fisik mencakup inspeksi, palpasi, perkusi, dan auskultasi bertujuan mengidentifikasi kondisi tubuh sebagai dasar diagnosis medis. Pasien di MCU RSU Royal Prima Medan menunjukkan kesadarang yang baik tentang pentingnya pemeriksaan fisik dalam mengelola stres. Oleh karena itu, diperlukan program penyuluhan melalui edukasi, pendidikan, dan pemberdayaan pasien, didukung pemanfaatan teknologi informasi dan kolaborasi dengan berbagai pihak. Kegiatan ini diharapkan mampu meningkatkan kesadaran pasien tentang pentingnya pemeriksaan fisik sebagai strategi efektif untuk menurunkan stres dan meningkatkan kualitas kesehatan.