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All Journal Jurnal Ners PROFESSIONAL HEALTH JOURNAL International Journal of Health and Pharmaceutical (IJHP)
Girsang , Ermi
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Health Professions Medicine & Pharmacology Nursing Public Health

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Pengaruh Aktivitas Olahraga dengan Pengetahuan dan Sikap Penderita Diabetes Mellitus Puskesmas Tenayan Raya Ahmadi, Candra; Girsang , Ermi; Nasution , Ali Napiah
Jurnal Ners Vol. 10 No. 1 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.51588

Abstract

Penyakit Diabetes Mellitus (DM) menjadi masalah yang sangat serius kerena mengalami peningkatan dari tahun ke tahun. Penatalaksanaan DM bertujuan untuk menciptakan pola hidup yang sehat dan seimbang. Karena pola hidup yang tidak sehat dan seimbang, akan mengakibatkan komplikasi. Salah satu penatalaksanaan DM adalah aktivitas olahraga. Beberapa upaya untuk meningkatkan aktivitas olahraga adalah peningkatan pengetahuan dan sikap penderita DM. Namun tingkat pengetahuan dan sikap penderita DM belum baik, karena masih terfokus pada pengobatan saja. Tujuan penelitian ini untuk menganalisis pengaruh pengetahuan dan sikap terhadap aktivitas olahraga di Puskesmas Tenayan Raya Pekanbaru. Penelitian ini menggunakan pendekatan kunatitatif dengan desain cross-sectional dan melibatkan 70 responden. Instrument penelitian menggunakan kuesioner aktivitas olahraga, pengetahuan dan sikap penderita DM. Analisis data distibusi responden menggunakan SPSS 25 dan analisis korelasi menggunakan SmartPLS. Uji Validitas dan Reliabilitas dengan menunjukkan hasil Cronbach’s Alpha (CA), Composite Reliability (CR), dan Average Variance Extracted (AVE). Hasil nilai aktivitas olahraga CA = 0.933, CR = 0.937, AVE = 0.625, nilai pengetahuan CA = 0.932, CR = 0.941, AVE = 0.624, nilai sikap CA = 0.929, CR = 0.933, AVE = 0.610. Penelitian ini sangat valid dan reliable. Analisis pengaruh aktivitas olahraga dengan pengetahuan dan sikap adalah signifikan yaitu nilai T-Statisc >1.96 dan p-value < 0.05). Hasil pengaruh aktivitas olahraga dengan pengetahuan adalah nilai T-Statistic = 8.060 (>1.96) dan p-value=0.000 (< 0.05), sedangkan pengaruh aktivitas olahraga dengan sikap adalah nilai T-Statistic = 7.825 (>1.96) dan p-value=0.000 (< 0.05). Hasil penelitian menunjukan ada pengaruh signifikan aktivitas olaharaga yang dilakukan penderita DM dengan pengetahuan dan sikap penderita DM. Temuan ini memperkuat bahwa pengetahuan dan sikap penderita DM sangat berperan penting dalam peningkatan aktivitas olahraga bagi penderita DM.
Cost-Based Evaluation of INA – CBG's Rates in Patients with Type II Diabetes Mellitus Inpatient at Royal Prima Public Hospital Medan Sri Astuti Marpaung, Febri; Girsang , Ermi; Eliza Putri Lubis, Yolanda
International Journal of Health and Pharmaceutical (IJHP) Vol. 3 No. 2 (2023): May 2023
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v3i3.155

Abstract

RSU Royal Prima Medan applies the Indonesian Case Based Groups (INA-CBGs) system as a payment system for health services for JKN-BPJS patients. This study describes the implementation of the INA-CBGs system in inpatients with Type 2 Diabetes Mellitus. This research is descriptive research with a qualitative approach. The population of this study are people who play a role in calculating BPJS financing at RSU Royal Prima Medan. The sample used in this study amounted to 4 informants consisting of 1 informant in the BPJS patient register section, 1 Head informant in the BPJS financing calculation section, and 2 staff informants in the BPJS financing calculation section. Data analysis using the Triagulation method. The results showed that the majority of Type II DM patients at RSU Royal Prima Medan were > 50 years old, as many as 29 patients with a percentage of 85.3%, and 15 patients for male and 19 female patients. The implementation of the INA – CBG's system at RSU Royal Prima Medan for inpatients with Type II DM is in accordance with the procedure, the obstacles faced by officers such as when entering data where there are still many writings from doctors that are difficult to understand, the tariff for INA – CBG's packages for Type II DM patients Hospitalization at RSU Royal Prima Medan is adjusted to the patient's condition and to assess the success of implementing the INA – CBG's system at RSU Royal Prima Medan for inpatients with Type II DM as seen from the hospital's income where during the implementation of the INA-CBGs system the hospital did not experience losses, even hospital revenue exceeds the target to be achieved.
The Effect of Lean Management Implementing in an Efforts to Improve Operational Efficiency in the Emergency Department and Inpatient Units at Royal Prima Hospital, Medan. Ginting, Dicky Owenta; Girsang , Ermi; Siregar, Santy deasy
PROFESSIONAL HEALTH JOURNAL Vol. 8 No. 1 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v8i1.1390

Abstract

Hospitals face increasing pressure to provide timely and high-quality care amid rising patient demand, limited resources, and complex service pathways. Inefficient patient flow between emergency and inpatient services often results in prolonged waiting times, suboptimal bed utilization, and reduced patient satisfaction. Lean management has been applied in healthcare to improve operational performance through the elimination of non-value-added activities. This study evaluated the impact of lean management implementation on operational efficiency in the emergency department to inpatient care pathway at Royal Prima Hospital, Medan. A quantitative quasi-experimental study with a pre-test and post-test design was conducted. Lean management interventions were implemented across the emergency department to inpatient admission process, including waste identification, workplace organization, value stream mapping, and continuous improvement activities. Data were obtained from hospital operational records and structured questionnaires administered to healthcare personnel. Operational efficiency indicators included patient waiting time, bed occupancy rate, average length of stay, turnover interval, bed turnover, and patient satisfaction. Data were analyzed using descriptive statistics, paired statistical tests, Pearson correlation, and simple linear regression at a 95 percent confidence level. Lean management implementation significantly improved operational efficiency. Total waiting time from emergency department admission to inpatient transfer decreased from 135 minutes to 74 minutes, representing a 45 percent reduction. Bed occupancy rate increased from 78 percent to 82%, average length of stay decreased from 4.8 days to 4.1 days, turnover interval declined from 1.9 days to 1.3 days, and bed turnover increased from 42 to 48 cycles. Patient satisfaction increased from 72 percent to 86 percent. Pre-test and post-test analysis showed a statistically significant improvement in operational efficiency (p < 0.05). Lean management significantly enhanced patient flow, bed utilization, and patient satisfaction without additional resource investment. These findings support lean management as a sustainable strategy for improving hospital operational efficiency in high-demand clinical settings.
Co-Authors Candra Ahmadi, Candra Ginting, Dicky Owenta Nasution , Ali Napiah Santy Deasy Siregar Sri Astuti Marpaung, Febri Yolanda Eliza Putri Lubis