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All Journal Media Kesehatan Masyarakat Indonesia Jurnal Kesehatan Lingkungan indonesia JURNAL PROMOSI KESEHATAN INDONESIA Majalah Kedokteran Bandung Indonesian Journal of Urology JIMKesmas (Jurnal Ilmiah Mahasiswa Kesehatan Masyarakat) The Indonesian Journal of Public Health The Indonesian Biomedical Journal BIOMA BIOLINK (Jurnal Biologi Lingkungan, Industri, Kesehatan) Journal Of Vocational Health Studies Jurnal Profesi Medika: Jurnal Kedokteran dan Kesehatan Jurnal Penelitian Pendidikan IPA (JPPIPA) Syntax Literate: Jurnal Ilmiah Indonesia Jurnal Kesehatan Komunitas Buletin Farmatera Jurnal Kesehatan Medika Saintika Jurnal Keperawatan Silampari Jurnal Keperawatan Muhammadiyah Journal of Health Science and Prevention SCIENTIA JOURNAL Jambura Journal of Health Sciences and Research Journal of Humanities and Social Studies Majalah Kedokteran Andalas Poltekita : Jurnal Ilmu Kesehatan JURNAL MUTIARA KESEHATAN MASYARAKAT Jurnal Kesmas Prima Indonesia Contagion: Scientific Periodical Journal of Public Health and Coastal Health Health Information : Jurnal Penelitian PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Prima Medika Sains Jurnal Ners An-Nadaa: Jurnal Kesehatan Masyarakat Journal of Telenursing (JOTING) Jurnal Aisyah : Jurnal Ilmu Kesehatan Science Midwifery INFOKUM Jurnal Penelitian Pendidikan, Psikologi Dan Kesehatan (J-P3K) Jurnal Scientia Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences JOURNAL LA MEDIHEALTICO PRIMER (Prima Medical Journal) Archives of The Medicine and Case Reports Jurnal EduHealth Jurnal Ekonomi Multidiciplinary Output Research for Actual and International Issue (Morfai Journal) INTERNATIONAL JOURNAL OF CULTURAL AND SOCIAL SCIENCE International Archives of Medical Sciences and Public Health International Archives of Medical Sciences and Public Health JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan) Buletin Kedokteran dan Kesehatan Prima Indonesian Journal of Cancer International Journal of Health and Pharmaceutical (IJHP) Jurnal Ilmiah Ilmu Terapan Universitas Jambi Journal Research of Social Science, Economics, and Management Cerdika: Jurnal Ilmiah Indonesia Ibnu Sina: Jurnal Kedokteran dan Kesehatan - Fakultas Kedokteran Universitas Islam Sumatera Utara Eduvest - Journal of Universal Studies JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Haga Journal of Public Health (HJPH) The International Journal of Medical Science and Health Research Folia Medica Indonesiana
Sri Lestari Ramadhani Nasution
Universitas Prima Indonesia
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ANALYSIS OF LEADERSHIP AND MANAGEMENT GOVERNANCE IN THE ACCREDITATION POLICY OF MEDAN CITY AIR FORCE HOSPITAL Lisa Yunita Marnas; Ermi Girsang; Sri Lestari Ramadhani Nasution
Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 6 No. 3 (2026): Multidiciplinary Output Research For Actual and International Issue
Publisher : RADJA PUBLIKA

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Abstract

Hospital management, leadership, and governance have an important role in ensuring the successful implementation of hospital accreditation policies. This study aims to analyze the influence of leadership and management governance on the implementation of accreditation policies at the Medan City Air Force Hospital. This study uses a mixed-methods approach with a sequential explanatory design, in which quantitative research is conducted first, followed by qualitative analysis to deepen the research findings. The quantitative sample comprised 80 health workers and managerial staff, selected using the total sampling technique. At the same time, qualitative data were obtained through purposive sampling involving five key informants: the hospital head, the hospital secretary, and the head of the installation. Data were collected through structured questionnaires with a Likert scale, in-depth interviews, observations, and document review. Quantitative data were analyzed using descriptive statistics and multiple linear regression, while qualitative data were analyzed using thematic analysis. The results showed that leadership had a significant effect on the implementation of hospital accreditation policies (β = 0.228; p < 0.05). Management governance also exerted a significant influence on the implementation of accreditation policies (β = 0.716; p < 0.05). These findings show that effective leadership and good management governance are important factors in strengthening the hospital's quality management system and ensuring the sustainability of accreditation implementation.
DIABETIC FOOT EXERCISE AS AN INTERVENTION TO IMPROVE FOOT HEALTH IN ELDERLY PATIENTS WITH TYPE 2 DIABETES MELLITUS: A STUDY AT PRATAMA PRIMA MELATI CLINIC Nasution, Ali Napiah; Sri Lestari Ramadhani Nasution; Sri Wahyuni Nasution
International Archives of Medical Sciences and Public Health Vol. 6 No. 2 (2025): International Archives of Medical Sciences and Public Health
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/iamsph.v6i2.956

Abstract

Diabetic food complications are among the most serious challenges faced by elderly individuals with type 2 diabetes mellitus (T2DM), often leading to reduced mobility, diminished quality of life, and a heightened risk of ulceration. This study evaluated the effectiveness of diabetic foot exercise as a non-pharmacological intervention to improve foot health in older T2DM patients. Using a quasi-xperimental pre-test - post-test design, participants at Pratama Prima Melati Clinic were assigned to either an intervention group or a control group. The control group received standard care, while the intervention group performed structured diabetic foot exercises three times per week for four weeks. Foot health outcomes, including circulation, sensitivity, and range of motion, were assessed using standardized clinical tests before and during the intervention. Results showed that the intervention group demonstrated significant improvements in circulation, neuropathic symptoms, and joint flexibility compared to the control group (p < 0.05). These findings suggest that diabetic foot exercise is an effective strategy to enhance foot health and potentially prevent complications in elderly T2DM patients. Incorporating such exercise programs into primary healthcare practice is strongly recommended to support comprehensive diabetes control management.
DIABETIC FOOT EXERCISE AS AN INTERVENTION TO IMPROVE FOOT HEALTH IN ELDERLY PATIENTS WITH TYPE 2 DIABETES MELLITUS: A STUDY AT PRATAMA PRIMA MELATI CLINIC Nasution, Ali Napiah; Sri Lestari Ramadhani Nasution; Sri Wahyuni Nasution
International Archives of Medical Sciences and Public Health Vol. 6 No. 2 (2025): International Archives of Medical Sciences and Public Health
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/iamsph.v6i2.956

Abstract

Diabetic food complications are among the most serious challenges faced by elderly individuals with type 2 diabetes mellitus (T2DM), often leading to reduced mobility, diminished quality of life, and a heightened risk of ulceration. This study evaluated the effectiveness of diabetic foot exercise as a non-pharmacological intervention to improve foot health in older T2DM patients. Using a quasi-xperimental pre-test - post-test design, participants at Pratama Prima Melati Clinic were assigned to either an intervention group or a control group. The control group received standard care, while the intervention group performed structured diabetic foot exercises three times per week for four weeks. Foot health outcomes, including circulation, sensitivity, and range of motion, were assessed using standardized clinical tests before and during the intervention. Results showed that the intervention group demonstrated significant improvements in circulation, neuropathic symptoms, and joint flexibility compared to the control group (p < 0.05). These findings suggest that diabetic foot exercise is an effective strategy to enhance foot health and potentially prevent complications in elderly T2DM patients. Incorporating such exercise programs into primary healthcare practice is strongly recommended to support comprehensive diabetes control management.
Pengaruh kualitas pelayanan kesehatan terhadap kepuasan pasien hipertensi: studi cross-sectional Syahputra, Nedi; Girsang, Ermi; Nasution, Sri Lestari Ramadhani
Haga Journal of Public Health (HJPH) Vol. 3 No. 2 (2026): Maret 2026
Publisher : YAYASAN VICTORY HAGA INDONESIA

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Abstract

Latar belakang: Individu yang terkena hipertensi membutuhkan pelayanan kesehatan yang berkesinambungan, terintegrasi, dan berkualitas untuk mengendalikan tekanan darah serta mengurangi risiko komplikasi yang serius. Oleh karena itu, kualitas pelayanan kesehatan menjadi faktor penentu utama dalam keberhasilan pengelolaan penyakit dan tingkat kepuasan pasien. Penelitian ini bertujuan untuk mengetahui pengaruh kualitas pelayanan kesehatan terhadap kepuasan pasien hipertensi. Metode: Penelitian ini menggunakan pendekatan cross-sectional. Populasi penelitian adalah seluruh pasien hipertensi yang menerima layanan rawat jalan di Puskesmas Labuhan Bilik pada bulan Mei 2023, dengan jumlah 200 orang. Sampel ditentukan menggunakan metode total sampling, sehingga diperoleh 200 responden. Data dikumpulkan menggunakan kuesioner terstruktur. Analisis data dilakukan dengan uji chi-square menggunakan aplikasi SPSS versi 26. Hasil: Hasil penelitian menunjukkan bahwa kehandalan (p= <0,001), daya tanggap (p = <0,001), kepedulian (p = <0,001), jaminan (p = <0,001) berpengaruh signifikan terhadap kepuasan pasien hipertensi, sedangkan variabel bukti fisik tidak berhubungan secara signifikan terhadap kepuasan pasein (p = 0,155). Kesimpulan: Kehandalan yang kurang baik, daya tanggap yang kurang baik, kepedulian dan jaminan yang kurang baik berhubungan signifikan terhadap kepuasan pasien.
Co-Authors Achmad Noerkhaerin Putra Adnan, Maco Chan Adrian Adrian Agnes Yohana Kristino Ahmad Affandi Akbarinda, Zsizsi Alexander Angkasa Ali Napiah Nasution Amanda, Silvia Rizki Anggita, Nindi Dwi Anggraini, Tri Lidya Anita Merry Cisca Anjasari, Melati Salsabila Arie - Vonikartika Arum Grahini Kusumadewi Astari Wardiah Aulia, Dinda Rahmah Awanis Awanis Ayu Anggraini Bangun Binarwan Halim Br Pintubatu, Christina Delina Butar-Butar, Erika Fatrecia Marsaulina Buulolo, Netralman T.N Chrismis N. Ginting Chrismis Novalinda Ginting Chrismis Novalinda Ginting Christine Christine Christine Wijaya Christine Yennyanti Clinton Antony Clinton Antony Crismis Novalinda Ginting Cyintia Ginting Daulay, Ayu Sasmita Dessy Angraeni Siregar Dewi Purwanti Dewi Sartika Dhyta Nurhasanah Janas Diaz Farrasizdihar Dicca Brentazzoly Br Tarigan Disti Amanda Putri Duha, Kristin Berlianta Dzul Akbar Insani Erawati, Suci Erda, Roza Erisman Hondro Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Ervineco Limestan Farhan Fachrizal Farrasizdihar, Diaz Febrianty, Novita Dwi Ferdinan, Klaus Fitrianto, Rahmad Friska SR Ginting, Chrismis Novalinda Ginting, Crismis Novalinda Ginting, Ermi Ginting, Predy Roy Suranta Ginting, Sopianita Healthy Girsang, Ermi Girsang, Ermi Girsang, Erni Gontana, Tiffany Gunawan, Herry Gusbakti Gusbakti Hafizah, Nandani Zakia HAMSI, QURATUL AINI Harahap, S. Shelly Hazlina Harahap, Vinnie Hazriah Hasibuan, Amalia HILMAN TADJOEDIN, HILMAN Hulu, Welpin Hutabarat, Yohana Candra Andini Ibnu Rushd Idariani, Idariani Insani, Dzul Akbar irza Haicha Pratama Ismar, Elza Fahliza Johannes Bastira Ginting John Handy Mendrofa Juanda, Lidya Sari Juwita Hotmida Sitorus Kaban, Lyta Imanti Kangga, Elizabeth Kartika, Ferina Kenny Halim Kezia Debora Khainir Akbar Kristino, Agnes Yohana Leli Khairani Liani Br Ginting Liena, Liena Liester, I Nyoman Ehrich Lisa Yunita Marnas Lister, I Nyoman Ehrich Lubis, Maas Lubis, Nurul Sri Finna M. Ridho Fitra Alamsya Mangatas Silaen Manurung, Charles Mare A, Fauzan Maria Seri Arihta Maulidin, Muhammad Maulina, Febby Meliala, Yose Marselius A.P. Melysa, Melysa Mendrofa, Trisman Basri Mendrofa, Tuho Konsultasi Milka Rositi Sianipar Molek, Molek Morgan, Julian Muhammad Ari Pratama Muhammad Faridz Syahrian Muhammad Insan Andika Muhammad Maulidin Muhammad Maulidin Muhammad Maulidin Muhammad Rinaldy Muryadi, Elvaro Islami Nadia Zenni Andari Nadratul Ulya Nasution, Ahmad Fuadi Nasution, Ali Napiah Nasution, Muhammad Andriady Saidi Natali, Oliviti Nerseri Barus Njoto, Lina Noni Rokaya Pasaribu Oliviti Natali Padma Sekar Ayu Putri Prahasta Pane, Reybka Cindy Sitorus Parapat, Winny G I Paulina, Elsa Piety Kristiani Wau Primanita Novi Andriati Purba, Amelia Salsabila Putranto Manalu Putri Satriani Dachi Putri, Monica Putri, Nadya Nazimuddin Rapael Ginting Reh Malem br Karo Restin Julianti Zebua Revina, Monica Rezeki, Naomi Grace Ria Hartaty Rushe, Rhesiwenny S. Shelly Hazlina Hararap Santy, Darnedy Fatwa Mely Saud Parulian Harianja Sawato Zebua Setia Budi Simbolon, Boyke Marthin Sinaga, Ade Sindy Zelvia Sinta Ayu Setiawan Sintiya Hamdi Siregar, Fitria Desiana Siregar, Hafiz Hawari SITI AMINAH Sitompul, Fernades Stiven Elsafarindo Suci Erawati Suhartina Suhartina Suhartina Suhartina, Suhartina Sulistijanto, Eddy Suryana, Kresna Dharma Suyono, Tan Syahputra, Ari Denggan Syahputra, Nedi Syahrian, Muhammad Faridz Tamarin, Tamarin Tan Suyono Tan Suyono Tarigan, Gracia Hosanna Evelyn Tarigan, Setia Budi Thomson Parluhutan Nadapdap, Thomson Parluhutan Tiorismasni Zai Tommy Adhi Wijaya Tuho Konsultasi Mendrofa Ummi Kalsum Vonikartika, Arie - Waoziduhu Ndruru Wau, Reynel Putri Pratiwi Widya Yanti Sihotang Wienaldi, Wienaldi Wika Hanida, Wika Winda Tri Mutia Winvi, Feli Clarisa Yeni Puspawani Yuke Armika Yuliani Yuliani Yuliani, Riski Yurlina Zai Zai, Yurlina Zebua, Sawato Zelvia, Sindy Zendrato, Arisman