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All Journal Media Kesehatan Masyarakat Indonesia Jurnal Kesehatan Lingkungan indonesia JURNAL PROMOSI KESEHATAN INDONESIA Majalah Kedokteran Bandung JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) JIMKesmas (Jurnal Ilmiah Mahasiswa Kesehatan Masyarakat) The Indonesian Journal of Public Health 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 JURNAL MUTIARA KESEHATAN MASYARAKAT Contagion: Scientific Periodical Journal of Public Health and Coastal Health 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 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 eJournal Kedokteran Indonesia International Journal of Health and Pharmaceutical (IJHP) Cerdika: Jurnal Ilmiah Indonesia Ibnu Sina: Jurnal Kedokteran dan Kesehatan - Fakultas Kedokteran Universitas Islam Sumatera Utara Haga Journal of Public Health (HJPH)

Nasution, Sri Lestari Ramadhani

Universitas Prima Indonesia

Author-ID : 980167

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Evaluasi efektivitas penggunaan metode anjungan pendaftaran mandiri: studi kualitatif Harahap, S. Shelly Hazlina; Girsang, Ermi; Nasution, Sri Lestari Ramadhani
Haga Journal of Public Health (HJPH) Vol. 2 No. 3 (2025): Juli 2025
Publisher : YAYASAN VICTORY HAGA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62290/hjph.v2i3.57

Latar belakang: Anjungan Pendaftaran Mandiri (APM), yang berbasis aplikasi, merupakan sebuah platform digital berbasis web yang dirancang untuk membantu pasien rawat jalan dalam melakukan pendaftaran secara mandiri tanpa melalui loket pendaftaran. Penelitian ini bertujuan untuk mengevaluasi efektivitas penggunaan metode APM di Puskesmas Batugana, Kabupaten Padang Lawas Utara. Metode: Penelitian ini menggunakan metode kualitatif dengan pendekatan fenomenologi, yang dilaksanakan di Puskesmas Batugana pada periode September 2022–Desember 2023. Informan penelitian berjumlah empat orang yang terdiri atas Kepala Puskesmas, Kepala Bidang Pendaftaran Mandiri, petugas rawat jalan, dan seorang pasien, dengan teknik pengambilan sampel purposive sampling. Data dikumpulkan melalui wawancara mendalam dan observasi terhadap pasien yang memanfaatkan metode APM. Hasil: Penerapan APM di Puskesmas Batugana dinilai efektif dalam mengurangi antrean pendaftaran serta meningkatkan efisiensi layanan. Keberhasilan penerapannya dipengaruhi oleh faktor pendukung, seperti kompetensi SDM, ketersediaan SOP, serta sarana dan prasarana yang memadai. Kesimpulan: Efektivitas penerapan APM sangat bergantung pada kualitas sumber daya manusia, keberadaan standar operasional prosedur, dan ketersediaan sarana serta prasarana di Puskesmas Batugana.

Evaluating SIMPUS Implementation at Teladan Community Health Center: a HOT-Fit Framework Analysis Nasution, Sri Lestari Ramadhani; Girsang, Ermi; Nasution, Ahmad Fuadi
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 2 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i2.25522

Community Health Centers are required to implement a Community Health Center Information System (SIP) in accordance with Minister of Health Regulation No. 31 of 2019. Medan Teladan Community Health Center has implemented various information systems, one of which is e-Puskesmas, but still found obstacles. This study aims to evaluate the implementation of the Management Information System (SIMPUS) at Medan Teladan Community Health Center using the Human Organization Technology (HOT)-Fit method. This type of research is descriptive qualitative research. The study was conducted at Medan Teladan Community Health Center starting from December 2024 - July 2025. Informants in this study were 5 people consisting of the head of the community health center and medical record officers as key informants, registration officers, SP2TP officers and pharmacy service officers as supporting informants. Data analysis was carried out by data reduction, data presentation and drawing conclusions to identify relevant finding patterns in each aspect of HOT-Fit. The results of the study obtained an evaluation of the implementation using the HOT-Fit method on the human aspect, the user side has problems with input errors, where around 60% of informants reported data input. Organizational aspects, the organizational structure is in place, monitoring and evaluation have been carried out and guidelines for using the information system are in place even though they only adopt those from the Ministry of Health. Technology aspects, the quality of the system is still not optimal because the system has not been integrated with all programs and frequent server disruptions or data bridging failures, differences were also found between drug data in the system and actual stock in the pharmacy warehouse. Net benefit aspects, this system has succeeded in reducing dependence on manual processes and increasing data accuracy, but data integration across all programs is still an obstacle. It is recommended to the Medan City Health Office to encourage the integration of information systems between programs into one platform and ensure server stability. Keywords: System evaluation, information system, HOT-Fit

Dampak Kualitas Udara Dalam Ruangan Terhadap Kejadian ISPA di Kecamatan Medan Denai, Kota Medan Nasution, Sri Lestari Ramadhani; Girsang, Ermi; Butar-Butar, Erika Fatrecia Marsaulina; Hafizah, Nandani Zakia; Manalu, Putranto
Jurnal Kesehatan Lingkungan Indonesia Vol 24, No 3 (2025): Oktober 2025
Publisher : Master Program of Environmental Health, Faculty of Public Health, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkli.70451

Latar Belakang: Tingginya angka kejadian Infeksi Saluran Pernapasan Akut (ISPA) di Kecamatan Medan Denai diduga kuat berkaitan dengan buruknya kualitas udara dalam ruangan, khususnya di kawasan padat penduduk. Penelitian ini bertujuan untuk menganalisis hubungan antara berbagai parameter kualitas udara dalam ruangan dengan kejadian ISPA di wilayah tersebut.Metode: Penelitian ini menggunakan desain observasional analitik dengan pendekatan cross-sectional. Sampel terdiri dari 300 responden dari rumah-rumah di area padat penduduk Kecamatan Medan Denai yang dipilih menggunakan teknik purposive sampling. Data mengenai parameter fisik dan kimia kualitas udara serta status ISPA dikumpulkan melalui pengukuran langsung, kuesioner, dan observasi. Data dianalisis menggunakan uji chi-square.Hasil: Ditemukan hubungan signifikan antara kejadian ISPA dengan suhu udara, kelembapan, laju ventilasi, kadar SO2, NO2, CO, dan paparan asap rokok (p<0,05). Hasil analisis menunjukkan bahwa laju ventilasi yang buruk meningkatkan risiko ISPA sebesar 26,4 kali (RR=26,430), kelembapan yang tidak sesuai standar meningkatkan risiko 43,8 kali (RR=43,84), dan paparan asap rokok meningkatkan risiko 5,5 kali (RR=5,550). Sementara itu, tingkat pencahayaan, kadar timbal (Pb), formaldehida (HCHO), dan volatile organic compounds (VOC) tidak menunjukkan hubungan yang signifikan.Simpulan: Kualitas udara dalam ruangan yang tidak memenuhi standar, terutama laju ventilasi yang buruk, secara signifikan meningkatkan risiko kejadian ISPA di Kecamatan Medan Denai. Pemilik rumah direkomendasikan untuk secara aktif meningkatkan sirkulasi udara dengan cara membuka jendela dan pintu secara teratur untuk memastikan pertukaran udara yang memadai. Selain itu, penting untuk mengendalikan sumber polusi di dalam rumah, seperti tidak merokok di dalam ruangan, serta menjaga suhu dan kelembapan pada tingkat yang ideal untuk meminimalkan risiko penyakit pernapasan. Edukasi dan pemantauan berkala oleh pemerintah juga diperlukan untuk meningkatkan kesadaran masyarakat. ABSTRACT Title: The Impact of Indoor Air Quality on the Incidence of Acute Respiratory Infections (ARIs) in Medan Denai Sub-district, Medan CityBackground: The high incidence of Acute Respiratory Infections (ARIs) in the Medan Denai Sub-district is strongly suspected to be associated with poor indoor air quality, particularly in densely populated areas. This study aimed to analyze the relationship between various indoor air quality parameters and the incidence of ARIs in the region.Method: This research employed an analytical observational design with a cross-sectional approach. The sample comprised 300 respondents from households in densely populated areas of Medan Denai Sub-district, selected using purposive sampling. Data on physical and chemical air quality parameters and ARI status were collected through direct measurements, questionnaires, and observations. The data were analyzed using the chi-square test.Result: A significant relationship was found between the incidence of ARIs and air temperature, humidity, ventilation rate, levels of SO₂, NO₂, CO, and exposure to tobacco smoke (p < 0.05). The results indicate that poor ventilation increases the risk of ARIs by 26.4 times (RR = 26.43), non-standard humidity increases the risk by 43.8 times (RR = 43.84), and exposure to tobacco smoke increases the risk by 5.5 times (RR = 5.55). Conversely, lighting levels, lead (Pb), formaldehyde (HCHO), and volatile organic compounds (VOCs) showed no significant association.Conclusion: Substandard indoor air quality, especially poor ventilation, significantly increases the risk of ARIs in Medan Denai Sub-district. Homeowners are advised to actively improve air circulation by regularly opening windows and doors to ensure adequate air exchange. Furthermore, controlling indoor pollution sources, such as refraining from smoking indoors, and maintaining optimal temperature and humidity levels are crucial to minimizing the risk of respiratory diseases. Public education and regular monitoring by government agencies are essential to raise awareness and promote healthier indoor environments.

Performance Evaluation of Internal Verifier in Reducing Pending Inpatient Claims of BPJS Kesehatan at Muhammadiyah Hospital North Sumatra 2022 Hasibuan, Amalia; Girsang, Ermi; Nasution, Sri Lestari Ramadhani
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 2 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i2.25036

This study evaluates the effectiveness of internal verifiers at Muhammadiyah Hospital North Sumatra in minimizing delayed inpatient claims submitted to BPJS Kesehatan, Indonesia’s national health insurance agency. A mixed-methods sequential explanatory design was employed, combining quantitative data from 2020 (prior to verifier recruitment) and 2022 (post-recruitment) with qualitative insights from interviews with internal verifiers, coders, and other stakeholders, as well as a review of claim files processed by the hospital’s BPJS Unit. Interview protocols were adapted from a 2018 study at Koja Hospital, North Jakarta, and data were analyzed using the Miles and Huberman approach, with findings integrated across methods. Source triangulation ensured validity and reliability. Results showed that internal verifiers significantly reduced the proportion of delayed claims despite an overall increase in submissions, with the highest rate of pending claims dropping from 25.6% in 2020 to 17.9% in 2022. Of the 2022 delays, 31.2% were due to BPJS Kesehatan system errors or confirmation processes, indicating that only two-thirds stemmed from hospital-related issues. Qualitative analysis identified key contributors to delays, including diagnostic coding errors, inconsistent understanding among BPJS verifiers, incomplete documentation, limited staff knowledge, and human resource inaccuracies. The presence of internal verifiers improved claim management and hospital revenue by increasing eligibility and accelerating approvals. To further optimize claim processing, strategies such as enhancing coding accuracy, improving staff competency, ensuring documentation completeness, and adopting electronic systems with supportive incentives are recommended. Keyword: Internal verifier, pending claims, performance

Influence of Leadership Behavior and Management Process on Immunization Program Implementation Br Pintubatu, Christina Delina; Girsang, Ermi; Nasution, Sri Lestari Ramadhani
Jurnal Promosi Kesehatan Indonesia Volume 17 No.2 Agustus 2022
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.17.2.101-108

Background: Indonesia is still ranked 4th in the world for having low DPT3 immunization coverage among children. Complete basic immunization coverage is targeted at 95% according to the strategic plan of Indonesian Ministry of Health, but it still achieves at 91.1%. This study aims to analyze leader behavior and health center management on immunization program implementation.Method: Quantitative research using a cross-sectional design was conducted at the Puskesmas Biru-Biru Deli Primary Healthcare Center, Serdang District. The research population and samples consist of 122 respondents which include all 121 midwives in 17 villages and one person in charge of immunization services. The survey data were analyzed using the chi-square test and logistic regression test.Results: The chi-square test showed an influence of leadership behavior and management process on immunization program implementation (p = 0.000). In the last stage of logistic regression analysis, one variable that most dominantly affected the program implementation is management process (p = 0.0000; OR = 25,497; 95% CI = 6.475-100.406). The primary healthcare center needs to improve leader’s behavior and management process.

An Analysis Of Factors Influencing Bpjs Patient Loyalty Based On Customer Satisfaction Theory At Bandung General Hospital Medan Kusumadewi, Arum Grahini; Nasution, Sri Lestari Ramadhani; Girsang, Ermi; Nasution, Ali Napiah
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.51016

Patient loyalty is a critical factor in ensuring the sustainability and competitiveness of hospitals, particularly within health services under the National Health Insurance (JKN) program such as BPJS Kesehatan. According to the 2022 report by the Indonesian Hospital Association (PERSI), the patient retention rate in Indonesian hospitals is only 56%, while the remaining 44% switch to other health facilities due to dissatisfaction with service quality, costs, and accessibility. This phenomenon reflects relatively low patient loyalty, especially among BPJS participants. This study employed a quantitative approach with a cross-sectional design and was conducted at Bandung General Hospital Medan, involving 260 inpatients purposively selected from a total population of 341 patients. Data analysis was performed in three stages: univariate, bivariate using the Chi-Square test, and multivariate using multiple logistic regression. The results revealed four factors that significantly influenced BPJS patient loyalty: satisfaction drivers, emotional response, health worker performance, and relationship quality. Among these, satisfaction drivers emerged as the most dominant factor (OR = 7.611). In contrast, perceived value, expectations, service recovery, and brand image did not show a significant effect. These findings suggest that BPJS patient loyalty is more strongly shaped by direct experiences and emotional interactions during the service process than by external attributes such as brand image or initial expectations.

Young Doctors' Perception Of The Effectiveness Of The Clinical Learning System At Royal Prima Hospital Medan Zebua, Restin Julianti; Girsang, Ermi; Nasution, Sri Lestari Ramadhani
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.51028

Young doctors often have different perceptions of the effectiveness of clinical learning in medical professional education. Clinical learning is a crucial stage in shaping the competence of young doctors, in terms of knowledge, skills, and professionalism. This study aims to explore young doctors' perceptions of the effectiveness of the clinical learning system at Royal Prima General Hospital in Medan. This qualitative study with a phenomenological approach involved six informants (five young doctors and one clinic coordinator) who were selected purposively. Data were collected through in- depth interviews, focus group discussions, and observations. The results of the study revealed four main themes. First, the quality of clinical learning is influenced by the clarity of instructions, tutor involvement, patient availability, and rotation structure. Second, the learning environment is influenced by the relationship with the supervisor and the clinical work atmosphere. Third, the young doctors' self-competence includes self-confidence, readiness to face patients, and stress management strategies. Fourth, supporting factors (senior support, hospital facilities) and inhibiting factors (patient case variations, high workload, differences in tutor supervision styles) also influence the effectiveness of clinical learning. In conclusion, the effectiveness of clinical learning is influenced by the interaction of instructional, personal, environmental, and structural factors. Therefore, improvement efforts are needed in the form of strengthening tutor supervision skills, equalizing practice opportunities, and providing psychosocial support for young doctors in order to optimize the clinical learning system.

Potential Ethyl Acetate Fraction of Mangkokan Leaf Extract (Nothopanax Scutellarium) in Hyperglycemic Rats: A Systematic Review Nasution, Sri Lestari Ramadhani; Ginting, Chrismis Novalinda; Lister, I Nyoman Ehrich
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 1: March, 2022
Publisher : Universitas Aisyah Pringsewu

Mangkokan leaves (Nothopanax scutellarium) contain various phytochemicals such as flavonoids and saponins, where these compounds have antioxidant activity that can improve oxidative stress in the body. Treatment of Diabetes Mellitus disease can be done with drugs and herbs, optimal blood glucose control alone cannot prevent complications. The available therapies for DM include insulin therapy and other hypoglycemic agents that can not be separated from various side effects and failure to significantly prevent complications, including the Mangkokan leaf herbal treatment (Nothopanax scutellarin) which has an antidiabetic effect. To systematically review the effect of the ethyl acetate fraction of the extract of the Mangkokan (Nothopanax scutellarium) leaf extract on blood sugar levels, malondialdehyde, insulin expression in pancreatic cells and pancreatic histopathology in hyperglycemic rats. A systematic search was carried out in the PubMed database, Medline, Web of Science, Scopus, EMBASE from 2017 to 2021. The reported results stated that Alloxan is a compound that has diabetogenic properties and is toxic especially to pancreatic beta cells and when administered to animals will cause the rat to be diabetic. Alloxan causes damage to pancreatic beta cells by activating reactive oxygen (ROS) which is initiated by the reduction reaction of alloxan.Daun mangkokan (Nothopanax scutellarium) mengandung berbagai fitokimia seperti flavonoid dan saponin, dimana senyawa tersebut memiliki aktivitas antioksidan yang dapat meningkatkan stres oksidatif dalam tubuh. Pengobatan penyakit Diabetes Mellitus dapat dilakukan dengan obat-obatan dan herbal, pengendalian glukosa darah yang optimal saja tidak dapat mencegah terjadinya komplikasi. Terapi yang tersedia untuk DM antara lain terapi insulin dan agen hipoglikemik lainnya yang tidak lepas dari berbagai efek samping dan kegagalan untuk mencegah komplikasi secara nyata, termasuk pengobatan herbal daun mangkokan (Nothopanax scutellarin) yang memiliki efek antidiabetik. Mengkaji secara sistematis pengaruh fraksi etil asetat ekstrak ekstrak daun mangkokan (Nothopanax scutellarium) terhadap kadar gula darah, malondialdehid, ekspresi insulin pada sel pankreas dan histopatologi pankreas pada tikus hiperglikemik. Penelusuran sistematis dilakukan di database PubMed, Medline, Web of Science, Scopus, EMBASE dari tahun 2017 hingga 2021. Hasil yang dilaporkan menyatakan bahwa Alloxan merupakan senyawa yang memiliki sifat diabetogenik dan bersifat toksik terutama terhadap sel beta pankreas dan bila diberikan pada hewan akan menyebabkan tikus menjadi diabetes. Aloksan menyebabkan kerusakan sel beta pankreas dengan mengaktifkan oksigen reaktif (ROS) yang diawali dengan reaksi reduksi aloksan.

Cognitive Behavioral Therapy for Diabetic Patients Mendrofa, Trisman Basri; Girsang, Ermi; Nasution, Sri Lestari Ramadhani; Ginting, Chrismis Novalinda
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 1: March, 2022
Publisher : Universitas Aisyah Pringsewu

Improving self-care in T2DM patients is critical so that patients can achieve targeted blood glucose levels to prevent complications and independently perform daily tasks to improve their quality of life and life satisfaction. Psychological intervention is believed to be able to change a person's behavior towards a better direction in disease control and prevention. This study measures the impact of Cognitive-Behavioural Therapy (CBT) interventions on the self-care management of T2DM patients. This quasi-experimental study used a pretest-posttest with a control group design. The research subjects were divided into two groups, namely the intervention group (35 people) and the control group (35 people). The study was conducted at the Tello Primary Health Center in April 2021. The data were analyzed using the t-dependent test (?=0.05). The results of the study showed that in the intervention group, there were differences in the self-care management of T2DM patients before and after being given CBT, which included eating patterns (p less than 0.001; 95%CI -6.663-(-4.796)), physical activity (p less than 0.001; 95% CI -5.344-(-4.370)), and attitude (p= less than 0.001; 95%CI -13.086-(-10.114)). In the control group, there was no difference in the self-care management of T2DM patients, which included eating patterns (p= 0.083; 95%CI -0.183-0.012), physical activity (p= 0.058; 95%CI -0.291-0.005), and T2DM patients attitudes (p= 0.094; 95%CI -0.225-0.003). This means that CBT effectively improves the self-care management of T2DM patients.Abstrak: Peningkatan perawatan diri pada pasien DM tipe 2 sangat penting dilakukan agar pasien dapat mencapai kadar glukosa darah yang ditargetkan untuk mencegah komplikasi dan secara mandiri melakukan tugas sehari-hari sehingga meningkatkan kualitas hidup dan kepuasan hidup mereka. Intervensi psikologis dipercaya mampu mengubah perilaku seseorang ke arah yang lebih baik dalam pengendalian dan pencegahan penyakit. Studi ini bertujuan mengukur dampak intervensi Cognitive–behavioural therapy (CBT) terhadap manajemen perawatan diri pasien DM tipe 2. Quasi-experimental study ini menggunakan desain pretest-posttest with control group design. Subjek penelitian dibagi ke dalam dua kelompok yaitu kelompok intervensi (35 orang) dan kelompok kontrol (35 orang). Penelitian dilakukan di Puskesmas Tello pada bulan April tahun 2021. Data dianalisis menggunakan uji t-dependent (p=0,05). Hasil studi menunjukkan bahwa pada kelompok intervensi terdapat perbedaan manajemen perawatan diri pasien DM tipe 2 sebelum dan sesudah diberikan CBT yang meliputi pola makan (p kurang dari 0,001; 95%CI -6,663-(-4,796)), aktivitas fisik (p kurang dari 0,001;95%CI -5,344-(-4,370)), dan sikap (p kurang dari 0,001; 95%CI -13,086-(-10,114)). Sedangkan pada kelompok kontrol, tidak terdapat perbedaan manajemen perawatan diri pasien DM tipe 2 yang meliputi pola makan (p= 0,083; 95%CI -0,183-0,012), aktivitas fisik (p= 0,058;95%CI -0,291-0,005), dan sikap pasien DM (p= 0,094; 95%CI -0,225-0,003). Artinya CBT efektif dalam meningkatkan manajemen perawatan diri pasien DM tipe 2.

Prevalence and Determinants of Drug Adherence in Type 2 Diabetes Mellitus Patients Mendrofa, Tuho Konsultasi; Girsang, Ermi; Nasution, Sri Lestari Ramadhani; Ginting, Chrismis Novalinda
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 1: March, 2022
Publisher : Universitas Aisyah Pringsewu

Compliance with type 2 patients with DM in taking medication is an important key in maintaining blood glycemic levels and preventing complications. This study was conducted to determine the prevalence and to investigate the determinants of medication adherence in type 2 patients with DM. A total of 250 types 2 patients with DM who visited Pulau Tello Health Center, South Nias Regency, were involved in this cross-sectional study. Collecting data using questionnaires and patient medical records. The results showed that the motivational variables (p= less than 0.001; PR= 2; 95%CI 1.560-2.668), family support (p= less than 0.001; PR = 4.2; 95%CI 2.827-6.496), individual coping (p = less than 0.001; PR=1.9; 95%CI 1.409-2.267), and income (p= less than 0.001; PR=1.7; 95%CI 1.346-2.258) were associated with medication adherence in type 2 patients with DM. family is the dominant variable that influences medication adherence in type 2 patients with DM. Patients with DM who does not adhere to medication are 7.8 times more likely to have poor support than patients who adhere to medication.Abstrak: Kepatuhan pasien DM tipe 2 dalam mengonsumsi obat menjadi kunci penting dalam menjaga glikemik darah dan pencegahan komplikasi. Studi ini dilakukan untuk mengetahui prevalensi dan menyelidiki determinan kepatuhan minum obat pada pasien DM tipe 2. Sebanyak 250 orang pasien DM tipe 2 yang berkunjung di Puskesmas Pulau Tello, Kabupaten Nias Selatan dilibatkan dalam studi cross-sectional ini. Pengumpulan data menggunakan kuesioner dan rekam medis pasien. Hasil penelitian menunjukkan bahwa variable motivasi (p= kurang dari 0,001; PR= 2; 95%CI 1,560-2,668), dukungan keluarga (p= kurang dari 0,001;PR = 4,2; 95%CI 2,827-6,496), koping individu (p= kurang dari 0,001; PR=1,9; 95%CI 1,409-2,267), dan pendapatan (p= kurang dari 0,001; PR= 1,7; 95%CI 1,346-2,258) berhubungan dengan kepatuhan minum obat pasien DM tipe 2. Dukungan keluarga merupakan variabel yang dominan berpengaruh terhadap kepatuhan minum obat pada pasien DM tipe 2. Pasien DM yang tidak patuh minum obat 7,8 kali kecenderungannya memiliki dukungan yang kurang baik dibanding dengan pasien yang patuh minum obat.

Co-Authors Achmad Noerkhaerin Putra Adrian Adrian Agnes Yohana Kristino Ahmad Affandi Akbarinda, Zsizsi Alexander Angkasa Amanda, Silvia Rizki Aulia, Dinda Rahmah Awanis Awanis Ayu Anggraini Bangun Binarwan Halim Br Pintubatu, Christina Delina Butar-Butar, Erika Fatrecia Marsaulina Buulolo, Netralman T.N Chrismis Novalinda Ginting Chrismis Novalinda Ginting Christine Christine Clinton Antony Crismis Novalinda Ginting Daulay, Ayu Sasmita Dessy Angraeni Siregar Dewi Purwanti Dewi Sartika Duha, Kristin Berlianta Erawati, Suci Erda, Roza Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Ervineco Limestan Farhan Fachrizal Farrasizdihar, Diaz Febby Maulina Ferdinan, Klaus Fitrianto, Rahmad Friska SR Ginting, Chrismis Novalinda Ginting, Crismis Novalinda Ginting, Ermi Ginting, Predy Roy Suranta Ginting, Rapael Ginting, Sopianita Healthy Girsang, Ermi Girsang, Ermi Girsang, Erni Gontana, Tiffany Hafiz Hawari Siregar Hafizah, Nandani Zakia HAMSI, QURATUL AINI Harahap, S. Shelly Hazlina Harahap, Vinnie Hazriah Hasibuan, Amalia Hulu, Welpin Idariani, Idariani Insani, Dzul Akbar 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 Kusumadewi, Arum Grahini Leli Khairani Liester, I Nyoman Ehrich Lister, I Nyoman Ehrich Lubis, Maas Lubis, Nurul Sri Finna Maco Chan Adnan Mangatas Silaen Manurung, Charles Mare A, Fauzan Melysa, Melysa Mendrofa, Trisman Basri Mendrofa, Tuho Konsultasi Molek, Molek Muhammad Maulidin Muhammad Maulidin Muhammad Maulidin Muhammad Rinaldy Muryadi, Elvaro Islami Nasution, Ahmad Fuadi Nasution, Ali Napiah Natali, Oliviti Nerseri Barus Oliviti Natali Padma Sekar Ayu Putri Prahasta Pane, Reybka Cindy Sitorus Parapat, Winny G I Paulina, Elsa Putranto Manalu Putri, Monica Reh Malem br Karo Revina, Monica Reynel Putri Pratiwi Wau Rushe, Rhesiwenny Saud Parulian Harianja Sawato Zebua Setia Budi Simbolon, Boyke Marthin Sinaga, Ade Sintiya Hamdi SITI AMINAH Stiven Elsafarindo Suhartina Suhartina Suhartina Suhartina, Suhartina Suyono, Tan Syahrian, Muhammad Faridz Tan Suyono Tarigan, Gracia Hosanna Evelyn Tarigan, Setia Budi Tiorismasni Zai Tuho Konsultasi Mendrofa Ummi Kalsum Vonikartika, Arie - Wika Hanida Yeni Puspawani Yohana Candra Andini Hutabarat Yuke Armika Yuliani, Riski Yurlina Zai Zai, Yurlina Zebua, Restin Julianti Zebua, Sawato Zendrato, Arisman

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