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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 Equilibrium: Jurnal Ilmiah Ekonomi, Manajemen dan Akuntansi 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 Pendas : Jurnah Ilmiah Pendidikan Dasar Jurnal Keperawatan Silampari Jurnal Keperawatan Muhammadiyah Journal of Health Science and Prevention JOURNAL OF SCIENCE AND SOCIAL RESEARCH 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 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 PROFESSIONAL HEALTH JOURNAL 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 JUMANTIK (Scientific Journal of Health research) Sehat Rakyat: Jurnal Kesehatan Masyarakat Buletin Kedokteran dan Kesehatan Prima Indonesian Journal of Cancer International Journal of Health and Pharmaceutical (IJHP) Jurnal Ilmiah Ilmu Terapan Universitas Jambi Jurnal Rumpun Ilmu Kesehatan Journal Research of Social Science, Economics, and Management Jurnal Pendidikan Indonesia (Japendi) Cerdika: Jurnal Ilmiah Indonesia Ibnu Sina: Jurnal Kedokteran dan Kesehatan - Fakultas Kedokteran Universitas Islam Sumatera Utara JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Haga Journal of Public Health (HJPH) The International Journal of Medical Science and Health Research The Indonesian Journal of General Medicine Folia Medica Indonesiana

Sri Lestari Ramadhani Nasution

Universitas Prima Indonesia

Author-ID : 980167

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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.

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.

Analysis of Patient Satisfaction and Loyalty Mediated by Reputation and Conduct of Public Hospital Staff Government of North Sumatra Province Nasution, Sri Lestari Ramadhani; Sitompul, Fernades; Wienaldi, Wienaldi; Girsang, Ermi
Poltekita : Jurnal Ilmu Kesehatan Vol. 17 No. 4 (2024): February
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v17i4.3482

This research investigates the pivotal role of hospitals in healthcare, categorizing them into general and specialized facilities based on resources and capabilities. Focusing on North Sumatra, the study explores the significance of hospital conditions in influencing patients' choices, particularly in a competitive healthcare landscape driven by responsiveness to quality information. Employing a quantitative approach with non-probability sampling, the research follows a positivist philosophy to examine the connection and influence between independent and dependent variables. Conducted at the General Government Hospital in North Sumatra, the study spans from a preliminary survey in September 2023 to November 2023, with data collection ongoing and results to be presented in a seminar. The analysis reveals a substantial impact of Patient Satisfaction (PS) on Patient Loyalty (PL) (coefficient = 0.581), supported by a t-statistic value of 5.572 (>1.96) and a p-value of 0.000 (<0.05). PS also significantly influences Hospital Staff Behavior (HSB) (coefficient = 0.280, t-statistic = 2.630, p-value = 0.009 < 0.05) and Hospital Reputation (HR) (coefficient = 0.450, t-statistic = 4.789, p-value = 0.000 < 0.05). Hospital Staff (HS) demonstrates a notable influence (coefficient = 0.101) on PL, though the relationship is not statistically significant (t-statistic = 1.520, p-value = 0.129 > 0.05). Similarly, HR influences PL (coefficient = 0.124), but the relationship is not statistically significant (t-statistic = 1.402, p-value = 0.161 > 0.05). Furthermore, PS exhibits a mediated influence on PL through HSB (coefficient = 0.028, t-statistic = 1.221, p-value = 0.223 > 0.05) and through HR (coefficient = 0.056, t-statistic = 1.269, p-value = 0.205 > 0.05). These findings underscore the critical role of patient satisfaction in shaping loyalty, highlighting the mediating effects of Hospital Staff Behavior and Hospital Reputation. Understanding these dynamics is crucial for promoting healthcare competition and enhancing care quality in the North Sumatra region.

Analysis of effect strategies in improving water quality diarrhea prevention on Hilibala health center, South Nias district Erisman Hondro; Sri Lestari Ramadhani Nasution; Ermi Girsang
Jurnal EduHealth Vol. 15 No. 01 (2024): Jurnal eduHealt, Edition January - March, 2024
Publisher : Sean Institute

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

Hilibala Community Health Center is the largest contributor to diarrhea cases, namely 662 cases. One of the causes is poor water quality. Therefore, this study aims to analyze the effect of health promotion in improving water quality to prevent diarrhea. The location of this research was carried out in the working area of the Hilibala Community Health Center, South Nias Regency. The research will start in June-August 2023. The sample in this study was 99 families and was determined using a purposive sampling formula. There were 6 informants for this research. The data was analyzed univariately, bivariately, and multivariately as well as by theme analysis. The results of the research show that there is an influence of advocacy, partnership, and community empowerment on the role of families in improving water quality as an effort to prevent diarrhea at the Hilibala Community Health Center, South Nias Regency, with the results of statistical tests obtaining a significant p-value for each, namely 0.000 < 0.05. The variable that influences this is the empowerment variable with a p-value of 0.000, OR = 9.333 (95% CI = 3.085), while the strategy used to improve water quality as an effort to prevent diarrhea at the Hilibala Health Center, South Nias Regency is to empower the community, such as working together to find clean water locations, digging wells and maintaining the cleanliness and quality of the water. This research concludes that the right strategy is to increase empowerment as a health promotion strategy in improving water quality to prevent diarrhea at the Hilibala Community Health Center, South Nias Regency. Suggestions for community health centers are to carry out situation analysis, outreach, cadre formation and intervention, and evaluation. The results of community empowerment activities with character building have a good impact, namely that the majority of people have increased understanding. The quality of life of the community will also improve as seen from the reduced number of diarrhea incidents.

An Analysis Of Drug Planning Using ABC Index Method Critical In The Pharmacy Installation Public Hospital Royal Prima Marelan Disti Amanda Putri; Ermi Girsang; Sri Lestari Ramadhani Nasution
Jurnal Scientia Vol. 13 No. 04 (2024): Education and Sosial science, September-December 2024
Publisher : Sean Institute

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Needs planning is an activity to determine the quantity and period of procurement of pharmaceuticals, medical devices and disposable medical materials in accordance with the results of selection activities to ensure that the criteria for the right type, right quantity, right time and efficiency are met. The purpose of the research is to analysed drug planning with ABC critical index method at the Pharmacy Installation of Royal Prima Marelan Hospital. Type This study is a combination of qualitative and quantitative research at the Pharmacy Installation at Hospital.Royal Prima Marelan. The qualitative sample of the study was 3 people and the data source was the drug needs plan. The research instrument used a questionnaire. The results of this study with ABC analysis of the critical index value of group A usage were 30 items (51%), group B obtained 23 items (39%) and group C obtained 8 items (9%). Based on the calculation with ABC analysis of the critical index of investment value, group B obtained 2 items (3%) of the total items and group C obtained 57 items (97%) of the total items in the Pharmacy Installation. Based on the calculation with ABC analysis of the critical index of investment value, group B obtained 2 items (3%) of the total items and group C obtained 57 items (97%) of the total items in the Pharmacy Installation. The results of qualitative research on drug planning at the Pharmacy Installation of Hospital. Royal Prima Marelan used the consumption method, namely looking at the average use of drugs in the previous 3 months, at the time of service there were still frequent stock outs of drugs. It is necessary to prepare and evaluate a drug requirement plan (RKO) which is carried out every month as a basis for planning drug requirements and/or can use methods to analysed drug requirements that are efficient, effective and appropriate.

ACTIVITY BASED COSTING METHOD IN DETERMINING UNIT COST OF LITHOTRIPSY FOR TREATMENT OF URINARY BLADDER CALCULUS AT VITA INSANI HOSPITAL PEMATANGSIANTAR Nasution, Muhammad Andriady Saidi; Girsang, Ermi; Nasution, Sri Lestari Ramadhani
Indonesian Journal of Urology Vol 29 No 2 (2022)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v29i2.783

Objective: To determine the unit cost of lithotripsy for treatment of urinary bladder calculus at Vita Insani Hospital Pematangsiantar. Material & Methods: This study is a descriptive quantitative study, in which the data was obtained from the finance division of Vita Insani Hospital. The research object is the unit cost of accommodation that occurs in patients with urinary bladder calculus with lithotripsy cases from January 2020 to December 2020. Results: The unit cost of lithotripsy for urinary bladder calculus services at Vita Insani Hospital Pematangsiantar which is calculated using the activity-based costing (ABC) method is Rp 4.167.009. There is a difference in cost among the ABC method, hospital calculations, and INA CBG’s rates with the following details: the amount calculated for the hospital is Rp 4.996.718, while the calculation using ABC method is Rp 4.167.009; the difference in costs is Rp 829.709. INA CBG’s rates Rp 6.137.500, and compared to calculation of hospital, the difference cost is Rp 1.140.782. Compared to the INA CBG’s rates, to the unit cost of the ABC method, there is a difference, amounting Rp 1.970.491. Conclusion: The results of unit cost lithotripsy for treatment of urinary bladder calculus through the ABC method are lower compared to hospital calculation and INA CBG’s rates.

AN ANALYSIS OF EFFECT JOB DEMAND CONTROL-SUPPORT AND PROTECTION MOTIVATION ON COMPLIANCE IN FILLING INPATIENT CARE MEDICAL RECORD FILES AT RSU ESHMUN MEDAN Ramadhani Nasution, Sri Lestari; Maulidin, Muhammad; Girsang, Ermi
Cerdika: Jurnal Ilmiah Indonesia Vol. 3 No. 6 (2023): Cerdika : Jurnal Ilmiah Indonesia
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/cerdika.v3i6.615

An important indicator to determine the quality of service in a hospital is about the completeness of the hospital's medical record files. There are many problems arise due to incomplete medical record files and do not recorded neatly and regularly. The incident is due to lack of medical team awareness in recording all information or actions that would be given to the patient. The aim of this study is to analyse the effect of Job Demand-Control-Support and Protection Motivation on compliance in filling out Medical Record files at RSU ESHMUN Medan 2023. This study uses quantitative research method which is analytical in nature. The total sampling of this study is 115 active nurses at RSU ESHMUN Medan. The result of the study informs that there are very strong and significant effect among Job Demand-Control-Support and Protection Motivation on compliance in filling out Medical Record files at RSU ESHMUN Medan 2023. The variable that has the most influence on Obedience with filling in inpatient medical record files at RSU ESHMUN in 2023 is the Protection Motivation variable. It is recommended to RSU ESHMUN Medan to improve the administration pattern in order to all of nurses have the same job demands and receive the same support

An analysis of the role health personnel, health facilities and family support in increasing pregnant women's interest in antenatal care visits at Kuta Alam health centre Winda Tri Mutia; Ermi Girsang; Sri Lestari Ramadhani Nasution
Jurnal Ekonomi Vol. 13 No. 01 (2024): Jurnal Ekonomi, Edition January - March 2024
Publisher : SEAN Institute

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Antenatal Care is one of the pillars supporting safe motherhood in efforts to reduce maternal and fetal morbidity and mortality. WHO estimates that 500,000 pregnant women die from pregnancy-related complications. There are factors that can influence Antenatal Care visits, including the role of health workers and family support. This study aims to analyze the role of health workers and family support in increasing pregnant women's interest in antenatal care visits at the Kuta Alam Community Health Center. This type of research is quantitative analysis using a cross sectional design. The population in this study is mothers who have given birth and had babies during the period September 2020-September 2023, totaling 250 respondents. The results obtained were significant (p=0.002) and there was a relationship between Health Facilities and Antenatal Care visits. The results obtained were significant (p=0.001) and the variables that had an influence in increasing pregnant women's interest in ANC visits at the Kuta Alam Community Health Center were the Health Facilities variable with p value 0.001, OR = 9.333 (95% CI = 3.085) meaning that respondents who stated health facilities had 9.333 times the odds compared to respondents who stated health workers were provided with a B coefficient value of 2.413.

Co-Authors Achmad Noerkhaerin Putra Adrian Adrian Agnes Yohana Kristino Ahmad Affandi Ahmad Fuadi Nasution Akbarinda, Zsizsi Akhyar Al Fauzi Lubis Alexander Angkasa Ali Napiah Nasution Amalia Hasibuan Amanda, Silvia Rizki Angela Elisabeth Anggita, Nindi Dwi Anggraini, Tri Lidya Anita Merry Cisca Anjasari, Melati Salsabila Antje Irmella Tarigan Ari Putra Simatupang Arie - Vonikartika Ariyani Ariyani Arum Grahini Kusumadewi Astari Wardiah Aulia, Dinda Rahmah Awanis Awanis Ayu Anggraini Bangun Binarwan Halim Butar-Butar, Erika Fatrecia Marsaulina Buulolo, Netralman T.N Chrismis N. Ginting Chrismis Novalinda Ginting Chrismis Novalinda Ginting Chrismis Novalinda Ginting Christina Delina Br Pintubatu Christine Christine Christine Wijaya Christine Yennyanti Clinton Antony Clinton Antony Crismis Novalinda Ginting Cyintia Ginting Darnedy Fatwa Mely Santy Daulay, Ayu Sasmita Dessy Angraeni Siregar Dewi Purwanti Dewi Sartika Dhyta Nurhasanah Janas Diaz Farrasizdihar Dicca Brentazzoly Br Tarigan Disti Amanda Putri Doli Catur Utomo Duha, Kristin Berlianta Dzul Akbar Insani Erawati, Suci Erisman Hondro Ermi Ginting Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Ernawati Hondro Ervineco Limestan Farhan Fachrizal Farrasizdihar, Diaz Febby Maulina Febrianty, Novita Dwi Ferdinan, Klaus Fitri Nelda Friska SR Ginting, Chrismis Novalinda Ginting, Crismis Novalinda Ginting, Sopianita Healthy Girsang, Ermi Girsang, Erni Gontana, Tiffany Gusbakti Gusbakti Hafiz Hawari Siregar Hafizah, Nandani Zakia HAMSI, QURATUL AINI Harahap, S. Shelly Hazlina Harahap, Vinnie Hazriah Hesti Despita Siregar HILMAN TADJOEDIN, HILMAN Hulu, Welpin Ibnu Rushd Idariani, Idariani Insani, Dzul Akbar irza Haicha Pratama Ismar, Elza Fahliza Jennifer Tiosanna 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, Nurul Sri Finna M. Ridho Fitra Alamsya Maas Lubis Maco Chan Adnan Mangatas Silaen Manurung, Charles Mare A, Fauzan Maria Seri Arihta Maulidin, Muhammad Meliala, Yose Marselius A.P. Melysa, Melysa Mendrofa, Trisman Basri Mendrofa, Tuho Konsultasi Milka Rositi Sianipar Molek, Molek Morgan, Julian Muhammad Ari Pratama Muhammad Chairul Muhammad Faridz Syahrian Muhammad Insan Andika Muhammad Maulidin Muhammad Maulidin Muhammad Rinaldy Muryadi, Elvaro Islami Nadia Zenni Andari Nadratul Ulya Nasution, Ali Napiah Nasution, Muhammad Andriady Saidi Natali, Oliviti Nerseri Barus Nova Larysca Manik Nurhafizah Nurhafizah Oliviti Natali Ongky Harianto Ongky Harianto Padma Sekar Ayu Putri Prahasta Pane, Reybka Cindy Sitorus Parapat, Winny G I Paulina, Elsa Piety Kristiani Wau Predy Roy Suranta Ginting Primanita Novi Andriati Purba, Amelia Salsabila Putranto Manalu Putri Satriani Dachi Putri, Monica Putri, Nadya Nazimuddin Rahmad Fitrianto Rapael Ginting Reh Malem br Karo Restin Julianti Zebua Revina, Monica Reynel Putri Pratiwi Wau Rezeki, Naomi Grace Ria Hartaty Roza Erda Rushe, Rhesiwenny S. Shelly Hazlina Hararap Saud Parulian Harianja Sawato Zebua Setia Budi Simbolon, Boyke Marthin Sinaga, Ade Sindy Zelvia Sinta Ayu Setiawan Sintiya Hamdi SITI AMINAH Sitompul, Fernades Stiven Elsafarindo Suci Erawati Suhartina Suhartina Suhartina Suhartina Suhartina Suhartina, Suhartina Sulistijanto, Eddy Suryana, Kresna Dharma Suyono, Tan Syahputra, Ari Denggan 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 Vonikartika, Arie - Waoziduhu Ndruru Widya Yanti Sihotang Wienaldi, Wienaldi Wika Hanida Winda Tri Mutia Winvi, Feli Clarisa Yeni Puspawani Yohana Candra Andini Hutabarat Yuke Armika Yuliani Yuliani Yuliani, Riski Yurlina Zai Zai, Yurlina Zebua, Sawato Zelvia, Sindy Zendrato, Arisman

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