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Jurnal Kesehatan
Published by STIKes Prima Nusantara Bukittinggi
ISSN : 20857098     EISSN : 26571366     DOI : -
Core Subject : Health, Science, Education,
Education Health Professions Medicine & Pharmacology Neuroscience
Jurnal Kesehatan STIKes Prima Nusantara merupakan jurnal ilmiah berkala yang ditujukan untuk mempublikasikan karya ilmiah hasil penelitian, pengembangan, dan studi pustaka dibidang ilmu keperawatan, kebidanan, kesehatan masyarakat dan ilmu kesehatan pada umumnya.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 453 Documents
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WASTE ANALYSIS IN OUTPATIENT SERVICES AT RS NAILI DBS USING LEAN PRINCIPLES Aisyah Putri Rezeki; Herri; Abdi Setia Putra; Adilla Kasni Astiena; Husna Yetti; Kamal Kasra
Jurnal Kesehatan - STIKes Prima Nusantara Vol 15 No 3 (2024): Jurnal Kesehatan Volume 15 Nomor 3 Tahun 2024
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

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

Abstract

Background : Quality improvement (QI) is a practice that hospitals use to improve efficiency, clinical outcomes, employee satisfaction, and patient safety. One of the QI practices is the implementation of lean principles. Lean is a set of methods intended to eliminate waste and increase process efficiency. Lean implementation can have a significant impact on operational efficiency and effectiveness. This research is aimed at analyzing services at the RS Naili DBS Outpatient Installation using lean principles. Method : Data collection was carried out through direct observation of the outpatient service process from arrival to receiving doctor consultation services. From the observations, visualization of the service process was carried out using big picture mapping and analysis of waiting time and waste was carried out using lean principles. Apart from that, in-depth interviews were conducted with selected informants, namely from within the hospital and patients as service recipients. Result : The results of the research showed that the outpatient waiting time from the time the patient contacted the registration officer until the doctor's service was completed was 1 hour 18 minutes 50 seconds. This time still exceeds the minimum service standard set by the government, namely 60 minutes. The results of observations regarding waste, found as many as 36 types of waste spread across the queuing process, registration, polyclinic waiting room and clinic room.
A Systematic Literature Review of the Effectiveness of Mindfulness-Based Cognitive Therapy on Depression Among Older People Helena Patricia; Sharifah Munirah Syed Elias; Noor Azizah Binti Mohd Ali; Hema Malini
Jurnal Kesehatan - STIKes Prima Nusantara Vol 16 No 1 (2025): Jurnal Kesehatan Volume 16 Nomor 1 Tahun 2025 (on progress)
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v16i1.1229

Abstract

The worldwide population of older people is rising rapidly, with projections suggesting that by 2050, persons aged 60 and over will represent 22% of the entire population. Age-related outcomes are significantly exacerbated by frailty, susceptibility, and an elevated risk of depression. Mindfulness-Based Cognitive Therapy (MBCT) has become a feasible therapeutic approach, integrating cognitive therapy with mindfulness techniques. This review systematically assesses the efficacy of MBCT in alleviating depression in the older population. This review adheres to PRISMA criteria. Seven databases (Medline, Scopus, ClinicalKey for Nursing, Ebsco, Web of Science, Cochrane Library, and Grey Literature) were examined from 2017 to 2022. Three keywords utilized were depression, elderly individuals, and MBCT. The quality of the studies was assessed using the Joanna Briggs Institute's (JBI) critical appraisal tool. Eleven studies were incorporated for the review. Research demonstrates that MBCT is advantageous in alleviating depression among the older population. This review indicates that MBCT is a potential alternative therapy for older individuals experiencing depression. It is imperative to emphasise that future research must demonstrate enhanced structural quality and require larger sample sizes.
Improvement IL -10 and Reactive Oxygen Species (ROS) in HIV patients : Narrative Review Indra Franajayakk; Legiran; Eddy Mart Salim; Zen Hafy
Jurnal Kesehatan - STIKes Prima Nusantara Vol 16 No 1 (2025): Jurnal Kesehatan Volume 16 Nomor 1 Tahun 2025 (on progress)
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v16i1.1234

Abstract

Background: Infection Human Immunodeficiency Virus (HIV) is still become problem scary health​ for world community . This virus infection causes a bunch symptom disease characterized by with weakening system immunity body . A collection of symptoms This known with designation Acquired Immune Deficiency Syndrome (AIDS). Consequence the decline system immunity , HIV sufferers will prone to For caught various disease infections that can have fatal consequences. Objective: For know How improvement IL-10 and Reactive Oxygen Species (ROS) levels in HIV patients . Research methods: This use Narrative Review design . Articles searched from Google Scholar, PubMed, Science Direct, and EMBASE/ Elviser with use relevant keywords , then chosen based on criteria that have been set , and objectives study . Results: Increased levels of IL-10 and Reactive Oxygen Species (ROS) in patients results in a decrease in the immune system, this is characterized by increased virus replication, deactivation macrophages and depletion of the number of lymphocytes, so that the progression of the infection towards AIDS can occur. Conclusion: HIV infection causes the occurrence dysfunction mitochondria and enhancement production Reactive Oxygen Species (ROS) in cells CD4 + T lymphocytes. Various viral proteins, such as the envelope proteins Gp120, Tat, Nef and Vpr , are able to increase ROS production through various different pathways. The increase in ROS that occurs can increase mRNA expression through activation Nuclear Factor Kappa B ( NFκB ), increased IL-10 mRNA expression ultimately will increase IL-10 levels

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