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International Journal of Health and Pharmaceutical (IJHP)
Published by CV. Inara
ISSN : -     EISSN : 2808845X     DOI : https://doi.org/10.51601/ijhp
Core Subject : Health,
Nursing Public Health
International Journal of Health and Pharmaceutical (IJHP) e- ISSN : 2808-845X is a communication media and scientific publication in the health and pharmaceutical fields published by Inara Publisher. International Journal of Health and Pharmaceutical (IJHP) contains articles from research focusing on basic medicine, clinical medicine, epidemiology, preventive medicine (social medicine), pharmacy, and other medical fields. International Journal of Health and Pharmaceutical (IJHP) is published periodically four times a year (February, May, August and November).
Arjuna Subject : Pharmacology, Toxicology and Pharmaceutics - Pharmacology, Toxicology and Pharmaceutics (Lain-Lain)
Articles 25 Documents
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Search results for , issue "Vol. 3 No. 2 (2023): May 2023" : 25 Documents clear
Formulation Of Anti-Acne Extract Aloe Vera (Aloe vera (L.) Burm.f.) In Hibiting The Activity Of Propionibacterium acnes Bilal, Mohd.; Sari Lubis, Minda; Yuniarti, Rafita; Munandar Nasution, Haris
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.v3i1.140

Abstract

Aloe vera (Aloe vera (L.) Burm.f.) is widely used as an alternative medicine to treat various types of diseases and is now widely used as an antibacterial, one of which is against the acne bacteria Propionibacterium acnes. The purpose of this study was to determine the gel preparation of aloe vera extract (Aloe vera (L.) Burm.f.) which has activity against  Propionibacterium acnes and to see if the gel preparation produced has good and stable quality. Aloe vera ethanol extract was made by maceration method, then the extract was made in a gel preparation and then tested for antibacterial activity against  Propionibacterium acnes by the agar diffusion method using several concentration variations: 2.5%, 5%, and 10%. Furthermore, the inhibitory power of 2.5% has a medium category, the inhibition of 5% has a medium category, and the inhibition of 10% has a strong category. then tested for organoleptic, homogeneity test, pH dispersion and physical stability of the preparation. The results of the study showed that the gel preparation of aloe vera extract had antibacterial activity against Propionibacterium acnes, namely a concentration of 2.5% inhibition zone of 8.8 mm including the medium category, 5% concentration of the inhibitory zone of 9.8 mm including the medium category, the concentration of 10 % with an inhibition zone of 12.9 mm including the strong category. The conclusion of this study is that the gel preparation of 10% aloe vera ethanol extract concentration has the best inhibition. Then the stability test was then carried out, which included, the organoleptic did not change significantly, the homogeneity test showed good results, while the dispersion test showed good results, and the pH test showed good results according to skin pH.
The Effect Of Characteristic, Psychological And Organizational Factors On Nurse Performance At Royal Prima Hospital Sarumaha, Abrianus; Girsang, Ermi; Eliza Putri Lubis, Yolanda; Wahyuni Nasution, Sri
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.v3i2.116

Abstract

Nurse performance is a determining factor in the success of achieving hospital goals in nursing services. Various studies on the performance of nurses in Indonesia show that the performance of nurses is still relatively low between 47.6% - 53.4%. Nurse performance is thought to be influenced by 3 factors, namely individual factors, psychological factors and organizational factors. The purpose of this study was to analyze the effect of characteristic, psychological, and organizational factors on nurse performance. This research is a quantitative research with a cross sectional study approach. The research was conducted at the Royal Prima Hospital, Medan. The research population was 367 people, the sample obtained was 115 people. Sampling by purposive sampling. Data analysis was univariate, bivariate with chi-square test, and multivariate with multiple logistic regression at 95% confidence level ( a=0.05). The results showed that the factors that influence the performance of nurses at the Royal Prima General Hospital Medan are psychological factors (job satisfaction) (p=0.011), organizational factors (leadership and organizational culture) respectively p = 0.004 and p = 0.002. Individual characteristic factors had no effect, namely age (p=1,000), gender (p=0.661), education (p=0.454), and years of service (p=0.090). The most dominant variable influencing the nurse's performance is the leadership variable, Exp(B)/OR = 6.633, meaning that the nurse who states leadership is in a good category has a 6.6 times higher chance of having a good performance than the nurse who states that leadership is not good. It is recommended that the leadership of the Royal Prima General Hospital Medan to provide guaranteed incentives to all nurses so as to increase satisfaction. Head of the room to demonstrate leadership that is acceptable to all parties. Hospitals should maintain and improve the organizational culture that has been good so far.
An Effect Of Methanol Extract Sunkist Orange Peel (Citrus Sinensis (L.) Osbeck) On Blood Sugar And Cholesterol Levels Wistar Rats (Rattus Norvegicus) Induced By Aloxan Eliza Putri Lubis, Yolanda; Claudia Malau, Reghita; Arianti, Rahmi; Sari Mutia, Maya
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.v3i3.117

Abstract

Insulin resistance is a condition with damage to target organs that generally respond to the activity of the hormone insulin. About 10% of the population in big cities in Indonesia suffer from insulin resistance. At the cellular level, insulin resistance can result from damage to the pre-receptor, receptor, or post-receptor. The most common cause of insulin resistance is post-receptor damage, namely disruption and damage to insulin signaling pathways. To find out that the methanol extract of Sunkist orange peel can reduce blood sugar levels in Wistar rats. This research uses the experimental laboratory method in vivo with the chosen research design form, namely True Experimental Pre Test and Post Test Control. The Kruskal Wallis test showed that the Sunkist Orange Peel Methanol Extract resulted in a significant decrease in blood sugar levels of Wistar rats with a p-value <0.05, and also the Anova test showed that the Sunkist Orange Peel Methanol Extract resulted in a decrease in blood sugar levels of Wistar rats, which is significant with p-value <0.05. All doses tested affect lowering blood sugar levels, namely, 300 mg/kg BW, 450 mg/kg BW, and 600 mg/kg BW.
Health Belief Model Effect on Nurses Hand Hygiene Adherence Lestari Ramadhani Nasution, Sri; Suyono, Tan; Khu, Adrian; Pangestu Simarmata, Hans; Happy, Happy
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.v3i2.118

Abstract

Healthcare acquired infections/HAIs (nosocomial infection) is a growing problem in developing and developed country around the world and one of the contributing factors in the increasing of morbidity, mortality and cost of treatment in hospital. One way to prevent HAIs is by increasing adherence of hand hygiene practice in healthcare workers, including nurses, especially in rooms with high risk of HAIs incidents. This study aims to understand the effect of health belief model (HBM) on the adherence of hand hygiene practice of nurses in rooms with high HAIs risk. A total number of 170 nurses who worked in high HAIs risk enrolled in this study. All nurses then asked to fill questionnaire which consist of demographic factors, experience, personal beliefs, cue to action, and self-efficacy. During this study, all nurses hand hygiene practice also observed directly by researcher. This study found that demographic factor, personal belief, cue to action and self-efficacy have no significant relationship with hand hygiene practice adherence (p>0.05), whilst modifying factor like experience shown to have significant relationship with adherence of hand hygiene practice (p<0.05). Demographic factor, personal belief, cue to action, and self-efficacy component of HBM can’t predict the adherence of hand hygiene practice. However, modifying factor in HBM such as experience can predict the adherence of hand hygiene practice.
Antioxidant Activity Test Of Methanol Extract Of Gaharu (Aquilaria Malaccensis Lam.) Bark With Dpph (1,1 Diphenyl-2-Picrylhydrazyl) Method Ridwanto, Ridwanto; Trizaldi, Asep; Rani, Zulmai; Sartika Daulay, Anny; Munandar Nasution, Haris; Miswanda, Dikki
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.v3i2.123

Abstract

Gaharu (Aquilaria malaccensis Lam.) is one of the natural ingredients that can be used as an antioxidant. Antioxidants are compounds that can inhibit free radical reactions in the body. Free radicals have an impact on the pathogenesis of several diseases in humans due to oxidative stress in cells. The purpose of this study was to determine the class of secondary metabolites of agarwood bark and antioxidant activity and to compare the value of IC50 (Inhibitory concentrations) of the methanol extract of agarwood bark with the IC50 of vitamin C in the DPPH method using UV-Vis spectrophotometry. The methanol extract of agarwood bark was macerated using methanol, then determined the content of secondary metabolites of Simplicia. The determination of antioxidant activity was carried out on the methanol extract of agarwood bark with the addition of DPPH at various concentrations. The sample concentrations were 20, 40, 60, 80, and 100 µg/mL.. As a comparison, vitamin C was used with concentrations of 4, 8, 12, 16 and 20 µg/mL.. Then they calculated percent attenuation (% inhibition) and the value of IC50. The results of the screening on the methanol extract of agarwood bark contained chemical compounds such as flavonoids, saponins, and tannins. The determination of antioxidant activity was carried out using a UV-Vis spectrophotometer with the DDPH method. The results were obtained from the methanol extract of the bark of agarwood, which has antioxidant activity in the strong category with an IC50 value of 94.59 µg/mL.and vitamin C in the very strong category with an IC50 value of 22,11 µg/mL.
Implementation Analysis Of Clinical Pathway At Royal Prima Hospital Putri H, Yessica; Girsang, Ermi; Sari Mutia, Maya
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.v3i2.146

Abstract

Clinical pathways are an important part of documents and tools in realizing good clinical governance in hospitals. In Indonesia, this document is also one of the requirements that must be met in the KARS version of the Hospital Accreditation Standard. However, the process of implementing this Clinical Pathway itself also has various problems. Things that might hinder the implementation of this clinical pathway could come from the staff and hospital members themselves because they have not adapted to this Clinical Pathway. This study aims to analyze the implementation of the Clinical Pathway at the Royal Prima Hospital in Medan. This study uses a quantitative design with a cross sectional approach. The research sample was all doctors, nurses, nutritionists, pharmacists at the Royal Prima Hospital Medan who filled the Clinical Pathway as many as 83 people. The results of the Fisher's Exact test showed that there was a significant effect between regulation (p=0.000), compliance (p=0.004), supporting factors (p=0.025), and inhibiting factors (p=0.002). By using the t-test at a significance level of 0.05, the results obtained that regulation is the variable that has the main influence on the implementation of the Clinical Pathway at Royal Prima Hospital Medan (Sig.0.001). Suggestions to hospitals are expected to strengthen policies regarding the implementation of Clinical Pathway to improve health services in hospitals. Caregivers are expected to maintain compliance with the implementation of the Clinical Pathway to improve health services in hospitals.
Analysis Of Factors Affecting Nurse Anxiety Levels In Covid-19 Patients At RSU Royal Prima Medan Grace Rezeki, Naomi; Girsang, Ermi; Manalu, Putranto
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.v3i2.149

Abstract

Since the emergence of the first confirmed case of Covid19 in Wuhan at the end of 2019, much attention has been focused on how the patient's health care system to the development of vaccines. However, the discussion about how the struggle of health workers, especially nurses, seems to have received less attention. Therefore, this study was conducted to find out how the anxiety level of nurses for Covid-19 patients is in terms of the influence of organizational support, social support, workload and personal resilience. The results showed that workload and personal resilience had a positive and significant effect on anxiety levels (p < 0.005) but organizational support and social support had no significant effect on anxiety levels (p > 0.005). From the results of the multivariate test, it was found that the p value was 0.000 (p < 0.005) which stated that together or simultaneously, the independent variables in this study had a significant influence on the dependent variable, namely the level of anxiety.
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 Effectiveness Of Pilates Exercises On Sitting And Standing Balance In Children With Cerebral Palsy Suharto, Suharto; Saadiyah Leksonowati, Sri; Erawan , Tiar; Arpandjam'an, Arpandjam'an
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.v3i2.158

Abstract

The main problem of this research is the balance disorder of sitting andstanding in children with cerebral palsy. This disorder occurs because ofbrain damage during the non-progressive growth and development ofchildren, thus limiting the daily activities of children with cerebral palsy.The purpose of this study was to evaluate the effectiveness of the Pilatesexercises method on sitting and standing balance in children with cerebralpalsy. This type of research is an experiment with a pre test – post test onegroup design which was carried out for a period of 16 weeks. The researchsubjects were children with cerebral palsy who met the inclusion criteria asmany as 33 people. The study was carried out at the Education Foundationfor Children with Disabilities in Makassar, South Sulawesi, Indonesia and ata children's physiotherapy clinic in Makassar, from February to July 2022.The results of the Paired t test statistical test obtained p value = 0.002 forsitting balance and for standing balance p = 0.002 0.083 which means thereis no difference in standing balance before and after giving Pilatesexercises.
Role Of Aromatherapy On Anxiety, Pain, Sleep Quality, And Hemodynamic Parasmetrs In Burn Patients; A Systematic Review Of Clinical Trials Mahmoudvand, Hormoz
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.v3i3.159

Abstract

Aromatherapy refers to the use of volatile oils or aromas extracted from plants for therapeutic purposes. The present study was intended to systematically review the effects of aromatherapy with various essential oils in burn patients. This review was according to the 06-PRISMA standards by searching in the English databases such as Google Scholar, PubMed, Scopus, Web of Science, and ScienceDirect to find papers about the effects of aromatherapy with herbal essential oils in burn patients with no time limitation. We used the keywords of “lavender”, “rose”, “essential oil”, “aromatherapy”, “burn”, “anxiety”, “pain”. From 6630 papers, 10 articles up to June 2022, met the inclusion criteria for analysis in the current systematic review. The most studies were carried out on the effect of aromatherapy with rose essential oil (4, 40%), lavender essential oil (3, 30%), lavender along with rose essential oil (2, 20%), and lavender along with chamomile (1, 10%), respectively. The findings of the current systematic review revealed that aromatherapy especially with lavender and rose essential oil can improve the anxiety, pain, sleep quality, and hemodynamic parameters in burn patients. Hence, due to the convenience of using this method and the lack of reports of any complications and also the stability of hemodynamic status of patients in this method, it is recommended to use it for burn patients.

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