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Journal of Innovative and Creativity
Published by Universitas Pahlawan Tuanku Tambusai
ISSN : 2962570X     EISSN : 2776771X     DOI : https://doi.org/10.31004/joecy
Core Subject : Education, Social,
Education Languange, Linguistic, Communication & Media Mathematics Social Sciences Other
Journal of Innovative and Creatifity (JOECY) publishes research articles in the field of education which report empirical research on topics that are significant across educational contexts, in terms of design and findings. The topic could be in curriculum, teaching learning, evaluation, quality education, management, and education technology. Papers which contain in-depth critical literature reviews of research on specific educational topics are also welcomed.
Arjuna Subject : Ilmu Sosial - Pendidikan
Articles 6,418 Documents
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Pengelolaan Arsip Pada Dinas Perpustakaan Dan Kearsipan Daerah Kabupaten Merauke Coleta Maskikit; Yuliana Yuliana
Journal of Innovative and Creativity Vol. 6 No. 1 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

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Abstract

Terdapat permasalahan prosedur kerja pengelolaan arsip pada Dinas Perpustakaan dan Kearsipan Daerah Kabupaten Merauke yang berakibat menjadi tidak terarah dalam menjalankan fungsinya. Jenis penelitian yang digunakan dalam penelitian ini adalah penelitian deskriptif dengan pendekatan kualitatif yang akan memberikan gambaran mengenai bagaimana pengelolaan arsip pada Dinas Perpustakaan dan Kearsipan Daerah Kabupaten Merauke, karena metode kualitatif mempelajari data di lapangan secara alamiah dan mengutamakan segi kualitas data. Pengelolaan arsip yang baik menjadi sebuah keharusan pada Dinas Perpustakaan dan Kearsipan Daerah Kabupaten Merauke. Pengelolaan arsip pada Dinas Perpustakaan dan Kearsipan Daerah Kabupaten Merauke belum berjalan dengan baik. Faktor pendukung pada Dinas Perpustakaan dan Kearsipan Daerah Kabupaten Merauke yaitu tersedianya sarana dan prasarana berupa seperangkat alat komputer, ruang penyimpanan arsip, sarana penyimpanan arsip aktif, sarana penyimpanan arsip inaktif, kemudian daftar arsip.
Design And Development Of A Napier Grass Chopping Machine Based On A Rotary Blade Mechanism And Pull Roll System With A Capacity Of 1 Ton/Hour Sayid Bahri Sriwijaya; Tika Kristianti; Ikbal Ikbal; Arya Kurniawan; Zikrillah Ferias
Journal of Innovative and Creativity Vol. 3 No. 3 (2023)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

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Abstract

The study purpose was to design, develop, and evaluate an elephant grass chopping machine that integrates a rotary blade mechanism and a pull roll system to improve feeding stability, productivity, and chopping uniformity in ruminant feed processing. Traditional manual chopping methods are labor-intensive, time-consuming, and produce inconsistent particle sizes, which reduce feed efficiency. This research aimed to develop a farm-scale machine with a target capacity of 1 ton/hour that is technically and economically feasible for farmers.Materials and methods. This study used an engineering-based research and development approach consisting of design, fabrication, and performance testing. The prototype was powered by a GX 220 gasoline engine and equipped with strip-type carbon steel rotary blades, a pull roll feeding system, and a pulley–V-belt transmission. Performance testing was conducted using elephant grass at three blade rotational speeds (1,120 rpm, 1,680 rpm, and 2,240 rpm). The observed parameters included chopping time, output mass, chopping capacity, and distribution of chopped sizes.Results. The machine achieved an optimal working capacity of approximately 1,080 kg/hour at a blade speed of 1,680 rpm, meeting the design target. Higher blade speeds reduced processing time and increased the proportion of smaller chopped particles, while lower speeds resulted in longer and less uniform cuts. The pull roll system effectively stabilized material feeding and enabled continuous operation.Conclusions. The developed machine improved labor efficiency, productivity, and feed chopping uniformity, indicating good potential for farm-scale application. However, further design improvements are required to reduce frame vibration, optimize hopper design, and enhance blade mounting safety.
The Effect of Group Activity Therapy on Quality of Life and Depression Level in Elderly at Panti Asuhan Yayasan Karya Murni Yani Lestari; Siska Mariany Ocfica Napitupulu
Journal of Innovative and Creativity Vol. 6 No. 1 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

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Abstract

Background and Purpose: Depression and reduced quality of life (QoL) are prevalent but underaddressed conditions among institutionalized elderly. This study aimed to examine the effect of Group Activity Therapy (GAT) on quality of life and depression levels in elderly residents at Panti Asuhan Yayasan Karya Murni, Medan, Indonesia. Methods: A quasi-experimental study with a pre-test–post-test control group design was conducted. Sixty elderly residents (aged ≥60 years) were selected using purposive sampling and equally assigned to intervention (n=30) and control (n=30) groups. Inclusion criteria included residents aged ≥60 years, scoring ≥5 on the Geriatric Depression Scale-15 (GDS-15), and able to communicate. Exclusion criteria included severe cognitive impairment and acute medical illness. The intervention group received eight structured GAT sessions over four weeks (two sessions/week, 60 minutes each), covering music therapy, reminiscence therapy, and light exercise. Quality of life was measured using the validated Indonesian version of the WHOQOL-BREF, and depression was assessed with the GDS-15. Data were analyzed using the Wilcoxon Signed-Rank Test and Mann-Whitney U Test (SPSS v.25, p<0.05). Ethical clearance was obtained from the Institutional Ethics Committee of Universitas Bunda Thamrin (No. 014/EC-UBT/2024). Results: The intervention group showed a significant improvement in QoL (mean pre: 48.3 vs. post: 67.8; p=0.001) and a significant reduction in depression scores (mean pre: 9.7 vs. post: 5.1; p=0.001). The control group showed no significant changes. Between-group comparisons were statistically significant for both outcomes (p=0.001). Conclusion: Group Activity Therapy significantly improves quality of life and reduces depression among institutionalized elderly. Healthcare providers and nursing home administrators should integrate structured group activity programs into routine elderly care to promote psychosocial well-being.
Peran Pemberdayaan Perempuan Dalam Meningkatkan Ketahanan Ekonomi Keluarga Di Desa Sugihwaras Barat Rati Rati; Ines Tasya Jadidah; Sita Lutfiastuti Hasanah
Journal of Innovative and Creativity Vol. 6 No. 1 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

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Abstract

Women’s empowerment is one of the key strategies for strengthening family economic resilience, particularly in rural areas. Women play dual roles, not only as managers of household affairs but also as economic actors who contribute to family income. This article aims to provide a general review of the role of women’s empowerment in enhancing family economic resilience in Sugihwaras Barat Village. The approach used is descriptive qualitative, examining various forms of women’s empowerment activities such as micro-enterprises, productive skills development, and participation in community-based economic groups. The findings indicate that women’s empowerment can increase family income, strengthen economic independence, and help families cope with economic pressures. Therefore, women’s empowerment plays a strategic role in creating family economic resilience in Sugihwaras Barat Village.
Analisis Hubungan Pengetahuan Dan Perilaku Swamedikas Masyarakat Desa Tiong Keranjik, Kecamatan Belimbing Hulu, Kabupaten Melawi Patrisia alviani; Hariyanto IH; Indri Kusharyanti
Journal of Innovative and Creativity Vol. 6 No. 1 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

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Abstract

Self-medication has become a serous problem among the public due to a lack of knowledge and behavior about self-medication. The percentage of West Kalimantan people practicing self-medication during the last month in 2022 was 86.81%. The purpose of this study was to analyze the level of knowledge and behavior of community self-medication in tiong keranjik village, belimbing hulu sub-district, melawi district and the relationship between the two. This research method is a descriptive cross sectional non-experimental research. The sampling technique used purposive sampling with a questionnaire measuring instrument that had passed ethical review and tested validity and reliability on 30 respondents. Data processing was carried out with the spearman rank correlation statistical test. The results of the study of 100 respondents showed that the level of knowledge of community self-medication behavior is included in the good category by 25%, moderate by 57% and less by 18%. The results of the spearman rank correlation test between knowledge and self-medication behavior showed a significance value of 0.000 with a correlations coefficient of 0.651, and a positive direction. It can be concluded that the majority of people have sufficient knowledge with appropriate behavior and there is a significant relationship between the level of knowledge and self-medication behavior in the community of tiong keranjik village with a strong and unidirectional correlation
Pengaruh Pursed Lip Breathing Exercises Terhadap Saturasi Oksigen Pasien PPOK Di RSUP H Adam Malik Medan Tahun 2024 Dr. Lilis Novitarum; Murni Sari Dewi Simanullang; Serlyn Gea
Journal of Innovative and Creativity Vol. 6 No. 1 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

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Abstract

Penyakit Paru Obstruktif Kronis (PPOK) merupakan penyakit pernapasan progresif yang ditandai dengan keterbatasan aliran udara dengan gejala khas sesak napas, batuk, dan produksi dahak. Prevalensi PPOK di Indonesia mencapai 3,7% dengan kecenderungan peningkatan yang diperburuk oleh faktor risiko seperti kebiasaan merokok dan polusi udara. Data RSUP H Adam Malik Medan menunjukkan peningkatan pasien PPOK dari 283 kasus tahun 2022 menjadi 483 kasus tahun 2023, dan 202 kasus pada enam bulan pertama 2024. Pasien PPOK mengalami penurunan saturasi oksigen hingga 85% yang menyebabkan hipoksemia, gangguan pertukaran gas, hiperinflasi paru, dan penumpukan udara dalam alveolus yang mengganggu kualitas hidup. Pursed lip breathing merupakan teknik pernapasan non-farmakologis dengan menghirup udara melalui hidung dan menghembuskan melalui bibir yang dirapatkan untuk meningkatkan tekanan jalan napas dan mencegah kolaps saluran napas. Penelitian ini bertujuan menganalisis pengaruh pursed lip breathing exercises terhadap saturasi oksigen pasien PPOK di RSUP H Adam Malik Medan tahun 2024. Metode penelitian menggunakan desain pra-eksperimental dengan pendekatan one-group pre-post test design. Sampel sebanyak 10 responden dipilih menggunakan teknik purposive sampling dengan kriteria pasien PPOK composmentis dan saturasi oksigen ≤95%. Intervensi pursed lip breathing diberikan sebanyak 6 kali perlakuan. Pengukuran saturasi oksigen menggunakan pulse oxymetry sebelum dan sesudah intervensi. Data dianalisis menggunakan uji Wilcoxon. Hasil penelitian menunjukkan saturasi oksigen meningkat signifikan dari rata-rata 92,70% (SD=1,160) sebelum intervensi menjadi 99,00% (SD=1,054) setelah intervensi dengan peningkatan rata-rata 6,30%. Uji Wilcoxon menghasilkan nilai p=0,004 (p<0,05) yang membuktikan adanya perbedaan signifikan. Seluruh responden (100%) yang awalnya berada pada kategori tidak normal (<95%) berhasil mencapai kategori normal (>95%) setelah pemberian intervensi. Kesimpulan penelitian menyimpulkan pursed lip breathing exercises terbukti efektif meningkatkan saturasi oksigen pasien PPOK secara signifikan dan direkomendasikan sebagai intervensi keperawatan non-farmakologis yang mudah, aman, efektif untuk mengoptimalkan fungsi pernapasan dan kualitas hidup pasien PPOK.
Analysis of Factors Affecting Medication Adherence in Tuberculosis Patients at Puskesmas Medan Area Selatan Widia Astuti Tanjung; Ristika Julianty Singarimbun
Journal of Innovative and Creativity Vol. 6 No. 1 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

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Abstract

Background: Tuberculosis (TB) remains a major public health challenge in Indonesia, with approximately 1,090,000 cases reported annually. Achieving the national TB elimination target by 2030 requires optimal treatment adherence; however, medication non-adherence continues to hinder treatment success and disease control. This study aimed to identify factors influencing medication adherence among pulmonary TB patients at Puskesmas Medan Area Selatan. Methods: A cross-sectional analytic study was conducted from January to March 2025 involving pulmonary TB patients registered under the Directly Observed Treatment Short-course (DOTS) program. A total of 87 respondents were recruited using consecutive sampling based on the following inclusion criteria: confirmed pulmonary TB diagnosis, undergoing at least one month of treatment, and willingness to participate. Data were collected using structured questionnaires assessing six independent variables: patient knowledge, family support, healthcare service quality, drug side effects, the role of treatment supervisors (PMO), and socioeconomic status. Medication adherence was measured using the Morisky Medication Adherence Scale-8 (MMAS-8). Binary logistic regression analysis was performed using SPSS version 26.0. Results: Among the respondents, 62.1% demonstrated good medication adherence. Bivariate analysis revealed significant associations between adherence and patient knowledge (p = 0.001; OR = 4.87; 95% CI: 1.89–12.53), family support (p = 0.003; OR = 3.94; 95% CI: 1.56–9.94), healthcare service quality (p = 0.021; OR = 2.87; 95% CI: 1.17–7.03), and drug side effects (p = 0.038; OR = 2.41; 95% CI: 1.05–5.51). Multivariate logistic regression identified patient knowledge as the most dominant factor influencing adherence (Adjusted OR = 5.12; 95% CI: 1.91–13.70; p = 0.001), followed by family support (AOR = 3.78; 95% CI: 1.43–9.98; p = 0.007). Conclusion: Patient knowledge is the strongest determinant of medication adherence among TB patients at Puskesmas Medan Area Selatan. Strengthening structured health education interventions and promoting family-centered support strategies are essential to enhance treatment adherence and accelerate progress toward Indonesia’s TB elimination target by 2030.
Evaluation of Hospital Management Information System (HMIS) Implementation on Administrative Service Efficiency Violent Andary; Dwi Ris Hasanah SI
Journal of Innovative and Creativity Vol. 6 No. 1 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

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Abstract

Background: Hospital Management Information Systems (HMIS) are increasingly recognized as essential tools for improving administrative efficiency in healthcare settings. Rumah Sakit Islam Malahayati (RSI Malahayati) in Medan, Indonesia adopted an integrated HMIS to streamline its administrative processes; however, the extent to which the system has effectively improved service delivery efficiency remains inadequately evaluated. This study aimed to evaluate the implementation of HMIS on administrative service efficiency at RSI Malahayati, Medan, in 2026. Methods: A qualitative study employing a phenomenological approach guided by the Colaizzi method was conducted from September to December 2025. The study was set at RSI Malahayati, a 150-bed Islamic private hospital in Medan, North Sumatra. Purposive sampling was applied to recruit 18 participants, including hospital administrators, information technology staff, medical records officers, and front-line administrative personnel. Inclusion criteria required direct engagement with HMIS for a minimum of six months. In-depth, semi-structured interviews were conducted face-to-face, averaging 55 minutes per session. Interviews were audio-recorded, transcribed verbatim, and analyzed using NVivo 12 software. Data saturation was confirmed at the 16th interview. Trustworthiness was ensured through triangulation, member checking, and peer debriefing, in conformity with COREQ standards. Results: Four major themes emerged from data analysis: (1) Enhanced administrative workflow integration, characterized by reduced manual data entry and inter-departmental communication delays; (2) Barriers to optimal system utilization, encompassing inadequate technical training, system downtime incidents, and user resistance; (3) Impact on patient service responsiveness, reflecting shorter waiting times and improved patient registration accuracy; and (4) Organizational and cultural factors shaping HMIS adoption, including leadership support and Islamic institutional values influencing staff acceptance. Participants consistently acknowledged improvements in data accuracy and reporting efficiency, though persistent technical and human resource challenges limited system performance. Conclusion: HMIS implementation at RSI Malahayati has demonstrably improved administrative service efficiency through enhanced workflow integration and data management. However, sustainable efficiency gains require addressing identified barriers through comprehensive staff training, technical infrastructure reinforcement, and culturally responsive change management strategies tailored to Islamic hospital settings.
Efektivitas Edukasi Keluarga dalam Kepatuhan Perawatan Luka Diabetes Melitus Tipe 2 di Wilayah Kerja Puskesmas Medan Johor Martaulina Sinaga; Rian Febriko Ginting; Memo Nababan; Imelda Br Ginting
Journal of Innovative and Creativity Vol. 6 No. 1 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v6i1.8490

Abstract

Latar Belakang: Diabetes melitus (DM) merupakan masalah kesehatan global dengan prevalensi yang terus meningkat. Luka diabetik atau diabetic foot ulcer (DFU) menjadi komplikasi serius yang memerlukan kepatuhan tinggi terhadap protokol perawatan. Keterlibatan keluarga sebagai caregiver informal berpotensi meningkatkan kepatuhan pasien, namun penelitian terkait masih terbatas di Indonesia. Tujuan: Penelitian ini bertujuan menganalisis efektivitas edukasi keluarga terstruktur dalam meningkatkan kepatuhan perawatan luka pada penderita DM tipe 2. Metode: Penelitian quasi-experimental dengan desain pre-test and post-test with control group dilakukan di Puskesmas Medan Johor periode Januari-Juni 2026. Total 140 responden dibagi menjadi kelompok intervensi (n=70) yang mendapat edukasi keluarga terstruktur selama 4 sesi dan kelompok kontrol (n=70) yang mendapat perawatan standar. Instrumen yang digunakan adalah Diabetic Foot Ulcer Self-Care Adherence Scale (20 item, α=0,89). Data dianalisis menggunakan paired t-test dan independent t-test dengan SPSS 26.0. Hasil: Karakteristik responden homogen pada kedua kelompok (p>0,05). Kelompok intervensi menunjukkan peningkatan skor kepatuhan yang sangat signifikan dari 52,3±8,4 menjadi 79,6±7,2 (Δ=27,3 poin), sedangkan kelompok kontrol hanya meningkat dari 51,8±8,1 menjadi 58,4±7,8 (Δ=6,6 poin). Terdapat perbedaan bermakna delta score antara kedua kelompok (p=0,000) dengan effect size yang besar (Cohen’s d=4,32). Simpulan: Program edukasi keluarga terstruktur efektif dalam meningkatkan kepatuhan perawatan luka pada penderita DM tipe 2, dengan dampak yang sangat besar secara klinis. Program ini dapat diintegrasikan ke dalam layanan kesehatan primer sebagai strategi preventif untuk menurunkan komplikasi luka diabetik.
The Effect of Family Support on Functional Recovery of Post-Stroke Patients at Haji General Hospital Medan in 2026 Ira Maulani Lubis; Julaiha Siregar
Journal of Innovative and Creativity Vol. 6 No. 1 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

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Abstract

Background: Stroke remains a leading cause of long-term disability worldwide, significantly impairing patients' functional independence. Family support has been recognized as a critical psychosocial factor that may influence rehabilitation outcomes; however, empirical evidence from Indonesian hospital settings, particularly in North Sumatra, remains limited. The purpose of this study was to analyze the effect of family support on the functional recovery of post-stroke patients at Haji General Hospital Medan in 2026. Methods: A descriptive correlational cross-sectional design was employed. Participants were 87 post-stroke patients recruited through purposive sampling between September and December 2025. Inclusion criteria required patients to have been diagnosed with stroke at least one month prior, be aged 18 years or older, and have a primary family caregiver. Data on family support were collected using the adapted Hensarling Diabetes Family Support Scale (HDFSS), and functional recovery was assessed using the Barthel Index (BI). Ethical clearance was obtained from the institutional review board. Data were analyzed using SPSS version 26, with Spearman's rank correlation coefficient applied to test the hypotheses (alpha = 0.05). Results: Of 87 participants, 52.9% reported high family support and 55.2% demonstrated good functional recovery (Barthel Index score ≥ 61). Spearman's rank correlation analysis revealed a statistically significant moderate positive relationship between overall family support and functional recovery (r = 0.541; p = 0.001). All four sub-dimensions of family support (informational, emotional, instrumental, and appraisal) were significantly correlated with functional recovery (p < 0.05). Conclusion: Family support exerts a significant positive effect on the functional recovery of post-stroke patients. Healthcare providers and hospital management should develop structured family-centered care programs to optimize rehabilitation outcomes for post-stroke patients

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