Journal of Public Health Science (JoPHS)
Journal of Public Health Science (JoPHS) is a national journal for scientific research on public health practices, epidemiology, health promotion, health service effectiveness, disease prevention, and public health evaluation. nutrition, family health, infectious diseases, research health services, gerontology, child health, adolescent health, behavioral medicine, rural health, chronic disease, promotion Health evaluation and intervention, health policies and management of public health, health economics, occupational health and environmental health, environmental health, health and safety at work, health administration and policy, nutrition science, biostatistics, reproductive health, hospital management, and health information systems
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RADIOGRAPHY OF THE LUMBAL VERTEBRAE COLUMNA WITH SUSPECTED SCOLIOSIS AT BHAYANGKARA HOSPITAL 2nd Grade Medan
Tarigan, Liberti;
Tambunan, Justinus
Journal of Public Health Science Vol. 2 No. 4 (2025): Desember
Publisher : Yayasan Nuraini Ibrahim Mandiri
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DOI: 10.70248/jophs.v2i4.3457
The vertebral column is the main pillar of the body's bones that supports the head, upper extremities, and chest cavity. One of the abnormalities in the thoracolumbar vertebrae is Scoliosis. Scoliosis is a deformity of the spine to the lateral side that is excessive in the vertebrae. The effects of Scoliosis will be clearly visible if this disease attacks the lumbar region and causes the pelvis to tilt which impacts the lower extremities so that the patient limps or cannot balance when walking. Scoliosis examination is carried out using several projections, namely Anteroposterior (AP) for supine patients or Posteroanterior (PA) for erect patients is more recommended, Lateral with an erect position, and (AP) bending right and left. This examination was carried out at Bhayangkara TK II Medan in May 2025 with observation and interviews, through image processing using Computer Radiography (CR). The X-ray machine used in the implementation of Lumbar Vertebrae column radiography with suspected Scoliosis is a type of machine with a capacity of 500 mA, but researchers chose a large focus of 200 mA to obtain optimal image sharpness. Because the object being examined is relatively large, it is best to use a grid for image contrast (200 mA).
RADIOGRAPHY OF OS HUMERUS SINISTRA WITH SUSPENSION MULTIPLE FRACTURES OF THE MIDDLE 1/3 OF THE HUMERUS AT THE Drs. H. AMRI TAMBUNAN LUBUK PAKAM REGIONAL HOSPITAL
Laia, Helvinus;
Tarigan, Liberti
Journal of Public Health Science Vol. 2 No. 4 (2025): Desember
Publisher : Yayasan Nuraini Ibrahim Mandiri
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DOI: 10.70248/jophs.v2i4.3458
The humerus is the longest and largest bone in the upper extremity. It articulates proximally with the scapula and distally with the elbow or antebrachium. The proximal end of the humerus has a rounded head (caput humeri) that articulates with the glenoid cavity of the scapula to form the glenohumeral joint. Distal to the humeral head is the anatomical neck, which appears as an oblique groove. Distal to the anatomical neck is the greater tubercle. The greater tubercle is the most palpable lateral landmark of the humerus in the shoulder region. Between the greater tubercle and the lesser tubercle is a groove called the intertubercular sulcus. The primary function of the humerus is to provide attachment for arm muscles and support various physical functions of the arm. A fracture is a condition in which the continuity of bone and cartilage is disrupted due to impact or osteoporosis. Multiple fractures are a condition in which the continuity of bone tissue is lost in more than one line. This study aims to produce an optimal radiographic image of the left humerus with suspected Multiple Fractures of the Middle 1/3 of the Humerus, so that the photo results can be used as accurate results for further treatment. This study was conducted at the Radiology Installation of Drs. H. Amri Tambunan Regional General Hospital, the research time was in April 2025, the research method used was the interview method, and direct observation. Examination of the left humerus with suspected Multiple Fractures of the Middle 1/3 of the Humerus was carried out using Antero-Posterior and Lateral projections. In this examination the author used a general X-ray unit, with the image recording process using digital radiography (DR).
RADIOGRAPHY OF THE RIGHT ELBOW JOINT WITH SUSPENSION ARTHRITIS AT MEDAN HAJI GENERAL HOSPITAL
Tambunan, Justinus;
Sidauruk, Juliana Lasniar
Journal of Public Health Science Vol. 2 No. 4 (2025): Desember
Publisher : Yayasan Nuraini Ibrahim Mandiri
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DOI: 10.70248/jophs.v2i4.3459
Elbow Joint is the joint between the radius-ulna and the humerus. The Elbow Joint examination technique is a radiological examination to see clinical or disease around the elbow joint. In the clinical there is a disease called Arthritis which is inflammation of the joints, especially in the elbow joint. The purpose of this study was to determine the Elbow Joint examination technique and the results of the Elbow Joint radiograph image with clinical arthritis at the Radiology Installation of Medan Haji General Hospital in May 2025, using an x-ray machine with a capacity of 500 mA, but the author only used 100 mA to obtain optimal image sharpness. This study uses a qualitative method, data collection is carried out through observation techniques, and consultations with radiology specialists, and discussions with radiographers, as well as documentation and library studies. The collected data are then analyzed to obtain conclusions. The results of the study show that the Elbow Joint examination technique in clinical arthritis uses two projections, namely Antero posterior and Lateral. through image processing using Computer Radiography (CR). In the lateral projection, the object position is not correct due to the patient's stiff condition. However, the radiograph results produced show a fairly clear anatomical image, so they can help establish a diagnosis.
INTEGRATION OF EMPLOYEE PERFORMANCE, SERVICE QUALITY, ARTIFICIAL INTELLIGENCE, AND SOCIAL MEDIA IN INCREASING PATIENT NUMBERS: A SYSTEMATIC LITERATURE REVIEW
Irawan, Beny;
Mochklas, Mochamad;
Haksama, Setya
Journal of Public Health Science Vol. 2 No. 4 (2025): Desember
Publisher : Yayasan Nuraini Ibrahim Mandiri
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DOI: 10.70248/jophs.v2i4.3508
This literature review analyzes and synthesizes the relationship between employee performance, service quality, the use of artificial intelligence (AI), and the use of social media in efforts to increase patient numbers in the healthcare sector. Using a systematic literature review approach, this research examines various studies that discuss the contribution of each variable to increasing patient accessibility and interest. A total of 20 empirical journal articles published between 2018 and 2024 were analyzed thematically. Data were collected from various academic databases using keywords such as "employee performance," "service quality," "number of patients," "patient volume," "artificial intelligence in healthcare," "social media in healthcare," "patient acquisition," and "patient retention." Most of the reviewed studies used quantitative methods, applying statistical tools such as linear regression analysis. The results indicate that social media and AI influence performance and the number of visits. This review highlights the need for healthcare facilities to utilize social media and AI to improve employee and patient performance. Future research should explore the relationship between social media and AI, as the digital era challenges every organization to be more creative and innovative in order to stay up-to-date
GAMBARAN TINGKAT PENGETAHUAN MAHASISWA FAKULTAS KEDOKTERAN TENTANG PENGGUNAAN ULTRASONOGRAFI PAYUDARA DALAM DETEKSI DINI TUMOR PAYUDARA
Monica Cherlady Anastasia;
Catherine
Journal of Public Health Science Vol. 2 No. 4 (2025): Desember
Publisher : Yayasan Nuraini Ibrahim Mandiri
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DOI: 10.70248/jophs.v2i4.3512
Pendahuluan: Tumor payudara merupakan benjolan pada payudara yang memiliki dua kemungkinan, yaitu tumor jinak dan tumor ganas yang disebut kanker payudara. Di Indonesia berdasarkan data Global BurdenofCancerStudy(GLOBOCAN) 2022, kanker payudara berada diurutan pertama jenis kanker yang sering terjadi. Sebagai langkah pencegahan, dapat dilakukannya skrining payudara seperti menggunakan ultrasonografi payudara merupakan metode yang efektif untuk deteksi dini karena dapat menunjukkan gambaran jaringan payudara yang abnormal. Tujuan: Untuk mengetahui gambaran tingkat pengetahuan mahasiswa kedokteran UKRIDA angkatan 2022-2024 tentang penggunaan ultrasonografi payudara dalam deteksi dini tumor payudara. Metode: Penelitian ini merupakan penelitian deskriptif kuantitatif di Fakultas Kedokteran dan Ilmu Kesehatan Universitas Kristen Krida Wacana. Penentuan besar sampel menggunakan metode non-probabilitas yaitu Quota Sampling dengan besar sampel sebesar 120 sampel. Data diolah menggunakan program Statistical Product and Service Solution (SPSS). Hasil: Hasil penelitian diperoleh tingkat pengetahuan mahasiswa FK UKRIDA angkatan 2022-2024 terhadap penggunaan ultrasonografi payudara dalam deteksi dini tumor payudara dikategorikan baik 46.7%, cukup 35.0%, kurang 18.3%. Kesimpulan: Pada penelitian yang telah dilakukan, mayoritas memiliki tingkat pengetahuan baik.
PENGARUH PIJAT REFLEKSI KAKI TERHADAP INTENSITAS NYERI PADA PASIEN RHEUMATHOID ARTHRITIS
Siregar, Rinco;
Simanjuntak, Siska Evi M;
Telaumbanua, Damai Serta
Journal of Public Health Science Vol. 2 No. 4 (2025): Desember
Publisher : Yayasan Nuraini Ibrahim Mandiri
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DOI: 10.70248/jophs.v2i4.3527
Rheumatoid arthritis merupakan penyakit autoimun inflamasi kronik yang ditandai dengan nyeri sendi persisten dan berdampak signifikan terhadap kualitas hidup penderita. Manajemen nyeri umumnya dilakukan secara farmakologis, namun penggunaan jangka panjang dapat menimbulkan efek samping. Oleh karena itu, diperlukan terapi komplementer non-farmakologis yang aman dan efektif, salah satunya adalah pijat refleksi kaki. Penelitian ini bertujuan untuk menganalisis pengaruh pijat refleksi kaki terhadap intensitas nyeri pada pasien rheumatoid arthritis. Penelitian ini menggunakan desain pre-eksperimen dengan pendekata pretest-posttest. Sampel penelitian terdiri dari 15 pasien rheumatoid arthritis yang dipilih menggunakan teknik purposive sampling. Intervensi berupa pijat refleksi kaki diberikan sesuai dengan prosedur standar selama 4 minggu 1 kali seminggu. Tingkat nyeri diukur menggunakan instrument Pain Numeric Rating Scale sebelum dan sesudah intervensi. Data dianalisis menggunakan uji Wilcoxon. Hasil penelitian menunjukkan adanya penurunan tingkat nyeri pada pasien rheumatoid arthritis setelah diberikan pijat refleksi kaki, rata-rata skor nyeri seudah diberikan pijat refleksi 3.80 (SD=0.862) dari rata-rata sebelumnya 8.53 (SD=0.816). Secara statistik, pijat refleksi kaki memberikan pengaruh yang signifikan terhadap penurunan intensitas nyeri dibandingkan sebelum intervensi (Z=-3.493, P=0.00, < 0.05). Pijat refleksi kaki berpengaruh terhadap penurunan nyeri pada pasien rheumatoid arthritis dan dapat dipertimbangkan sebagai terapi komplementer dalam manajemen nyeri. Intervensi ini berpotensi menjadi alternatif non-farmakologis yang aman, mudah diterapkan, dan mendukung peningkatan kualitas hidup pasien.
THE CORRELATION BETWEEN THE KNOWLEDGE AND ATTITUDES OF PREGNANT WOMEN TOWARDS TETANUS TOXOID (TT) IMMUNIZATION
Kiftia, Mariatul;
Martina, Martina
Journal of Public Health Science Vol. 2 No. 4 (2025): Desember
Publisher : Yayasan Nuraini Ibrahim Mandiri
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DOI: 10.70248/jophs.v2i4.3541
This study aims to determine the relationship between the level of knowledge and attitudes of pregnant women towards tetanus toxoid (TT) immunization in Banda Aceh City. The research method used is quantitative research with a cross-sectional analytical design. This study was conducted in three community health centers in the working area of Banda Aceh City, namely Ulee Kareng, Kopelma Darussalam, and Meuraxa, with a sample of 107 pregnant women selected using a purposive sampling technique. Data were collected using a structured questionnaire that measured the characteristics of respondents, their level of knowledge, and their attitudes towards TT immunization, then analyzed using the chi-square test. The results showed that most respondents had sufficient knowledge (52.3%) and a positive attitude towards TT immunization (72.0%). The results of the bivariate analysis showed a significant relationship between the knowledge and attitudes of pregnant women towards tetanus toxoid immunization with a p value = 0.001. The conclusion of this study is that there is a significant relationship between the level of knowledge and attitudes of pregnant women towards tetanus toxoid (TT) immunization, where the better the knowledge of pregnant women, the more positive their attitudes towards the implementation of TT immunization. Keywords: Knowledge, Attitudes, Pregnant Women, Tetanus Toxoid Immunization, TT
CONSTRUCTING PATIENT LOYALTY IN A COMPETITIVE ERA: THE CRITICAL ROLE OF BRAND AWARENESS IN PRIVATE HOSPITAL MARKETING STRATEGY
Kodriyah, Lailatul;
Maysella Damayanti, Vivina;
Mayasari, Ella
Journal of Public Health Science Vol. 2 No. 4 (2025): Desember
Publisher : Yayasan Nuraini Ibrahim Mandiri
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DOI: 10.70248/jophs.v2i4.3546
Background: Competition in the healthcare industry compels private hospitals to build sustainable patient loyalty. Brand awareness is hypothesized to be a critical foundation in constructing this loyalty, particularly in shaping patients' proactive choices amidst numerous alternatives. Objective: This study aims to analyze the role of brand awareness in the marketing strategy of private hospitals by examining its relationship with outpatient loyalty. Method: This research employs a quantitative approach with a cross-sectional design. Seventy-seven outpatients from a type C private hospital in East Java were selected purposively. Data were collected using a questionnaire measuring the variables of brand awareness (through indicators of recognition, recall, and preference) and patient loyalty (through indicators of repurchase intention and recommendation). Data analysis used the Spearman's Rank correlation test. Results: The level of brand awareness was in the moderate category (54.5%), while patient loyalty was in the high category (57.1%). Statistical testing revealed a significant and strong positive relationship between the two variables (correlation coefficient = 0.683; p-value = 0.000). Conclusion: Brand awareness plays a critical role in constructing patient loyalty in private hospitals. These findings highlight that an integrated marketing strategy must prioritize enhancing brand awareness, particularly the aspect of brand recall (spontaneous memory), as a strategic step to build long-term loyalty and competitiveness in an intensely competitive era.
HUBUNGAN PEMBERIAN AROMATHERAPI LAVENDER DALAM MENGURANGI GEJALA NAUSEA DAN EMESIS GRAVIDARUM PADA IBU HAMIL TRIMESTER I DENGAN PENDEKATAN CONTINUITY OF CARE (CoC) DI KLINIK JULIANA DALIMUNTHE TAHUN 2025
Sepriani, Elvi;
Atiyah , Yetti
Journal of Public Health Science Vol. 2 No. 4 (2025): Desember
Publisher : Yayasan Nuraini Ibrahim Mandiri
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DOI: 10.70248/jophs.v2i4.3560
Continuity of care (CoC) adalah suatu pendekatan pelayanan berkesinambungan dan komprehensif yang bidan memberikan asuhan terpadu dari masa kehamilan, persalinan, nifas, bayi baru lahir, hingga keluarga berencana. CoC ini bertujuan mendeteksi komplikasi dini, meningkatkan keamanan dan kenyamanan, serta menurunkan Angka Kematian Ibu (AKI) dan Bayi (AKB). Ibu selama kehamilan pastinya akan menghadapi keluhan atau masalah. Keluhan fisiologis umum pada kehamilan trimester pertama umumnya terjadi pada usia 6-12 minggu kehamilan yang disebabkan peningkatan hormon Chorionic Gonadothropin, estrogen, dan progesteron yang memicu pusat muntah di otak, serta faktor psikologis dan stress. Keluhan yang umum terjadi adalah mual dan muntah pada kehamilan trimester Pertama. Mual muntah adalah ketidak nyamanan umum yang dialami oleh 50% wanita hamil Trimester pertama. Salah satu pelaksanaan untuk menguranggi mual muntah dengan Terapi non-farmakologi salah satunya pemberian aroma terapi lavender.Tujuan penelitian ini adalah untuk mengidentifikasi Hubungan Pemberian Aromatherapi Lavender Dalam Mengurangi Gejala Nausea Dan Emesis Gravidarum Pada Ibu Hamil Trimester I Dengan Pendekatan Continuity Of Care Di Klinik Juliana Dalimunthe Tahun 2025. Jenis penelitian ini merupakan penelitian kuantitatif dengan menggunakan dengan pendekatan cross sectional study. Populasi dalam penelitian ini adalah seluruh ibu hamil Trimester I yang mengalami nausea dan emesis yang melakukan kunjungan pemeriksaan kehamilan di Klinik Juliana Dalimunthe periode Oktober sampai dengan Desember Tahun 2025. Sampel yang diperoleh dengan tehnik accidental sampling. Uji statistik yang digunakan uji chi-square dengan tingkat kepercayaan 95% (α =0,05). Hasil penelitian didapatkan hasil bahwa mayoritas responden dengan pemberian aromatherapi di Klinik Juliana Dalimunthe Tahun 2025 sebanyak 30 responden(100%), mayoritas responden mengalami pengurangan nausea dan emesis di Klinik Juliana Dalimunthe Tahun 2025 sebanyak 30 responden (100% ), Ada Hubungan Pemberian Aromatherapi Lavender Dalam Mengurangi Gejala Nausea Dan Emesis Gravidarum Pada Ibu Hamil Trimester I Dengan Pendekatan Continuity Of Care Di Klinik Juliana Dalimunthe Tahun 2025 dengan p value 0,001 <0,05. Diharapkan Diharapkan agar ibu hamil dapat mengatasi dirinya sendiri dalam mengurangi nausea dan emesis selama kehamilan trimester I. Ibu hamil juga harus melakukan kunjungan pemeriksaan kehamilan secara rutin sebagai persiapan kehamilan dan persalinan yang sehat nantinya.
PENGETAHUAN DAN SIKAP IBU HAMIL TENTANG MANFAAT SUSU KEDELAI TERHADAP KELANCARAN PRODUKSI ASI PADA IBU MENYUSUI DI KLINIK JULIANA DALIMUNTHE KECAMATAN PERCUT SEI TUAN TAHUN 2025
Fatwiany, Fatwiany;
Kamaliah, Kamaliah;
Faradhiba, Faradhiba
Journal of Public Health Science Vol. 2 No. 4 (2025): Desember
Publisher : Yayasan Nuraini Ibrahim Mandiri
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DOI: 10.70248/jophs.v2i4.3561
Air Susu Ibu (ASI) sangat penting untuk pertumbuhan dan kekebalan bayi, namun banyak ibu menghadapi kendala dalam produksi ASI yang cukup. Salah satu alternatif alami untuk mendukung kelancaran produksi ASI adalah konsumsi susu kedelai karena kandungan nutrisinya yang tinggi. Pengetahuan ibu hamil tentang manfaat susu kedelai berperan penting dalam kesiapan menyusui. Oleh karena itu, penelitian ini dilakukan untuk mengetahui tingkat pengetahuan ibu hamil tentang manfaat susu kedelai terhadap kelancaran produksi ASI di Klinik Juliana Dalimunthe tahun 2025. Penelitian ini menggunakan desain deskriptif kuantitatif dengan pendekatan cross sectional. Populasi sekaligus sampel adalah 30 ibu hamil di Klinik Juliana Dalimunthe tahun 2025 dengan teknik total sampling. Data dianalisis secara univariat menggunakan distribusi frekuensi dan statistik deskriptif (mean, median, modus). Hasil penelitian menunjukkan bahwa sebagian besar ibu hamil memiliki tingkat pengetahuan yang cukup tentang manfaat susu kedelai terhadap kelancaran produksi ASI, yaitu sebanyak 16 orang (53,3%), dan sebagian besar ibu hamil juga memiliki sikap positif terhadap konsumsi susu kedelai untuk mendukung produksi ASI, yaitu sebanyak 19 orang (63,3%).Diharapkan ibu hamil dapat lebih aktif mencari informasi dari sumber terpercaya mengenai nutrisi yang mendukung produksi ASI, termasuk manfaat susu kedelai, agar kelak proses menyusui dapat berlangsung dengan optimal