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INDONESIA
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia
Published by Institut Teknologi Sains dan Kesehatan RS dr. Soepraoen
ISSN : 2829341X     EISSN : 28285867     DOI : 10.62951
Core Subject : Health, Science,
Computer Science & IT Public Health
Jurmiki menerbitkan makalah asli, artikel ilmiah dan laporan singkat yang terkait dengan keilmuan terkait kesehatan (hukum, sistem informasi, manajemen dan klinis)
Arjuna Subject : Profesi Kesehatan - Menejmen Informasi Kesehatan
Articles 90 Documents
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Pengaruh Stimulasi Biblioterapi terhadap Perkembangan Bahasa Anak Usia 3 Tahun di Taman Posyandu (TAPOS) M. Khoirudin; Nurhidayah Nurhidayah; Lilia Nurhidayati
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 5 No. 2 (2026): Jurmiki (Jurnal Rekam Medis dan Informasi Kesehatan Indonesia)
Publisher : program studi Rekam Medis dan Infomasi Kesehatan ITSK RS dr Soepraoen Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/jurmiki.v5i2.132

Abstract

Language development in children aged 3 years was an aspect that must get serious attention because it is one indicator of the overall development. Bibliotherapy stimulation can stimulate aspects of children’s language optimally. The purpose of this study was to determine the effect of stimulation bibliotherapy on the language development of 3-year-old children in Kantil 2 Posyandu Park Karangrejo village Ngasem. Research design was pre-experimental with a one group pre-post test approach. The population of 3 years old children as many as 140 children, a sample of 35 respondents, taken by purposive sampling technique. Data was collected by observation sheet and analyzed by Wilcoxon test with the Wilcoxon test result ρ value 0,000 <  α = 0,05 then Ho was rejected which meant there was an influence of bibliotherapy stimulation on the language development of 3-year-old children in Kantil 2 Posyandu Park Karangrejo village Ngasem. The result of the research were obtained before bibliotherapy stimulation, as much 18 respondents (51,4%) were at the level of development of languages with suspect categories. After stimulation of bibliotherapy, as much 24 respondents (68,6%) were at the level of development of languages with normal categories. Bibliotherapy stimulation research could improve the language development of 3-year-olds. Bibliotherapy stimulation could be apllied as one of the nursing interventions to improve the language development of children aged 3 years.
Persepsi Ibu Rumah Tangga Usia Subur terhadap Penggunaan Kontrasepsi Implan di Jalan Lokomotif Kelurahan Melayu Kecamatan Siantar Utara Nadrah Na’imi; Reni Agustina Harahap; Eliska Eliska; Susilawati Susilawati; Nabila Yasmin
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 5 No. 2 (2026): Jurmiki (Jurnal Rekam Medis dan Informasi Kesehatan Indonesia)
Publisher : program studi Rekam Medis dan Infomasi Kesehatan ITSK RS dr Soepraoen Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/jurmiki.v5i2.133

Abstract

The use of implant contraception as one of the Long-Acting Reversible Contraception (LARC) methods is still influenced by various perceptions among reproductive-age housewives. This study aimed to determine the perceptions of reproductive-age housewives regarding the use of implant contraception on Lokomotif Street, Melayu Village, North Siantar District. This study employed a qualitative method with a descriptive approach. The informants consisted of 12 participants, including 10 main informants and 2 key informants. Data were collected through in-depth interviews, observation, and documentation, then analyzed using thematic analysis with source triangulation. The results showed that perceptions toward implant contraception were generally positive, as implants were considered effective, practical, safe, and able to prevent pregnancy for a relatively long period. However, some informants expressed concerns about menstrual changes, weight gain, and the insertion process. These perceptions were influenced by internal factors, including knowledge, feelings, thoughts, experiences, perceived benefits, and expectations, as well as external factors such as health workers, husband support, social environment, family planning cadres, and social media. Health workers and family planning cadres are recommended to strengthen communication, information, and education (CIE) as well as counseling regarding the benefits, effectiveness, procedures, and possible side effects of implant contraception.
Hubungan Faktor Lingkungan Fisik dan Perilaku Masyarakat dengan Kejadian Demam Berdarah Dengue (DBD) di Puskesmas Padang Bulan Selayang II Talitha Shafiqah Batubara; Meutia Nanda; Reni Agustina Harahap; Yulia Khairina Ashar; Aprilinda M. Harahap
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 5 No. 2 (2026): Jurmiki (Jurnal Rekam Medis dan Informasi Kesehatan Indonesia)
Publisher : program studi Rekam Medis dan Infomasi Kesehatan ITSK RS dr Soepraoen Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/jurmiki.v5i2.134

Abstract

Dengue Hemorrhagic Fever (DHF) remains a public health problem influenced by physical environmental conditions and community behaviors. This study examined the association between physical environmental factors, community behaviors, and DHF incidence in the service area of Padang Bulan Selayang I Community Health Center. A case-control design was used with 154 respondents, comprising 77 cases and 77 controls. Data were analyzed using univariate and bivariate analyses with the Chi-Square test. The results showed associations between lighting (p=0.000; OR=4.938), room temperature (p=0.003; OR=2.777), room humidity (p=0.000; OR=3.300), mosquito larvae presence (p=0.014; OR=2.249), mosquito repellent use (p=0.024; OR=2.093), hanging clothes (p=0.017; OR=2.289), wire mesh installation on vents (p=0.023; OR=2.100), and water storage container cleaning (p=0.006; OR=2.496) with DHF incidence. Housing density (p=0.329; OR=0.727) and mosquito net use (p=0.632; OR=0.794) were not associated with DHF. Most physical environmental and behavioral factors were associated with DHF incidence. Community health centers should strengthen health promotion, mosquito breeding site elimination, and regular larval monitoring. Communities should maintain suitable lighting, temperature, and humidity, prevent larval breeding, use mosquito repellent and mosquito nets, avoid hanging clothes indoors, install wire screens on vents, and regularly clean water storage containers.
Faktor-Faktor yang Berhubungan dengan Penerapan Hygiene Sanitasi Makanan pada Rumah Makan di Wilayah Kecamatan Medan Baru Ruqayah Salsabila Parapat; Meutia Nanda; Delfriana Ayu; Salianto Salianto
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 5 No. 2 (2026): Jurmiki (Jurnal Rekam Medis dan Informasi Kesehatan Indonesia)
Publisher : program studi Rekam Medis dan Infomasi Kesehatan ITSK RS dr Soepraoen Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/jurmiki.v5i2.135

Abstract

Food hygiene and sanitation practices in restaurants play an essential role in preventing foodborne diseases. Data from the Medan City Health Office (2024) showed that only 41 of 124 restaurants (33.06%) in Medan Baru Subdistrict met health standards, while preliminary observation found uncovered food display cases, open waste bins, and food handlers who did not wear aprons or head coverings. This study aimed to identify the factors associated with the implementation of food hygiene and sanitation in restaurants in Medan Baru Subdistrict. A quantitative approach with a cross-sectional design was applied to a population and sample of 30 halal restaurants selected through total sampling. Data were collected through observation using a checklist based on the Indonesian Ministry of Health Regulation No. 1096/MENKES/PER/VI/2011 and analyzed using the Chi-Square test. The results showed significant associations between hygiene sanitation implementation and raw material selection (p=0.001), cooked food storage (p=0.009), cooked food transportation (p=0.028), and food serving (p=0.014), whereas food processing (p=0.245) and raw material storage (p=0.699) were not significantly associated. This study concludes that raw material selection, storage, processing, and serving of cooked food are important factors in the implementation of food hygiene sanitation in restaurants in Medan Baru Subdistrict. Restaurant owners and food handlers are advised to improve sanitation practices in accordance with health standards to ensure food safety and protect consumers.
Analisis Penyebab Kecelakaan Kerja Pada Pemanen Kelapa Sawit Di Desa Simangambat. Elvida Wati Hasibuan; Salianto Salianto; Susilawati Susilawati; Rani Suraya; Adenan Adenan
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 5 No. 2 (2026): Jurmiki (Jurnal Rekam Medis dan Informasi Kesehatan Indonesia)
Publisher : program studi Rekam Medis dan Infomasi Kesehatan ITSK RS dr Soepraoen Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/jurmiki.v5i2.136

Abstract

Occupational accidents remain a serious problem in the oil palm plantation sector, particularly among harvesters who face various hazards during harvesting activities. This study aimed to analyze the causes of occupational accidents among oil palm harvesters in Simangambat Village, Simangambat District, North Padang Lawas Regency. This study employed a qualitative descriptive approach involving 9 informants, consisting of 6 oil palm harvesters and 3 plantation owners. Data were collected through in-depth interviews, observation, and documentation, and analyzed based on Heinrich’s Domino Theory. The findings showed that occupational accidents were influenced by social and organizational factors, including inadequate OSH implementation, limited safety training, and insufficient work supervision. Human factors included fatigue, lack of concentration, and working in a hurry. Unsafe acts included incomplete use of personal protective equipment and noncompliance with safety procedures, while unsafe conditions included slippery roads, uneven ground, scattered oil palm fronds, and animal disturbances. The accidents experienced included injuries from falling fresh fruit bunches, work tools, and slipping. These findings indicate the need to strengthen OSH implementation, improve PPE compliance, provide safety training, and enhance work supervision to prevent occupational accidents.
Analisis Edukasi Kesehatan Melalui Media Sosial terhadap Pengetahuan Ibu Gen Z tentang Imunisasi Dasar Lengkap di Posyandu Cempaka Wilayah Kerja Puskesmas Medan Johor Adillah Maharani Tanjung; Nurhayati Nurhayati
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 5 No. 2 (2026): Jurmiki (Jurnal Rekam Medis dan Informasi Kesehatan Indonesia)
Publisher : program studi Rekam Medis dan Infomasi Kesehatan ITSK RS dr Soepraoen Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/jurmiki.v5i2.137

Abstract

Complete basic immunization is an important effort in preventing preventable diseases in infants and toddlers. However, the use of social media as a source of health information is not necessarily followed by a good understanding by Gen Z mothers. This study aims to analyze health education through social media on Gen Z mothers' knowledge about complete basic immunization at the Cempaka Integrated Health Post (Posyandu) in the Medan Johor Community Health Center (Puskesmas). The study used a qualitative method with a descriptive approach. The research informants consisted of three Gen Z mothers, two Posyandu cadres, one immunization officer, and one head of the community health center selected by purposive sampling. Data were collected through in-depth interviews, observation, and documentation, then analyzed using the Miles, Huberman, and Saldana model through data condensation, data presentation, and drawing conclusions. The results showed that social media is an easily accessible source of information and helps improve Gen Z mothers' knowledge about the benefits, schedule, and importance of complete basic immunization. However, obstacles were still found in the form of inaccurate information and differences in levels of understanding between mothers. Health education through social media contributes positively to increasing knowledge and encouraging mothers' compliance in following child immunizations at Posyandu. It is recommended that healthcare professionals continue to optimize the use of social media as a trusted and easily understood means of health education for the public.
Hubungan Paparan Polusi Udara dalam Rumah (Asap Rokok dan Asap Bakar Obat Nyamuk) dengan Kejadian ISPA pada Lansia di Wilayah Kerja Puskesmas Pagurawan Pesisir Batu Bara Lily Rahmanda; Yulia Khairina Ashar; Reni Agustina Harahap; Rapotan Hasibuan; Nabila Yasmin
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 5 No. 2 (2026): Jurmiki (Jurnal Rekam Medis dan Informasi Kesehatan Indonesia)
Publisher : program studi Rekam Medis dan Infomasi Kesehatan ITSK RS dr Soepraoen Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/jurmiki.v5i2.142

Abstract

Acute respiratory infection (ARI) continues to pose a major public-health challenge for the elderly population. Indoor air quality can deteriorate when households are exposed to cigarette smoke and fumes from burning mosquito coils, a condition believed to heighten the risk of respiratory illness. This study examined whether such exposures were associated with ARI occurrence among elderly residents served by the Pagurawan Pesisir Public Health Center in Batu Bara Regency. A quantitative, cross-sectional approach was applied to a target population of 3,084 elderly individuals, from which 94 participants were drawn through purposive sampling. Information was gathered via questionnaire-based interviews and examined through univariate and bivariate procedures, applying the Chi-Square test at a 0.05 significance level. Findings indicated that ARI was present in 55 participants (58.5%), while cigarette-smoke exposure and mosquito-coil-smoke exposure were reported by 52 (55.3%) and 76 (80.9%) participants, respectively. Both exposures showed a statistically significant relationship with ARI: cigarette smoke (p=0.006; PR=1.880; 95% CI 1.195–2.958) and mosquito-coil smoke (p=0.003; PR=3.667; 95% CI 1.423–9.446). These findings confirm that household exposure to cigarette smoke and mosquito-coil smoke contributes to ARI risk in older adults, underscoring the value of smoke-free households, safer alternatives to coil-based mosquito control, and improved home ventilation as preventive strategies.
Pengawasan Pemerintah Daerah terhadap Dugaan Pencemaran Lingkungan oleh PLTU Pangkalan Susu Perspektif  Al-Shulthah Al-Tandfiziyah Rika Adelia; Hasnul Arifin Melayu; T. Surya Reza
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 5 No. 2 (2026): Jurmiki (Jurnal Rekam Medis dan Informasi Kesehatan Indonesia)
Publisher : program studi Rekam Medis dan Infomasi Kesehatan ITSK RS dr Soepraoen Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/jurmiki.v5i2.141

Abstract

Local government oversight regarding environmental pollution serves as a crucial instrument for ensuring business compliance with environmental protection and management regulations. The operations of the Pangkalan Susu Steam Power Plant (PLTU) have the potential to impact environmental quality, public health, and the livelihoods of local fishermen and farmers. This study aims to analyze the oversight activities conducted by the Langkat Regency Environmental Agency regarding pollution caused by the Pangkalan Susu PLTU, applying George R. Terry’s management functions and the perspective of Al-Shulṭah al-Tanfīdziyyah (executive authority). An empirical legal research method with a qualitative approach was employed, utilizing interviews, document analysis, and literature reviews. The findings indicate that oversight has been carried out in accordance with Article 71 of Law Number 32 of 2009 and Government Regulation Number 22 of 2021 regarding government supervision duties. However, the effectiveness of this oversight remains constrained by limited human resources and budget, the vastness of the area requiring supervision, and suboptimal inter-agency coordination. From the perspective of Al-Shulṭah al-Tanfīdziyyah, the Environmental Agency has fulfilled its governmental role as a policy implementer and legal overseer, yet the goal of ensuring the public good (maslahah) has not been fully realized. Therefore, strengthening oversight, enhancing cross-sector coordination, and ensuring more consistent law enforcement are essential to improve environmental protection.
Gambaran Fungsi Kognitif Berdasarkan Karakteristik Lansia di Desa Ledug Kecamatan Kembaran Kabupaten Banyumas Devi Wirastri; Mariah Ulfah; Tri Sumarni
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 5 No. 2 (2026): Jurmiki (Jurnal Rekam Medis dan Informasi Kesehatan Indonesia)
Publisher : program studi Rekam Medis dan Infomasi Kesehatan ITSK RS dr Soepraoen Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/jurmiki.v5i2.143

Abstract

Cognitive function is the brain's ability to think, remember, and understand, which tends to decline with increasing age. Cognitive impairment in the elderly, if not detected early, can progress to dementia and affect the independence and quality of life of the elderly. Based on 2024 data from Desa Ledug, the elderly population reached 1,475 people (12.4% of the total population), yet data on the cognitive function status of the elderly in this area were not previously available. This study aimed to describe cognitive function based on the characteristics of the elderly in Desa Ledug, Kembaran District, Banyumas Regency. This study used a quantitative descriptive method with a cross-sectional approach. A sample of 149 elderly individuals was selected using proportional random sampling, with the sample size calculated through G*Power power analysis. Data were collected using the Mini-Mental State Examination (MMSE) instrument. The results showed that the majority of respondents were aged 60-74 years (73.2%), female (68.5%), had a basic education level (62.4%), and were working (59.1%). Most respondents had normal cognitive function (51.0%), with the highest proportion found in the 45-59 age group, males, those with higher education, and those who were working. Cognitive impairment was more common among those aged 75-90 years, females, those with basic education, and those not working. Early detection and continuous community-based cognitive stimulation programs for the elderly are needed.
Determinants of Depressive Symptoms Among University Students at the State Islamic University of North Sumatra, Medan, Tuntungan Campus IV Alya Fadilla; Putra Apriadi Siregar; Nabila Yasmin; Wahyudi Wahyudi; Salianto Salianto
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 5 No. 2 (2026): Jurmiki (Jurnal Rekam Medis dan Informasi Kesehatan Indonesia)
Publisher : program studi Rekam Medis dan Infomasi Kesehatan ITSK RS dr Soepraoen Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/jurmiki.v5i2.145

Abstract

Mental health disorders, particularly depression, pose a serious challenge for university students during the transition phase of emerging adulthood. This study aimed to analyze the determinants of depressive symptoms among students at the Universitas Islam Negeri Sumatera Utara (UINSU), Tuntungan Campus IV. A quantitative cross-sectional design was used with a sample of 403 active students from the 2nd to the 8th semester, selected through proportionate stratified random sampling. Data were analyzed using Spearman rank correlation, the Mann-Whitney test, the Kruskal-Wallis test, and multiple linear regression. The results showed that the prevalence of “extremely severe” depressive symptoms reached 61.0%. Bivariately, depressive symptoms were significantly associated with socio-demographic characteristics (age, semester, gender, faculty, employment status), lifestyle factors (sleep duration, smoking habit), and psychosocial factors (psychological distress, academic stress, peer support, and family support). Simultaneously, the model explained 49.0% of the variance in depression scores (Adjusted R² = 0.49, p = 0.000). Multivariate analysis identified psychological distress (β = 0.603) as the dominant determinant, followed by family support as the main protective factor (β = -0.202), academic stress (β = 0.101), spirituality (β = 0.089), and daily sleep duration (β = -0.079). In conclusion, student depression is dominantly driven by the accumulation of psychological distress and academic pressure combined with insufficient sleep, while family support serves as the main protector and increased spirituality functions as a coping mechanism. Preventive measures should include accessible campus counseling services, strengthening family support, facilitating religious activities, and educating students on healthy sleep management.

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