Journal La Medihealtico http://newinera.com/index.php/JournalLaMedihealtico <p>International <strong>Journal La </strong><strong>Medihealtico </strong>ISSN 2721-1231 (Online) and 2721-1215 (Print) includes all the areas of research activities in all fields of Medical and Health Care such as Health Care Delivery, Health Care Research, Epidemiology, Medical Care, Nursing, Nursing Education, Neonatal nurse, Home Health Nursing Community and Home care, Information Technology in Nursing, Occupational Health and Safety, Midwifery, Health Care Administration, Hospital Science and Management, Innovations in Patient Care,&nbsp; Public Health, Health Psychology, Social Health, Physical health, Quaternary Care, Secondary Care, Veterinary Nursing, Medical Sciences and Pharmaceutical Sciences, Hospital and Clinical Pharmacy, Pathology, Physiotherapy &amp; Rehabilitation, Ergonomics, Food and Nutrition, Veterinary Medicines.</p> en-US asriwatiamirah@newinera.com (Asriwati Amirah) m.hasibnp@gmail.com (Mujib Hasib) Sun, 21 Feb 2021 00:00:00 +0700 OJS 3.1.2.4 http://blogs.law.harvard.edu/tech/rss 60 Work Stress Factors in Innures at the Putri Hijau Kesdam I Bukit Barisan Medan http://newinera.com/index.php/JournalLaMedihealtico/article/view/309 <p><em>One of the jobs that is prone to stress is a nurse. According to PPNI, 50.9% of Indonesian nurses experience work stress. This study was to determine the factors that influence the stress of nurses at the Putri Hijau Level II Hospital, Medan. The research design used was cross sectional with a population of 152 nurses in this study and the sample used a stratified random sampling technique to 60 nurses. Data analysis using binary logistic regression test. Research shows that there is an effect of workload (p = 0.03) and interpersonal relationship (p = 0.03) on nurses 'work stress, while the variables of gender, tenure, career development and role conflict have no effect on nurses' work stress. Workload and interpersonal relationships in the workplace have the potential to cause work stress for nurses. So it is advisable for the management to adjust the physical and mental workload with the capacity and ability of nurses, and strive for a conducive social environment.</em></p> Agung Prawira, Ismail Effendi, Miskah Afriani Copyright (c) 2021 Journal La Medihealtico http://creativecommons.org/licenses/by-sa/4.0/ http://newinera.com/index.php/JournalLaMedihealtico/article/view/309 Sun, 21 Feb 2021 09:49:10 +0700 Breathing Processing to Help Maintain Health Includes Techniques and Benefits http://newinera.com/index.php/JournalLaMedihealtico/article/view/312 <p><em>Breathing exercises are designed and performed to achieve more controlled and efficient ventilation. The dilation of blood vessels affects blood pressure, which is to reduce the resistance to blood flow, so that blood pressure tends to be normal. Holding your breath also helps to increase your concentration, and stabilizes your emotions. Thoughts and emotions feel more stable and it is easy to concentrate on holding your breath. In breath-holding meditation practice is very helpful in increasing concentration. By holding your breath when the lungs are filled with air or empty, the process of taking oxygen by the blood stops, resulting in a lack of oxygen in the blood. This condition stimulates the blood to form more Hb cells, so that when you inhale, the amount of oxygen absorbed by the blood increases, as well as when you exhale, the amount of CO2 that is removed is also greater. The holding of breath will also cause a decrease in the amount of oxygen in the body's tissues, which increases the acidity of the body's tissues. The process of moving air in and out of the lungs to facilitate gas exchange with the body's internal environment, primarily by introducing oxygen and removing carbon dioxide. Breathing exercises are designed and performed to achieve more controlled and efficient ventilation.</em></p> Gianna Salonga, Vanessa Aunor Copyright (c) 2021 Journal La Medihealtico http://creativecommons.org/licenses/by-sa/4.0/ http://newinera.com/index.php/JournalLaMedihealtico/article/view/312 Sun, 21 Feb 2021 09:52:20 +0700 The Effectiveness of Stress Management and Physical Activity to Working Stress Reduction on Nurses http://newinera.com/index.php/JournalLaMedihealtico/article/view/310 <p><em>From the first forty cases of working stress on workers, work stress incidence on nurses is located at the top of the list. The suitable handling and management for nurses are crucially required. Working stress management is a program to help someone overcome stress. The purpose of this research is to find out the effectiveness of stress management and physical activity towards working stress on nurses in TK II Putri Hijau Hospital. This research is using a quasi-experimental design with one group pretest-posttest design. The population in this research consists of 152 people and all of them are being examined using stress questionnaires to earn the stress level. Nurses who have medium stress level are chosen to be the samples of this research, which consist of 42 nurses that are being divided into 2 groups with 21 people in each group. Therefore, 21 people obtain stress management training treatment, and the other 21 people receive physical activity treatment. In this research, the Stress Scale (PSS-10) which is a self-report questionnaire is being used. Moreover, the data is processed using parametric analysis, which is Wilcoxon. Based on the research, it is found that stress management training and physical activity has a significant effect on the reduction of nurses working stress in TK II Putri Hijau Hospital Medan. </em></p> Ismail Efendy, Miskah Afriany, Syarifuddin Lubis Copyright (c) 2021 Journal La Medihealtico http://creativecommons.org/licenses/by-sa/4.0/ http://newinera.com/index.php/JournalLaMedihealtico/article/view/310 Sun, 21 Feb 2021 09:55:15 +0700 Evaluation of Antihypertensive Treatment Inoutpatients at Batang Beruh Helath Centre Sidikalang http://newinera.com/index.php/JournalLaMedihealtico/article/view/311 <p><em>Hypertension is a cardiovascular disease with a high prevalence and risk of death in developed and developing countries with blood pressure reach ≥140/90 mmHg. Hypertension is the 3rd cause of death after stroke and tuberculosis, reached 6.7% of the population of deaths at all ages in Indonesia. Results of Basic Health Research (Riskesdas) Balitbangkes showed that the national prevalence of hypertension reached 31.7%. The National Formulary (Fornas) is a list of drugs compiled based on the latest scientific evidence by the National Committee for the Compilation of the Fornas. Evaluation of the appropriateness of antihypertensive treatments in outpatients at Batang Beruh Health Centre Sidikalang seen from the National Formulary was the aim of this study. This research is non-experimental, quantitative descriptive was conducted in May - July 2019 at Batang Beruh Health Centre Jl. Pahlawan Sidikalang, Sidikalang District of Dairi, North Sumatra. The population was 231 hypertensive patients using antihypertensive drugs, with sampling using the Slovin formula, amounted to 70 respondents. Based on the research conducted, in the Calcium Antagonist group, the names of the antihypertensive drugs used are Amlodipine and Nifedipine. Meanwhile, in the ACEIs group, the drug used is Captopril. Whereas in the Angiotensin II receptor antagonist group, the drugs used are Micardis, Valsartan and Candesartan. Whereas in the Diuretic group, the antibiotic used is Furosemide.</em></p> Indra Ginting, Asriwati Amirah, Mayang Sari Copyright (c) 2021 Journal La Medihealtico http://creativecommons.org/licenses/by-sa/4.0/ http://newinera.com/index.php/JournalLaMedihealtico/article/view/311 Sun, 21 Feb 2021 09:57:30 +0700 Analysis of the Influence of Work Stressors on Fatigue of Nurses in Inpatient Rooms, General Hospital of Haji Medan http://newinera.com/index.php/JournalLaMedihealtico/article/view/314 <p><em>Work stress is caused by many factors from workplace, family, home, or environment. Excessive work stress will make someone anxious until developing excessive fatigue. Fatigue will decrease performance and increase work error rate that cause fatal workaccident.This study aimed to analyze influence of working stressors against nurses fatigue in patien room in haji hospital Medan. This study was quantitative method with a cross-sectional design, with a sample of 53 respondents. This study used questioners of the NIOSH Generic Job Stress Questionaire and Industrial Fatigue Research Committee which has been translated into Indonesian and has cheeked for validity and reliability. The results of the study regarding the influence&nbsp; work fatigue and work stress (P-value 0,000, r : 1,000), the influence&nbsp; workload and work fatigue (P-value 0,000, r : 1,000), the influence&nbsp; interpersonal conflict and work fatigue (P-value 0,000, r : 1,000), the influence&nbsp; job satisfaction and work fatigue (P-value 0,000, r : -0,588), the influence&nbsp; social support and work fatigue (P-value 0,000, r : -0,892), and based on the logistic regression test workload were variables the most influential, with an odds ratio of 94,5. The conclusion shows that workload is a variable that has strong influence on fatigue. Nurses with heavy workload are 94,5 times more likely to experience fatigue. So that the hospital needs to monitor and evaluate the performances of the nurses so the workload can be fixed and adjusted with the right capacity and ability of the nurses in providing services</em></p> Chairil Syadudin, Asyiah Simanjorang, Jamaludin Jamaludin, Lucia Lastiur Copyright (c) 2021 Journal La Medihealtico http://creativecommons.org/licenses/by-sa/4.0/ http://newinera.com/index.php/JournalLaMedihealtico/article/view/314 Mon, 01 Mar 2021 15:46:16 +0700 Factor Affecting the Utilization of Family Planning Program Services for Women in the Working Area of the Pasie Raya Community Health Center http://newinera.com/index.php/JournalLaMedihealtico/article/view/315 <p>Family planning to spacing or planning the number and distance of pregnancies using contraception. Data on active family planning participants based on the type of contraception at the Pasie Raya Community Health Center in 2019 was 39.4%, there was no increase in the coverage of active KB participants based on the type of contraception in 2018 of 49.4%. The aim is to find out what are the factors that influence the use of family planning program services for women in the working area of ​​the Pasie Raya Community Health Center. This type of research is a combination research (mixed methods research) combining or combining quantitative methods and qualitative methods with Accidental Sampling sampling techniques on 90 samples and 5 informants. Quantitative data were analyzed using univariate, bivariate and multivariate logistic regression tests. The results of the study showed the influence of knowledge, information sources, culture, family support and support from health workers on the utilization of family planning program services. Based on the multivariate analysis, the support variable for health workers is the dominant variable, while the results of the qualitative analysis on key informants and supporters can be concluded that women have taken advantage of the Kb service program, but most of the women do not understand and understand the benefits that are obtained from the family planning program. The conclusion from the health workers is very important in the utilization of family planning program services. It is recommended that the Health Office conduct more evaluations of family planning services at the Puskesmas. It is necessary to improve the quality of Kb services by including health workers in training.</p> Melda Andriani, Megawati Megawati, Asriwati Amirah, Lucia Lastiur Copyright (c) 2021 Journal La Medihealtico http://creativecommons.org/licenses/by-sa/4.0/ http://newinera.com/index.php/JournalLaMedihealtico/article/view/315 Mon, 01 Mar 2021 15:46:59 +0700 The Effect of Prolanis Exercise Activities on Decreasing Blood Sugar Levels in Diabetes Mellitus Patients http://newinera.com/index.php/JournalLaMedihealtico/article/view/316 <p><em>Diabetes exercises are physical exercises designed according to age and physical status and are part of the treatment of diabetes mellitus. When a person does physical exercise in the muscles of the body, the heart system and blood circulation and breathing are activated. Therefore, the body's metabolism, fluid and electrolyte balance and acid base must adjust. Muscles will use free fatty acids and glucose as a source of energy or energy. When physical exercise begins glucose originating from muscle-muscled glycogen when physical exercise starts being used as a source of energy. Assessing the effect of the implementation of prolanis exercise activities on reducing blood sugar levels in patients with Type 2 Diabetes Mellitus in Puskesmas Padangmatinggi in 2019. This type of research is quantitative with a quasi-experimental design that designs using one group pretest-posttest, when this study was conducted in January-April year 2020. The population in this study were all patients with diabetes mellitus who follow prolanis gymnastics in Padangmatinggipuskesmas with purposive sampling technique, namely the determination of the sample by specifying specific characteristics consisting of 15 intervention / experimental groups and 15 control groups 15 people The results showed that there was an effect of the application of prolanic exercise activities to reduce blood sugar levels in patients with type 2 diabetes at Padangmatingi Public Health Center in Padangsidimpuan with a P-Value of 0.007, and there were differences in blood sugar levels in the intervention and control groups with a P. Value of 0,000.</em></p> Fitri Silvia, Mappeaty Nyorong, Miskah Afriany, Lucia Lastiur Copyright (c) 2021 Journal La Medihealtico http://creativecommons.org/licenses/by-sa/4.0/ http://newinera.com/index.php/JournalLaMedihealtico/article/view/316 Mon, 01 Mar 2021 16:03:10 +0700 Factors Affecting the Decision of Patients to Utilize Health Services for Recycling http://newinera.com/index.php/JournalLaMedihealtico/article/view/317 <p><em>Patients in health services have different behaviors in deciding to take advantage of health services. Patients used various considerations to make decisions based on the health products or services for re-treatment. The study aimed to analyze the factors that influence the patient's decision in using health services for re-treatment. This research was quantitative with cross-sectional design and conducted at Tanjung Pura Regional Hospital. The population was 3.946 people, and the sample were 247 respondents taken by using purposive sampling. Data analysis was univariate and bivariate using chi-square and multivariate using multiple logistic regression at the 95% confidence level (a= .05). The results showed that the factors that influenced the patient's decision to use health services for re-treatment at the Tanjung Pura Regional Hospital were the service quality of doctors / nurses (p= .000), distance (p=.049), facilities (p=0.000), and service speed (p = .000). The factors that did not influence we age (p=.461). gender (p=.895), education (p=.371), occupation (p=.593). The most dominant factor influencing is facilities with Exp (B)/OR =14.477, meaning that respondents who stated that the hospital facilities were good, had the opportunity to use health services for re-treatment by 14.4 times higher the respondents who stated that the hospital facilities were not good. It is suggested to Tanjung Pura Regional Hospital to propose and allocate a budget for improving hospital facilities that are still lacking and adding new service facilities so that it can increase public confidence for repeat treatment</em></p> Dherma Wati Bangun, Dherma Wati Bangun, Vivi Eulis Diana Copyright (c) 2021 Journal La Medihealtico http://creativecommons.org/licenses/by-sa/4.0/ http://newinera.com/index.php/JournalLaMedihealtico/article/view/317 Mon, 01 Mar 2021 00:00:00 +0700 The Influence of Health Services Licenses to the Quality of Services at the Capital Investment and Integrated Services Office One Door of the City of Medan http://newinera.com/index.php/JournalLaMedihealtico/article/view/313 <p><em>The research objective was to analyze the effect of health service licensing policies on service quality at the Medan City Investment Service and One Stop Integrated Services. This research method is mixed methods, amounting to 27 people. The results of the research on the relationship of health service licensing policies with the satisfaction of the online licensing application for the SiCantik Cloud application, it is known that the licensing policy is good quality service with the relationship between physical evidence and satisfaction of the online licensing applicant for the SiCantik Cloud application, it is known that physical evidence of the applicant is satisfied, the relationship of reliability with the satisfaction of the online licensing applicant of the SiCantik application. Cloud, it is known the reliability of the applicant's clinical licensing officer, the relationship of responsiveness with the satisfaction of the online licensing applicant of the SiCantik Cloud application, it is known the responsiveness of the applicant's clinic licensing officer, the guarantee relationship with the satisfaction of the online licensing applicant for the SiCantik Cloud application, it is known that the clinical licensing guarantee of the applicant is satisfied, the relationship of empathy with the satisfaction of the licensing applicant online application SiCantik Cloud, it is known that the empathy of the applicant's clinical licensing officer is satisfied. Research suggestions are expected to the next researchers to prioritize research related to public services, especially health, because health services have a very important role in people's lives.</em></p> Rosliana Rosliana, Juliandi Harahap, Achmad Rifai, Lucia Lastiur Copyright (c) 2021 Journal La Medihealtico http://creativecommons.org/licenses/by-sa/4.0/ http://newinera.com/index.php/JournalLaMedihealtico/article/view/313 Mon, 01 Mar 2021 16:30:03 +0700 Analysis of Affecting Factors of the Medical Record Service Waiting Time of Outpatient Ambulatory in Sundari Medan Hospital http://newinera.com/index.php/JournalLaMedihealtico/article/view/326 <p><em>Administering outpatient medical records is required to provide excellent service to create patient satisfaction, especially with short waiting times. The purpose of this study was to determine how the factors that influence the waiting time for outpatient medical record services at Sundari Hospital, Medan.This type of research is descriptive analytic with a qualitative approach. The informants in this study consisted of 7 people, namely 4 registration officers and 3 patients who made outpatient visits. The data analysis used descriptive qualitative and the validity of the data used was data triangulation. The results show that the waiting time for outpatient medical record services for patients who register manually is longer than 60 minutes, the SOP for outpatient registration services has been implemented, it's just not done perfectly, Human resources in outpatient medical record services Sundari Hospital does not match educational qualifications, the facilities available in the outpatient medical record service at Sundari Hospital are incomplete, the technology has not been running well because the bridging system and administrative requirements for outpatients are not in accordance with Permenkes No. 28 of 2014.It is recommended that Sundari General Hospital be able to implement the requirements for outpatient administration in accordance with Permenkes No. 28/2014 and be able to implement a bridging system in outpatient services so that services can be carried out effectively and efficiently.</em></p> Lilya Lunanda, Mappeaty Nyorong, Achmad Rifai Copyright (c) 2021 Journal La Medihealtico https://creativecommons.org/licenses/by-sa/4.0/ http://newinera.com/index.php/JournalLaMedihealtico/article/view/326 Tue, 16 Mar 2021 23:37:40 +0700 Evaluation of PHEIC (Public Health Emergency of International Concern) Detection Implementation on The Performance of Port Health Employees Class I Medan http://newinera.com/index.php/JournalLaMedihealtico/article/view/327 <p><em>Public health emergencies can occur imported i.e. the source of the emergency comes from outside the region and the epicenter is the source of the emergency comes from the work area. Both conditions can arise in unpredictable situations so that the ability of the government and stakeholders in preventing, detect early to detect, handle cases as early as possible to response will affect the extent of the magnitude of emergency event sand post-event handling. Readiness surveillance device in the face of the influx of infectious diseases. Early detection efforts are carried out by detecting events through examination and screening, information and Verification of passengers, transport and disease risk factors. This type of research is Descriptive with the aim to know the evaluation of the implementation of PHEIC to the performance of Class I Medan Port Health Office in 2020, based on respondent answers. The population is all quarantine officers in the working area of Class I MPA Medan as many as 58 respondents, sampling using total sampling. The result of research shows that based on respondent answers obtained PHEIC implementation with employee discipline obtained there is still no timely out hours of work and never reprimanded directly by superiors, while supervision is still less than the leadership is more considered objectively and thoroughly, work activities organized together in teams not individually. It is recommended to all employees to enforce discipline, especially at work hours and the need for effective staffing in improving employee performance as well as working based on a predetermined team work.</em></p> Rakhmad Kurnia Putra Parinduri, Ismail Efendy, Asriwati Amirah Copyright (c) 2021 Journal La Medihealtico https://creativecommons.org/licenses/by-sa/4.0/ http://newinera.com/index.php/JournalLaMedihealtico/article/view/327 Tue, 16 Mar 2021 23:50:28 +0700 Analysis of Differences in Hospital Rates and Rates Ina-CBGS Poly Urology Outpatient Services at Mitra Medika Tanjung Mulia Hospital http://newinera.com/index.php/JournalLaMedihealtico/article/view/328 <p><em>In the implementation of the National Health Insurance there are still many problems that arise, one of which is of concern is the tariff for Indonesian Case Based Groups (INA-CBGs). The government is very likely to realize that there is a mismatch between INA-CBGs rates and hospital real costs. The purpose of this study was to determine the difference in hospital rates and INA-CBGs rates for outpatient services at the Urology Poly at Mitra Medika Tanjung Mulia Hospital in January 2019.This type of research is cross sectional with a quantitative approach. The population in this study were all medical record files of outpatient poly urology who underwent treatment at the Mitra Medika Tanjung Mulia Hospital in January 2019. The total sample technique was 310 people.The Wilcoxon test results obtained that the A-Symp Sig (2-tailed) value was 0,000, which means that there is a significant difference between the hospital rate and the INA-CBG outpatient service Urology Poly at Mitra Medika Tanjung Mulia Hospital in January 2019. </em><em>The conclusion in this study is the difference between the hospital rates and the INA-CBG package rates on the payment of outpatient JKN participant claims at Mitra Medika Hospital lies in the standard rates applied. It is expected that the hospital staff can evaluate the calculation of unit costs for each service unit service. Outpatient care, especially in the poly urology service division, which experienced a negative rate difference so that the hospital suffered a loss.</em></p> Muhammad Iqbal, Dede Ruslan, Deli Theo Copyright (c) 2021 Journal La Medihealtico https://creativecommons.org/licenses/by-sa/4.0/ http://newinera.com/index.php/JournalLaMedihealtico/article/view/328 Wed, 17 Mar 2021 00:11:59 +0700 The Analysis of Surgery Patients Anxiety Reviewed from Pre Operative Services at Dr. R. M Djoelham Binjai Public Hospital http://newinera.com/index.php/JournalLaMedihealtico/article/view/331 <p><em>Surgery is a form of therapy that can threaten the integrity of a person's body and soul. The psychological response that usually occurs in preoperative patients is anxiety. Anxiety is an emotional reaction to subjective</em><em> individual judgment, which is influenced by the subconscious and the cause is not specifically known. Type of research is quantitative and qualitative research (method mixed). This research was conducted at DR. R.M Djoelham general hospital Binjai. Qualitative population of surgeons, anesthetists and nurses at RSUD DR. RM Djoelham Binjai, samples obtained by Purposive Sampling as many as 33 people. Data were analyzed by univariate, bivariate (Chi Square), Multivariate (logistic regression).&nbsp;Based on these results it is concluded that there is a relationship between providing information, consultation and education on patient anxiety. Based on the results of the bivariate analysis, it is found that there is a relationship in the dimension of Information Giver has a value of p (sig) 0.037, consultation (sig) 0.005, education p (sig) 0,002. The concluded that there is a relationship between providing information, consultation and education on patient anxiety. Based on the results of interviews from informants, it was found that the provision of information, consultation and education before or after the operation had been implemented, both DPJP doctors, anesthetists and nursing staff.</em></p> Juliandi Harahap, Chairul Syah Putra, Rivan Wiriadibrata Copyright (c) 2021 Journal La Medihealtico http://creativecommons.org/licenses/by-sa/4.0/ http://newinera.com/index.php/JournalLaMedihealtico/article/view/331 Tue, 23 Mar 2021 13:03:46 +0700