Journal La Medihealtico

Journal Information
ISSN / EISSN : 2721-1215 / 2721-1231
Current Publisher: Newinera Publisher (10.37899)
Total articles ≅ 60
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Latest articles in this journal

Gisna Hartini, Arifah Devi Fitriani, Iman Muhammad
Published: 27 April 2021
Journal La Medihealtico, Volume 2, pp 1-8; doi:10.37899/journallamedihealtico.v2i3.345

Abstract:
The purpose of this research is to analyze the influence of patient perception about professionalism, efficiency, patient safety and access of service to patient satisfaction at Inpatient Bhayangkara TK II Hospital Medan. The type of research used in this study is an analytical survey (explanatory research) with Cross-Sectional Study study design. The number of samples in this study were 54 patients who got service at the inpatient installation. Sampling technique by Accidental Sampling. The result of this research shows that the result of bivariate analysis to select multivariate analysis modeling candidate is statistically tested by using chi square test found that from the four variables all entered as multivariate modeling candidate. Then from the result of multivariate statistic test, it was found that p value (Sig) of professional variable (p = 0,024), efficiency (p = 0,025), access (p = 0,022) and patient safety (p = 0,048) which is significant to patient satisfaction at Inpatient Installation of Bhayangkara TK II Hospital Medan. The conclusion of the research shows that there is influence of service quality of inpatient installation which consist of profession, efficiency, access to service and patient safety to patient satisfaction. It is hoped that this research can make an actual input for health workers and the hospital. It is recommended that health workers carry out their duties according to the work SOP. Improve internal communication so that cooperation between health partners can run well in improving service quality and patient satisfaction.
Fauzah Ardah, Razia Begum Suroyo, Mangatas Silaen, Lucia Lastiur
Published: 27 April 2021
Journal La Medihealtico, Volume 2, pp 17-29; doi:10.37899/journallamedihealtico.v2i3.344

Abstract:
According to Minister of Health Regulation (Permenkes) No. 43 of 2016 every maternal must get antenatal services according to the standard which provided to pregnant women at least 4 times during pregnancy with a schedule of one first trimester, one second trimester and two-third trimesters. The purpose of this study was to determine and analyze the influence of knowledge, attitudes, education, parity, income, support of health workers, a distance of health services and maternal health to the utilization of health services in the working area of the Cot Girek health centre, a population of this study amounted 512 people and 83 respondents were taken as the sample of this study. The research was Quantitative research used Mixed Method. The results showed of knowledge p = 0.000, education p = 0.000, income p = 0.000, support of health workers p = 0.000 shows a relationship to the utilization of health services. While attitudes p = .609, parity p = .823, distance of health services p = .167, maternal health p = .386 showed no relationship to the utilization of health services. The conclusion in this study is the influence of knowledge, education, income and support of health workers on the utilization of health services found, while the attitudes, parity, distance of health services and maternal health have no found about relationship to the utilization of health services. This research can be used as information for health workers to be more active in promoting antenatal care programs.
Sulfianti Sulfianti, Ismawati Ismawati
Published: 27 April 2021
Journal La Medihealtico, Volume 2, pp 30-38; doi:10.37899/journallamedihealtico.v2i3.346

Abstract:
Newborn care is a process of deeds, ways of caring for and nurturing. The most important care of the umbilical cord is to make sure the umbilical cord and the area around it is always clean and dry and avoid infection. Always wash your hands using clean water and soap, before cleaning the umbilical cord. This study aims to analyze in depth the care of the umbilical cord using powder and oil in newborns in the Ajangale Community Health Center, Bone Regency. This type of research used in this research is qualitative research. Qualitative research is a study aimed at describing and analyzing phenomena, events, social activities, attitudes, beliefs, perceptions, thoughts of people individually or in groups. This research was conducted in the work area of ​​Arenaale Public Health Center, Bone District. The number of research subjects was 10 people. The results showed that the people of Ajangale Subdistrict in the care of newborns, especially the tradition of umbilical cord care using powder, were still practiced by several people who were believed to be able to accelerate dryness and detachment of the umbilical cord. There are still people in Ajangale who perform umbilical cord care using powder and oil which are considered to be able to accelerate the dryness of the umbilical cord and quickly release it.
Jean Baptiste Ramampisendrahova, Mamisoa Bodohasina Rasamoelina, Tsiahoana Jean Floris Tata, Rado Razafimahatratra, Gaëtan Duval Solofomalala
Published: 27 April 2021
Journal La Medihealtico, Volume 2, pp 9-16; doi:10.37899/journallamedihealtico.v2i3.343

Abstract:
The management of open fractures was a challenge from antiquity to the present day. The objective of this study is to report the difficulties of the management of open fractures of long bones in low-income countries. This was a retrospective cohort study of the files of patients admitted for open fracture of long bones in the Department of Orthopedic Surgery and Traumatology of the Anosiala University Hospital Center for four years. Forty-two open long bone fractures were collected. The average age of the patients was 36.3 years of which 73.8% were subject of working age in the age group of 20 to 60 years and 73.8% of the cases were following the accident of the road. Most of the wounded had arrived at the hospital by bush taxi. The tibia was the most affected bone (71.4%). Gustilo IIIA type open fractures were the most observed (38.1%). Only 26.3% of patients had received surgical debridement before the sixth hour. 76.2% had no care before arriving at the hospital, 14.3% had emergency care at the basic health center and 9.5% were already being treated by the traditional healer. Definitive treatment of the fracture was dominated by the external fixator (38.1%) and orthopedic treatment (26.2%). In low-income countries, the management of open fractures remains a daunting task. The main factors limiting the management of open fractures were the poverty of the population, the lack of health insurance coverage and the retard in arriving at the hospital. Keywords: open fractures, management, low-income, country
Nurul Hidayah, Asyiah Simanjorang, Asriwati Asriwati, Lucia Lastiur
Published: 27 April 2021
Journal La Medihealtico, Volume 2, pp 39-50; doi:10.37899/journallamedihealtico.v2i3.361

Abstract:
Food service in hospital nutrition installations is a form of service activity for patients who are hospitalized which aims to meet the nutritional needs of patients. This study aimed to analyze the relationship between food services and satisfaction of inpatients at the Adventist General Hospital. Field. This study used a survey research method with a cross sectional approach. The data collection technique used a questionnaire. Population of 156 people with a sample of 112 people based on Slovin calculations. Based on the results of the chi-square statistical test, it was found that the variables of mealtime (p = 0,000), food appearance (p = 0,000), food taste (p = 0,000), waiter friendliness (p = 0,000), cleanliness of tools and food (p. = 0.012), and food variation (p = 0.00). The result of multiple logistic regression test shows that the meal time variable has a significant effect on patient satisfaction. There is a relationship, meal time, food appearance, taste of food, waiter friendliness, cleanliness of equipment and food, variety of food with patient satisfaction with food service at the Medan Adventist General Hospital. It is recommended to the special hospital nutrition installation that in food processing always pay attention to the main factors in food processing so that the level of patient satisfaction continues to increase and still maintains the quality and quality of food service.
Agung Prawira, Ismail Effendi, Miskah Afriani
Published: 21 February 2021
Journal La Medihealtico, Volume 2, pp 1-10; doi:10.37899/journallamedihealtico.v2i2.309

Abstract:
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.
Indra Ginting, Asriwati Asriwati, Mayang Sari
Published: 21 February 2021
Journal La Medihealtico, Volume 2, pp 23-29; doi:10.37899/journallamedihealtico.v2i2.311

Abstract:
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.
Rosliana Rosliana, Juliandi Harahap, Achmad Rifai, Lucia Lastiur
Published: 21 February 2021
Journal La Medihealtico, Volume 2, pp 69-77; doi:10.37899/journallamedihealtico.v2i2.313

Abstract:
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.
Melda Andriani, Megawati Megawati, Asriwati Asriwati, Lucia Lastiur
Published: 21 February 2021
Journal La Medihealtico, Volume 2, pp 41-50; doi:10.37899/journallamedihealtico.v2i2.315

Abstract:
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.
Fitria Silvia, Mappeaty Nyorong, Miskah Afriany, Lucia Lastiur
Published: 21 February 2021
Journal La Medihealtico, Volume 2, pp 51-57; doi:10.37899/journallamedihealtico.v2i2.316

Abstract:
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.
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