COVID-19 : Journal of Health, Medical Records and Pharmacy
COVID-19 : Journal of Health, Medical Records and Pharmacy is a journal covering the fields of health, Medical Records and Pharmacy with Scope: Health Health Policy and Management, Midwifery, Nursing, Public Health, Critical Care and Intesive Care Medicine, Health Information Technology, Medical Informatics, Occupational Health and Safety, Health Law Medical Record Health Information Management, Health Information System, Health Information Technology, Classification and Codefication of Diagnostic Related Health Problems and Prosedure, Health Quality Information Management. Pharmacy Clinical Pharmacy, Pharmaceutical Chemistry, Pharmaceutics, Community Pharmacy, Pharmacognosy, Phytochemistry, Biology of Pharmacy, Pharmacology, Pharmacy Technology and Pharmaceutics, Clinical Pharmacy and Community, Medicine.
Narrative Review: Social and Cultural Determinants of Chronic Energy Deficiency among Women in Developing Countries
Chronic Energy Deficiency (CED) among women remains a major nutritional problem in developing countries and has significant impacts on maternal health, pregnancy outcomes, and future generations. The high prevalence of CED indicates that this issue is not solely related to inadequate nutrient intake, but is also influenced by structural social and cultural determinants that interact with one another. This article aims to examine the role of social and cultural determinants in the occurrence of CED among women in developing countries. This article was developed using a narrative review approach based on open-access journal articles, official reports from the World Health Organization (WHO) and UNICEF, as well as population-based and qualitative studies published between 2016 and 2025. The keywords used included chronic energy deficiency, women, social determinants, and cultural factors. Relevant articles were selected based on topic relevance, developing country context, and a focus on women, and were then thematically analyzed to identify recurring patterns of social and cultural determinants. The findings indicate that poverty, low levels of education, limited access to nutritious food, gender inequality, and women’s workload significantly contribute to the occurrence of CED. In addition, cultural norms and practices related to intra-household food distribution and specific food taboos further exacerbate women’s vulnerability to CED, particularly during the reproductive age. Chronic Energy Deficiency among women is a structural problem that requires nutrition interventions sensitive to social and cultural contexts as well as gender equity in order to achieve sustainable improvements in nutritional status.
Copyright (c) 2025 COVID-19 : Journal of Health, Medical Records and Pharmacy
Evaluation of Clinical Pathway Implementation for Acute Appendicitis at Mitra Medika General Hospital, Medan Tanjung Mulia, 2022
This study evaluated the implementation of the Clinical Pathway for acute appendicitis at Mitra Medika General Hospital, Medan Tanjung Mulia, in 2022. The objective was to assess the compliance level of healthcare professionals with the established clinical pathway and to identify factors influencing its application in patient management. A descriptive retrospective design was employed, using medical records of acute appendicitis patients treated during the specified period. Data analysis focused on adherence to diagnostic, therapeutic, and postoperative care standards outlined in the clinical pathway. The results showed that overall compliance was high, particularly in preoperative and operative phases, while postoperative follow-up displayed moderate adherence due to variations in discharge planning and documentation. Factors affecting implementation included staff workload, availability of medical resources, and differences in clinical judgment. It was concluded that the clinical pathway was effectively implemented, although improvements are required to enhance consistency in postoperative care. Strengthening monitoring systems and conducting regular training are recommended to improve adherence and optimize patient outcomes.
The Description of Work Stress Among Medical Record Officers in the Coding Section at Haji General Hospital Medan in 2024
Stress is the result of an imbalance between demands and the resources an individual possesses—the greater the gap, the higher the level of stress experienced, which can pose a threat to well-being. The aim of this study was to describe the work stress experienced by medical record officers in the coding section at Haji General Hospital Medan in 2024. This study employed a qualitative research method. The informants included four individuals: one outpatient coding officer, two inpatient coding officers, and one head of the medical record installation. The findings revealed that the causes of work stress among coding officers included workload, work-related conflicts, inadequate work equipment, and poor working environment. It is recommended that the hospital provide adequate workspace and facilities that ensure comfort for the officers. Additionally, coding officers should pay more attention to task distribution and provide education to other healthcare workers to ensure timely delivery of medical record files for coding. Officers must also maintain effective communication with other healthcare personnel to prevent conflicts and misunderstandings.
Factors Associated with Mothers’ Participation in Bringing Toddlers (Aged 12–36 Months) to the Integrated Health Post (Posyandu) in Helvetia Village, Sunggal Subdistrict, Deli Serdang Regency
The morbidity and mortality rates of mothers and children remain critical public health concerns in Indonesia. Posyandu (Integrated Health Service Post), as a Community-Based Health Effort (UKBM), plays a vital role in child health maintenance, especially through mothers' active participation in bringing their toddlers for health services. This study aims to identify the factors associated with mothers’ activeness in bringing toddlers (aged 12–36 months) to Posyandu in Helvetia Village, Sunggal Subdistrict, Deli Serdang Regency, in 2023. An analytical survey with a cross-sectional approach was employed, involving 72 mothers selected through purposive sampling. Data were collected using questionnaires and analyzed using the chi-square test. The results showed that the majority of mothers (66.7%) were inactive in taking their toddlers to Posyandu. There was a significant relationship between mothers’ activeness and knowledge (p=0.001), employment status (p=0.000), husband’s support (p=0.000), and attitude (p=0.000). Mothers with good knowledge, who were unemployed, received support from their husbands, and had a positive attitude were more likely to actively attend Posyandu. These findings highlight the importance of educational interventions and social support in increasing mothers’ participation in Posyandu, which is essential for optimizing child growth and development.
The Relationship Between Burnout Syndrome In Nurses In Psychiatric Clinics
Nurses who work in the Psychiatric Clinic are also prone to burnout, where burnout is a problem caused by prolonged work pressure. There are several conditions that people experience burnout, namely emotional saturation, loss of motivation, and reduced commitment which results in a decrease in performance at work. This study is a correlative analytical study with a cross-sectional approach that analyzes the relationship between free and dependent variables using the Maslach-Trisni Burnout Inventory (M-TBI) instrument. The sample was taken by the Non-Probability consecutive sampling method. The study had 6 independent variables, and the sample size was determined based on the highest bivariate relationship. Data analysis was carried out by the Chi-Square test. Pene; ITI found a relationship between gender (p = 0.001), age (p = 0.021), and job position (p = < 0.001) to burnout syndrome in nurses working in the Psychiatric Clinic. This study found a relationship of burnout syndrome in nurses who care for people with mental problems.
Copyright (c) 2024 COVID-19 : Journal of Health, Medical Records and Pharmacy
Thyroid nodules as discrete lesions within the thyroid gland. Nodules in the thyroid gland are detected in approximately 5% to 7% of the adult population by physical examination alone. Thyroid nodules are approximately 4 times more common in women than men Thyroid nodules can be classified as neoplastic and non-neoplastic. The initial evaluation of a patient with a thyroid nodule should include a history, physical examination, thyroid stimulating hormone (TSH) measurement, and thyroid ultrasonography to characterize the nodule. TSH measurement by itself may detect subtle thyroid dysfunction. Diagnostic tests include serum markers, fine needle aspiration (FNA) cytology, genetic markers, immunohistochemical markers, and several imaging modalities, most commonly ultrasonography, but also elastography, MRI, CT, and 18FDG-PET scanning. Thyroidectomy is the most common endocrine surgery. Due to compression on the trachea, airway management can be difficult.[1] Preoperative evaluation and management are critical when planning elective thyroidectomy, where changes in the anatomical location are expected because of a large or substernal goiter. Anatomical changes, laryngeal edema and an inexperienced team can all contribute to difficulty in intubation. The incidence of difficult tracheal intubation (DTI) in the patient population undergoing thyroid surgery varies. Several studies found a similar value for the incidence of DTI (5.3% to 6.8%). Previous studies have evaluated risk factors for DTI in patients undergoing thyroid surgery. Increasing age, high Mallampati score, Grade III or IV Cormack score, reduced mouth opening (<4.4 cm), goiter cancer and tracheal stenosis (≥30%) are independent predictors of DTI. Neck circumference (NC) appears to be an important predictor of DTI.
Profile of Superficial Dermatophytosis at the Skin and Venereology Polyclinic of Wulan Windy Hospital Medan for the period 2021-2024
Dermatophytosis is one of the superficial mycoses caused by fungi that invade keratin-containing tissues such as the stratum corneum of the epidermis, hair, and nails. Dermatophytosis is divided based on its location, namely tinea capitis, tinea barbae, tinea cruris, tinea pedis et manum, tinea unguinum, and tinea corporis. Dermatophytosis is caused by dermatophyte fungi from the arthrodermataceae family. This family consists of more than 40 species divided into three genera: Epidermophyton, Microsporum, and Trichophyton. This study aims to determine the profile of dermatophytosis in the Dermatology and Venereology Polyclinic of Wulan Windy Hospital, Medan, from January to December 2013 based on the classification of location, age, gender, occupation, and therapy given. This study is a retrospective descriptive study based on medical record data from new patients who were treated at the Dermatology and Venereology Polyclinic, Wulan Windy Hospital, Medan, in the period 2021-2024. The number of new dermatophytosis patient visits increased from 2021 to 2023, but decreased in 2024. Tinea corporis was the most common diagnosis at 54.9%. Most patients were women. The most common age group found was 45-64 years in 2021-2023. Most treatments were topical. There was an increase in the number of dermatophytosis patients. The most infected age group was the productive age group, because in this age group there was an increase in physical activity and a tendency to sweat a lot and be humid.
Review of the Completeness of the Medical Resume Form Based on the Assessment Elements of Mirm 15 National Hospital Accreditation Standards (SNARS) at Imelda Pekerja Indonesia Hospital Medan 2021
Incompleteness in filling out a medical resume will greatly affect the hospital's accreditation assessment listed in the MIRM 15 SNARS standard sub-group Issue 1.1. This study aims to determine the completeness of filling out the resume form based on the assessment elements of MIRM 15 SNARS Edition 1.1 at Imelda Pekerja Indonesia Hospital in Medan. This study uses quantitative and qualitative methods, with a population of 1,355 medical resume forms at Imelda Pekerja Indonesia Hospital Medan in November-December 2021 and a sample of 93 medical resumes which are completed into 100 medical resume forms. Based on the results of the study, it was found that 76 medical resume forms were filled (70%) and 30 medical resume forms were incomplete (30%). score Based on the assessment of SNARS Edition 1.1, the number of complete medical resume forms was 76% with a score of 5 (partially fulfilled) because the achievement range was 29%-79%. The highest completeness on the medical resume form at Imelda Pekerja Indonesia Hospital is found in the patient history component, diagnostic examination, therapeutic procedures and actions, drugs given and drugs when the patient leaves the hospital, the patient's health condition (current status) and follow-up instructions (100% ) Medical resume forms and the lowest completeness were found on physical examination (15%) indication of patients being treated (6%), comorbidities (12) and patient/family signatures (24%) of medical resume forms. Researchers suggest that there is a need for socialization that continuously increases knowledge to medical officers about filling out the complete medical resume form according to SNARS at Imelda Pekerja Indonesia Hospital in Medan.
The Effect Of Combination Of Ginger And Honey Combination On Asthma Patients With Ineffectiveness Of Breath Pattern In Pujidadi Binjai Village In 2023
Asthma is a chronic disease that attacks the respiratory tract with marked shortness of breath due to narrowing of the airways. One of the non-pharmacological measures to reduce asthma is the administration of a combination of ginger and honey boiled water. The aim of the study was to identify the effect of consuming a combination of ginger and honey boiled water on asthma sufferers. This study uses a quasi-experimental research design approach with two groups pretest posttest. The sample of this study were 30 asthma patient respondents who were undergoing treatment which were divided into two groups, 15 intervention groups and 15 control groups. The sampling technique uses the Slovin formula. Research data collection used demographic data, informed consent sheets, Asthma Control Test (ACT) questionnaires, which were combined using a modified combination of ginger and honey boiled water. Data were analyzed using descriptive statistics, paired t test and independent t test. The results showed that there was an effect of consuming a combination of ginger and honey boiled water on ineffective breathing patterns, post-test intervention group (t = -23,503, p=0,001) and post-test control group (t = -5,281; p=0,001) and there was a significant difference significantly to the ineffectiveness of breathing patterns between the post-test of the intervention group and the post-test of the control group after the intervention was carried out by consuming a combination of ginger and honey boiled water for ineffective breathing patterns, the intervention group and the control group after filling out the Asthma Control Test (ACT) questionnaire obtained a value (t = 4,707, p=0,001). The results of this study can recommend consuming a combination of ginger and honey boiled water as a non-pharmacological measure to help reduce the ineffective breathing pattern of asthma sufferers.
Consumption of a combination of ginger and honey boiled water
The Implementation of Hospital Service Data Reporting (RL 3.1) in SIRS Online is Reviewed from Facilities and Infrastructure at RSIA Artha Mahinrus Medan in 2024
Hospital reporting is an organizational tool that aims to produce fast, precise, and accurate reports. This study aims to identify the factors that hinder the reporting of hospital service data (RL 3.1) at RSIA Artha Mahinrus Medan, as well as evaluate the impact of the condition of facilities and infrastructure on the effectiveness of the reporting process using the online SIRS application, by considering three indicators of infrastructure: completeness, condition, and use. The approach used is qualitative descriptive, with data collection through interviews and observations of research subjects including the head of medical records, registration officers, poly officers/nurses, and IT officers. The instruments used are interview guidelines and observation sheets. The results of the study show that the reporting of hospital service data (RL 3.1) in the online SIRS at RSIA Artha Mahinrus Medan experienced obstacles, such as the lack of number of computers in the medical record unit, computer system failures, and limited internet connections, which caused slow networking. Based on the results of the study, delays in making reports can be caused by problems with existing facilities and infrastructure. Therefore, the researcher suggests that the reporting of hospital service data (RL 3.1) be carried out outside of the collection time to prevent additional delays.
Implementation in Providing Warm Compresses to Reduce Pain in the Elderly with Gout Arthritis at UPT Yansos Tuna Rungu and Wicara Pematangsiantar
Gout arthritis is an inflammation of the joints caused by the buildup of crystals in the joints due to impaired purine metabolism in the body. Purines are proteins that undergo metabolism in the body that are converted into uric acid. The purpose of this study is to describe Nursing Care for the elderly with Gout arthritis in the provision of warm water compresses to reduce pain in Upt Yansos for the Deaf and Speech Pematangsiantar. The design of this study is descriptive using a case study method on 2 clients with Gout arthritis who experience acute pain with purposive sampling techniques. Data were collected by interview, observation, and physical examination techniques carried out using the gerontic askep assessment format, warm compress SOP. The results of the assessment found that the client complained of pain with a pain scale of client I and client II, which was 5. After being given warm compresses, the pain scale in client I and client II decreased, namely on the first day with a pain scale of 5, on the second day the pain scale was 4, and on the third day the pain scale became 3. After 3 days of nursing treatment, the act of giving warm water compresses is very effective in reducing acute pain in patients with Gout arthritis. For nurses to teach care to patients with gout arthritis. For patients about maintaining health and a healthy lifestyle.
Implementation of Suction Technique for Airway Cleaning Is Not Effective in Stroke Patients at Vita Insani Pematangsiantar Hospital
Stroke is a disturbance in the function of the nervous system caused by a disturbance in blood circulation in the brain due to rupture of blood vessels or due to blockage of blood vessels in the brain. One of the nursing problems that arises in cases of hemorrhagic stroke is ineffective airway clearance. Efforts made to overcome airway clearance are the use of suction techniques. This research design is quantitative-descriptive using a case study approach. The research sample consisted of 2 respondents, namely hemorrhagic stroke sufferers. The sampling used in this research was purposive sampling. Data was collected using observation techniques, interviews, physical examination, supporting examinations, documentation carried out on May 22 2024 and June 21 2024 at Vita Insani Pematangsiantar Hospital. The results of this study show that after implementing suction for 3 days, it was found that both patients experienced a decrease in respiratory frequency, in patient 1 the first day from 22 x/minute to 20 x/minute, patient 2 respiratory frequency 23 x/minute to 21 x/minute minutes and mucus can be expelled, vesicular breath sounds, regular breathing rhythm and sonor lung percussion in both patients. Suction technique can improve airway clearance in haemorrhagic stroke patients, Researchers recommend that nurses be able to implement suction techniques in hemorrhagic stroke patients to overcome the problem of ineffective airway clearance.
Implementation of Warm Compresses to Lower Body Temperature in Children with Denguehaemorrhagic Fever (DHF) Army Hospital Kindergarten IV 01.07.01 Pematang Siantar
Dengue Haemorrhagic Fever (DHF) is a disease caused by the dengue virus, belonging to the Flaviviridae family and there are 4 sterotypes, namely DEN-1, DEN-2, DEN-3, and DEN-4. The design of this research is quantitative - descriptive using a case study approach. The research sample consisted of 2 respondents with the inclusion criteria of DHF children, using warm pediatric nursing assessment formats, thermometers, and temperature measurement observation sheets. The sampling used in this research was purposive sampling. Data was collected using observation techniques, interviews, physical examinations, supporting examinations, documentation carried out on April 23 2024 and June 27 2024 at the TK IV Army Hospital 01.07.01 Pematangsiantar. This research was conducted for 3 days. The results of the research that have been obtained confirm the nursing diagnosis, namely hyperthermia with warm compress intervention given 3 times a day for 3 days of treatment to client 1 which decreased to 36.5 0C and to client 2 it decreased to 360C. The main problem of hyperthermia in both clients was resolved by using warm compresses. Researchers , especially parents, are expected to be able to apply the warm compress technique as a measure to treat high fever in children who experience Dengue Haemorrhagic Fever (DHF), especially when caring for sick children at home apart from giving antipyretics.
Implementation Of The Semi Fowler Position To Improve The Effectiveness Of Breathing Patterns In Congestive Heart Failure (CHF) Patients At Vita Insani Pematangsiantar Hospital
Congestive Heart Failure (CHF) or called congestive heart failure where the heart is unable to pump enough blood to the human body's organs and other tissues. Symptoms that usually appear in sufferers of Congestive Heart Failure (CHF) are shortness of breath, weakness and fatigue, swollen ankles or stomach due to fluid buildup, increased respiratory frequency. The non-pharmacological action taken for Congestive Heart Failure (CHF) patients is giving the semi-Fowler position. This research design uses a case study method with 2 respondents through interviews and physical examination. The results of the study showed that after the nursing action was carried out, Mrs. N and Mr. A found a decrease in respiratory frequency in Mrs. N 27x/minute becomes 20x/minute while in Mr. A 24 x/minute becomes 20 x/minute. The action of providing a semi-fowler position to improve the effectiveness of breathing patterns in sufferers of Congestive Heart Failure (CHF)
Implementation of Health Education on Breast Care Techniques to Facilitate Breast Milk in Postpartum Mothers at the Army Hospital Kindergarten IV. 01 07 01 Pematangsiantar
Breast care is an act of massaging the back along the spine which is useful for facilitating breastfeeding, mothers are relaxed and comfortable in post partum mothers. The purpose of this study was to describe nursing care for post partum mothers with the application of back rolling massage to increase milk production. Respondents in this study were 2 people who were taken by purposive sampling technique. Data were collected by interview, physical examination, observation and documentation studies. The results of the assessment show that the client says the milk has not come out. The act of back rolling massage which is carried out for 3 days of treatment can increase milk production. The application of back rolling massage can overcome the problem of ineffective breastfeeding in post partum mothers. It is hoped that back rolling massage will be an alternative source in increasing breast milk production.
Expression of p53 Mutants in Determining the Degree of Differentiation and Prognosis of Colorectal Adenocarcinoma in the Laboratory of Anatomical Pathology of Haji Adam Malik Hospital Medan
Cancer is important problem in public health worldwide especially in developed countries. About 10 millions new cases was diagnosed every year. Colorectal carcinoma is more common in man than woman. Despite significant advances in both surgical methodology and adjuvant therapy regimes, long-term survival for CRC patients remains in the range of 50-60%. Based on WHO, 90 % colorectal carcinoma was adenocarcinoma. Colorectal carcinoma is caused by a collection of various genetic changes and the most common cause is a loss of function of the p53 tumor suppressor gene. P53 tumor suppressor gene plays an important role in cell cycle and apoptosis. This gene encodes for a 53 kDa phosphoprotein and is frequently targeted for inactivation in a wide range of tumours. It is the target of point mutations and small deletions and insertions that lead to total or partial abolition of protein function. Inactivation is believed to abolish the ability of p53 to maintain genomic integrity through regulation of various activities, including the control of cell cycle arrest, DNA repair and apoptosis. Accumulation of p53 in tumor cells can be detected with a specific p53 antibody. Mutation on p53 gen and overekspression of p53 is common incolorectal carcinoma tissue then p53 mutant and p53 wild type can be targeted by p53 specific antibody. P53 overexpression associated with colorectal carcinoma histologycal grade and tend more common in colorectal carcinoma with high proliferation activity. To assess p53 mutan expression in determining differentiation grade and prognose adenocarcinoma colorectal and the prognose of adenocarcinoma colorectal at Anatomic Pathology laboratory of RSUP Haji Adam Malik Medan. The study design was observational design with cross sectional approach. All variables were immunohistochemically stained with p53 mutant. The variables were measured only once and at one moment. The samples used in this study were the sample preparation of paraffin blocks from 59 colorectal carcinoma tissues which diagnosed patologically according inclusion criteria. All variables were immunohistochemically stained with p53 mutant. Distribution of patients by age group mostly aged over 60 years which is 24 cases (40.68%). Distribution of patients by sex mostly male which is 36 cases (61.02%). 36 cases (61,02%) were located on colon. The majority, 27 cases (45,76%) were diagnosed as well differentiated adenocarcinoma. Colorectal carcinoma samples based on p53 mutant expression were score +1 (weak) were 35 cases (59,32%). Calculation of chi-square with 2x2 crosstab table, p value = 0.427 (p value> 0.05). No difference between p53 mutant expression with histopathological grade in colorectal adenocarcinoma.
The Relationship Between Red Cell Distribution Width (RDW) Value and Mortality Rate in Neonatorum Sepsis at Murni Teguh Methodist General Hospital Sussana Wesley
Neonatal sepsis remains the leading cause of morbidity and mortality in neonates. Accurate identification of prognostic factors is essential to improve management and clinical outcomes. This study aims to analyze the relationship between Red Cell Distribution Width (RDW) values and other clinical and laboratory parameters and mortality rates in neonatal sepsis. This cross-sectional study involved 98 neonates with a diagnosis of sepsis at Purely Teguh Methodist Sussana Wesley General Hospital from July to December 2023. Demographic, clinical, and laboratory data are collected and analyzed. The statistical tests used included chi-square, independent t-test, and Mann-Whitney U, with a p<0.05 value considered significant. Of the 98 neonates, 35 (35.71%) died. Septic shock was significantly more common in the group that died (85.71% vs 12.70%, p<0.001). Higher RDW values correlated with increased mortality (17.10% ± 1.72 vs 15.40% ± 1.28, p<0.001). Thrombocytopenia (173.00 ± 152.00 vs 242.50 ± 126.00 x 10³/μl, p=0.048), increased IT ratio (median 0.42 vs 0.28, p=0.018), and higher procalcitonin levels (median 3.25 vs 0.68 ng/ml, p=0.007) were also associated with an increased risk of mortality. Septic shock, increased RDW values, thrombocytopenia, increased IT ratio, and high procalcitonin levels are significant predictors of mortality in neonatal sepsis. The combination of these parameters can improve accuracy in risk stratification and guide more effective clinical management.
The Effect of Service Quality on Duafa Patient Satisfaction at Grha Sehat Baitul Maal Muamalat Rufaida Yogyakarta
Service quality assessment can be measured using five dimensions, namely assurance, reliability, responsiveness, empathy, and tangible.Grha Sehat Baitul Maal Muamalat Rufaida Yogyakarta in 17 duafa patients with the interview method there were 9 duafa patients who were dissatisfied with the service, namely in terms of physical appearance of Grha Sehat, equipment and safety guarantees for duafa patients. To determine the effect of service quality (Assurance, Reliability, Responsiveness, Empathy, Tangible) with patient satisfaction at Grha Sehat Baitul Maal Muamalat Rufaida Yogyakarta. This type of research uses quantitative research with sampling techniques, namely axial sampling. With a population of 103 patients, sample calculations using the slovin formula obtained 51 patients. The analysis used are: univariate analysis, bivariate analysis using t test and multivariate analysis using F test. Based on the results of the research conducted, there is an influence between assurance and patient satisfaction characterized by T test results of 0.001 < 0.05. There is no influence between reliability and patient satisfaction marked by T test results of 0.0687 > 0.05. There is an influence between Responsiveness characterized by T test results of 0.026 < 0.05. There is an influence between Empathy characterized by T test results of 0.025 < 0.05. There is no effect between Tangible marked with test results T 0.055 > 0.05. There is an influence on service quality (reliability, responsiveness, assurance, empathy and tangible) marked by a significant value of F test results, namely 0.000 < 0.05. Simultaneous testing with F test can be concluded that there is an influence of Service Quality on Patient Satisfaction duafa at Grha Sehat Baitul Maal Muamalat Rufaida Yogyakarta.
Overview Of the Completeness of Filling Out Important Reports On The Internal Transfer Form Based On Accreditation Standards At Imelda Pekerja Indonesia General Hospital
Internal Transfer Form aims to source important information data when transferring patients from a service unit or room to another room. Incomplete information input can cause communication errors between health workers in providing services to patients. This study used a quantitative method where researchers looked at the completeness of filling out the internal transfer form at the Imelda Pekerja Indonesia Medan General Hospital and how it conformed to Hospital Accreditation Standard No.1128, Year 2022 with a sample of 99 forms. This study starts from April to September 2023. The sampling technique used is probabiity sampling by means of simple random sampling using a check-list sheet instrument. The lowest percentage of form filling incompleteness was found in the "Procedures Performed" component, as many as 7 forms with a percentage (7.1%) of 99 forms, followed by the component "Reasons for Admission and Other Care Patients Have Received", as many as 5 forms (5.1%), the "Significant Findings" component as many as 2 forms (2%), and the "Medicines" component as many as 1 form (1%). The completeness of filling out forms with the highest percentage was found in the component "Diagnosis and Condition of Patients at Transfer", as many as 99 forms with a percentage (100%). Of the 99 samples of internal transfer forms at Imelda Medan Hospital, 18 forms were found to be incomplete with a percentage (18.2%) and 81 forms that were filled out completely (81.8%).
Completeness Of Filling Out Important Reporting
The Effect of Foot Exercise on Foot Sensitivity in Type II Diabetes Mellitus Patients in Environment IV of Dataran Tinggi Village, Binjai in 2024
Indonesia is a country with a fairly high incidence rate. Data found that type 2 DM sufferers in Indonesia reached 1.5% or around 4.1 million people from the total population, then one of the complications that arises from diabetes mellitus sufferers is decreased sensitivity in the feet, this phenomenon if left unchecked will become diabetic ulcers. Objective: To determine foot sensitivity before and after implementing diabetes foot exercises. Knowing the differences before and after the implementation of diabetes mellitus foot exercises on foot sensitivity in diabetes mellitus sufferers. This type of research is descriptive research. This implementation was carried out for 7 days with 3 meetings. The respondents used in this study were diabetes mellitus sufferers who experienced decreased sensitivity in their feet, which was characterized by frequent tingling sensations and decreased stimulation. After applying diabetic foot exercises, it showed an increase in foot sensitivity in diabetes mellitus sufferers. Applying diabetic foot exercises can increase foot sensitivity in people with diabetes mellitus.
The Effect of Pregnancy Exercises on Normal Childbirth at the BPM Suci Rahmadani Clinic in 2023
Pregnancy is a natural process that occurs in that the changes that occur in women during normal pregnancy are physiological in nature. The aim is to determine the effect of pregnancy exercise on the smooth delivery process of primiparous mothers at the BPM Suci Rahmadani Clinic. This research is a cross sectional study using an observational approach. The results of the study showed that of the 50% who participated in pregnancy exercise, 35.4% had normal deliveries, 14.6% had abnormal births. Of the 50% of mothers who did not participate in pregnancy exercise, 11.5% had normal deliveries and 38.5% had abnormal births. Based on the Odds Ratio (OR) value of 8.169, this means that mothers who do not exercise during pregnancy have a risk of abnormal labor of 8.169 times compared to mothers who exercise during pregnancy. It is recommended for mothers to take part in pregnancy exercise at least once a week so that the benefits of pregnancy exercise can be felt to the maximum. It is hoped that the Suci Rahmadani BPM Clinic will make pregnancy exercise one of the pregnancy care program policies, so that pregnant women can feel the benefits of the exercise well.
The Negative Impact of Teen Pregnancy: Scoping Review
Adolescent pregnancy has now become a widespread problem that occurs in various countries, both in developing and developed countries. Adolescent pregnancy can have a negative impact on the health of the teenager itself and is one of the causes of the high maternal mortality rate. This study aims to find out the literature related to the negative impact of teenage pregnancy. The review uses methods that are compliant with the PRISMA Sc-R Guidelines, the focus of the review is determined by keywords, inclusion and exclusion criteria, the search for articles uses relevant databases, and the selection process is described in the PRISMA flowchart. Of the 450 articles selected according to the inclusion and exclusion criteria, 10 articles were reviewed in this study, five themes were found, namely: Anemia in pregnancy, Premature birth and BBLR, Preeclampsia/eclampsia, Psychological disorders and neonatal maternal death. Adolescent pregnancy has a significant negative impact on maternal health and causes death for both mother and baby.
The Effect of Giving Tens on Reducing Pain Levels in Low Back Pain Patients in Anugerah Sehat Physiotherapy Practice
Physical activity requires energy to do it such as walking, going up and down stairs, lifting things, running. Pain can arise in various parts of the body and can be caused by many things, one of which is the working condition of lifting objects, this condition can cause excessive physical stress on the spinal cord so that it causes muscle spasms and makes the nerves squeezed and causes pain in the lower back. TENS is a physiotherapy modality that aims to reduce pain, by sending signals in the form of low-pressure electrical currents to nerves through the conductivity of electrodes attached to the skin area. The purpose of the study was to determine the effect of giving TENS on the reduction of pain levels in patients with low back pain in the practice of Physiotherapy Anugerah Sehat. The type of research used is a quantitative type of research, with the research design used is Quasi Experimental with a pre-test and post test one group approach. This research was carried out at the Anugerah Sehat Physiotherapy Practice in February 2024. The population in this study is 70 Low Back Pain patients.The sampling technique in this study uses a total sampling technique with the purposive sampling method, the number of samples in this study is 30 people. Pain scale measurements use the VAS scale. Bivariate analysis was used Paired Sample T Test analysis. The pain outcomes of patients with low back pain before the administration of the Tens modality were pain scale 4-6 (moderate pain) for 19 people (63.3%), pain scale 7-10 (severe pain) for 11 people (36.7%). The pain of patients with low back pain after the administration of the Tens modality was a pain scale of 1-3 (mild pain) as many as 21 people (70%), followed by respondents who felt a pain scale of 0 (mild pain) as many as 4 people (13.3%) and respondents who felt a pain scale of 4-6 (moderate pain) as many as 5 people (16.7%). There was an effect of TENS administration on the reduction of pain levels in patients with low back pain in the Anugerah Sehat physiotherapy practice with a significant value (2-tailed) 0.000<0.05.
The Relationship Between Hemoglobin Levels and Wound Healing Post Sectio Caesarea At RSUD Rantau Prapat
Sectio caesarea or cesarean section is an operation that aims to remove the baby through an incision in the abdominal wall and uterine wall provided that the uterus is intact and the fetal weight is above 500 grams. This study aims to analyze the relationship between hemoglobin levels and post-sectio caesarea wound healing at RSUD Rantau Prapat. The type of research used is quantitative with an observational research design with a prospective cohort approach. The research was conducted in July 2021 at RSUD Rantau Prapat. The population in this study was all post sectio caesarea patients treated in June-July 2021. The population in this study was 27 people. The sampling technique in this study is a total sampling technique so that the number of samples in this study is 27 people. The results of the study conducted with the chi square test were obtained p values of 0.001 <0.05, meaning that there was a statistically significant relationship between hemoglobin levels and wound healing sectio caesarea at RSUD Rantau Prapat. It is recommended to health workers to take blood hemoglobin in patients sectio caesarea twice at 24 hours after sectio caesarea surgery, and at the time of control at the obstetric poly a week after surgery.
Factors Inhibiting the Accuracy of Outpatient Morbidity Reporting Data in SIMRS at Imelda General Hospital
The implementation of reporting is very important for hospitals because it can be used as a comparison of visits of old patients or new patients who previously and now reporting in hospitals is divided into 2, namely Internal reporting and External reporting, reporting systems in hospitals will usually be reported monthly, quarterly, and annually. This report aims to produce relevant, accurate and timely information. To be able to produce good and correct, accurate and complete computer output data and can be accounted for is greatly influenced by the discipline of the unit towards patients. Time and place of research May 2023-August 2023 at RSU Imelda, The purpose of this study is to determine the implementation of the management of outpatient morbidity data reporting at SIMRS based on human factors (Man), Method (Method) and Facility (Machine). This type of research is descriptive qualitative. The methods used for data collection are Observation and Interview. The informants in this study amounted to 2 people consisting of 1 SIMRS officer and 1 reporting officer. The result of this study is human resources (Man) where officers still often get errors in writing early diangnosa in patient files, incompleteness of Medical Record files, lack of hospital management preparation, procedure updates and technical instructions in reporting. Facilities (Machine) where the network is often problematic makes officers late in sending reporting data, SOP (Method) where there is no specific SOP in outpatient morbidity reporting but the reporting process still runs well. The suggestion that can be given is to create a special SOP for reporting outpatient morbidity data and improve the network contained in the ruagan so that the processing in reporting can be carried out more optimally.
The Relationship Of Family Support To The Level Of Ability To Perform Daily Activities In Stroke Patients In Imelda Pekerja Indonesia General Hospital
Stroke is one of the leading causes of death and third cause of disability in the world. Someone who has a stroke will have limitations in carrying out daily activities or Activity Of Daily Living (ADL) and support from family both in physical, psychological and emotional forms is needed by stroke patients The purpose of this study was to determine family support for the level of ability to carry out daily activities in stroke patients at Imelda Pekerja Indonesia General Hospital. This type of research is quantitative research with correlational methods and Cross Sectional approach design. This research was conducted in July-August 2023 at the Imelda Hemodialysis Room of Imelda Pekerja Indonesia General Hospital. This study used NonProbability sampling technique using purposive sampling method, so that the total research sample was 30 respondents. The instrument used in this study was a questionnaire. Data analysis using univariate and bivariate analysis with statistical tests (Chi Square Test) in the SPSS application. The results of the study showed the results of the Chi-Square statistical test with a significant value (p) value of 0.01 or p< 0.05. The conclusion in this study is that there is family support for the level of ability to carry out daily activities in stroke patients at Imelda Pekerja Indonesia General Hospital in 2023.
Factors Causing Damage To Medical Record Documents In The Filling Room At Dr.R.M. Djoelham Binjai Hospital
Medical record documents must be managed properly so that they are not damaged or lost so that they can be reused for treatment or providing other services. From the interview results, damage to medical record documents included the folder or cover of the medical record document being damaged or torn, there were piles of files on the floor so that the medical record folder was dirty and crumpled. This study aims to determine the factors that cause damage to medical record documents at Dr.R.M. Hospital. Djoelham Binjai uses 5 management elements Man, Method, Machine, Material, and Money. This type of research uses qualitative research with a descriptive approach. The subjects in this research were officers in the filling room at RSUD Dr. R.M. Djoelham Binjai, totaling 5 people and the object of this research is medical record documents in the filling room at Dr. RSUD. R.M. Djoelham Binjai. The data collection methods used in this research are observation and interviews. The results of the research show that the factors causing damage to medical records are based on the 5M factor, namely the human factor, there are still many officers who are not D3 medical record graduates, officers do not immediately replace damaged folders. Factors include limited shelf storage and a lot of documents piling up. The storage room method factor already has an SOP but its implementation is not carried out, and retention is not carried out. The material factor of the map material used is in accordance with standard hospital procedures. The money factor does not yet have a special budget for replacing damaged maps. To the officers in the filling room, it is best to retain or shrink medical record documents so that the storage shelves are a little loose and there are no medical record documents piled up on the floor, so that medical record documents are maintained.
Factors for Duplication of Medical Record Numbers at UPT Puskesmas Pasar Merah
Duplication of medical record numbers is a problem that often occurs in the Integrated Service Unit (UPT) of the Pasar Merah Health Center. This study aims to identify the factors that cause duplication of medical record numbers at UPT Puskesmas Pasar Merah. This research method uses a qualitative approach with in-depth interviews with medical administration officers, patient registration officers, and medical personnel directly involved in managing medical record numbers. In addition, observations were also made to understand the process of managing medical record numbers at UPT Puskesmas Pasar Merah.The results showed that the factors of duplication of medical record numbers involved several aspects, including lack of training of medical administrative officers in database management, recording systems that were not effectively integrated between service units, and the unavailability of medical record number validation when registering new patients. In addition, human error factors such as writing and recording errors are also the cause of duplication of medical record numbers. The recommendations of this study include improving training for medical administrative officers in database management, developing an integrated recording system, implementing direct validation of medical record numbers during patient registration, and strengthening supervision mechanisms to prevent human error in managing medical record numbers. This research is expected to contribute to the improvement of the medical record management system at UPT Puskesmas Pasar Merah, so as to reduce the incidence of duplication of medical record numbers and increase efficiency and accuracy in managing patient data.
Factors Affecting Medical Record Service Quality Activities at Puskesmas Bestari
Factors that affect the quality of medical record services are human resources, facilities and infrastructure and policy monitoring and evaluation. The problem of this study is that there are less medical record officers, causing less fast service. The purpose of the study was to determine the factors that affect the quality of medical record service activities at Puskesmas Bestari. This type of research is a descriptive study where the population and sample are the same, namely 4 general practitioners, 3 dentists, 7 nurses and 2 medical record officers. This research collection technique is a field study technique, namely questionnaires, interviews and observations. The data analysis used in this study was univariate analysis. The results obtained were poor service quality by 12.5%, poor doctor human resources by 28.6%, poor nurse resources by 28.6%, good medical recorder resources by 66.6%, poor facilities and infrastructure by 20%, policy monitoring and evaluation by 40%. Based on these results, it can be concluded that the quality of medical record services, doctor human resources, nurse human resources, medical recorder human resources, facilities and infrastructure and policy monitoring and evaluation are still lacking, so it is expected that the Head of the Puskesmas will conduct training on the importance of the quality of medical record services in improving the performance of officers at the Puskesmas.
The Relationship Between The Level Of Self-Efficacy On Medication Adherence In Pulmonary Tuberculosis Patients At Imelda General Hospital Indonesia
Pulmonary tuberculosis, one of the infectious diseases, is ranked fifth as an infectious disease that causes the most deaths in the world. Treatment with a long enough period of time allows non-adherence behavior in taking medication in pulmonary TB patients. Self-efficacy is a person's belief in his ability to achieve a desired goal. The purpose of the study was to determine the relationship between the level of self-efficacy on medication adherence in tuberculosis patients at the Imelda General Hospital of Indonesian Workers in 2023. Quantitative research method with correlational descriptive. The study was conducted at the Imelda Pekerja Indonesia General Hospital in August 2023. Population of 282 Pulmonary TB patients, study sample 73 people with Purposive Sampling. Bivariate test using Chi Square. The age of the majority of pulmonary tuberculosis respondents aged 26-35 years (Early Adulthood) was 25 people (34.2%), the gender of the majority of pulmonary tuberculosis respondents was 40 people (54.8%), the majority of pulmonary tuberculosis respondents were employed as 48 people (65.8%). The level of self-efficacy in pulmonary tuberculosis patients was the majority of high self-efficacy scores >77 as many as 55 people (75.3%), followed by low self-efficacy scores of <63 as many as 10 people (13.7%) and moderate self-efficacy scores of 64-76 as many as 8 people (11.0%). Adherence to taking medication in pulmonary tuberculosis patients the majority had moderate adherence scores 1-2 as many as 42 people (57.5%), followed by high adherence score 0 as many as 21 people (28.8%) and low adherence score >2 as many as 10 people (13.7%). There was no relationship of self-efficacy on medication adherence with a p value of 0.324>0.05.