Deli Medical and Health Science Journal

MONITORING DAN EVALUASI PENGGUNAAN OBAT PADA PASIEN TERAPI GAGAL GINJAL KRONIK DI RUMAH SAKIT UMUM SEMBIRING DELI TUA

Saiful Batubara, Palas Tarigan, Ike Chantika — Mon, 13 Nov 2023 05:20:05 SE Asia Standard Time

Chronic kidney failure is an interventional disease, which means that the patient only maintains existing kidney function and this disease is irreversible, meaning it cannot return to normal. Thus, chronic kidney failure is closely related to a rational treatment process and a healthy lifestyle. Therefore, it is necessary to study patterns of monitoring and evaluating drug use in patients with chronic kidney failure therapy at Sembiring Deli Tua General Hospital. This study aims to determine the lifestyle of second chronic kidney failure patients to determine the effect of chronic kidney failure patients' lifestyle on further improvement of kidney function. To determine rational drug use at Sembiring Deli Tua General Hospital using four aspects, namely right drug, right patient, right indication and exact last dose to see and know the distribution of chronic kidney failure to patient characteristics in the form of age, sex, disease complications, complaints and stage of chronic kidney failure patients at Sembiring General Hospital. Lifestyle monitoring was carried out in April-May 2023 in the hemodialysis room using a sample questionnaire that was taken as many as 30 respondents using a descriptive method. Then, an evaluation of drug use was taken from the medical record data of chronic kidney failure patients from September to December 2022 using a retrospective method. A sample of 30 patients according to the study inclusion criteria. The lifestyle of chronic kidney failure patients is in accordance with the provisions, and there is a relationship between the lifestyle of chronic kidney failure on the improvement of kidney function indicators are blood pressure, hemoglobin, urea and creatinine. Evaluation data on drug use in patients with chronic kidney failure in terms of four aspects including (100% right patient), (43.33% right drug), (83.33 place of indication), (80% right dose). patient characteristics in the form of age at most 46-55 years, the dominant sex is Male, complications of diseases namely hypertension then diabetes sequence When COPD, the most common complaint is lower abdominal pain, and the most common stage of chronic kidney failure patients is stage 3 at Sembiring General Hospital.

PENGARUH (INISIASI MENYUSU DINI) IMD TERHADAP JUMLAH PERDARAHAN KALA IV DI KLINIK PRATAMA TANJUNG KECAMATAN DELI TUA TAHUN 2023

Milvan Hadi, Ripai Siregar, Aisyah Tamimi — Mon, 13 Nov 2023 05:20:23 SE Asia Standard Time

One of the MGDS global targets is to reduce MMR and IMR. The maternal mortality rate in Indonesia is still high at 390 per 100,000 live births. Referring to the link between birth management and various countermeasures for the biggest cause of AKI is postpartum hemorrhage. Efforts have been made in problems related to bleeding, even several studies have carried out IMD in treating bleeding problems considering that the presence of IMD can affect the hormone oxytocin which is associated with bleeding. The purpose of this study was to see how IMD influences the amount of bleeding in the fourth stageThis research is a quasi-experimental study using control and experimental groups. The population and sample were all mothers who gave birth as many as 16 respondents using the Purposive Sampling method. The data were analyzed univariately and bivariately using the Mann-Whitney test.The results showed that there was a significant effect between IMD on the amount of bleeding in the fourth stage. The average number of bleeding in the fourth stage of respondents who underwent Early Breastfeeding Initiation was 4.50 with a standard deviation of 12.683. Meanwhile, respondents in the control group averaged the amount of bleeding in the fourth stage was 12.50 with a standard deviation of 19.291. In the statistical test, the value of P = 0.001 <a0.05 was obtained With this study, it was found that there was an effect of IMD on the amount of bleeding in the fourth stage of labor. It is hoped that midwives and doctors will implement IMD in order to reduce morbidity and mortality of mothers and babies.

HUBUNGAN ANTARA KELELAHAN KERJA DENGAN STRES KERJA PADA TENAGA KERJA DI LABORATORIUM PCR RSU BUNDA THAMRIN TAHUN 2023

Tampak Linggom, Armanda Prima, Rizliana Anggita — Mon, 13 Nov 2023 05:20:38 SE Asia Standard Time

This research was conducted on workers at the PCR Laboratory of Bunda Thamrin in 2020-2021 to determine the relationship between work fatigue and work stress in workers.

Work fatigue is a process of decreasing efficiency, work performance, and reduced endurance or physical strength of the body to continue the activities that must be done. Work stress is a pressure that cannot be tolerated by individuals both from within themselves and from outside themselves.

This type of research was an analytic observational study with cross sectional approach. The time of the study was carried out in December 2020-July 2021. The population in this study were all workers who worked at PCR Laboratory of Bunda Thamrin, totaling 30 workers. Sampling was done by total sampling technique. Data collection methods were obtained from primary data and secondary data. The results of this study were processed by using Fisher's exact test.

From the results of chi-square test, the relationship between work fatigue and work stress in the workforce at PCR Laboratory of Bunda Thamrin, it can be seen that 18 respondents who stated that they were tired, 13 of them had a level of work stress, stress (72,2%), while of the 12 respondents who said they were tired, 13 of them had work stress levels. stated that they are not tired 9 of them have work stress levels, not stress (75,0 %). With the P-value obtained from the output table, namely the Exact Fisher Test (P = 0,024), which is smaller than = 0,05. Based on these results, it can be concluded that there is a relationship between work fatigue and work stress on the workforce in the PCR Laboratory Bunda Thamrin.

There is a relationship between work fatigue and work stress at PCR Laboratory of Bunda Thamrin in 2023 with a P-value = 0,024 < = 0,05. It is expected that workers do not force themselves to do their work and stretch their muscles or take a short break if they feel tired.

ANALISIS TINGKAT KEPUASAN PASIEN TERHADAP PELAYANAN KEFARMASIAN DI APOTEK UPTD PUSKESMAS BOTOMBAWO KABUPATEN NIAS TAHUN 2023

Rizki Ramadani Lubis, Palas Tarigan, Melza Shekinah Gloria Mendrofa — Mon, 13 Nov 2023 05:21:03 SE Asia Standard Time

Health is one of the factors that support the quality of human life. In order to create a productive society, it is necessary to improve the quality of human life. One way to improve the quality of human life is to improve the quality of health services. Patient satisfaction is a feeling of pleasure that arises in a person after getting services received or experienced directly or in other words the level of feeling of a customer after comparing the perceived performance or results. The purpose of this study was to determine the level of patient satisfaction with pharmaceutical services at the Pharmacies of the Health Center UPTD Puskesmas Botombawo, Nias Regency using a descriptive method. The sampling technique was purposive sampling. This research was conductedfrom march to April 2023. The number of samples was 83 people.. Where the results of the level of satisfaction on the responsiveness dimension are 48.1% with the category of being dissatisfied, on the reliability dimension that is 60.7% with the category of quite satisfied, on the dimension of assurance that is 59.4% with the category of quite satisfied, on the dimension of empathy that is 62.7 % with the category quite satisfied and on the dimensions of physical evidence that is 59.8% with the category quite satisfied. So that the average percentage level of patient satisfaction with pharmaceutical services at the Phermacies of the Health Center UPTD Botombawo,Nias Regency as a whole is 58.1% with the satisfaction category being quite satisfied.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEBERHASILAN PROGRAM STOP BABS (BUANG AIR BESAR SEMBARANGAN) DI DESA LEDONG TIMUR KECAMATAN AEK LEDONG KABUPATEN ASAHAN TAHUN 2023

Elvida Sulistiana Sinaga, Ripai Siregar, Rika Syahriani Br Tanjung — Mon, 13 Nov 2023 05:21:22 SE Asia Standard Time

Currently in Indonesia there are still many health problems that have not been resolved by the Government of Indonesia. Starting from the low government budget for health to the low level of awareness of the Indonesian people about cleanliness and health, it is suspected that this is the main trigger. Based on Sanitation data from the East Ledong Community Health Center, Aek Ledong Sub District, Asahan District in 2023, there are still 38 families out of 1,524 families who have not been able to succeed in the stop babs (open defecation) program that has been implemented by the government in the last 3 years. The aim of this research was to find out the factors related to the success of the stop babs (open defecation) program. The type of quantitative research with cross-sectional design used a questionnaire instrument with interview and observation methods. The research population consisted of 38 heads of families and all of them were as samples. The research variables were analyzed univariately and bivariately with the chi square test using a p value <0.05. The results of the research on the success of the stop babs program (open defecation) were 34,2% successful and 65,8% unsuccessful. There is a relationship between knowledge (p = 0.011), attitude (p = 0.022) and the role of health workers (p = 0.036) with the success of the stop defecation program (open defecation) and there is no relationship between water availability (p = 0.190) with program success stop babs (open defecation). The community give attention to the cleanliness and maintenance of latrines that meet health requirements to prevent the spread and cases of disease.