Jurnal Penelitian Kesmasy http://ejournal.delihusada.ac.id/index.php/JPKSY <p>Jurnal Penelitian Kesmasy memberikan ruang bagi akademisi, peneliti dan pengguna hasil penelitian dan pengabdian untuk mendiseminasikan, menginformasikan, mendiskusikan dan menggunakan hasil penelitian dan pengabdian sebagai upaya meningkatkan kualitas kebijakan di bidang kesehatan masyarakat yang berbasis ilmiah. Jurnal ini menyajikan hasil penelitian, pengabdian masyarakat serta artikel ilmiah di bidang kesehatan masyarakat. Artikel penelitian dan pengabdian masyarakat yang dimuat dalam jurnal ini merupakan topik penting dalam pengembangan ilmu pengetahuan di bidang kesehatan masyarakat, membantu pemecahan masalah seputar kesehatan masyarakat dan membantu meningkatkan kualitas hidup manusia. Jurnal Penelitian Kesmasy bersifat independen, ilmiah, memberi kesempatan yang sama kepada akademisi dari berbagai jenjang dan asal pendidikan tinggi.</p> Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua en-US Jurnal Penelitian Kesmasy 2655-0806 ANALISA FAKTOR YANG BERHUBUNGAN DENGAN KINERJA PERAWAT DI RUANG RAWAT INAP RUMAH SAKIT UMUM SEMBIRING TAHUN 2018 http://ejournal.delihusada.ac.id/index.php/JPKSY/article/view/193 <p>A nurse is someone who has the ability, responsibility and authority to carry out nursing care services at various levels of nursing services. Nursing services provided are in the form of nurse performance and must be based on high ability so that performance supports the implementation of tasks in nursing services. The purpose of this study was to determine the dominant factor related to the performance of nurses in the inpatient room of Sembiring General Hospital in 2018. This type of research was observational analytic with cross sectional approach where the population was all nurses in the inpatient ward of Sembiring General Hospital with a sample size 101 respondents were taken using proportional random sampling technique. Based on the results of the study it was found that from the variables of leadership, work performance, work promotion, incentives, working conditions, work relationships, and workload results obtained workload variables that were significantly related to the performance of nurses in the inpatient ward of Sembiring General Hospital with a value (p -value 0,004) with PR 1,698 (95% CI: 1,186-2,429) has a significant effect on the performance of nurses in the Inpatient Room of the Sembiring General Hospital. Based on the results of the logistic regression test, the most dominant variable was workload with a value (p-value 0.020) and Exp value (B) 2.939 (95%; CI: 1.185-7.291). It is recommended to the Head of the Sembiring General Hospital to pay more attention to the arrangements of nurses' work shifts, nurses' work rotations, job description job descriptions that are in accordance with the competencies and timeliness of nurses' entry and return from work so that in carrying out their work nurses can work effectively.</p> Sri Sudewi Pratiwi Sitio ##submission.copyrightStatement## 2020-04-30 2020-04-30 2 2 1 8 10.36656/jpksy.v2i2.193 ANALISIS HUBUNGAN SANITASI TOTAL BERBASIS MASYRAKAT (STBM) DENGAN KEJADIAN DIARE PADA BALITA DI DESA SUKA MULIA KECAMATAN HINAI KABUPATEN LANGKAT http://ejournal.delihusada.ac.id/index.php/JPKSY/article/view/235 <p><em>There was one death case happened in 2018-2019 at Puskesmas Hinai Kabupaten Langkat regency for under five years children that caused by diarrhea. Low clean and healthy behavior (36,9) and total sanitation are one of the causes. Good total sanitation can decrease 94% incidence of diarrhea. The purpose of the research was to determine the relationship between total sanitation with incidence of diarrhea for under five years children. The type of this research was cross sectional. The population of this research was all under five years children who live in suka mulia. The sample were 67 respondents. The instrument used&nbsp; questionnaire sheet. The result of this study that there were&nbsp; relationship between behavior defection (p= 0,0015), hand washing behavior (p= 0,006), rubbish treatment (p= 0,017), waste water treatment (p= 0,010), and there was no relationship of good and drinking water treatment with diarrhea for five years children (p= 0,804). The advice for society was to improve total sanitation in order not to be source or intermediaries of diarrhea. For related institution to give education about total sanitation to prevent diarrhea</em></p> Novrika Silalahi Rumiris Yulinar Sinambela ##submission.copyrightStatement## 2020-04-30 2020-04-30 2 2 9 17 10.36656/jpksy.v2i2.235 HUBUNGAN POLA ASUH IBU DENGAN PERILAKU PICKY EATING PADA ANAK USIA PRASEKOLAH DI LINGKUNGAN VII SIMALINGKAR KELURAHAN MANGGA DUA KECAMATAN MEDAN TUNTUNGAN TAHUN 2019 http://ejournal.delihusada.ac.id/index.php/JPKSY/article/view/240 <p>Picky eating is the behavior of children who experience eating disorders in the form of refusal to eat, do not want to eat, the length of time to eat more than 30 minutes, and only want to eat certain foods. The purpose of this study was to determine the relationship between maternal parenting with Picky Eating behavior in preschool children in Simalingkar VII Ward, Mangga Dua Village, Medan Tuntung District. This research uses correlation research design with cross sectional approach method. Population The population in this study were all preschool children (3-5 years old) in the VII Environment of Simalingkar, Mangga Dua Village, Medan Tuntung District, as many as 36 people and their mothers. Sampling in this study is a way to do with a total sampling technique in which all populations are sampled, where the number of respondents is equal to the total population of 36 respondents, namely mothers who have preschool age children in the Simalingkar District VII, Mangga Dua Village, Medan Tuntung District. The results of this study indicate that there is no relationship between maternal parenting and picky eating behavior in preschool children in Simalingkar Ward VII Mangga Dua, Medan Tuntung District. Suggested to the next researcher to review about other factors related to picky eating behavior in preschool children.</p> Hetty Simamora Ance M Siallagan ##submission.copyrightStatement## 2020-04-30 2020-04-30 2 2 18 24 10.36656/jpksy.v2i2.240 Determinan Kepatuhan Penggunaan Alat Pelindung Diri (APD) Pada Pekerja PT. X Proyek Pembangunan Tahun 2019 http://ejournal.delihusada.ac.id/index.php/JPKSY/article/view/248 <p><em>International Labor Organization (ILO) 2019, every year 380.000 workers or 13,7 percent of the 2,78 million people die as a result of accidents or occupational diseases, one of the causes is due to the low awareness of employers and employees of the importance of implementing Occupational Health and Safety ( K3), there are around 374 million non-fatal work-related injuries and diseases each year, many of which result in work absences. Compliance is a change in behavior from behavior that does not obey the rules to behavior that obeys the rules. Human behavior is referred to in the "S-O-R" theory through the process of Stimulus </em><em>→</em><em> Organism </em><em>→</em><em> Response. This research aims to analyze the determinants of compliance with the use of self protection on PT. X Project Development in 2019. The research method used in this study is a quantitative analytic survey with cross sectional approach. The sampling of this research used probability sampling with simple random sampling technique. Data collection was done by interview using a questionnaire. Data analysis used was univariate, bivariate using the chi-square test and multivariate using the Multiple Logistic Regression test with the Enter Method. It was found that out of 60 workers there were 15 workers (25%) using complete PPE and 45 workers (75%) using incomplete PPE. The results showed that there was no influence of worker characteristics (age, education, years of service), predisposing factors (knowledge), enabling factors (availability of tools) on the compliance of PPE use (p&gt; 0,05), predisposing factors (attitude p = 0,003) and factors reinforcement (supervision (p = 0,034), sanctions (p = 0,009) have an influence on the compliance with the use of PPE on workers so that it includes the multivariate analysis criteria (p &lt;0,25) . The results of multiple logistic regression analysis with the Enter Method show that the variables that show the most significant influence are attitudes with values (p = 0,004) and Ex (B) = (14,191). Suggestions for workers to follow the policies that apply in the company, especially in increasing compliance with the use of PPE for comfort in the work environment, especially for the safety and health of workers and all relevant parties.</em></p> Rizka Annisa Hengki Frengki Manullang Yessi Octavia Simanjuntak ##submission.copyrightStatement## 2020-04-30 2020-04-30 2 2 25 39 10.36656/jpksy.v2i2.248 HUBUNGAN SANITASI FISIK RUMAH DENGAN KEJADIAN INFEKSI SALURAN PERNAPASAN AKUT PADA BALITA DI PUSKESMAS KARO KELURAHAN KARO PEMATANGSIANTAR http://ejournal.delihusada.ac.id/index.php/JPKSY/article/view/249 <p>The objective of this research is to find out the environment health housing that influencing the numbers of upper respiratory tract infection incidence in children under 5 years old in puskesmas karo. The research was 67 children under 5 years old. Result of this study showed the upper respiratory tract infection incidence in children under 5 years old was 52,2 percent. Over crowed of the room, type of wall and room ventilation had the significant influence to the upper respiratory tract infection incidence of the children under 5 years.</p> Samuel Marganda Manalu Cindy Avrilta Sembiring ##submission.copyrightStatement## 2020-04-30 2020-04-30 2 2 40 44 10.36656/jpksy.v2i2.249 Hubungan Program Sanitasi Total Berbasis Masyarakat (STBM) Dengan Kejadian Diare Pada Masyatakat Yang Tidak Memiliki Jamban Di Wilayah Kerja Puskesmas Berohol Kota Tebing Tinggi Tahun 2019 http://ejournal.delihusada.ac.id/index.php/JPKSY/article/view/253 <p>The number of Diarrhea KLB Cases&nbsp;in 2010 was 2,580 with77 deaths (CFR2.98%). This result was different from 2009 where there were 3,307 cases of diarrhea KLB, 21 cases of deaths (CFR0.69%). And the latrines ownership is one &nbsp;of the causes. Good total sanitation decreases 94% of diarrhea. The purpose of this study is to determine the relationship between total community-based sanitation programs and the incidence of diarrhea incommunities who do not own latrines. This type of research uses Cross Sectional research. The population of this study is all communities &nbsp;that reside in the working area of​Puskesmas Berohol of Tebing Tinggi City. The sample is 60 respondents using the Simple Random Sampling technique. Instrument research questionnaire and observation sheet. The results of this study state that there is a relationship between the total community-based sanitation program and the incidence of diarrhea in people who do not have latrines, wherethep-valueis 0.002 &lt; 0.05. The conclusion is based on there search about there lationship of Community Based Total Sanitation Program (STBM) with Diarrhea Incidence in Communities that Do Not Have Latrines in the Work Area of​​ the Alcoholic Health Center of Tebing Tinggi City in 2019. The results obtained are that there is a relationship between the total community-based sanitation program (STBM) and the incidence of diarrhea. Suggestions for the community to improve&nbsp;the individual of&nbsp;total sanitation.</p> Maghdalena Br Barus Fithri Handayani Lubis Taruli Nadeak ##submission.copyrightStatement## 2020-04-30 2020-04-30 2 2 45 51 10.36656/jpksy.v2i2.253 Meningkatkan Kualitas Hidup Penderita HIV/AIDS Melalui Penggunaan Antiretroviral (ARV) dan Dukungan Keluarga http://ejournal.delihusada.ac.id/index.php/JPKSY/article/view/284 <p><em>The damage to the immune system in people with HIV infection resulted in them being easily attacked by other diseases, especially the decrease in the quality of life of HIV-AIDS sufferers. Therefore, the purpose of this research is to know the relationship between compliance with antiretroviral use and family support in improving the quality of life of people with HIV-AIDS. For that, quantitative descriptive research with the population is the entire patient with HIV-AIDS. They undergo medical checkup at Budi Kemuliaan hospital-Batam aged between 20-35 years which amounted to 76 people and samples as many as 60 people selected using the Purposive sampling method. The results showed a significant link between compliance with the use of antiretroviral and quality of life and the relationship between the quality of life with the support of the family in HIV/AIDS patients at the Budi Kemuliaan hospital-Batam.&nbsp;&nbsp; </em></p> Saiful Batubara Adhi Marfitra ##submission.copyrightStatement## 2020-04-30 2020-04-30 2 2 52 59 10.36656/jpksy.v2i2.284 FAKTOR-FAKTOR YANG MEMPENGARUHI INISIASI MENYUSUI DINI DI PUSKESMAS PIJOR KOLING KECAMATAN PADANGSIDIMPUAN TENGGARA KOTA PADANGSIDIMPUAN TAHUN 2018 http://ejournal.delihusada.ac.id/index.php/JPKSY/article/view/286 <p><em>The high rate of infant mortality&nbsp; and&nbsp; infant morbidity&nbsp; in Indonesia is still one of the health problems in Indonesia. One way to reduce the rate by early breastfeeding. In 2017 early breastfeeding initiation coverage in the area of public health center of early breastfeeding initiationThis research aims to&nbsp; impove&nbsp; the target&nbsp; perfromance of early breastfeeding in Pijor Koling Public Health Center. This research is survey analytic with cross sectional. The sampel of researah is 54 mothers who just giving birth baby. The analysis data&nbsp; use chi square test. The sampling technique is&nbsp; purposing sampling. The result of research indicate that there is meaningful between knowledge&nbsp; P=0,016 (P&lt;0,05), occupation P=0,010 (P&lt;0,05), the suppot of family p= 0,002 (p&lt;0,05), attitude&nbsp; P=0,059 (P&lt;0,05), Age P= 0,007 (P&lt;0,05), and there is no relation between knowledge with culture. P=0,1000 (P&gt;0,05), The result of regression logistict test show that the&nbsp; family support is having strongly relation with early breastfeeding initiation with the high of value 5,369 (95% CI: 1,178-22,056 Intiation&nbsp; as many as 5,098 times more bigger than mothers who have support&nbsp; family. The suggestion of Researcher&nbsp; to health workers of health of mother and child of Pijor Koling Public Health Center more increase&nbsp; information abaut early&nbsp; breastfeeding initiation to mothers who have no job.</em></p> <p><em>&nbsp;</em></p> Nurmala Nurmala Elisabeth Dame Manalu Selamat Ginting ##submission.copyrightStatement## 2020-04-30 2020-04-30 2 2 60 67 10.36656/jpksy.v2i2.286 HUBUNGAN PENGETAHUAN PEGAWAI DENGAN PEMILAHAN LIMBAH PADAT DI RUMAH SAKIT UMUM SEMBIRING TAHUN 2019 http://ejournal.delihusada.ac.id/index.php/JPKSY/article/view/197 <p>Medical activities in the polyclinic room, ward, operating theatre and laboratory. The danger that comes from hospital medical waste which causes disease or injury. Medical waste exposure especially sharp object which causes virus infection like Human Immunodeficiency Virus (HIV)/Acquired Immuno Defeciency Syndrome(AIDS) and hepatitis B and C, who are at higher risk of infection because contamined sharp objects are nurses. This research done at the Sembiring Hospital Delitua Deli Serdang Regency. The objectives of this research is to know the relationship of the employees with the sorting of the medical solid waste. The design of this study was survey analytics design with a cross sectional study. The Univariate and bivariate of this research used Chi Square Test. The population of this research is nurses and the total sample is 65 people with the purposive sampling tehnic. The deficient of respondents knowlegde with the sorting of the medical solid waste as much as 35 people (53,8%). The sufficient of respondents knowlegde with the sorting of the medical solid waste as much as 16 people (24,6%) and the good knowlegde as much as 14 people (21,5%). The resulted of the bivariate analitycs with the knowlegde obtained p value 0.004&lt; α 0.05, there is a relationship of employees knowlegde with the sorting of the medical solid waste, it is expect from the hospital to provide periodic checks in the medical waste producing ward to realize the comfort and cleanliness of the hospital environment.</p> Yunita Syahputri Damanik Khoirul Bahri ##submission.copyrightStatement## 2020-04-30 2020-04-30 2 2 68 72 10.36656/jpksy.v2i2.197 PENGARUH STRATEGI METAKOGNISI TERHADAP PEMAHAMAN MEMBACA TEKS BERBENTUK DESKRIPTIF PADA MAHASISWA MANAJEMEN INFORMASI KESEHATAN INSTITUT KESEHATAN DELI HUSADA DELITUA http://ejournal.delihusada.ac.id/index.php/JPKSY/article/view/203 <p>Doing reading comprehension needs active process in doing. The suitable teaching-learning process must achieve the objective of reading comprehension. In fact, reading skill is not easy. Lecturer should use good strategy in teaching about reading comprehension. It also happens for students that they find some hard in doing reading comprehension well. They can’t get good value for understanding the text meaning. So, the strategy is very useful to solve the difficulties in reading comprehension. This study is concerned with the reading effect about descriptive text through Metacognition strategy application. This study learns about students reading skills in descriptive text. This research is conducted based on experimental quantitative design which has two randomized subject. The population were Health Information Management students at Deli Husada Deli Tua Health Institute grade I, II and III. The random sample was taken from grade I and III as group of experimental and grade II as the control group. In every group was given pre-test and post-test in same test but the experimental group accepted the treatment of Metacognition strategy in the study. The result of this research showed that there was difference between the mean of the group of experimental and the group of control. The statistic calculation showed that t-observed (4.1) is higher than t-table (1.67) for the degree of freedom (df) 58 at the level α = 0.05 level of significance. It proves that Metacognition strategy has significantly effect on students’ reading comprehension in reading descriptive text.</p> Herawati Br Bukit Sulastri Br Ginting ##submission.copyrightStatement## 2020-04-30 2020-04-30 2 2 62 67 10.36656/jpksy.v2i2.203