Papers by Juliandi Harahap
Jurnal Health Sains
Sistem atau cara pelayanan yang optimal otomatis bisa memunculkan kepercayaan pasien pada instans... more Sistem atau cara pelayanan yang optimal otomatis bisa memunculkan kepercayaan pasien pada instansi kesehatan. Jenis penelitian adalah dengan Cross Sectional dengan tujuan untuk mengetahui faktor penentu minat berkunjung ulang pasien tuberkulosis di Poliklinik Paru Rumah Sakit Pirngadi Medan dengan populasi penelitian adalah 1397 pasien TB yang berobat jalan dan sampel diambil dengan cara purposive sampling sebanyak 93 pasien. Hasil penelitian menunjukkan bahwa kehandalan memiliki nilai sig-p 0,300 > 0,05, jaminan sig-p 0,008 < 0,05, bukti fisik sig-p 0,221 < 0,05, empati sig-p 0,028 < 0,05, daya tanggap sig-p 0,034 < 0,05 dan kepuasan pasien sig-p 0,008 < 0,05. Kesimpulan dalam penelitian ini ada pengaruh jaminan, empati, daya tanggap dan kepuasan pasien terhadap minat kunjungan ulang pasien tuberkulosis, sedangkan kehandalan dan bukti fisik tidak memiliki pengaruh terhadap minat kunjungan ulang pasien tuberkulosis. Diharapkan kepada pihak rumah sakit untuk meningk...
Science Midwifery
Nurses are one of the quality improvement factors in hospitals and are the professions that inter... more Nurses are one of the quality improvement factors in hospitals and are the professions that interact the most with patients in explaining and supporting patient problems, explaining nursing diagnoses, explaining interventions to be carried out and providing protection for patient rights. To analyze the factors that influence the performance of inpatient nurses at RSU dr. G.L Tobing in Tanjung Morawa in 2021. The research design used was Cross Sectional with quantitative research with an Explanatory Research approach. The sample of this research is 74 inpatient nurses using total random sampling technique. Analysis of the data used is univariate, bivariate and multivariate analysis with logistic regression test. Based on the results of the logistic test, the value of the cross tabulation between the ability and the performance of nurses with good ability was 27 people and poor ability 47 people and P value = 0.001, the cross tabulation value between compensation and nurse performance...
eJournal Kedokteran Indonesia
This study’s objectives were to investigate factors affecting the adverse events of the COVID-19 ... more This study’s objectives were to investigate factors affecting the adverse events of the COVID-19 vaccine in Indonesia among health care workers and compare adverse events following SARS-CoV-2 vaccine using CoronaVac as the first and second dose and Moderna used as the booster third dose. A cross-sectional study was conducted using the Self-reporting Online Survey Platform (Google Form) from August to October 2021. Subjects included in the study were ENT specialists and residents all over Indonesia who had been vaccinated with both doses of CoronaVac COVID-19 vaccine and Moderna COVID-19 vaccine as a booster dose. Among a total of 1394 participants, 51.2% and 43.7% of subjects experienced adverse events following the first and second dose of the CoronaVac vaccine. Adverse events are significantly higher following the third dose of Moderna vaccine (95.3%) with p-value <0.001, odds ratio (OR) 26.63 (95% CI 19.87-35.7). Adverse events following the CoronaVac vaccine were significantl...
Journal Health & Science : Gorontalo Journal Health and Science Community
ABSTRAK Dikalangan petugas kesehatan, hand hygiene sangatlah penting dilakukan, dan jika tidak me... more ABSTRAK Dikalangan petugas kesehatan, hand hygiene sangatlah penting dilakukan, dan jika tidak melakukan akan beresiko untuk menyebarkan infeksi baik dari petugas ke pasien ataupun sesama petugas kesehatan lainnya. Mencuci tangan dengan sabun dan air menghilangkan 92% organisme penyebab penyakit infeksi di tangan. Di Indonesia rata-rata prevalensi infeksi adalah sekitar 9,1% dengan variasi kejadian infeksi sebesar 6,1% - 16,0%. Tujuan penelitian ini untuk menganalisa implementasi hand hygiene dan perilaku tenaga kesehatan dalam penggunaanya di RSUD Dr. R.M. Djoelham Binjai Tahun 2020.Jenis penelitian yang digunakan dalam penelitian ini adalah penelitian kuantitatif dan kualitatif (mixed method). Penelitian ini akan dilaksanakan di RSUD Dr. R.M. Djoelham Binjai. Populasi penelitian adalah seluruh perawat dokter dan bidan yang bekerja di RSUD Dr. R.M. Djoelham Binjai yang berjumlah sebanyak 210 orang dengan jumlah sampel sebanyak 186 orang berdasarkan hasil perhitung sampel dengan men...
Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Sistem atau cara pelayanan yang optimal otomatis bisa memunculkan kepercayaan pasien pada instans... more Sistem atau cara pelayanan yang optimal otomatis bisa memunculkan kepercayaan pasien pada instansi kesehatan. Jenis penelitian adalah dengan Cross Sectional dengan tujuan untuk mengetahui faktor penentu minat berkunjung ulang pasien tuberkulosis di Poliklinik Paru Rumah Sakit Pirngadi Medan dengan populasi penelitian adalah 1397 pasien TB yang berobat jalan dan sampel diambil dengan cara purposive sampling sebanyak 93 pasien. Hasil penelitian menunjukkan bahwa kehandalan memiliki nilai sig-p 0,300 > 0,05, jaminan sig-p 0,008 < 0,05, bukti fisik sig-p 0,221 < 0,05, empati sig-p 0,028 < 0,05, daya tanggap sig-p 0,034 < 0,05 dan kepuasan pasien sig-p 0,008 < 0,05. Kesimpulan dalam penelitian ini ada pengaruh jaminan, empati, daya tanggap dan kepuasan pasien terhadap minat kunjungan ulang pasien tuberkulosis, sedangkan kehandalan dan bukti fisik tidak memiliki pengaruh terhadap minat kunjungan ulang pasien tuberkulosis. Diharapkan kepada pihak rumah sakit untuk meningk...
Media Ilmu Keolahragaan Indonesia
The prevalence of hypertension increases with age, more than 1 in every two elderly has hypertens... more The prevalence of hypertension increases with age, more than 1 in every two elderly has hypertension, dominated by women. The primary prevention of hypertension is a worldwide public health concern. Salat dhuha is a moderate-intensity physical activity. Salat 2 movement cycles demonstrated improved systolic and diastolic blood pressure in adults. Our study purpose was to assess the effect of 2 and 8 movement cycles (rakaat) of salat dhuha to improve systolic and diastolic blood pressure in healthy Muslim elderly women. Muslim elderly women in a government senior residence (aged 60-74 years) participated in a 6 weeks controlled trial. We completed formal physical, clinical, and blood assessments before admission. Participants with hypertension history were excluded. The participants were randomized into 2 groups. The intervention group performed 8 rakaat of salat dhuha (n=13) and the control group performed 2 rakaat of salat dhuha (n=13). Two participants were dropped out of this stu...
Gaceta Médica de Caracas
Breast cancer is the most common cancer in the world and a leading cause of death in women. This ... more Breast cancer is the most common cancer in the world and a leading cause of death in women. This cancer is the major cause of mortality and morbidity in Indonesian women. This study aims to investigate the correlation of Her-2 expression with a clinicopathological profile in invasive ductal breast cancer. This study was retrospective in design. Histopathological diagnosis and immunohistochemical ER, PR, and Her2 from 95 patients with invasive ductal breast cancer were included during the period January 2017 to June 2018.
SCRIPTA SCORE Scientific Medical Journal, Aug 15, 2019
Dalam konteks pelayanan kesehatan, kepuasaan pasien adalah suatu keadaan dimana keinginan, harapa... more Dalam konteks pelayanan kesehatan, kepuasaan pasien adalah suatu keadaan dimana keinginan, harapan dan kebutuhan pasien dipenuhi.Suatu pelayanan dinilai memuaskan bila pelayanan tersebut dapat memenuhi kebutuhan dan harapan pasie kehandalan, daya tanggap, jaminan, empati dan bukti fisik. Penelitian ini bertujuan untuk menganalisis hubungan antara kualitas pelayanan dengan kepuasan pasien di RSGMP.Jenis penelitian mi dengan pendekatan cross sectional study. Sampel penelitian untuk data kuantitatif adalah 100 pasien, dan 10 informan untukdata kualitatif. Sampel diambil dengan teknik accidental sampling.Hasil penelitian menunjukkan variabel kualitas pelayanan memiliki hubungan yang signifikan dengan variabel kepuasan pasien di RSGMP dengan p Hasil kualitatif diketahui pasien mengeluhkan waktu tunggu dan waktu pelayanan yang lama, tidak jelasnya perawatan dan kurangnya keterampilan dari dokter yang bertugas.Sedangkan pimpinan rumah sakit menyatakan bahwa kepuasan adalah hal yang subjektif dan telah melakukan pelayanan dengan maksimal.Penelitian ini menyimpulkan adanya hubungan yang signifik dengan kepuasan pasien.Oleh karena itu diperlukan upaya untuk meningkatkan kualitas pelayanan kesehatan seperti manajemen waktu pelayanan dan peningkatan skill petugas kesehatan.
ABSTRAK Keberhasilan pelayanan gizi di rumah sakit dalam mendukung proses penyembuhan penyakit pa... more ABSTRAK Keberhasilan pelayanan gizi di rumah sakit dalam mendukung proses penyembuhan penyakit pada pasien, sangat ditentukan oleh proses pengolahan makanan mulai dari bahan makanan sampai menjadi makanan jadi yang siap dikonsumsi oleh pasien. Pelayanan gizi dapat terlaksana dengan baik apabila didukung oleh manajemen penyelenggaraan makanan yang baik. Manajemen penyelenggaraan makanan merupakan serangkaian kegiatan yang dilakukan mulai dari perencanaan makanan sampai dengan distribusi makanan kepada pasien/konsumen yang berfungsi sebagai sistem dengan tujuan untuk menghasilkan makanan dengan kualitas yang baik Jenis penelitian ini menggunakan Kualitatif Fenomenologi dengan menggunakan deskriptif Informan penelitian berjumlah 22 orang. Informan Penelitian ini dikelompokkan menjadi dua yaitu informan utama dan informan pendukung. Adapun informan utama berjumlah 17 informan yaitu kepala instalasi gizi dan tenaga di instalasi gizi. Sedangkan informan pendukung berjumlah 5 informan yai...
<b>Background:</b> Macro vascular complications occur very frequently in patients wit... more <b>Background:</b> Macro vascular complications occur very frequently in patients with type 2 diabetes mellitus (T2DM) with a high mortality rate, due to the development of cardiovascular disease (CVD), such as stroke, atherosclerosis acceleration, and atrial fibrillation. T2DM is a significant risk factor for CVD and has become the leading cause of death. The purpose of this study was to detect the early risk of macro vascular complications by using the ankle brachial index (ABI) as a marker.<b>Method:</b> This study was an analytic study with a cross-sectional approach. The study population was patients with T2DM from several primary health care centers in Medan. In total, 89 subjects who met the inclusion and exclusion criteria were recruited with consecutive sampling. ABI was determined as the ratio of systolic blood pressure in the brachial artery to the posterior tibial artery after the subjects had been relaxed and felt comfortable in a supine position. Examination of vitamin D and lipid profile was derived from examination of venous blood. Data were processed using SPSS and analyzed with one-way ANOVA.<b>Results:</b> The study found that there was a relationship between LDL-C, triglyceride, and vitamin D (25OH-D) based on the ABI (p &gt; 0.05).<b>Conclusions:</b> ABI can be used for an early detection of macro vascular complications. Apart from being easy to perform, ABI was non-invasive. Some other risk factors that can also be used to assess complications and have relationships with ABI were LDL-C, triglyceride, and vitamin D (25OH-D). Complications in T2DM patients can be prevented with reasonable blood sugar control and lifestyle changes. Education and motivation need to be given to patients so that they become more independent in controlling their disease and improving their quality of life.<br>
Proceedings of the International Conference of Science, Technology, Engineering, Environmental and Ramification Researches, 2018
Proceedings of the International Conference of Science, Technology, Engineering, Environmental and Ramification Researches, 2018
Pendahuluan, tuberkulosis sampai saat ini masih merupakan permasalahan kesehatan di masyarakat. B... more Pendahuluan, tuberkulosis sampai saat ini masih merupakan permasalahan kesehatan di masyarakat. Berdasarkan survei awal, tingginya error rate menyebabkan angka penemuan kasus TB di Kabupaten Simeulue menjadi rendah yaitu 53,3%, sedangkan target > 70%. Tujuan, untuk mengetahui faktor yang memengaruhi kesalahan baca hasil pemeriksaan laboratorium pada suspek tuberkulosis dan nilai error rate. Metode, desain penelitian yang digunakan dalam penelitian ini adalah Cross Sectional. Populasi dalam penelitian ini sebanyak 40 orang dan sampel yang diambil dengan cara total sampling yaitu sebanyak 40 orang. Metode pengumpulan data yaitu data primer dan data sekunder. Analisa data yang digunakan yaitu uji regresi binary logistic. Hasil, pengetahuan (sig-p 0,020), lama kerja (sig-p 0,019), beban kerja (sig-p 0,023), kondisi mikroskop (sig-p 0,044) dan karakteristik dahak (sig-p 0,018) memiliki pengaruh terhadap kesalahan baca hasil pemeriksaan laboratorium pada suspek tuberkulosis dan nilai e...
Pelayanan yang berkualitas dapat memberikan suatu dorongan kepada konsumen untuk menjalin ikatan ... more Pelayanan yang berkualitas dapat memberikan suatu dorongan kepada konsumen untuk menjalin ikatan hubungan yang kuat dengan penyedia jasa. Berdasarkan data mutu dan efisiensi pelayanan serta tingkat keberhasilan Laboratorium RSUD Sijunjung dapat dijelaskan tingkat pemanfaatan sarana pelayanan masih kurang, human error , peralatan yang sering terjadi kerusakan, reagensia yang tak mencukupi, banyaknya keluhan baik dari pasien dan complain dari petugas yang terkait tertang hasil yang terlambat keluar. Tujuan penelitian ini untuk mengetahui Analisis Kepuasan Pelayanan Pasien terhadap Instalasi Laboratorium Klinik di Rumah Sakit Umum Daerah (RSUD) Sijunjung Tahun 2019. Jenis penelitian ini adalah deskriptif kualitatif metode yang digunakan wawancara mendalam ( in-depth interview ) dan observasi. Hasil penelitian menunjukkan tingkat pemanfaatan sarana pelayanan masih kurang, human error , peralatan yang sering terjadi kerusakan, reagensia yang tak mencukupi, banyaknya keluhan baik dari pas...
Open Access Macedonian Journal of Medical Sciences, 2021
BACKGROUND: Diabetes is a significant contributor to dyslipidemia, which can contribute in cardio... more BACKGROUND: Diabetes is a significant contributor to dyslipidemia, which can contribute in cardiovascular complications. Vitamin D is crucial in preventing chronic metabolic diseases such as diabetes and heart disease (cardiovascular disease [CVD]). AIM: The objective of this study was to determine the relationship between Vitamin D levels and cardiovascular risk in type 2 diabetes mellitus. MATERIALS AND METHODS: This study is cross-sectional in nature. The study sampled 89 diabetic patients who met the study’s inclusion and exclusion criteria. After a 10 h fast, a venous blood test is performed to determine Vitamin D levels, apolipoprotein-A levels, total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), and triglyceride levels. The data are analyzed using SPSS. The Pearson correlation test (p > 0.05) was used to determine the connection. RESULT: Vitamin D levels were found to correlate with Apo-A1, TC, HDL-C, and trigl...
Family Medicine & Primary Care Review, 2021
Background. Physical activity is essential to diabetic patients to improve insulin sensitivity so... more Background. Physical activity is essential to diabetic patients to improve insulin sensitivity so that diabetes can be well controlled. Objectives. The purpose of this study was to analyze the effect of physical activity on glucose transporter-4 (GLUT-4), fasting blood glucose level (FBGL) and glycated hemoglobin (HbA 1C) in patients with type 2 diabetes mellitus (T2DM) in Medan. Material and methods. The study design was analytic with a cross-sectional approach. The study population was T2DM patients, and the number of samples was 83 people who fulfilled the inclusion and exclusion criteria. The study protocol was approved by the research ethics committee at the Faculty of Medicine, Universitas Sumatera Utara, and all participants willing to participate in the study signed written informed consent. The physical activity of T2DM patients was assessed by using a global physical activity questionnaire (GPAQ). The GLUT-4 level was assessed by using the Human GLUT-4 kit, which is ELISA method based. FBGL and HbA 1C levels were determined by using the Doronad affinity + Modified HPLC method. Data was analyzed by the one-way ANOVA statistic test and processed by using SpSS. Results. The results showed that physical activity affected the level of GLUT-4, FBGL and HbA 1C among T2DM patients. Conclusions. Medications and diet were not the main determinants of controlled BGL in diabetic patients. However, physical activity is one of the four-element points (education, dietary, physical activity, medicine) in diabetes management that must be implemented to achieve a better quality of life in diabetic patients.
International Archives of Otorhinolaryngology, 2021
Introduction Aminoglycoside, as an antimicrobial medication, also has side-effects on the inner e... more Introduction Aminoglycoside, as an antimicrobial medication, also has side-effects on the inner ears, bringing about hearing disorders. Curcumin has been proven to be a strong scavenger against various reactive oxygen species (ROS), and the increase in ROS production is considered to play an important role in the process of hearing disorder. Objective To prove that curcumin is an effective antioxidant to prevent cochlear damage based on malondialdehyde (MDA) expression. Methods The present research used 32 Rattus norvegicus, of the Wistar lineage, randomly divided into 8 groups: negative control, ototoxic control (a single dose of 40 mg/ml of gentamicin via intratympanic injection), 2 groups submitted to ototoxic control + curcumin treatment (100 mg/kg, 200 mg/kg), 2 groups who iunderwent ototoxic control + curcumin treatment for 7 days, and two groups submitted to curcumin treatment as prevention for 3 days + ototoxic induction. Results The results showed that the lowest dosage of ...
Journal of Saintech Transfer, 2019
Hygiene Behavior and Health Attitudes (HBHA) in schools is a set of behaviors practiced by studen... more Hygiene Behavior and Health Attitudes (HBHA) in schools is a set of behaviors practiced by students, teachers, and the school community based on awareness as a learning outcome so that they can independently prevent disease, improve their health, and play an active role in creating a healthy environment. The purpose of this study was to analyze the effectiveness of providing education to the level of knowledge, attitudes, and practice of preschool-aged teachers of HBHA in Amanah Preschool-Aged, Langkat Regency, North Sumatera. The research design is a quasi-experimental method with one sample pretest-post design. The population in this study were all Amanah Preschool-Aged teachers in Langkat Regency, North Sumatra. The source of research data is primary data, and data collection is done by interview and observation. Data processing was using SPSS and data analysis using Dependent T-Test. The level of knowledge is the good level with scores before and after the provision of educatio...
Journal of Islamic Nursing, 2019
WHO data in 2010, the highest incidence of reproductive tract infections (ISR) in the world is in... more WHO data in 2010, the highest incidence of reproductive tract infections (ISR) in the world is in the teens (35%-42%) and young adults (27%-33%). Indonesia has a hot and humid climate, so Indonesian women are more vulnerable to ISR. Health problem that often arise in adolescents is personal hygiene. The main factor is the lack of proper knowledge and information on hygiene management, especially during menstruation. The purpose of this study is to determine the effect of peer education and video media on knowledge personal hygiene menstrual actions in early adolescent female students. The method of the study used was a quasi-experimental design using the Two Group Pretest-Posttest Design. The variables of this study are knowledge, attitudes, and actions. The populations in this study are 174 people and a sample of 63 people in the peer education group and 63 in the video group with non-probability sampling techniques. The results show that an increase in average knowledge before and after peer education and video media. There are differences in knowledge (p = 0,000) of young women about personal hygiene during menstruation in the intervention group before and after peer education. There are differences in knowledge (p = 0,000) of young women about personal hygiene during menstruation in the control group before and after giving videos. The conclusion of this study is the influence of peer education and video media on knowledge personal hygiene actions during menstruation. It is necessary to intervene in the improvement of personal hygiene behavior in female students at the Islamic Boarding School.
IOP Conference Series: Earth and Environmental Science, 2018
Tuberculosis is one of a major health problem in Indonesia. WHO expressed the need for the partic... more Tuberculosis is one of a major health problem in Indonesia. WHO expressed the need for the participation of various stakeholders in addition to government. TB CEPAT Program aimed to increase knowledge and awareness in combating tuberculosis. This study aimed to compare the knowledge and awareness of community, cadres and TB patients in the program areas and non-program areas, and assess the role of the program in combating tuberculosis in Medan. The study used quantitative and qualitative methods, where 300 people (community, cadres, TB patients) as respondents and three key persons as informants. The findings revealed that in the program areas the knowledge, attitude and practice of the respondents generally are better compare to those in the non-program areas. There was a significant difference in knowledge and practice for community, cadres, and TB patients (p<0.05) and there was a significant difference in attitude for community, cadres (p<0.05), but no significant difference for TB patients (p>0.05) in program areas and non-program areas. The community empowerment through TB CEPAT Program plays an important role in improving knowledge, attitude, and practice of community, cadres, and TB patients. It would help the effort of TB control and prevention in Medan City.
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Papers by Juliandi Harahap