Grandmed Lubuk Pakam Hospital Research Articles

Seminar Evaluation of the Use of Antihypertensive Drugs in Hospitalized Patients Suffering From Hypertension in Grandmed Hospital Lubuk Pakam in 2023

Proper treatment is needed to control high blood pressure, including drugs to minimize the strength of blood flow. This study aims to obtain information and knowledge related to the pattern of taking blood flow strength drugs in high blood patients located at Grandmed Lubuk Pakam Hospital 2023. This type of research is an illustrative study using descriptive design and retrospective data. Research shows the use of high blood pressure drugs by hypertensive patients at Grandmed Lubuk Pakam Hospital in 2023 are as follows: Partial accuracy, namely 56 hypertensive patients without complications, right indication 100%, right drug 98.21%, right patient 100%, and right dose 100%. It can be concluded that hypertensive patients at Grandmed Lubuk Pakam Hospital meet the criteria for the right patient, right indication and right dose. The description of the use of high blood pressure drugs at Grandmed Lubuk Pakam Hospital is: (0.1%), candesartan (46.4%), bisoprolol (7.1%), captopril (8.9%), valsartan (7.1%) and furosemide (3.6%). Then community service activities were carried out with the target of 125 Pharmacy students to increase student knowledge related to the use of antihypertensive drugs used in hospitals. The socialization was carried out virtually via zoom and pre-test and post-test were given to assess students' understanding of the service material. The questionnaire is presented in the form of a googleform as an assessment of feedback on the results of socialization materials issued after the activity is completed. The activity was also filled with responses and questions and answers with service participants. The conclusion obtained is that 87% of students understand the use of hypertension drugs very well, 12% understand well, and 1% understand the use of hypertension drugs enough.

Seminar on Implementation of Pharmaceutical Service Standards During the Covid-19 Pandemic at Granmed Lubuk Pakam Hospital at 2020

Pharmacist pharmaceutical services for patients related to pharmaceutical preparations in order to improve the quality of pharmaceutical services in hospitals, the implementation of the Minister of Health Regulation no. 72 of 2016 concerning pharmaceutical service standards at Grandmed Hospitals with patient satisfaction during the Covid 19 2021 pandemic. Hospital pharmacy services involve pharmacists in order to supervise and control all activities related to healing treatment of sufferers in the aim of practicing patient safety standards which include Pharmaceutical supplies management activities starting from demand planning to controlling pharmaceutical supplies as well as clinical pharmacy service activities that are oriented towards reducing the risk of drug use errors in hospitals. This type of design was made by collecting data from 59 visiting patients at a certain point in time. Location at GrandMed Hospital Lubuk Pakam. The data obtained were compared with existing standards in the literature and analyzed using the chi-square test. It is known that out of 25 people (42.4%) respondents stated that clinical pharmacy services were not good. Of the 34 people (57.6%) respondents who stated that clinical pharmacy services were good for each employee, they had been given an understanding regarding clinical pharmacy services which had been socialized every morning briefing to maximize serving patients so that patients were satisfied with the services at Grandmed Hospital. This study can be concluded that the implementation of pmk no. 72 of 2016 there is a relationship between clinical pharmacy services and patient satisfaction during the Covid 19 pandemic at Grandmed Lubuk Pakam Hospital in 2021 (pvalue = 0.007).

The Socialization of Breathing Muscle Stratching Therapy on Increasing Vital Lung Capacity of Theasthma at Grandmed Hospital Lubuk Pakam

Asthma is a disease of shortness of breath due to the narrowing of flight routes. A decrease in the expiratory rate and inspiratory volume lowers the lung fundamentals. Asthmatic patients need exercise to expand the lung boundaries which is very necessary. Respiratory muscle stretching exercises are activities to maintain and build the adaptability or adaptability of the respiratory muscles. This examination aims to determine the impact of prolonged treatment on the respiratory muscles to establish the lung margins that are important for asthmatic patients. This PkM activity is carried out through outreach activities combined with demonstration and discussion methods. The PkM activity begins with the provision of pre-test questions and ends with a post-test to measure the increase in PkM participants' knowledge of the socialized material. This PkM activity has been carried out very well where as many as 17 PkM participants who are nurses at Grandmed Lubuk Pakam Hospital have understood the socialization material presented, namely respiratory muscle stretching therapy to increase the lung vital capacity of asthma patients. After the intervention was given, the lung vital capacity of asthma patients changed to be in the good and very good categories. The knowledge and insights of the PkM participants increased with the demonstrations and discussions given. In addition, there was an increase in the knowledge of PkM participants regarding respiratory muscle stretching therapy in asthma patients with an average percent increase of 20%.

Socialization of The Use of Melinjo Leaf Ethanol Extract (Gnetum gnemon L.) on Growth Salmonella typhi Bacteria

Gnetum gnemon L. has antibacterial activity against Salmonella typhi because it contains flavonoids, saponins, tannins, alkaloids, and steroids. Where these compounds play an important role as an antibacterial. The purpose of this service is to provide information to the public regarding the benefits of melinjo leaves which can act as an antibacterial agent. This service activity is carried out in the form of socialization using lecture, question and answer, and demonstration methods. The number of participants in this community service activity was 20 pharmacists at Grandmed Lubuk Pakam Hospital. Based on the results of the PkM activities carried out, it can be stated that there has been an increase in public knowledge regarding the efficacy of melinjo leaves as an antibacterial substance. This can be proven by the increase in post-test scores when compared to pre-test scores. The average increase in the knowledge of PkM participants was 21.5. On the other hand, the highest post-test score obtained was 85, while the lowest post-test score was 60. Meanwhile, based on the PkM material that had been socialized, the PkM participants understood that the results of phytochemical tests on melinjo leaf Simplicia showed that melinjo leaf extract contains compounds alkaloids, flavonoids, steroids, saponins, and tannins. Meanwhile, the antibacterial test showed that the inhibition zones of various concentrations included a moderate concentration of 40%, a moderate category of 60%, and a strong category of 80%. The average diameter of the inhibition zone increased with each concentration of melinjo leaves.

THE EFFECT OF THE COMBINATION OF SEMI FOWLER POSITION AND RIGHT LATERAL ON HEMODYNAMIC CHANGES IN HEART FAILURE PATIENTS IN THE CVCU ROOM GRANDMED HOSPITAL LUBUK PAKAM

The results of a survey of the world community and in Indonesia, the most common disease and the most common cause of death is heart disease. Data from the World Health Organization (WHO) shows the prevalence that males experience more heart disease than females. Systemic and pulmonary disorders often occur because blood flow fails to enter the tissues due to failure of the heart pump, which affects the patient's hemodynamics. Changes in position have an impact on changes in central venous pressure values. The purpose of this study was to determine whether or not there was an effect of giving a combination of semi-Fowler's position with right lateral to changes in hemodynamic status of heart failure patients. Quasi experiment with one group pre test and post test method was used in this study. There were 10 respondents who were sampled using the quota sampling technique. This research was conducted at GrandMed Lubuk Pakam Hospital. The measuring instrument used in this study is an observation sheet. Data analysis was performed using paired simple T test. The results of this study obtained a p value = 0.001, this indicates that there is an effect of giving a combination of semi-Fowler's position with right lateral to changes in hemodynamic status in heart failure patients. Semi-Fowler's and lateral position actions help reduce oxygen consumption and increase maximum lung expansion and overcome damage to gas exchange so that it can reduce tightness and affect hemodynamic status. It is expected that nurses will provide education to patients so they want to change the semi-fowler's position with a right lateral combination in order to improve the patient's hemodynamic quality.
 

THE CORRELATION BETWEEN ADHERENCE TO A LOW-CARBOHYDRATE DIET AND DECREASED BLOOD SUGAR LEVELS IN PATIENTS WITH DIABETES MELLITUS TYPE II AT GRANDMED LUBUK PAKAM HOSPITAL

Diabetes mellitus is one of the degenerative diseases suffered by many Indonesians who occupy the 6th highest number of sufferers in the world. Indonesia has the number of people with diabetes mellitus in 2017 as many as 10.3 million people and it is predicted that in 2045 this number will increase to 16.7 million people. If this cannot be handled properly, it will cause health problems for sufferers, including increasing the risk of complications. Compliance with a sufferer's diet is an important point to pay attention to in an effort to overcome the problem of diabetes. This compliance plays an important role in influencing the patient's blood glucose levels. Therefore researchers was interested in knowing the correlation between adherence to a low-carbohydrate diet and decreased blood sugar levels in patients with diabetes mellitus type II at Grandmed Lubuk Pakam Hospital. The design of this study was carried out in an observational analytic manner with a cross-sectional method at Grandmed Lubuk Pakam Hospital. The sampling technique was purposive sampling with a total sample of 35 people. The results showed that there was a significant relationship between adherence to a low-carbohydrate diet and decreased blood sugar levels in type II diabetes mellitus patients at Grandmed Lubuk Pakam Hospital. This can be seen from the p-value of 0.04 or p <0.05.

The Relationship Compensation Between and Job Insecurity with Turnover Intention for Employees at Hospital

The success and achievement of a company's goals is determined by the strategic role of its Human Resources (HR). Efforts are being made to achieve this, namely continuously optimizing the role of HR towards improving performance in supporting the sustainability of the organization/company. The hospital is a human resource-intensive organization due to the many professions involved in it. With many professions in the hospital, there are many problems that often arise which can ultimately hinder employee performance. One such problem is turnover. The purpose of this study is to explain the relationship between compensation and job insecurity with employee turnover intention at Grandmed Lubuk Pakam Hospital. Quantitative with a survey approach is the type of research used in this study. The research design used is cross-sectional. The population in this study were all employees at Grandmed Lubuk Pakam Hospital as many as 891 workers with a sample of 63 people who were taken using a purposive sampling technique. Data were analyzed using the chi square test with a significance level of 5% (CI=95%). The results showed that there is a relationship between compensation and turnover intention (p value = 0.006) and there is no relationship between job insecurity (p value = 0.184). It is hoped that decision makers in each agency will pay more attention to the needs of employees so that employees feel comfortable in carrying out their work.

Effect of Giving Oxygen Therapy Using Non-Breathing Mask on Changes in Intraparsial Pressure Value in Head Injury Patients at Home Grandmed Hurt of Lubuk Pakam

Objective: Head injury is a traumatic disturbance of brain function accompanied or without brain bleeding with a sudden blow or impact to the head without loss of consciousness. Oxygen is a gas component and a vital element in metabolic processes to maintain the viability of all body cells normally by inhale the room air with each breath. Knowing the value of intrapartial pressure by administering non-breathing mask oxygen with differences in intrapartial pressure values ​​in head injured patients at Grandmed Lubuk Pakam Hospital. The research method used a purposive sampling technique with a total sample of 21 respondents, while the research instrument used an observation sheet with an oximetry measuring instrument. Data analysis used bivariate analysis, namely the Paired Sample T-Test. Results; The results of the Bivariate test with the Paired Sample T-Test proved that there was an effect of giving non-breathing mask oxygen therapy on intrapartial pressure values ​​in head injured patients as evidenced by the p value: 0.00 <0.05. Conclusion; There is an effect of giving threapy oxygen using a non-breathing mask on changes in intrapartial pressure values ​​in head injured patients at Grandmed Lubuk Pakam Hospital.

EVALUATION OF THE USE OF ANTIHYPERTENSION DRUG IN HYPERTENSION PATIENTS AT THE GRANDMED LUBUK PAKAM HOSPITAL INSTALLATION IN 2022

Hypertension is a condition where there is an increase in blood pressure that exceeds the normal limit, namely systolic blood pressure of more than 140 mmHg and diastolic blood pressure of more than 90 mmHg. Most women suffer from hypertension because of the hormone estrogen. Patients with hypertension who are not given proper therapy will cause complications that can worsen the condition of hypertension. The higher the prevalence of hypertension sufferers, the use of antihypertensive drugs will increase. This will increase the risk of irrational use of antihypertensive drugs. The purpose of this study was to evaluate the rationality of the use of antihypertensive drugs in the Inpatient Installation of Grandmed Lubuk Pakam Hospital based on the right patient, the right indication, the right drug and the right dose. This research is a type of descriptive research. Data collection was carried out retrospectively by using past data in the form of medical records of hypertension patients for the period January 2021 – February 2022 which met the exclusion and inclusion criteria. The sampling technique used was the purposive sampling technique. The results of this study indicate that the most widely used antihypertensive drugs are combination therapy with Calcium Channel Blokers (CCB) + Angiotensin Converting Enzyme Inhibitors (ACEI) (30,6%); Calcium Channel Blokers (CCB) sebanyak (11%); Calcium Channel Blokers (CCB) + Angiotensin Converting Enzyme Inhibitors (ACEI) + Diuretik sebanyak (11,1%); while the low class of drugs is Calcium Channel Blokers (CCB) + Angiotensin Converting Enzyme Inhibitors (ARB) + Angiotensin Converting Enzyme Inhibitors (ACEI); and diuretics + Angiotensin Converting Enzyme Inhibitors (ACEI) were used (2,8%). The results showed that the rationality of the use of antihypertensive drugs obtained was that the patient was correct 100%, the indication was 100%, the drug was 97,2%, and the dose was 97,2%.

BENEFITS OF RADIAL SHOCK WAVE THERAPY AND LASER THERAPY ON MYALGIA LOW BACK PAIN

Low Back Pain (LBP) does not cause death, but causes individuals to become unproductive so that it will cause an enormous economic burden for individuals, families, communities and the government. Indonesian BPS data explains that people over 15 years of age have health problems. With increasing age, the anatomical structure and function of tissues will decrease, such as muscles, bones and joints, ligaments and other soft tissues. These changes are relevant to a person's decrease in activity. Pain is a major problem in patients with LBP disorders. Physiotherapy measures to overcome these complaints are extracorporeal shock wave therapy and laser. Physiotherapeutic intervention using shock wave therapy and extracorporeal laser methods can be given to LBP myalgia patients through community service activities carried out at Grandmed Lubuk Pakam Hospital. To evaluate the results of the intervention, the measuring tool used is the Verbal Analog Scale (VAS). This activity was attended by 12 respondents who complained of low back pain. Before and after the intervention the value will be measured using the VAS. Based on the results of the last evaluation, it can be seen that the respondents' pain complaints before and after the intervention experienced withdrawal, namely 5.8 (moderate pain) before the intervention and after the intervention the value became 0.8 (mild pain). The results of these actions prove that physiotherapy interventions such as radial shock wave therapy and laser therapy are useful/effective in dealing with complaints of LBP myalgia.

SEMINAR OF EVALUATION OF THE USE OF CIPROFLOXACIN ANTIBIOTICS IN INFECTION PATIENTS URINARY TRACT (PUT) IN CARE INSTALLATION HOSPITAL GRANDMED LUBUK PAKAM

Urinary Tract Infection (UTI) This is an infectious disease characterized by the growth and multiplication of bacteria in the urinary tract. The most common etiology in more than 80% of uncomplicated UTI cases is Escherichia coli, and less than 50%, Proteus spp, Klebsiella pneumoniae, Enterobacter spp, Pseudomonas aeruginosa, Staphylococcus, and Enterococcus. Candida species are a common cause of urinary tract infection in patients with severe chronic catheterization. The clinical forms of UTI are classified according to age, intensity of inflammatory response, and location of urinary tract infection. Children aged 2 months to 2 years with a UTI require special attention because they are likely to have atypical clinical presentations, invasive urine specimen collection, and kidney injury. This study aims to determine the dosage and composition of the antibiotic ciprofloxacin in patients with urinary tract infections at Grandmed Lubuk Pakam Hospital for the period November-December 2021. The method used is a descriptive assessment because it aims to provide an objective picture or description of the situation. Data collection was carried out retrospectively. Both research by reviewing historical information, as well as data collection by observing the medical records of urinary tract infection patients at Grandmed Lubuk Pakam Hospital in 2021

UTILIZATION OF ORGANIC WASTE AS LIQUID ORGANIC FERTILIZER

Garbage accumulation is still a problem that pollutes the environment. There is still a lot of waste or organic waste that has not been managed properly because people think that organic waste can decompose naturally. If left unchecked, this will cause an unpleasant odor and disturb the environment. One way of processing organic waste is to make it into Liquid Organic Fertilizers (LOF). LOF is a liquid resulting from the fermentation of organic waste. LOF contains nutrients such as phosphorus, nitrogen, potassium, and others that are beneficial to plants and soil. The method used in carrying out community service activities is through lecture and demonstration methods. The material is presented through lectures using an LCD and direct demonstrations of making LOF from organic waste. Increased understanding of participants will be measured through pre-test and post-test. This community Service activity was carried out at the Grandmed Lubuk Pakam Hospital for 10 participants who acted as cleaners. The result obtained is Liquid Organic Fertilizer (LOF) which is brownish-yellow in color and gives off a rotten aroma after being fermented for 1 week. In addition, all 10 participants experienced an increase in post-test scores compared to pre-test scores after participating in this activity, where the average score increased by 31.5. This value can be interpreted as seminar participants having experienced increased understanding and being able to participate in this community service activity properly.

The EVALUATION OF THE USE OF ANTI-INFLAMMATORY DRUGSIN PATIENTS RHEUMATOID ARTHRITIS OUTPATIENT AT GRANDMED HOSPITAL LUBUK PAKAM

Rheumatoid arthritis is an autoimmune disease characterized by inflammation of the joints that can become chronic. Rational use of drugs aims to ensure that patients get safe and effective treatment in the right time frame and at an affordable price according to their needs In the outpatient facility of Lubuk Pakam Hospital, patients experience symptoms such as pain, inflammation, morning joint stiffness and difficulty moving at appropriate doses. This study aims to aim to obtain an objective picture or picture of the situation. Data collection was carried out retrospectively, namely by observing the medical records of rheumatoid arthritis patients at Grandmed Lubuk Pakam Hospital in 2021. A total of 13 (56.5%) female patients and 10 (56.5%) (43.5%) male patients, according to the number of rheumatoid arthritis patients at the outpatient facility of GrandMed Lubuk Pakam Hospital in 2021. This makes the inclusion criteria for all anti-inflammatory agents incomplete in rheumatoid arthritis and the exclusion criteria for all medical records in rheumatoid arthritis patients. Analysis of data based on age, gender, rationality of the drug, correct indications, correct patient, correct drug, correct dosage. The Outpatient Study of GrandMed Lubuk Pakam Hospital 2021 is: Correct Indications (100%), Correct Patients (100%), Correct Drugs (100%), Correct Dosage (91.3%). The treatment of patients with rheumatoid arthritis at GrandMed Lubuk Pakam Hospital can still be said to be fully good

Feeding Plate Fabrication for Infants with Cleft Palate Congenital Disorder at Mitra Sejati Hospital Medan and Grandmed Hospital Lubuk Pakam

Cleft lip and palate (CLP) are one of the birth defects commonly found in Medan and surrounding areas with approximately 150 cases handled annually at Mitra Sejati and Grand Med Hospitals. Generally, labioplasty surgery is the only given treatment, but fabrication of the feeding plate before or after surgery is important to cover the palatal defect. From the prosthodontics aspect, fabrication after surgery cannot be performed because most parents do not know the importance of the feeding plate. To overcome this problem, community service was conducted by fabricating feeding plates that will be given 1 week after surgery. This was achieved by getting information about patients with CLP, general examination by paediatricians, the impression of the oral cavity in the operating room before surgery, outline design, and feeding plate fabrication at the dental laboratory. Subsequently, the insertion was carried out to evaluate whether infants can drink normally using a bottle. A total of 18 infants with CLP recognized the benefits of the feeding plate in Mitra Sejati and Grand Med Hospitals. The education given had a positive effect on knowledge about the importance of feeding plate and motivation for its use to make infants drink normally and gain weight according to age.

WORKSHOP TREATMENT OF POST SURGICAL HYPOTHERMIC PATIENTS WITH WARMING ELEMENTS ON NURSES IN POST SURGICAL RECOVERY ROOM GRANDMED LUBUK PAKAM HOSPITAL

Surgical procedures have a risk that the integrity or integrity of the body is disturbed and can even cause a life threat to the patient. One of the most at risk was the occurrence of postoperative hypothermia. In the postoperative recovery room, almost all postoperative patients were hypothermic. Nurses in the postoperative room usually provide blankets to warm patients who are hypothermic. This action was less effective to help patients overcome hypothermia. Giving warm fluids was considered effective to help increase the patient's body temperature. This workshop aims to provide knowledge and training on the administration of intravenous fluid heating elements to increase hypothermic body temperature to nurses in the post-surgical recovery room at the Grandmed hospital Lubuk Pakam. The evaluation of this workshop activity was seen from the knowledge of nurses and nurses' skills. Nurses' knowledge and skills were assessed using a questionnaire sheet and pre and post test observations. The results of the workshop showed that as many as 95% of nurses experienced an increase in knowledge and skills in overcoming hypothermia in postoperative patients. This workshop was expected to be able to overcome the problem of hypothermia in postoperative patients and increase the knowledge and skills of nurses.

EMPOWERMENT OF MEDICAL RECORD OFFICERS IN INCREASING OUTCOME PATIENT SATISFACTION EFFORTS IN HOSPITALS GRANDMED LUBUK PAKAM

Medical record as a form of documentation of health services and a form of patient administrative responsibility and patient reference. The quality of medical records describes an implementation of the quality of health services such as health centers, clinics and hospitals. The purpose of this activity is to socialize and assist medical record officers in increasing outpatient satisfaction at Grandmed Hospital. The implementation of this community service activity began with collecting data on the number of officers in the outpatient medical record unit at Grandmed Lubuk Pakam Hospital. Then the team made direct observations in the RM unit and saw the activities of officers while providing services to patients at the hospital. Furthermore, outpatients were given a questionnaire regarding the satisfaction of medical record services. Furthermore, socialization, education and mentoring training were carried out through lectures and discussions about health services according to standard operating procedures (SOPs). After socialization, outpatients were given a questionnaire again to assess the improvement of medical record services. Based on the results of the socialization activity, the respondent's score before socialization and education was 7 and the lowest value was 4. Meanwhile, the respondent's value after being given socialization and education to the respondent increased by 10, the lowest score was 6 and the average respondent's score was 9.8. . Based on the results of the activity, it was found that 20 outpatients at Grandmed Hospital showed that the level of service satisfaction was 93% while dissatisfied was 3%. Based on this socialization activity, it was concluded that the medical record service unit officers experienced an increase in knowledge and the results of the evaluation of services for outpatients, namely patients were satisfied with medical record services, which was 93%.

EMPOWERMENT OF PHARMACEUTICAL STAFF ON PHARMACEUTICAL SERVICES TO INCREASE PATIENT SATISFACTION

The quality of good and quality health services is marked by the provision of excellent, fast, precise and responsive service to customers which has an impact on customer satisfaction with the services provided. The hospital is one of several existing health service centers. There are many parts in the hospital, one of which is the pharmacy installation which is one of several parts in the hospital, which has an important role in addition to other parts. The PKM activity carried out at Grandmed Lubuk Pakam Hospital aims to provide assistance to pharmacy staff on pharmaceutical services to increase patient satisfaction. The methods used are discussion, lecture, simulation and empowerment. The implementation of PKM activities was carried out in March 2022. The participants in this activity were all 34 officers at the pharmacy installation. Evaluation of the activities that have been carried out using the instruments that have been prepared. From the PKM activities that have been carried out, it can be explained that there was an increase in participants' understanding of the material presented by the resource persons by 70.6%. The ability of participants to understand the material presented by the resource person will be an asset for officers in providing excellent service in hospitals, especially in pharmaceutical services which have an impact on patient satisfaction. It is expected that the activity participants are able to apply the strategy of providing excellent, fast, precise and responsive service so that patients feel satisfied with the services provided.

STAFF EMPOWERMENT REGARDING THE IMPLEMENTATION OF INTERPERSONAL COMMUNICATION IN OUTCOME PATIENTS AT GRANDMED HOSPITAL LUBUK PAKAM

In human interactions, communication is a highly special and important activity. It is a complex process that incorporates behavior and enables people to communicate to one another and the environment around them. In this study, the authors sought to understand how the internal personnel of Grandmed Lubuk Pakam Hospital interacted with patients. This study is a qualitative descriptive one, and the methods used for data collecting include in-depth interviews, non-participant observation techniques, and literature review. A purposive sample method was used to choose the informants. Analysis of the data acquired using the Miles and Huberman interaction model, and source triangulation was used to determine the accuracy of the data itself. Based on the data, it can be concluded that applied interpersonal communication is divided into four stages: pre-interaction, action, evaluation, and documentation. The staff employs particular strategies and attitudes when speaking with patients. Interpersonal communication depends on how staff and patients get along. The ability to take meaningful action for patients and helping patients clarify and lessen the weight of their feelings and ideas are two aims that staff and patients collaborate to attain through a strong nurse-patient relationship.

THE RELATIONSHIP OF QUALITY OF SERVICE WITH INTEREST IN REVISIT IN OUTPUT PATIENTS OF INTERNAL DISEASE POLY AT LUBUK PAKAM GRANDMED HOSPITAL

Good service quality will give satisfaction to the patient, which in the end the patient will reuse and recommend the health service to the people around him. So that good and quality service will increase the number of visits which in turn will increase the amount of hospital income.
 
 This type of research is a quantitative research that is an analytic survey with a cross sectional design which aims to determine the relationship between service quality and interest in repeat visits of outpatients in the Internal Medicine Polyclinic at Grandmed Lubuk Pakam Hospital which was observed at the same time. The population in this study were all outpatients of the Internal Medicine Polyclinic at Grandmed Lubuk Pakam, totaling 80 people based on an initial survey in 2022 at Grandmed Lubuk Pakam Hospital. The sample in this study were 44 outpatients at Grandmed Lubuk Pakam who were taken using purposive sampling technique.
 
 The results of this study indicate that there is no relationship between the quality of health services in the tangible dimensions of rehabilitation (0.386 > 0.05), responsiveness (0.59 > 0.05), assurance (0.68 > 0.05), empathy (0.058 > 0.05), and tangibles (0.023 < 0.05). With interest in repeat patient visits.
 The conclusion of this study is that there is no relationship with the quality of health services with the interest of repeat visits to outpatients in the Internal Medicine Polyclinic at Grandmed Lubuk Pakam.

The Effect of Giving Ginger Warm Compresses to The Headache Scale In Hypertensive Patients at Grandmed Hospital, Lubuk Pakam

One of the sign and symptoms of hypertension is headache. Headache occur due to atherosclerosis which causes spasm of the blood vessels (arteries) and decreased oxygen in the brain. The pain can be treated with non pharmacological management, one of which is a warm gingger compress (zingiber officinale). The purpose of this research activity was to measure the effect of giving warm ginger compresses on reducing the headache scale in hypertensive patients at Grandmed Lubuk Pakam Hospital. The type of research used in this study is a quasi experimental approach with a one group pretest-posttest design approach, with a purposive sampling technique. Giving warm ginger compresses to 37 patients suffering from hypertension at Grandmed Lubuk Pakam Hospital. Data collection was carried out using observation sheets and providing an intervention with warm ginger compresses in hypertensive patients. Observations of headaches in hypertensive patients carried out twice, namely before being given a warm ginger compress and after being given a ginger warm compress then the results were recorded on the observation sheet. Teh results of statistical tests using the paired test showed the value of p=0,000, p<α (0,000<0,05). The results obtained showed that there was a decrease in the level of headache in hypertensive patients before and after being given warm ginger compresses. It is expected that nurses can minimize the use of analgesic drugs to reduce headaches and use warm compresses for non pharmacological management.