Hospital Medan Research Articles

Comparison of Changes in Rso2 in Midazolam and Propofol Sedation Post Craniotomy in the Icu of H. Adam Malik Hospital

Introduction: Cerebral oxygen saturation reflects tissue perfusion in the cerebrum. Decreases in cerebral oxygen saturation are linked to longer hospital stays and cognitive impairment. Midazolam and propofol can decrease cerebral blood flow through decreasing the cerebral oxygen metabolic rate. The purpose of this research is to analyze the comparison of changes in cerebral oxygen saturation after midazolam and propofol administration in post-craniotomy patients in the ICU of Haji Adam Malik General Hospital Medan. Subject and Method: This is a randomized control trial study. Patients were divided into, Midazolam group, that given an initial dose of 0.05 mg/kg followed by a maintenance dose of 0.02-0.10 mg/kg/hour and Propofol group that given sedation with a dose of 0.3-3mg/kg/hour, with the target of the 2 groups being a Richmond Agitation-Sedation Scale (RASS) value of 0 to -2. Data analysis using unpaired T test. Results: The results for cerebral regional oxygen saturation and RASS between groups showed significant differences in right and left value (p < 0.001), but there was no significant difference in RASS (p>0.05) between each group at each measurement time. The results of the analysis of cerebral regional oxygen saturation and RASS between times, there was no significant difference in right and left value (p>0.05), but there was a significant difference in RASS (p<0.001) at each measurement time. Based on the results of the analysis carried out, it is known that there is no statistically significant difference in changes in cerebral regional oxygen saturation both right and left in changes in RASS because it is found that all data have p>0.05. Conclusion: There is no change in right and left for cerebral regional oxygen saturation after administration of propofol and midazolam groups with RASS value 0 to -2 in post-craniotomy patients in the ICU of Haji Adam Malik General Hospital Medan

Characteristics and management of iatrogenic urinary tract injuries in teaching hospital: A single-centered study.

Despite its rarity, iatrogenic urinary tract injury can cause severe morbidity and mortality. The purpose of this study was to determine the frequency of urinary tract injuries caused by medical treatment in a hospital in Medan, Indonesia. This retrospective descriptive study was conducted at H. Adam Malik General Hospital and Universitas Sumatera Utara Hospital in Medan from March to August 2022. Medical data of individuals who had iatrogenic urinary tract injuries in a Medan teaching hospital from 2018 to 2022 were obtained using total sampling. SPSS version 25 was utilized to analyze patient characteristics, the type of surgery, urinary tract injuries, and urologic procedures. There were 11 ureteral injuries and 23 bladder injuries in 32 iatrogenic urinary tract injuries. The average age of the patients was 40.5 ± 13.3. Patients who received obstetrical care had the highest rate of iatrogenic urinary tract injury (56.3%), followed by patients who received gynecological care (21.9%) and surgical care (21.9%). The procedure most likely to cause iatrogenic urinary tract injury was hysterectomy (40.6%). Bladder rupture (65.5%) and ureteral transection (28.1%) were common types of iatrogenic bladder and ureteral injuries. Majority of iatrogenic urinary tract injuries were treated with bladder repair (68.8%). Obstetrical and gynecologic procedures, especially hysterectomy, were the most common causes of iatrogenic urinary tract injury; bladder repair was the most common treatment. Iatrogenic urinary tract injury is best managed by knowing the anatomical position of the urinary tract inside the operative field.

Factors Influencing Patients' Decisions to Use Health Services for Retreatment at Putri Hijau Medan TK II Hospital in 2023

Patient behavior as consumers in utilizing health services, including the decision to seek re-treatment, is influenced by several factors such as the quality of doctor/nurse services, distance, facilities, and speed of service. This study aims to analyze the factors that influence patients' decisions to utilize health services for repeat treatment. The research method used was quantitative with a cross-sectional design, carried out at the Putri Hijau Level II Hospital in Medan. A sample of 247 people was selected using the accidental sampling method from a population of 3,946 people. Data analysis used univariate, bivariate chi-square, and multivariate approaches with multiple logistic regression at a 95% confidence level. The research results show that the quality of doctor/nurse services, distance, facilities, and speed of service have a significant influence on the patient's decision to seek treatment again. Meanwhile, factors such as age, gender, education, and employment do not have a significant effect. The most dominant factor is facilities, where respondents who feel that hospital facilities are good have a higher chance of undergoing repeat treatment. This research concludes that factors such as the quality of doctor/nurse services, distance, facilities, and speed of service have a significant influence on patients' decisions in utilizing health services for re-treatment at Putri Hijau Level II Hospital in Medan. It is recommended that the hospital allocate a budget to improve facilities that are still lacking and improve new service facilities to increase public confidence in seeking treatment again.

Analysis Of Factors Related To The Cause Of Drug Withdrawal In Patients With Type Ii Diabetes Mellitus At Tk Ii Putri Hijau Kesdam 1/Bb Medan Hospital In 2020

Diabetes Mellitus is a disease that cannot be cured and can only be controlled by taking medication regularly. Diabetes must be treated quickly and appropriately to get a cure. Taking drugs continuously can cause a person to start to feel bored to take drugs, causing a person to stop taking drugs. The purpose of this study was to provide information on the causes of drug withdrawal of patients with type II diabetes mellitus in the outpatient installation of Putri Hijau Medan Hospital. This research is descriptive using qualitative methods. The research was conducted at TK II PUTRI HIJAU Hospital KESDAM 1 / BB Medan for three months from March to May 2021. This study took samples in a presumptive way, namely by using the Non Random Sampling Technique with the accidental sampling technique method by collecting data through observation and interviews then the data was processed in thematic form. The results of the interview research obtained were 3 out of 5 respondents experienced drug withdrawal which was predominantly male (40%). the age of the late elderly (56-65 years) as much as (40%). The majority of occupations are self-employed (60%). And have suffered from diabetes from 6-10 years (60%). The fact of drug discontinuation is due to advanced age, occupation, and compliance with taking medication. The gender factor is very influential in the occurrence of diseases, especially DM, the female sex is more susceptible to Diabetes Mellitus because women have premenstrual syndrome after menapouse, but the results of the research obtained are predominantly male. Meanwhile, 2 female-dominant respondents did not drop out of medication but were less compliant in taking medication.

Long-term Relationship of Tenofovir Use with Kidney Function in Pediatric Patients Infected with HIV at Haji Adam Malik Central General Hospital in Medan

Long-term Relationship of Tenofovir Use with Kidney Function in Pediatric Patients Infected with HIV at Haji Adam Malik Central General Hospital in Medan

PENGARUH LOCUS OF CONTROL, KOMPETENSI, DAN KOMUNIKASI TERHADAP PEGAWAI UPTDK. RUMAH SAKIT UMUM HAJI MEDAN PEMERINTAH PROVINSI SUMATERA UTARA

This study aims to analyze the impact of locus of control, competence, and communication on employee performance at UPTDK Haji Hospital Medan. The methodology used is a quantitative approach with a simple random sampling technique, collecting data from 95 nurses. Data collection was carried out using SmartPLS version 4 and analysis was carried out using Structural Equation Modeling (SEM). The findings of this research indicate that locus of control, competence, and communication have a significant positive influence on employee performance. Furthermore, it was found that competence acts as a mediator in the relationship between locus of control and performance, which indicates partial mediation. In an organizational context, optimal employee performance is an indication of success, which is highly dependent on the management and development of human resources, where locus of control, competence and communication play an important role in improving performance.

DIGITALISASI SISTEM INFORMASI ANJUNGAN PENDAFTARAN MANDIRI (APM) RAWAT JALAN BERBASIS WEBSITE MENGGUNAKAN METODE RAPID APPLICATION DEVELOPMENT (RAD) DI RSU HAJI MEDAN

In order to achieve faster and more accurate hospital services, hospitals need to establish and have an electronic based website. The problem that still exists at Medan Haji General Hospital is related to the absence of the use of a website based outpatient self-registration platform (APM) information system. This is because officers still lack understanding of the importance of website based information systems and the limitations of an IT person to design the application. The purpose of this research is to design a website based information system for self registration booths (APM) at the Haji General Hospital in Medan. The method in this study uses the Rapid Application Development (RAD) model. The results that were concluded from the respondents were to find out whether or not there were deficiencies in the website that had been designed, and to find out whether the website system that had been designed was accepted or not by the Medan Haji Hospital. Researchers created a website design using Microsoft Office Visio 2013 to create Entity Relationship Diagrams (ERD) and Data Flow Diagrams (DFD). The integration and system testing stages of each program unit are integrated with each other and tested as a total system. Then the system will be sent to the system user. Website testing that has been designed uses testing with the Blackbox technique. The conclusion is that it can facilitate the patient quickly and efficiently. It is suggested that this system can be developed for the future so that it can be done electronically and the system can cover not only old patients, but also new patients so that it can be more effective and efficient in reducing long queues during registration at the hospital.

Implementasi Algoritma Rivest Shamir Adleman (RSA) Untuk Keamanan Data Rekam Medik Penyakit Pasien Rumah Sakit

Medical records are records of the who, what, where, and how of patient care while in hospital. One aspect of the use of medical records is the documentation aspect, namely medical records contain important information that is useful for various parties. Medical records contain data regarding past and present health and contain health professional notes regarding the patient's current condition in the form of physical findings, results of diagnostic and therapeutic procedures and patient responses. Medical record documents belong to doctors, dentists and health service facilities, while the contents of medical records belong to the patient. What can be given, recorded or duplicated by the patient is a summary of the medical record. Patients have the right to know the contents of medical records, however, the entire medical record file can only be held by authorized health/medical records officers and cannot leave the location of the health facility. This aims to maintain medical confidentiality (because medical information can be misused) and prevent medical records from being lost or damaged. To overcome this problem, a computerized system is needed that is able to secure medical record data so that unauthorized parties cannot read it. One technique that can be used to secure medical record data is cryptography. Cryptography comes from Greek which consists of the words kryptos which means hidden and graphia which means something written so that cryptography can be interpreted as something written in secret or hidden.. In applying the Rivest Shamir Adleman (RSA) method in securing medical record data at home Mitra Sejati Medan Hospital, namely by inserting program coding from Shamir Adleman's Rivest method into the programming language used. Next, form a public and private key, then carry out the encryption process for medical record data

ANALISIS DIMENSI KUALITAS PELAYANAN TERHADAP KEPUASAN PASIEN PADA RUMAH SAKIT SANTA ELISABETH MEDAN

This research aims to examine the influence of service quality dimensions, including reliability, responsiveness, assurance, tangibles, and empathy, on patient satisfaction at Santa Elisabeth Hospital in Medan. The study sample consists of 96 patients, with data collected through questionnaires and documentation. Data analysis was conducted using descriptive and inductive methods. The results indicate that reliability, responsiveness, assurance, tangibles, and empathy positively affect patient satisfaction, with assurance having a greater impact on patient satisfaction compared to reliability, responsiveness, tangibles, and empathy. Both t-tests and F-tests show that reliability, responsiveness, assurance, tangibles, and empathy have a positive and significant partial and simultaneous effect on patient satisfaction at Santa Elisabeth Hospital in Medan. The coefficient of determination (R Square) value is 0.514, indicating that 51.4% of patient satisfaction can be explained by the service quality dimensions (reliability, responsiveness, assurance, tangibles, and empathy), while the remaining 48.6% is explained by other factors not covered in this study, such as security, promotion, and communication. To enhance the service quality dimensions related to reliability, responsiveness, assurance, tangibles, and empathy, continuous improvements are necessary to increase patient satisfaction.

Analysis of the dimensions of health service quality on patient satisfaction in the polyclinic of surgical sub-specialists of Royal Prima Hospital Medan, the Year 2024

This study focuses on evaluating how different dimensions of health service quality impact patient satisfaction at Royal Prima Medan Hospital's Sub-Specialist Surgery Polyclinic in 2024. Understanding patient satisfaction is crucial as it reflects their expectations, needs, and assessments of the care received, ultimately influencing their loyalty and the hospital's reputation. Using a quantitative non-experimental approach with descriptive and associative analyses, the study involved 133 patients at the polyclinic, with a sample of 60 respondents selected incidentally. Data collection methods included interviews, questionnaires, and secondary data from the hospital. The variables studied were Service Satisfaction, Tangible aspects, Reliability, Responsiveness, Assurance, and Empathy. Ethical considerations were paramount, with approvals from the Health Research Ethics Commission and obtaining Informed Consent from informants/respondents. Validity and reliability tests were conducted on research instruments to ensure data quality. Statistical analysis using Chi-Square tests and multiple logistic regression revealed significant correlations between Reliability, Assurance, Appearance, Responsiveness, Empathy, and Patient Satisfaction. Among these, Empathy emerged as the most influential factor, highlighting the importance of communication, strong relationships, and understanding patient needs in healthcare settings. In conclusion, this study underscores the critical role of service quality dimensions in enhancing patient satisfaction, offering insights for healthcare providers to improve care delivery and patient experiences at Royal Prima Medan Hospital's Sub-Specialist Surgery Polyclinic.

The Correlation Between P Wave Dispersion and Left Ventricle Mass Index (LVMI) in Heart Failure Patients in H. Adam Malik Central General Hospital Medan

The Correlation Between P Wave Dispersion and Left Ventricle Mass Index (LVMI) in Heart Failure Patients in H. Adam Malik Central General Hospital Medan

The Accuracy of Monocyte Lymphocyte Ratio as a Predictor of Mortality in Patients Undergoing Regular Haemodialysis at H Adam Malik General Hospital Medan

The Accuracy of Monocyte Lymphocyte Ratio as a Predictor of Mortality in Patients Undergoing Regular Haemodialysis at H Adam Malik General Hospital Medan

Analysis of factors affecting the utilization of BPJS health services at Royal Prima Hospital Medan in 2024

This study analyzes the utilization of BPJS Kesehatan services at RS Royal Prima Medan in 2024. Although BPJS Kesehatan offers affordable and equitable access to healthcare services, the suboptimal utilization rate indicates challenges in the effectiveness of healthcare services at the hospital. The research method used is a non-experimental quantitative approach with descriptive and associative analysis. The study population consists of patients who visited in the past 3 months, with a sample size of 200 respondents selected through purposive sampling techniques. The results of the analysis show a significant relationship between Age, Gender, Education, Occupation, Attitude Perception of Health Workers, and Facility Accessibility with the utilization of BPJS. Younger age groups, females, those with higher education, unemployed individuals, and those with positive perceptions of health workers and close accessibility are more likely to utilize BPJS. Multivariate analysis confirms that facility accessibility is the main factor influencing BPJS utilization, with an Odds Ratio of 13.558. This study provides a significant contribution to understanding the factors affecting BPJS service utilization at RS Royal Prima Medan. Strategic recommendations can be made to improve the effectiveness of healthcare services and the overall quality of the healthcare system, including improving accessibility to healthcare facilities for the public.

Correlation between Peak Left Atrial Longitudinal Strain and The Severity of Mitral Valve Disease at Haji Adam Malik General Hospital Medan

Correlation between Peak Left Atrial Longitudinal Strain and The Severity of Mitral Valve Disease at Haji Adam Malik General Hospital Medan

PEACH Score Validation as a Predictor of Postoperative In-hospital Mortality in Adult Congenital Heart Disease Patients at Haji Adam Malik General Hospital Medan

PEACH Score Validation as a Predictor of Postoperative In-hospital Mortality in Adult Congenital Heart Disease Patients at Haji Adam Malik General Hospital Medan

The Effects Of Streching And Strengthening Exercise On Motor Cycle Gros Inchildren With Cerebral Palsy Spastic Type At Memorial Murni Teguh Hospital Medan 2023

Cerebral palsy (CP)Congenital malformasi: a condition of weakness of the extremities which results in distruption of the child's growth and development. The cause of cerebral palsy is the result of brain damage or brain defects which most often occur when a person is still in the womb or after birth, although there are several cases that experience CP is not congenital. This condition of congenital malformation has an unstable movement coordination system.floppiness or stiffness of the limbs,the emergence of abnormal movement ,poor balance,or several combination of the signs that have been mentioned. Congenital malformation affects the motor and function capacity system. The aim of this is to find out that there is a stretching effec and strengthening exercise on gross motor skills in spastic type cerebral palsy. The type of research uses a quasi experiment with pre and post test design. The research sample is 7 children with spastic type cerebral palsy at Murni Teguh Hospital in Medan who meet the research criteria. The level of spasticity was measured by observation using the Mas method (Muscle Ashwort scale) with repeated measurements, before and after treatment In research, data analysis this study used is T.Test (t test).

Analysis of Family Support in Enhancing Life Quality among Breast Cancer Patients at Haji Adam Malik Central General Hospital Medan

<div><table cellspacing="0" cellpadding="0" align="left"><tbody><tr><td align="left" valign="top"><p><em>Cancer is the most common chronic disease worldwide, with cervical cancer, breast cancer, ovarian cancer, and skin cancer being the most prevalent. Breast cancer ranks second globally after lung cancer. Patients diagnosed with breast cancer undergo changes in their physical, sexual, social, and daily life activities, affecting their overall life quality. One crucial factor that can enhance the life quality for patients is the support from their families, which is a pivotal determinant for individual well-being. To determine the differences in the life quality among breast cancer patients with high and low family support and to analyze the correlation between family support and the breast cancer patients life quality. This study employed a quantitative analytic survey with a cross-sectional design. The research was conducted at Haji Adam Malik Central General Hospital from August to October 2023. The study population included all stage I and II breast cancer patients, totaling 205 outpatient individuals from March to April 2022, with a sample size of 66. Simple random sampling was utilized for participant selection. Data collection involved questionnaire interviews. Data analysis comprised two steps: first, univariate analysis using descriptive and frequency statistics, and second, bivariate analysis using Pearson's test and independent t-test with a significance level of 95% (p-value ≤ 0.05). Statistical results indicated a significant difference in the life quality between breast cancer patients with high and low family support (p=0.037). It was concluded that there is a significantive correlation between family support and the breast cancer patients life quality (p=0.001; r=-0.644). Family support is crucial for patients facing chronic diseases such as breast cancer. It is recommended that families strive to enhance their support to ensure patients' comfort during treatment and therapy programs, ultimately improving the breast cancer patients life quality.</em><em> </em><em></em></p><p> </p></td></tr></tbody></table></div><p><strong><em>Keyword: Breast Cancer, Family, Life Quality</em></strong></p>

The Moderating Role of Compensation on the Influence of Job Stress and Coworkers on Performance in Medan Adventist Hospital

The aim of this research is to analyze and prove the influence of Job Stress and Coworkers on the performance of nurses at Adent Hospital Medan. This research will also prove the moderating effect of compensation on the relationship between Job Stress and co-workers on performance. The population in this study were 150 permanent nurses who worked at the Medan Adventist Hospital. The sampling technique used was Simple Random Sampling, obtaining a sample of 109 respondents. Data analysis techniques use multiple regression with t-test (partial test), F test (simultaneous test) and coefficient of determination test (R2) as well as moderating analysis using residual analysis. The results of this study prove that Job Stress and co-worker variables simultaneously influence nurse performance. Partial testing proves that the Job Stress variable influences nurse performance, as well as the individual Co Workers variable influences nurse performance. Moderation testing using the residual test proves that compensation is able to moderate the relationship between Job Stress and coworkers on nurse performance. The implications of the results of this research are able to prove that the importance of Job Stress management and co-workers in improving nurse performance is strengthened by compensation.

Analysis of the Relationship between Clean Living Behavior and Environmental Sanitation in Thyfoid Patients

Typhoid fever is often experienced by children and teenagers. This happens because they do not realize the importance of food and environmental cleanliness. Typhoid fever is related to the patient's environment and behavior. Prevention of typhoid disease must be linked to clean and healthy living habits such as maintaining a hygienic diet and a clean and comfortable environment, especially for children who do not pay attention to cleanliness and health. The aim of this research is to analyze the relationship between clean living behavior and environmental sanitation in Thyphoid patients at DR Pirngadi Regional Hospital, Medan. This type of research is an analytical survey with a cross-sectional design. The population in this study were typhoid patients at DR Pirngadi Medan Hospital in 2023 for the period January 2023 – September 2023, totaling 585 patients. Determining the sample used interpretive estimation with Structural Equation Modeling (SEM) where the number of samples in this study was 150 samples. Data analysis in this study used univariate, bivariate and multivariate analysis. The results of the research show that there is a relationship between clean living behavior in Thyphoid patients at DR Pirngadi Hospital, Medan, p - value < 0.05, there is a relationship between environmental sanitation in Thyphoid patients at DR Pirngadi Hospital, Medan, p - value < 0.05, simultaneously There is a relationship between clean living behavior and environmental sanitation in Thyphoid patients at DR Pirngadi Hospital, Medan, p - value < 0.05.

Fatigue in healthcare workers with mild COVID-19 survivors in Indonesia.

Persistent symptoms after the coronavirus disease 2019 (COVID-19, known as post-COVID syndrome (PCS), presented an ongoing health burden among COVID-19 survivors, including health workers. The existence of fatigue in mild COVID-19 survivors has not been widely reported. The aim of this study was to present the symptoms of fatigue in healthcare workers who experienced mild COVID-19 and the factors associated with fatigue. A cross-sectional study was conducted at H. Adam Malik General Hospital in Medan, Indonesia, from September to December 2022, included doctors, nurses, ancillary workers, and medical support workers who experienced mild COVID-19. Fatigue was measured by a fatigue assessment scale (FAS). The assessed possible risk factors were gender, age, vaccination history, comorbid, presence of PCS, duration of PCS symptoms, and number of PCS symptoms. The Chi-squared or Fisher's exact tests were used to assess the association between the incidence of fatigue and risk factors. A total of 100 healthcare workers of mild COVID-19 survivors were included. Most of them were nurses (58%), women (81%), and aged 19-30 years old (36%). The majority had incomplete vaccination history (64%), experienced PCS (71%), no comorbidities (61%), and experienced <3 months of PCS symptoms (55%). Mild to moderate fatigue was found in 23% of healthcare workers and only 1% experienced severe fatigue. No significant association was found between gender, vaccination history, and comorbidities with the incidence of fatigue. However, a significant association was observed between age (p=0.021), the presence of PCS (p=0.041), and the number of PCS symptoms (p=0.047) with fatigue incidence. Furthermore, there were significant associations between symptoms of PCS (confusion (p=0.004), insomnia (p=0.001), myalgia (p=0.035), arthralgia (p=0.028), throat pain (p=0.042), headache (p=0.042), and chest pain (p=0.011)) with fatigue. These findings can contribute to providing the necessary support for mild COVID-19 survivors and persistent fatigue.