ANALISIS PELAKSANAAN TRIAS UKS (USAHA KESEHATAN SEKOLAH) DALAM PENYAMPAIAN INFORMASI KESEHATAN REPRODUKSI REMAJA DI SMP AN NIZAM MEDAN TAHUN 2019

<p><em>Adolescent reproductive health becomes a serious problem. Many adolescents experience unwanted pregnancy to HIV / AIDS. It is hoped that UKS can become a forum to improve students' abilities and skills in shaping healthy behavior. The purpose of the study was to analyze the implementation of UKS in the delivery of information on adolescent reproductive health in Medan AN NIZAM Middle School in 2019. The research method uses mixed methods with a sequential explanatory approach, a population of 164 people, a quantitative sample using a total population while qualitative informants 4 people. Data analysis was performed univariately, bivariate using chi-square, multivariate using multiple logistic regression at a confidence level of 95% (α = 0.05) and depth interview of informants. Quantitative research results show that variables that influence the analysis of the implementation of UKS in the delivery of reproductive health information are knowledge (Pvalue = 0.008) and attitude (Pvalue = 0.001). Qualitative research results show that students have received good reproductive health information but the UKS activities are not going well so that it affects students' attitudes in implementing UKS. It is expected that the active role of the school, teachers, and the entire school community in implementing UKS, as well as cooperation between related parties will be further enhanced so that the implementation of UKS is more optimal</em></p><p> </p><strong><em>Keywords :</em></strong><em> </em><em>School Health Business (UKS), Reproductive Health, Knowledge, Attitude, Infrastructure Facilities, Human Resources (HR)</em>

STUDI LITERATUR LATIHAN BERJALAN MENSTABILKAN TEKANAN DARAH PADA HIPERTENSI

<p><em>The risk factors of cardivasculer’s diseases it was caused by high blood presure. High blood presure was a factor who caused by hypertention and if blood presure was uncontrolling its caused heart attack and heart failuare. Walking exercise is a submaximal test who recomended for maintenence systolic and dyastolic blood pressure for hypertention. Literature review was collecting from 2010-2019. Data was perfomanced by using CINAHL, Proquest, and Science Direct. </em><em>The r</em><em>esult</em><em> of this literature review was</em><em> obtained 30 articles related about walking exercise and hypertention. There was </em><em>five</em><em> articles who relevant with this criteria of the study. These articles used quantitative and qualitatif designs. </em><em>The c</em><em>onclusion</em><em> was </em><em>walking exercise can maintenance blood pressure.</em></p><p><strong><em>Keywords: </em></strong><em>w</em><em>alking </em><em>e</em><em>xercise, </em><em>b</em><em>lood </em><em>p</em><em>resure, </em><em>s</em><em>ystolic </em><em>d</em><em>yastolic<strong> </strong></em></p>

PENGARUH STRES KERJA, BEBAN KERJA DAN KEPUASAN KERJA TERHADAP KINERJA PERAWAT DI RUANG RAWAT INAP RSUD DATU BERU TAKENGON

<p><em>Nursing services greatly determine the quality of hospital services, but the services provided by nurses are still often complained of by the community. The highlight of nurse performance is a problem that must be addressed immediately. Performance in this case is closely related to how much workload, work stress and nurse motivation work in providing health services. Job stress is a common health problem and is often complained of by workers in various countries. The study design used quantitative analytical surveys with crossectional designs. The population of all nurses working in the Inpatient Room at Datu Beru Takengon Hospital was 304 people. The sampling technique uses Proportional Random Sampling. Data analysis was performed by univariate, bivariate and multivariate analysis with chi_square. The results obtained p-value = 0,000, 0,003, 0,000 &lt;α 0,05, meaning that there is an influence between work stress, workload and job satisfaction on nurse performance, from the results of multivariate analysis found that the most influential variables in this study are load variables work with an Exp B value of 22.121 which means the workload is 22 times influencing the performance of nurses. Conclusions there is a relationship between work stress, workload and job satisfaction on nurse performance while multivariate analysis shows that the most dominant factor is the workload variable on nurse performance. It is recommended for nurses to use time more effectively in completing tasks that are burdened so that there is no accumulation of work so that it can be completed on time.</em></p><p> </p><strong><em>Keywords :</em></strong><em> </em><em>Job Stress, Workload and Job Satisfaction, Nurse Performance</em>

ANALISIS FAKTOR YANG MEMENGARUHI OSTEOPOROSIS PADA IBU MENOPAUSE DI WILAYAH KERJA PUSKESMAS STABAT KABUPATEN LANGKAT TAHUN 2019

<p><em>Osteoporosis is a condition or disease in which bones become fragile and easily cracked or broken. Based on medical record data obtained in 2015, 106 cases of osteoporosis were found in menopausal and elderly women. This study aims to determine and analyze the effects of age, physical activity, smoking, family history, history of fractures on osteoporosis in menopausal mothers.</em> <em>The method used was the </em><em>m</em><em>ix </em><em>m</em><em>ethods research method with a </em><em>s</em><em>equential Explanatory research model with a quantitative sample of 87 respondents and informants on a qualitative approach that was 10 menopausal women and health workers. Data collection techniques using questionnaires and research interview instruments. Data analysis was a multivariate analysis using the binary logistic test.</em> <em>The results indicated that there was an effect between age from the results of statistical tests of .044 &lt;.05, physical activity of .012 &lt;.05, family history of .014 &lt;.05 and history of fracture of .035 &lt;.05, the smoking variable of .223 &gt; .05. The most dominant variable has an influence that was the family history variable with an OR value of 36.869.</em> <em>The conclusion shows that there is an influence between the age of physical activity, family history and history of fractures on osteoporosis in menopausal women but the smoking variable has no effect on osteoporosis in menopausal mothers. It is hoped that this research can be an input for health centers in managing osteoporosis and can improve the management of osteoporosis prevention programs with health promotion efforts.</em></p><p> </p><p><em>Keywords:</em><em> Osteoporosis, Age, Physical Activity, Smoking, Family History, Fracture History</em></p><em></em>

RISIKO LAMA MEMPERTAHANKAN POSTUR KERJA TERHADAP KELUHAN SUBYEKTIF NYERI LEHER PADA PEKERJA INDUSTRI KERAJINAN KULIT DI SELOSARI

<p><em>Musculoskeletal complaints are generally felt a lot because of the habits done during work. Body posture when working improperly and maintained in a relatively long time can lead to musculoskeletal complaints. Working in a sitting position for a relatively long period of time with a bent and bent body position can be a risk factor for complaints of neck pain or back pain. This study aims to analyze the relationship between long-standing work posture with subjective complaints of neck pain in leather craft industry workers in Selosari. The study design was an observational analytic study with a cross sectional approach. The sampling technique in this study was proportional random sampling with a sample of 42 respondents from the leather craft industry workers in Selosari. The results of statistical analysis with th</em><em>e Chi Square test showed that p</em><em>=0.006 (p &lt;0.05), which means there is a relationship between the length of maintaining work posture to subjective complaints of neck pain in leather craft industry workers in Selosari. It should be noted that prolonged retention of neck posture which is too bent when working continuously for long periods of time will increase the risk of neck pain complaints. So it is necessary to improve the posture of the body when working, especially the neck or movement or changes in posture, especially the neck if it starts feeling stiff or stiff in the neck.</em><em></em></p>

DESKRIPSI TINGKAT KECEMASAN REMAJA PUTRI YANG MENGALAMI MENARCH DI SMP ISLAM TERPADU KHOLISATURRAHMI BINJAI

<strong><em></em></strong><em>Menarche is the first menstruation that usually occurs in the age range of 10-16 years or in early adolescence in the middle of puberty before entering reproduction (Proverawati and Misaroh, 2009). Menarche is the first mestruasi blood expenditure, the arrival of menarche can cause positive or negative reactions, a positive reaction if the individual is able to appreciate, understand and accept menarche as a sign of maturity that is owned by a woman otherwise a negative reaction will cause anxiety. Anxiety is a condition where an individual or group experiences anxiety (judgment or opinion) and autonomic nervous system activity in responding to threats that are unclear, non specific. The purpose of this research is to determine the level of anxiety of adolescents facing menarche in IT Khalisaturrahmi Binjai, mild anxiety level, moderate anxiety level, severe anxiety level. The type of research used is descriptive. The population in this study amounted to 32 respondents. The sample in this study amounted to 24 respondents with consecutive sampling techniques. The results showed that respondents experienced mild anxiety levels of 12 people (50%), 8 people (33%) moderate anxiety and 4 people (17%) with severe anxiety. From the results of the study it can be concluded that the level of anxiety of adolescents facing menarche in IT Middle School Khalisaturrahmi Binjai majority in the category of mild anxiety levels, amounting to 12 respondents or (50%). Further researchers are advised to conduct research on the handling of anxiety in young women in the face of menarche</em><strong><em></em></strong><em>.</em> <br /><p><strong><em>Keywords: Anxiety, </em></strong><strong>Princess Adolescents<em>, Menarche</em></strong></p>

PERSEPSI IBU TENTANG IMUNISASI HPV PADA ANAK UNTUK PENCEGAHAN KANKER SERVIKS

<em>Cervical cancer is the number two cause of death of women in the world. Cervical cancer that affects 70% of women is caused by HPV virus types 16 and 18. So that prevention of cervical cancer can be done by administering HPV immunization. The success rate in giving HPV immunization can reach 100% if given as much as 2 times in children aged 9-15 years and has never been infected with HPV. This study aims to determine the perception of mothers about HPV immunization in children for the prevention of cervical cancer early in the District of East Medan. The study used a qualitative design with a phenomenological approach. Informants in the study were 33 mothers. Data collection in this study uses interview techniques. The results showed that mothers had positive perceptions about HPV immunization, where after interviews were obtained 30 (90.9%) mothers had positive perceptions about HPV immunization and 3 (9.09%) mothers had negative perceptions about HPV immunization in children for prevention of cervical cancer. Conclusion The mother has a positive perception where there are four themes that influence the mother's perception of HPV immunization in children for cervical cancer prevention, namely information, government participation, content and costs of HPV immunization</em>

PENGARUH GAYA KEPEMIMPINAN KEPALA PUSKESMAS TERHADAP KINERJA TENAGA KESEHATAN DI PUSKESMAS PEUREULAK BARAT

<p><em>Today leadership is at the core of economic development in the Asian region including Indonesia. There are two dominant leadership styles, namely American (western) leadership style, and Asian (eastern) leadership style. Based on the preliminary survey conducted, it was seen that the style used by the leaders was the interaction of the leader with his subordinates, but the style was not used well so that it was seen in 10 health workers in West Peureulak Health Center, 6 of whom had low performance. The purpose of this study was to determine the effect of the leadership style of the puskesmas head on the performance of health workers at the Peureulak Barat Health Center in East Aceh Regency in 2018.</em></p><p><em>The research design used in this study was Cross Sectional. The population in this study were 52 health workers and samples taken by total sampling were as many as 51 health workers. Methods of data collection are primary data and secondary data. Data analysis used is binary logistic regression test.</em></p><p><em>The results showed that transactional leadership style had a sig-p value of 0.016 &lt;0.05, transformational sig-p</em><em> </em><em>.005 &lt;</em><em> </em><em>.05 and situational leadership style had a sig-p value of</em><em> </em><em>.003 &lt;</em><em> </em><em>.05, which means that all leadership styles have an influence on quality health services, while caring does not have an influence on the performance of health workers.</em></p><p><em>The conclusion in this study is the influence of transactional, transformational and situational leadership styles on the performance of health workers. It is hoped that it can become a reference for the community and for cadres in the Puskesmas to better understand the importance of appropriate leadership styles to maximize the performance of health workers to the fullest.</em></p><p><strong><em>Keywords</em></strong><strong><em> </em></strong><strong><em>:</em></strong><strong><em> </em></strong><strong><em>leadership style, performance, transactional, transformational, situational</em></strong><strong><em></em></strong></p>

AKTIVITAS FISIK RUTIN SEBAGAI MODULATOR SENSITIVITAS INSULIN PADA OBESITAS

<p><em>Obesity is a state of abnormal or excessive fat accumulation in the adipose tissue of the body that could potentially cause the health problems. The prevalence of obesity increases every year in Indonesia. Based on the Basic Health Research (RisKesDas) 2018, Indonesian obesity incidences ranked 18, 8% in 2007, increased to 26, 6% in 2013 and topping 31, 0% in 2018. The increase of obesity prevalence is directly proportional to comorbid conditions. Insulin insensitivity is seen in obese patients, and may lead to insulin resistance. This correlates with a disrupted glucose absorption rate, which is induced by insulin. Glucose molecules could not enter the cell and could not be utilized by the cells, as a result there is an n increase in blood glucose levels. Conditions with abnormally high glucose levels is called hyperglycemia. Hyperglycemia can lead into a variety chronic diseases, like diabetes mellitus. One of the straightforward, cost-effective and efficacious therapy strategies that can be executed to overcome obesity and increase the insulin sensitivity is through increased physical activity. Categories of physical activity are divided between sedentary, light, moderate, vigorous, and high, where each category has varying energy demands. Physical activity that is carried out consistently and routinely may further reduce body weight, as well as maintain proportional body weight in the long run and further increase insulin sensitivity, and reduce the risk chronic disease like diabetes mellitus.</em></p>

IMPLEMENTASI PROGRAM PENGELOLAAN PENYAKIT KRONIS (PROLANIS): STUDI KASUS DI PUSKESMAS CIPUTAT

<p><em>Telah terjadi transisi epidemiologi bahwa trend kasus penyakit menular kini beralih menjadi penyakit tidak menular. BPJS dan fasilitas kesehatan tingkat pertama (Puskesmas) bekerja sama untuk mereduksi faktor r</em><em>i</em><em>siko Penyakit Tidak Menular dengan adanya PROLANIS, namun tetap saja angka kejadian Penyakit Tidak Menular cenderung terus meningkat</em><em>.</em><em> </em><em>P</em><em>eneliti ber</em><em>tujuan</em><em> untuk mengkaji </em><em>implementasi </em><em>PROLANIS di Wilayah Dinas Kesehatan Kota Tangerang Selatan. </em><em>Informan kunci pada penelitian ini </em><em>adalah penanggungjawab program dan pelaksana program. </em><em>Analisis yang digunakan dalam penelitian ini adalah konten analysis<strong>. </strong>Penelitian ini juga ditriangulasi untuk mencegah bias.</em><em> Hasil penelitian ini </em><em>adalah</em><em> </em><em>belum adanya pelatihan manajemen khusus prolanis bagi </em><em>petugas</em><em> seperti sistem surveilans, tidak ada indikator keberhasilan program yang terukur</em><em> secara subtantif di Puskesmas Ciputat seperti </em><em>baik dari program penyuluhan (peningkatan pengetahuan), senam dan </em><em>ukuran epidemiologi penyakit </em><em>seperti fatality dan morbidit</em><em>y</em><em>, b</em><em>elum</em><em> ada SOP pelaporan dan FKTP swasta tidak ada kesadaran untuk melaporkan data ke puskesmas.</em><em> </em><em>Peneliti menyarankan untuk mengadakan pelatihan manajemen pengelolaan penyakit kronis, membuat tools untuk mengukur keberhasilan program serta membuat loka karya untuk membahas SOP pelaporan terkhusus dari FKTP swasta ke pemerintah dalam hal ini puskesmas.</em></p><p><strong><em>Kata kunci: implementasi, penyakit, kronis</em></strong></p>