HEALTH CARE: JURNAL KESEHATAN https://jurnal.payungnegeri.ac.id/index.php/healthcare Health Care : Jurnal Kesehatan merupakan jurnal yang ber eISSN 2599-0357 dan pISSN 2301-5209 yang terbit dua kali setahun yaitu bulan Juni dan Desember. Ruang lingkup jurnal ini adalah di bidang kesehatan dalam hal ini meliputi ilmu keperawatan, ilmu kesehatan masyarakat dan ilmu kebidanan. Focus dan scope jurnal Health Care ini adalah Original article, case report dan review article. STIKes Payung Negeri Pekanbaru en-US HEALTH CARE: JURNAL KESEHATAN 2301-5209 The Relationship between Health Literacy and Quality of Life (QOL) of Pulmonary TB Patients at Tamalanrea Community Health Center https://jurnal.payungnegeri.ac.id/index.php/healthcare/article/view/237 <p>Latar Belakang: Penyakit Tuberkulosis Paru (TB paru), merupakan penyakit infeksi yang hingga saat ini masih menjadi masalah kesehatan masyarakat dunia. Tuberkulosis merupakan penyakit menular langsung yang disebabkan oleh <em>mycobacetrium tuberculosis</em>, <em>Health Literacy</em> merupakan salah satu upaya peningkatan <em>Quality Of Life </em>penderita TB<em>. </em><strong>Tujuan</strong>: untuk mengetahui hubungan <em>health literacy</em> dengan <em>Quality Of Life </em>pada penderita TB Paru di Puskesmas Tamalanrea. Penelitian ini menggunakan rancangan kuantitatif korelasional dengan pendekatan <em>cross sectional</em>. Instrumen yang digunakan adalah kuesioner yang berupa pertanyaan tentang <em>health Literacy</em> yang dianalisis dengan chi square (p &lt;0,05). Sampel dalam penelitian ini berjumlah 41 responden dengan TB Paru&nbsp; di wilayah kerja Puskesmas Tamalanrea Kota Makassar dengan metode non probability sampling menggunakan teknik purposive sampling. <strong>Hasil</strong>: analisis bivariat menunjukkan adanya hubungan antara <em>health literacy</em> dengan <em>Quality Of Life</em> pada penderita TB Paru (p = 0,00). <strong>Kesimpulan</strong> dalam penelitian ini terdapat hubungan antara <em>health Literacy </em>pada penderita TB Paru di Puskesmas Tamalanrea.</p> Suarnianti Suarnianti Ria Safitri Ratna Copyright (c) 2024 Suarnianti Suarnianti, Ria Safitri, Ratna https://creativecommons.org/licenses/by-sa/4.0 2024-06-30 2024-06-30 13 1 1 8 10.36763/healthcare.v13i1.237 The Relationship between Breast Care and Early Breastfeeding Initiation and Breast Milk Production in Postpartum Mothers https://jurnal.payungnegeri.ac.id/index.php/healthcare/article/view/440 <p><em>Breast care is an activity carried out consciously and regularly to maintain breast health during pregnancy with the aim of preparing for lactation at post partum time. The smoothness of breast milk and the comfort of breastfeeding depend on breast care. The purpose of this study was to determine the relationship between breast care and early breastfeeding initiation with breast milk production in postpartum mothers at RSU Melati Perbaungan in 2023. This research is descriptive analytic by using the cross sectional method. The population in this study were all postpartum mothers at General Hospital &nbsp;Melati Perbaungan in 2023. The sampling technique used was total sampling technique. Primary data in this study were obtained by interview and questionnaire, while secondary data were obtained by knowing the number of postpartum mothers. The analysis technique used was univariate analysis and bivariate analysis using the Chi-Square test. The results showed that the table of statistical analysis / test results with X2 test is 10.519b at df = 1, indicating there is a relationship between breast care and breast milk production where the PV value = 0.003. In the table of the results of statistical analysis / test with X2 test, which is 11.429b at df = 1, shows that there is a relationship between early breastfeeding initiation and breast milk production where the PV value = 0.002 is obtained. Thus breast care, early breast feeding initiation with breast milk production are interrelated, and must be owned by post partum mothers. </em></p> <p><em>Keywords: Breast Care, Early Breastfeeding, Initiation, Breast Milk Expulsion.</em></p> Elpriska Priska Copyright (c) 2024 Elpriska Priska https://creativecommons.org/licenses/by-sa/4.0 2024-06-30 2024-06-30 13 1 9 15 10.36763/healthcare.v13i1.440 The Relationship between Motivation and Self-Efficacy in Carrying Out Physical Exercise in Type II Diabetes Mellitus Patients https://jurnal.payungnegeri.ac.id/index.php/healthcare/article/view/366 <p><strong><em>Abstract</em></strong></p> <p><strong><em>Background: </em></strong><em>Diabetes mellitus is a metabolic disease characterized by increased levels of glucose in the blood so that it requires proper management, one of which is physical exercise. In carrying out the exercises, the patient needs motivation and self-confidence to be able to perform the recommended physical exercises. Motivation can have an influence on the self-efficacy of type 2 DM patients in doing physical exercise.</em></p> <p><strong><em>Research Objective: </em></strong><em>To find out the relationship between motivation and self-efficacy in doing physical exercise in type II DM patients at the Kotagede I Health Center in Yogyakarta.</em></p> <p><strong><em>Research Methods: </em></strong><em>This study uses the correlation study method with a cross-sectional approach. The sampling technique used cluster random sampling, with sample inclusion criteria. This study used the Treatment Self-Regulation Question (TSRQ) motivational questionnaire, the Generally Self-Efficacy Scale (GSES) questionnaire and the diabetes exercise adherence questionnaire. The research was conducted in January 2023 until completion. The number of samples in this study were 47 respondents using total sampling. Data analysis in this study uses Chi square.</em></p> <p><strong><em>Results: </em></strong><em>This study showed high motivation of 36 respondents (76.6%), high self-efficacy of 34 (72.3%) and physical exercise (gymnastics) of 37 respondents (78.7%), with the chi square bivariate test obtained the results of the p value 0.001 and Multivariate Logistic Regression test. Self-efficacy variable is the most dominant and has more influence on physical exercise (gymnastics) with an odds ratio (odds ratio) of 74,245 times compared to the motivation variable.<strong>Consclusion: </strong>There is a significant relationship between motivation and self-efficacy by doing physical exercise (gymnastics) at the Kotagede I Health Center Yogyakarta, with self-efficacy being more dominant and influencing physical exercise (gymnastics).</em></p> <p><strong><em>Keywords: </em></strong><em>Motivation, self-efficacy, physical exercise, gymnastics, dm type II</em></p> Andra Jaya Pratama Muhammad GA Putra Brune Indah Yulitasari Fatma Siti Fatimah Copyright (c) 2024 Andra Jaya Pratama, Muhammad GA Putra, Brune Indah Yulitasari, Fatma Siti Fatimah https://creativecommons.org/licenses/by-sa/4.0 2024-06-30 2024-06-30 13 1 16 27 10.36763/healthcare.v13i1.366 Family Support in Caring for Elderly People with Hypertension in Pacekulon Village Pace District, Nganjuk Regency https://jurnal.payungnegeri.ac.id/index.php/healthcare/article/view/445 <p><strong><em>Introduction:</em></strong><em> Family support for hypertensive patients is the family's attitudes, actions and acceptance of hypertensive elderly. Support can improve healing and compliance with therapy at home, including instrumental, assessment, informational and emotional support. The aim of the research is to determine family support in caring for elderly people with hypertension in Pacekulon Village, Pace District, Nganjuk Regency. <strong>Method:</strong> Retrospective descriptive research design, the population is all families who have elderly people with hypertension in Pacekulon Village totaling 132 families, a sample of 40 respondents using a purposive sampling technique. The research was carried out on 23 March 2023 – 03 April 2023, the research variable was family support in caring for elderly people with hypertension, the research instrument used a questionnaire, the data was analyzed using a percentage formula and interpreted quantitatively. <strong>Results:</strong> Of the 40 respondents, almost all of them, namely 24 respondents (60%) had good family support, almost half of the respondents, namely 12 respondents (30%) had sufficient family support and a small portion of respondents, namely 4 respondents (10%) had poor family support. Factors that influence family support are age, gender, education, relationship with family, average monthly income, length of illness. <strong>Conclusions and Suggestions:</strong> Good family support accelerates the patient's recovery process. Health workers are expected to provide counseling regarding family support at posyandu for the elderly to increase the family's insight into family support for the elderly.</em></p> Ariani Sulistyorini Titis Dwana Saputri Copyright (c) 2024 Ariani Sulistyorini https://creativecommons.org/licenses/by-sa/4.0 2024-06-30 2024-06-30 13 1 28 37 10.36763/healthcare.v13i1.445 Husband’s Support In The Implementation Of Exclusive Breastfeeding https://jurnal.payungnegeri.ac.id/index.php/healthcare/article/view/392 <p><em>Exclusive breastfeeding is essential nutrition that contains white blood cells, enzymes, hormones and proteins needed for the continued growth and development of a baby's life. One of the factors that can affect the smoothness of exclusive breastfeeding is the husband's support. The husband's role in the exclusive breastfeeding program is to create a comfortable and calm atmosphere for the mother so that the mother's psychological condition is healthier and happier. The aim of the research is to find out the husband's support in the implementation of exclusive breastfeeding.Descriptive research design, population and sample of 30 respondents, total sampling technique, questionnaire research instrument, the research was conducted on March 18 - April 8 2023. The research variable was husband's support for exclusive breastfeeding. Data analysis uses the percentage formula and is interpreted quantitatively. The results of the study of 30 respondents showed that most of the husband's support was sufficient, as much as 60%, and almost half of the husband's support was good, as much as 40%. The success in giving exclusive breastfeeding has the support of the husband, by providing a safe and comfortable atmosphere and always increasing knowledge about the importance of exclusive breastfeeding,</em></p> enur nurhayati muchsin Copyright (c) 2024 enur nurhayati muchsin https://creativecommons.org/licenses/by-sa/4.0 2024-06-30 2024-06-30 13 1 38 46 10.36763/healthcare.v13i1.392 The Correlation of Self Efficacy To Physical Exercise Compliance in Type 2 Diabetes Mellitus Patients https://jurnal.payungnegeri.ac.id/index.php/healthcare/article/view/349 <p><em>Less than optimal management of diabetes mellitus causes one of the high rates of DM, this is related to the patient's low self-efficacy. Can be seen in Indonesia that diabetes is ranked fifth among as many as 19.47 million. This study aims to determine the relationship of self-efficacy to physical exercise compliance in patients with type 2 diabetes mellitus. The type of research used is quantitative with a cross-sectional approach with a sample of 81 respondents in the Rejosari Health Center Work Area, Pekanbaru City. The sampling technique used is Purpose sampling. The analysis used is univariate and bivariate with the results obtained that there is a relationship between self-efficacy and adherence to physical exercise in patients with type 2 diabetes mellitus using the Pearson chi-square test. The results of this study found that among patients with diabetes mellitus, with an average age of 58.14 years, the majority were female, amounting to 59 people (72.8%), while the education level of the respondents was mostly high school graduates, amounting to 25 people (30, 9%). The majority of respondents work as IRT, which is 36 people (44.4%). As for the length of time suffering from diabetes mellitus, the respondents suffered for &lt; 5 years, which amounted to 46 people (56.8%). Statistical test results obtained a p-value of 0.000 (&lt;0.05), so there is a significant relationship between self-efficacy on physical exercise in patients with type 2 diabetes mellitus. It is hoped that this research can be used for sufferers as information to increase self-efficacy in doing physical exercise which is very instrumental in the DM treatment process.</em></p> <p><em>&nbsp;</em></p> Shintia Rosdina Bayu Saputra Riau Roslita Copyright (c) 2024 Shintia Rosdina, Bayu Saputra, Riau Roslita https://creativecommons.org/licenses/by-sa/4.0 2024-06-30 2024-06-30 13 1 47 58 10.36763/healthcare.v13i1.349 Determinan pemanfaatan pelayanan kesehatan oleh peserta Badan Penyelenggara Jaminan Sosial Kesehatan (BPJS) https://jurnal.payungnegeri.ac.id/index.php/healthcare/article/view/416 <p><em>There has been a decrease in the use of health services utilization by BPJS participants as shown by data on the percentage of visits in 2020 by 12.54%. In 2021, it was 16.83% and in 2022 up to October it was 11.46%. Determinants of health service utilization are influenced by exposure to information, knowledge, income, family support and disease complaints. This study aims to determine the determinants of health service utilization by BPJS participants. This was an analytical survey with a cross-sectional approach. The study population involved all BPJS participants in the work area of Ligung Community Health Center for the 2022 period, as many as 29,303 people, with a sample size of 100 people. The samples were selected using Probability Proportional to Size sampling technique (PPS). Data collection instrument used here was a questionnaire, and data were analyzed using the chi square test. The study results showed that there was a relationship between exposure to information (p-value of 0.000&lt;0.05), knowledge (p-value of 0.000&lt;0.05), family support (p-value of 0.000&lt;0.05) and disease complaints (p-value of 0.000&lt;0.05) with health services utilization by BPJS participants in the work area of Ligung CHC. Furthermore, there was no relationship between income and health services utilization by BPJS participants in the work area of Ligung CHC with a p-value of 0.601&gt;0.05.</em></p> Herlinawati Copyright (c) 2024 Herlinawati https://creativecommons.org/licenses/by-sa/4.0 2024-06-30 2024-06-30 13 1 59 73 10.36763/healthcare.v13i1.416 The Influence of Family Economics on Greenhouse Gas Emissions in the Waste Sector in Medan City https://jurnal.payungnegeri.ac.id/index.php/healthcare/article/view/455 <p><em>The earth's surface temperature has increased by 1.5°C.&nbsp; One of the causes of rising global temperatures is greenhouse gases. Nationally, more emissions from the waste sector (54.4%) are produced by households than by industry. Medan City is the 4th largest city in Indonesia with a population density of 9,283 people per km2 and population density has a positive correlation with waste generation where waste generation is one of the sectors that sources GHG emissions. The purpose of this study is to analyze the influence of family economy (family income and expenses) on GHG emissions from the waste sector in households in Medan City The population consists of 523,097 households, with a sample of 270 houses. The seven selected sub-districts are Medan Deli, Medan Helvetia, Medan Marelan, Medan Denai, Medan Johor, Medan </em><em>Amplas, and Medan Tembung.</em> <em>The inclusion criteria are households that do not have a business or agricultural/livestock activities. The sampling method was incidental sampling. The smallest total family income in Medan City is Rp 1,000,000 and the highest is Rp 25,000,000. The smallest total family expenditure is IDR 1,000,000 and the highest is IDR 15,000,000. There is an effect of income on GHG emissions from the waste sector in households in Medan City (Sig.2 tailed &lt; 0.05). The strength of the relationship between emissions and GHG emissions in the waste sector is weak with a non-directional relationship. Likewise, the effect of income on GHG emissions from the waste sector in households in Medan City.</em></p> Seri Ulina Purba Sri Malem Indirawati Nurmaini Copyright (c) 2024 Seri Ulina Purba, Sri Malem Indirawati https://creativecommons.org/licenses/by-sa/4.0 2024-07-01 2024-07-01 13 1 74 80 10.36763/healthcare.v13i1.455 The Effect of Acupressure to Improve Appetite in Toddlers 1-5 Years https://jurnal.payungnegeri.ac.id/index.php/healthcare/article/view/454 <p><strong><em>Introduction:</em></strong><em> The toddler period is a very important period in the growth and development process, because it determines the success of a child's growth and development in the following period. Data obtained from Posyandu Mayang Terurai Teluk Bunian Village in August 2023, from 23 mothers of toddlers who visited, found 13 mothers of toddlers who complained that their children had appetite problems. </em><strong><em>Objective:</em></strong><em> The aim of this research is to determine the effect of acupressure on increasing appetite in toddlers aged 1-5 years at Posyandu Mayang Terurai, Teluk Bunian Village, Pelangiran District. </em><strong><em>Method:</em></strong><em> This research design uses pre experimental by design one group pretest dan posttest. The population in this study were toddlers aged 1-5 years with a sample of 19 people. The research uses observation sheets for data analysis using tests t-test. </em><strong><em>Results:</em></strong><em> The results of the study showed that before being given acupressure the majority of respondents had poor appetite (84.2%), after being given acupressure the majority of respondents had sufficient appetite, numbering 11 respondents (57.9%). There is an effect of acupressure on increasing appetite in toddlers 1-5 years old&nbsp; p-value 0,000 &lt;0,005. It is recommended that community health centers provide acupressure training to health workers at Posyandu so that they can routinely provide acupressure to increase the appetite of visiting toddlers. to Posyandu.</em></p> Nurliza Fatma Nadia Hirza Rahmita Rika Mianna Copyright (c) 2024 Rika Mianna, Nurliza, Fatma Nadia, Hirza Rahmita https://creativecommons.org/licenses/by-sa/4.0 2024-07-01 2024-07-01 13 1 81 89 10.36763/healthcare.v13i1.454 Dimensions of Reporting on Safety Culture in Pre-Post Partum and Perinatology Treatment Rooms https://jurnal.payungnegeri.ac.id/index.php/healthcare/article/view/458 <p><em>The implementation of good patient safety in pre-postpartum and perinatology units can ensure the quality of services provided to mothers and children runs well. This quality service is expected to reduce the maternal and child mortality rates that still occur today. Reporting patient safety incidents not only plays an important role in ensuring the quality of services but also serves as the main foundation in the organization's learning process and internal improvement within the hospital. The aim of this study is to understand the reporting dimension in the implementation of a patient safety culture in pre-postpartum and perinatology wards. This study combines a mixed-methods approach with a sequential explanatory design. The quantitative method uses the AHRQ (Agency for Health Research and Quality) questionnaire, while the qualitative method employs in-depth interviews. This study involved 52 nurses working in pre-postpartum and perinatology wards. The results showed a positive response of 17.3% in the reporting dimension of the patient safety culture. Based on the interviews, one of the issues hindering the implementation of the patient safety program is the lack of adequate reporting on patient safety incidents, the absence of a good reporting system, a high blaming culture, lack of management support, very slow or lengthy case reporting, and insufficient financial support. The final results of reporting, analysis, and evaluation are limited to internal analysis and evaluation within the hospital. Recommendations from this study include strengthening the safety culture through patient safety training for all staff and continuous monitoring and evaluation of each patient safety program conducted.</em></p> Wice Suci Erika Widia Lestari Nurhannifah Rizky T Riamin Maria Copyright (c) 2024 Wice Suci, Erika, Widia Lestari, Nurhanifah Riski T, Riamin Maria https://creativecommons.org/licenses/by-sa/4.0 2024-07-01 2024-07-01 13 1 90 94 10.36763/healthcare.v13i1.458 Parenting Patterns with Smoking Behavior and Youth Teams in Tanggeran Village https://jurnal.payungnegeri.ac.id/index.php/healthcare/article/view/443 <p><strong><em>The percentage of teenagers aged ≥ 15 years who smoke in Central Java is ranked 10th with a percentage of 28.72 percent in 2023. The parenting style of parents with teenagers who smoke and youth youth activities are related. This research aims to look at parenting patterns, smoking and youth youth organization activities in Tanggeran Village. The sample consisted of 403 teenagers. The research used observational with a cross sectional approach. Data were collected using questionnaires on parenting patterns, teenage smoking, and youth organization activities. Data processing uses Descriptive Frequencies and Chi-Square tests. As for the results, parenting patterns show that 236 people (59.1%) are democratically involved, 304 people do not smoke (75.4%), and 166 people are less active (41.2%). For the relationship between parenting styles and teenagers' smoking activities, there is a relationship where the p value = 0.000 ˂ α (0.05). Parental parenting styles influence teenagers' smoking behavior and participating in activities outside the home such as youth groups. It is hoped that parents must actively guide and monitor the activities carried out by teenagers.</em></strong></p> <p><strong><em>&nbsp;</em></strong></p> <p><strong><em>Keywords: parenting patterns for teenagers smoking </em></strong></p> marsito marsito Fajar Agung N Muhammad As Ad Copyright (c) 2024 marsito marsito, Fajar Agung N, Muhammad As Ad https://creativecommons.org/licenses/by-sa/4.0 2024-07-02 2024-07-02 13 1 95 103 10.36763/healthcare.v13i1.443 The effectiveness of the "Puisi Lita" website is seen from the dimensions of usability quality, information quality and interaction quality using Webqual 4.0 https://jurnal.payungnegeri.ac.id/index.php/healthcare/article/view/448 <p><em>The government aims for 90% of infants and toddlers to visit posyandu (community health posts), but this target is unmet. To improve knowledge among parents, a website called "PUISI LITA" was developed to provide information in the digital era. This study assessed the website's effectiveness compared to the traditional KIA child health booklet using WebQual 4.0, which measures usability, information, and interaction quality. A true experiment with a pretest-posttest control group design was conducted. 43 parents in the experimental group used the PUISI LITA website, while the control group used the KIA booklet (n=43). The Mann-Whitney test showed significant differences (p&lt;0.05) in all three quality dimensions: usability (experimental: 55.33, control: 31.67), information (experimental: 54.19, control: 32.81), and interaction (experimental: 57.22, control: 29.78). These results indicate that the PUISI LITA website is more effective than the KIA booklet in improving parents' knowledge about infant and toddler care. In conclusion, the PUISI LITA website is a promising tool to increase parental knowledge and potentially improve posyandu visit rates.</em></p> Nahdi Aulia Fahmi Nahdia Herri S. Sastramihardja Ma’mun Sutisna Teni Nurlatifah HR Roni Rowawi Hidayat Wijayanegara Copyright (c) 2024 Nahdi Aulia Fahmi Nahdia, Herri S. Sastramihardja, Ma’mun Sutisna, Teni Nurlatifah HR, Roni Rowawi, Hidayat Wijayanegara https://creativecommons.org/licenses/by-sa/4.0 2024-07-04 2024-07-04 13 1 104 112 10.36763/healthcare.v13i1.448 Transition of Roles as Mothers with the Ability to Care for Babies in Primiparas https://jurnal.payungnegeri.ac.id/index.php/healthcare/article/view/447 <p><em>Role transition in primipara is a situation where a woman experiences changes, especially when she begins with the labor stage, then becomes a mother and accepts a new family member. Becoming a mother also requires preparation and ability because you will have new responsibilities to care for your child well and optimally. This study was to determine to analyze the relationship between role transitions and the ability to care for babies in primipara. The research design was correlational with a cross sectional approach. The&nbsp; population was 25 primiparas wih a total sampling technique, a sample of 25 respondens. The independent variable is role transition and the dependent variable is the ability to care for a baby. The measuring instrument used is a questionnaire on each variable. Statistical analysis used Spearman's rho with α &lt; 0.05. The research results showed that the optimal role transition was 92% and the ability to care for babies was 88% less. The results of the Spearman rho p-value statistical test: 0.516 with r: 0.136, wich mean there is no relationship between role transitions and the ability to care for babies in primipara. The mother's ability to care for the baby is less capable, especially when the baby is one month old. This requires time to adapt to the transition to motherhood. This requires time to adapt to the transition to motherhood. However, when the baby is more than one month old, the mother is able to care for the baby according to her new role. For this reason, the ability to care for a baby requires experience gained from nurses or health workers and those family to you in order to improve your abilities, especially in the first months of the transition period as a mother.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </em></p> <p><strong><em>Keyword: Role transition, Ability, Baby, Primipara</em></strong></p> Widyasih Sunaringtyas Sunaringtyas Lilik Setiawan Copyright (c) 2024 Widyasih Sunaringtyas Sunaringtyas https://creativecommons.org/licenses/by-sa/4.0 2024-07-08 2024-07-08 13 1 113 118 10.36763/healthcare.v13i1.447 Cadre Performance in Achieving TB Suspects at Kebumen II Community Health Center https://jurnal.payungnegeri.ac.id/index.php/healthcare/article/view/451 <p><em>Based on data from the Kebumen District Health Service, the results of the performance of the TB program in the Kebumen District area which includes 35 Community Health Centers and several hospitals in 2020-2022 achieved a significant increase where in 2020 the CDR was reported as 71% and in 2021 79% from the target of 90% Meanwhile, in 2022 CDR is reported to have only reached 21% of the target of 95%.One effort to empower the community in the tuberculosis control program is to involve managers through educational activities and support from health cadres. Objective to determine the performance of TB cadres in achieving TB suspects at Kebumen II Community Health Center. Method: This research is quantitative descriptive research. The sample taken by TB cadres was 22 people using total sampling technique. Data analysis used univariate analysis. Results: The performance of TB cadres as seen based on educational background, the majority are at primary and secondary education levels (45.5%), the majority's attitude is good (81.8%), knowledge (100%) is good. the majority's motivation is good (72.7%), (100%) they have received training, their abilities/skills (100%) are good, the majority have worked &gt; 1 year (90.9%), the facilities and infrastructure are in the majority category support (90.9%). The performance of TB cadres in achieving the majority of TB suspects at Kebumen II Health Center is good. The better the performance, the maximum the target of achieving TB case detection.</em></p> <p>&nbsp; <em>Keywords: Performance, Health Cadres, TBC</em></p> Rina Saraswati Copyright (c) 2024 Rina Saraswati https://creativecommons.org/licenses/by-sa/4.0 2024-07-11 2024-07-11 13 1 119 127 10.36763/healthcare.v13i1.451 Determinants of Pulmonary TB Incidence in the Working Area of ​​the Kenten Laut Public Health Center, Banyuasin Regency https://jurnal.payungnegeri.ac.id/index.php/healthcare/article/view/446 <p>Pulmonary tuberculosis (TB) is an infectious disease that is still a public health problem, especially in developing countries, including Indonesia. The problems faced influence disease, discovery, treatment, and also treatment failure. The aim of this research is to determine the determinant factors related to the incidence of pulmonary TB in the working area of ​​the Kenten Laut Community Health Center, Banyuasin Regency in 2024. The research design is a quantitative analytical survey with a cross sectional approach. The population in this study were all patients with cough complaints that lasted ≥ 2 weeks who received treatment at the Kenten Laut Community Health Center, a total of 901 patients. Sampling using Slovin theory. The sample in this study amounted to 98 respondents. The sampling method uses purposive sampling. This research was carried out from March 1, 2024 to April 2, 2024. Data was collected using a questionnaire. Bivariate data analysis used Chi-Square and multivariate tests.</p> <p>&nbsp;</p> <p><strong><em>Keywords </em><em>: </em></strong></p> <p>Determinants, Incidence, Pulmonary TB</p> Yurico Arie Wahyudi Gema Asiani Copyright (c) 2024 Yurico https://creativecommons.org/licenses/by-sa/4.0 2024-07-11 2024-07-11 13 1 128 135 10.36763/healthcare.v13i1.446 The Influence of Religiosity on Visitors' Smoking Behavior in the Working Area of ​​the Community Health Center, Kelurahan 22 Ilir, Palembang City https://jurnal.payungnegeri.ac.id/index.php/healthcare/article/view/456 <p>Religiusitas adalah bukti tingkat kedalaman dan komitmen seseorang terhadap keyakinan nilai-nilai, dan ajaran agama yang dianutnya,&nbsp; termasuk salah satu bentuk tindakannya&nbsp; tidak melakukan tindakan berisiko yaitu merokok. Merokok merupakan perilaku yang berbahaya bagi kesehatan serta dapat memicu berbagai penyakit. Pengunjung di wilayah kerja Puskesmas 22 Ilir ditemukan bahwa mereka masih kurang memperhatikan tentang budaya hidup sehat, salah satunya kebiasaan merokok telah menjadi budaya warga. Seperti: merokok didalam rumah, di tempat umum secara bebas serta kurangnya pengetahuan warga di wilayah kerja Puskesmas 22 Ilir tentang bahaya dari rokok terhadap kesehatan. Penelitian ini adalah penelitian kuantitatif, dengan menggunakan metode <em>survey. </em>Penelitian ini dilakukan pada tanggal 9 s.d 30 Oktober 2023 di Puskesmas 22 Ilir Palembang. Populasi sebanyak 165 orang pengunjung. Selanjutnya, untuk menentukan sampel menggunakan <em>purposive sampling</em>. Hasil penelitian ditemukan bahwa terdapatnya korelasi positif antara religiusitas dengan perilaku merokok dengan persamaan regresi Ŷ = 49,71 +0,11 X.</p> Rahmi Musaddas Copyright (c) 2024 Rahmi Musaddas https://creativecommons.org/licenses/by-sa/4.0 2024-07-11 2024-07-11 13 1 136 146 10.36763/healthcare.v13i1.456 Analysis of Emergency Department Health Services on Patient Satisfaction at Bayung Lencir Regional Hospital, Banyuasin Regency https://jurnal.payungnegeri.ac.id/index.php/healthcare/article/view/457 <p>The quality of health services has become an important concern at the global level. OECD countries on average invest 6-8% of their total health budget in the development of emergency facilities and services. Meanwhile, in less developed countries, investment for emergencies is less than 2%. Efforts to improve the quality of emergency unit services are very important and strategic to carry out considering their very vital function, namely saving the lives of emergency patients. Data also shows that the quality of service achieved by emergency department health workers in many hospitals is still low, including South Sumatra. If this problem is ignored, there is a risk of increasing patient morbidity and mortality due to poor quality of emergency services. This research aims to analyze the services of emergency department health workers on patient satisfaction at Bayung Lencir Regional Hospital, MUBA Regency in 2024. This research was conducted in February-March 2024. The design of this research was quantitative with a cross-sectional approach. The population of this study were patients who received services at the emergency room at Bayung Lencir Regional Hospital in February-March 2024. The sample in this study was 100 people with a sampling technique, namely accidental sampling. Data collection and retrieval uses a questionnaire. Statistical tests used the chi-square test and multiple logistic regression test with a significance level (p value) of 0.05. The research results show that there is a significant relationship between reliability (p value 0.000), responsiveness (p value 0.002), insurance (p value 0.000) and empathy (p value 0.003) on patient satisfaction at Bayung Lencir Regional Hospital. In the multivariate analysis, the most dominant variable influencing patient satisfaction with the services of emergency room health workers at Bayung Lencir Regional Hospital was assurance (p value 0.000 OR 3.653). The conclusion of this research is that there is a relationship between reliability, responsiveness, assurance and empathy on patient satisfaction at Bayung Lencir Regional Hospital. It is recommended to correct existing deficiencies and optimize the services provided.</p> Hedi Mulyadora Erma Gustina Synthia Rahutami Copyright (c) 2024 Hedi Mulyadora, Erma Gustina, Synthia Rahutami https://creativecommons.org/licenses/by-sa/4.0 2024-07-12 2024-07-12 13 1 147 153 10.36763/healthcare.v13i1.457