Abstract:The problem in this study is that Accounting Learning Outcomes have not met expectations in the 11th grade Accounting students of SMK Negeri 1 Patumbak. This study aims to determine the effect of Self-Efficacy and Learning…
ng Motivation on Learning Outcomes, with Learning Independence as a moderating variable, in 11th grade students at SMK Negeri 1 Patumbak. This research was conducted at SMK Negeri 1 Patumbak, located at Jl. Ujung Defense, Lantasan Baru, Patumbak District, Deli Serdang Regency, North Sumatra. This study used an ex post facto approach. The population was 35 11th grade Accounting students. The sample size was 35 students, using total sampling. Data collection was conducted through documentation and questionnaire distribution. The questionnaire was first tested for validity and reliability. The collected data was then processed using multiple linear regression with SPSS version 30 software. The results of this study indicate that: (1) Self-efficacy has a positive and significant effect on students' accounting learning outcomes. This is indicated by a regression coefficient of 0.321 with a significance level of 0.021, which is less than 0.05. (2) Learning motivation has a positive and significant effect on students' accounting learning outcomes. The analysis results show a regression coefficient of 0.428 with a significance level of 0.004, which is less than 0.05. (3) Self-efficacy and learning motivation simultaneously have a significant effect on students' accounting learning outcomes. This is proven by a calculated F-value of 18.672 with a significance level of 0.000, which is less than 0.05. (4) Learning independence moderates the effect of self-efficacy on accounting learning outcomes. This is indicated by the significance value of the interaction variable between self-efficacy and learning independence of 0.043, which is less than 0.05. (5) Learning independence moderates the influence of learning motivation on accounting learning outcomes. The analysis results show a significance value of the interaction variable between learning motivation and learning independence of 0.029, which is less than 0.05. This means that learning independence strengthens the influence of learning motivation on students' accounting learning outcomes
Abstract:This study aims to describe the group dynamics within the school environment, focusing on teacher collaboration and the implementation of group work among students at UPT SPNF Kota Medan. This descriptive research provides…
es an overview of how collaborative relationships among teachers develop and how group work is applied during the learning process. Data were collected through observations and questionnaires to obtain information related to interaction patterns, levels of participation, and the effectiveness of cooperation within the school setting. The findings indicate that teacher collaboration is in a good category and contributes significantly to creating a more conducive learning atmosphere. Additionally, the implementation of group work among students enhances their communication skills, responsibility, and social interaction. These results highlight that effective group dynamics play a crucial role in improving the quality of learning processes and outcomes in the school environmen
Abstract:On January 27 and 28 2023, Manado City was hit by heavy rain which caused several areas to experience significant flooding. The high intensity of rain during that period reached extreme levels, resulting in the inundation…
n of several areas and submerging hundreds of residents' houses in 22 villages or sub-districts and 7 sub-districts in Manado. In studying this event, this research investigates the factors that influence extreme weather in Manado, observing sea surface temperature data, streamlines, air observations, the Southern Oscillation Index (SOI), and the Indian Ocean Dipole (IOD). The analysis shows that the positive SOI and negative IOD phenomena significantly impact extreme weather in the region. Cumulonimbus (Cb) clouds drove the atmospheric conditions formed on January 27 and 28 2023 and air flows from the Indian Ocean which brought wet air masses into Indonesian territory. High sea surface temperatures, reaching 28-29°C, also play a role in the intensive growth of rain clouds. Based on atmospheric conditions seen from radiosonde observation data, the stability index value shows that unstable conditions trigger heavy rain which causes flooding
Abstract:Meningkatnya tekanan darah pada pasien sebelum operasi disebabkan oleh gangguan psikologis, salah satunya adalah kecemasan. Kecemasan pada pasien pre operasi dapat meningkatkan tekanan darah. Tekanan darah yang meningkat…
jika tidak diatasi dapat menyebabkan komplikasi selama dan setelah pembedahan. Tujuan dari penelitian ini adalah untuk mengetahui Hubungan Tingkat Kecemasan Dengan Peningkatan Tekanan Darah Pada Pasien Pre Operasi Terjadwal Diruangan Imam Bonjol Rumah Sakit Tk. III dr. Reksodiwiryo Padang. Penelitian ini merupakan penelitian kuantitatif dengan desain cross sectional. Populasi dalam penelitian ini adalah 341 orang dengan jumlah sampel 77 orang. Teknik pengambilan sampel yaitu teknik proposive sampling. Instrumen yang digunakan kecemasan dengan Hamilton anxiety rating scale (HARS) dan untuk tekanan darah menggunakan Sphygmomanometer dengan menggunakan lembar observasi, kemudian dianalisis secara univariat dan bivariat dengan uji Chi-Square p-value ≤ 0,05. Hasil analisis univariat didapatkan data lebih dari separoh 50 (64.9%) responden mengalami peningkatan tekanan darah, dan 35 (45.5%) responden memiliki tingkat kecemasan sedang pada pasien pre operasi. Hasil uji Chi-Square menunjukkan hubungan yang signifikan antara tingkat kecemasan dengan peningkatan tekanan darah (p-value = 0,000). Hasil penelitian ini dapat disimpulkan Ada Hubungan Tingkat Kecemasan Dengan Peningkatan Tekanan Darah Pada Pasien Pre Operasi Terjadwal Diruangan Imam Bonjol Rumah Sakit Tk. III Dr. Reksodiwiryo Padang.
Increased blood pressure in patients before surgery is caused by psychological disorders, one of which is anxiety. Anxiety in preoperative patients can increase blood pressure. Elevated blood pressure if left untreated can lead to complications during and after surgery. The purpose of this study is to determine the relationship between anxiety level and increased blood pressure in scheduled pre-surgery patients in the room of Imam Bonjol Hospital Tk. III dr. Reksodiwiryo Padang. This study is aquantitative research with a cross sectional design. The population in this study is 341 people with a sample of 77 people. The sampling technique is the proposive sampling technique. The instrument used anxiety with the Hamilton anxiety rating scale (HARS) and for blood pressure using a Sphygmomanometer using an observation sheet, then analyzed univariate and bivariate with the Chi-Square p-value test ≤ 0.05. The results of the univariate analysis obtained data from more than half of 50 (64.9%) respondents experienced an increase in blood pressure, and 35 (45.5%) respondents had moderate levels of anxiety in preoperative patients. The results of the Chi-Square test showed a significant association between anxiety levels and increased blood pressure (p-value = 0.000). The results of this study can be concluded that there is a relationship between anxiety level and increased blood pressure in scheduled pre-surgery patients in the Imam Bonjol room, Tk. III Dr. Reksodiwiryo Hospital Padang.
Abstract:Diabetes mellitus merupakan penyakit kronis yang ditandai dengan peningkatan kadar gula darah akibat gangguan produksi atau kerja insulin. Penatalaksanaan diabetes tidak hanya bergantung pada terapi farmakologi, tetapi juga…
uga dipengaruhi oleh pengaturan pola makan dan aktivitas fisik. Penelitian ini bertujuan untuk menganalisis perencanaan serta implementasi program diet dan aktivitas fisik pada penderita diabetes mellitus melalui pendekatan studi kasus. Metode penelitian menggunakan pendekatan deskriptif dengan desain studi kasus pada satu pasien diabetes mellitus tipe 2. Intervensi yang diberikan berupa pengaturan diet berbasis prinsip 3J (jumlah, jenis, dan jadwal makan) serta aktivitas fisik rutin. Hasil penelitian menunjukkan adanya penurunan kadar gula darah dari 245 mg/dL menjadi 165 mg/dL dalam waktu 4 minggu. Penurunan ini menunjukkan bahwa intervensi yang diberikan efektif dalam membantu pengendalian kadar gula darah serta meningkatkan kepatuhan pasien terhadap pola hidup sehat.
Hypertension is one of the most common noninfectious diseases that affects the elderly. Hypertension is also a leading cause of serious complications such as stroke, heart failure, and kidney disease. Non-pharmacological approaches such as the Mindfulness-Based Stress Reduction (MBSR) method have been proven effective in lowering blood pressure by reducing stress and increasing self-awareness. This study aims to determine the effect of relaxation therapy with the MBSR method on reducing blood pressure among elderly patients with hypertension. This research employed a quantitative approach with a quasi-experimental design. The design used was a pre-test post-test design. The sample consisted of 30 elderly selected using purposive sampling based on inclusion and exclusion criteria. The study was conducted from April 14th to June 3rd, 2025. The intervention given was an MBSR treatment program for two months, eight sessions, including mindfulness meditation, breathing exercises, and relaxation techniques. Blood pressure measurements were taken before and after the intervention. The data were analyzed using the paired t-test. The results showed a significant decrease in systolic blood pressure of P< 0.000 and diastolic blood pressure with P < 0.011 after intervention. The average reduction in systolic blood pressure was 5.13 mmHg, and in diastolic blood pressure was 4.63 mmHg. These findings indicate that the MBSR therapy is effective in helping elderly individuals manage hypertension through stress reduction and enhanced self-awareness
Abstract:Background: Pulmonary tuberculosis (pulmonary TB) is a chronic infectious disease caused by the bacterium Mycobacterium tuberculosis. Mycobacterium tuberculosis is a bacterium that causes tuberculosis infection which is…
transmitted by droplet splashes and becomes a vector of transmission when a person interacts physically. Objective: This study aims to determine the relationship between the level of knowledge and motivation with adherence to taking anti-tuberculosis medication at An-Nisa Hospital Tangerang. Methods: This study used descriptive analytic quantitative research with a cross sectional approach. The sampling technique used was purposive sampling method, where this technique selected subjects in a population that matched the criteria as a sample, namely pulmonary TB patients who were undergoing initial and advanced treatment at An-Nisa Hospital, Tangerang, totaling 102 respondents. Data analysis was performed using the chi-square test. Results: The results of the respondent's data processing showed that the level of knowledge with adherence to taking anti-tuberculosis medication showed a significant relationship with value (p-value 0.021), and motivation with adherence to taking anti-tuberculosis medication showed a significant relationship with value (p-value 0.027 ). Conclusion: It can be concluded that there is a relationship between the level of knowledge and motivation with adherence to taking anti-tuberculosis medication in patients with pulmonary TB. Therefore, to reduce the occurrence of drug-resistant TB, efforts should be made to increase adherence to treatment in TB patients, either through the method of providing direct motivation or through counseling about pulmonary TB disease.
Abstract:Febrile seizures are a common emergency in children aged 6 months to 5 years and can cause significant anxiety in parents. Proper early management of febrile seizures largely depends on parent's knowledge as the primary…
caregivers. Inadequate knowledge may lead to inappropriate first aid measures that can worsen the child's condition. This research aims to identify the level of parent's knowledge regarding first aid management for children experiencing febrile seizures in Sei Mencirim. This study uses a descriptive design method with a cross-sectional approach. The population in this study are all parents who brought their children for treatment to the Sei Mencirim Community Health Center in the last three months, wiht a sample of 36 respondents taken using an accidental sampling technique. The research instrument is a questionnaire consisting of 25 questions. Data analysis was carried out univariately to describe the level of respondents' knowledge. The results of the study show that parental knowledge based on the management of febrile seizures, parents have a good level of knowledge of 55.6%. Based on the administration during seizures, parental knowledge is in the sufficient category of 38.9%. Based on the administration of medication from the hospital after the child is treated, parental knowledge is in the good category off 66.7%. Based on information about seizures, parental knowledge is in the good category of 75.0%. concluded that the level of parental knowledge about first aid for children experiencing febrile is in the good category of 80.5%.
Abstract:This classroom action research aims to improve students’ understanding of norms and rules in everyday life through the use of picture-based learning media in Grade II UPT SD Negeri 74 Bontorita II during the 2025/2026 academic…
academic year. The study was conducted in two cycles consisting of planning, action, observation, and reflection. The participants were 22 students who were involved in learning activities using instructional pictures and number-pocket media to strengthen conceptual understanding. Data were collected through observation sheets, learning outcomes tests, and teacher reflections. The findings indicate a significant improvement in students’ learning outcomes and participation. Initial observations showed low understanding of norms and rules, reflected in students’ low discipline, responsibility, and adherence to class regulations. After the implementation of picture media in Cycle I, students’ average score increased from the pre-cycle score of 46.2% to 71.1%. In Cycle II, after using more varied and engaging visual media, students’ average score further improved to 79,36%, surpassing the minimum completeness criteria. The use of picture media was effective because it facilitated concrete understanding, increased motivation, and encouraged active engagement. The study concludes that picture-based media enhances students’ cognitive, affective, and behavioral competencies in learning. It is recommended that teachers integrate more innovative visual media to create meaningful, interactive, and enjoyable learning experiences in civics education and other subjects