Roslenni Sitepu
Department of Public Health, Universitas Prima Indonesia

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Improved knowledge of COPD management through a health education intervention: A study at Vina Estetica Hospital, Medan Roslenni Sitepu; Kartika Sari Rizki; Dicho Zhuhriano Yasli; Andry Simanullang; Frenky Jones Manurung
Buletin Kedokteran & Kesehatan Prima Vol. 5 No. 1 (2026): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

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Abstract

Background: Chronic Obstructive Pulmonary Disease (COPD) is a progressive disease characterized by airflow obstruction that requires effective self-management. Health education is a crucial intervention to improve patient understanding of symptom management. This study aims to analyze the effect of health education on patients' knowledge regarding COPD management in the inpatient ward of Vina Estetica Hospital, Medan. Methods: This research employed a quasi-experimental design with a one-group pretest-posttest approach. Sampling was conducted using total sampling, including 32 COPD patients as respondents. Data were collected using a questionnaire and analyzed using the paired t-test. Results: Before the health education intervention, the majority of respondents had good knowledge (59.4%). After the intervention, all respondents (100%) achieved the good knowledge category. Statistical tests showed a significant effect of health education on increasing patient knowledge (p-value 0.000; t-count 4.605). Conclusion: Health education is effective in improving the knowledge of COPD patients. It is recommended that nursing services implement continuous health education programs to optimize patient care.
Risk factors and musculoskeletal disorder complaints among desk workers at PDAM Tirtanadi, Medan City Vanessa Gafar; Cristyn Renata Situmorang; Santy Deasy Siregar; Roslenni Sitepu; Imelda Montes Monika Simanungkalit
Buletin Kedokteran & Kesehatan Prima Vol. 5 No. 2 (2026): September (in press)
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v5i2.8358

Abstract

Background: Musculoskeletal disorders (MSDs) represent a major occupational health concern, especially among computer-based workers. This study examined individual and occupational risk factors associated with MSD complaint levels among workers at PDAM Tirtanadi in Medan City. Method: Using an analytical cross-sectional survey design, we recruited 150 respondents through purposive sampling. Data collection involved the Nordic Musculoskeletal Questionnaire to assess MSD complaints and the Rapid Office Strain Assessment (ROSA) to evaluate work postures. Analysis employed the chi-square test. Results: Most workers (64.0%) reported high MSD complaint levels. Bivariate analysis showed significant associations with work posture, age, and work tenure. High-risk work posture emerged as the dominant factor: 83.8% of workers in this category reported high MSD complaint levels. Older age (69.3%) and longer work tenure (69.4%) also associated with high MSD complaint levels. No significant associations appeared with gender (p=0.146) or body mass index (p=0.718). Conclusion: Non-ergonomic work postures, older age, and longer work tenure were the primary predictors of MSD complaints in this population. Management should implement an ergonomics program that addresses workstation design, posture training, and work scheduling to promote worker health.
Occupational stress and fatigue as risk factors for hypertension among employees at PT. Perkebunan Milano, Kebun Sei Daun Eva Ellya Sibagariang; Jesika Meyanti Saragih; Kartika Sari Rizki; Rosmeri Br Bukit; Disti Amanda Putri; Mafe Robbi Simanjuntak; Roslenni Sitepu; Nindia Putri
Buletin Kedokteran & Kesehatan Prima Vol. 5 No. 2 (2026): September (in press)
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v5i2.8440

Abstract

Background: Hypertension is a major public health problem with increasing prevalence and is a primary risk factor for various cardiovascular diseases. Workers exposed to work stress and work fatigue are at higher risk. This study aimed to determine the relationship between work stress and work fatigue with the incidence of hypertension among employees at PT. Milano Kebun Sei Daun.  Method: This quantitative study used a cross-sectional design. The population comprised all 52 employees, and total sampling was used to include all as respondents. Data were collected using questionnaires, observation sheets, and blood pressure measurements. Univariate analysis described frequency distributions, and bivariate analysis used the chi-square test (α=0.05). Results: The study found that 14 respondents (26.9%) had hypertension. Among those with high work stress, 2 had hypertension; among those with high work fatigue, 3 had hypertension. Chi-square tests showed significant associations between work stress and hypertension (p=0.044) and between work fatigue and hypertension (p<0.001). Conclusion: There are significant relationships between work stress and work fatigue with the incidence of hypertension among employees at PT. Milano Kebun Sei Daun. Workplace interventions to reduce stress and fatigue are recommended.