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All Journal Indonesian Journal of Global Health research International Journal of Community Service KESANS : International Journal of Health and Science
Rantung, Nolly O. H.
Universitas Kristen Indonesia
Religion Humanities Chemistry Education Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Medicine & Pharmacology Nursing Physics Public Health Social Sciences Other

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Analysis of the Relationship between Modifiable Hypertension Risk Factors and Hypertension Incidence in the Adult Population Sanggul, Andriyani Risma; Reviani, Nia; Rantung, Nolly O. H.; Puspitasari, Febtusia
Jurnal KESANS : Kesehatan dan Sains Vol 4 No 10 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v4i10.401

Abstract

Introduction: Hypertension, defined as systolic blood pressure >140 mmHg and diastolic >90 mmHg, is a major health issue that may lead to complications in various organs. It is influenced by modifiable and non-modifiable risk factors. Objective: This study aims to analyze the relationship between modifiable risk factors and the incidence of hypertension in Jemah Village, Sumedang Regency, in 2024. Method: This research used a quantitative cross-sectional design and was conducted in April 2024 in Jemah Village. The population included all residents aged ≥18 years, with 50 respondents selected using purposive sampling based on the Lemeshow formula. Central obesity was chosen as the primary variable due to its highest required sample size. Results and Discussion: Among the 50 respondents (24% male, 76% female), 70% were aged 18–64 years. Key modifiable risk factors identified included 66% non-smokers, 82% with excessive salt intake, 54% moderate physical activity, 44% with central obesity, and 54% with dyslipidemia. Chi-square analysis showed significant associations between hypertension and dyslipidemia (p=0.001), smoking (p=0.036), physical activity (p=0.046), and salt consumption (p=0.024). Conclusion: Hypertension was more prevalent among women. Dyslipidemia, smoking, physical inactivity, and high salt intake were significantly associated with hypertension.
Relationship Between Diet Patterns and Hypertension Levels in the Elderly Nur Nunu Prihantini; Avidya Ihromi; Nolly O. H. Rantung
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6645

Abstract

Hypertension is a common health problem in the elderly population and is a significant risk factor for cardiovascular diseases. Dietary patterns are known to influence blood pressure control significantly, yet many elderly individuals continue to follow unhealthy eating habits that may exacerbate their condition. Objective: This study aims to determine the relationship between dietary patterns and hypertension levels in elderly individuals. Aims: This study aims to explore the relationship between dietary patterns and hypertension levels in the elderly and to analyze the distribution of hypertension based on age group and severity. Methods: This study used a quantitative approach with a cross-sectional observational analytical design. Data were collected from 45 elderly respondents through interviews using a structured dietary questionnaire and direct blood pressure measurement using a calibrated digital sphygmomanometer. Data analysis was conducted in two stages: univariate analysis to describe the characteristics of respondents and the distribution of hypertension, and bivariate analysis using the Chi-square test to assess the relationship between dietary patterns and hypertension levels. Results: The results showed that most respondents came from the 60-69 age group (88.89%), and the 70-79 age group (11.11%). Most respondents (57.8%) experienced stage I hypertension, while the rest (42.2%) experienced stage II hypertension. Bivariate analysis showed a significant relationship between diet and hypertension levels (p-value = 0.035). Respondents with a good diet tended to experience stage I hypertension (77.8%), while a poor diet was more dominant in stage II hypertension (78.9%). Conclusion: This study shows a significant relationship between diet and hypertension levels in the elderly in Bekasi City. The elderly with a good diet tend to experience stage I hypertension, while a poor diet correlates with stage II hypertension. These results indicate that diet plays an important role in the severity of hypertension in the elderly.
The Calm Before the Storm: Wellens Syndrome Revisited Nolly O. H Rantung; Nurul Azria; Jeremy P. D. Suling; Hertina Silaban
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6908

Abstract

Wellens syndrome is a characteristic electrocardiographic pattern indicating a critical stenosis of the left anterior descending (LAD) coronary artery and is a warning sign for an impending anterior myocardial infarction. Early recognition is crucial, as this pattern typically appears when the patient is pain-free and cardiac biomarkers are standard, which can potentially mislead clinicians. This case report aims to highlight the importance of recognizing the pattern of Wellens Syndrome through the clinical description of patient Mr. A, a 61-year-old male with hypertension and chronic kidney disease who presented with chest pain that has subsided. We present a 61-year-old Melanesian man with a history of hypertension and stage 3 chronic kidney disease, who had recent anginal chest pain that resolved upon evaluation. On examination, blood pressure was 154/80 mmHg, heart rate 78/min, respiratory rate 20/min, temperature 36.7°C, oxygen saturation 99% on room air, and minimal pitting oedema in both legs. The ECG obtained showed biphasic T waves in leads V2–V4 with the patient feels no chest pain at all, consistent with a type A Wellens pattern. Troponin T was negative (< 40 ng/L), and no ST elevation or pathologic Q waves were observed. Chest X-ray showed cardiomegaly. Coronary angiography revealed a critical stenosis in the proximal LAD. The patient underwent percutaneous coronary intervention with stent placement to the proximal LAD. Wellens syndrome represents a “pre-infarction” state that should be identified to prompt urgent revascularization before extensive myocardial infarction occurs. This case underscores the importance of recognizing Wellens syndrome as “the calm before the storm” and avoiding conservative management that could lead to adverse outcomes.
Counseling about Maintaining Health in Old Age. "Education and Services for Heart, Eye Health, and Dementia Prevention" Nur Nunu Prihantini; Reinne Natali Christine; Nolly O. H. Rantung; Christina Roseville Lasma Aritonang
International Journal Of Community Service Vol. 5 No. 4 (2025): November 2025 ( Indonesia - Thailand - Malaysia - Timor Leste - Philippines )
Publisher : CV. Inara in Colaboration with www.stie-sampit.ac.id

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijcs.v5i4.933

Abstract

Health in older age is a crucial aspect in maintaining quality of life and individual independence. Seniors are susceptible to various degenerative diseases such as heart disease, vision impairment, and dementia, which can reduce their productivity and well-being. This community service activity aims to increase public awareness and knowledge, particularly among seniors and young adults, regarding the importance of maintaining heart, eye, and cognitive health through an educational approach and preventive health check-ups. The activity was held on October 18, 2025, at the HKBP Sudirman Church in Jakarta, with 100 participants. The activity involved three stages: (1) healthy heart exercise to improve cardiovascular fitness and function; (2) health education on heart disease prevention, eye health, and dementia prevention; and (3) health screening services, including eye exams, EKGs, and blood tests (blood sugar and cholesterol). The results of the activity demonstrated an increased understanding among participants of the importance of early detection and a healthy lifestyle. The examination results revealed that approximately 28% of participants had elevated blood sugar levels, and 22% had mild EKG abnormalities requiring medical follow-up. Furthermore, 30% of elderly participants experienced mild to moderate visual acuity impairment. The evaluation showed a 45% increase in participants' knowledge scores from pre- to post-test. This activity had a positive impact on raising public awareness of the importance of regular health check-ups and of preventing degenerative diseases through a healthy lifestyle, early detection, and ongoing care.
Basic Life Support Workshop 2025 Heart: Hear, Evaluate, Act, Resuscitate and Train Nolly O. H. Rantung
International Journal Of Community Service Vol. 5 No. 4 (2025): November 2025 ( Indonesia - Thailand - Malaysia - Timor Leste - Philippines )
Publisher : CV. Inara in Colaboration with www.stie-sampit.ac.id

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijcs.v5i4.946

Abstract

Background:The Community Service Activity entitled “2025 Basic Life Support Workshop: HEART (Hear, Evaluate, Action, Resuscitate, Training)” was implemented as an effort to improve preparedness and basic skills in handling emergencies in the community, especially among high school students. Objective: This activity aims to provide fast and appropriate initial treatment to increase the victim's chances of survival and minimize the risk of complications. Method: This activity was held at SMAN 67 Jakarta on April 26, 2025 and was attended by 40 students as active participants. The implementation method included a series of educational and interactive activities, consisting of material counseling on the concept and stages of Basic Life Support (BLS), basic skills training in dealing with cardiac arrest and respiratory distress situations, as well as direct practice and educational games to strengthen participants' understanding. Through the HEART (Hear, Evaluate, Action, Resuscitate, Training) approach, participants were trained to recognize emergency signs, evaluate the victim's condition quickly, take appropriate action, and perform cardiopulmonary resuscitation (CPR) according to standards. Results: The results of the activity showed an average increase in participants' knowledge scores of 42.5% after the training, with 90% of participants able to demonstrate CPR steps with the correct sequence and technique. In addition, 85% of participants stated that they were more confident in providing first aid in emergencies. The activity also received a positive response, with a 95% level of participant satisfaction with the relevance and learning methods used. Conclusion: It can be concluded that the 2025 Basic Life Support Workshop: HEART Training successfully increased students' knowledge, skills, and confidence in dealing with medical emergencies. This program is expected to become a model for sustainable education in the school environment to build a young generation that is responsive, caring, and skilled in helping others.
Co-Authors Avidya Ihromi Christina Roseville Lasma Aritonang Febtusia Puspitasari Hertina Silaban Jeremy P. D. Suling Nur Nunu Prihantini Nurul Azria Reinne Natali Christine Reviani, Nia Sanggul, Andriyani Risma