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All Journal Jurnal Kesehatan Masyarakat Althea Medical Journal Jurnal Berkala Epidemiologi JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE JIMKesmas (Jurnal Ilmiah Mahasiswa Kesehatan Masyarakat) Public Health of Indonesia Jurnal Penelitian Pendidikan IPA (JPPIPA) Jurnal Kesehatan Global Jurnal Keperawatan dan Fisioterapi (JKF) Jurnal Kesmas dan Gizi (JKG) JURNAL MUTIARA KESEHATAN MASYARAKAT Jurnal Maternitas Kebidanan Jurnal Keperawatan Priority Jurnal Kesehatan Masyarakat dan Lingkungan Hidup Jurnal Kesmas Prima Indonesia Health Information : Jurnal Penelitian Jurnal Prima Medika Sains Jurnal Aisyah : Jurnal Ilmu Kesehatan Jurnal Darma Agung Academia Open JURNAL PENELITIAN KESMASY COMMUNITY : Jurnal Pengabdian Kepada Masyarakat Buletin Kedokteran dan Kesehatan Prima International Journal of Health and Pharmaceutical (IJHP) Ibnu Sina: Jurnal Kedokteran dan Kesehatan - Fakultas Kedokteran Universitas Islam Sumatera Utara Eduvest - Journal of Universal Studies Innovative: Journal Of Social Science Research Indonesian Journal of Electronics, Electromedical Engineering, and Medical Informatics Journal of Foundational Learning and Child Development
Rapael Ginting
Magister Public Health, Faculty Of Medicine, Universitas Prima Indonesia
Aerospace Engineering Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Civil Engineering, Building, Construction & Architecture Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Dentistry Earth & Planetary Sciences Economics, Econometrics & Finance Education Electrical & Electronics Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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FACTORS RELATED TO COMPLIANCE WITH DIET MANAGEMENT AMONG TYPE 2 DM OUTPATIENTS IN ROYAL PRIMA HOSPITAL: Faktor Yang Berhubungan Dengan Kepatuhaan Diet DM Tipe2 Pasien Rawat Jalan di RSU Royal Prima Ginting, Rapael; Simanullang, Andry; Siallagan, Gabriel Oktavianus
Jurnal Berkala Epidemiologi Vol. 13 No. 1 (2025): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V13I12025.33-39

Abstract

Background: Diabetes mellitus in Indonesia is increasing annually, with a 6.7% death rate. This is due to patients not following the recommended diet, with Type 2 DM patients having minimal dietary compliance... Purpose: This study aims to find out the relationship between age, gender, education, knowledge, employment status, family role, and the support of health officials to comply with the diet of outpatients type 2 DM in Royal Prima Medan Hospital. Methods: This research method uses cross-sectional methods of conducting interviews, observations, and questionnaire filling. Data were analyzed by using the SPSS application with the α=5% Chi-Square test and the samples used in this study were patients with outpatients type 2 DM at RSU. Royal Prima Medan Hospital with a total of 64 patients in 2024. Results: The result, it was found that there was a significant relationship between age (OR:0.03, CI 95%: 1.67-15.17), gender (OR:0.01, CI 95%:1.28-10.14), knowledge (OR:0.02, CI 95%:0.10-0.89), family role (OR:0.05, CI 95%:0.06-0.64), and health support (OR:0.01, CI 95%:0.05-0.49) for compliance with the outpatients type 2 DM diet management. But there is no significant relationship between education (OR:0.63, CI 95%:0.29-2.11) and job status (OR:0.79, CI 95%:0.42-3.05) for conformity to the type 2 DM diet. Conclusion: This study found that the variable age was the most dominant risk factor for diet management type 2 DM with an OR of 18.935 with p-value (0.04).
Complaints of Low Back Pain in Tailors Santy Deasy Siregar; Putranto Manalu; Rapael Ginting; Victor Trismanjaya Hulu; Jeremia Chandra Partogi Siallagan
Jurnal Kesehatan Masyarakat Vol 18, No 3 (2023)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v18i3.39909

Abstract

Low back pain (LBP) is one of the musculoskeletal disorders as a result of incorrect ergonomics. The impact caused by low back pain is bad posture, stiffness, pinched nerve, and muscle weakness. This study aims to determine the relationship between ages, years of service, length of sitting, work posture, and the chair’s ergonomics with complaints of low back pain in tailors at Pasar Petisah, Kota Medan, with 35 workers based on inclusion and exclusion criteria. The research tools are interviews, observations, and filling out questionnaires. This sampling technique is used purposive sampling methods. Data were analyzed using the STATCAL application with a 5% chi-square test. Based on the result, we concluded that there is a long relationship between ages (p=0,02), years of service (p=0,04), length of sitting (p=0,01), and work posture (p=0,03) with the occurrence of low back pain tailors. Tailors in the Petisah Market in Medan City are at risk for complaints of low back pain based on age, long years of service, a risky length of sitting, and a risky work posture. If the workers ignore low back pain, the impact is the emergence of serious problems such as stiffness in the spine, fractures, pinched nerves, and can even cause death.
The effect of physical exercise on blood glucose levels in patients with type 2 diabetes mellitus Siregar, Annisa Surto; Ginting, Rapael; Putri, Nadya Nazimuddin; Leslie, William; Hutabarat, Bartimeus Nicomama; Syahputra, Ari Denggan
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 1 (2025): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i1.6583

Abstract

Diabetes Mellitus (DM) is a chronic metabolic disease characterized by hyperglycemia. This study aimed to analyze the effect of physical exercise on blood glucose levels in patients with Type 2 DM at the Medan Johor Public Health Center. This analytical observational study utilized a case-control design and involved 34 respondents, divided into a case group (with uncontrolled blood glucose levels) and a control group (with controlled blood glucose levels). Data on physical activity, including frequency, duration, and intensity of exercise, were obtained through interviews using the GPAQ questionnaire, while blood glucose level data were sourced from medical records. The results showed a significant relationship between physical activity (p=0.028), frequency of physical exercise (p=0.006), duration of physical exercise (p=0.015), and intensity of physical exercise (p=0.034) with blood glucose levels. Physical exercise performed at least three times a week, for a minimum duration of 30 minutes per session, and at an appropriate intensity proved effective in controlling blood glucose levels in patients with Type 2 DM. This study emphasizes the importance of incorporating physical exercise into the management plan for Type 2 DM.
The impact of work commitment and motivation on the performance of nurses at Muyang Kute Hospital, Bener Meriah Regency Jumiati, Jumiati; Hartono, Hartono; Ginting, Rapael
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 1 (2025): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i1.6678

Abstract

This study investigates the influence of work commitment and motivation on nurse performance at Muyang Kute Regional General Hospital, Bener Meriah Regency, Indonesia, using an analytical survey with a cross-sectional design. A total sampling of 49 nurses from inpatient wards participated in the study. Data were collected via questionnaires measuring work commitment (Guttman scale), work motivation (Guttman scale), and nurse performance (Likert scale). Bivariate analysis using Fisher’s Exact Test revealed a significant association between both work commitment and nurse performance (p = 0.000) and work motivation and nurse performance (p = 0.003). Nurses with high commitment demonstrated significantly higher performance, with 81.8% exhibiting high performance compared to 25.9% of nurses with low commitment. Similarly, nurses with high work motivation showed significantly higher performance, with 70.4% categorized as high performers compared to 27.3% of those with low motivation. These findings highlight the critical role of work commitment and motivation in enhancing nurse performance, suggesting that interventions aimed at improving these factors could lead to significant improvements in healthcare delivery at Muyang Kute Hospital. The study underscores the importance of addressing factors that influence nurse commitment and motivation to optimize patient outcomes and organizational success.
Health service quality and outpatient hypertension patient satisfaction: A cross-sectional study Olidya, Desyoma; Ginting, Rapael; Siagian, Masryna
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 1 (2025): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i1.6755

Abstract

This study aimed to evaluate the impact of healthcare service quality on patient satisfaction among hypertensive outpatients at Muyang Kute Regional General Hospital. Employing a quantitative, cross-sectional design, data were collected from 79 patients using a questionnaire assessing five service quality dimensions (tangibles, reliability, responsiveness, empathy, and assurance) and overall patient satisfaction. Bivariate analysis, utilizing the chi-square test, was conducted to examine relationships between service quality dimensions and patient satisfaction. Results indicated generally positive perceptions of service quality dimensions, with tangibles, reliability, and assurance rated highly. However, empathy and responsiveness showed higher dissatisfaction rates. Notably, only assurance demonstrated a statistically significant association with patient satisfaction (p=0.002), where patients perceiving "Good" assurance were more likely to report satisfaction. Overall patient satisfaction was mixed, with 54.43% reporting satisfaction and 45.57% reporting dissatisfaction. The study highlights the critical role of staff competence and patient confidence (assurance) in driving satisfaction. Recommendations include targeted interventions to improve empathy and responsiveness, continuous monitoring of all service quality dimensions, and further investigation into potential underlying factors affecting overall satisfaction.
The association between snacking habits and the incidence of diarrhoea among school-aged children at SD Negeri 060834 Medan Petisah Gea, Lestin; Hartono, Hartono; Ginting, Rapael
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 1 (2025): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i1.6786

Abstract

Background: Diarrhoea remains a significant health concern among school-aged children, with snacking habits playing a potential role in its occurrence. Aim: This study aimed to examine the relationship between snacking habits (frequency, type, and consumption practices) and the incidence of diarrhoea among primary school students at SDN 060834 Medan Petisah. Methods: A cross-sectional study was conducted with 56 students in grades IV–VI. Data were collected using a structured questionnaire assessing snacking habits and diarrhoea incidence. Statistical analysis employed chi-square tests to determine associations. Results: The majority of respondents (60.7%) reported frequent snacking, with 58.9% exhibiting healthy snacking practices. No significant association was found between the frequency (p=0.549) or type (p=0.122) of snacks consumed and diarrhoea. However, unhealthy snacking practices showed a significant association with diarrhoea incidence (p=0.001), with 64.3% of students engaging in unhealthy practices experiencing diarrhoea. Conclusion: Unhealthy snacking practices significantly increase the risk of diarrhoea among schoolchildren. Interventions promoting hygienic and nutritious snacking habits are essential to reduce diarrhoea prevalence in this population.
Factors affecting community waste disposal in the Deli River, Medan Petisah Batu, Artosi Sumana Lumban; Ginting, Rapael; Hartono, Hartono
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 2 (2025): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i2.7234

Abstract

Humanity and other living organisms coexist within the environment. Rivers, as essential components of the environment, provide critical benefits for human survival, including supplying water for daily use, supporting fisheries, and facilitating water transportation. However, human activities frequently exert negative impacts on river ecosystems, such as the disposal of solid and industrial waste. This study aimed to identify the factors influencing community waste disposal practices in the Deli River, Petisah Village, in 2023. Employing a quantitative, descriptive-analytical cross-sectional survey design, the study population comprised 250 residents residing along the Deli River, from which a sample of 154 participants was selected through simple random sampling. Bivariate analyses were conducted using the Chi-square test. The findings demonstrate significant associations between waste disposal behavior and knowledge (p=0.004), attitude (p=0.004), practices (p<0.001), and infrastructure (p=0.008). Furthermore, logistic regression analysis identified infrastructure as the strongest predictor of waste disposal behavior, indicating that inadequate infrastructure increases the likelihood of respondents disposing of waste into the river.
Major Risk Factors for Diabetic Retinopathy Complications in Type 2 Diabetes Mellitus: Faktor Risiko Utama Komplikasi Retinopati Diabetik pada Diabetes Melitus Tipe 2 Ginting, Rapael; Siagian, Masryna; Hutagalung, Cantika Viona Adytia; Lolenstine, Cherin
Academia Open Vol. 10 No. 2 (2025): December
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/acopen.10.2025.11637

Abstract

Background: Diabetes mellitus affects over 415 million people globally and is projected to reach 642 million by 2040, with diabetic retinopathy (DR) becoming a major cause of preventable blindness. Specific background: In Indonesia, DR prevalence remains high, yet early detection is often delayed, particularly in community and private clinic settings. Knowledge gap: Most studies on DR risk factors have been conducted in tertiary hospitals or general populations, while evidence from community-based ophthalmology clinics is limited. Aim: This study analyzed factors associated with DR complications among type 2 diabetes mellitus (T2DM) patients at Klinik Mata Vision Max. Results: Using a case–control design with 60 participants (30 cases, 30 controls), multivariate logistic regression revealed that uncontrolled blood glucose (OR = 7.5, p = 0.007), diabetes duration >5 years (OR = 6.4, p = 0.016), hypertension (OR = 4.5, p = 0.043), and male sex (OR = 3.97, p = 0.054) significantly increased the risk of DR, while diet showed no direct effect. Novelty: This is the first systematic case–control study in a community-based eye clinic in Indonesia addressing DR risk factors. Implications: Findings highlight the urgency of integrating DR screening into primary care, emphasizing glycemic control, hypertension management, and targeted patient education to reduce preventable blindness.Highlight : Uncontrolled blood glucose is the dominant factor. Age >45 years and DM duration >5 years increase risk. Hypertension is significantly associated with diabetic retinopathy. Keywords : Diabetes Mellitus, Diabetic Retinopathy, Risk Factors, Age, Hypertension
Determinants of Myopia Severity Based on Behavior and Genetic Factors: Determinanan Derajat Myopia Berdasarkan Perilaku dan Faktor Genetik Ginting, Rapael; S, Buenita; Zahrani, Ashila
Academia Open Vol. 10 No. 2 (2025): December
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/acopen.10.2025.11776

Abstract

General Background: Myopia is a leading global vision disorder affecting quality of life and projected to impact over half the world’s population by 2050. Specific Background: Among university students, behavioral factors such as prolonged near work and gadget use, alongside genetic predisposition, are recognized contributors, yet findings remain inconsistent, particularly in public health student populations. Knowledge Gap: Limited studies have specifically identified dominant determinants of myopia severity in public health students, a group expected to champion health promotion. Aims: This study aimed to determine the behavioral and genetic factors most strongly associated with myopia severity among Public Health students at Universitas Prima Indonesia. Results: Using a cross-sectional analytic design with 74 diagnosed myopic students, multivariate logistic regression revealed significant associations with reading distance <30 cm, gadget use >3 hours/day, and family history, with genetic factors showing the highest odds ratio (AOR = 8.567, p = 0.002). Gender was not significant. Novelty: The study uniquely combines primary and secondary data, integrates multivariate analysis, and aligns findings with the Ottawa Charter for Health Promotion and SDG 3. Implications: Results support campus-based preventive strategies, including visual hygiene education, gadget use reduction, and early screening for genetically at-risk students.Highlight : Genetic factors are the most dominant determinant of the degree of myopia. Hours of gadget use and close reading increase the risk of myopia. Health promotion on campus is important for preventing the progression of myopia. Keywords : Myopia, Derajat Myopia, Mahasiswa Kesehatan Masyarakat, Penggunaan Gadget, Faktor Genetik
Pengaruh Pengetahuan, Sikap dan Tindakan Masyarakat Terhadap Konsep Rumah Sehat Di Kawasan Industri Medan Kecamatan Medan Deli Alma, Arlin Liliana; Pakpahan, Eka Lolita Elivanti; Ginting, Rapael
Innovative: Journal Of Social Science Research Vol. 5 No. 4 (2025): Innovative: Journal Of Social Science Research
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/innovative.v5i4.20477

Abstract

This study aims to analyze the influence of knowledge, attitudes, and community actions on the concept of healthy homes in Medan Industrial Estate, Medan Deli Sub-district. This study used a quantitative approach with a cross-sectional analytic design and random sampling technique involving 100 respondents. The data obtained were then analyzed using the chi-square test to test the influence between the variables of knowledge, attitudes and actions with the concept of healthy homes. The results showed that there was a significant influence between the variables of knowledge (p-value = 0.004), attitude (p-value = 0.016), and action (p-value <0.001) of the community with the concept of healthy homes in Medan Industrial Estate. The majority of respondents had good levels of knowledge, attitudes, and actions in supporting the creation of healthy homes, which were also supported by the physical condition of homes that meet environmental health requirements. Based on these findings, the study recommends the need for collaboration and support from various relevant parties including the government and non-governmental organizations to improve education and public awareness on the importance of healthy housing concepts, so as to expand the implementation of healthy homes in a sustainable manner in Medan Industrial Estate and surrounding areas.
Co-Authors ., Saprilliani Alma, Arlin Liliana Aminuyati Amir, Dwi Fenny Andry Simanullang Angin, Jerry Primsa Perangin- Angkasa, Alexander Angkasa, Celvin Ayura, Bebie Bangun, Andreas Xaverio Batu, Artosi Sumana Lumban Bestari, Welas Binarwan Halim Boas, Richie Ray Barry Chiuman, Veranyca Chrismis Novalinda Ginting Citra, Sri Ayuni Delpitasari Marbun Deseva, Frisca Gemmi Dzul Akbar Insani Edlin, Edlin Emi Girsang Erawati, Suci Ermi Girsang Ermi Girsang Ermi Girsang eva sibagariang Fadilah, Mardi Fatmasari Bangun, Nita Febry Mulyati Fibrini, Dewi Fioni, Fioni Gea, Lestin Ginting, Chrismis Novalinda Ginting, Tarianna Girsang, Ermi Gomagel, Yoel Hartono Hartono Hartono Hartono Herbet Wau Holan Dianju Melva Meinaria Sitanggang Hulu, Viktor Trismajaya Hutabarat, Bartimeus Nicomama Hutagalung, Cantika Viona Adytia Hutagalung, Priscilla Grace J IKHTIARI, REFI Insani, Dzul Akbar Iskandar, Dalmy Jamhari Jamhari Jeremia Chandra Partogi Siallagan Johannes Bastira Ginting Johannes Ginting Johnson Hutapea Jumiati Jumiati Kaban, Dhian Ladea Kurniawan, Evan Kuswani, Lili Laurenxius, Vanessa Sinana Leslie, William Lister, Clarissa Lizar, Budi Septhian Lolenstine, Cherin Lumbantobing, Christina JRE. Maharani . Malau, Reghita Claudia Manalu, Marselinus V.Y Manalu, Yuli Andriani Br Martin Oloan S, Actor Masryna Siagian Meliala, Juli Elisabet Mayen br Merrina Arts, Tricya Muhammad Luthfi Nadhira Yasmine Ahmad Nasution, Syamsul Arifin Nia Franata Nirman Waruwu Novalinda Ginting , Chrismis Noviansyah, Aulia Olidya, Desyoma Pakpahan, Eka Lolita Elivanti Panggabean, Endah Ansylla Pinta Alfiani Telaumbanua Pratiwi, Tari Dwi Purba, Windania Putra, Onetusfifsi Putranto Manalu Putri, Nadya Nazimuddin Richie Ray Barry Boas Ritrit Yanto Zai, Ritrit Yanto Zai Riyan Sabputra S, Buenita Samosir, Frans Judea Santy Deasy Siregar Saprilliani . Sari, Chairani Novia Sari, Fitri Iman Sari, Juwita Purnama Setiawan, Linda Novelgia Sherliana, Ferra Siagian, Masryna Siahaan, Perry Boy Chandra Siallagan, Gabriel Oktavianus sibagariang, eva Sibagariang, Eva Ellya Sihombing, Rachel Raselia Sijabat, Vina Helsa Laora Silaen, Mangatas Silalahi, Marling Isabella Simangunsong, Pahala Maringan J Simangunsong, Pahala Maringan J. Simanjuntak, Mafe Robbi Simanjuntak, Mafe Robby Simanullang, Andry Simbolon, Paska Yolastri Sinaga, Asina Br Sinaga, Megasilvia Siregar, Annisa Surto Siregar, Hesti Despita Siti Zubaidah Sri Lestari Ramadhani Nasution Sri Yanti Purba Suci Erawati Surbakti, Surbakti Suyono, Tan Syahputra, Ari Denggan Tampubolon, Roy's Grace Tariana Ginting Tarigan, Antje Irmella Tarigan, Denada Br Tarigan, Ermilia Laurensya Tarigan, Nita Kastrina Theresia Rianita Panjaitan Therry Septianto Victor Trismanjaya Hulu Wahyuni Nasution, Sri Waruwu, Inel Hartanti Widiya Nisa Widya Yanti Sihotang Wilvia, Wilvia Yemima Putri Hasibuan Yulina Yulina Yulizal, Ok YUNI, YUNI Zahrani, Ashila Zendrato, Victorwan Novri