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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.
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.
Inhibitory ability of robusta coffee bean extract against Staphylococcus epidermidis Lister, Clarissa; Ginting, Rapael; Panggabean, Endah Ansylla; Tarigan, Ermilia Laurensya
Buletin Kedokteran & Kesehatan Prima Vol. 3 No. 1 (2024): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v3i1.5710

Abstract

Background: Treatment of infections generally uses chemical antibiotics, but chemical antibiotics have effects such as increasing toxicity to the body. The solution to overcome this problem is to use antibiotics from natural ingredients, such as coffee. Objective: This study aims to determine the effectiveness of robusta coffee bean extract (Coffea canephora) in inhibit the growth of Staphylococcus epidermidis bacteria. Methods: This research is an experimental study with a post test only control group design. There were 10 groups in this study, namely 2 control groups and 8 treatment groups. The technique used is disc diffusion to see the role of robusta coffee bean ethanol extract in inhibiting the growth of Staphylococcus epidermidis bacteria. The data was analyzed using the Mann-Whitney test to determine the difference between treatments. Results: The results of the Mann-Whitney test showed that there were differences in the average inhibition zone of Robusta coffee bean extract and the inhibitory power at each concentration (p<0.05). The concentration that has the highest inhibition is the concentration of 500 mg/ml. Conclusion: It can be said that there is an effectiveness of robusta coffee bean extract in reducing Staphylococcus epidermidis bacteria because the specified concentration inhibition zone is obtained.
The effect of physical exercise on blood glucose levels in patients with type 2 diabetes mellitus Siregar, Annisa Surto; Ginting, Rapael; Leslie, William; Putri, Nadya Nazimuddin; 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; Wilvia, Wilvia; Setiawan, Linda Novelgia; Chiuman, Veranyca; Yuni, Yuni; Pratiwi, Tari Dwi
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; Yulizal, OK; Lumbantobing, Christina JRE.; Edlin, Edlin; Fibrini, Dewi
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.
Co-Authors ., Saprilliani Actor Martin Oloan S Aditya Pradana Alma, Arlin Liliana Aminuyati Amir, Dwi Fenny Andry Simanullang Andry Simanullang Angin, Jerry Primsa Perangin- Angkasa, Alexander Angkasa, Celvin Bangun, Andreas Xaverio Batu, Artosi Sumana Lumban Bestari, Welas Binarwan Halim Boas, Richie Ray Barry Chiuman, Veranyca Chrismis Novalinda Ginting Chrismis Novalinda Ginting Chrismis Novalinda Ginting 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 Ellya Sibagariang eva sibagariang Fadilah, Mardi Febry Mulyati Fibrini, Dewi Fioni, Fioni Fitriani Harefa Gea, Lestin Ginting, Chrismis Novalinda Ginting, Tarianna Girsang, Ermi Gomagel, Yoel Hartono Hartono 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 Khairunnisa Nasution 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 Masryna Siagian Megasilvia Sinaga Meliala, Juli Elisabet Mayen br Muhammad Luthfi Nadhira Yasmine Ahmad Nasution, Syamsul Arifin Nia Franata Nila Sari Nirman Waruwu Novarasi Melina Silitonga Noviansyah, Aulia Olidya, Desyoma Onetusfifsi Putra Pahala Maringan J. Simangunsong Pakpahan, Eka Lolita Elivanti Panggabean, Endah Ansylla Pinta Alfiani Telaumbanua Pratiwi, Tari Dwi Purba, Windania Putranto Manalu Putri, Nadya Nazimuddin Richie Ray Barry Boas Riko Suranta Tarigan 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 Setyarsih, Liani Sherliana, Ferra Siagian, Masryna Siahaan, Perry Boy Chandra Siallagan, Gabriel Oktavianus sibagariang, eva Sihombing, Rachel Raselia Sijabat, Vina Helsa Laora Silaen, Mangatas Silalahi, Marling Isabella Simanjuntak, Mafe Robbi Simanjuntak, Mafe Robby Simanullang, Andry Simbolon, Paska Yolastri Sinaga, Asina Br 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 Tricya Merrina Arts Victor Trismanjaya Hulu Waruwu, Inel Hartanti Widiya Nisa Widya Yanti Sihotang Wilvia, Wilvia Windania Purba Yemima Putri Hasibuan Yulina Yulina Yulizal, Ok YUNI, YUNI Zahrani, Ashila Zendrato, Victorwan Novri