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Relationship Between Clean and Healthy Living Behavior and the Incidence of Stunting in Toddlers Winda Dwi Saputri; Desmawati Desmawati; Yuniar Lestari; Nur Indrawaty Lipoeto; Nelmi Silvia; Afdal Afdal
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.v7i5.6897

Abstract

Stunting is a condition of a short body based on the height-for-age index. Clean and healthy living behavior is an important behavior that can prevent stunting. The purpose of the study was to determine the relationship between clean and healthy living behavior and the incidence of stunting in toddlers at the Koto Panjang Ikua Koto Health Center. This study is an observational study with a cross sectional approach, he sampling technique used was proportional sampling with 82 respondents. Data were collected using a microtoise, the maternal and child health book and a questionnaire. The data were analyzed using chi-square and logistic regression test. The results showed a relationship between weighing toddlers and the incidence of stunting (p=0,003), exclusive breastfeeding is related to the incidence of stunting (p=0,009), the habit of washing hands with soap is related to the incidence of stunting (p=0,039), the use of healthy latrines is related to the incidence of stunting (p=0,017), eradication of mosquito larvae is related to the incidence of stunting (p=0,032). The results of the multivariate analysis showed that weighing toddlers had the most dominant relationship with the incidence of stunting (OR:6,376). Concluded that clean and healthy living behavior is significantly associated with the incidence of stunting.
Factors Associated With The Empathetic of Staff at The Central Laboratory Installation of M. Djamil Hospital Padang Annisa Safitri; Zelly Dia Rofinda; Nelmi Silvia
International Journal of Health and Pharmaceutical (IJHP) Vol. 6 No. 1 (2026): February 2026
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v6i1.524

Abstract

Empathy is a crucial component for healthcare professionals to build relationships with patients and improve the quality of care. However, it is often overlooked among laboratory personnel who tend to focus more on technical aspects. Individual and organizational factors are suspected to contribute to decreased empathy among laboratory staff. This study aimed to identify the factors associated with empathy among staff at the Central Laboratory Installation of M. Djamil Hospital Padang. This study employed a Mixed Method design using a Concurrent Embedded model involving 53 laboratory staff. Data were collected through questionnaires, in-depth interviews, observations, and document reviews. Quantitative data were analyzed using chi-square tests and logistic regression, with statistical significance set at p < 0.05. The results showed that the majority of respondents were aged 30–42 years (52.8%), female (77.4%), held a diploma degree (81.1%), had ≥5 years of work experience (84.9%), and had low empathy levels (56.6%). There were significant associations between age (p=0.043), education level (p=0.042), organizational support (p=0.005), workload (p=0.003), work stress (p=0.045), and work motivation (p=0.023) with empathy levels. Meanwhile, gender, length of service, and seminar/training attendance were not significantly associated with empathy. Multivariate analysis revealed that organizational support, workload, and work stress were the key factors associated with empathy, with organizational support emerging as the most dominant factor (p=0.004). Qualitative data supported these findings, indicating that high workload, lack of organizational support, and performance pressure were major barriers to demonstrating empathy toward patients. In conclusion, laboratory staff empathy is influenced by age, education, organizational support, workload, job stress, and work motivation, with organizational support being the most dominant factor.
Elevated Maternal Leptin Levels and Higher Birth Weight in Obese Mothers Compared with Normal-weight Mothers Rezi Liawati; Yusrawati Yusrawati; Nelmi Silvia
Molecular and Cellular Biomedical Sciences Vol 10, No 1 (2026)
Publisher : Cell and BioPharmaceutical Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21705/mcbs.v10i1.748

Abstract

Background: Maternal obesity is associated with disrupted metabolic regulation, including elevated leptin levels that may affect fetal growth. Previous studies have reported mixed findings on maternal and cord blood leptin concentrations, with some showing higher leptin levels in infants born to obese mothers, while others found no significant differences. Associations between maternal obesity and neonatal outcomes have also been inconsistent. This study aims to generate new evidence from an Indonesian cohort by comparing maternal and cord blood leptin levels, as well as neonatal outcomes, between obese and normal-weight mothers.Materials and Methods: Analytical cross-sectional study enrolled 30 obese and 30 normal-weight mothers from two hospitals in Padang, Indonesia. Maternal and cord blood samples were collected at delivery, and leptin levels were measured using ELISA. Ethical approval and informed consent were obtained. Neonatal outcomes included birth weight, length, head circumference, and ponderal index. Data were analyzed using Independent Samples t-test or Mann–Whitney U test, with p<0.05 considered statistically significant. Results: Maternal leptin levels were significantly higher in obese mothers than in normal-weight mothers (70.8±39.0 vs. 44.5±42.5 ng/mL; p=0.002). Cord blood leptin levels did not differ between groups (19.7±14.9 vs. 16.1±17.5 ng/mL; p=0.394). Neonates of obese mothers had higher birth weight (p=0.003), while other anthropometric measures were similar.Conclusion: Maternal obesity was associated with elevated maternal leptin levels and increased neonatal birth weight, while cord blood leptin did not differ significantly between groups. These findings suggest that maternal leptin reflects maternal metabolic status rather than fetal growth.Keywords: maternal leptin, cord blood leptin, obesity, pregnancy, neonatal outcome
Pendampingan Kompetensi Failure Mode Effect Analysis (FMEA) Sebagai Upaya Deteksi Dini Permasalahan Pelayanan Kesehatan di RSUD Sadikin Kota Pariaman Adila Kasni Astiena; Rizanda Machmud; Rima Semiarty; Yuniar Lestari; Firdawati; Husna Yetti; Rosfita Rasyid; Ida Rahmah Burhan; Hardisman; Abdiana; Zurayya Fadilla; Nelmi Silvia; Anung Respati; Dyanti Oktalina
Warta Pengabdian Andalas Vol 33 No 2 (2026)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.33.2.146-155.2026

Abstract

Hospitals are not systematically designed to detect service errors as in non-healthcare products, thus increasing risks to patient safety. RSUD Sadikin in Pariaman City, which has been operating for only seven years, has not yet established mechanisms or training to detect service errors. This community service activity aimed to enhance managerial competence in managing the risk of healthcare service errors through the application of Failure Mode and Effect Analysis (FMEA). The activity was conducted in the form of a workshop involving 30 participants from top, middle, and lower management levels in Oktober-November 2025 at Sadikin Hospital. FMEA competence was assessed before and after the workshop using a paired t-test. The results showed that the mean pre-test score was 70.67 (SD±17.604) and the post-test score was 84.67 (SD±14.794), with an improvement of 14.00 points (SD±14.004), which was statistically significant (p=0.000). These findings indicate that the FMEA workshop effectively improved participants’ managerial competence in early detection and mitigation of service risks. Follow-up mentoring is recommended to evaluate the sustainability of training effects at 3, 6, and 9 months after the activity.
Relationship Between Perineal Wound Pain Degree and PRP Healing in Vaginal Birth Fatima Diyas Zahra; Bobby Indra Utama; Almurdi Almurdi; Roza Sri Yanti; Deddy Saputra; Nelmi Silvia
Andalas Obstetrics And Gynecology Journal Vol. 10 No. 2 (2026)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.10.2.312-321.2026

Abstract

Introduction : This study aims to see the relationship between the level of perineal wound pain and healing using PRP (Platelet Rich Plasma) in Vaginal birth. Perineal wound pain causes fear of movement resulting in subinvolution, unsmooth release of the locea, bleeding, or infection. Method : This type of research is Experimental with chi-quadrath design . The intervention group received PRP injections on perineal wounds on day 1 after delivery, while the control group was the group that was not given PRP. On the 7th day, observation of the degree of pain of perineal wounds was carried out using the VAS scale (Visual Analog Scale) in both groups. Result : The results of the study obtained a value of p=0.016. Then the value of OR = 6.250 was also obtained. Conclusion : there is a significant relationship between the level of perineal wound pain and healing using PRP in Vaginal birth. From the OR score, it is known that patients who receive PRP have a 6.25 times chance of experiencing mild pain compared to patients who are not given PRP. Keywords : pain; perineal wound; PRP; Vaginal birth.
HUBUNGAN USIA IBU SAAT HAMIL, USIA KEHAMILAN DAN BERAT BADAN LAHIR DENGAN KEJADIAN HIPOSPADIA DI RSUP DR. M. DJAMIL PADANG Sd. Ahmad Isa; Siti Nurhajjah; Alvarino Alvarino; Nelmi Silvia
SINERGI : Jurnal Riset Ilmiah Vol. 3 No. 8 (2026): SINERGI : Jurnal Riset Ilmiah, Agustus 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v3i8.2904

Abstract

Hypospadias has been shown to be influenced by maternal age, with older mothers, particularly those over 35 years old, having an increased risk of giving birth to male infants with this condition. Studies indicate that advanced maternal age is associated with a higher likelihood of hypospadias compared to younger mothers. Additionally, low birth weight is another significant factor, as infants with lower birth weights tend to have a higher incidence of hypospadias. This research aims to investigate the relationship between maternal age during pregnancy, gestational age, and birth weight with the occurrence of hypospadias. This study was an observational analytic study with a case-control design conducted at Dr. M. Djamil Hospital Padang. The sample of this study amounted to 80 hypospadias patients diagnosed in the period January 2019 to December 2023 and 80 control patients taken from patients who sought treatment at the pediatric polyclinic in the period January to December 2022. Data were analyzed using the chi-square test, if a p value <0.05 was obtained, there was a relationship between the dependent and independent variables.This study was found that there was an association between maternal age during pregnancy (p-value = 0.037), gestational age (p-value = 0.018) and birth weight (p-value = 0.002) with the incidence of hypospadias. The conclusion of this study is that there is a relationship between maternal age at pragnancy, gestational age, birth weight and the incidence of hypospadias at Dr. M. Djamil Padang Hospital. Suggestions for further research are expected to explore other risk factors that can cause hypospadias.
HUBUNGAN FAKTOR EKONOMI DENGAN PERSEPSI MASYARAKAT TERHADAP FRAKTUR DI KABUPATEN PADANG PARIAMAN Fathimah Fitri Budiman; Rima Semiarty; Hasmiwati fitri; Menkher Manjas; Nelmi Silvia; Elmatris fitri; Lydia Susanti; Taufik Akbar
EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan Vol. 3 No. 3 (2026): EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan, September 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/empiris.v3i3.2946

Abstract

Fractures are a health issue that significantly impacts individuals’ quality of life. The Health Belief Model suggests that an individual's perception of disease and their belief in the effectiveness of a particular action will influence their health behavior. Economic factors are among the elements that affect community perceptions. These perceptions will determine how individuals manage fractures. Inappropriate management of fractures can lead to complications such as infections, gangrene, and neglected fractures. This study aims to to investigate the relationship between economic factors and community perception of fractures. The economic factors considered in this study are occupation and income. This study used primary data with analytical observational methods through a cross-sectional approach conducted in Padang Pariaman Regency from November 2023 to March 2024. The population in this study consists of the community in Padang Pariaman Regency, involving 390 respondents. Data analysis was conducted using the chi-square test. The results indicate a relationship between occupation and income factors and community perception of fractures (p=0,000). This study concludes that there is a relationship between economic factors and community perception of fractures in Padang Pariaman Regency.