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Ginting, Rapael
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Blood Pressure Reduction in Patients with Hypertension Through Soursop Leaf Tea Consumption Siagian, Masryna; Hulu, Victor Trismanjaya; Ginting, Rapael; Manalu, Putranto; Sijabat, Vina Helsa Laora; Tarigan, Nita Kastrina
Althea Medical Journal Vol 11, No 4 (2024)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v11n4.3342

Abstract

Background: Controlling hypertension through pharmacological treatment is effective but can potentially lead to long-term side effects. Thus, more patients with hypertension have turned to herbal plants for treatment. The objective of this study was to examine the effectiveness of soursop leaf tea in reducing blood pressure in patients with hypertension.Methods: This study employed a quasi-experimental approach with a non-randomized pretest-posttest control group design, involving 30 participants in the intervention group and 30 participants in the control group. Data was analyzed using the Wilcoxon test to assess the disparity in mean blood pressure levels before and after consumption of soursop leaf tea. The Mann-Whitney test was used to examine the distinction in mean blood pressure between the intervention group and the control group.Results: In the intervention and control groups, most respondents were aged 56–65 years (60% and 66.7%), male (70% and 56.7%) and had suffered from hypertension for more than 5 years (70% and 56.7%). There was a significant difference in systolic blood pressure (p<0.001) and diastolic blood pressure (p<0.001) before and after the administration of soursop leaf tea. The mean systolic and diastolic blood pressure in the intervention group decreased significantly compared to the control group (p<0.001).Conclusions: Consumption of soursop leaf tea can reduce systolic and diastolic blood pressure, suggesting that this local herb has a potential effect on individuals diagnosed with hypertension.
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).
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 Alma, Arlin Liliana Aminuyati Angin, Jerry Primsa Perangin- Ayura, Bebie Batu, Artosi Sumana Lumban Boas, Richie Ray Barry Citra, Sri Ayuni Gea, Lestin Ginting, Chrismis Novalinda Ginting, Tarianna Girsang, Ermi Hartono Hartono Hulu, Victor Trismanjaya Hulu, Viktor Trismajaya Hutabarat, Bartimeus Nicomama Hutagalung, Cantika Viona Adytia Hutagalung, Priscilla Grace J Johannes Bastira Ginting Jumiati Jumiati Kaban, Dhian Ladea Leslie, William Lister, Clarissa Lolenstine, Cherin Masryna Siagian Merrina Arts, Tricya Olidya, Desyoma Pakpahan, Eka Lolita Elivanti Panggabean, Endah Ansylla Putranto Manalu Putri, Nadya Nazimuddin S, Buenita Samosir, Frans Judea Santy Deasy Siregar Sari, Fitri Iman Siagian, Masryna Siallagan, Gabriel Oktavianus Sijabat, Vina Helsa Laora Simangunsong, Pahala Maringan J Simangunsong, Pahala Maringan J. Simanjuntak, Mafe Robby Simanullang, Andry Simbolon, Paska Yolastri Siregar, Annisa Surto Syahputra, Ari Denggan Tampubolon, Roy's Grace Tarigan, Ermilia Laurensya Tarigan, Nita Kastrina Wahyuni Nasution, Sri Widya Yanti Sihotang Zahrani, Ashila Zendrato, Victorwan Novri