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RISK FACTORS OF HYPERTENSION IN PREGNANT WOMEN IN LABUHANBATU REGENCY: A CROSS−SECTIONAL STUDY: Faktor Risiko Hipertensi Pada Ibu Hamil di Kabupaten Labuhanbatu Hartono, Hartono; Manalu, Putranto; Janas, Dhyta Nurhasanah; Siagian, Masryna; Nadapdap, Marshall Jeremia
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.V13I12025.85-92

Abstract

Background: Pregnant women with hypertension face elevated risks of complications, including preeclampsia and maternal mortality. Despite the increasing prevalence of gestational hypertension and its associated burdens, limited research—particularly at the local level—hinders effective prevention and management strategies. Purpose: This research aimed to investigate the risk factors associated with hypertension in pregnant women in Labuhan Batu Regency. Methods: This cross-sectional study involved 80 pregnant women from Labuhanbatu Regency, North Sumatra, Indonesia. Data on obesity, age, physical activity, and secondhand smoke exposure were collected through measurements and questionnaires. Obesity was assessed using mid-upper arm circumference (MUAC), while other variables were determined through interviews. Data were analyzed descriptively, and Fisher’s exact test was employed to compare risk factors between hypertensive and non-hypertensive pregnant women. Results: Obesity (p=0.29) and age (p=0.84) were not significantly associated with hypertension. However, pregnant women with light physical activity had a lower risk of hypertension compared to those with heavy physical activity (p=0.02). There was no significant association between exposure to cigarette smoke and hypertension (p=0.20). Conclusion: The findings suggest that light physical activity might be protective against hypertension during pregnancy among homemakers in Labuhanbatu regency.
Effectiveness of stretching on reducing muscle and bone pain in worker Siagian, Masryna; Butar-Butar, Emely Thania; Rizki, Kartika Sari; Artiani, Litri; Siregar, Ryskina Fatimah; Putri, Disti Amanda
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.v4i1.6547

Abstract

Musculoskeletal pain is a common work-related ailment in Indonesia. Although not fatal, it can significantly reduce worker productivity. Stretching exercises are often used to alleviate this pain. Pre-work stretching and warm-up exercises may reduce the risk of musculoskeletal pain and fatigue, improve muscle balance and posture, and promote muscle relaxation by lengthening tense muscles, thus increasing comfort during work. This study aimed to determine the effectiveness of stretching in reducing musculoskeletal pain among workers at the Opak Suli Factory in Sukaraya Bakti Village, Pancur Batu District, Deli Serdang Regency. The experimental study employed a pre-test and post-test control group design. All 38 workers at the Opak Suli Factory in Sukaraya Bakti Village, Pancur Batu District, Deli Serdang Regency, were included using total sampling and divided into an intervention group and a control group, each consisting of 19 workers. The intervention group showed a statistically significant reduction in musculoskeletal pain (p < 0.001), indicating that stretching was effective. In contrast, the control group showed no significant change (p = 0.083). In conclusion, stretching is an effective method for reducing musculoskeletal pain among the workers in this study.
Factors contributing to weight gain among students during the COVID-19 pandemic Marpaung, Jelentika; Marlinang, Putri; Siagian, Masryna; Bangun, Andreas Xaverio; Lister, Gilbert; Deseva, Frisca Gemmi; William, Andy
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.v4i1.6582

Abstract

Weight gain among students during the COVID-19 pandemic was largely attributed to lifestyle changes, including diet, sleep patterns, decreased physical activity, and increased gadget use. This study aimed to identify the factors influencing weight gain in students at SMKN 10 Medan. A quantitative methodology was employed, utilizing a cross-sectional approach. The study population consisted of all students at SMKN 10 Medan, totaling 1,108 individuals. A sample of 294 students was selected using a random sampling technique. Data analysis was conducted using the chi-square test and logistic regression. The results indicated that all variables were significantly related to student weight gain during the COVID-19 pandemic, with p-values for physical activity (p=0.036), breakfast habits (p=0.042), snacking habits (p=0.001), sleep patterns (p=0.001), and gadget use (p=0.001). The most influential factors contributing to student weight gain were identified as snacking habits and sleep patterns, which exhibited the lowest significance values. It can be concluded that snacking habits and sleep patterns are the predominant factors associated with weight gain among students at SMKN 10 Medan during the COVID-19 pandemic.
Risk factors for anemia among pregnant women at Bhayangkara Medan Hospital Putri, Eka Nabila; Asmadinah, Nur; 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.v4i1.6636

Abstract

Anemia is a common complication affecting approximately 30% of pregnant women worldwide. Anemia is defined as a hemoglobin level of less than 11 grams per deciliter (g/dL) in non-pregnant women and less than 10.5 g/dL in pregnant women. This study aimed to determine the prevalence and risk factors of anemia in pregnant women. A cross-sectional study was conducted with 75 samples from 306 pregnant women who underwent ANC at the Bhayangkara Medan Hospital between January and June 2022. The risk factors studied included parity, pregnancy spacing, diet, maternal knowledge, and family support. Data regarding the risk factors were collected using questionnaires and medical records. Frequency distribution calculation and the chi-squared test were used for data analysis. The results showed that 30.7% of pregnant women experienced anemia. Chi-square test results showed that pregnancy spacing (0.001), diet (0.002), maternal knowledge (0.039), and family support were risk factors for anemia in pregnant women. Parity alone was not associated with anemia (0.306). The increased risk of anemia during pregnancy is influenced by short pregnancy spacing, poor diet, lack of maternal knowledge, and lack of family support.
The relationship between motivation and work compensation with nurse performance Wardani, Diah Sukma; Siregar, Santy Deasy; 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.v4i1.6679

Abstract

This study investigates the relationship between motivation, compensation, and nurse performance at Muyang Kute Hospital, Bener Meriah Regency, Indonesia, using an analytical survey with a cross-sectional design. A sample of 154 nurses was randomly selected from a population of 250. Data were collected via questionnaires measuring motivation, compensation, and performance, categorized as "good" or "poor." Bivariate analysis using the chi-square test revealed a significant association between both motivation and compensation with nurse performance (p < 0.05). Nurses with positive motivation and compensation demonstrated significantly better performance. Specifically, 98.1% of nurses with positive motivation and 94.9% with positive compensation exhibited good performance. These findings underscore the critical role of intrinsic and extrinsic factors in enhancing nurse performance, highlighting the need for strategies to improve motivation and ensure adequate compensation to optimize healthcare delivery.
The determinants of administrative staff performance at Muyang Kute Regional General Hospital Lefiana, Dilla; Siagian, Masryna; Hartono, Hartono
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.v4i1.6716

Abstract

This study investigates the factors influencing the performance of administrative staff at Muyang Kute Regional General Hospital, a government-owned healthcare facility in Bener Meriah, Indonesia. Utilizing an analytical survey with a cross-sectional design, data were collected from 89 permanent administrative staff members through questionnaires and hospital documents. Bivariate analysis, using the chi-square test, revealed a significant relationship between incentive provision and employee performance (p<0.001), with adequate incentives correlating with good performance. Similarly, effective employee development significantly impacted performance (p<0.001), with effective development programs leading to better performance. However, work facility provision did not significantly influence performance (p=0.475). The findings highlight the critical role of incentives and employee development in enhancing administrative staff performance, suggesting that targeted interventions in these areas could improve service quality and patient satisfaction.
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.
Patient characteristics and satisfaction across different dimensions of healthcare for tuberculosis: A study at Puskesmas Polonia, Medan Riani, Riani; Siagian, Masryna; Siregar, Santy Deasy
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.v4i1.6783

Abstract

Background: High-quality healthcare is vital for effective TB management. Patient satisfaction reflects service quality and influences treatment adherence. This study investigates the characteristics and satisfaction levels of pulmonary TB outpatients at Puskesmas Polonia, Medan, a high-burden facility. Aims: To describe the demographic characteristics of TB patients and analyze their satisfaction across various healthcare service dimensions (tangibles, reliability, responsiveness, assurance, empathy, and operational satisfaction). Methods: A cross-sectional study was conducted from December 2024 to January 2025, involving 82 pulmonary TB outpatients selected via purposive sampling. Data on patient characteristics and satisfaction (overall and by dimension, using a dichotomous scale) were collected through questionnaires and analyzed using univariate statistics. Results: The majority of the 82 TB patients were male (63.4%), with the largest age groups being 21-30 and 31-40 years (24.4% each). Most had upper secondary education (32.9%). Overall, 76.83% of patients reported satisfaction. Satisfaction levels varied across dimensions: assurance (83.0%) and reliability (79.0%) were highest, while operational satisfaction (67.0%) and responsiveness (71.0%) were lower. Conclusion: While overall satisfaction was high, specific service dimensions, particularly operational processes and responsiveness, require attention to enhance the patient experience for TB patients at Puskesmas Polonia. These findings can inform targeted interventions to improve service quality and support TB control efforts.
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
ANALISIS HUBUNGAN PENGGUNAAN ALAT PELINDUNG DIRI (APD) DENGAN KELUHAN SKIN DISEASE PADA PEKERJA DRYING SALTED FISH DI KECAMATAN MEDAN BELAWAN Siagian, Masryna; Hutapea, Yovanna Febryanti; Buenita, Buenita
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 2 (2025): AGUSTUS 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i2.48355

Abstract

Alat pelindung diri (APD) merupakan alat yang digunakan oleh tenaga kerja untuk melindungi seluruh tubuh atau sebagian tubuh terhadap kemungkinan adanya potensi bahaya atau kecelakaan kerja ditempat kerja. Setiap pekerjaan mempunyai potensi bahaya yang dapat menimbulkan risiko kecelakaan kerja dan penyakit akibat kerja yang disebabkan oleh berbagai faktor yang ada atau timbul di lingkungan kerja. Faktor penyebab drying salted fish terkena penyakit kulit yaitu sebagai kelompok pekerja informal yang termasuk dalam kelompok pekerja yang beresiko terkena penyakit akibat kerja, pada drying salted fish banyak disebabkan oleh faktor lingkungan kerja. Rumusan masalah (1) Bagaimana analisis hubungan penggunaan alat pelindung diri dengan keluhan skin disease pada drying salted fish di Kecamatan Medan Belawan. Penelitian ini bertujuan untuk mengetahui dan menganalisa hubungan penggunaan alat pelindung diri dengan keluhan skin disease pada drying salted fish dikecamatan Medan Belawan. Metode analisis data yang dilakukan dengan Statiscal program for social science (SPSS). Jumlah sampel dalam penelitian ini sebanyak 69 responden pada drying salted fish. Hasil analisis dapat disimpulkan bahwa: alat pelindung diri (APD) memiliki hubungan yang signifikan terhadap skin disease.
Co-Authors -, Hariani Abdul Wahab Aminuyati Andy William Artiani, Litri Asmadinah, Nur Bangun, Andreas Xaverio Buenita, Buenita Butar-Butar, Emely Thania Damanik, Anggi Oktavia Deseva, Frisca Gemmi Edlin, Edlin Ferendina, Imelda Fibrini, Dewi Fransisca, Wennie Ginting, Anandestra Ginting, Chrismis Novalinda Ginting, Rafael Ginting, Tarianna Gultom, Dameria Hakim, Mia Amara Harahap, Emira Nadiah Hartono Hartono Hartono Hartono Hartono Hasim, Bryan Julio Hulu, Victor Trismanjaya Hutagalung, Cantika Viona Adytia Hutapea, Yovanna Febryanti Irania, Feby Janas, Dhyta Nurhasanah Johannes Bastira Ginting Karen, Yulia Kurniawan, Muhammad Aditya Lefiana, Dilla Lister, Gilbert Lolenstine, Cherin Lumbantobing, Christina JRE. Manalu, Irma Afnita Rindu Manalu, Madeline Elisa Patricia Manihuruk, Gresika Br Saragih Marlinang, Putri Marpaung, Jelentika Martono Martono Milka Rositi Sianipar Muhammad Hidayat Nadapdap, Marshall Jeremia Olidya, Desyoma Pakpahan, Eka Lolita Eliyanti Pane, Putri Yunita Panjaitan, Andrean Kristianto Panjaitan, Hajijah I. L. Panjaitan, Nia Adinda Marselina Pasaribu, Tulus Perdani, Mustika Lili Perry Boy Chandra Siahaan Purba, Sarah Putri Uli Endrianda Br Putranto Manalu Putri, Disti Amanda Putri, Eka Nabila Rapael Ginting Riani Riani, Riani Ripta, Fadilla Rizki, Kartika Sari Samosir, Frans Judea Santy Deasy Siregar Siahaan, Marlina Elpiani Siahaan, Prestony Petra Habinsaran Sibagairang, Eva Ellya Sibagariang, Eva Ellya Silalahi, Marlinang I. Simangunsong, Pahala Maringan J. Simanjuntak, Mafe Robbi Simanullang, Andry Sinaga, Poppy Shela Sinurat, Yohana Trisintya Siregar, Ryskina Fatimah Sitanggang, Lastriana Suci, Tri Suvina, Vivi Syahputri, Ratu Julia Tambunan, Ester Theresia Tambunan, Sayulita Lestari Br Tampubolon, Jenni Tampubolon, Roy's Grace Tanamal, Claudia Telaumbanua, Marnilam Wardani, Diah Sukma Wari, Sindi Laras Waruwu, Fransiska Lalania Wau, Herbert Wicaksana, Praja Dwi Widya Yanti Sihotang Yulizal, Ok Zendrato, Victorwan Novri