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Individual and environmental risk factors for tuberculosis disease Simangunsong, Pahala Maringan Jubel; Wau, Herbert; Rusanti, Rina
Jurnal Prima Medika Sains Vol. 5 No. 2 (2023): December
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jpms.v5i2.4002

Abstract

This study aimed to analyse the association of individual and environmental factors with tuberculosis infection. The cross-sectional study was conducted in Puskesmas Sering, located in Medan Tembung subdistrict, North Sumatra, in November 2022. A total of 56 people were sampled in this study. Data were collected directly from the subjects by interview using a questionnaire sheet distributed to the respondents. Chi-square test was used to determine the significance of risk factors with tuberculosis disease. The results of the study showed that the prevalence of tuberculosis was 73.21%. The Chi Square test showed that all the risk factors such as age (0.002), gender (0.006), smoking habit (0.009), population density (0.014) and environmental sanitation (0.002) were significantly associated with tuberculosis disease.
Penjelasan Dokter dan Durasi Pengambilan Obat terhadap Loyalitas Pasien BPJS dengan Variabel Kepuasan Pasien sebagai Variabel Intervening Ginting, Chrismis Novalinda; Agatha, Yuti Paramitha; Wau, Herbert
Journal of Telenursing (JOTING) Vol 6 No 2 (2024): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v6i2.10802

Abstract

This study aims to determine the effect of a doctor's explanation and duration of drug intake on BPJS patient loyalty, with patient satisfaction as an intervening variable. The research method used cross-sectional. The results showed that there was an effect of doctor's explanation on BPJS patient loyalty at RSU Royal Prima Medan P value <0.05, there was an effect of drug intake duration on BPJS patient loyalty at RSU Royal Prima Medan P value <0.05, there was an effect of doctor's explanation on patient satisfaction, there was an effect of drug intake duration on patient satisfaction, there was an effect of patient satisfaction mediating doctor's explanation on patient loyalty, there was an effect of patient satisfaction mediating drug intake duration on patient loyalty, and there was an effect of patient satisfaction on patient loyalty. This study concludes that the doctor's explanation and duration of drug intake affect patient loyalty. Keywords: Drug Taking Duration, Satisfaction, Loyalty, Doctor's Explanation
PENINGKATAN KEMANDIRIAN EKONOMI DESA BARUSJAHE MELALUI PENDAMPINGAN INOVASI PRODUK RAMUAN TRADISIONAL OUKUP DAN MINYAK KUSUK KARO Wau, Herbert
JURNAL PENGABDIAN KEPADA MASYARAKAT Vol 28, No 4 (2022): OKTOBER-DESEMBER
Publisher : Universitas Negeri Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24114/jpkm.v28i4.39568

Abstract

Peningkatan kemandirian ekonomi Desa Barusjahe melalui pendampingan inovasi produk ramuan tradisional oukup dan minyak kusuk karo dilaksanakan bersama masyarakat Desa Barusjahe Kabupaten Karo. Kegiatan ini merupakan sebuah Gerakan Nasional Revolusi Mental dengan lingkup kegiatan Gerakan Indonesia Mandiri yang dimulai sejak bulan Agustus sampai bulan Oktober 2022. Adapun rangkaian kegiatan GNRM yang dilaksanakan berupa rapat persiapan kegiatan, pendampingan workshop packaging untuk cenderamata khas Kabupaten Karo, pendampingan workshop UMKM dan promosi, kegiatan penanaman pohon dan rapat penyusunan luaran dan laporan akhir. Adapun metode yang dilaksanakan adalah a) Mendata warga yang akan berpartisipasi pada kegiatan GNRM ini, serta memberikan penjelasan terkait program Gerakan Nasional Revolusi Mental bersama masyarakat yang akan dijalankan selama dua bulan ke depan b) Melakukan pendampingan workshop packaging untuk cendramata khas kabupaten Karo, penjelasan terkait pengemasan produk dan pemberian merk produk agar dapat dipasarkan dan dijadikan sebagai cenderamata khas Kabupaten Karo c) Melaksanakan pendampingan workshop pembentukan UMKM dan Promosi, bertujuan untuk meningkatkan promosi inovasi produk Desa BarusJahe d) Melakukan kegiatan penanaman pohon, bibit pohon yang ditanam merupakan komposisi dari ramuan tradisional oukup dan minyak kusuk karo e) Melakukan rapat penyusunan luaran dan laporan akhir, yang merupakan luaran dan laporan akhir dari rangkaian kegiatan program GNRM yang telah berjalan di Desa Barusjahe Kabupaten Karo. Output yang diharapkan dari kegiatan GNRM ini adalah perekonomian masyarakat Desa Barusjahe terus berkembang dengan semangat masyarakat Desa Barusjahe untuk terus berinovasi melalui produk ramuan tradisional oukup dan minyak kusuk karo serta mengajak masyarakat luas untuk meningkatkan pemanfaatan obat tradisional ramuan oukup dan minyak musuk karo.
Analisis Faktor-faktor Yang Mempengaruhi Kejadian Hipertensi Sistolik Terisolasi : SCOPING REVIEW P, Ridho Afriansyah; Ginting, Rafael; Wau, Herbert; Siahaan, Perry Boy Chandra; Putra, Onetusfifi; Fadillah, Mardi
JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Vol 9, No 1 (2023): April 2023
Publisher : Universitas Ubudiyah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33143/jhtm.v9i1.2782

Abstract

Kejadian hipertensi sistolik terisolasi dan faktor-faktor yang mempengaruhinya masih menjadi kajian riset yang perlu ditangani dengan cepat untuk menekan angka kejadiannya yang saat ini terus meningkat. Tujuan dari studi ini adalah untuk mengkaji faktor-faktor yang mempengaruhi kejadian hipertensi sistolik terisolasi. Penelitian ini menggunakan metode scoping review untuk melihat, mengakumulasi dan mensitesis hasil penelitian terdahulu tentang faktor-faktor yang mempengaruhi kejadian hipertensi sistolik terisolasi. Kriteria inklusi pada studi ini adalah artikel yang terbit pada journal database terindeks PubMed, Google Scholar, Elsevier dalam Bahasa Inggris, dengan desain Cross-sectional, Case control, dan Cohort. Jurnal terbit dalam rentang tahun 2018 – 2022 dan 16 artikel yang memenuhi kriteria inklusi tersebut. Dari hasil pencarian 637 artikel dari 3 database (Google scholar, elsevier dan pubmed ) dimana 108 diantaranya merupakan artikel terduplikat dan dikeluarkan. Sebanyak 529 artikel yang tersisa dikeluarkan artikel yang tidak sesuai dengan inklusi sebanyak 517 artikel sehingga terdapat 12 artikel yang relevan dan dilakukan review serta dianalisis menggunakan aplikasi NVIVO-12 Plus. Analisis menunjukkan bahwa umur, merokok, konsumsi alkohol, diet rendah garam, aktivitas fisik dan indeks massa tubuh merupakan faktor- faktor dominan yang berpengaruh terhadap kejadian hipertensi sistolik terisolasi. Tingginya faktor resiko kejadian hipertensi sistolik terisolasi dikarenakan peningkatan tekanan darah sistolik yang terjadi sejalan dengan proses penuaan, kebiasaan merokok ≥5 bungkus/tahun, konsumsi alkohol ≥100 gram/hari, konsumsi garam yang melebihi 6 gram/hari, kurangnya aktivitas fisik dan indeks massa tubuh yang berlebih. Penderita hipertensi sistolik terisolasi sangat rentan terkena penyakit kardiovaskular. Kejadian hipertensi sistolik dapat dicegah dengan melakukan aktivitas fisik seperti melakukan pekerjaan rumah, berolahraga seperti lari pagi atau sore, senam aerobik dan berenang dengan intensitas 21 menit/hari dapat menurunkan tekanan darah hingga 4-9 mmHg. Unutk pencegahan selanjutnya ialah dengan menghindari konsumsi alkohol serta merokok, menjaga asupan konsumsi garam tidak melebihi 6 gram dalam sehari dan menjaga indeks massa tubuh.Kata Kunci: faktor risiko, hipertensi sistolik terisolasi, tekanan darah sistolik The incidence of isolated systolic hypertension and the factors influence still a research study that needs to be addressed quickly to reduce the incidence rate which is currenly increasing. The purpose of this study was to examine the factors that influence incidence of isolated systolic hypertension. This study uses the scoping review method to view, accumulate and synthesize the results of previous studies on the factors incidence of isolated systolic hypertension. Inclusion criteria in this study were articles published in indexed journal databases PubMed, Google Scholar, Elsevier in English, with a cross-sectional design, case control and cohort. Journal published in the range of 2018 – 2022 and 16 articles that meet the inclusion criteria. The search results 637 articles from 3 databases (Google Scholar, Elsevier and Pubmed) of which 108 are duplicate articles and were removed. The remaining 529 articles were excluded from the inclusion of 517 articles, so there were 12 relevant articles which were reviewed and analyzed using the NVIVO-12 Plus application. The analysis shows that age, smoking, alcohol consumption, low salt diet, physical activity and body mass index are the dominant factors that influence the incidence of isolated systolic hypertension. The high risk factors for isolated systolic hypertension are due to an increase in systolic blood pressure that occurs in line with the aging process, smoking habits 5 packs/year, alcohol consumption ≥100 grams/day, salt consumption that exceeds 6 grams/day, lack of physical activity and mass index excess body. Patients with isolated systolic hypertension are very susceptible to cardiovascular disease. The incidence of systolic hypertension can be prevented by doing physical activities such as doing homework, exercising such as running in the morning or evening, aerobic exercise and swimming with an intensity of 21 minutes/day can reduce blood pressure by 4-9 mmHg. For further prevention is to avoid alcohol consumption and smoking, maintain salt intake not to exceed 6 grams a day and maintain body mass index.Keywords: risk factor, isolated systolic hypertension, systolic blood pleasur
Influence of Nutritional Status, Physical Activity and Stress Level on Menstrual Cycle Wari, Sindi Laras; Siagian, Masryna; Wau, Herbert
Jurnal Ilmu Kesehatan Masyarakat Vol. 15 No. 2 (2024): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2024.15.2.195-208

Abstract

Menstrual cycle research was conducted on female students of the Public Health Study Program of Prima Indonesia University because it was found that 53% of female students experienced abnormal menstrual cycles. Irregular menstrual cycles can be an indicator of reproductive health issues such as hormonal imbalances or other endocrine disorders. This study was to see the relationship between nutritional status, physical activity and stress levels with the menstrual cycle in female students of the Public Health Study Program of Prima Indonesia University. This type of research uses analytical observational using cross-sectional design. The population in this study was 204, with 135 samples obtained by random sampling technique. Data analysis was carried out using the chi-square statistical test and multivariate logistic regression binomial. Most of the subjects experienced normal nutritional status by 63%, light physical activity by 49.6%, moderate stress level by 83% and abnormal menstrual cycle (oligomenorrhea menstrual cycle > 35 days) by (60%). There was no relationship between nutritional status (p=0.650) and physical activity (p=0.528) with menstrual cycle. There was an association between stress level (p=0.043) with menstrual cycle. Thus, nutritional status and physical activity did not correlate with the menstrual cycle, but stress level correlated with menstrual cycle of students. Based on the research findings, it is recommended to implement stress control programs and increase awareness about the menstrual cycle for female students.
Faktor Risiko Kejadian Diare Pada Balita di Puskesmas Kota Sigli Meutuah, Sarah; Siregar, Santy Deasy; Wau, Herbert
Surya Medika: Jurnal Ilmiah Ilmu Keperawatan dan Ilmu Kesehatan Masyarakat Vol. 19 No. 3 (2024)
Publisher : STIKes Surya Global Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32504/sm.v19i3.1180

Abstract

Latar Belakang: Diare adalah kondisi buang air besar tidak normal yang rentan dialami bayi usia 29 hari–11 bulan dan anak <5 tahun sehingga disebut sebagai penyebab kedua kematian balita dengan 443.832 kematian setiap tahun. Analisis ini bertujuan untuk mengetahui fakto risiko yang berhubungan dengan kejadian diare pada balita di Puskesmas Kota Sigli. Metode: Penelitian ini menggunakan metode cross sectional dengan jumlah responden 96 ibu balita yang diambil secara purposive sampling. Pengambilan keputusan menggunakan uji chi-square (?=0,05) dan dilanjutkan dengan uji regresi logistik. Hasil: Terdapat 32 balita menderita diare(33,3%). Mayoritas responden adalah lulusan sma, berumur 25-34 tahun dan tidak bekerja. Faktor lingkungan; 92,7% menggunakan PDAM, 96,9% jamban sehat dan 91,7% lantai rumah berkondisi baik. Faktor perilaku; sayangnya 63.5% belum mencuci tangan dengan baik dan 57,3% belum mengolah makanan dan minuman dengan sempurna. Status gizi; 95,8% balita sudah tergolong berat badan normal serta pengetahuan ibu tentang diare 52.1% belum baik. Analisis bivariat menunjukkan hubungan antara kebiasaan cuci tangan pakai sabun (p=0,020), kebiasaan mengolah makanan dan minuman (p=0,024) dan pengetahuan ibu (p=0,036). Namun tidak terdapat hubungan antara tingkat pendidikan (p=0.254), pekerjaan ibu (p=0,928), umur ibu (p=0,435, sumber air bersih (p=0,488), kondisi jamban (p= 1,000), kondisi lantai rumah (p=0,896) dan status gizi (p=0,320). Kesimpulan: Faktor perilaku khususnya kebiasaan mencuci tangan dengan sabun adalah faktor dominan penyebab diare di Puskesmas Kota Sigli.
Social Determinants of Hypertension in South Nias Herbert Wau; Ida Yustina; Fazidah Aguslina Siregar; Nurmaini
International Conference on Education, Science, Technology and Health (ICONESTH) 2023: ICONESTH
Publisher : International Conference on Education, Science, Technology and Health (ICONESTH)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46244/iconesth.vi.257

Abstract

Hypertension is very rarely reported because the disease is asymptomatic and people are less aware of their health. Data on risk factors needs to be obtained as soon as possible so that prevention can be carried out as early as possible to reduce the risk of death and disability. This study aims to determine the social of hypertension in South Nias. The research was conducted with a matched case-control study. The sample amounted to 100 people, where the case numbered 50 people and the control numbered 50 people. This research was conducted in the South Nias Regency. Cases were of essential hypertension who were diagnosed by doctors at the puskesmas and controls were neighbors of cases. Analyze with Mc Nemar X2 test, and calculate OR. The results showed that most subjects aged 41-62 years old, had high school and high school education and had jobs as farmers. The bivariate analysis found risk factors for hypertension are stress (OR = 2.01 CI 95% 1,234-3,285), excessive salt consumption (OR = 1.98 CI 95% 1,269-3,119), lack of physical activity (OR = 1, 87 95% CI 1,203-2,924), and obesity (OR = 1.81 CI 95% 1,094- 3,006). The conclusion of this study is the risk factors for the occurrence of essential hypertension are stress, excessive salt consumption, lack of physical activity, and obesity. Efforts to involve all stakeholders are needed to empower POSBINDU PTM, and the participation of community leaders in helping health workers promote health both in the village environment and in the Puskesmas.
The association between workload and occupational stress levels among nurses at the Medan Tuntungan Community Health Center Ilahi, M Rizky; Dameria, Dameria; Wau, Herbert
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.v4i2.7558

Abstract

Nurses, as frontline healthcare providers, are highly susceptible to occupational stress stemming from excessive workloads.1 In Indonesia, suboptimal nurse-to-population ratios exacerbate this, leading to high stress levels (65% moderate/severe) and increased turnover (15–20%). Preliminary observations at the Medan Tuntungan Community Health Center (Puskesmas) indicated rising patient visits without corresponding staff increases, resulting in high perceived workloads and stress symptoms. This study aimed to analyze the relationship between workload and the incidence of occupational stress among nurses at the Medan Tuntungan Community Health Center. A quantitative, cross-sectional design was employed in August 2025. A total sampling (census) technique was used, including all 30 nurses at the facility. Data were collected via a structured online questionnaire assessing workload (physical, mental, administrative) and job stress (physical, emotional, behavioral symptoms), categorized on an ordinal scale (Good, Moderate, Poor). Data analysis utilized univariate statistics and bivariate testing with the Chi-Square test or Fisher's Exact Test. Univariate analysis revealed that 90.0% of nurses perceived their workload as moderate (50.0%) or poor (40.0%). Regarding stress, 43.3% experienced moderate levels, and 30.0% experienced poor (high) levels. The bivariate analysis established a highly significant association between workload and work stress (p < 0.001). A clear positive correlation was observed: 75.0% of nurses with a poor workload reported poor (high) stress, while 100.0% of those with a good workload reported good (low) stress. No significant associations were found for work shift (p = 0.091) or length of service (p = 0.069).Conclusion: Workload is a significant determinant of occupational stress among nurses at the Medan Tuntungan Puskesmas. As workload perception worsens, stress levels increase. These findings underscore the urgent need for institutional interventions focused on effective workload management and staffing optimization to mitigate nurse stress and enhance well-being.
Effectiveness of leaflet and video interventions in promoting disease prevention behaviors among online motorcycle taxi drivers in Medan City Surbakti, Tiara Lorensia Br; Azzahra, Avivani; Dameria; Wau, Herbert
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.v4i2.7566

Abstract

Online motorcycle taxi drivers represent informal sector workers who are at high risk of experiencing various health problems, such as musculoskeletal disorders, respiratory issues, and occupational stress, due to exposure to pollution, non-ergonomic working postures, long working hours, and unsafe road conditions. This study aims to identify the characteristics of online motorcycle taxi drivers in relation to the improvement of disease prevention behaviors. The research employed a quantitative approach with a non-randomized pretest–posttest control group design. The study population consisted of all online motorcycle taxi drivers operating in the Universitas Prima Indonesia area, with a total sample of 60 participants. They were divided into two groups: 30 respondents who received health education through leaflet media (intervention group) and 30 respondents who received education through video media (control group), selected using a non-probability sampling technique. Among respondents in the leaflet group, the majority were aged 19–44 years (93.3%), had a high school education (76.7%), had worked for less than five years (63.3%), worked more than eight hours per day (73.3%), and used automatic motorcycles (53.3%). Similarly, in the video group, most respondents were aged 19–44 years (90%), had completed high school (63.3%), had worked for less than five years (76.7%), worked more than eight hours per day (73.3%), and used automatic motorcycles (63.3%). Online motorcycle taxi drivers are part of the informal workforce with high health risks, highlighting the need for preventive efforts through educational interventions. The study findings indicate that the majority of respondents in both the leaflet and video groups were young adults with high school education, short work tenure, long working hours, and predominantly used automatic motorcycles. These characteristics can serve as a basis for designing more targeted health interventions to enhance disease prevention behaviors.
PERSPEKTIF MASYARAKAT TERHADAP POS PEMBINAAN TERPADU (POSBINDU) PENYAKIT TIDAK MENULAR DI PUSKESMAS DATUK BANDAR, KOTA TANJUNG BALAI Sirait, Ryda Putri; Wau, Herbert; Samosir, Frans Judea
Jambura Journal of Health Sciences and Research Vol 6, No 2 (2024): APRIL: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35971/jjhsr.v6i2.21426

Abstract

Survey yang dilakukan, diketahui bahwa peserta yang mengikuti Posbindu PTM di Puskesmas Datuk Bandar Kota Tanjung Balai belum memenuhi target nasional (70%). Kebaruan dalam penelitian karena meneliti tentang perspektif masyarakat terhadap pos pembinaan terpadu (posbindu) penyakit tidak menular. Adapun penelitian ini dilakukan bertujuan untuk mengetahui pandangan masyarakat mengenai Posbindu PTM yang ada di lokasi penelitian. Metode penelitian menggunakan kualitatif deskriptif dengan populasi yaitu seluruh masyarakat yang mengikuti Posbindu PTM berjumlah 104 jiwa. Sedangkan, informan yang digunakan dalam penelitian ini berjumlah 4 jiwa yang dipilih berdasarkan kriteria yang sudah ditetapkan oleh peneliti. Wawancara mendalam digunakan untuk mengukur perspektif masyarakat. Analisis data menggunakan reduksi data, penyajian data, dan penarikan kesimpulan / verifikasi. Hasil penelitian diketahui bahwa masyarakat yang turut serta mengikuti kegiatan Posbindu PTM dikategorikan masih rendah atau sedikit. Hal ini disebabkan karena sosialisasi yang masih kurang sehingga masyarakat tidak ikut dan tidak tahu mengenai kegiatan ini serta informasi penjadwalan kunjungan ulang peserta posbindu PTM. Kesimpulan bahwa masyarakat yang mengikuti posbindu PTM dikategorikan masih rendah, karena kurangnya sosialisasi dan informasi pemanfaatan dan penjadwalan posbindu kepada masyarakat serta kurangnya pemahaman tentang pelaksanaan posbindu dan kesadaran masyarakat.