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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.
Analysis Of The Preparedness Of The Royal Prima Marelan Hospital In Facing The Spike In COVID-19 Cases Wau, Herbert; Amanda Tambunan, Vania; Tampubolon, Elisabet; Bastira Ginting, Johannes
International Journal of Health and Pharmaceutical (IJHP) Vol. 3 No. 1 (2022): February 2023
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v3i2.148

Abstract

The number of cases of COVID-19 in various countries has led to soaring needs in the health care system and has resulted in overcrowding of hospitals, so that when the wider community has to stay at home to take care of themselves, the opposite happens to health workers who work, they still have to serving COVID-19 patients. This study aims to analyze the preparedness model carried out by the Medan Marelan Hospital in the face of the COVID-19 spike. This study used a cross sectional study design. The population in this study were all employees of the Royal Prima Marelan Hospital Medan with a total of 113 people, the sample was taken using quota sampling, where at the Royal Prima Marelan Hospital there were as many as 60 people, the data analysis used Univariate, Bivariate and Multivariate. The independent variables that have an effect in this study are the attitude of preparedness variable, management planning and management evaluation, and the variables that have no effect in this study are the knowledge of Covid-19 variable, management implementation, and management follow-up. The independent variable in this study that has the most influence on hospital preparedness in dealing with the COVID-19 spike is the management evaluation variable.
Factors influencing infant basic immunization uptake at Bestari Community Health Center, Medan Simangunsong, Pahala Maringan Jubel; Wau, Herbert; Gulo, Lincewan Lestari; Simanjuntak, Riky Suherman; Tanamal, Claudia; Hidayat, Andri; Rezaldi, Muhammad Rizal; Loren, Jeff; Arviandi, Rizki
Buletin Kedokteran & Kesehatan Prima Vol. 5 No. 1 (2026): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v5i1.7970

Abstract

Background: Immunization is one of the most effective public health interventions for preventing infectious diseases and reducing mortality rates. However, complete basic immunization coverage in Indonesia, particularly in North Sumatra, remains suboptimal. This study aimed to analyze the relationship between maternal characteristics (age, education, employment, knowledge, and attitudes) and the provision of complete basic immunization for infants at the Bestari Community Health Center in Medan. Methods: The research employed an analytical survey with a cross-sectional approach involving 60 mothers visiting integrated health posts in November 2022. Data were collected via questionnaires and analyzed using the chi-square test. Results: Results indicated significant associations between maternal age (p = 0.002), education level (p = 0.003), employment status (p = 0.000), knowledge (p = 0.000), and attitudes (p = 0.000) with infant immunization completeness. Conclusion: The study concludes that sociodemographic factors and maternal understanding play crucial roles in immunization coverage.
Hubungan Kualitas Pelayanan Persalinan Dengan Kepuasan Ibu Bersalin di Rumah Sakit Ibu dan Anak (RSIA) Sriratu Medan Tahun 2019 Putri Ndruru, Desi Lustiyani; Wau, Herbert; Manalu, Putranto
Preventia: The Indonesian Journal of Public Health Vol. 4, No. 2
Publisher : citeus

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Health development to increase awareness, willingness, and the ability of everyone to be able to behave in a healthy life to achieve the specified health status. Quality health services are efficient health services, in contrast health services that are lacking or not quality will make the organization's services very wasteful and exfoliate expensive costs. Based on the results of an initial survey that has been carried out, dataon maternal and maternal visits at the Sri Ratu Medan Mother and Child Hospital (RSIA) in the last 3 years showed a declining number in 2015 of 681 births, 2016 in 573 births, in 2017 a total of 2017 505 maternity mothers. This is because there has been alot of competition between hospitals regarding the quality of childbirth services which is sufficient to provide satisfaction for maternity mothers. Research objective was to know the relationship between service quality and maternal satisfaction at Sri Ratu's Mother and Child Hospital in Medan in 2019. The research method used is quantitative research with cross sectional research. The population in this study were maternity patients at RSIA Sri Ratu Medan with a total sample of 83 people. Analysis using chi square test with α <0.05.Research results shows the p-value between Physical Evidence (p-value 0.001), Reliability (p-value 0,000), Responsiveness (p-value 0.001), Guarantee (p-value 0.115), Attention (p-value 0.243) on maternal satisfaction at RSIA Sri Ratu Medan in 2019. There is a supportive relationship between physical evidence, compatibility, responsiveness to maternal satisfaction and there is no relationship between assurance and attention to maternal satisfaction at Sri Ratu Hospital in 2019.